Quiz 10

Question 1

Substance abuse is MOST accurately defined as:

1 knowingly selling illicit drugs in order to buy more drugs.

2 willfully using a therapeutic drug to treat a medical illness.

3 unwillingly and unknowingly consuming drugs or alcohol.

4 knowingly misusing a substance to produce a desired effect.

Answer 1

4

Question 2

The EMT’s primary responsibility to the patient who has been poisoned is to:

1 administer the appropriate antidote.

2 recognize that a poisoning occurred.

3 administer 25 g of activated charcoal.

4 contact poison control immediately.

Answer 2

2

Question 3

Heroin is an example of a(n):

1 opioid.

2 hypnotic.

3 cholinergic.

4 sympathomimetic

Answer 3

1

Question 4

Hypotension, hypoventilation, and pinpoint pupils would be expected following an overdose of:

1 hallacinajen.

2 narcotic.

3 benzodiazapine.

4 acetaminophen.

Answer 4

2

Question 5

Signs and symptoms of a sympathomimetic drug overdose include:

1 sedation.

2 tachycardia.

3 hypotension.

4 slurred speech.

Answer 5

2

Question 6

Which of the following drugs is NOT a sedative-hypnotic?

1 secobarbital (Seconal)

2 diazepam (Valium)

3 cocaine

4 flunitrazepam (Rohypnol)

Answer 6

3

Question 7

Your paramedic partner administers atropine to a 49-year-old male with bradycardia. Which of the following side effects would you expect the patient to experience?

1 pupillary constriction

2 excessive lacrimation

3 a fall in blood pressure

4 dry mucous membranes

Answer 7

4

Question 8

Which of the following questions would be of LEAST pertinence during the initial questioning of a patient who ingested a substance?

1 How much of the substance was taken?

2 How long ago was it taken?

3 What type of substance was taken?

4 Why was the substance ingested?

Answer 8

4

Question 9

A poison that enters the body by __________ is the MOST difficult to treat.

1 injection

2 ingestion

3 inhalation

4 absorption

Answer 9

1

Question 10

The poison control center will be able to provide you with the most information regarding the appropriate treatment for a patient with a drug overdose if the center:

1 knows the location of the closest hospital.

2 is aware of the patient’s age and gender.

3 is aware of the substance that is involved.

4 knows why the patient overdosed on the drug.

Answer 10

3

Question 11

Which of the following statements regarding inhaled poisons is correct?

1 Lung damage may progress after the patient is removed from the environment.

2 Carbon monoxide is very irritating to the upper airway and may cause swelling.

3 Burns around the eyes are the most common indication of an inhalation poisoning.

4 Chlorine is a colorless and odorless gas that causes hypoxia and pulmonary edema.

Answer 11

1

Question 12

Your priority in caring for a patient with a surface contact poisoning is to:

1 move the patient to a safe area.

2 avoid contaminating yourself.

3 decontaminate the patient’s skin.

4 obtain and maintain a patent airway.

Answer 12

2

Question 13

Phosphorus or elemental sodium should be brushed off of the skin instead of irrigated with water because:

1 water makes these chemicals impossible to remove.

2 severe swelling will occur when mixed with water.

3 this will eliminate the chances of you being exposed.

4 these chemicals may ignite upon contact with water.

Answer 13

4

Question 14

Most poisonings occur via the __________ route.

1 ingestion

2 injection

3 inhalation

4 absorption

Answer 14

1

Question 15

Syrup of ipecac is no longer recommended to treat patients who have ingested a poisonous substance because it:

1 has been linked to hypotension.

2 does not effectively induce vomiting.

3 may result in aspiration of vomitus.

4 has toxic effects on the myocardium.

Answer 15

3

Question 16

A 37-year-old male is having a severe allergic reaction to penicillin. He does not have an epinephrine auto-injector and your protocols do not allow you to carry epinephrine on the ambulance. How should you proceed with the treatment of this patient?

