Section One Exam Flashcards
Select one
Which of the following would most likely facilitate accurate and effective verbal handoff report at the hospital?
- Providing the handoff report only to a physician
- Use of mutually agreed-upon handoff format
- Brief pause in care to provide the verbal support
- Clearly identifying your EMS certification level
Use mutually agreed-upon handoff format
Fill-in-the -blank
The mattress on a stretcher must be ____ ____ so that it does not absorb any type of potentially infectious material, including water, blood, or other bodily fluids.
Fluid resistant
Fill-in-the -blank
The safest and most powerful way to lift, lifting by extending the properly placed flexed legs, is called a(n) _______ _______.
Power lift
Red blood cells contain ____, a protein responsible for carrying oxygen.
Hemoglobin
Transverse (axial) Plane
Divides the body horizontally into top and bottom sections
The ____ nervous system controls those functions that occur automatically.
Autonomic nervous system
The body’s backup system of respiratory control, which is based on low concentrations of oxygen in the blood, is called the:
Select one:
A. oxyhemoglobin drive.
B. hypoxic drive.
C. hypocarbic drive.
D. pneumotaxic drive.
Hypoxic drive
Pg.205
What is the portion of the respritory system that has little or no aveoli called?
Dead Space
The time between contractions when the ventricle is relaxed and refilling with blood is called what?
Diastole
Select one
At what age can an infant normally stary tracking objects with his or her eyes and recognize familiar faces?
- 7 months
- 2 months
- 4 months
- 10 months
2 months
The three bones that make up the shoulder girdle are the:
Select one:
A. clavicle, scapula, and humerus.
B. acromion, clavicle, and scapula.
C. acromion, scapula, and humerus.
D. acromion, humerus, and clavicle.
Clavicle, Scapula, and humerus
pg.195
Select one
Emts and other health care providers function as a true team when they work:
- Interdependently
- Independently
- Dependently
- Under standing orders
Interdependently
Select one
If the weight you are pushing is lower than your waist, you should push from:
A. The waist
B. A kneeling position
C. The shoulder
D. A squatting position
B. A kneeling position
The esophagus extends from the end of the _ to the _ and lies just anterior of the spinal colomn.
From the end of the pharynx to the stomach.
What is the name of the fifth section (Last 4 vertebrae) in the spinal column?
Coccyx
Located under the cerebrum is the what?
Cerebellum
Controls balance, muscle coordination, and posture)
True or false
The rapid extrication technique os teh preferred technique to use on all sitting patients withe possible spinal injuries.
False
True or false
The flexible stretcher is useful for moving patients through confined spaces
True
Select one
When encountering a person with depressed fontanelles, you should suspect:
- Respritory distress
- Dehydration
- Atherosclerosis
- Nephrosis
Dehydration
Select one
When pulling a patient, you should do which of the following:
A. Extend your arms no more than about 15 to 20 inches
B. Stagger your feet so that the force of pull will be distributed toward your dominant hand
C. Move both yourself and the patient simultaniously
D. Pull the patient in rapid bursts of movement
A. Extend your arms no more than about 15 to 20 inches
True or false
When carrying a patient down stairs or on an incline, make sure the stretcher is carried with the head end first.
False
The decline in cardiac function that commonly occurs in late adulthood is the most often related to:
Select one:
- Medication use.
- Hypotension
- Kidney failure
- Atherosclerosis
Atherosclerosis
What is the pulse rate, respirations, systolic blood pressure, and temperature of a school age patient.
Pulse rate: 70 to 120 Beats per min
Respirations: 15 to 20 Breaths per min
Systolic blood pressure: 80 to 110 mmHg
Temperature: 98.6 degrees fahrenheit
What is the age range for a toddler
One to three years
Select one
Clingy behavior and the fear of unfamiliar people or places are normal among 10 to 18 months-old children and are commonly caused by ____ anxiety.
- Bonding
- Seperation
- Avoidant
- Mistrust
Seperation anxiety
Select one
Empty nest syndrome is typically seen in which stage of life?
- Middle adulthood
- Adolescence
- Late adulthood
- Early adulthood
Middle adulthood
Frontal (Lateral) Plane
Runs vertically through the body and divides it into front and back sections
Select one
Which of the following would the paramedic be least likely to ask the EMT to do?
- Apply a tourniquet
- Assess blood glucose
- Intubate a patient
- Obtain vital signs
Intubate a patient
What is the age range for school age
Six to 12 years
At the inferior end of the femur is a joint with a specialized bone on the anterior side called the?
Patella (Kneecap)
Short answer
List the five guidelines for carrying a patient on a stretcher.
