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Acute & Emergency Care > UNIT I - EXAM 1 > Flashcards

UNIT I - EXAM 1 Flashcards

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Royal College: Emergency Medicine flashcards
1
Q

Todays health care system is based on

A) working as a loner

B) a diverse group of people who collaborate

C) a clinician who doesn’t have relationships

D) not sharing responsibilities

A

a diverse group of people who collaborate

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2
Q

Which of the following statements characterizes a bad health care team?

A) team members interact dynamically with one another

B) individuals know their roles

C) individuals work without sharing outcomes

D) individuals interact toward a common goal

A

individuals work without sharing outcomes

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3
Q

The health care team agreeing on and implementing reliable and timely feedback on successes and failures in both the functioning of the team and achievement of the teams goals is called

A) effective communication

B) clear roles

C) shared goals

D) measurable outcomes

A

measurable outcomes

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4
Q

Which of the following is an example of core values of an athletic trainer?

A) professional duty

B) communication skills

C) interpersonal skills

D) commitment to learning

A

professional duty

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5
Q

In accordance with states having a regulated practice act, ATs must have completed which of the following in that state?

A) graduation from college

B) internship

C) Licensure or registration

D) taking the BOC exam

A

Licensure or registration

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6
Q

According to the medical model, ATs may

A) be prohibited from additional professional development opportunities

B) be allowed to cover high-risk practices and events

C) work around 60 hours a week

D) be allowed to handle all patient care duties individually

A

be allowed to cover high-risk practices and events

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7
Q

Making an incorrect diagnosis while caring for a patient is an example of

A) slip

B) lapse

C) rule-based mistake

D) a knowledge-based mistake

A

rule-based mistake

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8
Q

What are the main causes of teamwork breakdown?

A
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9
Q

Taking responsibility for ones own learning and participating equally and collegially in groups demonstrates self-reflection and accurate self-assessment. This is an example of which of the following?

A) maturity

B) competency

C) dependability

D) responsibility

A

competency

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10
Q

The last dose of vaccine for hepatitis B should be given how long after the second dose?

A) 1 month

B) 2 months

C) 4 months

D) 5 months

A

5 months

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11
Q

A healthcare provider contracts an infectious agent after using a pen that a patient used to sign consent forms. What mode of transmission has occurred in this scenario?

A) droplet contact

B) airborne transmission

C) indirect physical transmission

D) direct contact

A

indirect physical transmission

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12
Q

MRSA is considered to be

A

Multidrug-resistant organism

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13
Q

Using masks and other PPEs according to standard precautions when performing splash generating procedures (e.g., wound irrigation, suctioning, intubation) is an example of what?

A) infection control precautions

B) education and training of health care personnel

C) judicious use of antimicrobial agents

D) environmental measures

A

infection control precautions

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14
Q

An example of unsafe injection practices is

A) using safety features when available

B) double gloving

C) passing sharps quietly

D) placing used sharps in puncture-resistant container

A

passing sharps quietly

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15
Q

Which of the following is going to increase the risk of spreading pathogens in a medical facility?

A) sneezing into your sleeve if you don’t have a tissue

B) letting people with respiratory infections walk around escorted by family

C) avoiding touching your face after touching contaminated objects

D) posting signs at entrances with instructions to patients who have symptoms of respiratory infection

A

letting people with respiratory infections walk around escorted by family

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16
Q

Which of the following is an example of a poor exposure control plan?

A) optional hepatitis B vaccination and declination

B) record-keeping of exposure

C) employee exposure determination

D) employee training schedule

A

optional hepatitis B vaccination and declination

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17
Q

Protecting the privacy of student education records and giving parents certain rights to their children’s education records until 18 years old is the definition of

A) Health Information Technology for Economic and Clinical Health

B) Protected Health Information

C) Health Insurance Portability and Accountability Act

D) Family Educational Rights and Privacy Act

A

Family Educational Rights and Privacy Act

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18
Q

You forgot to secure your work computer and a non-health care provider reads an athletes health information. What should you do next?

A) tell the athlete

B) do nothing

C) tell the coach

D) notify your supervisor

A

notify your supervisor

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19
Q

Which of the following provides a clear, user-friendly explanation of peoples’ rights with respect to their personal health information and the practices of health care providers?

A

Notice of Privacy

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20
Q

Which of the following results in severe functional disability, surgery, medical disqualification, and possibly sudden death?

A) emergencies

B) catastrophic injuries

C) critical incidents

D) traumatic events

A

catastrophic injuries

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21
Q

Which of the following is a core element to an effective EAP?

