Nitroglycerin dilates coronary arteries, improving heart blood flow and reducing chest pain by easing its workload.

dilates blood vessels which decreases workload on heart

Caring for patient with significant stroke symptoms, completing your assessment notice his spo2 dropping what to do next

Check patients airways and breathing

Diabetes mellitus is an endocrine disorder characterized by:

inadequate regulation of blood glucose

Patient has severe respiratory distress from an acute onset of pulmonary edema. Why do you want to treat her with CPAP?

Reduce amount of fluid that can cross in alveoli

Which of the following is characteristic of a patient with hyperglycemia?

Slow onset, Kussmaul's respirations and acetone odor on breath

The Cincinnati Stroke Scale evaluates possible stroke patients on what three parameters?

Facial droop, arm drift abnormal speech

Assessing 68yo with breathlessness, lung crackles, ankle swelling. As anxiety and shallow breathing escalate, provide

Apply continuous positive airway pressure

A major difference between stable and unstable angina is that unstable angina :

is generally not relieved by rest

If suspect aortic dissection, which of following are considered appropriate interventions

Ensure a patient airway with adequate ventilation and oxygenation

The term "status epilepticus" refers to

two or more seizures with no intervening periods of conciousness

Which of the following patient shows signs of inadequate perfusion?

52 year old woman with congestive heart failure who is very lethargic

When caring for a patient suffering from nervous system condition, first priority in patient care is

Access for any neurological deficits

Which of the statement is true regarding a transient ischemic attack

Patient who had a TIA is at high risk for subsequent stroke

Which of the following is true for rituals and beliefs surrounding death?

They are influenced by religious traditions of culture

Which of the following statements regarding stable angina pectoris is true?