- Estimate the weight of both of the patient and the associated equipment to be lifted and guage the limitations of the teams ability.
- Coordinate your movements with those of the other team members while constantly communicating with them.
- Do not twist your body as you are carrying the patient.
- Keep the weight that you are carrying as close to your body as possible while keeping your back in a locked-in position.
- Always keep your back in a straight, upright position and lift without twisting.
What type of blood surrounds the alveoli?
A. Veins
B. Capillaries
C. Arterioles
D.Arteries
Capillaries
The state of the blood vessels-how dialated or constricted they are- is reffered to as?
Systematic Vascular resistance (SRV)
Select one
Which comes first in EMS decision making?
- Data interpretation
- Data gathering
- Team communication
- Planning
Data Gathering
Select one
A backboard is a device that provides support to patient who you suspect have all of the following EXCEPT:
A. Hip injuries
B. Pelvic injuries
C. Spinal injuries
D. Symptoms of a heart attack
D. Symptoms of a heart attack
Select one
To be a great EMT, strive for:
- Foundational knowledge
- Management work
- The chance to replace an EMR
- Retraining
Foundational knowledge
True or false
One-person techniques for moving patients should be used only when immediate patient movement is neccessary due to life-threatening hazard and only one EMT is available.
True
The PACE mneumonic stands for:
Probe
Alert
Challenge
Emergency
Select one
You suspect that a pregnant 16-year-old has a broken leg after she was hit by a car. You explain that you plan to splint her leg, and she agrees to treatment. Which of the following types of concent describes her agreement?
- Informed
- Implies
- Expressed
- Minors
Expressed
The ____ are special pressure sensors that are spread throughout the body to allow the brain to receive information about blood pressure.
Baroreceptors
Cartilage
Semirigid yet flexible tissue that covers and cushions the ends of the articulating bones
It is within the ____ that oxygen and carbon dioxide are exchanged between the lungs and the bloodstream.
Alveoli or Aveolar Sacks
Why do middle adults experiance financial concerns?
Select one:
- The majority of middle adults stilll have small children who live at home with them.
- They are prepairing for retirement but muststill manage everyday financial demands.
- Most people in the middle adult age group have chronic illnesses and cannot work.
- They are typically recieving social security and must budget with a fixed income.
They are prepairing for retirement but must still manage everyday financial demands.
____ is the mount of blood moved in one beat.
Stroke Volume
What are the two projections on the sides of the femur that are used as anchor points for major muscles?
The Greater Trochanter (found proximal to the femoral head and on the lateral side)
And
The Lesser Trochanter (found on the medial side of the femur just inferior to the femoral neck)
Hemoglobin is a molecule that attaches to ___________ and carries oxygen.
- monocytes
- erythrocytes
- thrombocytes
- leukocytes
Erythrocytes
pg.214
How many lobes does each lung have?
The right lung has 3 lobes
The left lung has 2 lobes
The righ lungs lobes are the upper, middle, and lower
The left lung only
Select one
When log rolling a patient, you should do which of the following:
A. Avoid kneeling too closely to the patients side
B. Hyperextending the back to reach completely across the patient
C. Refrain from using the belt loops or belt as a grab point
D. Use your shoulder muscles to help with the roll
D. Use your shoulders to help with the roll
Select one
Diastolic blood pressure tends to ____ with age.
- Decrease
- Compensate
- Increase
- Decompensate
Increase
Select one
A(n)____ consists of a group of health care providers who are assignes with specific roles and are working interdependently in a coordinated manner under a designated leader.
- Group
- team
- dependent group
- independent group
team
Which of the following statements regarding toddlers and preschoolers is correct?
- Toddlers and preschoolers commonly experiance upper respritory infections becasue of teh loss of passive immunity.
- The normal respritory rate in toddlers and preschoolers is between 12 and 20 breaths/min.
- Toddlers and preschoolers have well- developed lung musculature, even though they have less lung tissue.
- Muscle mass and bone density decrease in toddlers and preschoolers becasue of increased physical activity.
Toddlers and preschoolers commonly experiance upper respritory infectinos becasue of the loss of passive immunity
What is the pulse rate, respirations, systolic blood pressure, and temperature of a middle adult.
Pulse rate: 60 to 100 Beats per min
Respirations: 12 to 20 Breaths per min
Systolic blood pressure: 90 to 130 mmHg
Temperature: 98.6 degrees fahrenheit
Fill-in-the -blank
When you are rolling the wheeled ambulance stretcher, your back should be _____, straight, and untwisted.
Locked
Joining the left and right pubic bones is a cartilaginous articulation that limits the movement between these two bones called the what?
