Final Exam Questions Flashcards

1
Q

S/S of sympathomimetic drug overdose include:

Medical - CH 22 Toxicology

  1. hypothermia
  2. hypotension
  3. slurred speech
  4. tachycardia
A

tachycardia

Specific Poisons

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

The lower jaw bone is called:

Medical/Trauma

  1. mastoid
  2. mandible
  3. zygoma
  4. maxillae
A

mandible

Anatomy & Physiology

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Which of the following statements regardin metered-dose inhaler (MDI) is correct?

Medical - CH 12 Pharmacology

  1. shaking an MDI prior to use will cause deactivation of the medication
  2. MDIs are contraindicated for patients with asthma or emphysema
  3. MDIs are most commonly used by patients with cardiovascular disease
  4. an MDI delivers the same amount of meidcation every time it is used
A

an MDI delivers the same amount of medication every time it is used

Medication Forms

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Muscle control + body coordination are controlled by:

Medical/Trauma

  1. cerebellum
  2. cerebrum
  3. cerebral cortex
  4. brain stem
A

cerebellum

Anatomy & Physiology

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

The hormone responsible for the actions of the sympathetic NS is:

Medical/Trauma

  1. insulin
  2. thyroxine
  3. aldosterone
  4. epinephrine
A

epinephrine

Anatomy & Physiology

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Which of the following statements regarding glucose is correct?

Medical - CH 12 Pharmacology

  1. glucose is a complex sugar that rapidly absorbs into bloodstream
  2. glucose is usually administered by EMT via IV
  3. glucose is a simply sugar readily absorbed by cells
  4. glucose is given to patients suspected of being hypoglycemic
A

glucose is given to patients suspected of being hypoglycemic

Medications Used by EMTs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Which of the following anatomic terms is synonymous with “dorsal”?

Medical

  1. palmar
  2. medial
  3. anterior
  4. posterior
A

posterior

Common Direction, Movement, & Position Terms

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Elevation of the rib cage occurs when:

Medical

  1. intrathoracic pressure decreases
  2. intercostal muscles contract
  3. diaphragm descends
  4. abdominal contents descend
A

intercostal muscles contract

Mechanics of Ventilation

incorrect on exam

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Febrile seizures:

Medical

  1. are also referred to as absence seizures
  2. are usually benign but should be evaluated
  3. often result in permanent brain damage
  4. occur when child’s fever rises slowly
A

are usually benign but should be evaluated

Seizures

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

When caring for a patient who is visually impaired, it is important to:

Special Populations - CH 37 Patients with Special Challenges

  1. allow a service dog to remain with patient at all times, even if patient is critically ill
  2. leave items such as canes/walkers at residence if patient will be carried on gurney
  3. stand to the side of the patient when speaking if his/her peripheral vision is impaired
  4. tell him/her what is happening, ID noises, + describe situation/surroundings
A

tell him/her what is happening, ID noises, + describe situation/surroundings

Sensory Disabilities

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Unlike viruses/bacteria, neurotoxins:

EMS Operations - CH 41 Terrorism Response

  1. are not contagious
  2. cause skin blistering
  3. cause high fever
  4. have slow onset symptoms
A

are not contagious

Biologic Agents

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Putrefaction is defined as:

Medical

  1. profound cyanosis to the trunk/face
  2. decomposition of the body’s tissues
  3. separation of the torsa from the rest of the body
  4. blood settling to the lowest point of the body
A

decomposition of the body’s tissues

Physical Signs of Death

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

When enlisting the help of an interpreter who signs, it is important for you to ask the interpreter to:

Special Populations

  1. report exactly what the patient signs + not to add any commentary
  2. voice what he/she is signing while communicating with patient
  3. avoid any kind of lip movement while signing with patient
  4. document answers to questions patient has responded to
A

report exactly what the patient signs + not to add any commentary

Sensory Disabilities

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Capnography is used to:

Medical - Patient Assessment

  1. trend a patient’s BP + assess for shock
  2. determine how much CO2 is being exhaled
  3. assess how much O2 is reaching body’s tissues
  4. assess how much O2 is bound to hemoglobin
A

determine how much CO2 is being exhaled

Secondary Assessment

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Hemoglobin is:

Medical

  1. a key component of the blood + is produced in response to an infection
  2. found within RBCs + responsible for carring O2
  3. the fluid portion of the blood that transports cells throughout the body
  4. essential for the formation of clots, such as when vessel damage occurs
A

found within RBCs + responsible for carring O2

Hematologic Emergencies

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Signs of upper airway obstruction in an infant/child include all of the following, EXCEPT:

Medical

  1. cough that resembles bark of seal
  2. wheezing
  3. weak cough
  4. stridorous breathing
A

wheezing

Respiratory Emergencies + Management

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

In addition to external bleeding, the MOST significant risk that an open soft-tissue injury exposes a patient to is:

Trauma

  1. nerve damage
  2. infection
  3. hypothermia
  4. vessel damage
A

infection

Pathophysiology of Closed & Open Injuries

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Which of the following patients would MOST likely have a delayed onset of allergic reaction?

Medical

  1. 50 y/o male exposed to latex
  2. 21 y/o female inhaled pollen
  3. 30 y/o male stung by bee
  4. 45 y/o male ingested penicillin
A

45 y/o male ingested penicillin

Common Allergens

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Which of the following fractures has the greatest potential for internal blood loss & shock?

Trauma

  1. pelvis
  2. hip
  3. femur
  4. humerus
A

pelvis

Specific Musculoskeletal Injuries

incorrect on exam

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Which of the following statements regarding a 3-month-old infant is correct?

Pediatrics

  1. should be aroused easily from sleeping state
  2. can distinguish parent from stranger
  3. typically sleeps for up to 8 hours/day
  4. unable to turn his/her head + focus
A

can distinguish parent from stranger

Growth & Development

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Type/severity of wounds sustained from incendiary & explosive devices primarily depend on:

EMS Operations - Terrorism

  1. size of structure involved in explosion
  2. type of material used to manufacture device
  3. pressure generated from explosion itself
  4. patient’s distance from epicenter of explosion
A

patient’s distance from epicenter of explosion

Incendiary & Explosive Devices

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

In order of efficient pulmonary gas exchange to occur:

Medical

  1. pulomary capillaries must be completely constricted + alveoli must be collapsed
  2. must be low quantities of pulmonary surfactant to allow for full alveolar expansion
  3. O2 & CO2 must be able to freely diffuse across alveolar-capillary membrane
  4. percentage of inhaled CO2 must exceed percentage of inhaled O2
A

O2 & CO2 must be able to freely diffuse across alveolar-capillary membrane

Physiology of Respiration

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

During assessment of patient who experienced blunt trauma to abdomen, notice bruising around umbilicus. This is a sign of:

Trauma

  1. rupture of hollow organ
  2. intra-abdominal bleeding
  3. ruptured spleen
  4. severe liver laceration
A

intra-abdominal bleeding

Patient Assessment of Abdominal Injuries

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

Structures of the lower airway include all of the following, EXCEPT:

Medical/Trauma

  1. bronchioles
  2. trachea
  3. epiglottis
  4. alveoli
A

epiglottis

Antomy of Respiratory System

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

An abdominal aortic aneurysm:

Medical/Special Populations - Geriatrics

  1. is usually not repairable, even if discovered early
  2. is often the result of hypertension & atherosclerosis
  3. can sometimes be palpated as a mass in the groin area
  4. causes dull pain that often radiates to the shoulders
A

is often the result of hypertension & atherosclerosis

Changes in the Gastrointestinal system

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

Whenever possible, a female SA victim should be:

Medical - CH 24 Gynecologic Emergencies

  1. given the option of being treated by a female EMT
  2. encouraged to take shower/change clothes
  3. asked to provide brief description of perpetrator
  4. thoroughly assessed, even if no signs of injury present
A

given the option of being treated by a female EMT

Patient Assessment

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

The presence of tachycardia following a significant abdominal injury:

Trauma

  1. is always accompanied by hypotension
  2. should be assumed to be a sign of shock
  3. indicates state of decompensated shock
  4. is most commonly caused by severe pain
A

should be assumed to be a sign of shock

Patient Assessment of Abdominal Injuries

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

Covering a patient’s ___ will significantly minimize radiation head loss.