can be brought on y exertion stress

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Quiz 2

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Questions 88

Answers

1
When gall bladder diseased pain is not only felt in RUQ but also in
right scapula area
left shoulder
epigastric area
right shoulder
2
Nitroglycerin dilates coronary arteries, improving heart blood flow and reducing chest pain by easing its workload.
Causes body to relax, which decreases need for oxygen
decreases heart rate, which allows heart muscles to rest more
Has sedative effect on brain, which makes you less aware of pain
dilates blood vessels which decreases workload on heart
3
Patients in which age group are tend to be very concentrated with bod image?
Early adulthood
Adolescence
School age
Late adulthood
4
To determine specifics abut chest pain use -- to help you
AEIOU-TIPS
OPQRST
SAMPLE
DCAP-BTLS
5
What term describes inflammation usually caused by occlusion of gallbladder duct?
Pancreatitis
Cholecystitis
Appendicitis
Kidney stone
6
Caring for patient with significant stroke symptoms, completing your assessment notice his spo2 dropping what to do next
Check oxygen cylinder pressure
Check patients skin color and temperature
Check the batteries in pulse oximeter
Check patients airways and breathing
7
All of following influence life expectancy except
diet
gender
height
behavior
8
Heart receives its nutrients from the
anterior great cardiac vein
blood within its chambers
coronary arteries
aorta
9
Diabetes mellitus is an endocrine disorder characterized by:
excessive glucose production
inadequate glucose production
excessive catecholamine production
inadequate regulation of blood glucose
10
Called for 64yr old woman, acute respiratory distress, chest tightness, wheezing on expiration. Tachycardia. You Suspect
pulmonary edema
pulmonary embolism
asthama attack
pnuemothorax
11
Instructing new EMTS about basics of driving emergency vehicle, what should you empphasize as most frequent location
Parking lots
Backing up
Intersections
Emergency scenes
12
Breathing pattern characterized by gasping short, irregular respiration separated by apnea periods is known as
Biots
Chyne Stroke
apnuestic respiration
Kussmuals respiration
13
Symptoms from transient ischemic attack generally resolve
24 hrs
48 hours
12 hours
6 hrs
14
Patient has severe respiratory distress from an acute onset of pulmonary edema. Why do you want to treat her with CPAP?
reduces inflammation of lower airways
Reduce amount of fluid that can cross in alveoli
Has an analgesic to help reduce patients anxiety
It increases the oxygen concentration of inspired oxygen
15
Sound of gurgling indicates
constricted bronchioles
fluid in upper airway
fluid in lower airway
foreign body airway obsttruction
16
Which of the following is characteristic of a patient with hyperglycemia?
Use of excessive amounts of insulin and lack of adequate food intake
Sudden onset of altered mental status and combativeness
Cool, moist skin,agitated behavior and increased heart rate
Slow onset, Kussmaul's respirations and acetone odor on breath
17
The condition in which there is insufficient amount of sugar in blood is called:
hyperglycemia
hypoglycemia
diabetic coma
diabetic ketoacidosis
18
Four-year-old girl had a seizure after being sick. Likely a __ seizure due to an illness in the past day.
Petit mal
Focal motor
febrile
Epileptic
19
__ is volume of inhaled and exhaled air in single breathe
Alveolar ventilation
Dead air volume
Tidal Volume
Minute volume
20
The EMT should recognize root cause of heart failure is
fluid accumulation in lung tissue
inadequate cardiac output
poor gas exchnage in lungs
backup of fluid in lower extremities
21
Suspect severe gastroenteritis. Monitor for dehydration, shock. Urgent medical attention needed with blood in vomit.
Mallory Weis tear
Esophageal varices
Peptic ulcer
Esophagitis
22
When assessing breath sounds in a dyspneic patient, wheezing indicates possible bronchoconstriction. What causes this?
Significant Hypoxia
Bronchoconstriction
Swelling in throat
Mucus in lungs
23
Reflex that prevents overexpansion of lungs via signals from stretch receptors is known
hypercarbic drive
hypoxic drive
Ventilation perfusion mismatch
Hering Breuer reflexes
24
The Cincinnati Stroke Scale evaluates possible stroke patients on what three parameters?
Age, duration of symptoms, abnormal speech
Headache, arm drift, onset of symptoms
Facial droop, arm drift abnormal speech
Arm drift, glucose levels, history of seizures
25
Which of following groups believe that illness is result of Karma?
Buddhist
Muslims
Hinduism
Juduism
26
Assessing 68yo with breathlessness, lung crackles, ankle swelling. As anxiety and shallow breathing escalate, provide
start an IV and consider giving her fluid bolus of 500ml
increase her oxygen flow to 15 ipm via nonrebreather
give her another albuterol treatment
Apply continuous positive airway pressure
27
A major difference between stable and unstable angina is that unstable angina :
causes cardiac muscle cell death
indicates the patient condition iis improving
responds more readily to treatment
is generally not relieved by rest
28
Seizures characterized by rapid rhythmic contractions of muscles that may last for several minutes are called
tonic clonic
focal motor
ferbrile
complex partial
29
The postictal patient with no suspected injury should be placed in which position?
Supine
Lateral Recumbulent
Fowlers
Semi Fowlers
30
Clinical syndrome in which heart's mechanical performance compromised so cardiac output cannot meet bodys need is called
Cardiac temponade
cardigenic shock
pneumothorax
angina pectoris
31
Which of the following is most common chief related to acute pancreatitis?
Severe pain
