Final exam Flashcards
1
Q
All the following systems contain organs that make up the contents of the abdominal cavity, EXCEPT A.) The urinary system B.) The digestive system C.) The limbic system D.) The genitourinary
A
C. The Limbic system
2
Q
You are assessing a 45 year old female who is severely depressed. She states that it seems as though her entire world is crashing down around her. She further states that she has frequent thoughts of suicidal but is not sure if she can actually go through with it. How would you manage this situation?
A.) Ask the patient if she has developed a suicidal plan
B.) Encourage the patient to remain quiet during transport
C.) Leave the scene and have a neighbor check on her
D.) Have law enforcement place her in protective custody
A
A.) Ask the patient if she has developed a suicidal plan
3
Q
The amount of medication that is given is known as the \_\_\_\_\_\_\_ A.) Indication B.) Dose C.) Side effect D.)Contraindication
A
B.) Dose
4
Q
A 49 year old male presents with an acute onset of crush chest pain and diaphoresis. You should:
A.) Obtain vital signs and a SAMPLE history
B.) Administer up to 324 mg of baby aspirin
C.) Assess the adequacy of his respirations
D.) Administer up to three doses of nitroglycerin
A
C.) Assess the adequacy of his respirations
5
Q
A 30-year-old male presents with acute shortness of breath, widespread hives, and facial swelling. He denies any past medical history and takes no medications. During your assessment, you hear wheezing over all the lung fields. His blood pressure is 90/50 mm Hg and his heart rate is 110 beats/min. In addition to giving him high-flow oxygen, the MOST important treatment for this patient is: A.) Epinephrine B.) Albuterol C.) An antihistamine D.) A beta - antagonist
A
A.) Epinephrine
6
Q
As you enter the residence who has possibly overdosed, you should: A.) Quickly gain access to the patient B.) Observe the scene for drug bottles C.) Look for drug paraphernalia D.) Be alert for personal hazards
A
D.) Be alert for personal hazards
7
Q
When you shine a light into one pupil, the normal reaction of the other pupil should be to: A.) Dilate B.) Become larger C.) Become smaller D.) Not react
A
C.) Become smaller
8
Q
During your assessment of a patient with respiratory distress, you hear wheezing when listening to breath sounds. This indicates: A. fluid in the alveoli. B. a lower airway obstruction. C. secretions in the airway. D. swelling of the upper
A
B. A lower airway obstruction
9
Q
What happens when blood volume is lost from the body?
A.) The veins dilate to increase systemic perfusion
B.) Arterial blood is diverted to the skin and muscles
C.) Widespread vasodilation causes blood pressure to decrease
D.) The arteries contract to increase blood pressure
A
D.) The arteries contract to increase blood pressure
10
Q
An intoxicated 40 year old male is found lying face down. How would you document his body’s position? A.) Prone B.) Dorsal C.) Recumbent D.) Supine
A
A.) Prone
11
Q
You and your partner arrive at the scene of a middle-aged man who collapsed about 5 minutes ago. He is unresponsive, apneic, and pulseless. Bystanders are present but have not provided any care.