Special Populations - Environmental Emergencies

  1. chest
  2. head
  3. abdomen
  4. extremities
A

head

Cold Exposure

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

You are treating a 45 y/o woman who was tung by hornet + has rash. She tells you she’s allergic to hornets & has EpiPen. She also tells you she takes med for hypertension. Her breath sounds do not reveal any wheezing, her breathing is unlabored, & her BP is 154/94 mmHg. What should you do if you are unable to contact med control?

Medical

  1. begin transport to hospital + closely monitor condition en route
  2. begin immediate transport + request intercept with paramedic
  3. administer epinephrine, reassess condition, + transport promplty
  4. give half dose epinephrine in case allergic reaction delayed
A

begin transport to hospital + closely monitor condition en route

Pharmacology - Medications Used by EMTs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

In contrast to the sympathetic NS, the parasympathetic NS:

Medical/Trauma

  1. prepares body to handle stress
  2. slows heart + respiratory rates
  3. causes increase in HR
  4. dilates blood vessels in muscles
A

slows heart + respiratory rates

Anatomy & Physiology

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q

The CNS is composed of:

Medical/Trauma

  1. cerebrum + meninges
  2. brain + spinal cord
  3. meninges + spinal cord
  4. cerebellum + brain
A

brain + spinal cord

Anatomy & Physiology

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
32
Q

Placing a pregnant person in a supine position during the 3rd trimester of pregnancy:

Medical/Trauma

  1. results in spontaneous urinary incontinence if the bladder is full
  2. is recommended if patient has severe abdominal discomfort
  3. often causes hypotensions secondary to cardiac compression
  4. might decrease amount of blood that returns to heart
A

might decrease amount of blood that returns to heart

Injuries of the Genitourinary System

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
33
Q

When communicating with visually impaired patient, you should:

Special Populations

  1. recall that most visually impaired patient are blind
  2. expect the patient to have difficulty understanding
  3. possess an in-depth knowledge of sign language
  4. determine the extent of the patient’s impairment
A

determine the extent of the patient’s impairment

Therapeutic Communication

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
34
Q

Prior to attaching the AED to cardiac arrest patient, the EMT should:

Medical

  1. dry the chest if wet
  2. perform CPR for 30 seconds
  3. assess for pulse for 20 seconds
  4. contact medical control
A

dry the chest if wet

Cardiac Arrest

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
35
Q

The stinger from a honeybee should be:

Medical

  1. irrigated with copious amounts of water
  2. scraped away from skin
  3. left in place + covered
  4. squeezes with tweezers + removed
A

scraped away from skin

Common Allergens

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
36
Q

O2 & CO2 pass across the alveolar membrane in lungs through process called:

Medical

  1. diffusion
  2. breathing
  3. ventilation
  4. osmosis
A

diffusion

The Respiratory System: Physiology

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
37
Q

Activated charcoal may be indicated for a patient who ingested:

Medical

  1. aspirin
  2. iron
  3. ethanol
  4. methanol
A

aspirin

Toxicology - Emergency Med Care

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
38
Q

The act of pulling on a body structure in the direction of its normal alignment is called:

Trauma

  1. reduction
  2. stabilization
  3. immobilization
  4. traction
A

traction

Specific Musculoskeletal Injuries

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
39
Q

According to the START triage system, what should you do if you encounter an unresponsive patient not breathing?

