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EMT Shock Review Flashcards | StudBud
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EMT Shock Review
EMT Shock Review
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Flashcards
70 cards
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Questions
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Answers
1
T/F Medications such as beta blockers can have an effect on a pts vital signs?
TRUE
FALSE
2
Pt w/rapid breathing, wet skin, weak & rapid carotid pulse, pale in color is showing signs of?
Shock
Cardiac arrest
Respiratory failure
Renal failure
3
<p>Lying on your back is referred to what position?</p>
Prone
Recovery position
Supine
Dorsal
4
Radio communication with med control is poor what is your best action?
Call a different hospital
Contact another med unit to relay your message
Administer the medication you feel is best for the pt
Have med control repeat any orders
5
Trauma pt w/elevated BP, decreasing HR & irregular respirtations is most likely suffering from?
ICP
Neurogenic shock
Compensated shock
Hemorrhagic shock
6
T/F It is always acceptable to remove an impaled object in the chest?
True
False
7
You perform a physical exam on your pt because?
To omplete a thorough assessment
So your patient has confidence in you
So you can document for your report
To exam areas you suspect to be injured
8
Diaphragmatic breathing is a sign of?
Spinal chord injury
Brain injury
Diaphram injury
Respiratory arrest
9
Which one of the following pts would a medical history be of the lowest priority?
Diabetic pt
Asthma pt
A talking multi-system trauma pt
Seizure pt
10
ALS arrives on scene, just as AED announces shock is advised. What should you do?
Stop and allow ALS to start IV
Allow ALS to perform a Pt assessment
Deliver shock
Stop and have ALS use their monitor
11
AEDs use ______ technology that allows for less energy to be used?
Biphasic
Manual
Monophasic
Quadphasic
12
What is the best practice in preserving evidence at a scene?
Place in a brown paper bag
Place inside your glove
Wrap it in a bandage
Place in a plastic bag
13
Nitroglycerin has what affect on the pt?
Thins Blood
Reduces Blood Pressure
Reduces Swelling
Increases Circulation in Heart
14
Your pt is unresponsive and prone what should you do?
C-spine control and primary assessment in position found
Perform primary and secondary assessment and then roll pt
Roll pt over and perform primary assessment
Assess pulse airway and breathing and then roll pt over
15
Your pt is secure to a backboard & has sudden onset of epistaxis what is your #1 concern?
Diminshed ventilations
Management of airway
Loss of blood
Vomiting
16
The layer of tissue that surrounds abdomical organs is?
Serous layer
Pleural layer
Parietal layer
Peritoneal layer
17
Pt has weak carotid pulse & no femoral or radial pulses what part of the body is being perfused
Kidneys
Heart and brain
Heart
Liver
18
Hematochezia defines what type of bleeding?
Bleeding from the nose
Bleeding from the ears
Dark red bleeding from vagina
Bright red blood from rectum
19
T/F The brain is the least sensitive organ to the absence of glucose?
False
True
20
T/F Keeping a pt warm is the best treatment for a pt in shock?
True
False
21
You have a pt C/O dyspnea & hyperventilation. What other S/S would you expect this pt to have?
Spasms of hands and feet
Thirst
Unequal pupils
Anxiety
22
An EMT should gain allergies/medications info from a pt before they lose consciousness because?
Emt will be providing thorough assessment
The reasons are not important at this time.
This info may be important in the pts treatment.
The insurance company will want to know.
23
T/F Two common problems when using a bag valve mask is maintaining a seal & opening the airway?
True
False
24
What is one of the last signs of hypoperfusion?
Altered mental status
Decreased BP
Diaphoresis
Rapid pulse
25
Why is the primary assessment so important?
It is the basis for treatment
Base line vitals tell you how your pt is doing
It gives you direction for rest of assessment
You find life threats qluickly
26
The best treatment for shock is?
Restric movement
Raising legs
Keeping pt warm
O2
27
You're about to lift a pt off the floor what is the safest technique?
Bend at your knees prior to lifting
Keep pt close to your body and bend at your waist
Place one arm over your neck and lift the pt
Use a blanket
28
A football player w/possible femur fx w/snoring respirations. What procedure is warranted?
Place pt on long board
Place pt on O2
Remove face guard off of helmet
Splint femur fx
29
Pt has suffered eviceration, vomitting blood & breathing 18 times per min. O2 Tx?
Non-rebreather mask
Ventilations via BVM
Combi-tube
Nasal cannula
30
Which pt poses the greatest health risk?
86 y.o. nursing home pt with a cough
18 y.o. HIV pt
36 y.o. pt appears sick just returned from Africa
Nursing home pt with the flu
31
At a noisy scene you're unable to auscultate a BP, what can you do?