You should:
A.) Perform two rescuer CPR for 5 minutes and request ALS backup
B.) Have your partner perform CPR while you question the bystanders
C.) Immediately apply the AED pads and analyze his cardiac rhythm
D.) Begin high quality and apply the AED as soon as possible
A
D.) Begin high quality and apply the AED as soon as possible
12
Q
A 31 year old female is experiencing an acute asthma attack. She is conscious and alert, but in obvious respiratory distress. After assisting her with her prescribed MDI, you should:
A.) Administer another treatment in 30 seconds if she is still in distress
B.) Reassess the patient and document her response to the medication
C.) Contact medical control and apprise him or her what you did
D.) Check the drugs expiration date to ensure that it is still current
A
B.) Reassess the patient and document her response to the medication
13
Q
A drop in blood pressure with a change in position is referred to as A.) Malignant hypotension B.) Metastatic hypotension C.) Orthostatic hypotension D.) Psychogenic hypotension
A
C.) Orthostatic hypotension
14
Q
Common signs and symptoms of heat exhaustion include all of the following EXCEPT:
A, Nausea
B. Tachycardia
C. Headache
D. Hot, dry, skin
A
D.) Hot, dry skin
15
Q
The rate and amount of heat loss by the body can be modified by all the following EXCEPT
A.) Wearing insulated clothing
B.) Increasing fluid intake
C.) Moving to an area where heat loss is decreased
D.) Increasing heat production
A
B.) Increasing fluid intake
16
Q
Inadequate circulation of blood throughout the body is called \_\_\_\_\_ A.)Shock B.) Hypoxia C.) Hypotension D.) Perfusion
A
A.) Shock
17
Q
Which of the following signs is commonly observed in patients with right sided heart failure? A.) Pulmonary edema B.) Labored breathing C.) Dependent edema D.) Flat jugular veins
A
C.) Dependent edema
18
Q
When assessing for arm drift of a patient with a suspected stroke, you should:
A.) Ask the patient to hold his or her arms up with the palms down
B.) Expect to see one arm slowly drift down to the patient’s side
C.) Observe moment of the arm for approximately 2 minutes
D.) Ask the patient to close his or her eyes during the assessment
A
D.) Ask the patient to close his or her eyes during the assessment
19
Q
An open neck injury may result in \_\_\_ if enough air is sucked into a blood vessel A.) Subcutaneous emphysema B.) An air embolism C.) Hypovolemic shock D.) Tracheal deviation
A
B.) An air embolism
20
Q
The electrical impulse generated by the heart originates in the: Select one: A. bundle of His. B. atrioventricular node. C. sinoatrial node. D. coronary sinus.
A
C. Sinoatrial Node
21
Q
Pulmonary edema and impaired ventilation occur during:
A. cardiogenic shock
B. neurogenic shock
C. septic shock
D. anaphylactic shock
A
A. Cardiogenic Shock
22
Q
When assessing an unresponsive diabetic patient, the primary visible difference between hyperglycemia and hypoglycemia is the:
Select one:
A. rate of the patient’s pulse.
B. patient’s mental status.
C. rate and depth of breathing.
D. presence of a medical identification tag.
A
C. Rate and depth of breathing
23
Q
A patient has a blood pressure of 130/70 mm Hg. The “130” in this measurement represents:
A. Atrial contraction
B. Ventricular relaxation
C. Ventricular filling
D. Ventricular contraction
A
D. Ventricular contraction
24
Q
Key hormones of the sympathetic nervous system include: A. acetylcholine and insulin. B. epinephrine and norepinephrine. C. glucagon and noradrenaline. D. norepinephrine and acetylcholine.
A
B. Epinephrine and Norepinephrine
25
```
The adult epinephrine auto-injector delivers ______ mg of epinephrine, and the infant-child auto-injector delivers ______ mg.
Select one:
A. 0.1; 0.01
B. 0.01; 0.1
C. 0.03; 0.3
D. 0.3; 0.15
```
D. 0.3 (adult), 0, 15 (child)
26
The EMT is legally obligated to protect patients privacy according to ___
HIPPA
27
Which of the following components are needed to prove negligence?
A. Duty to act, abandonment, breach of duty, and causation
B. Abandonment, breach of duty, damages, and causation
C. breach of duty, injury / damages, abandonment, and causation
D. duty to act, breach of duty, injury / damages and causation
D. Duty to act, breath of duty, injury / damages, and causations
28
Which of the following duties or responsibilities does NOT fall within the realm of the medical branch of the incident command system?
A. Extrication
B. Triage
C. Treatment
D. Transport
A. Extrication
29
The term used when individual units or different organizations make independent, and often inefficient, decisions regarding an incident is called:
A. freelancing
B. single command
C. logistical chaos
D. undermining
A. Freelancing
30
The function of the National Incident Management System (NIMS) is to:
A. educate city and county governments regarding foreign terrorist attacks
B. prepare for, prevent, respond to, and recover from domestic incidents
C. prepare for the potential of a nuclear attack against the United States
D. facilitate a standard method of incident command for natural disasters
B. Prepare for, prevent, respond, and recover domestic incidents
31
An 84-year-old male fell a week ago and has been bedridden since then. Today, he presents with an altered mental status. His skin is pale and cold and his respirations are rapid and shallow. The EMT should suspect:
A. acute hyperglycemia
B. hypovolemic shock
C. Subdural hematoma
D. systemic infection
D. A systemic infection
32
A 19-year-old male was stung multiple times by fire ants. He is experiencing obvious signs and symptoms of anaphylactic shock. You administer high-flow oxygen and give him epinephrine via intramuscular injection. Upon reassessment, you determine that his condition has not improved. You should:
A. request paramedic unit that is stationed approximately 15 miles away
B. consider that he may actually be experiencing an acute asthma attack
C. repeat the epinephrine injection after consulting with medical control
D. transport him immediately and provide supportive care while en route
C. Repeat the epinephrine injection after consulting with medical control
33
What are the three components of the "perfusion triangle"?
