Module 3 Quiz Question Flashcards
Airway & Ventilation
Which of the following patients is most likely to lose neurologic control and regulation of the respiratory system?
- 31 year old with severe injury to the head
- 44 year old who smokes and is nauseated
- 56 year old with heart problems and chest pain
- 61 year old newly diagnosed with diabetes
31 year old with sever injury to the head
You arrive at a residence for a male patient who is unresponsive. As you enter the room, you observe an obese male lying on a recliner. His eyes are closed and he has gurgling respirations. While your partner quickly performs a primary assessment, you should immediately prepare to _____.
suction the airway
You are assessing a patient with congestive heart failure and you determine that her failing heart is causing fluid to collect and fill her alveoli. Based on this pathophysiology, for which of the following pulmonary complications should the EMT treat the patient?
decreased gas exchange
You have arrived on the scene of an assault in which several people have been injured. You are directed to assist another crew with a patient who has been shot once. As you approach, you are told that the patient is apneic. You observe the patient being ventilated with a bag-valve mask while another EMT maintains her airway with the jaw-thrust maneuver. Based on your observation, where might you expect that this patient was shot?
The head
Which of the following patients should the EMT recognize as having an actual or potential occlusion of the upper airway?
- 3 year old male with a fever and swelling of the larynx
- 45 year old female with spasm of the bronchioles
- 61 year old male with a piece of fruit food stuck in his trachea
- 78 year old female with a large mucous plug in her bronchi
3 year old male with a fever and swelling of the larynx
Which of the following is obstructing the airway when snoring is heard?
the tongue
The EMT believes that a patient is mildly hypoxic based on findings from the primary assessment. What other signs could the EMT use to confirm his suspicion of mild hypoxia?
restlessness
A patient who inhaled superheated steam in an industrial fire is most likely to exhibit which of the following airway noises?
stridor
Gas exchange between the cells and the systemic capillaries is called….
internal respiration
Which of the following can lead to impaired respiration?
pneumonia
When a person’s diaphragm contracts and the intercostal muscles pull the ribs upward, which of the following will occur?
Air will flow into the lungs
Which one of the following statements indicates that the EMT has an accurate understanding of the bronchioles?
“They are small passages located in the lower airway that have smooth muscle surrounding them.”
The EMT shows accurate understanding of cyanosis by stating that _____
it presents as a bluish gray color on several areas of the body, such as the lips, fingernail beds, and conjunctiva, and is a late indicator of hypoxia
You are assessing a young male patient who is responsive to painful stimuli and breathing agonally after being ejected from an automobile at a high rate of speed. His pulse is weak and thready and his skin is cool and diaphoretic. When addressing his airway and breathing, the EMT must immediately
Perform the jaw thrust and begin artificial ventilation with the bag-valve mask
You have been called for a patient who has overdosed on drugs and alcohol. The patient is responsive to painful stimuli and is breathing shallowly at eight times per minute, but exhibits no cyanosis. You should recognize and do which of the following?
inadequate respirations; start positive pressure ventilation with supplemental oxygen
The air remaining in the lungs after a maximal exhalation is called
Residual volume
You are watching an EMT prepare the ambulance for the upcoming shift. In regards to oxygen cylinders and equipment, which of the following requires immediate intervention?
He clean dirty oxygen tanks with a petroleum based agent
You have arrived next to a patient who reportedly had a seizure. Assessment reveals him to be apneic with vomitus in the airway. He has a radial pulse and his skin is cool and diaphoretic. Which of the following should you do immediately?
Suction the airway
A 52 year old male with a brain tumor has gone into respiratory arrest. You assign the task of artificially ventilating the patient with the bag-valve mask to a new Emergency Medical Responder. How will you instruct him to ventilate the patient?
deliver one breath every 5-6 seconds with each ventilation lasting one second
Normal preload of the heart is dependent upon the amount of blood moving into the inferior vena cava from the body below the diaphragm. Which physiological process contributes to this process?
Spontaneous ventilation
When providing oxygen via nonrebreather face mask, which of the following is essential for the EMT to have?
Therapy regulator
Which of the following is an indication of inadequate ventilation for an adult?
The chest does not rise with each ventilation
Why is overventilation of a spontaneously breathing patient detrimental to his health?
Overventilation may cause air to become trapped in the alveoli which in turn can compress capillaries in the lungs and obstruct blood flow to the left atrium.
