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1
The most common trigger of anaphylaxis is:
food
medications
insect stings
plants
2
Patient is experiencing anaphylaxis, which do we expect to find?
Rapid and strong carotid pulse
Normal to slightly increased blood pressure
Weak, rapid radial pulse
slow and bounding radial pulse
3
what is toxicology?
study of toxins
study of diseases
study of plants
study of insects
4
How do you treat an anaphylaxis patient if you don't have an Epipen?
Get refusal, she's a goner
Treat for shock & transport immediately
Benadryl
Place AED pads on patient
5
With respect to the respiratory system, where is the carina located?
Next to the appendix
The junction of the bronchi
Above the glottis and the vocal cords
Just past the uvula
6
When responding to an attempted suicide, which of the following is the EMT's primary concern?
Contacting law enforcement since suicide is illegal
Managing the patient's airway
Personal safety
Determining whether the patient suffers from depression
7
How much Epi do we administer for anaphylaxis for a child?
0.3mg
3.0 mg
1.5 mg
0.15mg
8
the central nervous system that houses the respiratory, cardiac, and vasomotor centers is the
spinal cord.
cerebellum.
cerebrum.
brainstem
9
EMT's can give these medications EXCEPT:
Epinephrine
Nalaxone
Ibuprofen
Albuterol
10
When documenting a patient's description of his or her chest pain or discomfort, the EMT should
use medical terminology.
document his or her own perception.
underline the patient's quotes.
use the patient's own words.
11
Respiratory disease effects on the airway
obstruction
irritation
inflammation
restriction
12
What is NOT part of the lymphatic system?
lymph nodes
pancreas
tonsils
spleen
13
What medication is the EMT allowed to give to the patient who is hypoglycemic and symptomatic?
Nitroglycerin
Aspirin
Epinephrine
Oral glucose
14
Which BEST describes the EMT'S role in cardiac emergencies?
Early CPR
Early notification
Early advanced cardiac life support
Early defibrillation
15
What does not usually cause anaphylaxis?
Latex
Penicillin & sulfa drugs
Cat dander
Peanuts
16
Which must be treated by the EMT if present in a patient with an apparent behavioral emergency?
Severe clinical depression
Suicidal thoughts
Hypoglycemia
Acute alcohol intoxication
17
If a competent patient refuses care or transport, an EMT should:
Request the police
Imeediately leave the scene
Argue with the patient
Document the refusal
18
Which division of the autonomic nervous system prepares the body to meet emergencies?
Central
Parasympathetic
Sympathetic
Endocrine
19
Which one of the following is NOT an appropriate treatment for EMTs to provide to a pt who has a hematologic disorder?
Rapid transport
Support of symptoms
High-flow oxygen therapy at 12 to 15 L/min
Analgesics for pain
20
What is the second stage of labor?
When the placenta is delivered
When the neck of the womb opens to 10 cm dilated
Baby moves down through the vagina and is born
The first contractions
21
autonomic nervous system
controls involuntary functions
the brain and the spinal cord
caveman functions
produces hormones
22
What is the third stage of labor?
Baby moves down through the vagina and is born
When the placenta is delivered
When the neck of the womb opens to 10 cm dilated
The first contractions
23
Which of the following techniques of physical examination must an EMT master?
Visualization, percussion, and auscultation
Observation, palpitation, and auscultation
Percussion, inspection, and palpitation
Auscultation, observation, and percussion
24
Which of the following medication is used to treat anaphylaxis through an injection into the outer thigh?
Ibuprofen
Atropine
Aspirin
Epinephrine
25
NOT a role of the EMT in providing emergency cardiac care?
Administration of epinephrine
Early defibrillation
CPR
Airway management
26
When does allergic reaction become anaphylaxis?
Shock and respiratory distress
when PT becomes tachycardic or bradycardic
When epipen is required
When PT stops breathing
27
After the AED has delivered a shock, the EMT should:
assess for a carotid pulse.
re-analyze the cardiac rhythm.
transport the patient at once.
immediately resume CPR.
28
An electrical burn can cause cardiac and respiratory emergencies!
