Why is body substance isolation important?

It reduces the risk of you obtaining a communicable disease.

During your treatment of a patient, you perform a treatment incorrectly. You are potentially guilty?

Failure to meet the standard of care.

5 YO with partial airway obstruction, he begins coughing and ends up with complete airway obstruction. What happened?

The foreign body has shifted down to a narrowing.

Which of the following populations is MOST at risk for spinal and spinal cord injury?

Male, 16-30 years old, from a motor vehicle collision.

Which of the following is a true statement regarding the differences between the adult and pediatric airway?

The child's trachea is softer and more flexible than an adult's.

6 YOC is choking on a toy, the airway is not completely obstructed. What is your plan if the child is crying

Encourage the patient to cough forcefully.

You are an EMS rescuer inside the vehicle where the Jaws of Life are being used. What do you wear?

Full turnout gear, including a helmet.

Nationally all EMS workers are REQUIRED by law to report in writing

Suspected child abuse and/or neglect.

1 1/2 YOM became suddenly short of breath after crawling around the kitchen floor. What is your first suspicion?

Foreign body airway obstruction.

The most appropriate method to remove an unresponsive patient from a vehicle crash where fire is imminent would be to:

Remove the patient as quickly as possible with attention given to c-spine.

3-year-old with a central line is malfunctioning. Which treatment is MOST prudent

Assure the absence of obvious hemorrhage and transport.

What greatest impact on reducing falls in the elderly due to their challenges with mobility?

Installation of handrails in the restroom.

likely cause of gastric distention to occur in an adult patient?

Excessive bag-valve-mask ventilation.

The greatest risk to the patient who is contaminated by a hazardous substance would be when performing a venipuncture?

Introducing the substance into the bloodstream.

Which of the following reasons explains why glucagon is not provided to neonates?

There are no sugar stores to release.

Which of the statements regarding geriatric trauma is FALSE?

The geriatric patient may require a greater amount of intravenous fluid.

which of the following reasons is shock a more unusual occurrence in pediatric versus adult patients?

The pediatric peripheral blood vessels constrict more efficiently.

