unit 6 part 1 exam

Question 1

Which of the following signs is commonly
observed in patients with right-sided heart failure?

Select one:

a. Pulmonary edema
b. Labored breathing
c. Flat jugular veins
d. Dependent edema

Answer 1

d. dependant edema

Question 2

You are attending to a 54-year-old female
patient in a homeless shelter. The patient tells you that she had the flu a
couple of weeks ago, and she has not gotten over it. She has been tired and
keeps waking up at night, sweating. She has been coughing up green sputum
occasionally and has been experiencing episodes of chest pain that get worse
when she breathes. Based on this information, your patient is most likely
suffering from:

Select one:

a. tuberculosis
b. influenza Type A
c. pneumonia
d. chronic obstructive pulmonary disease (COPD).

Answer 2

a. tuberculosis

Question 3

A pleural effusion is MOST accurately defined as

Select one:

a. a bacterial infection of the lung tissue
b. diffuse collapsing of the alveoli
c. fluid accumulation outside the lung
d. a unilaterally collapsed lung

Answer 3

c. fluid accumulation outside the lung

Question 4

Prior to attaching the AED to a cardiac arrest
patient, the EMT should:

Select one:

a. contact medical control
b. assess for a pulse for 20 seconds
c. perform CPR for 30 seconds
d. dry the chest if it is wet

Answer 4

d. dry the chest if it is wet

Question 5

Most AEDs are set up to adjust the voltage based
on the impedance, which is the:

Select one:
a. resistance of the body to the flow of
electricity
b. actual amount of energy that the AED will
deliver
c. direction that the electrical flow takes in the
body
d. distance between the two AED pads on the chest

Answer 5

a. resistance of the body to the flow of electricity

Question 6

The left cerebral hemisphere controls:

Select one:

a. breathing and blood pressure
b. the right side of the face
c. heart rate and pupil reaction
d. the right side of the body

Answer 6

d. the right side of the body

Question 7

Which of the following patients is at greatest risk for complications caused by the influenza virus?

Select one:

a. 50-year-old woman moderate obesity
b. 68-year-old woman with type 2 diabetes
c. 12-year-old child with a fractured arm
d. 39-year-old man with mild hypertension

Answer 7

b. 68-year-old woman with type 2 diabetes

Question 8

When you are obtaining medical history from the
family of a suspected stroke patient, it is MOST important to determine:

Select one:

a. when the patient last appeared normal
b. if there is a family history of a stroke
c. the patient’s overall medication compliance
d. if the patient has been hospitalized before

Answer 8

a. when the patient last appeared normal

Question 9

A patient who is possibly experiencing a stroke is
NOT eligible for thrombolytic (fibrinolytic) therapy if he or she:

Select one:

a. has a GCS score that is less than 8
b. is older than 60 years of age
c. has bleeding within the brain
d. has had a prior heart attack

Answer 9

c. has bleeding within the brain

Question 10

Treatment with continuous positive airway pressure (CPAP) would MOST likely be contraindicated in which of the following situations?

Select one:
a. Shortness of breath and a blood pressure of
76/56 mm Hg
b. Difficulty breathing, two-word dyspnea, and
tachycardia
c. Pulmonary edema, history of hypertension, and
anxiety
d. Conscious and alert patient with an oxygen
saturation of 85%

Answer 10

a. Shortness of breath and a blood pressure of 76/56 mm Hg

Question 11

When preparing to obtain a 12-lead ECG, the “LL”
and “RL” electrodes should be placed:

Select one:

a. anywhere on the arms
b. on the lower abdomen
c. on the thighs or ankles
d. on either side of the chest

Answer 11

c. on the thighs or ankles

Question 12

You are caring for a 68-year-old man with sudden
onset of left-sided paralysis and slurred speech. His airway is patent, his
respirations are 14 breaths/min with adequate depth, and his oxygen saturation
is 98%. Treatment for this patient should include:

Select one:

a. high-flow oxygen and transport
b. ventilatory assistance and transport
c. recovery position and transport
d. oral glucose gel and transport

Answer 12

c. recovery position and transport

Question 13

After the AED has delivered a shock, the EMT
should

Select one:

a. transport the patient at once
b. assess for a carotid pulse
c. immediately resume CPR
d. re-analyze the cardiac rhythm

Answer 13

immediately resume CPR

Question 14

An infectious disease is MOST accurately defined
as:

Select one:
a. the invasion of the human body by a bacterium
that cannot be destroyed by antibiotics or other drugs.
b. any disease that enters the body via the
bloodstream and renders the immune system nonfunctional.
c. a disease that can be spread from one person or species to another through a number of mechanisms. Incorrect
d. a medical condition caused by the growth and
spread of small, harmful organisms within the body.

Answer 14

d. a medical condition caused by the growth and spread of small, harmful organisms within the body.

Question 15

Nitroglycerin is contraindicated in patients:

Select one:
a. with a history of an ischemic stroke 
b. who have experienced a head injury
c. with a systolic blood pressure less than 120 mm
Hg
d. who have taken up to two doses

Answer 15

b. who have experienced a head injury

Question 16

After sizing up the scene of a patient with a
possible infectious disease, your next priority should be to:

Select one:

a. quickly access the patient
b. contact medical control
c. take standard precautions
d. notify law enforcement

Answer 16

c. take standard precautions

Question 17

During the primary assessment of a semiconscious
70-year-old female, you should:

Select one:
a. immediately determine the patient’s blood
glucose level
b. ask family members if the patient has a history
of stroke
c. ensure a patent airway and support ventilation
as needed
d. insert a nasopharyngeal airway and assist
ventilations

Answer 17

c. ensure a patent airway and support ventilation as needed

Question 18

Ten days after treating a 34-year-old patient
with tuberculosis, you are given a tuberculin skin test, which yields a
positive result. This MOST likely indicates that:

Select one:
a. you are actively infected with tuberculosis and
should be treated immediately
b. you were exposed to another infected person
prior to treating the 34-year-old patient
c. you contracted the disease by casual contact
instead of exposure to secretions
d. the disease is dormant in your body, but will
probably never cause symptoms

Answer 18

b. you were exposed to another infected person prior to treating the 34-year-old patient

Question 19

You are attending to a 27-year-old male driver
of a car. According to his passenger, the patient had been acting strangely
while driving, then slumped forward against the steering wheel, apparently
unconscious. The car drove off the road and struck a telephone pole. The
patient remains unconscious, and physical assessment reveals only a large
hematoma on his right forehead with no other physical signs. Your patient is a
diabetic who had been under a lot of stress lately and may have missed meals. This is an example of a:

Select one:
a. trauma emergency
b. combination of a medical and trauma emergency
c. combination of a psychiatric and trauma
emergency
d. medical emergency

Answer 19

b. combination of a medical and trauma emergency

Question 20

While auscultating an elderly woman’s breath
sounds, you hear low-pitched “rattling” sounds at the bases of both of her
lungs. This finding is MOST consistent with which of the following conditions?

Select one:

a. Aspiration pneumonia
b. Acute asthma attack
c. Early pulmonary edema
d. Widespread atelectasis

Answer 20

a. aspiration pneumonia

Question 21

You are attending to a 3-year-old male patient
who is presenting with severe shortness of breath. His parents report that he
has had a cough and cold with a low grade fever for the past two days. They
became worried today, as his level of distress has increased dramatically. On
assessment, the patient is sitting upright and making high-pitched noises with
each breath. Based on this information, the patient is most likely suffering
from:

Select one:
a. inflammation of the bronchioles
b. bacterial infection of the epiglottis
c. inflammation of the lower respiratory tract and
bronchospasm
d. viral infection of the upper respiratory tract