1 Ask the patient if he has any diphenhydramine (Benadryl) tablets that you can administer.

2 Administer oxygen, transport at once, and request a paramedic intercept.

3 Remain at the scene with the patient and request a paramedic ambulance.

4 Quickly determine if there are any bystanders who may carry epinephrine.

Answer 16

2

Question 17

Which of the following negative effects of anaphylaxis will be the MOST rapidly fatal if not treated immediately?

1 diffuse urticaria

2 severe hypotension

3 upper airway swelling

4 systemic vasodilation

Answer 17

3

Question 18

A 38-year-old female was bitten by fire ants while at the park with her kids. Your primary assessment reveals that she is semiconscious, has profoundly labored breathing, and has a rapid, thready pulse. She has a red rash on her entire body and her face is very swollen. You should:

1 perform a rapid secondary assessment.

2 assist her ventilations with 100% oxygen.

3 administer 0.3 mg of epinephrine.

4 place her supine with her legs elevated 6″ to 12″.

Answer 18

2

Question 19

A 48-year-old male is found unconscious in the garden by his wife. When you arrive at the scene and assess the man, you find that he is unresponsive, has severely labored breathing, and has hives over his entire trunk. You should:

1 perform a detailed secondary assessment.

2 maintain his airway and assist his ventilations.

3 ask his wife if he has any known allergies.

4 apply the automated external defibrillator (AED) in the event that cardiac arrest occurs.

Answer 19

2

Question 20

You respond to the residence of a 55-year-old female with a possible allergic reaction to peanuts that she ate approximately 30 minutes ago. The patient is conscious and alert, but has diffuse urticaria and the feeling that she has a lump in her throat. As your partner applies oxygen to the patient, you should:

1 ask her if she has prescribed epinephrine.

2 obtain a complete set of baseline vital signs.

3 ascertain if she has a family history of allergies.

4 ask her when her last allergic reaction occurred.

Answer 20

1

Question 21

Which of the following medications blocks the release of histamines?

1 albuterol (Ventolin)

2 epinephrine

3 acetaminophen (Tylenol)

4 diphenhydramine (Benadryl)

Answer 21

4

Question 22

Common signs and symptoms of an allergic reaction include all of the following, EXCEPT:

1 abdominal cramps.

2 drying of the eyes.

3 flushing of the skin.

4 persistent dry cough.

Answer 22

2

Question 23

Which of the following sounds indicates swelling of the upper airway?

1 rales

2 stridor

3 rhonchi

4 wheezing

Answer 23

2

Question 24

While auscultating breath sounds of a patient who was stung multiple times by a yellow jacket, you hear bilateral wheezing over all lung fields. This indicates:

1 rapid swelling of the upper airway tissues.

2 a significant amount of fluid in the alveoli.

3 narrowing of the bronchioles in the lungs.

4 enlargement of the bronchioles in the lungs.

Answer 24

3

Question 25

Which of the following physiologic actions does epinephrine produce when given for an allergic reaction?

1 bronchodilation and vasodilation

2 vasoconstriction and bronchodilation

3 bronchoconstriction and vasoconstriction

4 blocking of further histamine release

Answer 25

2

Question 26

Epinephrine is indicated for patients with an allergic reaction when:

1 stridor and hypotension are present.

2 the patient is anxious and tachycardic.

3 a paramedic is present at the scene.

4 the reaction produces severe urticaria.

Answer 26

1

Question 27

The adult epinephrine auto-injector delivers ______ mg of epinephrine, and the pediatric auto-injector delivers ______ mg.

1 0.1, 0.01

2 0.01, 0.1

3 0.03, 0.3

4 0.3, 0.15

Answer 27

4

Question 28

When using an auto-injector to give epinephrine, the primary injection site is the:

1 medial part of the buttocks.

2 lateral portion of the arm.

3 lateral portion of the thigh.

4 medial portion of the thigh.

Answer 28

3

Question 29

When administering epinephrine via auto-injector, you should hold the injector in place for:

1 5 seconds.

2 10 seconds.

3 15 seconds.

4 20 seconds.

Answer 29

2

Question 30

Immediately after giving an epinephrine injection, you should:

1 properly dispose of the syringe.

2 record the time and dose given.

3 reassess the patient’s vital signs.

4 notify medical control of your action.

Answer 30

1