Exam 4 (Fisher Questions) Flashcards
Which of the following statements regarding rape is correct?
A) The EMT should try to determine if rape occurred
B) Rape is a legal term, not a medical diagnosis
C) Rape causes more physical than emotional harm
D) Only a licensed physician can make a diagnosis of rape
B) Rape is a legal term, not a medical diagnosis
The stinger from a honeybee should be:
A) Left in place and covered
B) Scraped away from the skin
C) Squeezed with tweezers and removed
D) Irrigated with copious amounts of water
B) Scraped away from the skin
Which of the following findings should concern the EMT the MOST when assessing a patient who complains of a headache?
A) Sinus congestion
B) Neck stiffness or pain
C) History of migraines
D) Slow onset of symptoms
B) Neck stiffness or pain
It is common for young females who experience their first menstrual period to:
A) Have a false positive home pregnancy test
B) Lose up to 500 mL of blood within the first 24 hours
C) Experience abdominal cramping, which may be misinterpreted
D) Become so emotionally distraught that they contemplate suicide
C) Experience abdominal cramping, which may be misinterpreted
When assessing an unresponsive diabetic patient, the primary visible difference between hyperglycemia and hypoglycemia is the:
A) Patient’s mental status
B) Rate of the patient’s pulse
C) Presence of a medical identification tag
D) Rate and depth of breathing
D) Rate and depth of breathing
Which of the following conditions would MOST likely affect the entire brain?
A) Blocked cerebral artery in the frontal lobe
B) Reduced blood supply to the left hemisphere
C) Ruptured cerebral artery in the occipital lobe
D) Respiratory failure or cardiopulmonary arrest
D) Respiratory failure or cardiopulmonary arrest
When caring for a woman who is experiencing a gynecologic emergency, the EMT’s main focus should be to:
A) Determine the underlying cause of her problem
B) Ask questions related to her gynecologic history
C) Maintain her ABCs and transport without delay
D) Keep assessment and treatment to a minimum
C) Maintain her ABCs and transport without delay
As a woman approaches menopause:
A) Her menstrual periods may become irregular and vary in severity
B) She cannot become pregnant because of fluctuating hormone levels
C) She usually experiences abdominal cramping without vaginal bleeding
D) Her risk of developing pelvic inflammatory disease lowers significantly
A) Her menstrual periods may become irregular and vary in severity
General treatment for a woman with vaginal bleeding and shock following sexual assault includes all of the following, EXCEPT:
A) Supplemental oxygen and keeping the patient supine
B) Refraining from placing any dressings in the vagina
C) Carefully removing any foreign bodies from the vagina
D) Treating external lacerations with sterile compresses
C) Carefully removing any foreign bodies from the vagina
Which of the following would MOST likely provide clues regarding the source of a patient’s allergic reaction?
A) The patient’s family history
B) The patient’s general physical appearance
C) The environment in which the patient is found
D) The time of year in which the exposure occurred
C) The environment in which the patient is found
When a female has reached menarche:
A) She is capable of becoming pregnant
B) She can no longer produce an ovum
C) She usually requires hormone therapy
D) Menstrual periods become less frequent
A) She is capable of becoming pregnant
Common names for activated charcoal include all of the following, EXCEPT:
A) Fructose
B) Actidose
C) LiquiChar
D) InstaChar
A) Fructose
Which of the following is an example of a functional behavior disorder?
