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EMT Review Flashcards | StudBud
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EMT Review
EMT Review
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Flashcards
70 cards
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Questions
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Answers
1
What is the best Tx for a object sticking out of a pts thigh? (Pt appears to be in shock)
Place a traction splint on pts leg
Try to determine length of object
Wait for ALS to arrive
Provide O2, stabilize object and transport
2
Pt w/pain & swelling to right lower leg what should you do?
Elevate leg
Advise pt to see own Dr.
Apply ice pack
Splint and transport pt
3
The layer of tissue that surrounds abdomical organs is?
Parietal layer
Pleural layer
Peritoneal layer
Serous layer
4
What is the Tx for a full thickness burn to the back and buttocks? (burning processed stop PTA)
Pull damaged skin away
Apply occlusive dressing
Apply wet dressings
Cover with dry sterile burn sheet
5
You're about to lift a pt off the floor what is the safest technique?
Use a blanket
Keep pt close to your body and bend at your waist
Place one arm over your neck and lift the pt
Bend at your knees prior to lifting
6
<p>Lying on your back is referred to what position?</p>
Supine
Recovery position
Dorsal
Prone
7
To control acidosis caused by anaerobic metabolism a pt will often do what?
Breathe rapidly
Sweat profusely
Drink water
Have a seizure
8
Pt has head injury, Bp increasing, pulse decreasing, what is the possible explanation for this?
Hypeertensive crisis
Increase in ICP
Shock
Decrease in ICP
9
Decreased peristalsis vasoconstriction & tachychardia are all signs of stimulous to what system
Parasympathetic Nervous System
Sympathetic Nervous System
Polyvasal System
Cognitive System
10
T/F It is always acceptable to remove an impaled object in the chest?
True
False
11
T/F The brain is the least sensitive organ to the absence of glucose?
True
False
12
Radio communication with med control is poor what is your best action?
Administer the medication you feel is best for the pt
Call a different hospital
Contact another med unit to relay your message
Have med control repeat any orders
13
AEDs use ______ technology that allows for less energy to be used?
Quadphasic
Biphasic
Manual
Monophasic
14
An unresponsive trauma pt w/strong pulse rapid breathing normal skin pt is highpriority because
Possible internal injuries
Due to shock
MOI
Decreased LOC
15
True or False? You should check carotid pulse after each AED shock?
True
False
16
45 y.o. pt w/internal bleeding last vitals showed decreased BP what is happending?
Pt is in compensated shock
Pt is in irreversible shock
Pt is in hemorrhagic shock
Pt is in decomensated shock
17
Your pt is unresponsive and prone what should you do?
Assess pulse airway and breathing and then roll pt over
Roll pt over and perform primary assessment
Perform primary and secondary assessment and then roll pt
C-spine control and primary assessment in position found
18
A trauma pt will most likely develop shock and die due to what?
Burns
Hemorrhage
Pelvic Fx
Head injuries
19
What is one of the last signs of hypoperfusion?
Diaphoresis
Decreased BP
Rapid pulse
Altered mental status
20
T/F Medications such as beta blockers can have an effect on a pts vital signs?
FALSE
TRUE
21
Which patient should have a complete secondary assessment if time allows?
Pt in cardiac arrest
Pt suffering a fall while riding his bike
A peds suffering from croup
Pt suffering from bee sting
22
What part of the body fights infection?
<p>White Blood cells</p>
Spleen
Pancreas
Hormones
23
T/F Fatty tissue is found between the muscle and dermal layer of skin?
False
True
24
You have a pt C/O dyspnea & hyperventilation. What other S/S would you expect this pt to have?
Unequal pupils
Anxiety
Spasms of hands and feet
Thirst
25
Pt w/rapid breathing, wet skin, weak & rapid carotid pulse, pale in color is showing signs of?
Renal failure
Respiratory failure
Shock
Cardiac arrest
26
ALS arrives on scene, just as AED announces shock is advised. What should you do?
Allow ALS to perform a Pt assessment
Stop and have ALS use their monitor
Stop and allow ALS to start IV
Deliver shock
27
T/F The epidermis is where blood vessels, nerves, sweat and oil glands are located?
True
False
28
When would you use a BVM?
Provide more O2 to pt
Pt is unable to breath on their own
To check for an open airway
Pt can breathe on own but needs O2
29
Pt has suffered eviceration, vomitting blood & breathing 18 times per min. O2 Tx?
Non-rebreather mask
Combi-tube
Ventilations via BVM
Nasal cannula
30
An EMT should gain allergies/medications info from a pt before they lose consciousness because?
The insurance company will want to know.
The reasons are not important at this time.
Emt will be providing thorough assessment
This info may be important in the pts treatment.
31
Diaphragmatic breathing is a sign of?
Diaphram injury
Spinal chord injury
Respiratory arrest
Brain injury
32
At a noisy scene you're unable to auscultate a BP, what can you do?
Check a pedal pulse
Check a brachial
Check a carotid pulse
Check a femoral pulse
33
Of the following which will increase the pts heart rate?
Nervouse system
Respiratory system
Digestive system
Musculoskeletal system
34
A pt in cardiac arrest will most likely benefit from?