EMS Operations

  1. open airway + reassess breathing
  2. ventilate for 2 mins + reassess
  3. assign “immediate” category
  4. triage as “expectant” + move on
A

open airway + reassess breathing

Incident Management - Triage

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
40
Q

Once a cervical collar has been applied to patient with possible spinal injury, it should NOT be removed unless:

Trauma

  1. lateral immobilization has been applied
  2. sensory/motor functions remain intact
  3. patients adamantly denies neck pain
  4. causes problem managing airway
A

causes problem managing airway

Patient Assessment

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
41
Q

A medication with antagonistic properties is one that:

Medical

  1. enhances the effects of another medication when given in a higher dose
  2. blocks receptor sites + prevents other chemicals from attaching to them
  3. stimulates receptor sites + allows other chemicals to attach to them
  4. produces a cumulative effect when mixed with the same type of medication
A

blocks receptor sites + prevents other chemicals from attaching to them

How Medications Work

42
Q

At a flow rate of 6 Lmin, a nasal cannula can deliver an approximate O2 concentration of up to:

Medical

  1. 24%
  2. 44%
  3. 35%
  4. 52%
A

44%

Oxygen-Delivery Equipment

43
Q

Patients who have experienced even minor-appearing head injuries should be suspected of having a brain injury, especially if they:

Trauma/Special Populations

  1. are taking blood-thinning medications
  2. do not have deformities to the skull
  3. have minor abrasions to the head area
  4. have a history of Alzheimer disease
A

are taking blood-thinning medications

Trauma & Geriatric Patients

44
Q

Which of the following is an anatomic difference between children & adults?

Medical

  1. the rib cage of an infant is less flexible than an adult’s rib cage
  2. the trachea of an infant is proportionately longer than an adult’s trachea
  3. an infant’s tongue is proportionately larger than an adult’s tongue
  4. an infant’s head accounts for less body weight than an adult’s head
A

an infant’s tongue is proportionately larger than an adult’s tongue

Neonates (Birth to 1 Month) & Infants (1 Month to 1 Year)

CH 7 Lifespan Development

45
Q

The single most significant factor that contributes to suicide is:

Special Populations

  1. advanced age
  2. depression
  3. drug abuse
  4. chronic illness
A

depression

Suicide

46
Q

What is the function of the sternocleidomastoid muscle?

Medical/Trauma

  1. allows flexion of the neck
  2. connects the scapulae together
  3. provides respiration
  4. allows movement of the head
A

allows movement of the head

Anatomy & Physiology

47
Q

Critical signs of compensated shock include all of the following, EXCEPT:

Medical

  1. absent peripheral pulses
  2. restlessness or anxiety
  3. rapid, shallow breathing
  4. cool & clammy skin
A

absent peripheral pulses

The Progression of Shock

48
Q

An EMT would MOST likely be held liable for abandoment if he/she:

Medical

  1. terminated care of a competent adult patient at his/her request
  2. refused to care for violent patient armed with knife
  3. remained at hospital for 30 min to give PCR
  4. did not make provisions for continued care of an injured patient
A

did not make provisions for continued care of an injured patient

Abandonment

49
Q

Which of the following statements regarding rape is correct?

Medical/Trauma

  1. rape causes more physical than emotional harm
  2. rape is a legal term, not a medical diagnosis
  3. the EMT should try to determine if rape occurred
  4. only licensed physician can make diagnosis of rape
A

rape is a legal term, not a medical diagnosis

Assessment & Management of Specific Conditions

50
Q

In contrast to the assessment of a trauma patient, assessment of a medical patient:

Medical

  1. is focused on the nature of illness, the patient’s chief complaint, & his/her symptoms
  2. requires a thorough head-to-toe exam that involves a detailed assessment of all body systems
  3. almost exclusively focuses on physical signs that indicate the patient is experiencing a problem
  4. is not as complex for EMT because most patients typically present with classic symptoms
A

is focused on the nature of illness, the patient’s chief complaint, & his/her symptoms