A) Head trauma
B) Drug addiction
C) Schizophrenia
D) Alzheimer’s disease
C) Schizophrenia
Proper procedure for administering oral glucose to a patient includes all of the following, EXCEPT:
A) Assessing the patient’s mental status
B) Ensuring the absence of a gag reflex
C) Checking the medication’s expiration date
D) Requesting permission from medical control
B) Ensuring the absence of a gag reflex
Common causes of acute psychotic behavior include all of the following, EXCEPT:
A) Intense stress
B) Schizophrenia
C) Alzheimer’s disease
D) Mind-altering substance use
C) Alzheimer’s disease
Immediately after giving an epinephrine injection, you should:
A) Properly dispose of the syringe
B) Record the time and dose given
C) Reassess the patient’s vital signs
D) Notify medical control of your action
A) Properly dispose of the syringe
A psychologic disorder that impairs bodily function when the body seems to be structurally normal is called a:
A) Traumatic brain injury
B) Seizure
C) Drug and alcohol abuse
D) Functional disorder
D) Functional disorder
When assessing a patient with a behavioral crisis, you should:
A) Be direct and clearly state your intentions
B) Frisk the patient for the presence of weapons
C) Spend as little time with the patient as possible
D) Ask the police to handcuff the patient for safety
A) Be direct and clearly state your intentions
Hypotension, hypoventilation, and pinpoint pupils would be expected following an overdose of:
A) Ecstasy
B) Oxycodone (Percocet)
C) Amphetamine sulfate (Benzedrine)
D) Crack cocaine
B) Oxycodone (Percocet)
Your priority in caring for a patient with a surface contact poisoning is to:
A) Move the patient to a safe area
B) Avoid contaminating yourself
C) Decontaminate the patient’s skin
D) Obtain and maintain a patent airway
B) Avoid contaminating yourself
Posttraumatic stress disorder can happen after:
A) Alcohol withdrawal
B) A bout with depression
C) Exposure to or injury from a traumatic occurrence
D) Extended periods of hyperthermia or hypothermia
C) Exposure to or injury from a traumatic occurrence
Type 1 diabetes:
A) Is typically treated with medications such as metformin
B) Is a condition in which no insulin is produced by the body
C) Typically occurs in patients between 50 and 70 years of age
D) Is defined as a blood sugar level that is less than 120 mg/dL
B) Is a condition in which no insulin is produced by the body
The most basic functions of the body, such as breathing, blood pressure and swallowing, are controlled by the:
A) Brain stem
B) Cerebrum
C) Cerebellum
D) Cerebral cortex
A) Brain stem
Components of the Cincinnati Prehospital Stroke Scale include:
A) Speech, pupil reaction, and memory
B) Arm drift, memory, and grip strength
C) Arm drift, speech, and facial droop
D) Facial droop, speech, and pupil size
C) Arm drift, speech, and facial droop
Which of the following is characteristic of a focal-onset aware seizure?
A) Absence of breathing
B) Normal level of consciousness
C) No change in vision, smell, or taste
D) Generalized twitching of all muscles
B) Normal level of consciousness
Which of the following conditions would MOST likely lead to pelvic inflammatory disease if left untreated?
A) Chlamydia
B) Ovarian cysts
C) Genital herpes
D) Ectopic pregnancy
A) Chlamydia
Which of the following signs or symptoms would the EMT MOST likely encounter in a patient with new-onset type 1 diabetes?
A) Total lack of appetite
B) Weight gain and edema
C) Weight loss and polyuria
D) Low blood glucose level
C) Weight loss and polyuria
The physical examination of a sexual assault victim should be:
A) Limited to a brief survey for life-threatening injuries
B) Performed in the presence of at least two police officers
C) As detailed as possible so all injuries can be documented
D) Deferred until the patient can be evaluated by a physician
A) Limited to a brief survey for life-threatening injuries
Diabetic ketoacidosis occurs when:
A) Blood glucose levels rapidly fall
B) The cells rapidly metabolize glucose
C) The pancreas produces excess insulin
D) Insulin is not available in the body
D) Insulin is not available in the body
Which of the following statements regarding fire ants is correct?
A) Fire ants often bite a person repeatedly
B) Fire ant bites rarely cause anaphylaxis
C) Fire ant bites typically occur on the face
D) Most people are allergic to fire ant toxin
A) Fire ants often bite a person repeatedly
The term “behavioral crisis” is MOST accurately defined as:
A) A sudden, violent outburst of an otherwise mentally stable person toward a family member
B) A situation in which a patient of any age exhibits agitated, violent, or uncooperative behavior
C) A medical illness with psychological symptoms that may lead to limited motor functioning
D) A period of severe depression that last longer than 2 weeks and cannot be controlled with medications
B) A situation in which a patient of any age exhibits agitated, violent, or uncooperative behavior
Signs and symptoms of a sympathomimetic drug overdose include:
A) Tachycardia
B) Hypothermia
C) Hypotension
D) Slurred speech
A) Tachycardia
In contrast to bleeding caused by external trauma to the vagina, bleeding caused by conditions such as polyps or cancer:
A) May be relatively painless
B) Is typically not as severe
C) Can be controlled in the field
D) Often presents with acute pain
A) May be relatively painless
Which of the following MOST accurately defines an allergic reaction?
A) An exaggerated immune system response to any substance
B) Destruction of the immune system by an external substance
C) A release of erythrocytes in response to a foreign substance
D) A direct negative effect on the body by an external substance
A) An exaggerated immune system response to any substance
When assessing for arm drift of a patient with a suspected stroke, you should:
A) Observe movement of the arms for approximately 2 minutes
B) Expect to see one arm slowly drift down to the patient’s side
C) Ask the patient to close his or her eyes during the assessment
D) Ask the patient to hold his or her arms up with the palms down
C) Ask the patient to close his or her eyes during the assessment
Which of the following patients would MOST likely have a delayed onset of an allergic reaction?
