Questions I keep getting wrong Flashcards
Your patient has a decreased cardiac output and poor myocardial contractility. This will likely lead to ___________.
Select one: A. hypovolemic shock B. septic shock C. neurogenic shock D. cardiogenic shock
D. cardiogenic shock
A 56 year old male is found semiconscious by his wife. Your assessment reveals that his respirations are rapid and shallow, his pulse is rapid and irregular, and his blood pressure is low. The patients life states he he complained of left arm pain and nausea the day before, but would not allow her to call 9 - 1 -1. The patient most condition most likely:
A. A ruptured aortic aneurysm
B. Acute myocardial infaraction
C. Cardiogenic hypoperfusion
D. severe septic hypoperfusion
C. Cardiogenic hypoperfusion
Which of the following injuries would MOST likely cause obstructive shock?
Select one: A. Cardiac tamponade B. Liver laceration C. Simple pneumothorax D. Spinal cord injury
A. Cardiac tamponade
You suspect your patient is in shock. You note the patient’s skin is pale. This is likely due to ___________.
Select one: A. peripheral vasoconstriction B. an increased heart rate C. peripheral vasodilation D. hypothermia
C. peripheral vasodilation
You are attending to a 3-year-old male patient who is presenting with severe shortness of breath. His parents report that he has had a cough and cold with a low grade fever for the past two days. They became worried today, as his level of distress has increased dramatically. On assessment, the patient is sitting upright and making high-pitched noises with each breath. Based on this information, the patient is most likely suffering from:
Select one:
A. bacterial infection of the epiglottis.
B. inflammation of the bronchioles.
C. inflammation of the lower respiratory tract and bronchospasm.
D. viral infection of the upper respiratory tract.
D. viral infection of the upper respiratory tract.
In order for efficient pulmonary gas exchange to occur:
Select one:
A. there must be low quantities of pulmonary surfactant to allow for full alveolar expansion.
B. oxygen and carbon dioxide must be able to freely diffuse across the alveolar–capillary membrane.
C. the pulmonary capillaries must be completely constricted and the alveoli must be collapsed.
D. the percentage of inhaled carbon dioxide must exceed the percentage of inhaled oxygen.
B. oxygen and carbon dioxide must be able to freely diffuse across the alveolar–capillary membrane.
A dissecting aortic aneurysm occurs when:
Select one:
A. a weakened area develops in the aortic wall.
B. the aorta ruptures, resulting in profound bleeding.
C. all layers of the aorta suddenly contract.
D. the inner layers of the aorta become separated.
D. the inner layers of the aorta become separated.
You are caring for a 70 year old female with signs and symptoms of acute stroke. She is conscious, has secretions in her mouth, is breathing at a normal rate with adequate depth, and has an oxygen saturation of 96%. You should:
A. administer one tube of oral glucose and transport
B. insert an oral airway, apply oxygen, and transport
C. assist her ventilations with a bag valve mask
D. suction her oropharynx and transport immediately
D. suction her oropharynx and transport immediately
A transient ischemic attack (TIA) occurs when:
A. signs and symptoms resolve spontaneously within 48 hours
B. medications are given to dissolve a cerebral blood clot
C. a small clot in a cerebral artery causes temporary symptoms
D. a small cerebral artery ruptures and causes minimal damage
C. a small clot in a cerebral artery causes temporary symptoms
Which of the following conditions would be the LEASTA likely to mimic the signs and symptoms of a stroke?
A. Hypoglycemia
B. A postictal state
C. Hypovolemia
D. Intracranial bleeding
C. Hypovolemia
Febrile seizures:
A. are also preferred as absence seizures
B. often result in permanent brain damage
C. occur when a child’s fever rises slowly
D. are usually benign but should be evaluated
D. are usually benign but should be evaulated
A patient whose speech is slurred and difficult to understand is experiencing
A. dysarthria
B. dysphagia
C. paraplegia
D. aphasia
A. dysarthria
Which of the following is a metabolic cause of a seizure?
