Why do we shake activated charcoal before giving it?

mixes the solution if it has separated

You patient has a spinal injury and the car has an engine fire happening. What do you do?

use rapid extrication technique

Geri patient lives alone, fell, has hip pain and can't stand on her own. She wants to refuse transport - what do you do?

tell her it's not safe for her to stay alone and it's better if she goes

You're first on scene of MCI - what is your FIRST action?

establish command and request additional help

Overall, what do we want nitroglycerin to do for our cardiac patient?

vasodilate the coronary vessels

You don't have a premade occlusive dressing for an open neck wound - what can you use instead?

piece of heavy plastic 2 in larger than wound

What should be attempted FIRST when patient is in vehicle?

try the door first to see if it's unlocked

Alcohol combined with other substances has the following effect...?

can cause respiratory and cardiac failure

When treating an adolescent patient, it's a good idea to _____?

have a same-sex provider provide care

Your severely anxious pt begins to increase his agitation and look around frantically - what do you do?

recognize the scene is becoming unsafe and back away from him

RE: evidence based pre-hospital research, which is most important?

Research should be done in pre-hospital environment

You suspect child abuse - what is the BEST thing you do?

notify authorities and receiving medical personnel

Your a&o x4 head strike patient is on blood thinners (Plavix and ASA) - what concern do you have?

the bloodthinners could cause a serious internal head bleed

You arrive second on scene and see that first responded put on an unnecessary tourniquet - what do you do?

nothing - you don't remove a tourniquet unless you consult medical control

When do we use the formula 80 +2 (age in years) to determine normal _______?

systolic B/P of ped patient over 3 y.o.

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DV EMT Final - You Got This!