studbud

P-3

100 termsStudBud Administration164 plays

Imported from external platform

Flashcards100 cardsFPractice quizPHost liveL

Questions 100

Answers

1
which of the following abnormal deliveries is it appropriate for you to place your gloved hand into the birth canal?
Nuchal cord.
Prolapsed cord.
Transverse presentation.
Limb presentation.
2
5-year-old patient in cardiac arrest. The monitor shows v-fib. pt weighs 20 kg. what is the second defib dose?
10 joules.
40 joules.
80 joules.
20 joules.
3
Why is body substance isolation important?
It is a requirement of OSHA.
It demonstrates a professional attitude.
It reduces the risk of you obtaining a communicable disease.
It prevents the patient from obtaining an infection.
4
What is the medical term used to refer to lung sounds auscultated in the mid-axillary region?
Bronchovesicular.
Tracheal.
Bronchial.
Vesicular.
5
fluid nessicary to fill the pericardial sac before significant signs and symptoms of a pericardial tamponade develop?
50-100 ml.
100-300 ml
10-20 ml
500-1000 ml
6
An infection at any site within the urinary tract would be called
UTI
Urinary stasis
Urethritis
Cystitis
7
During your treatment of a patient, you perform a treatment incorrectly. You are potentially guilty?
Your actions led to an injury.
Duty to act.
Failure to meet the standard of care.
The patient received an injury.
8
5 YOM experiencing symptomatic bradycardia. What sign would MOST likely be found during the assessment of this pt.
Constricted pupils.
Pink, flushed skin.
Circumoral cyanosis.
Pulmonary edema.
9
You have a 10-month-old patient with second-degree burns covering both lower extremities. TBSA%
36%.
45%.
27%.
18%.
10
You have an unstable patient at a hazardous materials incident where a chemical tank is leaking. your primary concern is
Stopping the leak from the chemical tank.
Safely treating the patient.
Preventing secondary contamination.
Preventing any run-off from damaging the environment.
11
Which of the following would MOST likely be found at a site other than the actual MCI location?
Safety officer.
Finance officer.
Liaison officer.
Rehabilitation officer.
12
5 YO with partial airway obstruction, he begins coughing and ends up with complete airway obstruction. What happened?
The patient has experienced acute laryngospasm of the vocal cords.
His epiglottis has shifted downward during coughing.
The patient has aspirated gastric contents into the trachea.
The foreign body has shifted down to a narrowing.
13
Which of the following would likely require the most immediate aggressive intervention and rapid transportation?
Chest wall contusion
Anterior sternoclavicular dislocation
Rib fracture
Flail segment
14
A babysitter explains she saw a child seizing and called 911. What is the MOST common cause for the seizure
High temperature.
Hypoxia.
Hypoperfusion.
Overdose.
15
best local resource when first addressing the issue of an unknown chemical at a hazardous materials incident?
CHEMTREC.
Fire department.
Poison control center.
Police department.
16
what best reflects the primary reason low head dams are considered dangerous?
Strainers.
Speed of the water.
Debris.
Recirculating currents.
17
The greatest hazard associated with cave-ins during trench rescues is:
Electrocution.
Asphyxiation.
Toxic gases.
Trauma.
18
Which of the following populations is MOST at risk for spinal and spinal cord injury?
Female, 60-80 years old, from a fall.
Female, 16-30 years old, from a motor vehicle collision.
Male, 16-30 years old, from a motor vehicle collision.
Male, 16-30 years old, from a sports-related injury.
19
An inherited disease that causes excessive mucus to be produced within the lungs
Multiple sclerosis.
Poliomyelitis.
Myasthenia gravis.
Cystic fibrosis.
20
one of the leading causes of suicidal ideation among the geriatric population
Medication reactions.
Untreatable heart disease.
Death of friends/spouse.
Chronic arthritis pain.
21
When moving a patient on a litter over rough terrain, what is the preferred number of people for the move?
Eight.
Six.
Four.
Two.
22
typically works the easiest and should be used first for opening a door on a damaged vehicle to gain access to a pt?
Your hand.
A window punch.
A hydraulic spreader.
A pry bar.
23
Which of the following is a true statement regarding the differences between the adult and pediatric airway?
The child's trachea is softer and more flexible than an adult's.
A child's larynx is lower than that of an adult.
In adults, the cricoid ring is the narrowest part of the airway.
The tongue takes up proportionately less space in the mouth of the child.
24
primary factors that influence the heat stress on the hazardous material team member?
Exertion and hydration
Type of suit and hazardous material.
Temperature and humidity.
Physical fitness and scene terrain.
25
During transport, the pt begins complaining of dizziness and weakness on the right side. What should you do first?
Leave it alone
IV
Check BGL
Alert the Hospital
26
Under the standard METTAG triage system, a patient with a delayed status would receive what
Green, priority 3.
Yellow, priority 2.
Green, priority 2.
Yellow, priority 3.
27
medical term related to the reversible change in the body that allows it to become adjusted to the change.
Negative feedback.
Acclimatization.
Homeostasis.
Steady-state metabolism.
28
What signs and/or symptoms are most commonly associated with a patient who has been exposed to a pesticide?
Respiratory tract burns.
Local burns to the skin.
Diarrhea and vomiting.
Decreased LOC and hypoxia.
29
6 YOC is choking on a toy, the airway is not completely obstructed. What is your plan if the child is crying
Encourage the patient to cough forcefully.
Have the patient tip his head back slightly.
Suggest the patient attempt to vomit.
Attempt a finger sweep to clear the airway.
30
drug that binds to a receptor site and causes the expected response
Affinity
Antagonist
Agonist
Second messenger
31
You are an EMS rescuer inside the vehicle where the Jaws of Life are being used. What do you wear?
Spark and flame resistant clothing.
Hearing protection.
Non-latex work gloves.
Full turnout gear, including a helmet.
32
A newborn patient is being transferred from a hospital to a pediatric hospital for chronic diarrhea. What isn't a cause?
Cystic fibrosis.
Viral infections..
Diabetes mellitus.
Gastroenteritis.
33
Nationally all EMS workers are REQUIRED by law to report in writing
Suspected child abuse and/or neglect.
Any minor you believe is in possession of alcohol.
Drivers who have been operating a car while intoxicated.
Possession of illegal drugs.
34
1 1/2 YOM became suddenly short of breath after crawling around the kitchen floor. What is your first suspicion?
Acute asthma attack.
Croup.
Foreign body airway obstruction.
Epiglottitis.
35
The most appropriate method to remove an unresponsive patient from a vehicle crash where fire is imminent would be to:
Place a c-collar and remove the patient.
Remove the patient as quickly as possible with attention given to c-spine.
Use a short board device.
Position a cervical collar and then rotate the patient onto a spine board
36
Which of the following should be performed immediately after your scene size-up?
A focused patient assessment.