Patient Assessment

51
Q

When determining the frequency of contractions, you should time the contractions from the:

Special Populations

  1. start of one to start of next
  2. start of one to end of next
  3. end of one to start of next
  4. end of one to end of next
A

start of one to start of next

Normal Delivery Management

52
Q

Initial treatment to dislodge a severe foreign body airway obstruction in a responsive infant involves:

Medical

  1. blind finger sweeps
  2. bag-mask ventilation
  3. abdominal thrusts
  4. back slaps
A

back slaps

Foreign Body Airway Obstruction in Infants/Children

53
Q

A patient who presents with a headache, fever, confusion, + red blotches on skin should be suspected of having:

Medical

  1. tuberculosis
  2. MERS-CoV
  3. hepatitis
  4. meningitis
A

meningitis

Common/Serious Communicable Diseases

54
Q

Immediate transport is indicated for a child when he/she:

Pediatrics

  1. falls from a heigh greater than 4-5 feet
  2. has a history compatible with serious illness
  3. has possible closed fracture of the radius
  4. is experiencing mild to moderate pain
A

has a history compatible with serious illness

Patient Assessment

55
Q

The term “behavioral crisis” is MOST accurately defined as:

Medical

  1. a sudden, violent outburst of an otherwise mentally stable person toward a family member
  2. a medical illness with psychological symptoms that may lead to limited motor functioning
  3. a situation in which a patient of any age exhibits agitated, violent, or uncooperative behavior
  4. a period of severe depression that lasts longer than 2 weeks & cannot be controlled with medications
A

a situation in which a patient of any age exhibits agitated, violent, or uncooperative behavior

Defining a Behavioral Crisis

56
Q

A patient with an altered mental status is:

Medical

  1. typically alert but confused as to preceding events
  2. completely unresponsive to all forms of stimuli
  3. not thinking clearly or incapable of being aroused
  4. usually able to be aroused with painful stimulus
A

not thinking clearly or incapable of being aroused

Altered Mental Status

incorrect on exam

57
Q

Bone marrow produces:

Medical/Trauma

  1. electrolytes
  2. lymphocytes
  3. platelets
  4. blood cells
A

blood cells

Anatomy & Physiology of the Musculoskeletal System

58
Q

Which of the following statements regarding the rule of 9s is correct?

Trauma

  1. anterior trunk = 18% of body surface area
  2. posterior of child’s leg = 13.5% of body surface area
  3. anterior arm in adult = 9% of total body surface area
  4. child’s head = 14% of total body surface area
A

anterior trunk = 18% of body surface area

Burns

59
Q

Which of the following statements regarding acute abdomen is correct?

Medical

  1. pareital peritoneum is typically 1st abdominal layer that becomes inflamed or irritated
  2. acute abdomen almost always occurs as result of blunt trauma to solid organs
  3. initial pain associated with acute abdomen tends to be vague & poorly localized
  4. most common cause of acute abdomen is inflammation of gallbladder & liver
A

initial pain associated with acute abdomen tends to be vague & poorly localized

Pathophysiology

60
Q

In contrast to abruptio placenta, placenta previa:

Special Populations

  1. is typically associated with severe abdominal pain
  2. might present without significant abdominal pain
  3. is caused by hypertension or abdominal trauma
  4. might not present with heavy vaginal bleeding
A

might present without significant abdominal pain

Complications of Pregnancy

61
Q

Which of the following glands regulates the function of all other endocrine glands in the body?

