Self study questions Flashcards

1
Q

Which of the following statements regarding patients with intellectual disabilities is correct?

A. an intellectual disablitly differs from mental retardation in that is the result of a congenital abnormaility

B. speaking with the patients family is least effective way to determine how much the patients understands

C. most patients with intellectual disabilities have normal cognitive function but abnormal physical features

D. patients with intellectual disabilities are susceptible to the same disease processes as other patients

A

D. patients with intellectual disabilities are susceptible to the same disease processes as other patients

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2
Q

Because a tracheotomy tube bypasses the nose and mouth

A. bleeding or air leakage may occur around the tube

B. the risk of a local infection is significantly high

C. secretions can build up in and around the tube

D. severe swelling of the trachea and bronchi can occur

A

C. secretions can build up in and around the tube

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3
Q

Cerebral palsy is characterized by poorly controlled ____ movement

A. eye

B. neck

C. body

D. extremity

A

C. body

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4
Q

A person is said to be obese when he or she is ____ over his or ideal weight

A. 20% or more

B. 30% or more

C. 40% or more

D. 10% or more

A

B. 30% or more

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5
Q

Down syndrome in a genetic sect that occurs as the result of:

A. an extra pair of chromosomes

B. a separation of chromosome 21

C. a triplication of chromosome 21

D. a sperm that contains 24 chromosomes

A

C. a triplication of chromosome 21

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6
Q

A 13 year old child is on a home ventilator. The parents called because the mechanical ventilator malfunctioning and the child has increasing respiratory distress. You should:

A. attempt troubleshoot the mechanical ventilator problem

B. disconcert the ventilator and apply a tracheotomy collar

C. place a call to the home, health agency treating this patient

D. reset the ventilator by unplugging it for 30 to 60 seconds

A

B. disconcert the ventilator and apply a tracheotomy collar

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7
Q

You are assessing a 440 lb man who complains of shortness of breath and lower back pain. The patient is conscious and alert, his blood pressure is 148 / 98 and his heart rate is 120 beats / min. Your and his heart rate is 120 beats / min. Your most immediate action should be to;

A. perform a secondary assessment

B. avoid placing him in a supine position If possible and administer oxygen

C. notify the receiving facility and advise the receiving facility and advice them of the patients weight and status

D. ask a member of your team to locate the best route to move him to the ambulance

A

B. avoid placing him in a supine position If possible and administer oxygen

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8
Q

A surgical procedure that creates an opening between the intestine and the surface of the body that allows for elimination of waste products is called:

A. colonstomy

B. gastrostomy

C. instetinal shunt

D. gastric stoma

A

A. colonstomy

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9
Q

Under what circumstances is a left ventricular assist device used?

A. to reduce ventricular pumping force in patients with aortic aneurysms

B. to ensure that the ventricles contract at an adequate and consistent rate

C. as a bridge to heart transplantation while a donor hear is being located

D. to permanently replace the function of one or both of the ventricles

A

C. as a bridge to heart transplantation while a donor hear is being located

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10
Q

Spina is defined as:

A. congenital inflammation of the spinal cord, usually is the neck

B. a birth defect caused by in complete closure of the spinal column

C. chronic pressure on the brain caused by excess cerebrospinal fluid

D. a birth defect in which the child inborn without spinal vertebrae

A

B. a birth defect caused by in complete closure of the spinal column

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11
Q

Common complications associated with central venous catheters include all of the following EXCEPT:

A. bleeding around the line

B. rupture of a central vein

C. local infection

D. clotting of the line

A

B. rupture of a central vein

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12
Q

The purpose of a ventricular peritoneum shunt is to:

A. monitor pressure within the skull in patients with a head injury

B. prevent excess cerebrospinal fluid from accumulating in the brain

C. divert excess cerebrospinal fluid to the ventricles of the brain

D. remove fluid from the fun from the abdomen of patients with right sided heart failure

A

B. prevent excess cerebrospinal fluid from accumulating in the brain

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13
Q

Which of the following conditions would MOST likely to be encountered in a patient with cerebral palsy?

A. type 2 diabetes

B. paralysis

C. seizure disorder

D. brain tumors

A

C. seizure disorder

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14
Q

You are triaging four patients who were involved in a head on motor vehicle crash. Which of the following patients should be assigned the highest (red) triage category?