Determinating the mechanism of injury.
An initial patient assessment.
Identifying the location of all patients.
37
During a rescue operation, which scenario will most likely deal with augers?
Engulfment.
Electricity.
Structural collapse.
Machinery entrapment.
38
3-year-old with a central line is malfunctioning. Which treatment is MOST prudent
Contact OLMC to aspirate 1cc of blood to confirm proper placement.
Infuse 10cc of NS in the blue-capped hub and assure catheter is in place.
Assure the absence of obvious hemorrhage and transport.
Draw a small amount of blood from the red-colored adapter to see patency.
39
What greatest impact on reducing falls in the elderly due to their challenges with mobility?
Advance preparation of all meals.
Complete replacement of carpeting with hardwood floors.
The purchase of hydraulic lift furniture.
Installation of handrails in the restroom.
40
You have recently delivered a newborn who is now apneic and pulseless. As you start compressions, what is the CPR rate?
60 per minute.
120-160 per minute.
120 per minute.
80-100 per minute.
41
likely cause of gastric distention to occur in an adult patient?
Constipation for several days.
Excessive bag-valve-mask ventilation.
Excessive force during abdominal palpation
Nasogastric tube insertion.
42
Which of the following is the MOST common adverse drug effect seen in the elderly?
Digitalis toxicity.
Narcotic resistance.
Lidocaine toxicity.
Beta blocker hypotension.
43
Which of the following indicates an immediate need for chest compressions in a newborn?
Heart rate less than 100
Heart rate less than 60.
Diaphragmatic hernia.
Presence of meconium.
44
Polycythemia is?
decreased number of RBC'S
decreased number of WBC's
overproduction of RBC's
An overproduction of platelets
45
4-year-old child with supraventricular tachycardia at a rate of 240. What drug should you give?
Adenosine 0.1 mg/kg
Epinephrine 0.01 mg/kg.
Lidocaine 1.0 mg/kg.
Atropine 0.02 mg/kg.
46
The greatest risk to the patient who is contaminated by a hazardous substance would be when performing a venipuncture?
Causing an anaphylactic reaction.
Contamination of the medical equipment.
Introducing the substance into the bloodstream.
Secondary contamination of the rescuer.
47
Which of the following reasons explains why glucagon is not provided to neonates?
There are no sugar stores to release.
The neonate is incapable of absorbing IM medications.
The glucagon is too concentrated.
The neonate cannot metabolize the glucagon.
48
A Glasgow coma scale of 10 for a pediatric patient would represent which of the following?
Moderate head injury.
Brain death.
Mild head injury.
Severe head injury.
49
Which of the statements regarding geriatric trauma is FALSE?
The geriatric patient may require a greater amount of intravenous fluid.
Physical deformities in geriatric patients may require altering SMR.
The geriatric patient's tissues and organs have less tolerance for hypoxia.
heart's ability to increase its HR and SV to compensate may be decreased.
50
2 YOM became lethargic 30 min PTA. The brachial pulse is fast and thready. W/O an ECG what rhythm do you think he is in?
Idioventricular.
Supraventricular tachycardia.
Ventricular tachycardia.
Ventricular fibrillation.
51
which of the following reasons is shock a more unusual occurrence in pediatric versus adult patients?
The pediatric patient thermoregulates better.
The pediatric patient has a proportionately larger blood volume present.
The pediatric peripheral blood vessels constrict more efficiently.
The pediatric patient has greater epinephrine stores.
52
The Emergency Medical Services for Children (EMSC) is an agency of which of the following federal agencies?
The National Trauma Symposium.
Department of Transportation.
Department of Health & Human Services.
Occupational Health & Safety Administration.
53
Infants found in cardiac arrest are usually in arrest as a result of:
Massive hemorrhagic complications.
An irregular heartbeat like ventricular tachycardia.
breathing problems.
Improper immobilization techniques.
54
How much blood do you estimate the patient could lose in a bilateral femur fracture?
7 units
2 Units
6 units
3 units
55
You are a non-transporting unit treating a 5 YO who fell off a roof and struck his head. What treatment should you do?
Avoid using an oxygen mask, as he will likely resist it being used.
place the pt on his side to prevent complications from vomiting.
elevate the feet of the patient to reduce swelling of the brain.
Use padding immobilizing to a standard backboard.
56
During the assessment of a patient with suspected epiglottitis, you find the patient is having difficulty swallowing.
There is viral swelling within the larynx, trachea, and bronchioles.
a bacterial infection around the epiglottis and other areas of the throat.
The victim's tongue and throat are swollen due to a third spacing of fluid.
The patient is producing excessive fungal secretion within the oropharynx.
57
Which finding would best suggest chest compressions should be continued if the baby remains unresponsive?
The baby has brief periods of apnea.
The newborn has a pulse less than 60.
There is a lack of blood pressure by auscultation or palpation.
The baby's breathing is less than 24-28/min.
58
After passing through the AV node, the next electrical pathway of cardiac conduction would be which of the following?
Internodal pathways.
Perkinje fibers.
Left and right bundle branches.
Bundle of His.
59
What is the medical term used to describe the loss of bone mass due to loss of essential minerals, or hormone changes?
Osteogenesis.
Osteoarthritis.
Osteoporosis.
Osteolysis.
60
What is defined as the reflex that occurs when an infant grips your fingers when you place them in her hands?
Sucking reflex.
Moro reflex.
Palmar reflex.
Rooting reflex.
61
Which of the following is correct regarding pediatric anatomy?
The smallest portion of the airway is at the larynx in the pediatric pt.
The golatic opening is posterior and inferior in a pediatric pt.
Pediatric patients have a larger surface area to volume ratio than adults.
extremities are proportionally longer in a pediatric pt than in an adult.
62
When should an EMS provider consider a patient at highest risk for fractures related to osteoporosis complications?
Age 36.
Age 72.
Age 18.
Age 9.
63
Which of the following situations poses the greatest risk factor for suicide?
Alcohol or drug abuse.
Divorce
Depression.
Living alone.
64
During transport of a newborn, the patient's heart rate slows to 76 per minute. What should you do?
Administer 0.01 mg/kg epinephrine 1:10,000.
Administer 0.1 mg/kg atropine
Administer 0.02 mg/kg atropine.
Begin assisting ventilations.
65
largest vertebral body?
Cervical
Thoracic
Lumbar
Sacral
66
Which of the following alternative advanced airways can be used in pediatric patients?
Laryngeal mask airway.
Esophageal obturator airway.
Pharyngeotracheal airway.
Esophageal Tracheal Combitube.
67
When inspecting your unit at the beginning of your shift, which piece of equipment should be checked right away?
Mechanical CPR device
Triage tags and disaster kit.
Long padded board splints.
Oxygen delivery system.
68
10 MO patient is choking on a button. The child is responsive and apneic. After administering 5 back slaps, You...?