Heart, blood vessels, blood
34
```
Which of the following is the MOST appropriate device to use when immobilizing a patient with a suspected spinal injury?
Select one:
A. Scoop stretcher
B. Wheeled stretcher
C. Portable stretcher
D. Long backboard
```
D. Long backboard
35
```
You are attending to a 26-year-old female who is 34 weeks pregnant with her first child. Your patient has been having lower abdominal pains and cramping for the past two hours. In placing your patient on the stretcher and preparing for transport, you should place her:
Select one:
A. in a position of comfort.
B. supine with her legs elevated.
C. on her left side.
D. in the Fowler position.
```
C. On her left side
36
After assessing a patient's blood glucose level, you accidentally stick yourself with the contaminated lancet. You should:
Select one:
A. get immunized against hepatitis as soon as possible.
B. report the incident to your supervisor after the call.
C. discontinue patient care and seek medical attention.
D. immerse your wound in an alcohol-based solution
B. report the incident to your supervisor after the call.
37
```
Which of the following structures is not found in the upper airway?
A.) Pharynx
B.) Larynx
C.) Oropharynx
D.) Bronchus
```
D.) Bronchus
38
A 47 year old male presents with severe abdominal pain for 3 hours duration. His abdomen is distended and guarded. Your most important consideration for this patient should be to:
A.) Determine the exact location and cause of his pain
B.) Transport him in a supine position
C.) Be alert for signs and symptoms of shock
D.) Assess his blood pressure to determine perfusion adequacy
C.) Be alert for signs and symptoms of shock
39
A behavioral crisis interferes with which of the following?
A.) Activities of daily living
B.) Behavior that is accepted to the community
C.) Dressing, eating, or bathing
D.) All of these are correct
D.) All of these are correct
40
The spinal cord exits the cranium through the:
A. foremen magnum
B. foramen lamina
C. Cauda equina
D. Vertebral Foramen
A. foremen magnum
41
Which of the following conditions would be the LEAST likely to mimic the signs and symptoms of a stroke?
A. Hypoglycemia
B. A poetical state
C. Hypovolemia
D. Intracranial bleeding
C. Hypovolemia
42
The most basic functions of the body such as breathing, blood pressure, and swelling are controlled by the:
A. cerebral cortex
B. cerebrum
C. cerebellum
D. brain stem
D. brain stem
43
The three major parts of the brain are the:
A. midbrain, cerebellum, and spinal cord
B. cerebrum, cerebellum, and brain stem
C. brain stem, midbrain, and spinal cord
D. cerebellum, medulla, and occiput
B. cerebrum, cerebellum, and brain stem
44
You are dispatched to a residence for a 66 year old male who according to family members has suffered a massive stroke. Your primary assessment reveals that the patient is unresponsive, apnea, and pulseless. You should:
A. Perform CPR for 5 minutes before applying the AED
B. asses the patient for a facial droop and hemiparesis
C. obtain a blood glucose simple to rule out hypoglycemia
D. initiate CPR and attach an AED as soon as possible
D. initiate CPR and attach an AED as soon as possible
45
Which of the following is required for an EMT to administer a drug to a patient?
