Test1 part 2 Flashcards
What best describes the level of EMS training that emphasizes activation of the EMS system and provides immediate care for life-threatening problems ?
A) emergency medical dispatcher
B) EMT
C) emergency medical responder
D) cardiac care responder
C) emergency medical responder
you have responded to a nursing home and find an elderly patient in his bed in cardiac arrest. Which type of move with you before him to get the patient to a hard surface so you can perform chest compressions?
A) emergency move
B) urgent move
C) non-urgent move
D) clothing drag
A) emergency move
A 21 year old patient presents with Labored breathing and audible wheezes, heart rate of 124, respirations to 36; he has significantly altered mentation. What is the treatment for this patient?
A) Give mouth to mouth breathing with a nasal cannula. Provide the patient with an increase of oxygen.
B) supplement the breaths with high concentration and oxygen through a nonrebreather mask.
C) use a pocket mask, which will provide adequate oxygen to improve the patient’s condition.
D) Ventilate with a bag valve mask with a high oxygen, or FROPVD.
D) ventilate with a bag valve mask with high oxygen, or FROPVD.
Patient is a motorcyclist who is ejected after striking a guard rail. The patient is unresponsive to painful stimuli and his breathing shallowly 6 to 8 times for a minute. Which of the following should you do first?
A) give mouth mouth breathing with nasal cannula, providing the patient with an increase of oxygen.
B) perform a rapid trauma assessment.
C) apply a cervical collar.
D) use a bag valve mask with supplemental oxygen
D) use a bag valve mask with supplemental oxygen
You are dispatched to a female with altered mental status. Once inside the home, you find a female, who appears to have been beaten unconscious. A man, who smells of alcohol, says that she is his wife, and that he does not know what happened: “I just found her this way!” The husband is behaving, suspiciously, appears, paranoid, and is pacing a frantically around the room. What would be the safest course of action?
A) have your partner call for help or you stay with the patient.
B) leave the house and call for law enforcement.
C) evacuate the patient and begin treatment.
D) continue to question the man and begin treating the patient.
B) leave the house and call for law enforcement.
What is NOT the priority of an EMT at the scene of a hazardous materials incident?
A) patient care
B) safety of bystanders
C) personal safety
D) identification of hazardous materials
D) identification of hazardous materials
To be effective a suction unit must be able to generate airflow of at least _____ liters per minute, and create a vacuum of no less than______ mmHg.
A) 300; 30
B) 30; 300
C) 30; 30
D) 300; 330
B) 30; 300
While ventilating an intubated patient with a bag valve mask unit, you noticed increased resistant to the ventilation’s. This may indicate that.
A) air is escaping through a hole in the lung and filling the pleural space.
B) cardiac arrest is imminent.
C) the patient is becoming more alert and his breathing independently.
D) the gag reflex is returning.
A) air is escaping through a hole in the lung and filling the florals please.
Which of the following has specific requirements for storing, accessing, and sharing patient information?
A) POLST
B) HIAPA
C) DNR
D) HIPAA
D) HIPAA
A 12 year old female patient is having an asthma attack after participating in some strenuous activity during recess at school. She’s taken several doses of her own bronchodilator with little relief. Your partner immediately administers oxygen. Providing supplemental oxygen will increase the amount of oxygen molecules carried by the______ in her blood, helping oxygenate critical organs like the brain..
A) White blood cells
B) plasma
C) hemoglobin
D) albumin
C) hemoglobin
Sharing information about a patient’s medical history with your neighbor after you hear a call on a radio scanner would constitute which of the following?
A) slander
B) libel
C) Breach of confidentiality
D) violation of patient privacy
C) breach of confidentiality
Which of the following is NOT part of the lower extremity?
A) patella
B) carpals
C) pelvis
D) femur
B) carpals
Which of the following is true concerning the procedure for inserting a nasal pharyngeal airways (NPA) ?
A) if a water soluble lubricant is not available, I silicon spray can be substituted.
B) the length of the device is not as important as it is with the orpharyngeal airways.
C) the bevel should be turned toward the nasal septum, or the base of the nostril.
D) it can only be placed in the right nostril.
D) the bevel should be turned toward the nasal septum, or the base of the nostril.
Perhaps the simplest way to determine if a patient has a patent airway is too?
A) ausculate for breath sounds
B) say “Hello”
C) check for appropriate chest rise
D) determine the respiratory rate.
B) say “Hello”
What is the danger that an altered mental status can pose to a patient’s breathing?
A) depressed alveolar function
B) hyperoxia
C) bronchospasms
D) loss of muscle tone and airway collapse
D) loss of muscle tone and airway collapse
Which of the following describes why fast respiration may decrease minute volume?
A) The rate does not decrease minute volume; it actually increase is it.