Deliver 5 chest thrusts to clear the airway.
Look in the patient's mouth with a jaw-lift maneuver.
Attempt to ventilate the infant with a bag-valve mask.
Perform a finger sweep to clear the throat of any debris.
69
Which assessment description is unique and common to the geriatric age group?
You should explain what you are going to do ahead of time.
You should start with the arms and legs to protect the patient s modesty.
These patients will frequently require special assessment tools.
The patient may minimize or deny signs or symptoms.
70
Best reason for forming a general impression of the patient?
It allows us to decide the priority of the patient
It is an initial part of the scene size-up
We can quickly identify any minor injuries.
It provides us the opportunity to obtain baseline vitals
71
Which of the following would be the most consistent with signs and symptoms of Hepatitis C?
Polyuria, back pain, and vomiting.
Dark urine, abdominal pain, jaundice, and fatigue.
Jaundice, fatigue, anemia, and photophobia.
Distended abdomen, jaundice, nausea, and fatigue.
72
the highest level of protection against hazardous materials would be expected from
Nitrile gloves.
Latex gloves.
Sterile gloves.
Leather gloves.
73
Which of the following is true regarding the ventilation of a pediatric patient?
a properly sized mask that fits is critical.
flow-restricted, oxygen-powered ventilation device is preferred
An appropriately functioning pop-off valve should be used on the BVM.
The bag of the appropriately sized bag should be deflated completely.
74
Which of the following would NOT be a common cause of a respiratory emergency with a child?
Asthma attacks.
Allergic reactions..
Traumatic events.
Tumors.
75
Which of the following time frames BEST defines the neonate?
Less than 14 days old.
Birth to 1 year of age.
The first few hours of life.
1 day to 1 month of age.
76
The MOST common issue that leads to life-threatening GI bleeding in the geriatric population compared to younger adults.
Blunt force trauma.
AV malformation.
Diverticulosis.
Intussusceptions.
77
following an intubation attempt of a neonate, the ALS provider can see which of the following complications
Convulsions.
Hypertension.
Coughing.
Bradycardia.
78
from the following, patients 65 and over, the leading cause of hospitalization
Lung cancer
Congestive heart failure.
Hypertension.
Emphysema.
79
Which of the following is a benzodiazepine commonly used for purposes of sexual assault?
Ketamine.
Rohypnol.
Ecstasy.
GHB.
80
Which of the following is correct regarding a patient care report?
It is a legal document that can be subpoenaed.
Under the Freedom of Information Act it is available to the public.
You should not document any mistakes in patient care here.
The entire report is available to the service for education.
81
In the use of SOAP charting for documentation of patient information and assessment, what does the P represent?
Plan.
Pertinent medical history.
Pertinent negatives.
Percussion
82
What indicate a newborn is suffering the side effects of maternal exposure to a narcotic pre-delivery?
Tachypnea.
Respiratory depression.
Ventricular ectopy.
Convulsions/seizures.
83
signs and symptoms connected to childhood mumps
High Fever, stiffened neck muscles, and vertigo
High Fever, headache, decreased appetite, and swollen parotid
Decreased appetite and associated nausea, blisters, and lymphitis
Increased swelling of thyroid membrane, blurred vision, and headache
84
Who is responsible for taking a lead role in helping the public learn how to recognize an emergency
Pre-hospital providers
Public schools
Medical direction
Ambulance agencies
85
Which of the following types of white blood cells are primarily responsible for allergic reactions?
Basophils.
Eosinophils.
Monocytes.
Neutrophils.
86
which one best meets the criteria for air medical activation?
patient who is trapped in a car with an est. extrication of 10 minutes.
A patient with a head injury and a Glasgow Coma Scale score of 8.
A trauma patient in cardiac arrest who is in need of a surgical airway.
A currently stable patient who has fallen 12 feet from a scaffold.
87
food poisoning that is more likely to present with respiratory effects rather than gastrointestinal complaints?
E. coli.
Salmonella.
Shigella.
Clostridium botulinum.
88
While working in a warm zone , which level of PPE should be worn by the rescuer
Level A protection
Level C protection.
Level D protection.
Level B protection.
89
Which of the following is true regarding changes in body systems related to aging?
Decrease in stroke volume.
Increase in functioning nephrons.
Decrease in intelligence.
Increase in saliva production.
90
Which of the following endocrine conditions will MOST likely require advanced life support to transport emergent
myxedema related to Addison s disease.
acute hypoglycemia related to type II diabetes.
Cushing's syndrome related to an adrenal tumor.
thyroid storm symptoms related hyperthyroidism.
91
When does a transfer of incident command occur
After all patients have been triaged and treate
When the current incident commander leaves the scene.
As soon as a higher ranking officer arrives on scene
After a short but complete briefing
92
You find a newly born baby convulsing. Which of the following conditions would most likely cause this seizure?
Hypotension.
Hypothermia.
Hypoxia.
Hypercalcemia.
93
89-year-old male accidentally overdosed on his benzodiazepine medication called Librium. What should you suspect
Respiratory compromise.
Convulsions.
Hypertensive crisis.
Tachyarrhythmias.
94
The START triage system is unique in the fact that it has providers immediately:
Address all patients that can walk away from the scene.
Determine how many deceased patients are present.
Find all red tag/priority 1 patients first.
Search for patients that are not breathing.
95
12 YOM with a wide-complex tachycardia. Which signs & symptoms would not reveal the patient is unstable
Patient complained of a fluttering in his chest.
An impaired level of consciousness.
Increased capillary refill time
Diaphoretic skin
96
During extrication of a pt trapped in a car, you notice fire is assembling the Jaws of Life. What should you do?
Use vinyl gloves and eye protection.
Have the victim lie flat and close his eyes.
Have the patient slide from the doors if possible.
Cover the patient with a blanket.
97
What is the primary goal of fluid resuscitation in hemorrhagic shock?
Preventing further vasoconstriction.
Maintaining vital organ perfusion.
Circulating oxygen.
Stopping the bleeding.
98
Which of the following would best define the role of command at a multiple casualty incident?
The individual who determines how best to treat the patients.
The individual who handles all finances and administration.
The individual with the highest level of medical training.
The individual who is responsible for coordinating all activities.
99
From the following list of water rescue methods, which one should be used LAST?
Row.
Throw.
Reach.
Go.
100
All of the following are reasons we provide efficient and effective radio traffic except:
To allow the receiving facility to prepare.
To provide for our safety.
To receive orders from medical control.
To educate the public.