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Questions 85

Answers

1
Sedentary pt with history of 2 MI's and lower leg edema - what do you suspect?
congestive heart failure
pulmonary embolism
another MI
ischemic stroke
2
2 year old has RR 8, nasal flaring, decreased LOC, HR 68. What level of distress is he in?
respiratory arrest
respiratory failure
plain respiratory distress
none - he's fine
3
You see a ridiculously large amount of numbers and letters in a medications name - this is called the what?
chemical name
official name
generic name
scientific name
4
What system removes dead, diseased or injured WBC's?
pulmonary
lymphatic
GI
cardiovascular
5
"Bennies" are also known as...?
narcotics
amphetamine
barbituates
downers
6
What is it called when you study how body structures and systems work together called?
anatomy
physiology
pathophysiology
a&p
7
Fall from a tree stand with severe lower right thigh. You see open wound, minimal bleeding and no bones - what is it?
soft tissue injury only
open fracture
closed fracture
avulsion
8
Your patient is unresponsive and you don't think there is spinal injury - what position do you put them in?
supine
prone
semi-fowler's
recovery
9
It's a heat wave and your pt is found inside with red, hot skin and responsive to pain with no A/C on - what's wrong?
heat exhaustion
heat cramps
exertional heat stroke
nonexertional heat stroke
10
Why do we shake activated charcoal before giving it?
mixes the solution if it has separated
activates the medication so it works
causes the fluids to separate
reduces the risk of nausea
11
You see a wound that is a large lump under the skin and bruise discoloration - what is it?
closed fracture
crush injury
hematoma
contusion
12
Gunshot wound to right anterior chest and complaining of dyspnea with shallow RR of 22. What's wrong?
cardiac tamponade
open pnuemothorax
flail chest
pulmonary embolism
13
The proximal end of a traction splint is anchored to which bone?
ilium
femoral head
ischium
talus
14
A blanket drag or shirt drag is an example of what type of move?
emergency move
non-urgent move
urgent move
direct move
15
You patient has a spinal injury and the car has an engine fire happening. What do you do?
instruct them to stay in car and you wait for FD to extinguish fire
apply KED as fast as possible
use rapid extrication technique
tell the patient to get out of the car if they can
16
Geri patient lives alone, fell, has hip pain and can't stand on her own. She wants to refuse transport - what do you do?
record vital signs and have her sign refusal form
tell her it's not safe for her to stay alone and it's better if she goes
tell her she isn't considered competant by law and can't refuse
let her know if she stays at home, she could die
17
If specialized tools need to be used to gain access to a patient - this is what type of access?
assisted
utility
simple
complex
18
You're first on scene of MCI - what is your FIRST action?
remain in vehicle and call for help
establish command and request additional help
begin triaging
announce on PA system for everyone to stay put
19
Overall, what do we want nitroglycerin to do for our cardiac patient?
give them a headache - we know it worked
drop the blood pressure
vasodilate the coronary vessels
vasoconstrict the coronary vessels
20
The neural tracts that allow consciousness (or not) to happen is called the....?
pineal tracts
reticular activating system
somatic nerve tracts
cranial nerve tracts
21
Your previously calm patient begins to become belligerent and hostile...what do you do NEXT?
try to get his family members to calm him down
tell him to calm down or you'll have him arrested
calmly put your hands on his shoulders and tell him to relax
back away and call for PD
22
You don't have a premade occlusive dressing for an open neck wound - what can you use instead?
piece of heavy plastic 2 in larger than wound
aluminum foil
ACE bandage
saline soaked 4x4 gauze pad
23
Why would a bronchodilator work for COPD patients?
decreases heart rate
reduces airway resistance
reduces dead space in the airway
increases heart rate
24
What does the parasympathetic NS do to the cardiovascular system?
decreases heart rate
makes contractions stronger
increases heart rate
decreases blood flow
25
What should be attempted FIRST when patient is in vehicle?
ask patient to press the unlock button
"popping" the door with hydrolic tools
breaking the window with a tool
try the door first to see if it's unlocked
26
Alcohol combined with other substances has the following effect...?
can cause respiratory and cardiac failure
delays absorption of other drugs
depresses their AMS making them suicidal
little to no effect on the other substance
27
Which pump needs ATP to operate properly?
potassium/calcium
sodium/potassium
sodium/chloride
cloride/potassium
28
Out of the choices, which is BEST to exam when dealing with a cardiac patient?
lung sounds
unusual breath odors
abdominal palpation
ankle edema
29
What must always take priority unless delay would endanger the patient or provider?
applying oxygen
complete head-to-toe assessment
primary assessment
splinting any fractures found
30
What the normal TODDLER respiratory rate?