True
False
29
The process by which an EMT forms a field diagnosis is known as
critical thinking
clinical thinking
differential thinking
diagnostic thinking
30
Should EMT attempt to hold PT still during convulsions?
Yes!
No
31
An EMT can give Activated charcoal to patients that have been poisoned
True
False
32
You are assuring a patient who you suspect may by having a stroke. He has signs of neurologic impairment, including.
visual or hearing disturbance
weakness (sometimes limited to one side)
all of these
inability to speak or difficulty speaking
33
Two of the most common signs of anaphylaxis are
Expiratory straighter and tachycardia
Hypertension and swollen hands
Watery eyes and localized itching
Urticaria and angioedema
34
The EMT after administering any medication must do which of the following
Document route, dose, time; reassess pt; re-administer meds
Reconsider 5 rights, reassess pt, contact med control
Reassess PT, document meds and report to facility
Wait 5 min, repeat meds if needed, reassess pt’s vitals
35
What nervous system does epinephrine stimulate?
Sympathetic
Parasympathetic
36
What breathing sounds should worry an EMT?
Snoring, Gurgling, Wheezing, and Diaphragmatic Breathing
Snoring, Gurgling, Wheezing, Crowing, and Crowning
Snoring, Gurgling, Wheezing, and Crowing
Snoring, Gurgling, Crowing, and Crowning
37
What organs are in the respiratory system?
Bones and muscles
Lungs, stomach, feet, brain
Lungs, trachea, diaphragm, alveoli, bronchi
Heart, lungs, stomach
38
What are some signs and symptoms of respiratory emergencies?
All of the above
Flushed, pale, ashen, or bluish skin color
Slow, rapid, or wheeze-like breathing
Gasping for breath or shortness of breath
39
The first concern of an EMT must be:
Patient Safety
Personal Safety
Vehicle Safety
Crew Control
40
Anaphylaxis must have one of these signs and symptoms:
Hypertension or shock
Respiratory distress or shock
Fever or vomiting
Seizures or pale skin
41
Epinephrine has no contraindications in Anaphylaxis
True
False
42
Which of the following is the EMT's role in caring for a patient presenting with symptoms of anxiety, irritability, a
Provide automatic external defibrillation.
Make an interpretation of the patient's cardiac rhythm.
Treat the patient as though he were having a heart problem.
Determine the cause of the patient's chest pain.
43
When should the EMT most likely expect to hear wheezes in a patient C/O SOB secondary to an asthma attack?
While holding his breath
In between breaths
While breathing out
While breathing in
44
When should the EMT use the Apgar scoring system on a newborn?
1 and 5 minutes after delivery.
5 and 10 minutes after delivery
10 and 15 minutes after delivery
Immediately after delivery
45
Respiratory ARREST is the cessation of breathing
True
False
46
A normal respiratory rate for an adult would be?
6
22
30
14
47
When administering naloxone (Narcan) via the intranasal route, the EMT should administer:
a maximum of 0.5 mL.
a half dose into each nostril.
a minimum of 2.5 mg.
at least 2 mL into each nostril.
48
Construction worker complains of intense pain after spilling dry powder on arm. The EMT should:
Brush the chemical from his arm and cover it with a sterile dressing
Immediately flush the skin with Clear water for 15 to 20 minutes
Cover the exposed area with a sterile dressing and elevate his arm
Brush the chemical from his arm and then flush the skin with water
49
What bodily system does cardiovascular emergencies relate to?
Lymphatic
Respiratory
Musculoskeletal
Circulatory
50
When assessing a patient for a facial droop, the EMT should also
Ask the patient to show you his teeth or smile
Palpate the face one side at a time
Gently lift and then let go of the skin over the cheek
Observe the patients ability to turn his head
51
A_____ is a neurologic episode caused by a surge of electrical activity in the brain.
hypoglycemia
aura
Seizure
Stroke
52
What are the 4 main parts of the cardiovascular system?
capillaries
Heart, Arteries, capillaries, veins
Just the heart
idk
53
Which of the following negative affects of anaphylaxis will be the most rapidly fatal if not treated immediately
Systematic vasodilation
Severe hypotension
Upper airway swelling
Diffuse urticaria
54
Which abnormal birth presentation permisses the EMT to enter a gloved hand into vagina
Limb presentation
Placenta previa
Multiple birth delivery
Prolapsed umbilical cord
55
What changes commonly occur in the cardiovascular system during anaphylaxis?