Advanced airway
High flow O2
ALS response
Well performed CPR
35
3 y.o. child was severely injured & crying. He is now quiet and pulse is 58. What is happening?
Child is hypoxic
Child has calmed down
Child is overwhelmed by injury
Child has a spinal chord injury
36
Which pt poses the greatest health risk?
36 y.o. pt appears sick just returned from Africa
18 y.o. HIV pt
86 y.o. nursing home pt with a cough
Nursing home pt with the flu
37
Your pt is secure to a backboard & has sudden onset of epistaxis what is your #1 concern?
Loss of blood
Management of airway
Diminshed ventilations
Vomiting
38
Baroreceptors are located where?
Brain
Legs
Aortic Arch
Kidneys
39
After performing a rapid extracation which of the following would be most important?
Placing a C-collar
C-spine stabilization
A rapid trauma assessment
Splinting a femur fx
40
Hematochezia defines what type of bleeding?
Bright red blood from rectum
Bleeding from the nose
Dark red bleeding from vagina
Bleeding from the ears
41
What information can you gain from a pt using only a sphygmomanometer?
O2 SAT
Systolic BP only
Systolic and Diastoloc BP
BS reading
42
At a contruction accident where only the pts upper body is exposed, what should you assess?
Do the Primary assessment and skip Secondary
Do all the parts of the assessment that you can perform
Primary and Secondary assessment only
Do the Primary assessment and wait for extrication
43
What is the best practice in preserving evidence at a scene?
Place inside your glove
Place in a plastic bag
Place in a brown paper bag
Wrap it in a bandage
44
Ventral refers to what part of the body?
Towards the middle
Towards the feet
Towards the front
The back
45
Why is the primary assessment so important?
Base line vitals tell you how your pt is doing
You find life threats qluickly
It gives you direction for rest of assessment
It is the basis for treatment
46
Pt has weak carotid pulse & no femoral or radial pulses what part of the body is being perfused
Liver
Heart and brain
Kidneys
Heart
47
You perform a physical exam on your pt because?
So you can document for your report
So your patient has confidence in you
To exam areas you suspect to be injured
To omplete a thorough assessment
48
What part of lifting is most detrimental to you, the EMT?
Twisting your body
Lifting on a count of 3
Pull rather than pushing
Bending at the knees
49
What problem is associated with hypovolemia and preload of the heart?
Has no significant influence on the heart
Reduction of nutrients to cells
Reduction of circulation to heart
Reduced blood sugar to brain
50
You are performing a med exam on pt C/O dizziness & nausea. Which can you omit in your exam?
Listen to lung sounds
Pupil response
Checking circulation
Palpation of the skull
51
Nitroglycerin has what benefit on the pt?
Reduces Blood Pressure
Reduces Swelling
Thins Blood
Increases Circulation in Heart
52
The best treatment for shock is?
Restric movement
O2
Keeping pt warm
Raising legs
53
Dressings are used to _________________?
Prevent air from entering wound
Are non-sterile
Used to hold bandages in place
Help with clotting of wounds
54
When direct pressure has failed to control bleeding you should?
Elevate
Splint
Apply ice
Use a tourniquet
55
Hemodialysis pts can develop hypotension. Quick transport to the ED is needed for?
Watch for seizures
Fluid Replacement
Blood work
Possible renal failure
56
What could cause an AED to shock a pt unintentionally?
Cell phone usage
Pt is wet
Portale radio usage
While in transport in ambulance
57
Trauma pt w/elevated BP, decreasing HR & irregular respirtations is most likely suffering from?
Neurogenic shock
ICP
Hemorrhagic shock
Compensated shock
58
Your partner is unable to obtain a good mask seal with BVM how could you best help him/her?
Ask a bystander to help
Have them view a CPR video
Provide additional training
Have them secure mask with two hands and you squeeze the bag
59
An example of tunnel vision is?
Inadequate lighting at scene
Providing care based on protocols
Providing care based on dispatch info
None of the above
60
T/F Keeping a pt warm is the best treatment for a pt in shock?
False
True
61
Pt doesnt have insurance/isnt able to pay for healthcare what options can the EMT give this pt?
Find a clinic that serves the poor
Offer pt money
Transport pt to ED anyway
Contact PD
62
Cells are forced into ____________ when compensatory mechanisms fail?
Anaerobic metabolism
Aerobic metabolism
Alkalosis
63
T/F Two common problems when using a bag valve mask is maintaining a seal & opening the airway?
True
False
64
What is the term used to describe one body part further away from another?
Distal
Proximal
Inferior
Medial
65
Which one of the following pts would a medical history be of the lowest priority?
Diabetic pt
A talking multi-system trauma pt
Asthma pt
Seizure pt
66
Respiratory rate for a 10 y.o. would be?
24-30
10-20
26-42
18-30
67
A football player w/possible femur fx w/snoring respirations. What procedure is warranted?
Place pt on long board
Splint femur fx
Place pt on O2
Remove face guard off of helmet
68
What is the most common emotional reaction an EMT may encounter?
Loss of appetite
Thoughts of suicide
Nightmares
Anger
69
Blood flows into the pulmonary artery from what part of the heart?
Right ventricle
Left side
Left atrium
Right atrium
70
T/F Advance directives are always valid in or out of the hospital setting?
False
True
