final Flashcards
Which of the following medication routes delivers a drug through the skin over an extended period of time, such as a nitroglycerin or fentanyl patch?
A. Sublingual
B. Intraosseous
C. Subcutaneous
D. Transcutaneous
D. Transcutaneous
A mucosal atomizer device (MAD) is used to deliver certain medications via the:
A. Intranasal route
B. Inhalation route
C. Sublingual route
D. Transdermal route
A. Intranasal route
What is the minimum number of chest compressions that should be delivered per minimum to a 4-month old infant?
A. 90
B. 100
C. 110
D. 120
B. 100
Medications encased in a gelatin shell that are taken by mouth are called:
A. Pills
B. Tablets
C. Caplets
D. Capsules
D. Capsules
Separation is especially an issue with medicine used as a(n):
A. Suspension
B. Solution
C. Elixir
D. Gel
A. Suspension
Which of the following clinical signs is unique to anaphylactic shock?
A. Pallor
B. Dizziness
C. Wheezing
D. Hypotension
C. Wheezing
Which of the following would MOST likely result in hemorrhagic shock?
A. Severe vomiting
B. Liver laceration
C. Excessive sweating
D. Repeated diarrhea
B. Liver laceration
When assessing the pulse of an unresponsive infant, you should palpate the __________ artery.
A. Radial
B. Carotid
C. Femoral
D. Brachial
D. Brachial
What medication form does oral glucose come in?
A. Gel
B. Liquid
C. Suspension
D. Fine powder
A. Gel
As you approach a young male who was involved in an industrial accident, you note that his eyes are closed and that he is not moving. You can see several large contusions to his arms, a laceration to his forehead with minimal bleeding, and a closed deformity to his right leg. You should:
A. Open his airway and assess his breathing status
B. Perform an immediate head-to-toe assessment
C. Assess his pulse for rate, regularity, and quality
D. Apply high-flow oxygen and assess his injuries
A. Open his airway and assess his breathing status
Sudden death following AMI is MOST often caused by:
A. Cardiogenic shock
B. Severe bradycardia
C. Ventricular fibrillation
D. Congestive heart failure
C. Ventricular fibrillation
A patient who is experiencing aphasia is:
A. Not able to swallow without choking
B. Experiencing a right hemispheric stroke
C. Unable to produce or understand speech
D. Usually conscious but has slurred speech
C. Unable to produce or understand speech
A patient whose speech is slurred and difficult to understand is experiencing:
A. Aphasia
B. Dysarthria
C. Dysphasia
D. Dysphagia
B. Dysarthria
A 30-year-old woman with a history of alcoholism presents with severe upper abdominal pain and is vomiting large amounts of bright red blood. Her skin is cool, pale, and clammy; her heart rate is 120 beats/min and weak; and her blood pressure is 70/50 mmHg. Your MOST immediate action should be to:
A. Protect her airway from aspiration
B. Keep her supine and keep her warm
C. Rapidly transport her to the hospital
D. Give her high-flow supplemental oxygen
A. Protect her airway from aspiration
After sizing up the scene of a patient with a possible infectious disease, your next priority should be to:
A. Contact medical control
B. Take standard precautions
C. Quickly access the patient
D. Notify law enforcement
B. Take standard precautions
Skeletal muscle is often referred to as this type of muscle because of it’s striped appearance:
A. Involuntary
B. Striated
C. Smooth muscle
D. Cardiac muscle
B. Striated
Normal breathing has all of the following characteristics EXCEPT:
A. Regular rhythm/pattern of inhalation and exhalation
B. Regular rise and fall of both sides of the chest
C. Muscle retractions
D. Movement of the abdomen
C. Muscle retractions
Which of the following body systems or components is the least critical for supplying maintaing adequate blood flow to the body?
A. An effectively pumping heart
B. An intact system of blood vessels
C. Adequate blood in the vasculature
D. The filtering of blood cells in the spleen
D. The filtering of blood cells in the spleen
When a motor vehicle strikes a tree while traveling at 40 mph, the unrestrained occupant:
A. Will most likely be thrown over the steering column
B. Remains in motion until acted upon by an external force
C. Will decelerate at the same rate as the motor vehicle
D. Is thrust under the steering column onto the floorboard
B. Remains in motion until acted upon by an external force
Elevation of the rib cage during inhalation occurs when:
A. The diaphragm descends
B. Abdominal contents descend
C. Intrathoracic pressure decreases
D. The intercoastal muscles contract
D. The intercoastal muscles contract
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
The kidneys help to regulate blood pressure by:
A. Retaining key electrolytes, such as potassium
B. Eliminating toxic waste products from the body
C. Removing sodium and water from the body
D. Accommodating large amount of blood volume
C. Removing sodium and water from the body
Reassesment of a patient with a medical complaint should begin by:
A. Reassessing the nature of illness
B. Taking another set of vital signs
C. Repeating the primary assessment
D. Reviewing all treatment performed
C. Repeating the primary assessment
In what area of the lungs does respiration occur?
