Preparatory Formative exam Flashcards
Section 1 - Chapters 1 to 8
In which age group do you anticipate seeing patients who have less efficient cardiovascular systems and a reduction of previous blood volume?
A. Middle adulthood
B. Late adulthood
C. Early adulthood
D. Infancy
B. Late adulthood
Which of the following is an accurate statement regarding tuberculosis (TB)?
A. A tuberculin skin test can detect TB exposure
B. TB is not spread through surface contamination
C. The incubation period of TB is from 1 to 7 days.
D. The TB pathogen only affects lung tissue.
A. A tuberculin skin test can detect TB exposure
Which one of these groups is at greatest risk of contracting and transmitting tuberculosis?
A. Immunosuppressed patients
B. Current and former smokers
C. Uranium mine workers
D. Healthcare practitioners
A. Immunosuppressed patients
With regard to medical terminology, a prefix is:
A. The combination of any two or more whole words
B. Added to the beginning of roots or words to modify or qualify their meaning
C. The foundation of a word or term
D. A modifier that indicated if a term is singular or plural
B. Added to the beginning of roots or words to modify or qualify there meaning
You are assessing a 12 year old male patient who has been involved in a bicycle accident. This patient would be classified as being in which stage of life?
A. Junior school age
B. School age
C. Adolescent
D. Middle school age
B. School age
Which of the methods listed below is best described as moving a patient from the floor to a stretcher by having two or more rescuers kneel, curl the patient to their chest, stand, and then reverse the process to place the patient on the stretcher?
A. Draw-sheet method
B. Direct ground lift
C. Power lift
D. Direct carry
B. Direct ground lift
What is the most common digestive disorder?
A. Irritable bowel and gastric esophageal disease
B. Diarrhea and gastric esophageal disease
C. Vomiting and diarrhea
D. Flatus
C. Vomiting and diarrhea
With regard to anatomical locations, which of the following is NOT true?
A. The umbilicus is located on the ventral aspect of the body
B. The foot is distal to the knee
C. The mouth is proximal to the nose
D. The ears are located on the lateral aspect of the head
C. The mouth is proximal to the nose
What is the best description of the chest’s mechanical functions?
A. With the chest being an airtight space, the act of breathing occurs when the muscles of the diaphragm and intercostal relax, which causes the lungs to expand and air to flow into the lungs.
B. The diaphragm contracts, causing the intercostal muscles that are attached to the lungs to also contract, which moves the air into the lungs.
C. The chest is a closed space, and the pleural space surrounds the lungs; when the diaphragm contracts and the intercostals expand, the chest and the lungs move outward and downward, allowing expiration and gas exchange in the lungs.
D. The chest is a closed space with only one opening; the trachea, to inspire air; the diaphragm contracts down and the intercostal muscles expand the ribs, causing a negative pressure that fills the lungs with air.
D. The chest is a closed space with only one opening; the trachea, to inspire air, the diaphragm contracts down and the intercostal muscles expand the ribs, causing a negative pressure that fills the lungs with air.
You are moving an elderly patient down the stairs using a stair chair. The patient is alert and very anxious. What should you do prior to moving the patient to prevent her from grabbing the railing and causing you to fall?
A. Use a strap to safely secure the patient’s arms to the chair without causing any loss of circulation to the patient’s extremities.
B. Gently tie the patient’s hands together until you are downstairs to prevent her from unconsciously grabbing the railing.
C. Explain to the patient what you are doing and advise her to hold her hands together and not let go until you are finished moving her.
D. Place the patient on oxygen during the move to calm her down.
C. Explain to the patient what you are doing and advise her to hold her hands together and not let go until you are finished moving her.
While treating a patient involved in a shooting at the patient’s vacation home, which of the following actions may interfere with the investigation of a crime scene?
A. Using the bathroom
B. Using the patient’s phone
C. Moving the patient
D. All of the above
D. All of the above
To check the distal pulse of a patient with an injury to the forearm, the EMT would check for a pulse in which location?
A. Armpit
B. Upper arm
C. Wrist
D. Throat
C. Wrist
The wrist is ______ to the elbow.
A. Distal
B. Medical
C. Inferior
D. Dorsal
A. DIstal
An EMT is confronted by an armed gunman who is threatening to kill the EMT and his partner. An elevation in the EMT’s heart rate and blood pressure occurs in which stage of the body’s response to stress?
A. Alarm reaction stage
B. Response stage
C. Exhaustion stage
D. Resistance stage
A. Alarm reaction stage
Your 79 year old female patient appears to show all signs and symptoms of a stroke. Her level of consciousness has rapidly deteriorated. She is not unconscious, and she can no longer control her own airway. While you intervene to manage her airway, the best position in which to keep fluid or vomitus from occluding her airway would be the:
A. Recovery position
B. Prone position
C. Trendelenburg position
D> Fowler position
A. Recovery position
Which of the following terms best describes the heart’s muscle’s ability to generate its own electrical impulses?
A. Contractility
B. Conductivity
C. Irritability
D. Automaticity
D. Automaticity
The National Registry of Emergency Medical Technicians (NREMT) was founded to establish which of the following?
A. Quality improvement and quality assurance programs for emergency medical services
B. National standards for emergency medical services personnel
C. Quality oversight for emergency medical services personnel
D. An education curriculum for EMT courses
B. National standards for emergency medical services personnel
Your patient is an 84 year old male with difficulty breathing and peripheral edema. He tells you he has been suffering for many years with “heart failure” and his condition is worsening, especially with trouble breathing at night. Your knowledge of cardiovascular physiology suggests that his condition could have resulted from the failure of either the right or the left side of his heart. Which chamber of the heart is the strongest, most muscular part of the heart and is primarily responsible for pumping oxygenated blood to the rest of the body?