A. A patient with a stable vital signs
B. A patient with an altered level of consciousness
C. an alert adult patient
D. Medical direction approval
D. Medical direction approval
46
A 31 year old female is experiencing an acute asthma attack. She is conscious and alert but in obvious respiratory distress. After assisting her prescribed MDI, you should:
A. reassess the patient and document her response to the medication
B. contact medical control and apprise him or her what you did
C. administer another treatment in 30 seconds if she is still in distress
D. check the drugs expiration date to ensure that it is still current
A. reassess the patient and document her response to the medication
47
The EMT'S first priority is_____
A. rapid response
B. empathy for all patients
C. Personal safety
D. Treatment and transport
C. Personal safety
48
As you enter the residence of a patient who has possibly overdosed, you should:
A. be alert for personal hazards
B. look for drug paraphernalia
C. observe the scene for drug bottles
D. quickly gain access to the patient
A. be alert for personal hazards
49
A 49 year old male presents with an acute onset of crushing chest pains and diaphoresis . You should:
A. assess the adequacy of his respirations
B. administer up t 324 mg of baby aspirin
C. administer up to three doses of nitroglycerin
D. obtain vital signs and a SAMPLE history
A. assess the adequacy of his respirations
50
The electrical impulse generated by the heart originates in the:
A. bundle of his
B. atrioventricular node
C. sinoatrial node
D. coronary sinus
C. sinoatrial node
51
Deoxygenated blood from the heart returns to the:
A. right atrium
B. left ventricle
C. left atrium
D. right ventricle
A. right atrium
52
Which of the following actions would NOT be performed during the scene size up?
A. Noting the position of a crashed motor vehicle
B. rapidly assessing a patients respiratory status
C. asking a neighbors a secure the patients dog
D. notifying the dispatched to send fire personnel
B. rapidly assessing a patients respiratory status
53
When is forcible restraint permitted?
Select one:
A. Only if consent to restrain is given by a family member
B. When the patient poses a significant threat to self or others
C. Anytime that the EMT feels threatened
D. Only if law enforcement
B. When the patient poses a significant threat to self or others
54
What does "Myo" mean?
It means muscle
55
how do you give epinephrine injection?
Intramuscular
56
Anaphylaxis is MOST accurately defined as an:
A. Moderate allergic reaction that primarily affects the vasculature
B. extreme allergic reaction that may affect multiple body systems
C. severe allergic reaction that typically resolves without treatment
D. allergic reaction that causes bronchodilation and vasoconstriction
B. extreme allergic reaction that may affect multiple body systems
57
Epinephrine stimulates the ____ response, increasing blood pressure and relieveing bronchospasm
A. parasympathetic
B. respiratory
C. sympathetic
D. cardiac
C. sympathetic
58
After administering 0.3 mg of epinephrine via auto injector to a 22 year old woman with an allergic reaction, you note improvement in her breathing and dissipating of her hives. However, she is still anxious and tachycardic. You should:
A. contact medical control and obtain authorization to administer another 0.3 mg of epinephrine
B. transport her rapidly, as it is obvious that she is having a severe reaction to the epinephrine
C. consider administering 0. 15 mg of epinephrine to completely resolve her allergic reaction
D. monitor her closely but recall that anxiety and tachycardia are side effects of epinephrine
D. monitor her closely but recall that anxiety and tachycardia are side effects of epinephrine
59
Which of the following sounds indicates swelling of the upper airway?
A. stridor
B. rhonchi
C. rales
D. wheezing
A. stridor
60
Signs of a sudden severe upper airway obstruction include all of the following EXCEPT:
A. grasping the throat
B. inability to speak
C. forceful coughing
D. acute cyanosis
C. forceful coughing
61
In which of the following circumstances can the EMT legally release confidential patient information?
The patient is competent and signs a release form
62
The use of lights and siren on an ambulance:
A. legally gives the emergency vehicle operator the right of way
B. Is required any time a patient is being transported to the hospital
C. allows other drivers to hear and see you from a great distance
D. signifies a request for other drivers to yield the right of way
D. signifies a request for other drivers to yield the right of way.
63
The ____________ is a muscular dome that forms the inferior boundary of the thorax, separating the thorax from the abdomen.
diaphragm
64
```
The physical act of moving air into and out of the lungs is called:
Select one:
A. diffusion.
B. oxygenation.
C. respiration.
D. ventilation
```
D. Ventilation
65
You are transporting a 50-year-old patient who reports respiratory distress but has no other indications of other injury or illness. What is the best position in which to place this patient?