A. Greater trochanter
B. Acetabulum
C. Pubic symphysis
D. Pubis
Pubic symphysis
What covers the larynx during swallowing and lifts up to allow for air passage during breathing?
Epiglottis
Which of the following respritory processes require the active use of muscles?
A. Exhalation
B. Inhalation
C. Gas exchange
D. Bifurcation
Inhalation
What is the age range for an adolescent?
12 to 18 years
What is the age range for the older adult?
61 years and older
Select one
The C in PACE mneumonic stands for:
- Choose
- Communication
- Challenge
- Clear
Challenge
Signs of adequate breathing in the adult include all of the following, except:
Select one:
A. respirations of 18 breaths/min.
B. a reduction in tidal volume.
C. bilaterally clear breath sounds.
D. rhythmic inhalation and exhalation.
Reduction in tidal volume
pg.206
Mean arterial pressure (MAP) is a product of:
Select one:
A. stroke volume and systemic vascular resistance.
B. heart rate and systemic vascular resistance.
C. heart rate and stroke volume.
D. cardiac output and systemic vascular resistance.
cardiac output and systemic vascular resistance.
pg.217
Select one
Which type of concent is involved when a 39-year-old, mentally competent female with a severe headache asks you to take her to the hospital?
- Expressed
- Formal
- Informed
- Implied
Expressed
Select one
The ________ is both the mechanical weight-bearing base of the spinal column and the fused central posterior section of the pelvic girdle.
- Coccyx
- Sacrum
- Ischium
- Thorax
Sacrum
True or false
It is unprofessional for you to discuss and plan a lift at the scene in front of the patient.
False
Significant blood loss results in reduced stroke volume (SV). To compensate, the body increases (HR) and systematic vascular resistance (SVR) to maintain what?
Mean Arterial Pressure
The mean arterial pressure indicates the average arterial pressure durin
Which of the following is the primary function of the stomach?
A. Absorption of water from food products
B. Production of bile
C. Chemical breakdown of food by acidic secretions
D. Absorption of nutrients into the blood stream
Chemical breakdown of food by acidic secretions
A patient has a large accumulation of blood in the sac surrounding the heart. Which of the following types of shock would this condition cause?
Select one:
A. Neurogenic
B. Cardiogenic
C. Obstructive
D. Hypovolemic
Obstructive
Pg.239
The ____ is made up of the Maxilla and Zygoma as well as the frontal bone of the cranium.
Orbit
Select one
Which of the following is true regarding the lift and moving or geriatric patients?
- They generally have no fear or anxiety when being transported.
- Many will require additional padding or support to transport comfortably.
- They tend to have more flexibility than younger patients
- They have less risk of skin tears or bruising than younger patients
B. Many will rewuire additional padding or support to transport coimfortably
Select one
When conflicts arise amonth health care teams, you should remember all of the following EXCEPT:
- That the patient comes first
- To seperate the person from the issue
- to choose your battles
- It is acceptable to shout at other providers
It is acceptable to shout at other providers
What is the thyroid cartilage commonly known as?
Adams apple
Select one
The best way for a team to be effective during an emergency call is to practice with one another and become familiar with eachothers ________ and preferences.
- Tools
- Techniques
- Capabilities
- Tools, techniques, and capabilities
Tools, techniques, and capabilities
The Parietal pleura covers the _____.
Lining of the chest
List the three layers of the cutaneous membrane (skin) in order from superficial to deep.
Epidermis, dermis, subcutaneous tissue
Select one
Bariatrics is:
- The branch of medicine concerned with the elderly.
- The branch of medicine concerned with the obese
- The branch of medicine concerned with infants
- The method used to assess blood pressure
B. The branch of medicine concerned with the obese
Select one
Which of the following statements regarding the hepatitus B vaccine is correct?
- The hepatitus B vaccine provides protection agains the disease for two years
- Vaccination with the hepatitus B vaccine confers immunity against hepatitus A
- OSHA requires that your employer offer you th evaccine free of charge
- Vaccination against hapatitus B provides partial immunity for life
OSHA requires that your employer offer you the vaccine free of charge
Mental function often begins to decline within _ years before death.
5 years immediatly before death
Adenosine triphosphate (ATP) is used in energy metabolism and storage in conjunction with oxygen, this process is reffered to as what? and what are the waste products.
Aerobic metabolism and the waste products are carbon dioxide and water.
(meaning with air)
Ligaments
Fibrous tissues that help connect bone to bone helping to stabilize the joints
What major organs lie in the right upper quadrant (RUQ) of the abdomin?