A. a 49 year old female with diabetes and difficultly treating

B. a 36 year old female with back pain and number extremities

C. a 29 year old male with bilaterally closed femur deformities

D. a 50 year old male with an open head injury and no pulse

A

A. a 49 year old female with diabetes and difficultly treating

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15
Q

Following proper decontamination, a 30 year old male is brought up to you. He is semiconscious and has rapidly, shallow respirations. A quick visual assessment reveals no obvious bleeding. You should:

A. administer high flow oxygen via a non breathing mask

B. ask a firefighter what the patient was exposed to

C. begin some form of positive pressure ventilation

D. perform a rapid assessment to locate critical injuries

A

C. begin some form of positive pressure ventilation

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16
Q

While triaging patients at the scene of a building collapse, you encounter a young child is conscious, alert , and breathing has a bilateral radial pulses and has a severely angulated leg which is not bleeding. According to the jumpSTART triage system, you should:

A. apply high flow oxygen, obtain baseline vital signs, and continue triaging

B. evacuate him to a designated area and assign him to a minimal (green category)

C. assign him a delayed. ( yellow) category and continue triaging the other patients

D. quickly bind his legs together to stabilize the fracture and continue triaging

A

C. assign him a delayed. ( yellow) category and continue triaging the other patients

17
Q

Placards and labels on a storage container are intended to:

A broadly classily chemicals as being explosive or nonexplosive

B. give a general idea of the hazard inside that particular container

C. advise responders of the appropriate neutralizing measures

D. provide specific information about the chemical being carried

A

B. give a general idea of the hazard inside that particular container

18
Q

After primary triage, the triage supervisor should communicate all the following information to the medical branch officer EXCEPT:

A. The number of patients in each triage category

B. recommendations for movement to the treatment area

C. the total amount of patients that have been triaged

D. the recommended transport destination for each patient.

A

D. the recommended transport destination for each patient.

19
Q

Upon arrive at the scene of a possible hazardous materials (Hazmat) incident involving several patients, you should:

A. rope off the entire perimeter

B. divert traffic away from the scene

C. retrieve all critical patients

D. carefully assess the situation

A

D. carefully assess the situation

20
Q

The first step in the start triage system is to:

A. move all walking patients to a designated area

B. focus on the patients who are unconscious

C. get a quick head count of all the patients involved

D. scan the area for patients with severe bleeding

A

A. move all walking patients to a designated area

21
Q

The means by which a terrorist will spread a particular agent is called:

A. incubation

B. aerolization

C. weaponization

D. dissemianation

A

D. dissemianation

22
Q

An attack of an abortion clinic would MOST likely be carried out by an

A. extremist political group

B. single issue group

C. doomsday cult

D. violent religious group

A

B. single issue group

23
Q

Points of distribution (PODs) are strategically facilities where:

A. antidotes, antibiotics, and vaccines are distributed

B. chemical weapons are manufactured and distributed

C. chemical and biologic weapons are stockpiled

D. weapons of mass destruction are distributed

A

A. antidotes, antibiotics, and vaccines are distributed

24
Q

Most cases of anthrax begin with:

A. pulmonary edema

B. flulike symptoms

C. respiratory distress

D. signs of shock

A

B. flulike symptoms

25
The EMT should expect that a patient who was exposed to cyanide will have: A. a normal pulse oximetry B. an abnormal slow pulse C. an abnormal slow respiratory rate D. ski that is cherry red and hot
A. a normal pulse oximetry
26
Unlike viral agents, bacterial agents: A. respond to antibiotics B. are far less infectious C. are usually not treatable D. do not replicate in the body
A. respond to antibiotics
27
____ rays easily penetrate through the human body and require lead or several inches of concrete to prevent penetration A. Gamma B. Alpha C. Beta D. Neutron
A. Gamma
28
Health care teams that infrequently train and work together: A. can created delays in patient care B. need less explicit verbal direction C. often work better under pressure D. are unable to accomplish their tasks
A. can created delays in patient care
29
The concept of constant care across the entire care team from first patient contact to patient discharge is called: A. patient car advocacy B. The continuum of care C. the standard of care D. the scope of practice
B. The continuum of care
30
The microdrip administration delivers 1 mL of fluid every ____ drops A. 60 B. 10 C. 15 D. 45
A. 60
31
When the EMT assist a paramedic with an advanced intervention, he or she should recall that the focus of the intervention is on: A. completing the procedure B. solving a clinical problem C. learning to perform the skill D. following local protocol
B. solving a clinical problem
32
You are attending to a 68 year old female patient in cardiac arrest. An ALS provider arrives shortly after you do and the transfer of care is made. The ALS provider ask that you assist in the endotracheal intubation. As part of this process, you may be required to: A. ventilate and preoxygenate the patient but not handle any of the equipment required for intubation B. visualize the airway and look for any potential complications in advance of the intubation C. help position the patient for a better view of the airway during the procedure D. perform the intubation with assistance
C. help position the patient for a better view of the airway during the procedure
33
Hyperventilation during the preoxygenation phase of endotracheal intubation: A. provides a better oxygen reserve for the patient B. will decrease the likelihood of aspiration C. is acceptable if done for fewer than 2 minutes D. can cause gastric distention and hypotension
D. can cause gastric distention and hypotension