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