Fowler or semi-Fowler
66
The term used when individual units or different organizations make independent, and often inefficient decisions regarding an incident is called:
A. freelancing
B. single command
C. logistical chaos
D. undermining
A. freelancing
67
```
A man was found unresponsive in his bed at home. There is no evidence of injury and the patient's medical history is not known. The patient's face is cyanotic, yet the pulse oximeter reads 98%. Which of the following would MOST likely explain this?
Select one:
A. His extremities are cold
B. Severe pulmonary edema
C. Increased body temperature
D. Carbon monoxide poisoning
```
D. Carbon monoxide poisoning
68
When assessing a patient with a medical complaint, which of the following would MOST likely reveal the cause of the problem?
medical history
69
Which of the following systems is responsible for releasing hormones that regulate body activities?
A. endocrine
B. skeletal
C. reproductive
D. nervous
A. endocrine
70
A patient with hypoglycemia will often present with which of following signs / symptoms?
A. deep, rapid respirations
B. pale, cool, and clammy skin
C. warm, red, and dry skin
D. hypertension
B. pale, cool, and clammy skin
71
A 75 year old male with type 1 diabetes present with chest pain and a general feeling of weakness. He tells you that he took his insulin today and ate a regular meal approximately 2 hours ago. You should treat this patient as though he is experiencing:
A. hypoglycemia
B. hyperglycemia
C. an acute stroke
D. a heart attack
D. a heart attack
72
Which of the following statements regarding the N.R.E.M.T. is correct?
A. EMS training standards are regulated by the NREMT
B. The NREMT provides a national standard for EMS testing
C. The NREMT is a government agency that certifies EMT
D. The NREMT is the exclusive certifying body for EMT's
B. The N.R.E.M.T. provides a national standard for E.M.S. testing.
73
While providing care to a patient, blood got onto the ambulance stretcher. Because the stretcher was not properly cleaned afterward, a virus was transmitted to another emergency medical technician (E.M.T.) several days later.
Which route of transmission does this scenario describe?
A. direct contact
B. airborne tranmission
C. vector bronze tranmission
D. indirect contact
D. Indirect contact
74
When caring for a female patient who has been sexually assaulted, you should:
A. allow law enforcement to take her statement before you begin treatment.
B. ask the patient for a concise, detailed report of what happened to her.
C. place any bloodstained clothing or other articles in separate paper bags.
D. advise her that she will not be allowed to shower or change her clothes.
place any bloodstained clothing or other articles in separate paper bags
75
Which of the following is the MOST reliable indicator of adequately performed bag-valve mask ventilations in an apneic adult with a pulse?
Select one:
A. Decreased compliance when squeezing the bag
B. Consistently increasing heart rate
C. Twenty breaths/min being delivered to the adult
D. Adequate rise of the chest when squeezing the bag
D. Adequate rise of the chest when squeezing the bag
76
During the primary assessment of a semiconscious 70-year-old female, you should:
Select one:
A. ensure a patent airway and support ventilation as needed.
B. immediately determine the patient's blood glucose level.
C. insert a nasopharyngeal airway and assist ventilations.
D. ask family members if the patient has a history of stroke.
A. Ensure a patent airway and support ventilation as needed
77
Most patients with abdominal pain prefer to:
Select one:
A. sit in a semi-Fowler position with their knees slightly bent.
B. sit fully upright because it helps relax the abdominal muscles.
C. lie in a supine position with their knees in a flexed position.
D. lie on their side with their knees drawn into the abdomen.
D. Lie on their side with their knees drawn into the abdomen
78
Which of the following components are needed to prove negligence?
Duty to act, breach of duty, injury/damages, and causation
79
Assessment of a patient's blood pressure with an automatic. BP cuff reveals that it is 204 / 120. The patient is conscious and alert and denies any symptoms. The EMT should:
A. obtain a manual blood pressure
B. reassess her blood pressure in 5 minutues
C. prepare for immediate transport
D. conclude that she has hypertension
A. obtain a manual blood pressure
80
After sizing up the scene of a patient with a possible infectious disease, your next priory should be to:
A. take standard precautions
B. quickly access the patient
C. notify law enforcement
D. contact medical control
A. take standard precautions
81
At the scene of an automobile crash, a utility pole has been broken and power lies are lying across the car. The patients inside the car are conscious. You should:
A. proceed with normal extrication procedures
B. advise the patients to carefully get out of the car
C. remove the lines with a nonconductive object
D. mark off a dancer zone around the downed lines
D. mark off a dancer zone around the downed lines
82
The areas of the infants skull have not yet fused together are called:
A. ventricles
B. sutures
C. fontanelles
D. cranial valleys
C. fontanelles
83
You could be sued for ____ if your radio report to the hospital describes the patient in a manner that injuries his or her reputation.