B) The lungs may not have adequate time to fill and exchange gas.
C) The rate causes turbulence in the trachea that will increase the friction and decrease the amount of air movement.
D) it is due to the delay in the movement of the intercostal muscles and the pleural space.
B) The lungs may not have adequate time to fill in exchange gas
You and your EMT partner are responding to a medical aid called in the world West County area. The dispatcher advises that the caller is reporting the patient as having a history of “plegia”. why would it be beneficial to have the dispatcher clarify a prefix for the word plegia?
A) there is actually no need to clarify the word.
B) because a dysplegiac, patient generally requires an EMT paramedic level of care, and it may change the level of response.
C) without a clarifying prefix, it is difficult for the EMTs to effectively prepare for the type of patient that they may encounter.
D) the patient with plegia is potentially contagious, and the EMTs need to know what precautions are required.
C) without a clarifying prefects, it is difficult for the EMTs to effectively prepare for the type of patient that they may encounter.
Patient is a 45-year-old man who is suffering from chest pain. Upon arrival, the patient is pale, sweaty, and seems short of breath. The patient is angry with his daughter for calling 911 and refuses transport. He says that he had some spicy sausage for breakfast and has indigestion. Which of the following is an appropriate means of getting the patient the car he needs?
A) try to find out why the patient does not want to go to the hospital
B) tell the patient that has chest pain is most likely caused by his diet, have him take an anti-acid and go to bed,
C) informed the patient that if he does not agree to treatment, you will have to take him against his will because he has a potentially life-threatening problem.
D) ask the patient’s daughter for the number of another family member you can call to convince him to consent to care.
A) try to find out why the patient does not want to go to the hospital.
Which of the following Colors identifies an oxygen cylinder?
A) Green
B) Blue
C) Black
D) Orange
A) Green
What signs and symptoms would indicate inadequate breathing in a patient?
A) increased effort to breathe, cyanosis, clammy skin, altered mental status
B) increased effort to breathe, increased depth of respiration, normal skin, normal mental status
C) rapid, breathing, pale skin, and normal mental status
D) decrease depth of respiration, decreased rate of breathing, clammy skin, normal mental status
A) increased effort to breathe, sinuses, clammy skin, altered mental status
For life to be maintained, a balance of oxygen and carbon dioxide is needed. The condition when oxygen levels are low is called.
A) hypoperfusion
B) hyperventilation
C) hypoxia
D) hypercapnia
C) hypoxia
The trachea branches at the _____ and forms the mainstem bronchi.
A) glottic opening
B) alveoli
C) bronchioles
D) Carina
D) Carina
What is the main benefit of using a stair chair with a track like system over a traditional stair chair?
A) there’s no benefit of a track like stair chair over a traditional stair chair.
B) the stair chair with a track like system, prevents the patient from having to be lifted down the stairs.
C) only one EMT is required to operate a stair chair with a track like system
D) a stair chair with a track like system can be manipulated to lift into an ambulance using a hydraulic system.
B) the stair chair with a track like system, prevents the patient from having to be left it down the stairs.
Which of the following patients does NOT require the administration of supplemental oxygen?
A) A 31-year-old male who is unresponsive due to an overdose of narcotics.
B) a 60 year old woman with a history of chronic obstructive pulmonary disease who can speak up to her three words at a time without a breath.
C) a six year old male with a history of asthma, whose breath sounds are silent and who is drowsy.
D) a 24 year old a woman who is breathing 28 times per minute after being in an argument with her husband.
D) a 24-year-old woman who is breathing 28 times per minute after being in an argument with her husband.
All of the following can result in an airway obstruction, except?
A) infections
B) the tongue
C) facial trauma
D) Burns
B) the tongue
Which of the following describes inadequate breathing ?
A) the respiratory rate is faster than normal.
B) the minute volume is less than normal
C) the minute volume is greater than normal
D) the respiratory rate is slower than normal
B) the minute volume is less than normal
Which of the following best describes the location of the midaxillary line?
A) a line drawn vertically from xiphoid process to the pubic bone.
B) a line drawn diagonally from the outer end of the clavicle to the navel
C) a line drawn horizontally from one Armpit, to the other across the front of the body.
D) a line from the center of the arm pit, extending vertically down the side of the chest.
D) a line from the center of the armpit, extending vertically down the side of the chest.
When suctioning the airway, you should try to limit suctioning to no longer than____ seconds at a time.
A) 60
B) 10
C) 30
D) 45
B) 10
What system is a group of organs and glands designed for the specific purpose of reproduction?
A) reproductive system
B) respiratory system
C) renal system
D) lymphatic system
A) reproductive system
You’re ventilating, an 85-year-old male without difficulty. A nurse tells you that the patient has dentures. To ensure a good mask seal, you should.