A. Left ventricle
B. Right atrium
C. Right ventricle
D. Left atrium
A. Left ventricle
The EMT’s role in the quality improvement process includes becoming involved in the quality process, keeping carefully written documentation, obtaining feedback from patients and the hospital staff, continuing your education, and which of the following?
A. Maintaining your equipment
B. Being a member of the QI committee
C. Writing protocols and standing orders
D. Providing quality care
A. Maintaining your equipment
Which of the following is the term used to describe an infant’s reaction to his environment?
A. Temperature
B. Bonding
C. Attitude
D. Personality
A. Temperature
You respond to a middle school for a 12 year old male patient who has been hit by a car. You get consent to treat the patient from the school principal. What concept allows the principal to speak for the parents?
A. Healthcare proxy
B. Res ipsa loquitur
C. Informed consent
D. In loco parentis
D. In loco panentis
Which of the following describes the midline of the body?
A. An imaginary line dividing the body into a front and back portion
B. An imaginary line dividing the body into equal right and left halves
C. The intersection of two imaginary lines crossing at the umbilicus
D. An imaginary line dividing the body into a top and bottom portion
B. An imaginary line dividing the body into equal left and right halves
The human body is made up of ________ % water.
A. 17.5
B. 7.5
C. 60
D. 75
C. 60
Which of the following body systems primarily produces hormones?
A. Gastrointestinal
B. Exocrine
C. Endocrine
D. Cardiovascular
C. Endocrine
When you startle a 4 month old, he throws his arms out, spreads his fingers, then grabs with his fingers and arms. The reaction is known as the:
A. Scaffolding reflex
B. Rooting reflex
C. Startle reflex
D. Moro reflex
D. Moro reflex
What two body systems are critical for life support chain?
A. Respiratory and endocrine systems
B. Cardiopulmonary and digestive systems
C. Respiratory and cardiovascular systems
D. Cardiovascular and lymphatic systems
C. Respiratory and cardiovascular systems
At which of the following stages is toilet training most likely to begin?
A. School age
B. Preschool age
C. Toddler
D. Infant
C. Toddler
What type of move should the EMT us to move a patient who is in a car that has started to burn?
A. Non urgent move
B. Urgent move
C. No attempt to move
D. Emergency move
D. Emergency move
Urgent moves are required when:
A. Performed for treatment of life threats along with precautions for spinal injuries
B. An emergency move is not possible
C. Rapid transport is necessary
D. There are no life threats and conditions are stable
A. Performed for treatment of life threats along with precautions for spinal injuries
A condition that is caused by a decreased number of red blood cells is called:
A. Polycythemia
B. Anemia
C. Erythrocythemia
D. Leukemia
B. Anemia
You respond to a report of an unconscious female patient. You can acquire important medical about the patient through which of the following?
A. Driver’s license
B. Medical history identifier
C. Medical identification device
D. On call medical director
C. Medical identification device
Sharing information about a patient’s medical history with your neighbor after you hear a call on a radio scanner would constitute which of the following?
A. Libel
B. Breach of confidentiality
C. Slander
D. Violation of patient privacy
B. Breach of confidentiality
Which of the following BEST describes the location of the mid-axillary line?
A. A line from the center of the armpit, extending vertically down the side of the chest
B. A line drawn diagonally from the outer end of the clavicle to the navel
C. A line drawn horizontally from one armpit to the other, across the front of the body
D. A line drawn vertically from the xiphoid process to the pubic bone
A. A line from the center of the armpit, extending vertically down the side of the chest
Which layer of the skin is exposed to the environment?
A. Adipose tissue
B. Dermis
C. Subcutaneous tissue
D. Epidermis
D. Epidermis
Which of the following provides the greatest personal safety for an EMT working at a motor vehicle collision?
A. Flashlight
B. Nonslip footwear
C. Reflective outer clothing
D. Portable radio
C. Reflective outer clothing
You have just come on duty. The EMT on the previous shift complains to you that the QI manager was giving him grief because he did not document three sets of vital signs on the patient record. The EMT is angry and does not understand why documenting three sets of vital signs is so important. What is the best answer you could give him?
A. The report looks better when all the boxes are filled out.
B. It is important you show the QI manager that you are a team player
C. Vital signs are something you have to fill out because the state requires it.
D. The recording of three sets of vital signs demonstrates that you were trending the patient’s condition.
D. The recording of three sets of vital signs demonstrates that you were trending the patient’s condition.
You respond to a bus accident with multiple patient’s. As you arrive at the scene, you are approached by a local politician who states that his wife has been involved. He tells you that if you will take care of her first, he will ensure that you get the promotion you are up for. This becomes what type of decision for you as an EMT?
A. Ethical
B. Legal
C. Financial
D. Medical
A. Ethical
Which of the following is NOT a common psychosocial challenge of late adulthood?
A. Issues of self worth
B. Financial burdens
C. Concern about death and dying
D. Self destructive behaviors
D. Self destructive behaviors
The study of how disease affects the functioning of the human body is called:
A. Pathophysiology
B. Psychology
C. Physiology
D. Anatomy
A. Pathophysiology
You are on the scene of an “unknown medical” call. The patient is a 26 year old, 250 pound male patient who suddenly becomes violently angry. Everything you say to the patient only makes him angrier. Offended by your questions, he screams that he is going to “cut your tongue out” and hurries into the kitchen. What should you do?
A. Radio for police and relay to dispatch important scene information until they arrive.
B. Leave immediately to a safe area and then call for police assistance
C. Tackle the patient before he can get a kitchen knife to stab you.
D. Radio for police and then calmly walk out of the house, being sure to take all of you medical equipment.
B. Leave immediately to a safe area and then call for police assistance