A) knowing multiple jobs

B) no communication with emergency personnel

C) ensuring access to AED

D) waiting until game to review the EAP

A

ensuring access to AED

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22
Q

In an emergent situation, acute care and management of the injury or illness must be provided by the person with the most qualifications or highest credential on the scene. This is the definition of what?

A) retrieve equipment

B) activate EMS

C) provide immediate, on-site acute care

D) direct EMS

A

provide immediate, on-site acute care

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23
Q

What is an example of an ineffective way to coordinate and integrate the EAP during an emergency?

A) contact information for local EMS

B) partial description of the location

C) instructions to notify parents

D) locations and type of emergency equipment

A

partial description of the location

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24
Q

After information is given to a dispatcher, her role is to

A) determine the location for EMS arrival

B) anticipate response time

C) determine whether the situation is an emergency

D) determine the course of treatment

A

anticipate response time

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25
Q

According to the checklist for emergency preparedness, a HCP checks and confirms that communication equipment is charged and in working order. This falls under the category of

A) preseason planning

B) event/game day preparation

C) prevent preparation

D) pregame time-out

A

prevent preparation

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26
Q

Which of the following is part of the critical interval time when practicing the EAP?

A) time from calling the parents to their arrival

B) time from collapse to initiating CPR

C) time from emergency to notifying the administration

D) time from the start of calling 911 to end of the call

A

time from collapse to initiating CPR

27
Q

During a medical emergency, which of the following is the responsibility of health care providers?

A) contact primary care doctor

B) contact custodians

C) contact administrators

D) contact family members

A

contact family members

28
Q

A HCP says, “We noted point tenderness near C6-C7, distal muscle weakness, and diminished deep tendon reflexes of the Achilles and wrist extensors.” This is an example of what type of oral report?

A) opening information

B) pertinent findings

C) response to treatment

D) vital signs

A

pertinent findings

29
Q

Best practices for verbal communication within the health care team include

A) Starting assumptions about the injury

B) Not asking questions to clarify instructions

C) Clarifying your role

D) Delegating tasks to random people

A

clarifying your role

30
Q

Rapid Transport should be considered for which of the following?

A) shoulder dislocation

B) confusion

C) chest pain with systolic pressure >100 mmHg

D) abnormal breathing

A

abnormal breathing

31
Q

An injured patient who is pregnant falls under what category for transportation to the hospital?

A) Physiologic criteria

B) Anatomic criteria

C) Significant mechanism of injury criteria

D) Special patient criteria

A

Special patient criteria

32
Q

A patient responds to a question by saying, “it hurts when I jump and land.” This question concerns

A) Onset

B) Quality

C) Provocation

D) Region

A

Provocation

33
Q

If an AT is administering epinephrine 1:1,000 for anaphylaxis, then it would be administered intramuscularly (IM) and not intravenously (IV). A 1:10,000 concentration would be appropriate for the IV administration route. This is known as

A) right medication

B) right patient

C) right dose

D) right time

A

right medication

34
Q

A patient comes into the ED with injuries that are potentially life-threatening, but can wait. The patient should survive with medical attention. Which triage category should be assigned to this patient?

A) red

B) yellow

C) green

D) black

A

yellow

35
Q

Routes that bypass the GI tract including liquid, gas, or semisolid form are said to be which of the following?

A) internal

B) enteral

C) external

D) parenteral

A

parenteral

36
Q

A patient has an excessive amount of carbon dioxide in his blood. What is he experiencing?

A) hypoperfusion

B) hypoxia

C) hypercapnia

D) hypotension

A

hypercapnia

37
Q

An athletic trainer approaches an unconscious athlete who is covered in blood at the head and neck area. What is the first step to treating the athlete?

A) apply inline stabilization

B) apply pressure to the wound

C) apply gloves

D) apply cervical collar

A

apply gloves

38
Q

The HCP asked the patient, “Are you OK?” The patient’s response was a grunt, moan, or slight movement of a limb when prompted by the rescuer’s voice. This is an example of which category of the AVPU scale?

A) alert

B) voice

C) pain

D) unresponsive

A

voice

39
Q

A patient exhibits reduced peripheral circulation or low oxygen saturation. The patient’s skin color will be which of the following?

A) ashen

B) cyanotic

C) yellow

D) red

A

ashen

40
Q

In a stable patient, the pulse should be taken

A) every 5 minutes

B) every 10 minutes

C) every 15 minutes

D) every 20 minutes

A

every 15 minutes

41
Q

A patient is asked to identify exactly where on the body the pain is located and whether it travels to other body regions. These are examples of what type of question?

A

Radiation

42
Q

Glucagon is often prescribed to patients with diabetes for use if they become

A) hypoglycemic

B) hyperglycemic

C) anaphylactic

D) asthmatic

A

hypoglycemic

43
Q

Reversal of respiratory depression or arrest associated with narcotic overdose is treated with which of the following?

