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EMT Review
EMT Review
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1
Lying on your back is referred to what position?
Recovery position
Prone
Supine
Dorsal
2
What is one of the last signs of hypoperfusion?
Diaphoresis
Altered mental status
Rapid pulse
Decreased BP
3
You perform a physical exam on your pt because?
To omplete a thorough assessment
To exam areas you suspect to be injured
So your patient has confidence in you
So you can document for your report
4
Respiratory rate for a 10 y.o. would be?
26-42
24-30
18-30
10-20
5
An example of tunnel vision is?
Providing care based on protocols
None of the above
Inadequate lighting at scene
Providing care based on dispatch info
6
To control acidosis caused by anaerobic metabolism a pt will often do what?
Sweat profusely
Have a seizure
Breathe rapidly
Drink water
7
Pt w/rapid breathing, wet skin, weak & rapid carotid pulse, pale in color is showing signs of?
Shock
Cardiac arrest
Renal failure
Respiratory failure
8
Decreased peristalsis vasoconstriction & tachychardia are all signs of stimulous to what system
Polyvasal System
Parasympathetic Nervous System
Sympathetic Nervous System
Cognitive System
9
Baroreceptors are located where?
Aortic Arch
Legs
Kidneys
Brain
10
What part of the body fights infection?
Pancreas
Hormones
White Blood cells
Spleen
11
A pt in cardiac arrest will most likely benefit from?
Well performed CPR
ALS response
High flow O2
Advanced airway
12
Diaphragmatic breathing is a sign of?
Respiratory arrest
Brain injury
Diaphram injury
Spinal chord injury
13
Medications such as beta blockers can have an effect on a pts vital signs?
FALSE
TRUE
14
A trauma pt will most likely develop shock and die due to what?
Pelvic Fx
Hemorrhage
Burns
Head injuries
15
Your pt is unresponsive and prone what should you do?
Roll pt over and perform primary assessment
Assess pulse airway and breathing and then roll pt over
Perform primary and secondary assessment and then roll pt
C-spine control and primary assessment in position found
16
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
17
What is the term used to describe one body part further away from another?
Distal
Proximal
Inferior
Medial
18
The epidermis is where blood vessels, nerves, sweat and oil glands are located?
True
False
19
When would you use a BVM?
To check for an open airway
Pt is unable to breath on their own
Provide more O2 to pt
Pt can breathe on own but needs O2
20
Why is the primary assessment so important?
It gives you direction for rest of assessment
You find life threats qluickly
It is the basis for treatment
Base line vitals tell you how your pt is doing
21
What is the best practice in preserving evidence at a scene?
Place inside your glove
Place in a plastic bag
Wrap it in a bandage
Place in a brown paper bag
22
Fatty tissue is found between the muscle and dermal layer of skin?
True
False
23
45 y.o. pt w/internal bleeding last vitals showed decreased BP what is happending?
Pt is in irreversible shock
Pt is in compensated shock
Pt is in hemorrhagic shock
Pt is in decomensated shock
24
AEDs use ______ technology that allows for less energy to be used?
Manual
Biphasic
Quadphasic
Monophasic
25
What problem is associated with hypovolemia and preload of the heart?
Has no significant influence on the heart
Reduced blood sugar to brain
Reduction of circulation to heart
Reduction of nutrients to cells
26
What is the most common emotional reaction an EMT may encounter?
Anger
Thoughts of suicide
Loss of appetite
Nightmares
27
What could cause an AED to shock a pt unintentionally?
While in transport in ambulance
Portale radio usage
Pt is wet
Cell phone usage
28
ALS arrives on scene, just as AED announces shock is advised. What should you do?
Allow ALS to perform a Pt assessment
Deliver shock
Stop and have ALS use their monitor
Stop and allow ALS to start IV
29
You are performing a med exam on pt C/O dizziness & nausea. Which can you omit in your exam?
Listen to lung sounds
Checking circulation
Palpation of the skull
Pupil response
30
The layer of tissue that surrounds abdominal organs is?
Pleural layer
Serous layer
Peritoneal layer
Parietal layer
31
Your partner is unable to obtain a good mask seal with BVM how could you best help him/her?
Have them view a CPR video
Provide additional training
Have them secure mask with two hands and you squeeze the bag
Ask a bystander to help
32
An unresponsive trauma pt w/strong pulse rapid breathing normal skin pt is highpriority because
Due to shock
MOI
Possible internal injuries
Decreased LOC
33
Cells are forced into ____________ when compensatory mechanisms fail?
Alkalosis
Anaerobic metabolism
Aerobic metabolism
Cellular Arrest
34
At a noisy scene you're unable to auscultate a BP, what can you do?
Check a femoral pulse
Check a pedal pulse
Check a carotid pulse
Check a brachial
35
What information can you gain from a pt using only a sphygmomanometer?
O2 SAT
Systolic BP only
BS reading
Systolic and Diastoloc BP
36
Radio communication with med control is poor what is your best action?
Administer the medication you feel is best for the pt
Have med control repeat any orders
Call a different hospital
Contact another med unit to relay your message
37
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
38
You have a pt C/O dyspnea & hyperventilation. What other S/S would you expect this pt to have?
Unequal pupils
Spasms of hands and feet
Thirst
Anxiety
39
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
40
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.
This info may be important in the pts treatment.
Emt will be providing thorough assessment
41
What part of lifting is most detrimental to you, the EMT?
Pull rather than pushing
Lifting on a count of 3
Bending at the knees
Twisting your body
42
Which one of the following pts would a medical history be of the lowest priority?
Seizure pt
Diabetic pt
Asthma pt
A talking multi-system trauma pt
43
Of the following which will increase the pts heart rate?
Respiratory system
Digestive system
Musculoskeletal system
Nervouse system
44
Pt doesnt have insurance/isnt able to pay for healthcare what options can the EMT give this pt?
Contact PD
Find a clinic that serves the poor
Offer pt money
Transport pt to ED anyway
45
Your pt is secure to a backboard & has sudden onset of epistaxis what is your #1 concern?
Vomiting
Management of airway
Diminshed ventilations
Loss of blood
46
Blood flows into the pulmonary artery from what part of the heart?
Left side
Right atrium
Left atrium
Right ventricle
47
Advance directives are always valid in or out of the hospital setting?
True
False
48
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
Place one arm over your neck and lift the pt
Bend at your knees prior to lifting
49
Which pt poses the greatest health risk?
18 y.o. HIV pt
Nursing home pt with the flu
36 y.o. pt appears sick just returned from Africa
86 y.o. nursing home pt with a cough
50
Two common problems when using a bag valve mask is maintaining a seal & opening the airway?
True
False
51
Trauma pt w/elevated BP, decreasing HR & irregular respirtations is most likely suffering from?
ICP
Compensated shock
Neurogenic shock
Hemorrhagic shock
52
The brain is the least sensitive organ to the absence of glucose?
True
False
53
The best treatment for shock is?
O2
Keeping pt warm
Raising legs
Restric movement
54
After performing a rapid extracation which of the following would be most important?
C-spine stabilization
A rapid trauma assessment
Splinting a femur fx
Placing a C-collar
55
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
56
Ventral refers to what part of the body?
The back
Towards the front
Towards the feet
Towards the middle
57
You should check carotid pulse after each AED shock?
False
True
58
Nitroglycerin has what affect on the pt?
Increases Circulation in Heart
Thins Blood
Reduces Blood Pressure
Reduces Swelling
59
Hemodialysis pts can develop hypotension. Quick transport to the ED is needed for?
Fluid Replacement
Possible renal failure
Watch for seizures
Blood work