10-12
40-60
20-30
15-20
31
Hyperthermia is a local or systemic _____ emergency?
local cold emergency
systemic heat emergency
systemic cold emergency
local heat emergency
32
The sucking in of the skin around the neck and/or rib areas in respiratory distress is called....?
intercostal breathing
respiratory failure
accessory muscle usage
inadequate breathing
33
What's it called when someone thinks through a problem in an organized and efficient manner?
hard thinking
differential diagnosis
diagnosing
critical thinking
34
When treating an adolescent patient, it's a good idea to _____?
have PD on scene
have a same-sex provider provide care
record your conversations with them
put patient on the phone with medical control
35
If pt is still inside vehicle while extrication is going on, what do we place on them for protection?
fire helmet
vinyl gloves
blanket
sunglasses
36
What's it called when you leave a patient and haven't done a hand-over report?
negligence
abandonment
failure to treat
duty to act
37
What is the point called where the mainstem bronchi branch off to left and right?
carina
alveoli branch
bronchial split
brachial split
38
Your severely anxious pt begins to increase his agitation and look around frantically - what do you do?
recognize the scene is becoming unsafe and back away from him
ask him what he is looking for
ignore this and continue to ask questions
tell him to settle down, you're here to help
39
What lung sound is a crackling noise, particularly at end of inhalation?
wheezing
plueral rub
rales
crackles
40
What position do you transport pregnant patients in?
prone
trendelenburg
supine
left lateral recumbant
41
Your patient is special needs and is unable to communicate - what should you ask the family?
"what do you do in this situation normally?"
"what would you like us to do with them?"
"is this normal for them?"
"how do they normally communicate with you?"
42
RE: evidence based pre-hospital research, which is most important?
All researchers should be EMS providers
Research should be done in pre-hospital environment
EMT's supervising the process
NREMT has to approve it
43
A impaled branch is blocking the airway, mouth is full of blood and pt is in resp distress - what do you do?
suction mouth and transport immediately
remove the branch
insert OPA around the branch if possible
insert NPA
44
CPR brought back breathing and a strong carotid pulse, but they're still unconscious...what next?
reassess all vital signs in 10 min
do chest compressions for 2 min
check b/p and pulse in 5 min
check pulse ox in 3 min
45
1st step of primary impression is...?
form a general impression
establish priority transport decision
assess airway
assess circulation
46
You suspect child abuse - what is the BEST thing you do?
transport suspected abuser with child so PD can arrest at hospital
report suspicions to ER doctor only
request ALS
notify authorities and receiving medical personnel
47
Your a&o x4 head strike patient is on blood thinners (Plavix and ASA) - what concern do you have?
the meds combined caused her to have a seizure she may not remember
the medications combined and caused her to get dizzy and fall
the meds will mask any pain and not make her answers accurate
the bloodthinners could cause a serious internal head bleed
48
You arrive second on scene and see that first responded put on an unnecessary tourniquet - what do you do?
elevate the extremity and remove it quickly
ask them why they put it on and decide from there
remove it slowly so bleeding doesn't restart
nothing - you don't remove a tourniquet unless you consult medical control
49
What assessment phase includes evaluating hazards and need for additional help?
primary assessment
secondary assessment
scene size-up
general impression
50
When do we use the formula 80 +2 (age in years) to determine normal _______?
blood glucose level for ped patient under 3 y.o.
systolic B/P of ped patient over 3 y.o.
diastolic B/P of ped patient above 3 y.o.
HR for ped patient under 3 y.o.
51
The amount of air that enters the alveoli for gas exchange is called....?
alveolar volume
alveolar ventilation volume
compliance volume
residual volume
52
What is the EMT's top role during extrication efforts?
helping operate heavy equipment when asked
operate simple hand tools when asked
providing patient care
waiting until rescue personnel gain access
53
Pt is pale, cool, diaphoretic with severe abd pain that started an hour ago - which finding suggests arterial GI bleed?
rebound tenderness in RLQ
dark, tarry stools
bright, red vomit
RUQ pain
54
What type of weapon of mass destruction has symptoms that may take hours or days to show up?
explosive
incediary
chemical
nuclear
55
Besides fundal massage, what can also help stop post-birth bleeding?
apply firm pressure to perineum
place patient in left lateral recumbant position
allow baby to nurse at mother's breast
assist in delivering placenta
56
Diseases that spread through the air or by contact with bodily fluids are called?
histamines
germs
antigens
pathogens
57
Suicidal patient says they will harm anyone who comes near them - what do you do?
leave and call PD - her threat means she could become violent