A) glucagon

B) naloxone

C) epinephrine

D) insuline

A

naloxone

44
Q

Which site is the appropriate injection site for an inter muscular injection of a maximum of 2ml?

A) deltoid region

B) lateral quad region

C) gluteal region

D) medial region

A

gluteal region

45
Q

A patient experiencing vasodilation that may have septic or non septic causes including anaphylaxis and neurogenic etiologies is experiencing what type of shock?

A) Hypovolemic

B) Cardiogenic

C) Distributive

D) Obstructive

A

Distributive

46
Q

A patient with black foul smelling stool that contains digested blood is said to have the following?

A) Hematochezia

B) Hematemesis

C) Hemoptysis

D) Melena

A

Melena

47
Q

A patient comes to her health care provider complaining of fresh blood in her vomit after being hit in the stomach. The patient is suffering from why type of hemorrhaging?

A) Ecchymosis

B) Menorrhagia

C) Epistaxis

D) Hematemesis

A

Hematemesis

48
Q

Which method of oxygen delivery has a concentration of 95% to 100% and has a flow rate of 10-15 L/min?

A) nasal cannula

B) simple oxygen face mask

C) face mask with oxygen reservoir

D) bag-valve mask

A

face mask with oxygen reservoir

49
Q

Exercise-induced deep vein thrombosis is also known as

A) Kehr’s sign

B) Paget-Schroetter syndrome

C) Thoracic outlet syndrome

D) Tinel’s sign

A

Paget-Schroetter syndrome

50
Q

Which of the following is the least common risk factor of DVT?

A) obesity

B) limb trauma

C) smoking

D) oral contraceptives

A

smoking

51
Q

Baby aspirin is given to patients demonstrating symptoms of cardiac arrest. This medication is given by which method?

A) sublingual

B) oral

C) subcutaneous

D) intravenous

A

oral

52
Q

A physical examination of the legs, abdomen, and pelvis should be performed in patients with suspected DVT to look for which of the following?

A) low-grade fever

B) bilateral pitting edema

C) bilateral warmth

D) calf swelling <3 cm

A

low-grade fever
OR
calf swelling <3 cm

53
Q

Which of the following medicines has dizziness, weakness, tachycardia, hypotension, dry mouth, nausea and vomiting as possible side effects after use?

A) albuterol sulfate

B) nitroglycerin

C) medical oxygen

D) atrovent

A

nitroglycerin

54
Q

Which of the following is a step to controlling bleeding?

A) apply high-flow oxygen as necessary

B) apply pressure with moist dressing

C) apply dressing covering above the wound only

D) apply new dressing after removing the old dressing

A

apply high-flow oxygen as necessary

55
Q

Hypersensitivity reactions can be categorized as ___________ when it involves diaphoresis, chest tightness, or throat tightness

A) mild

B) moderate

C) severe

D) life threatening

A

moderate

56
Q

A patient tells the HCP that she was bitten by a black widow spider. She begins to have muscle spasms and edema. What type of symptoms are these?

A) local

B) mild

C) moderate

D) serious

A

moderate

57
Q

Many medications should be administered only once; however, medications such as nitroglycerin and epinephrine often need repeated doses.

This is an example of which of the following?

A

Right time

58
Q

Which health care team member has the greatest number of educational requirements to work in the emergency services field

A

Paramedic

59
Q

What can help patients feel more confident that they will be treated courteously and that the health care provider has genuine concern for patients’ well-being

A

Interpersional

60
Q

The BOC Code of Professional Responsibilities (Code 1.2) requires ATs to protect the patient from ____

A

undue harm & acts always in the patients best intrest and is an advocate for the pts welfare, including taking appropriate action to protect patients against from healthcare providers or AT students who are, ompared or engaged in illegal or unethical practice.

61
Q

Waiting until the coach has calmed down or discussing the status of a player with an assistant coach who will communicate the patients status with the head coach at the appropriate time or place is an example of ____

A

emotional intelligence

62
Q

Injury ____ is using large data sets or databases to characterize the occurrence of sports injuries by identifying risk factors in order to develop injury prevention strategies and programs

A

epidemiology

63
Q

What type of IV is needed to treat heat illnesses and hypovolemia?

A) dextrose

B) Lactated Ringer’s (LR) solution

C) saline

D) amino acid

A

saline

64
Q

When using a tourniquet, what should you do after you secure the windless rod?

A) Check Pulse
B) Write time of placement
C) Check capillary refill
D) Access for shock

A

Write time of placement

Acute & Emergency Care (3 decks)

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