Test 1: 11/5/15 Flashcards
When establishing negligence, which of the following factors is Not a consideration?
A) the PT’s injury was life threatening
B) the AEMT deviated from the standard of care
C) an injury occurred due to the AEMTs actions
D) the AEMT had a legal duty to act
A
Roles and responsibilities of the AEMT include:
A) performing rapid assessment on all PT’s
B) identifying pts who are critically ill or injured
C) diagnosing a PTs condition based on assessment
D) providing definitive care for the PTs condition
B
The primary waste product of metabolism is :
A)glucose
B) lactic acid
C) glycogen
D) carbon dioxide
D
You are caring for a 32 y/o female who does not speak English. The PT is clinically stable and there are no family members present at the scene. What is the most effective way to communicate with her?
A) ask short questions and use simple words
B) use hand gestures when asking questions
C) request the police to act as an interpreter
D) remain silent and simply transport her
A
You are assessing a seriously ill PT when he suddenly becomes very angry and starts yelling at you. After ensuring your own safety, you should.
A) remain tolerant and avoid becoming defensive
B) take the PTs anger as a personal attack
C) immediately disengage from care of the PT
D) ask the PT if he has any psychiatric problems
A
At the scene of an automobile crash, a utility pole has been broken, and power lines are lying across the car. The driver is responsive, but reporting neck pain. You should:
A) don rubber gloves and rapidly extricate the driver
B) remove the wires from the car and continue extrication
C) mark off danger zone around car and downed lines
D) ask the driver to carefully get out and walk to the ambulance
C
During an acidification state the kidneys attempt to maintain normal PH by:
A) excreting bicarbonate
B) retaining bicarbonate
C) retaining hydrogen ions
D) secreting hydrogen ions
B
Which is Not a typical warning sign of stress?
A) isolation
B) increased appetite
C) Inability concentrate
D) irritability towards coworkers
B
Compared to the frontal region of the skull the occiput is:
A) anterior
B) exterior
C) inferior
D) posterior
D
You respond to the home of a 75 y/o man who is in cardiac arrest. The family states that the pt is terminally ill and has an advanced directive; however, they are unable to locate it. How should you manage this situation?
A) begin CPR
B) honor the family’s wish and call coroner
C) initiate full resuscitative measures and transport promptly
D) allow the family to locate document and then decide on further action
A
The shoulder joint is a ball and socket joint where the numeral head articulates with the:
A) acromion process
B) glen pod fossa
C) acetabulum
D) popliteal fossa
B
You are dispatched for a young male who, according to witnesses is “not acting right”. The patient is found sitting on the ground outside of a grocery store, rocking back and forth. He has blood on his arm from an apparent wound to his wrist. You should:
A) quickly make contact with him and control bleeding from wrist
B) talk to him as you approach him, but be prepared for him to turn violent
C) ask the PT to stand up so you can assess his balance and coordination
D) recognize that his movements are purposeful and do not suggest violence
B
You respond to a call for a 16 y/o boy who injured his arm. As you are assessing the child, he tells you that he does not want you to touch him. His mother tells you to begin treatment and transport the child to the hospital if necessary. What should you do?
A)determine if the child is mentally competent
B) ask the mother why she wants her son treated and transported
C) advise the mother that you cannot legally treat her child
D) continue your assessment and transport if necessary
D
Which of the following substances are vital in function of the sympathetic nervous system?
A) rip and non-epi
B) aldosterone and dopamine
C) cortisol and epi
D) aldosterone and cortisol
A
You arrive at the scene of a domestic violence situation. As you approach the doorway of the apartment, you hear screaming and the statement “he has a gun!”. At this point you should:
A) call for law enforcement and carefully enter the apartment
B) carefully enter the apartment to assess for injured PTs
C) stay where you are and ask the person to drop the weapon
D) retreat immediately and call for law enforcement assistance
D
Stimulation of alpha receptors of the sympathetic nervous system result in:
A) tachycardia
B) bronchodilator
C) peripheral vasodilation
D) peripheral vasoconstriction
D
When writing your pt care form involving an acutely intoxicated PT, you document that the PT was “drunk”. What does the statement constitute?