P-3 Flashcards | StudBud

P-3

100 termsStudBud Administration164 plays

Imported from external platform

Flashcards100 cardsFPractice quizPHost liveL

Questions 100

Answers

1
which of the following abnormal deliveries is it appropriate for you to place your gloved hand into the birth canal?
Nuchal cord.
Prolapsed cord.
Transverse presentation.
Limb presentation.
2
5-year-old patient in cardiac arrest. The monitor shows v-fib. pt weighs 20 kg. what is the second defib dose?
10 joules.
40 joules.
80 joules.
20 joules.
3
Why is body substance isolation important?
It is a requirement of OSHA.
It demonstrates a professional attitude.
It reduces the risk of you obtaining a communicable disease.
It prevents the patient from obtaining an infection.
4
What is the medical term used to refer to lung sounds auscultated in the mid-axillary region?
Bronchovesicular.
Tracheal.
Bronchial.
Vesicular.
5
fluid nessicary to fill the pericardial sac before significant signs and symptoms of a pericardial tamponade develop?
50-100 ml.
100-300 ml
10-20 ml
500-1000 ml
6
An infection at any site within the urinary tract would be called
UTI
Urinary stasis
Urethritis
Cystitis
7
During your treatment of a patient, you perform a treatment incorrectly. You are potentially guilty?
Your actions led to an injury.
Duty to act.
Failure to meet the standard of care.
The patient received an injury.
8
5 YOM experiencing symptomatic bradycardia. What sign would MOST likely be found during the assessment of this pt.
Constricted pupils.
Pink, flushed skin.
Circumoral cyanosis.
Pulmonary edema.
9
You have a 10-month-old patient with second-degree burns covering both lower extremities. TBSA%
36%.
45%.
27%.
18%.
10
You have an unstable patient at a hazardous materials incident where a chemical tank is leaking. your primary concern is
Stopping the leak from the chemical tank.
Safely treating the patient.
Preventing secondary contamination.
Preventing any run-off from damaging the environment.
11
Which of the following would MOST likely be found at a site other than the actual MCI location?
Safety officer.
Finance officer.
Liaison officer.
Rehabilitation officer.
12
5 YO with partial airway obstruction, he begins coughing and ends up with complete airway obstruction. What happened?
The patient has experienced acute laryngospasm of the vocal cords.
His epiglottis has shifted downward during coughing.
The patient has aspirated gastric contents into the trachea.
The foreign body has shifted down to a narrowing.
13
Which of the following would likely require the most immediate aggressive intervention and rapid transportation?
Chest wall contusion
Anterior sternoclavicular dislocation
Rib fracture
Flail segment
14
A babysitter explains she saw a child seizing and called 911. What is the MOST common cause for the seizure
High temperature.
Hypoxia.
Hypoperfusion.
Overdose.
15
best local resource when first addressing the issue of an unknown chemical at a hazardous materials incident?
CHEMTREC.
Fire department.
Poison control center.
Police department.
16
what best reflects the primary reason low head dams are considered dangerous?
Strainers.
Speed of the water.
Debris.
Recirculating currents.
17
The greatest hazard associated with cave-ins during trench rescues is:
Electrocution.
Asphyxiation.
Toxic gases.
Trauma.
18
Which of the following populations is MOST at risk for spinal and spinal cord injury?
Female, 60-80 years old, from a fall.
Female, 16-30 years old, from a motor vehicle collision.
Male, 16-30 years old, from a motor vehicle collision.
Male, 16-30 years old, from a sports-related injury.
19
An inherited disease that causes excessive mucus to be produced within the lungs
Multiple sclerosis.
Poliomyelitis.
Myasthenia gravis.
Cystic fibrosis.
20
one of the leading causes of suicidal ideation among the geriatric population
Medication reactions.
Untreatable heart disease.
Death of friends/spouse.
Chronic arthritis pain.
21
When moving a patient on a litter over rough terrain, what is the preferred number of people for the move?
Eight.
Six.
Four.
Two.
22
typically works the easiest and should be used first for opening a door on a damaged vehicle to gain access to a pt?
Your hand.
A window punch.
A hydraulic spreader.
A pry bar.
23
Which of the following is a true statement regarding the differences between the adult and pediatric airway?
The child's trachea is softer and more flexible than an adult's.
A child's larynx is lower than that of an adult.
In adults, the cricoid ring is the narrowest part of the airway.
The tongue takes up proportionately less space in the mouth of the child.
24
primary factors that influence the heat stress on the hazardous material team member?
Exertion and hydration
Type of suit and hazardous material.
Temperature and humidity.
Physical fitness and scene terrain.
25
During transport, the pt begins complaining of dizziness and weakness on the right side. What should you do first?
Leave it alone
IV
Check BGL
Alert the Hospital
26
Under the standard METTAG triage system, a patient with a delayed status would receive what
Green, priority 3.
Yellow, priority 2.
Green, priority 2.
Yellow, priority 3.
27
medical term related to the reversible change in the body that allows it to become adjusted to the change.
Negative feedback.
Acclimatization.
Homeostasis.
Steady-state metabolism.
28
What signs and/or symptoms are most commonly associated with a patient who has been exposed to a pesticide?