A) A 21-year old female who inhaled pollen
B) A 30-year old male who was stung by a bee
C) A 45-year old male who ingested penicillin
D) A 50-year old male who was exposed to latex
C) A 45-year old male who ingested penicillin
Solid abdominal organs include the:
A) Stomach and small intestine
B) Spleen, kidneys, and pancreas
C) Gallbladder and large intestine
D) Urinary bladder, colon, and ureters
B) Spleen, kidneys, and pancreas
A patient with an altered mental status is:
A) Completely unresponsive to all forms of stimuli
B) Typically alert but is confused as to preceding events
C) Usually able to be aroused with a painful stimulus
D) Not thinking clearly or is incapable of being aroused
D) Not thinking clearly or is incapable of being aroused
Which of the following organs assists in the filtration of blood, serves as a blood reservoir, and produces antibodies?
A) Liver
B) Kidneys
C) Spleen
D) Pancreas
C) Spleen
What type of poisoning will cause burns around the mouth in children?
A) Plant poisoning
B) Injected poison
C) Alkaline poison
D) Inhaled poison
C) Alkaline poison
Epinephrine is indicated for patients with an allergic reaction when:
A) Wheezing and hypotension are present
B) The patient is anxious and tachycardic
C) A paramedic is present at the scene
D) The reaction produces severe urticaria
A) Wheezing and hypotension are present
Organic brain syndrome is defined as:
A) Bizarre behavior secondary to a chemical imbalance or disturbance in the brain
B) A dysfunction of the brain caused by abnormal physical or physiological function
C) A disorder that cannot be traced to the abnormal structure or function of an organ
D) A change in behavior or mental status secondary to decreased cerebral blood flow
B) A dysfunction of the brain caused by abnormal physical or physiological function
Which of the following organs lies in the retroperitoneal space?
A) Liver
B) Spleen
C) Pancreas
D) Gallbladder
C) Pancreas
The single most significant factor that contributes to suicide is:
A) Depression
B) Drug abuse
C) Advanced age
D) A chronic illness
A) Depression
When administering epinephrine via auto-injector, you should hold the injector in place for:
A) 3 seconds
B) 8 seconds
C) 10 seconds
D) 15 seconds
A) 3 seconds
Individuals with chronic alcoholism are predisposed to intracranial bleeding and hypoglycemia secondary to abnormalities in the:
A) Brain
B) Kidneys
C) Liver
D) Pancreas
C) Liver
Signs of excited delirium include:
A) Pallor, hypotension, and constricted pupils
B) Diaphoresis, tachycardia, and hallucinations
C) Slurred speech, bradycardia, and a high fever
D) Subdued behavior, crying, and suicidal thoughts
B) Diaphoresis, tachycardia, and hallucinations
A strangulated hernia is one that:
A) Spontaneously reduces without any surgical intervention
B) Can be pushed back into the body cavity to which it belongs
C) Is reducible if surgical intervention occurs within 2 hours
D) Loses its blood supply due to compression by local tissues
D) Loses its blood supply due to compression by local tissues
Which of the following statements regarding the acute abdomen is correct?
A) The most common cause of an acute abdomen is inflammation of the gallbladder and liver
B) The parietal peritoneum is typically the first abdominal layer that becomes inflamed or irritated
C) The initial pain associated with an acute abdomen tends to be vague and poorly localized
D) An acute abdomen almost always occurs as the result of blunt trauma to solid abdominal organs
C) The initial pain associated with an acute abdomen tends to be vague and poorly localized
Your patient’s past medical history includes hypertension, congestive heart failure, diabetes, and seizures. Today, he presents with signs of acute renal failure. Which of his medical problems MOST likely caused this?
A) Seizures
B) Diabetes
C) Hypertension
D) Heart failure
D) Heart failure
Which of the following MOST accurately describes the cause of an ischemic stroke?
A) Blockage of a cerebral artery
B) Acute atherosclerotic disease
C) Rupture of a cerebral artery
D) Narrowing of a carotid artery
A) Blockage of a cerebral artery
Which of the following conditions or situations would MOST likely make excited delirium worse?
A) Alcohol withdrawal
B) Elevated blood glucose
C) Dimly lit environment
D) Limited physical contact
A) Alcohol withdrawal
Inhaled airborne chemicals should be diluted with:
A) Oxygen
B) Syrup of ipecac
C) Activated charcoal
D) An alkaline antidote
A) Oxygen
After administering activated charcoal to a patient, it is MOST important to:
A) Call medical control
B) Be alert for vomiting
C) Monitor the patient’s blood pressure
D) Document the intervention
B) Be alert for vomiting
___ is what you can see of a person’s response to the environment.
A) Affect
B) Behavior
C) Neurosis
D) Psychosis
B) Behavior
The principal symptom in both infectious and noninfectious gastroenteritis is:
A) Vomiting
B) Diarrhea
C) Dysuria
D) High fever
B) Diarrhea