Blood in stool
Headache
Diarrhea
32
If suspect aortic dissection, which of following are considered appropriate interventions
Ask the pateint to perform a Valsalva maneuver
Administer IV fluids to obtain systolic BP of atleast 100 mmHG
Administer nitroglycerin
Ensure a patient airway with adequate ventilation and oxygenation
33
Which of following condition is neurological condition caused by vitamin B1 deficiency
Wernicke Korsakoff syndrome
Bells palsy
Myasthenia gravis
Multiple sclerosis
34
The term "status epilepticus" refers to
chronic seizure patients taking anticonvulsant medication regularly
two or more seizures with no intervening periods of conciousness
a generalized seizure lasting more than one minute
a patient experiencing a seizure for first time
35
Roughly what is maximum lifespan of human beings
120
110
100
90
36
Which of following conditions could be responsible for causing obstructive shock
Poor transfer of oxygen at capillary level
Blood clots in lungs
Loss of blood in urine
Infection throughtout body
37
Manually ventilating an adult patient with BVM should be done at rate of
10-12 breathes per minute
16-10 breathes per minute
8-10 breathes per minute
12-20 breathes per minute
38
Which of the following patient shows signs of inadequate perfusion?
65 year old complaining of indigestion who is diaphoretic
teenager with shortness of breath and tingling of lips and fingers
52 year old woman with congestive heart failure who is very lethargic
5 year old child with capillary refill of 2 sec and a seal bark cough
39
Which abdominal quadrant contains the appendix
Right upper
Left upper
Left lower
Right lower
40
Which of following is result of portion of heart muscle dying due to lack of oxygen
Myocardial infarction
Heart faillure
Cardiac arrest
Angina pectoris
41
When caring for a patient suffering from nervous system condition, first priority in patient care is
Access for any neurological deficits
administer thrombollytic therapy
establish and maintain patent airway
apply high concentration oxygen
42
What volume of air that reaches the alveoli each minute
Internal ventilation
Alveolar ventiallation
External ventilation
Minute volume
43
Normal regular rate of electrical activity for heart is set by
atriventricular node
bundle of His
sinoatrial node
Purkinje fibers
44
Middle adulthood is stage of life from __ to __ years
41; 61
35; 55
31; 60
35;65
45
Which of the statement is true regarding a transient ischemic attack
Signs and symptoms are very different from a stroke
If not promptly treated, TIA will progress to stroke
If it doesn't resolve within two hours it is a full blown stroke
Patient who had a TIA is at high risk for subsequent stroke
46
Which of the following is true for rituals and beliefs surrounding death?
Most Americans have similar beliefs regarding death
Most religions have same beliefs
They are usually tied to organize religious beliefs
They are influenced by religious traditions of culture
47
Which of following is a risk factor for hemorrhagic stroke?
Spinal injury
Hypoglycemi
Hypertension
Atrial fibrillation
48
Which of the following statements regarding stable angina pectoris is true?
usually lasts 30 to 60 minutes
can be brought on y exertion stress
results in death of myocardial cells
generally relieved by over counter medications
49
Which of the following is result of a portion of heart muscle dying due to a lack of oxygen
Cardiac arrest
Angina pectoris
Myocardial Infarction
Heart failure
50
Which abdominal quadrant contains appendix?
Left lower
Left upper
Right lower
Right upper
51
A patient who has experienced significant blood loss may experience what type of shock?
Obstructive
Cardiogenic
Anaphylactic
Hemorrhagic
52
Administer nitroglycerin according to chest pain protocol for eligible patients.
patient with chest pain and blood pressure of 90/62
patient who has chest pain after taking Cialis
man who has chest pain from a fall from ladder
patient who has taken three of his own nitoglycerin tablets
53
What is the only organ in body that does not require insulin in order for glucose to enter its cells
Liver
Brain
Pancreas
Heart
54
Patient is cyanotic or mottled and has no respiratory effort, he is said to be in:
Respiratory distress
Respiratory failure
Respiratory arrest
dyspnea
55
When accessing a patient, which of the following should you recognize as an indication for aspirin therapy?
systolic blood pressure above 100 mmHg
The patient takes an aspirin a day to prevent heart attacks
Chest discomfort that is suggestive of a heart attack
complaint of a headache after taking nitroglycerin
56
Which of the following cardiac dysrhythmias can lead to formation of bloodclots, which increase risk of stroke
Sinus Arrythmia
Ventricular Tachycardia
Asystole
Atrial fibrillation
57
20y.o. woman, drug history, breathes at 6/min, withdraws from pain. Cardiac arrest, now has spontaneous circulation.
Establish intravenous line
administer 2mg Narcan
Secure airway and provide ventilition and oxygenation
find ot what she might have taken
58
When the gallbladder is diseased the pain is not only felt in the RUQ but also in the
epigastric area
right scapula area
right shoulder
left shoulder
59
48yo man, breathless, confused, RR 28, cool skin, pulse 124, BP 152/88, Spo2 89%, slight wheezing. Greatest threat ?
Tachycardia
Infection
Elevated blood pressure
Hypoxia
60
Detection of pulsating mass upon palpation of patients abdomen should make EMT suspicious that patient may suffer from :
An abdominal aortic aneurysm
A hernia
An ulcer
Gastroentritis
61
What is first method that you should use to control eternal hemorrhage
Tourniquet
Diet pressure
Ice
Elevation
62
Which of the following heart chambers pumps oxygenated blood to body?