Medical

  1. parathyroid
  2. thyroid
  3. adrenal
  4. pituitary
A

pituitary

The Endocrine System: Anatomy & Physiology

62
Q

Classic S/S of hypoglycemia include:

Medical

  1. warm/dry skin; hunger; abdominal pain; deep/slow respirations
  2. cold/clammy skin; bradycardia; hunger; deep/rapid respirations
  3. cold/clammy skin; weakness; tachycardia; rapid respirations
  4. warm/dry skin; irritability; bradycardia; rapid respirations
A

cold/clammy skin; weakness; tachycardia; rapid respirations

Endocrine Emergencies

63
Q

When faced with a situation in which an older patient with terminal illness is in cardiac arrest, but written documentation regarding the patient’s wishes cannot be located, the EMT should:

Medical

  1. attempt to resucitate patient
  2. contact med control for advice
  3. allow patient to die in peace
  4. try to located documentation
A

attempt to resuscitate patient

Dying Patients

64
Q

In an acute injury setting, neurogenic shock is commonly accompanied by:

Medical

  1. tachycardia
  2. hypovolemia
  3. hypothermia
  4. diaphoresis
A

hypothermia

Types of Shock

incorrect on exam

65
Q

A newborn infant will usually begin breathing spontaneously within ___ seconds following birth.

Special Populations

  1. 3-5
  2. 15-30
  3. 5-10
  4. 30-60
A

15-30

Neonatal Assessment + Resuscitation

66
Q

High air temperature reduces the body’s ability to lose heat by:

Special Populations

  1. convection
  2. conduction
  3. radiation
  4. evaporation
A

radiation

Heat Exposure

67
Q

Which of the following organs or structures lies within the retroperitoneal space?

Medical

  1. ascending aorta
  2. gallbladder
  3. spleen
  4. kidneys
A

kidneys

The Digestive System: Anatomy

68
Q

Which of the following statements regarding rebound tenderness is correct?

Medical/Trauma

  1. absence of rebound tenderness rules out intra-abdominal injury
  2. specific sign found with a spleen injury
  3. often discovered when patient jarred/moved suddenly
  4. should be assessed for by vigorously palapating the abdomen
A

often discovered when patient jarred/moved suddenly

Patient Assessment of Abdominal Injuries

69
Q

Which of the following techniques should you use to dislodge a foreign body airway obstruction in a patient who is in advanced stage of pregnancy or who is very obese?

Medical

  1. finger sweeps
  2. back slaps
  3. abdominal thrusts
  4. chest thrusts
A

chest thrusts

Foreign Body Airway Obstruction in Adults

70
Q

The __ supervisor is responsible for notifying area hospitals + determining their availability & capabilities.

EMS Operations

  1. treatment
  2. triage
  3. transportation
  4. medical
A

transportation

Medical Branch of Incident Command

71
Q

In contrast to bleeding caused by external trauma to the vagina, bleeding caused by conditions such as polyps or cancer:

Medical

  1. may be relatively painless
  2. often presents with acute pain
  3. is not typically as severe
  4. can be conrtolled in the field
A

may be relatively painless

Pathophysiology

72
Q

As the bronchus divides into smaller bronchioles, the terminal ends of these smaller passages form the:

Medical

  1. bronchi
  2. pleura
  3. alveoli
  4. capillaries
A

alveoli

The Respiratory System: Anatomy

unsure on exam

73
Q

Subcutaneous emphysema is an indication that:

Trauma

  1. blood is slowly accumulating within the tissue of the lung
  2. at least half of 1 lung has completely collapsed
  3. your patient is experiencing a pericardial tamponade
  4. air is escaping into the chest wall from a damaged lung
A

air is escaping into the chest wall from a damaged lung

Complications & Management of Chest Injuries

74
Q

A patient who is possibly experiencing. astroke is NOT eligible for thrombolytic (fibrinolytic) therapy if he/she:

Medical

  1. is older than 60 years of age
  2. has bleeding within the brain
  3. has a GCS score < 8
  4. has had aprior heart attack
A

has bleeding within the brain

E,ergency Medical Care

Neurologic Emergencies

75
Q

The Adam’s apple is:

Medical

  1. below the thyroid cartilage + forms the upper part of the trachea
  2. the small identation between thyroid & cricoid cartilages
  3. the lower part. ofthe larynx that is formed by the cricoid cartilage
  4. the upper part of the larynx that is formed by the thyroid cartilage
A

the upper part of the larynx formed by the thyroid cartilage

Anatomy & Physiology

unsure on exam

76
Q

The spinal cord is encased in & protected by the:

Medical/Trauma

  1. intervertebral disc
  2. vertebral arch
  3. spinal canal
  4. vertebral body
A

spinal canal

Anatomy & Physiology

incorrect on exam

77
Q

Which of the following organs can tolerate inadequate perfusion for 2-3 hours?