A. posioning
B. head trauma
C. massive stroke
D. brain tumor
A. posioning
You are caring for a 68 year old man with a sudden onset of left sided paralysis and slurred speech. His airway is patent, his respirations are 14 breaths / min with adequate depth, and his oxygen saturation is 98%. Treatment for this patient should include:
A. recovery position and transport
B. ventilatory assistance and transport
C. high flow oxygen transport
D. oral glucose gel and transport
A. recovery position and transport
Which of the following conditions would most likely affect the entire brain?
A. reduced blood supply to the left hemisphere
B. blocked cerebral artery in the frontal lobe
C. respiratory failure or cardiopulmonary arrest
D. ruptured cerebral artery in the occipital lobe
C. respiratory failure or cardiopulmonary arrest
General adaptation syndrome is characterized by which of the following phases?
Select one:
A. Delayed reaction, alarm response, and physical recovery
B. Alarm response, reaction and resistance, and recovery
C. Reaction and resistance, euphoria, and physical exhaustion
D. Immediate reaction, psychological exhaustion, and recovery
B. Alarm response, reaction and resistance, and recovery
Quid pro quo, a type of sexual harassment, occurs when the harasser:
Select one:
A. stares at certain parts of another person’s anatomy.
B. touches another person without his or her consent.
C. makes rude remarks about a person’s body parts.
D. requests sexual favors in exchange for something else.
D. requests sexual favors in exchange for something else.
Ethnocentrism is defined as:
Select one:
A. understanding that people from different cultural backgrounds respond to pain and stress differently.
B. suspecting that a person has an ulterior motive based on the tone of his or her voice when answering a question.
C. subconsciously forcing your cultural values onto a patient because you feel that your own values are more acceptable.
D. considering your own cultural values to be more important when interacting with people of a different culture.
D. considering your own cultural values to be more important when interacting with people of a different culture.
A 4-year-old boy had an apparent seizure. He is conscious and calm and is sitting on his mother’s lap. His father is sitting in a nearby chair. The child’s mother suddenly begins crying uncontrollably, which causes the child to start crying. You should:
Select one:
A. ask the father to hold the child so you can assess him while your partner tries to calm the mother.
B. give the child a favorite toy or blanket to hold onto and perform your assessment to the best of your ability.
C. reassure the child’s mother that seizures in children are very common and that there is nothing to worry about.
D. attempt to calm the child’s mother, but avoid separating her from her child because this will increase her anxiety.
A. ask the father to hold the child so you can assess him while your partner tries to calm the mother.
Which of the following statements regarding a patient refusal is correct?
Select one:
A. Advice given to a patient who refuses EMS treatment should not be documented.
B. Documentation of proposed care is unnecessary if the patient refuses treatment.
C. A patient who consumed a few beers will likely be able to refuse EMS treatment.
D. A mentally competent adult has the legal right to refuse EMS care and transport.
D. A mentally competent adult has the legal right to refuse EMS care and transport.
Which of the following statements is NOT appropriate to document in the narrative section of a PCR?
Select one:
A. “The patient admits to smoking marijuana earlier in the day.”
B. “General impression revealed that the patient was intoxicated.”
C. “After oxygen was administered, the patient’s breathing improved.”
D. “Significant damage was noted to the front end of the vehicle.”
B. “General impression revealed that the patient was intoxicated.”
Which of the following will help improve radio communications?
Select one:
A. Answer questions with “yes” or “no.”
B. Wait 1 second after pressing the transmit button before speaking.
C. Hold the radio at least 6 inches from your mouth.
D. Use codes to speed communication.
B. Wait 1 second after pressing the transmit button before speaking.
Which of the following types of questions allow for the most detailed response? Select one: A. Closed-ended questions B. Yes or no questions C. Open-ended questions D. Multiple questions asked at once
C. Open-ended questions
You are providing care to a 61-year-old female complaining of chest pain that is cardiac in origin. Your service utilizes a multiplex communication system. You wish to transmit the patient’s electrocardiogram to the hospital. In order to accomplish this, you must:
Select one:
A. send the electrocardiogram from the back of the ambulance.
B. wait until you reach the hospital to transmit the information.
C. be aware that only audio or data transmissions can be sent at any one time.
D. use the multiplex system to transmit the information .
D. use the multiplex system to transmit the information .