calmly approach and introduce yourself
try to talk to them to let you come assess them
ask bystander to search for weapons
58
Swelling, redness and pain to a fractured wrist - why do you remove any jewelry/watches/rings, etc?
prevent fascia hypertrophy
prevent neural damage
prevent compartment syndrome
prevent interstitial fluid movement
59
At MCI event, which sector is responsible for sorting and assigning pt priorities for transport and treatment?
logistics
treatment
triage
transportation
60
What's the final phase of extrication?
immobilization and extrication
gaining access to patient
stabilizing any unstable surfaces
terminating the rescue
61
What radio equipment re-transmits low power signals to higher powered ones?
UHF radio
base station
portable radios
repeated
62
Which best reduces risk of collision at an intersection?
use your horn in addition to sirens as you proceed through
come to full stop before entering intersection
request police escort
use PA system to alert drivers of your presence
63
Which of these would be a red, priority 1 triage tag?
PR > 100
RR > 30
cardiac arrest
RR < 30
64
Once you decide to restrain a patient, when should it be done?
slowly and methodically
without PD there to help
only after patient agrees
as quickly as possible
65
What is the clot called when it broke off and traveled to a place, such as the heart or brain?
thrombus
aneurysm
embolism
occlusion
66
What are the parts of a revised trauma score?
GCS, pupil response, RR
GCS, B/P, RR
GCS, SpO2, RR
GCS, Systolic B/P, RR
67
Your patient says they have a "tearing pain" - what is most likely affected?
appendix
aorta
liver
pancreas
68
In extrication, what else should you wear besides a traffic safety vest?
blinking flashlight on carabiner
bright colored shirt
flashlight on carabiner
turnout or bunker gear
69
What is MOST suspicious of a hazmat incident?
multiple victims in same place
fire that starts at highest level of structure
black smoke
white smoke that appears after FD puts water on fire
70
Fluid is leaking from a MVA - what's your danger zone?
25 feet in all directions
100 feet in all directions
50 feet in all directions
75 feet in all directions
71
When you breathe, your intercostal muscles do ____ and your diaphragm does ______
relax; contract
contract; relax
relax; relax
contract; contract
72
What's the point of a secondary assessment in an unresponsive patient?
none - they're unresponsive. it's pointless.
identifying life-threats we may have missed before
comprehensive physical examination
gaining a comprehensive medical history
73
Biological weapons will most likely lead to multiple patients with ________?
unexplained illnesses
blast injuries
thermal burns
eye and throat irritation
74
Unconscious pt: very fast and deep respirations, mom said she's had frequent urination and thirst lately...what's wrong?
hypothyroidism
diabetic ketoacidosis
drug overdose
sepsis
75
Anaphylactic pt says they're allergic to epinephrine and it makes their heart race - what do you do?
tell them the hospital has an antidote but they need this
tell them they're confusing a side effect with an allergy
they're allergic - don't give it
tell them you can fix that and give it anyways
76
Geri patient asks you to tell her neighbor what is happening and why they're going to hospital - what do you do?
say you can't because of HIPPA
say you will come back and tell them later
comply with their request
say ok, but ignore the request
77
When do you assess your life-threats?
during general impression
during SAMPLE
primary assessment
secondary assessment
78
Geri patient has new onset slurred speech and altered LOC - what should you suspect?
alcohol intoxication
dementia is exacerbated
possible stroke
head trauma
79
Your anaphylactic patient has an expired epi-pen and is in distress - what do you do?
call ALS and give her O2 till they get there
give it anyways - she can't breathe
call medical control for direction
discard the med - it's useless now
80
Large piece of metal is impaled into pt's right anterior chest wall - he has extreme resp distress. What do you do?
pull it out while your partner gives NRB 15 LPM O2
call ALS to give him a breathing treatment
leave it there and give NRB 15 LPM
stabilize the object with a bulky dressing
81
Pt has an acid burn with severe pain to both arms - what do you do?
apply dry sterile bandages and go
stop the burning process by irrigating arms with lots of sterile water
ask for helicoptor to nearest burn center
drive emergently to nearest burn center
82
Which radiation ray is the MOST penetrating type and can travel far distances?
alpha
gamma
delta
beta
83
Medical control said you could give a medication - what do you do next?
administer it
confirm the order with your partner
repeat your vital signs before administering
repeat the order back to medical command
84
What is it called when an artery and vein are connected surgically in an extremity?
vascular junction
fistula
fissure
vascular graft
85
Post-ictal seizure pt: alert but confused, BGL is 48. What do you do NEXT?
not give oral glucose - her level is normal
NC 6 LPM
NRB 15 LPM
consider oral glucose

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