High blood pressure due to vasoconstriction
Low blood pressure due to vasodilation
High blood pressure due to tachycardia
Low blood pressure due to bradycardia
56
Which of the following is considered a hematologic disease?
Lou Gehrig’s disease C.
Hemophilia B.
Sickle cell disease A.
Both A and B
57
Prior to assisting a patient with his or her prescribed nitroglycerin, the EMT must:
obtain a blood pressure
determine who prescribed the nitroglycerin.
wait at least 5 minutes after assessing the blood pressure.
ensure the medication is in tablet form.
58
Which of the following methods of entry of allergens will more likely result in anaphylaxis?
Ingestion
Adsorption
Inhalation
Injection
59
The primary prehospital treatment for most medical emergencies:
addresses the patient’s symptoms more than the actual disease process
nvolves transport only until treatment can be performed at the hospital
focuses on definitive care because a diagnosis can usually be made.
typically does not require the EMT to contact medical control
60
Which of the following is the beneficial action of nitroglycerin in some cardiac emergencies?
It increases the strength with which the ventricles contract.
It dilates only the coronary arteries.
It slows down the heart.
It relaxes blood vessels throughout the body.
61
What is the most administered medication at the EMT level?
Naloxone
Oxygen
Glucose
Asprin
62
Which leads us to suspect an allergy?
Heart rate of 112 beats/min
Blood pressure of 100/60 mmHg
Hives to face and neck
Complaint of dizziness
63
Most patients who die of anaphylaxis do so within the first __ minutes following exposure
5
90
60
30
64
EMT repeats vitals every 15 minutes during transport. What BEST describes patient’s status?
The EMT is incompetent and not doing assessments correctly
Unstable
Poor
Stable
65
If an EMT is enlisted to help set up the IV admin set, the FIRST step is to:
Take out and inspect the fluid bag
Make sure the flow regulator is closed
Select the proper admin set
Connect the extension set to the admin set
66
What is the first stage of labor?
When the neck of the womb opens to 10 cm dilated
Baby moves down through the vagina and is born
The first contractions
When the placenta is delivered
67
Which of these is the proper dose of epinephrine to give to an adult with anaphylaxis?
0.3 mg
0.15 mg
1.0 mg.
0.03 mg
68
A finding that EMT's can use to indicate poor perfusion, considered helpful in children but less reliable in adults, is:
capillary refill time
Central pulses
heart rate
blood sugar test
69
Identify this Respiratory Tool
Non Re-breather Mask
Ventilator
Bag Valve Mask
Nasal Cannula
70
If a patient with an implanted pacemaker is in cardiac arrest, the EMT should
Avoid defibrillation with an AED and transport at once
Apply the AED pads directly over the implanted pacemaker
Not apply the AED until they contact medical control
Place the AED pads away from the pacemaker
71
Which of these are not known respiratory emergencies?
Asthma
Myocardial infarction
Acute pulmonary edema
Pulmonary embolism
72
Purpose of the respiratory system?
take in Oxygen, expel carbon dioxide
take in carbon dioxide, expel carbon dioxide
take in oxygen, expel oxygen
take in carbon dioxide, expel oxygen
73
A 24 y/o M with a bee allergy has been stung. He has a rash locally but no signs of anaphylaxis. You should
Administer his EpiPen
Administer 500mg of aspirin
Transport to the ER for evaluation
Tell him to suck it up
74
What is the most common of all diabetic emergencies?
Hyperglycemia
Insulin Induced Pancreatitis (IIP)
Ketoacidosis
Hypoglycemia
75
When should the EMT calculate a GCS with a patient who suffered a fall of 20 feet from his apartment building?
Before departing the scene
En route to the hospital
At the hospital before writing the care report
As he approaches the patient
76
What cause of shock is the EMT most likely to encounter?