Answer 21

d. viral infection of the upper respiratory tract

Question 22

The BEST way to prevent infection from whooping
cough is to:

Select one:
a. get vaccinated against diphtheria, tetanus, and
pertussis
b. wear a HEPA mask when treating any respiratory
patient
c. ask all patients if they have recently traveled
abroad
d. routinely place a surgical mask on all
respiratory patients

Answer 22

a. get vaccinated against diptheria, tetanus, and pertussis

Question 23

When auscultating the lungs of a patient with
respiratory distress, you hear adventitious sounds. This means that the patient
has:

Select one:

a. abnormal breath sounds
b. normal breath sounds
c. an absence of breath sounds
d. diminished breath sounds

Answer 23

a. abnormal breath sounds

Question 24

A patient tells you that he has a left
ventricular assist device (LVAD). Which of the following conditions should you
suspect that he has experienced?

Select one:

a. Acute myocardial infarction
b. Obstructive lung disease
c. Uncontrolled hypertension
d. Thoracic aortic aneurysm

Answer 24

a. acute myocardial infarction

Question 25

Hepatitis B is more virulent than hepatitis C,
which means that it:

Select one:

a. is less resistant to treatment
b. has a greater ability to produce disease
c. leads to chronic infection after exposure
d. is a more contagious type of disease

Answer 25

b. has a greater ability to produce disease

Question 26

Your patient opens his eyes, moans, and pulls
away from you when you pinch his trapezius muscle. You should assign a Glasgow
Coma Scale (GCS) score of:

Select one:

a. 8
b. 7
c. 9
d. 6

Answer 26

a. 8

Question 27

His parents tell you that their son has had a
chest infection for the past two days and when they took him to their family
doctor, they were told it was likely due to the respiratory syncytial virus
(RSV). They have kept him well hydrated, but the infection seems to have gotten
worse. On auscultation, you hear decreased air entry bilaterally with fine
expiratory wheezes and the occasional coarse wet crackle. Based on this
information, your patient is most likely suffering from:

Select one:

a. croup
b. pertussis
c. epiglottitis
d. bronchiolitis

Answer 27

d. bronchiolitis

Question 28

The EMT should use an AED on a child between 1
month and 8 years of age if:

Select one:
a. his or her condition is rapidly progressing to
cardiac arrest
b. pediatric pads and an energy-reducing device are
available
c. special pads are used and the child has profound
tachycardia
d. he or she is not breathing and has a weakly
palpable pulse

Answer 28

b. pediatric pads and an energy-reducing device are available

Question 29

Which of the following conditions would MOST
likely affect the entire brain?

Select one:

a. Reduced blood supply to the left hemisphere
b. Blocked cerebral artery in the frontal lobe
c. Respiratory failure or cardiopulmonary arrest
d. Ruptured cerebral artery in the occipital lobe

Answer 29

c. respiratory failure or cardiopulmonary arrest

Question 30

You are assisting an asthma patient with his
prescribed metered-dose inhaler. After the patient takes a deep breath and
depresses the inhaler, you should:

Select one:
a. instruct him to hold his breath for as long as
he comfortably can
b. advise him to exhale forcefully to ensure
medication absorption
c. immediately reapply the oxygen mask and reassess
his condition
d. allow him to breathe room air and assess his
oxygen saturation

Answer 30

a. instruct him to hold his breath for as long as he comfortably can

Question 31

The determination of whether a medical patient
is a high-priority or low-priority transport is typically made:

Select one:
a. once the patient’s baseline vital signs are
known
b. after the primary assessment has been completed
c. as soon as the patient voices his or her chief
complaint
d. upon completion of a detailed secondary
assessment

Answer 31

b. after the primary assessment has been completed

Question 32

A 66-year-old female with a history of
hypertension and diabetes presents with substernal chest pressure of 2 hours’
duration. Her blood pressure is 140/90 mm Hg, her pulse is 100 beats/min and
irregular, her respirations are 22 breaths/min, and her oxygen saturation is
92%. The patient does not have prescribed nitroglycerin, but her husband does.
You should:

Select one:
a. give her one nitroglycerin and reassess her
systolic blood pressure
b. give her high-flow oxygen, attach the AED, and
transport at once
c. administer oxygen, give her 324 mg of aspirin,
and assess her further
d. obtain a SAMPLE history and contact medical
control for advice

Answer 32

c. administer oxygen, give her 324 mg of aspirin, and assess her further

Question 33

You and your partner arrive at the scene of a
middle-aged man who collapsed about 5 minutes ago. He is unresponsive, apneic,
and pulseless. Bystanders are present, but have not provided any care. You
should:

Select one:
a. begin high-quality CPR and apply the AED as soon
as possible
b. immediately apply the AED pads and analyze his
cardiac rhythm.
c. have your partner perform CPR while you question
the bystanders
d. perform two-rescuer CPR for 5 minutes and
request ALS backup

Answer 33

a. begin high-quality CPR and apply the AED as soon as possible

Question 34

In which of the following situations would it be
MOST appropriate to utilize an air medical transportation service?

Select one:
a. 50-year-old conscious woman with severe nausea
and vomiting, fever, and chills of 3 days’ duration
b. 61-year-old man with signs and symptoms of a
stroke and a ground transport time of 50 minutes
c. 29-year-old woman who is 18 weeks pregnant, has light vaginal bleeding, and stable vital signs
d. 43-year-old man experiencing a heart attack, and
the closest appropriate hospital is 15 minutes away

Answer 34

b. 61-year-old man with signs and symptoms of a stroke and a ground transport time of 50 minutes

Question 35

A 30-year-old male experienced a generalized
(tonic-clonic) seizure, which stopped before you arrived at the scene. The
patient is conscious, is answering your questions appropriately, and refuses
EMS transport. Which of the following would be the MOST compelling reason to
disagree with his refusal of transport?

Select one:
a. He is currently not prescribed any medications f
b. He has experienced seizures since he was 20
c. His Glasgow Coma Scale (GCS) score is 15
d. His wife states that this was his “usual”
seizure

Answer 35

a. He is currently not prescribed any medications

Question 36

When caring for a patient with documented
hypoglycemia, you should be MOST alert for:

Select one:

a. respiratory distress
b. a seizure
c. an acute stroke
d. a febrile convulsion

Answer 36

b. a seizure

Question 37

A 30-year-old male presents with acute shortness
of breath, widespread hives, and facial swelling. He denies any past medical
history and takes no medications. During your assessment, you hear wheezing
over all the lung fields. His blood pressure is 90/50 mm Hg and his heart rate
is 110 beats/min. In addition to giving him high-flow oxygen, the MOST
important treatment for this patient is:

Select one:

a. albuterol
b. epinephrine
c. a beta-antagonist
d. an antihistamine

Answer 37

b. epinephrine

Question 38

Asthma is caused by a response of the

Select one:

a. immune system
b. endocrine system
c. cardiovascular system
d. respiratory system

Answer 38

a. immune system

Question 39

When assessing for arm drift of a patient with a
suspected stroke, you should:

Select one:
a. ask the patient to hold his or her arms up with
the palms down
b. observe movement of the arms for approximately 2
minutes
c. expect to see one arm slowly drift down to the
patient’s side
d. ask the patient to close his or her eyes during
the assessment

Answer 39

d. ask the patient to close his or her eyes during the assessment

Question 40

In 2009, the H1N1 virus accounted for over
200,000 deaths worldwide in the form of the swine flu. In 1919, a similar
outbreak of the H1N1 occurred in the form of the Spanish flu. Starting in
Kansas City, the virus spread rapidly worldwide, claiming up to 50 million
lives. These are both examples of:

Select one:

a. parasitic infection
b. epidemics
c. uncontrolled outbreaks
d. pandemics

Answer 40

d. pandemics