Respiratory tract burns.
Local burns to the skin.
Diarrhea and vomiting.
Decreased LOC and hypoxia.
29
6 YOC is choking on a toy, the airway is not completely obstructed. What is your plan if the child is crying
Encourage the patient to cough forcefully.
Have the patient tip his head back slightly.
Suggest the patient attempt to vomit.
Attempt a finger sweep to clear the airway.
30
drug that binds to a receptor site and causes the expected response
Affinity
Antagonist
Agonist
Second messenger
31
You are an EMS rescuer inside the vehicle where the Jaws of Life are being used. What do you wear?
Spark and flame resistant clothing.
Hearing protection.
Non-latex work gloves.
Full turnout gear, including a helmet.
32
A newborn patient is being transferred from a hospital to a pediatric hospital for chronic diarrhea. What isn't a cause?
Cystic fibrosis.
Viral infections..
Diabetes mellitus.
Gastroenteritis.
33
Nationally all EMS workers are REQUIRED by law to report in writing
Suspected child abuse and/or neglect.
Any minor you believe is in possession of alcohol.
Drivers who have been operating a car while intoxicated.
Possession of illegal drugs.
34
1 1/2 YOM became suddenly short of breath after crawling around the kitchen floor. What is your first suspicion?
Acute asthma attack.
Croup.
Foreign body airway obstruction.
Epiglottitis.
35
The most appropriate method to remove an unresponsive patient from a vehicle crash where fire is imminent would be to:
Place a c-collar and remove the patient.
Remove the patient as quickly as possible with attention given to c-spine.
Use a short board device.
Position a cervical collar and then rotate the patient onto a spine board
36
Which of the following should be performed immediately after your scene size-up?
A focused patient assessment.
Determinating the mechanism of injury.
An initial patient assessment.
Identifying the location of all patients.
37
During a rescue operation, which scenario will most likely deal with augers?
Engulfment.
Electricity.
Structural collapse.
Machinery entrapment.
38
3-year-old with a central line is malfunctioning. Which treatment is MOST prudent
Contact OLMC to aspirate 1cc of blood to confirm proper placement.
Infuse 10cc of NS in the blue-capped hub and assure catheter is in place.
Assure the absence of obvious hemorrhage and transport.
Draw a small amount of blood from the red-colored adapter to see patency.
39
What greatest impact on reducing falls in the elderly due to their challenges with mobility?
Advance preparation of all meals.
Complete replacement of carpeting with hardwood floors.
The purchase of hydraulic lift furniture.
Installation of handrails in the restroom.
40
You have recently delivered a newborn who is now apneic and pulseless. As you start compressions, what is the CPR rate?
60 per minute.
120-160 per minute.
120 per minute.
80-100 per minute.
41
likely cause of gastric distention to occur in an adult patient?
Constipation for several days.
Excessive bag-valve-mask ventilation.
Excessive force during abdominal palpation
Nasogastric tube insertion.
42
Which of the following is the MOST common adverse drug effect seen in the elderly?
Digitalis toxicity.
Narcotic resistance.
Lidocaine toxicity.
Beta blocker hypotension.
43
Which of the following indicates an immediate need for chest compressions in a newborn?
Heart rate less than 100
Heart rate less than 60.
Diaphragmatic hernia.
Presence of meconium.
44
Polycythemia is?
decreased number of RBC'S
decreased number of WBC's
overproduction of RBC's
An overproduction of platelets
45
4-year-old child with supraventricular tachycardia at a rate of 240. What drug should you give?
Adenosine 0.1 mg/kg
Epinephrine 0.01 mg/kg.
Lidocaine 1.0 mg/kg.
Atropine 0.02 mg/kg.
46
The greatest risk to the patient who is contaminated by a hazardous substance would be when performing a venipuncture?
Causing an anaphylactic reaction.
Contamination of the medical equipment.
Introducing the substance into the bloodstream.
Secondary contamination of the rescuer.
47
Which of the following reasons explains why glucagon is not provided to neonates?
There are no sugar stores to release.
The neonate is incapable of absorbing IM medications.
The glucagon is too concentrated.
The neonate cannot metabolize the glucagon.
48
A Glasgow coma scale of 10 for a pediatric patient would represent which of the following?
Moderate head injury.
Brain death.
Mild head injury.
Severe head injury.
49
Which of the statements regarding geriatric trauma is FALSE?
The geriatric patient may require a greater amount of intravenous fluid.
Physical deformities in geriatric patients may require altering SMR.
The geriatric patient's tissues and organs have less tolerance for hypoxia.
heart's ability to increase its HR and SV to compensate may be decreased.
50
2 YOM became lethargic 30 min PTA. The brachial pulse is fast and thready. W/O an ECG what rhythm do you think he is in?
Idioventricular.
Supraventricular tachycardia.
Ventricular tachycardia.
Ventricular fibrillation.
51
which of the following reasons is shock a more unusual occurrence in pediatric versus adult patients?
The pediatric patient thermoregulates better.
The pediatric patient has a proportionately larger blood volume present.
The pediatric peripheral blood vessels constrict more efficiently.
The pediatric patient has greater epinephrine stores.
52