A) libel
B) slander
C) negligence
D) breach of confidentiality
A
AEMT training follows National EMS Standards, as recommended by the,
A) NREMT
B) national association of EMTS
C) medical director allows personnel to exceed scope of practice
D) Communication via two-way radios or cellular phones operate optimally
D
The axial skeleton is composed of :
A) upper and lower extremities
B) all skeletal structure below the pelvis
C) the skull, face, thoracic cage, and vertebral column
D) the ribs, pelvic girdle, and upper and lower extremities
C
Beginning with the outermost layer, the three meningeal layers of the CNS are the:
A) dura mater, pia mater, arachnoid
B) arachnoid, pia mater, dura mater
C) dura mater, arachnoid, pia mater
D) pia mater, dura mater, arachnoid
C
Your assessment of 40 y/o male with an AMS reveals the obvious odor of alcohol on his breath. When documenting the events of the call, you should state:
A) The PT appeared to be acutely intoxicated
B) The PT blood alcohol concentration is high
C) Alcohol cannot be ruled out as call of AMS
D) the smell of alcohol was noted on the PT’s breath
D
Systemic vascular resistance is the resistance to blood flow within all the blood vessels, Except the:
A) cerebral vessels
B) pulmonary vessels
C) coronary vessels
D) mesenteric vessels
B
A 16 y/o female complains of vaginal bleeding and abdominal cramping that began several hours ago. During your assessment interview, you should:
A) obtain the majority of your information from one of her parents
B) inquire about the possibility of pregnancy in private, if possible
C) avoid asking questions that she will feel uncomfortable answering
D) recall that PT’s in this age group prefer to be treated as adults
B
You suspect that a 75 y/o man has internal injuries after he fell and struck his ribs and abdomen on the corner of a table. When assessing and treating him, it is important to recall that:
A) His ability to physiologically compensate for his injury may be impaired by an inability to increase Cardiac Output
B) It is not uncommon to observe heart rates in excess of 150 beats/min in elderly patients with internal injuries
C) blood pressure is usually adequately maintained because the blood vessels of older people can constrict easily
D) functional blood volume in patients of his age steadily increases due to increased production of red blood cells.
A
An elderly woman slipped on the throw rug and fractured her hip. This type of fracture could involve any of the following bony structures except the:
A) iliac crest
B) femoral head
C) femoral neck
D) Trochanter
A
When responding to the scene of a mass casualty incident you should:
A) asked the dispatcher to notify all of the hospitals in the area
B) notify medical control and request orders prior to arrival
C) avoid communication with the dispatcher to free up airtime
D)contact the hospital after you know the extent of the incident
A
In the pregnant patient the secretion of oxytocin causes:
A) uterine smooth muscle contraction
B) uterine smooth muscle relaxation
C) decreased milk production in the breasts
D) thickening of the uterine wall for implantation
A
You were dispatched to a call 4-month-old infant with respiratory distress. while you prepare to care for the child you must remember that:
A)small infants are knows breathers and require and clear nasal passages at all times
B) assisted ventilation’s in infants often need to be forceful to inflate their lungs
C) The infants Proportionately small tongue often causes airway obstruction
D) and infants head should be placed in a flexed position to prevent obstruction
A
En route to the hospital a diabetic patient regains partial consciousness. He tells you that he feels fine and that he does not want to go to the hospital. Under the circumstances you should:
A) cease further treatment and have the patient sign a release
B) assess whether the patient’s mental condition is impaired
C) tell the patient that once care is started it cannot be stopped
D) request that police place the patient under protective custody
B
Which layer of the heart would be penetrated during an emergent medical procedure in the order to remove fluid
A) myocardium
B) epicardium
C) Pericardium
D) endocardium
C
The normal pH of the human body ranges from:
A) 7.25–7.30
B) 7.35–7.45
C) 7.50–7.55
D) 7.60–7.75
B
How many pairs of ribs are attached anteriorly to the sternum?
A) 6
B) 8
C) 10
D)12
C
The atrioventricular (AV) valves of the heart include:
A) tricuspid and mitral
B) mitral and aortic
C) bicuspid and aortic
D) tricuspid and pulmonic
A
While caring for a 40 y/o male with SOB and a HX of TB, the AEMT should place a:
A) surgical mask on himself and a nasal cannula on the PT
B) HEPA respirator on the PT and a surgical mask on himself
C) surgical mask on himself and NRB mask on the PT
D) HEPA respirator on himself and NRB on the PT
D
Neonates are defined as children;
A) who weigh at least 5.5 lbs
B) during the first few hours of life
C) Who are at least 1 month premature
D) between birth and 1 month of age
D
The movement of a solvent from an area of low solute concentration to an area of high solute concentration called:
A) osmosis
B) crenation
C) diffusion
D) passive transport
A
The process of moving air in and out of the lungs is:
A) respiration
B) oxygenation
C) tidal volume
D) ventilation
D
While triaging PT’s at a MCI, you encounter a 40 y/o female with obvious fx of her right forearm and multiple abrasions to her face and arms. She is responsive and alert and does not appear to have any airway or breathing problems. You note that she is wearing an organ donor bracelet. You should:
A) give her high flow O2 to keep her vital organs viable
B) apply a splint to her arm injury and continue triaging the other PT’s
C) assign her an appropriate triage category and move to the next PT
D) place her in a high priority TX category because of her donor status
C
During your assessment of a Trauma PT, you note the presence of bilateral femur FX’s. This means that:
A) one femur is broken
B) both femurs are broken
C) one femur is broken in 2 places
D) the lateral aspect of one femur is broken
B
The primary function of the antidiuretic hormone (ADH) is:
A) increased renal output of urine
B) facilitation of water excretion
C) promotion of water retention
D) construction of blood vessels
C