Liver, gallbladder, and a portion of the colon
Also most of the liver lies in this quadrant under the 8th to 12th ribs*
Select one
For patient handoff, it is important for EMT’s and hospital staff to use:
- Shared training
- Common goals
- Common language
- Mertric- sized tools
Common language
True or false
Bariatric stretchers are the same as standard ambulance stretchers except for the added lifting capacity.
False
True or false
Pneumatic stretchers qwew developed to decrease the risk for EMS provider back injuries
True
Select one
It is your responsibility to understand what is allowed by the ________ where you work.
- Scope of practice
- Standard of care
- Local protocols
- Scope of practice, standard of care, and local protocols
Scope of practice, standard of care, and local protocols
What is the name of the opening at the bottom of the skull that allows the spinal cord to connect with the brain?
Foramen Magnum
Select one
In lifting with the palm down the weight is supported by the ________ rather than the palm.
A. Fingers
B. Forearm
C. Lower Back
D. Wrist
A. Fingers
What two body systems are critical for the life support chain?
A. Cardiopulmonary and digestive systems
B. Respiratory and endocrine systems
C. Cardiovascular and lymphatic systems
D. Respiratory and cardiovascular systems
Respiratory and cardiovascular systems
The ____ takes up proportionally more space in a childs mouth than in an adults mouth
Tongue
True or false
If you find that lifting a patient is a strain, try to move the patient to the ambulance as quickly as possible to minimize the possibility of back injury.
False
Select one
In contrast to typical wheeled ambulance stretchers, features of a barriatric stretcher include:
- Two safety rails on both sides of the stretcher.
- A collapsible undercarriage.
- Weight capacity of up to 650 lb.
- Increased stability from a wider wheelbase.
Increased stability from a wider wheelbase.
Fill-in-the -blank
Be sure to pick up and carry the backboard with your back in the ____________ position.
Upright
Select one
Which part of the following is NOT an indication for use of the rapid extrication technique?
A. The patient is in severe pain
B. The patients condition cannot be properly assessed before being removed from the vehicle
C. The patient blocks access to another seriously injured patient
D. The vehicle or the scene is unsafe
A. The patient is in severe pain
What is the age range for a neonate?
Birth to one month
Short answer
List three guidelines for loading the stretcher into the ambulance
- Make sure there are enough providers for sufficient lifting power.
- Follow the manufactures directions for safe and proper use of the stretcher.
- Make sure that all stretchers and patients are fully secured before you move the ambulance.
An infant or small childs airway can be occuled if it is overextended or overflexed because:
- the tongue is proportionately small and can fall back into the throat.
- The back of the head is flat, which prevents a neutral position.
- The occiput is proportionately large, and the trachea is flexible.
- He or she has a long neck, which makes the trachea prone to collapse.
The occipu is proportionately large, and the trachea is flexible.
Finally extending from the metacarpals are the what?
Phalanges
A patient has a blood pressure of 130/70 mmHg. The “130” in this measurement represents?
Ventricular Contraction or Systolic blood pressure
The ____ is the “potential space” between the inner lining of the chest cavity and the lungs.
Pleural Space
Select one
A(n) ________ consists of individual health care providers working independently to help the patient.
- group
- team
- dependent group
- independent group
Group
Fill-in-the -blank
The key rule of lifting is to always keep the back in a straight, ________ position and to lift without twisting.
Upright
Fill-in-the -blank
The _____ _____ may be especially helpful when the patient is in a very narrow space or when there is not enough room for the patient and a team of EMT’s tp stand side by side.
Extremity lift
The __________ fills the entire anteroposterior depth of the right upper quadrant of the abdomen.
Select one:
A. stomach
B. spleen
C. pancreas
D. liver
Liver
Pg.228
What organs make up the digestive tract?
The gastrointestinal tract (stomach and intestines), mouth, salivary glands, pharynx, esophagus, liver, gallbladder, pancreas, rectum, and anus.
Sagittal (lateral) Plane
Runs vertically but divides the body into left and right sides
which organ secretes insulin after a large meal?
Pancreas
Which of the following body systems primarily produces hormones?
A. Cardiovascular
B. Exocrine
C. Gastrointestinal
D. Endocrine
Endocrine
What are the two types of nerves in the peripheral nervous system
Sensory nerves and motor nerves
What is the function of the lymph nodes?
Filter lymph
What are the three parts of the brain stem?
Midbrain, the pons, and the medulla oblongata
Which section of the sternum is directly inferior to the manubrium?
The sternal body
The peripheral nervous system is made up of what?
Nerves outside of the brain and spinal cord that link the CNS to various organs throughout the body