The Emergency Medical Services for Children (EMSC) is an agency of which of the following federal agencies?
The National Trauma Symposium.
Department of Transportation.
Department of Health & Human Services.
Occupational Health & Safety Administration.
53
Infants found in cardiac arrest are usually in arrest as a result of:
Massive hemorrhagic complications.
An irregular heartbeat like ventricular tachycardia.
breathing problems.
Improper immobilization techniques.
54
How much blood do you estimate the patient could lose in a bilateral femur fracture?
7 units
2 Units
6 units
3 units
55
You are a non-transporting unit treating a 5 YO who fell off a roof and struck his head. What treatment should you do?
Avoid using an oxygen mask, as he will likely resist it being used.
place the pt on his side to prevent complications from vomiting.
elevate the feet of the patient to reduce swelling of the brain.
Use padding immobilizing to a standard backboard.
56
During the assessment of a patient with suspected epiglottitis, you find the patient is having difficulty swallowing.
There is viral swelling within the larynx, trachea, and bronchioles.
a bacterial infection around the epiglottis and other areas of the throat.
The victim's tongue and throat are swollen due to a third spacing of fluid.
The patient is producing excessive fungal secretion within the oropharynx.
57
Which finding would best suggest chest compressions should be continued if the baby remains unresponsive?
The baby has brief periods of apnea.
The newborn has a pulse less than 60.
There is a lack of blood pressure by auscultation or palpation.
The baby's breathing is less than 24-28/min.
58
After passing through the AV node, the next electrical pathway of cardiac conduction would be which of the following?
Internodal pathways.
Perkinje fibers.
Left and right bundle branches.
Bundle of His.
59
What is the medical term used to describe the loss of bone mass due to loss of essential minerals, or hormone changes?
Osteogenesis.
Osteoarthritis.
Osteoporosis.
Osteolysis.
60
What is defined as the reflex that occurs when an infant grips your fingers when you place them in her hands?
Sucking reflex.
Moro reflex.
Palmar reflex.
Rooting reflex.
61
Which of the following is correct regarding pediatric anatomy?
The smallest portion of the airway is at the larynx in the pediatric pt.
The golatic opening is posterior and inferior in a pediatric pt.
Pediatric patients have a larger surface area to volume ratio than adults.
extremities are proportionally longer in a pediatric pt than in an adult.
62
When should an EMS provider consider a patient at highest risk for fractures related to osteoporosis complications?
Age 36.
Age 72.
Age 18.
Age 9.
63
Which of the following situations poses the greatest risk factor for suicide?
Alcohol or drug abuse.
Divorce
Depression.
Living alone.
64
During transport of a newborn, the patient's heart rate slows to 76 per minute. What should you do?
Administer 0.01 mg/kg epinephrine 1:10,000.
Administer 0.1 mg/kg atropine
Administer 0.02 mg/kg atropine.
Begin assisting ventilations.
65
largest vertebral body?
Cervical
Thoracic
Lumbar
Sacral
66
Which of the following alternative advanced airways can be used in pediatric patients?
Laryngeal mask airway.
Esophageal obturator airway.
Pharyngeotracheal airway.
Esophageal Tracheal Combitube.
67
When inspecting your unit at the beginning of your shift, which piece of equipment should be checked right away?
Mechanical CPR device
Triage tags and disaster kit.
Long padded board splints.
Oxygen delivery system.
68
10 MO patient is choking on a button. The child is responsive and apneic. After administering 5 back slaps, You...?
Deliver 5 chest thrusts to clear the airway.
Look in the patient's mouth with a jaw-lift maneuver.
Attempt to ventilate the infant with a bag-valve mask.
Perform a finger sweep to clear the throat of any debris.
69
Which assessment description is unique and common to the geriatric age group?
You should explain what you are going to do ahead of time.
You should start with the arms and legs to protect the patient s modesty.
These patients will frequently require special assessment tools.
The patient may minimize or deny signs or symptoms.
70
Best reason for forming a general impression of the patient?
It allows us to decide the priority of the patient
It is an initial part of the scene size-up
We can quickly identify any minor injuries.
It provides us the opportunity to obtain baseline vitals
71
Which of the following would be the most consistent with signs and symptoms of Hepatitis C?
Polyuria, back pain, and vomiting.
Dark urine, abdominal pain, jaundice, and fatigue.
Jaundice, fatigue, anemia, and photophobia.
Distended abdomen, jaundice, nausea, and fatigue.
72
the highest level of protection against hazardous materials would be expected from
Nitrile gloves.
Latex gloves.
Sterile gloves.
Leather gloves.
73
Which of the following is true regarding the ventilation of a pediatric patient?
a properly sized mask that fits is critical.
flow-restricted, oxygen-powered ventilation device is preferred
An appropriately functioning pop-off valve should be used on the BVM.
The bag of the appropriately sized bag should be deflated completely.
74
Which of the following would NOT be a common cause of a respiratory emergency with a child?
Asthma attacks.
Allergic reactions..
Traumatic events.
Tumors.
75
Which of the following time frames BEST defines the neonate?