A. slander
B. negligence
C. assault
D. libel
A. slander
84
The central nervous system is composed of the:
A. motor and sensory nerves
B. spinal cord and sensory nerves
C. brain and sensory nerves
D. brain and spinal cord
D. brain and spinal cord
85
Which of the following statements regarding the mechanism of injury (MOI) is correct?
A. The MOI may allow you to predict the severity of the patients injuries
B. a significant MOI always results in patient death or permanent disability
C. A nonsignificant MOI rules out the possibility of serious trauma
D. The exact location of a patient's injuries can be determined by the MOI
A. The MOI may allow you to predict the severity of the patients injuries
86
End - tidal dioxide (ETCO2) monitoring is clearly indicated for patients who present with:
A. Headache
B. respiratory distress
C. high blood pressure
D. abdominal pain
B. respiratory distress
87
Crackles (rales) are caused by ____
A. narrowing of the upper airways
B. severe bronchoconstriction
C. air passing through fluid
D. Mucus in the larger airway
D. Mucus in the larger airway
88
Angina pectoris occurs when:
Select one:
A. myocardial oxygen demand exceeds supply.
B. myocardial oxygen supply exceeds the demand.
C. one or more coronary arteries suddenly spasm.
D. a coronary artery is totally occluded by plaque
A. myocardial oxygen demand exceeds supply.
89
Solid abdominal organs include the:
A. spleen, kidneys, and pancreas
B. stomach and small intestine
C. gallbladder and large intestine
D. urinary bladder, colon, and urters
A. spleen, kidneys, and pancreas
90
When assessing a patient with abdominal pain, you should:
A. ask the patient to point to the area of pain or tenderness and assess for rebound tenderness over the specific area
B. palpate the abdomen in a clockwise direction, beginning with the quadrant after the one the patient indicates is painful
C. visually assess the painful area of the abdomen, but avoid palpation because this could worsen his or her condition
D. observe for abdominal guarding which is characterized by sudden relaxation of the abdominal muscles when palpated
B. palpate the abdomen in a clockwise direction, beginning with the quadrant after the one the patient indicates is painfu
91
The five sections of the spinal column, in descending order are the:
A. coccygeal, sacral, lumbar, thoracic, and cervical
B. Thoracic, cervical, lumbar, coccygeal, and sacral
C. cervical, coccygeal, thoracic, sacral, and lumbar
D. cervical, thoracic, lumbar, sacral, and coccygeal
D. cervical, thoracic, lumbar, sacral, and coccygeal
92
When activated, the sympathetic nervous system produces all of the following effects EXCEPT:
A. shunting of blood to vital organs
B. pupillary constriction
C. dilation of the bronchiole smooth muscle
D. increase in heart rate
B. pupillary constriction
93
A 38 year old male was electrocuted while attempting to wire a house. Your assessment reveals that he is unresponsive, pulseless, and apnea. A co worker has shut off the power to the house. You should:
A. assess for entry and exit wounds
B. Begin CPR and apply the AED
C. Begin CPR and transport at once
D. Fully immobilize his spinal column
B. Begin CPR and apply the AED
94
Bruising to the right upper quadrant of the abdomen following blunt trauma is MOST suggestive of injury to the:
A. stomach
B. Spleen
C. kidney
D. Liver
D. Liver
95
You response to a house. with the local fire department. They bring a 48 year old women out of the house. She is unconscious but her airway is open. Her breathing is shallow at 30 breaths a min. She has been burned 40% of her body. The burned area appears to be dry and leathery. It looks chawed and has pieces of fabric embedded in the flesh. You know that this type of burn is considered a:
A. Partial thickness burn
B. first degree burn
C. second degree burn
D. third degree burn
D. third degree burn
96
The concept of consistent care across the entire health care from first patient contact to patient discharge is called:
A. patient care advocacy
B. the continuum of care
C. the standard of care
D. the scope of practice
B. the continuum of care
97
You are attending to a 68 year old female patient in cardiac arrest. In ALS provider arrives shortly after you do and the transfer of care is made. The ALS provider asks you that you assist in the endotracheal intubation. As part of this process, you may be required to:
A. ventilate and preoxygenate the patients but not handle any of the equipment required for the intubation
B. visualize the airway and look for any potential complications in advance of the intubation
C. help position the patient for a better view of the airway during the procedure
D. perform the intubation with assistance.
C. help position the patient for a better view of the airway during the procedure
98
```
You suspect your patient is in shock. You note the patient's skin is pale. This is likely due to ___________.
Select one:
A. peripheral vasodilation
B. an increased heart rate
C. hypothermia
D. peripheral vasoconstriction
```
D. peripheral vasoconstriction
99
```
A patient whose speech is slurred and difficult to understand is
experiencing:
Select one:
A. dysphagia.
B. dysphasia
C. aphasia.
D. paraplegia.
```
B. dysphasia
100
A 47-year-old male presents with severe abdominal pain of 3 hours' duration. His abdomen is distended and guarded. Your MOST important consideration for this patient should be to:
Be alert for signs and symptoms of shock
101
You are treating a 36-year-old patient displaying the following signs and symptoms: rapid, shallow respirations; pale, cool, clammy skin; tachycardia; weakness on the left side of the body; and confusion and irritability. What should you suspect?
symptomatic hypoglycemia
102
You are dispatched to a call for a 4-month-old infant with respiratory distress. While you prepare to take care of this child, you must remember that:
Small infants are nose breathers and require clear nasal passages at all times
103
What is difficulty swallowing?
dysphagia
104
```
An elderly patient has fallen and hit her head. Your initial care should focus on:
Select one:
A. obtaining baseline vital signs.
B. providing immediate transport.
C. gathering medical history data.
D. airway, breathing, and circulation.
```
D. airway, breathing, and circulation.
105
You are dispatched to a state park for a young female experiencing an allergic reaction. Your assessment reveals that her breathing is severely labored and her blood pressure is very low. You carry epinephrine auto-injectors on your ambulance and have been trained and approved by your medical director to administer them. As your partner gives the patient supplemental oxygen, you attempt to contact medical control but do not have a signal from your cell phone. You should:
Select one:
A. administer epinephrine to the patient, begin immediate transport, and attempt to contact medical control en route to the hospital.
B. place her in a supine position, keep her warm, begin transport to the hospital, and request a paramedic intercept en route.
C. notify dispatch and request that a paramedic unit respond to the scene so they can administer epinephrine to the patient.
D. immediately load the patient into the ambulance, begin transport, and reattempt to contact medical control when you receive a cell signal.
A. administer epinephrine to the patient, begin immediate transport, and attempt to contact medical control en route to the hospital.
106
```
What is the route of administration for the EpiPen auto-injector?
Select one:
A. Intravenous
B. Intramuscular
C. Sublingual
D. Intraosseous
```
B. Intramuscular
107
The two basic categories of diagnosis that a physician will use for behavioral crises or psychiatric emergencies are ____________.
Select one:
A. organic brain syndrome and altered mental status
B. functional and nonfunctional
C. physical and psychological
D. All of these answers are correct
C. physical and psychological
108
```
A specific legal document that directs relatives and caregivers regarding the medical treatment that may be given to patients who cannot speak for themselves is called a(n):
Select one:
A. physician directive.
B. advance directive.
C. statute of care.
D. power of attorney.
```
B. advance directive.
109
The recommended treatment for absorbed or contact poisons includes _________.
Select one:
A. safely removing or diluting the poisonous substance
B. collecting and transporting the poisonous substance to the emergency department for identification
C. neutralizing the poisonous substance with a chemical
D. transporting the patient to the emergency department with the poisonous substance in place
A. safely removing or diluting the poisonous substance
110
```
Which portion of the blood carries oxygen to and wastes away from body tissues?
Select one:
A. White blood cells
B. Red blood cells
C. Platelets
D. Plasma
```
B. Red blood cells