Excessive sweating
Hypertension
Hemorrhage
Vomiting
77
Respiratory Failure is:
another term for respiratory arrest
caused by electrocution in young childres
the complete cessation of inspiration
inadequacy of breathing with insufficient oxygen intake
78
As an EMT, the best treatment we can provide for a patient with a CVA is:
Oxygen
Thrombolytic Medications
Rapid Transport
Warming Techniques
79
A patient may experience difficulty breathing during anaphylaxis?
Allergens clump together and block blood flow
Swelling in the brain decreases the respiratory drive.
Swelling of the airway tissues causes difficulty breathing.
Allergens bind to hemoglobin
80
Why would an EMT give aspirin to a patient
Makes the blood’s platelet’s slippery to prevent clotting
Aspirin reduce is the hearts ability to beat fast & prevents tachycardia
Aspirin reduce the pain level in patients who are in pain
Calms the patient by reducing pain because stress is the real killer
81
The digestive system is often referred to as the ____ system.
DGI
DS
GU
GI
82
Which of the following assessment findings is MOST indicative of a cardiovascular problem?
Unequal breath sounds
Palpable pain to the epigastrium
Jugular venous distention
Use of the accessory muscles
83
Which are these subsystems of the human cardiovascular system?
heart
circulatory system
Pulmonary and Systemic
organs
84
The extent and limits of the job that the EMT does are referred to as:
scope of practice
professional practice
duty to act
limits of liability
85
What medication that EMT may administer is a common allergy for people
Epi
Penicillin
Aspirin
86
What is NOT part of the cardiovascular system?
Hormones
Arteries
Venules
Veins
87
TRUE or FALSE: Syncope is not a result of anaphylaxis.
False
True
88
What respiratory emergencies are associated with Rhonchi?
Epiglottitis
Chronic obstructive pulmonary disease/Pneumonia/Bronchitis
Congestive heart failure/Pulmonary edema
Anaphlyaxis
89
During OB/GYN emergencies, in addition to SAMPLE, this should be included.
The possibility that the pt may be pregnant
If the pt is sexually active
The amount of time since of the pt's last menstrual cycle
All of these answers are correct.
90
Anaphylaxis is most accurately defined as a(n)
Moderate allergic reaction that primarily affects the vasculature
Severe allergic reaction that typically resolved without treatment
Extreme allergic reaction that may affect multiple body systems
Allergic reaction that causes bronchodilation and vasoconstriction
91
The EMT should assess a patient’s tidal volume by
observing for adequate chest rise
counting the patient’s respiratory rate
A.measuring the patient’s oxygen saturation.
assessing the facial area for cyanosis
92
Patient care provided by the EMT should be:
Based on assessment findings
Delayed until transportation
Based upon the diagnosis of the patient
Guided by the services attorney
93
To check the distal pulse of a patient with an injury to the forearm, the EMT check for a pulse where?
Throat
Upper Arm
Armpit
Wrist
94
Which is NOT a drug used in a cardiac emergencies
Oxygen
Nitroglycerin
Albuterol
Aspirin
95
Patient is complaining of chest pain and dyspnea. What is the BEST reason an EMT should assist with nitroglycerin.
The patient is prescribed nitroglycerin.
History of heart disease.
The patient has difficulty breathing.
They complain of a headache.
96
EMT's can give these medications except
MDI
Epi-pen
Oral Glucose
Xanax
97
what are the two most common aortic emergencies?
aneurysm
traumatic transection
dissection
getting stabbed at truckers
98
Prior to attaching the AED to a cardiac arrest patient, the EMT should:
assess for a pulse for 20 seconds.
contact medical control.
dry the chest if it is wet.
perform CPR for 30 seconds.
99
Which of the following statements concerning behavioral emergencies is true?
Behavioral emergency requires institutionalization.
A person with a behavioral emergency is mentally ill.
Emotional outbursts are considered behavioral emergencies
It may be difficult to determine what behavior is abnormal.
100
Swelling in the leaf-shaped flap that helps to prevent food from entering the lower respiratory system while swallowing:
Strep throat
Taco Bell for dinner
Someone talks too much
Epiglottitis