Less than 14 days old.
Birth to 1 year of age.
The first few hours of life.
1 day to 1 month of age.
76
The MOST common issue that leads to life-threatening GI bleeding in the geriatric population compared to younger adults.
Blunt force trauma.
AV malformation.
Diverticulosis.
Intussusceptions.
77
following an intubation attempt of a neonate, the ALS provider can see which of the following complications
Convulsions.
Hypertension.
Coughing.
Bradycardia.
78
from the following, patients 65 and over, the leading cause of hospitalization
Lung cancer
Congestive heart failure.
Hypertension.
Emphysema.
79
Which of the following is a benzodiazepine commonly used for purposes of sexual assault?
Ketamine.
Rohypnol.
Ecstasy.
GHB.
80
Which of the following is correct regarding a patient care report?
It is a legal document that can be subpoenaed.
Under the Freedom of Information Act it is available to the public.
You should not document any mistakes in patient care here.
The entire report is available to the service for education.
81
In the use of SOAP charting for documentation of patient information and assessment, what does the P represent?
Plan.
Pertinent medical history.
Pertinent negatives.
Percussion
82
What indicate a newborn is suffering the side effects of maternal exposure to a narcotic pre-delivery?
Tachypnea.
Respiratory depression.
Ventricular ectopy.
Convulsions/seizures.
83
signs and symptoms connected to childhood mumps
High Fever, stiffened neck muscles, and vertigo
High Fever, headache, decreased appetite, and swollen parotid
Decreased appetite and associated nausea, blisters, and lymphitis
Increased swelling of thyroid membrane, blurred vision, and headache
84
Who is responsible for taking a lead role in helping the public learn how to recognize an emergency
Pre-hospital providers
Public schools
Medical direction
Ambulance agencies
85
Which of the following types of white blood cells are primarily responsible for allergic reactions?
Basophils.
Eosinophils.
Monocytes.
Neutrophils.
86
which one best meets the criteria for air medical activation?
patient who is trapped in a car with an est. extrication of 10 minutes.
A patient with a head injury and a Glasgow Coma Scale score of 8.
A trauma patient in cardiac arrest who is in need of a surgical airway.
A currently stable patient who has fallen 12 feet from a scaffold.
87
food poisoning that is more likely to present with respiratory effects rather than gastrointestinal complaints?
E. coli.
Salmonella.
Shigella.
Clostridium botulinum.
88
While working in a warm zone , which level of PPE should be worn by the rescuer
Level A protection
Level C protection.
Level D protection.
Level B protection.
89
Which of the following is true regarding changes in body systems related to aging?
Decrease in stroke volume.
Increase in functioning nephrons.
Decrease in intelligence.
Increase in saliva production.
90
Which of the following endocrine conditions will MOST likely require advanced life support to transport emergent
myxedema related to Addison s disease.
acute hypoglycemia related to type II diabetes.
Cushing's syndrome related to an adrenal tumor.
thyroid storm symptoms related hyperthyroidism.
91
When does a transfer of incident command occur
After all patients have been triaged and treate
When the current incident commander leaves the scene.
As soon as a higher ranking officer arrives on scene
After a short but complete briefing
92
You find a newly born baby convulsing. Which of the following conditions would most likely cause this seizure?
Hypotension.
Hypothermia.
Hypoxia.
Hypercalcemia.
93
89-year-old male accidentally overdosed on his benzodiazepine medication called Librium. What should you suspect
Respiratory compromise.
Convulsions.
Hypertensive crisis.
Tachyarrhythmias.
94
The START triage system is unique in the fact that it has providers immediately:
Address all patients that can walk away from the scene.
Determine how many deceased patients are present.
Find all red tag/priority 1 patients first.
Search for patients that are not breathing.
95
12 YOM with a wide-complex tachycardia. Which signs & symptoms would not reveal the patient is unstable
Patient complained of a fluttering in his chest.
An impaired level of consciousness.
Increased capillary refill time
Diaphoretic skin
96
During extrication of a pt trapped in a car, you notice fire is assembling the Jaws of Life. What should you do?
Use vinyl gloves and eye protection.
Have the victim lie flat and close his eyes.
Have the patient slide from the doors if possible.
Cover the patient with a blanket.
97
What is the primary goal of fluid resuscitation in hemorrhagic shock?
Preventing further vasoconstriction.
Maintaining vital organ perfusion.
Circulating oxygen.
Stopping the bleeding.
98
Which of the following would best define the role of command at a multiple casualty incident?
The individual who determines how best to treat the patients.
The individual who handles all finances and administration.
The individual with the highest level of medical training.
The individual who is responsible for coordinating all activities.
99
From the following list of water rescue methods, which one should be used LAST?
Row.
Throw.
Reach.
Go.
100
All of the following are reasons we provide efficient and effective radio traffic except:
To allow the receiving facility to prepare.
To provide for our safety.
To receive orders from medical control.
To educate the public.