A) leave the dentures in place
B) tape the dentures in place
C) remove the dentures
D) use an infant mask over the nose
A) leave the dentures in place
What is the best description of the chests, mechanical function?
A). The chest is closed space with only one opening, the trachea, to inspire air; the diaphragm contracts down, and the intercostal muscles, expand the ribs, causing a negative pressure that fills lungs with air.
B) the diaphragm contracts, causing the intercostal muscles that are attached to the lungs to also contract, which move the air into the lungs.
C) with the chest, being an airtight space, the act of breathing occurs when the diaphragm and intercostal muscles relax, which causes a loss to expand an aero flow into the lungs.
D) the chest is a close space, and the pleural space surrounds the lungs; when the diaphragm contracts and the intercostal muscles expand, the chest, and lungs move outward and downward, allowing expiration and gas exchange in the lungs.
A) the chest is a closed space with only one opening, the trachea, to inspire air; the diaphragm, contracts, down, and intercostal muscles, expand the ribs, causing a negative pressure that feels lungs with air.
Which of the following is the EMTs primary responsibility at a secured crime scene?
A) preserving evidence
B) providing patient care
C) taking notes that may be needed during court testimony
D) identifying any potential suspects in countered at the scene.
B) providing patient care
Patients in which age group tend to be very concerned with body image?
A) early adulthood
B) middle adulthood
C) school-age
D) adolescence
D) adolescence
Potential space between the lung and the chest wall is called the?
A) Dead space
B) pleural space
C) lung space
D) carina space
B) pleural space
When inserting an oral pharyngeal airway, how many degrees do you need to rotate the airway so the tip is pointing down into the patient’s pharnyx?
A) 180
B) 45
C) 270
D) 90
A) 180
You are ventilating a cardiac arrest patient when he begins to vomit copious amounts of large pieces of undigested food. Which of the following would most be effective in clearing the airway ?
A) using large bore suction tubing without a tip or catheter attached
B) using a rigid pharyngeal suction tip
C) irrigating the mouth with sterile water to dilute the materials before suctioning
D) using a 14 French suction catheter
A) using a large bore suction tubing without a tip or catheter attached.
Which of the following structures is found in the lower airway?
A) tonsils
B) bronchi
C) uvula
D) pharnyx
B) bronchi
The EMTs role in the quality improvement process includes becoming involved in the quality process, keeping carefully written documentation, obtaining feedback from patients and the hospital staff, continuing your education, and which of the following?
A) writing protocols and standing orders
B) providing quality care
C) maintaining your equipment
D) being a member of the QI committee
B) providing quality care
To check the distal pulse of a patient with an injury to the forearm, the EMT would check for a pulse in which location?
A) wrist
B) throat
C) upper arm
D) armpit
B) wrist
Which of the following structures or tissues is not part of the musculoskeletal system?
A) tendons
B) ligaments
C) fat
D) acetabellum
C) fat
You were caring for a 25-year-old male patient who has been shot once in the head. The patient is in Extremis (near the point of death) with a noticeable breathing pattern that alternates between no breathing and fast breathing. Your understanding of pathophysiology leads you to believe the breathing pattern may be due to the damage to the section of the brain responsible for respiratory control, also known as the?
A) frontal lobe
B) medulla oblongata
C) thalamus
D) Cerebellum
B) medulla oblongata
Middle adulthood is the stage of life from ______ to ______ years.
A) 41; 60
B) 31; 60
C) 35; 65
D) 35; 55
A) 41; 60
You have arrived at the scene of a call for a “man down”. As you enter the residence, you know that your patient is a male in his mid-60s, who is awake, but does not seem to acknowledge your presence. He is perspiring profusely, has cyanosis of ears and lips, and has rapid, shallow, respirations. Which of the following should you do first?
A) check for a radial pulse
B) obtain the patient’s medical history
C) assist ventilation’s with a bag valve, mask and supplemental oxygen.
D) listen to his lung sounds
C) assist ventilations with a bag valve, mask and supplemental oxygen
What are the 6 steps to “Scene Size up”
1). Scene Safety
2). BSI
3). # of patients
4). MOI/NOI
5) Additional Resources
6). C-Spine restrictions
6 Steps to Primary Assessment
1). General Impression
2). Level of consciousness
3). Airway
4). Breathing
5). Circulation
6). Notification to incoming crew
What does SAMPLE stand for
Signs/symptoms
Allergies
Medications
Pertinent prior history
Last oral intake
Events prior
what does OPQRST stand for
Onset
Provokes
Quality
Radiates
Severity
Time
Name the 4 Vitals
1) Pulse = Rate & quality
2) Respirations= rate & quality
3) Blood Pressure
4) Skin= color, temp & condition