Medical/Trauma

  1. skeletal muscle
  2. brain
  3. heart
  4. kidneys
A

skeletal muscle

Pathophysiology & perfusion

78
Q

Cardiogenic shock following AMI is caused by:

Medical

  1. profound increase in patient heart rate
  2. decreased pumping force of heart muscle
  3. widespread dilation of systemic vasculature
  4. hypovolemia secondary to severe comiting
A

decreased pumping force of the heart muscle

Pathophysiology

79
Q

A patient with pneumothorax has unilateral chest expansion. This means that:

Medical

  1. both sides of chest are moving minimally
  2. his chest & abdomen are moving in opposite directions
  3. both of his lungs are expanding when he inhales
  4. only 1 side of his chest rises when he inhales
A

only 1 side of his chest rises when he inhales

Common Direction, Movement, Position Terms

80
Q

Cyanosis of the skin is caused by:

Medical

  1. decreased blood O2
  2. peripheral vasodilation
  3. increased blood O2
  4. venous vasoconstriction
A

decreased blood O2

Primary Assessment

incorrect on exam

81
Q

Which of the following statements regarding gastrostomy (gastric) tubes is correct?

Special Populations

  1. placed directly into small intestine
  2. most are temporary + not sutured in place
  3. used for patient who cannot digest food
  4. patients might still be at risk for aspiration
A

patients might still be at risk for apiration

Patients with Medical Technology Assistance

unsure on exam

82
Q

A 20 y/o male has a large lacertion to his wrist. He is holding a blood-soaked towel over the wound, but it continues to bleed rapidly. You should:

Medical/Trauma

  1. wrap the towel with pressure bandages
  2. apply pressure to the brachial artery
  3. administer high-flow supplemental O2
  4. apply a tourniquet proximal to the wrist
A

apply a tourniquet proximal to the rwist

Emergency Med Care for Shock

incorrect on exam

83
Q

In an adult, bradycardia is defined as a pulse rate < ___ bpm & tachycardia is defined as heart rate > ___ bpm.

Medical

  1. 60, 100
  2. 50, 110
  3. 30, 130
  4. 40, 120
A

60, 100

Secondary Assessment

84
Q

If a person;s tidal volume decreases, but his/her respiratory rate remains unchanged:

Medical

  1. minute volume will increase
  2. excess CO2 will be eliminated
  3. minute colume will remain unchanged
  4. minute volume will decrease
A

minute volume will decrease

Mechanics. of Ventilation

85
Q

When transporting a patient with a facial injury, it is MOST important to be as descriptive as possible with the hospital regarding the patient’s injuries because:

Trauma

  1. they might need to call a specialist to see the patient
  2. most patients with facial trauma will need surgery
  3. they must make arrangements for an ICU
  4. it saves time on repeat assessments at the hospital
A

they might need to call. aspecialsit to see the patient

Patient Assessment

86
Q

When assessing a patient with hemothorax, you will MOST likely find:

Trauma

  1. jugular vein engorgement
  2. S/S of shock
  3. ipsilateral tracheal deviation
  4. distant/muffled heart tones
A

S/S of shock

Complications/Management of Chest Injuries

87
Q

The iliac arteries immediately subdivide into the:

Medical

  1. peroneal arteries
  2. anterior tibial arteries
  3. femoral arteries
  4. posterior tibial arteries
A

femoral arteries

Anatomy & Physiology

guessed on exam

88
Q

Solid abdominal organs include the:

Medical

  1. stomach & small intestine
  2. urinary bladder, colon, ureters
  3. spleen, kidneys, pancreas
  4. gallbladder & large intestine
A

spleen, kidneys, pancreas

Anatomy & Physiology

89
Q

When performing CPR on a child, you should compress the chest:

Medical

  1. until radial pulse is felt
  2. with 1 or 2 hands
  3. to a depth of 1-2 in
  4. 80-100 times per min
A

with 1 or 2 hands

Infants & Child CPR

incorrect on exam

90
Q

Which of the following patients is breathing adequately?