A. Alveoli
B. Trachea
C. Bronchi
D. Capillaries
A. Alveoli
Which of the following blood vessels transports oxygenated blood?
A. Superior vena cava
B. Pulmonary arteries
C. Inferior vena cava
D. Pulmonary veins
D. Pulmonary veins
Muscle control and body coordination are controlled by the:
A. Cerebrum
B. Cerebellum
C. Brain stem
D. Cerebral cortex
B. Cerebellum
In the presence of ileus, the only way the stomach can empty itself is by:
A. Diarrhea
B. Vomiting
C. Muscular contraction
D. Spontaneous rupture
B. Vomiting
Which of the following conditions is NOT categorized as a psychiatric condition?
A. Depression
B. Schizophrenia
C. Substance abuse
D. Alzheimer’s disease
C. Substance abuse
At what age do children begin developing self-esteem?
A. 3 to 4 years
B. 4 to 8 years
C. 6 to 12 years
D. 12 to 18 years
C. 6 to 12 years
Maturation of the reproductive system usually takes place during:
A. Early adulthood
B. Preschool
C. Middle adulthood
D. Adolescence
D. Adolescence
Where should you palpate for a pulse in an infant?
A. Radial
B. Brachial
C. Carotid
D. Femoral
B. Brachial
The most rapid increase in language occurs during this stage development:
A. Toddlers
B. Pre-School Age
C. Adolescents
D. School Age
B. Pre-School Age
The major bones in the wrist and hand include all of the following EXCEPT:
A. Carpals
B. Metacarpals
C. Phalanges
D. Metatarsal
D. Metatarsal
How many vertebrae are in the coccygeal region of your vertebrae?
A. 5
B. 4
C. 7
D. 12
B. 4
All of the following are classifications of aspirin EXCEPT:
A. Platelet aggregation inhibitor
B. Antipyretic
C. Anti-Inflammatory Agent
D. Sympathomimetic
D. Sympathomimetic
A crackling sound produced by air bubbles under the skin is called:
A. Crepitus
B. Rhonchi
C. Korotkoff sounds
D. Subcutaneous emphysema
D. Subcutaneous emphysema
With a good mask-to face seal and an oxygen flow rate of 15 L/min, the nonrebreathing mask is capable of delivering up to __ % inspired oxygen.
A. 70
B. 80
C. 90
D. 100
C. 90
You and your partner enter the residence of an elderly couple, both of whom are found unconscious in their bed. There is no evidence of trauma. As you begin your assessment, you and you partner notice the smell of natural gas in the residence. Which of the following should be your most appropriate action?
A. Perform a rapid assessment and then move the patients from their residence
B. Request another ambulance to assist with lifting and moving the patients
C. Quickly exit the residence and request the fire department to move the patients
D. Rapidly remove the patients from their residence using a blanket or clothes drag
D. Rapidly remove the patients from their residence using a blanket or clothes drag
Type 1 diabetes:
A. Is typically treated with medications such as metformin
B. Typically occurs in patients between 50 and 70 years of age
C. Is a condition in which no insulin is produced by the body
D. Is defined as a blood sugar level that is less than 120 mg/dL
C. Is a condition in which no insulin is produced by the body
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)
When assessing a patient who is displaying bizarre behavior, the EMT should:
A. Consider that an acute medical illness may be causing the patient’s behavior
B. Avoid asking questions about suicide because this may give the patient ideas
C. Check his or her blood glucose level only if he or she has a history of diabetes
D. Carefully document his or her perception of what is causing the patients behavior
A. Consider that an acute medical illness may be causing the patient’s behavior
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
Urticaria is the medical term for:
A. Hives
B. Burning
C. Swelling
D. A wheal
A. Hives
When obtaining a SAMPLE history from a patient with diabetes who has an altered mental, it would be MOST important to determine:
A. If he or she has had any recent illnesses or excessive stress
B. Approximately how much water the patient drank that day
C. If there is a family history of diabetes or related conditions
D. The name of the physician who prescribed his or her insulin
A. If he or she has had any recent illnesses or excessive stress
Signs and symptoms of a sympathomimetic drug overdose include:
A. Tachycardia
B. Hypothermia
C. Hypotension
D. Slurred speech
A. Tachycardia
A 78-year-old female presents with an acute change in her behavior. The patient’s son tells you that his mother has type 2 diabetes and was diagnosed with Alzheimer’s disease 6 months ago. The patient’s speech is slurred and she is not alert to her surroundings. You should:
A. Transport the patient to a psychiatric facility
B. Inquire about the possibility of head trauma
C. Conclude that the patient’s blood sugar is high
D. Allow the patient to refuse transport if she wishes
B. Inquire about the possibility of head trauma
Which of the following statements regarding pelvic inflammatory disease (PID) is correct?