Left Atrium
Right ventricle
Right atrium
Left ventricle
63
Arriving at seizure find a postictal bystander providing care considered appropriate support during a seizure episode.
Giving patient small sips of water
sweeping patients mouth to remove vomit
Placing patient in recovery position
placing bite block between patient teeth
64
Major difference between stable and unstable angina is that unstable angina
causes cardiac muscle cell death
indicates patients condition is improving
is generally not relieved by pain
responds more readily to treatment
65
Which statements made by patient family member would cause AEMT to suspect patient suffering from hypovolemic shock
He has been taking antibiotic for chest cold
He had a rash for past three days
He cannot stop throwing up
He got up this morning and was having hard time breathing
66
Suspect patient is suffering from stroke. What info is crucial to obtain from family/bystanders that aid in treatment
Does the patient seem more agitated than usual
When was the last meal consumed
Is the patient oriented to current time
What was the time of onset of symptoms
67
46 yro woman alcoholic is hypotensive in severe distress complaining dysphagia & vomitting bright red blood condition is
Hemorrhagic pancreatitis
Mallory weisery tear
accute gastroenteritis
Esophageal varices
68
The postictal patient with no suspected spinal injury should be placed in which position?
Semi flowers
Lateral recumbent
Supine
Fowlers
69
Consider hemorrhagic stroke if patient describes it as
sudden in onset and worse headache of my life
being accompained by nausea and photosensitivity
Dull or achy pain with feeling of forceful pressure
lasting for more than 18-24 hours
70
In which culture negative emotions like anger are not expressed openly and politeness is highly valued
American Indian
African American
Hispanic
Asian
71
Secure airway turn patient to side to prevent aspiration monitor vital signs closely,transport promptly to stroke center
begin ventilations with a bag valve mask
Tighten chest straps and began suctioning
insert oral airway and lower head of stretcher
Place him in left lateral recumbent position
72
Which of the following is most common complaint related to pancreatitis
Blood in stool
Severe pain
Headache
Diarrehea
73
Pressure in filled ventricle at the end of diastole is called
afterload
cardiac output
stroke volume
preload
74
Patient with foreign airway obstruction becomes unresponsive lower the patient to ground and begin
modified Heimlich maneuver
blind finger sweeps
abdominal thrusts
Cardiopulmonary resuscitation
75
Which of the following demonstrate EMT understands reactions to death and dying
Telling grieving family that they have to accept what has happened
Being tolerant of angry reactions by patients and family
Giving dying patient hope that cure can be found
Providing spiritual guidance to patient who express anger to God
76
Which of following statements regarding blood glucose level and stroke is true?
Glucose requires insulin to enter brain cells
Hypoglycemia worsend neurological outcome
Excessive glucose in cells causes cellular dehydration
Hyperglycemia is protective of brain cells
77
To measure an oropharyngeal airway measure length from
teeth to angle of jaw
corner of mouth to angle of jaw
nares to tip of earlobe
corner of mouth to tip of pinna
78
Which of the following is the only artery that carries deoxygenated blood away from heart?
Semilunar
Pulmonary
Coronary
Aorta
79
Main focus of assessment and history taking of patient with abdominal pain
Determining presence of gastrointestinal bleeding
Determining cause of pain
Determining whether patient meets criteria to refuse treatment & transport
Determining possible needs for immediate surgery
80
Condition in which fatty plaque builds up in arteries eventually narrowing lumen and restricting blood flow is called
arterioclerosis
claudication
an aneurysm
atherosclerosis
81
Unconscious patient is hypoglycemic, has no suitable intravenous site What do you administer to patient & by which route
Glycon IM
insulin SQ
insulin IV
dextrose 25 % IM
82
Which of the following is a risk factor for hemorrhagic stroke?
Spinal injury
Hypertension
Hypoglycemia
Atrial fibrillation
83
Which of the following referred as pain characteristic
usually described as crampy or colicky
only felt in hollow organs
caused by psychological stress
felt in location other tha organ causing it
84
Aspirin used in treatment of myocardial ischemia because of it
can cause gastric upset and bleeding
is thrombolytic
has analgesic effects
inhibits aggregation of platelets
85
Most common cause of epilepticus in patient with history of seizures
low levels of antiseizures medications
overdose of hypnotic medication
a sudddenr drop in blood sugar levels
brain swlling from traumatic head injury
86
After analyzing cardiac arrest patient heart rhythm AED provides Deliver shock message, clearing patient AEMTs next step
press shock button and then perform CPR two minutes
Check pulse,and then press shock buttonif pulse is not present
press shock button and allow AED to analyze that heart rhythm
press shock button and then check for return of a pulse
87
One consequence of infants having large surface area for their body size they
retain more fluid
have increased heat loss
have increased risk of infection
have slower wound healing
88
EMT understands that when paramedics and AEMT administer IV fluids as treatment for hemorrhage shock, fluids will
do nothing to get more oxygen to cells
enable lungs to better oxygenate bood
stablize the shock by restoring needed electrolytes
increase vascular resistance and improve oxygenation

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