Medical

  1. unconscious 52 y/o female with snoring respirations + cool/pale skin
  2. conscious male with respirations of 18 breaths/min + reduced tidal volume
  3. conscious male with respirations of 19 breath/min + pink skin
  4. conscious female with facial cyanosis + rapid/shallow respirations
A

conscious male with respirations of 19 breath/min + pink skin

Patient Assessment

91
Q

When the level of arterial carbon dioxide rises above normal:

Medical

  1. brain stem inhibits respirations
  2. exhalation lasts longer than inhalation
  3. respirations decrease inrate/depth
  4. respirations increase in rate/depth
A

respirations increase in rate/depth

Physiology of Respiration

92
Q

Which of the following factors will cause a reduction in minute volume in an adult?

Medical

  1. increased tidal volume
  2. respirations of 20 breaths/min
  3. slight increase in respiratory rate
  4. shallow breathing
A

shallow breathing

Physiology of Breathing

93
Q

Bleeding from the nose following head trauma:

Trauma

  1. is a sign of skull fracture + should NOT be stopped
  2. should be controlled by packing the nostril with gauze
  3. should be assumed to be caused by a fractured septum
  4. is usually due to hypertension caused by head injury
A

is a sign of skull fracture + should NOT be stopped

Emergency Medical Care for External Bleeding

94
Q

Significant vital sign changes will occur if the typical adult acutely loses more than ___ of his/her total blood volume.

Trauma

  1. 15%
  2. 10%
  3. 20%
  4. 5%
A

20%

External Bleeding

didn’t know

95
Q

Which of the following is true regarding the legal implications of child abuse?

Special Populations

  1. EMTs should document their perceptions on the run form
  2. child abuse mut be reported only if it can be proven
  3. a supervisor can forbid an EMT from reporting possible abuse
  4. EMTs must report all suspected cases of child abuse
A

EMTs must report all suspected cases of child abuse

Child Abuse & Neglect

96
Q

A patient has fractured both femurs. Anatomically, these injuries would be described as being:

Medical

  1. bilateral
  2. unilateral
  3. medial
  4. proximal
A

bilateral

Common Direction, Movement, & Position Terms

97
Q

Hyperventilation could be associated with all of the following, EXCEPT:

Medical

  1. overdose of aspirin
  2. high BGL
  3. narcotic overdose
  4. respiratory infection
A

narcotic overdose

Causes of Dyspnea

98
Q

Common interventions used to stimulate spontaneous respirations in the newborn include all of the following, except:

Special Populations

  1. thorough drying with a towel
  2. positive-pressure ventilations
  3. suctioning of the upper airway
  4. some form of tactile stimulation
A

positive-pressure ventilations

Neonatal Assessment & Resuscitation

99
Q

Which of the following statements regarding psychosocial development in the adolescent age group is correct?

Medical

  1. adolescents are less fixated on their public image than younger children
  2. family conflict decreases as adolescent gains control of her/herown life
  3. antisocial behavior + peer pressure peak around 14-16 years of age
  4. because they think rationally, adolecents are at the lowest risk for suicide
A

antisocial behavior + peer pressure peak around 14-16 years of age

Adolescents (12-18 Years)

Lifespan Development

100
Q

The patient care report (PCR) ensures:

Medical

  1. quality assurance
  2. continuity of care
  3. availability of research data
  4. legal protection
A

continuity of care

Communications & Documentation