A. The most severe cases of PID occur in women who are not sexually active
B. PID can scar the fallopian tubes, which increases the risk of an ectopic pregnancy
C. PID most commonly affects women who have had an ectopic pregnancy in the past
D. The most common presenting symptom of PID is generalized upper abdominal pain
B. PID can scar the fallopian tubes, which increases the risk of an ectopic pregnancy
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
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
The poison control center will provide you with the most information regarding appropriate treatment for a patient with a drug overdose if the center:
A. Knows the location of the closest hospital
B. Is aware of the patient’s age and gender
C. Is aware of the substance that is involved
D. Knows why the patient overdosed on the drug
C. Is aware of the substance that is involved
A physiologic 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
The pressure of gas in a full cylinder of oxygen is approximately _____ pounds per square inch (psi).
A. 500
B. 1,000
C. 2,000
D. 3,000
C. 2,000
A critical aspect of the rapid extrication technique is to:
A. Maintain stabilization of the spine at all times
B. Move the patient as quickly as you possibly can
C. Extricate the patient with one coordinated move
D. Apply a vest-style device before moving the patient
A. Maintain stabilization of the spine at all times
A team if EMTs is caring for a critically injured patient. The team leader advises the EMT that transport will not begin until the patient’s closed forearm fracture is splinted. Utilizing the crew resource management model, the EMT should:
A. Repeat the request back to the team leader and then splint the patient’s arm
B. Ensure that the entire team is aware that transport will be delayed for splinting
C. Disregard the team leader’s request and contact medical control for guidance
D. Advise the team leader that immediate transport is more important than splinting
D. Advise the team leader that immediate transport is more important than splinting
How many cervical vertebrae are there?
A. 4
B. 7
C. 13
D. 5
B. 7
In infants and children, a capillary refill time that is greater than __ second(s) is a sign of poor peripheral perfusion.
A. 1
B. 2
C. 3
D. 4
B. 2
When assessing a patient with signs and symptoms of shock, it is important to remember that:
A. The patient’s respirations are deep during the early stages of shock
B. Blood pressure may be the last measurable factor to change in shock
C. Multiple fractures are the most common cause of hypovolemic shock
D. Irreversible shock often responds well to a prompt blood transfusion
B. Blood pressure may be the last measurable factor to change in shock
In most cases, cardiopulmonary arrest in infants and children is caused by:
A. A drug overdose
B. Respiratory arrest
C. Severe chest trauma
D. A cardiac dysrhythmia
B. Respiratory arrest
Which of the following statements regarding anaphylactic shock is correct?
A. Anaphylactic shock occurs immediately after a person is sensitized to an allergen
B. Sensitized people will experience less severe reactions upon subsequent exposure
C. Anaphylactic shock is caused by immune system failure due to a toxic exposure
D. Subsequent exposure after sensitization often produces a more severe reaction
D. Subsequent exposure after sensitization often produces a more severe reaction
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
Substance abuse is MOST accurately defined as:
A. Knowingly selling illicit drugs to buy more drugs
B. Willfully using a therapeutic drug to trat a medical illness
C. Unwillingly and unknowingly consuming drugs or alcohol
D. Misusing a substance to produce a desired effect
D. Misusing a substance to produce a desired effect
_________ is what you can see of a person’s response to the environment.
A. Affect
B. Behavior
C. Neurosis
D. Psychosis
B. Behavior
Each ovary produces an ovum in alternating months and releases it into the:
A. Vagina
B. Uterus
C. Cervical os
D. Fallopian tube
D. Fallopian tube
Which of the following statements regarding glucose is correct?
A. Most cells will function normally without glucose
B. Blood glucose levels decrease in the absence of insulin
C. The brain requires glucose as much as it requires oxygen
D. The brain requires insulin to allow glucose to enter the cells
C. The brain requires glucose as much as it requires oxygen
Chemicals that are responsible for the signs and symptoms of an allergic reaction to a bee sting include:
A. The bee venom itself
B. Adrenaline and histamines
C. Leukocytes and and epinephrine
D. Histamines and leukocytes
D. Histamines and leukocytes
An EMTs primary responsibility to the patient who has been poisoned is to:
A. Administer the appropriate antidote
B. Recognize that a poising occurred
C. Administer 25 g of activated charcoal
D. Contact poison control immediately
B. Recognize that a poising occurred
A 4-year-old girl fell from a second-story balcony and landed on her head. She is unresponsive, has slow, irregular breathing; and has a large hematoma to the top of her head; and is bleeding from her nose. You should:
A. Immediately perform a full-body scan to detect other injuries, administer high-flow oxygen, and transport at once
B. Apply a pediatric-sized cervical collar, administer high-flow oxygen via pediatric nonrebreathing mask, and prepare for immediate transport
C. Manually stabilize her head, open her airway with the jaw-thrust maneuver, insert an airway adjunct, and begin assisting her ventilations with a bag-mask device
D. Suction her airway for up to 10 seconds, insert a nasopharyngeal airway, apply a pediatric-sized cervical collar, and administer oxygen via pediatric nonrebreathing mask
C. Manually stabilize her head, open her airway with the jaw-thrust maneuver, insert an airway adjunct, and begin assisting her ventilations with a bag-mask device
The L in the mnemonic TICLS when assessing the pediatric patient refers to:
A. Look or gaze
B. Lesions
C. Laceration
D. Limpness
A. Look or gaze
Which of the following is not in the foot?
A. Tarsals
B. Metacarpals
C. Talus
D. Calcaneus
B. Metacarpals
This bone lies on the lateral side of the lower leg:
A. Fibula
B. Tibia
C. Humerus
D. Femur
A. Fibula
This backup system of the body that helps to control respiration when the oxygen level falls.
A. Respiratory drive
B. Hypoxic drive
C. Residual volume
D. Respiratory system
B. Hypoxic drive
This equation is a useful tool in determining blood pressure in children ages 1-10 years old.
A. 70 + (2xchild age in years)= lowest expected systolic BP
B. 80 + (2xchild age in years)= lowest expected systolic BP
C. 70 + (2xchild age in months)= lowest expected BP
D. 70 + (1xchild age in years)= lowest expected BP
A. 70 + (2xchild age in years)= lowest expected systolic BP
When dealing with an airway obstruction in a pediatric patient signs of a severe airway obstruction are all of the following except:
A. Inability to speak or cry
B. Respiratory difficulty with stridor
C. Crying
D. Cyanosis
C. Crying
To be a great EMT, strive for:
A. Retraining
B. Foundational knowledge
C. Management work
D. The chance to replace an EMR
B. Foundational knowledge
When performing a reassessment of your patient, you should first:
A. Obtain updated vital signs
B. Reassess your interventions
C. Repeat primary assessment
D. Confirm medical Hx findings
C. Repeat primary assessment
At a flow rate of 6 L/min, a nasal cannula can deliver an approximate oxygen concentration of up to:
A. 24%
B. 35%
C. 44%
D. 52%
C. 44%
Which comes first in EMS decision making?
A. Data gathering
B. Data interpretation
C. Planning
D. Team communications
A. Data gathering
Which of the following statements regarding the blood pressure is correct?
A. The systolic pressure represents ventricular relaxation
B. Blood pressure falls early in patients with hypoperfusion
C. Blood pressure is the most reliable indicator of perfusion
D. Blood pressure is usually not measurable in children younger than 3 years of age
D. Blood pressure is usually not measurable in children younger than 3 years of age
A patient who is suspected of being hypoxic and is breathing adequately should be given supplemental oxygen with a:
A. Nasal cannula
B. Nonrebreathing mask
C. Bag-mask device
D. Mouth-to-mask device
B. Nonrebreathing mask
The pressure exerted against the walls of the artery when the left ventricle contracts is called the:
A. Apical pulse
B. Systolic pressure
C. Diastolic
D. Pulse pressure
B. Systolic pressure