Check a brachial
Check a femoral pulse
Check a carotid pulse
Check a pedal pulse
32
What is the best Tx for a object sticking out of a pts thigh? (Pt appears to be in shock)
Try to determine length of object
Place a traction splint on pts leg
Provide O2, stabilize object and transport
Wait for ALS to arrive
33
An example of tunnel vision is?
Inadequate lighting at scene
Providing care based on dispatch info
Providing care based on protocols
None of the above
34
Ventral refers to what part of the body?
Towards the front
The back
Towards the feet
Towards the middle
35
Pt has head injury, Bp increasing, pulse decreasing, what is the possible explanation for this?
Decrease in ICP
Shock
Increase in ICP
Hypeertensive crisis
36
A pt in cardiac arrest will most likely benefit from?
Advanced airway
ALS response
High flow O2
Well performed CPR
37
T/F The epidermis is where blood vessels, nerves, sweat and oil glands are located?
True
False
38
Respiratory rate for a 10 y.o. would be?
24-30
26-42
10-20
18-30
39
What is the Tx for a full thickness burn to the back and buttocks? (burning processed stop PTA)
Apply wet dressings
Cover with dry sterile burn sheet
Apply occlusive dressing
Pull damaged skin away
40
When direct pressure has failed to control bleeding you should?
Apply ice
Splint
Elevate
Use a tourniquet
41
What is the term used to describe one body part further away from another?
Medial
Inferior
Distal
Proximal
42
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
43
Dressings are used to _________________?
Are non-sterile
Used to hold bandages in place
Prevent air from entering wound
Help with clotting of wounds
44
True or False? You should check carotid pulse after each AED shock?
False
True
45
To control acidosis caused by anaerobic metabolism a pt will often do what?
Drink water
Have a seizure
Sweat profusely
Breathe rapidly
46
You are performing a med exam on pt C/O dizziness & nausea. Which can you omit in your exam?
Checking circulation
Palpation of the skull
Pupil response
Listen to lung sounds
47
T/F Fatty tissue is found between the muscle and dermal layer of skin?
False
True
48
Hemodialysis pts can develop hypotension. Quick transport to the ED is needed for?
Possible renal failure
Blood work
Watch for seizures
Fluid Replacement
49
Of the following which will increase the pts heart rate?
Nervouse system
Respiratory system
Musculoskeletal system
Digestive system
50
T/F Advance directives are always valid in or out of the hospital setting?
True
False
51
What part of lifting is most detrimental to you, the EMT?
Twisting your body
Pull rather than pushing
Bending at the knees
Lifting on a count of 3
52
Your partner is unable to obtain a good mask seal with BVM how could you best help him/her?
Ask a bystander to help
Have them secure mask with two hands and you squeeze the bag
Provide additional training
Have them view a CPR video
53
45 y.o. pt w/internal bleeding last vitals showed decreased BP what is happending?
Pt is in hemorrhagic shock
Pt is in irreversible shock
Pt is in compensated shock
Pt is in decomensated shock
54
What information can you gain from a pt using only a sphygmomanometer?
Systolic and Diastoloc BP
O2 SAT
Systolic BP only
BS reading
55
When would you use a BVM?
To check for an open airway
Pt can breathe on own but needs O2
Pt is unable to breath on their own
Provide more O2 to pt
56
What could cause an AED to shock a pt unintentionally?
While in transport in ambulance
Cell phone usage
Portale radio usage
Pt is wet
57
3 y.o. child was severely injured & crying. He is now quiet and pulse is 58. What is happening?
Child is overwhelmed by injury
Child is hypoxic
Child has calmed down
Child has a spinal chord injury
58
What is the most common emotional reaction an EMT may encounter?
Nightmares
Anger
Loss of appetite
Thoughts of suicide
59
What part of the body fights infection?
<p>White Blood cells</p>
Hormones
Spleen
Pancreas
60
Blood flows into the pulmonary artery from what part of the heart?
Right atrium
Left atrium
Right ventricle
Left side
61
Baroreceptors are located where?
Brain
Aortic Arch
Kidneys
Legs
62
Pt w/pain & swelling to right lower leg what should you do?
Elevate leg
Advise pt to see own Dr.
Apply ice pack
Splint and transport pt
63
What problem is associated with hypovolemia and preload of the heart?
Reduction of circulation to heart
Reduced blood sugar to brain
Has no significant influence on the heart
Reduction of nutrients to cells
64
Decreased peristalsis vasoconstriction & tachychardia are all signs of stimulous to what system
Parasympathetic Nervous System
Polyvasal System
Cognitive System
Sympathetic Nervous System
65
An unresponsive trauma pt w/strong pulse rapid breathing normal skin pt is highpriority because
Decreased LOC
MOI
Possible internal injuries
Due to shock
66
At a contruction accident where only the pts upper body is exposed, what should you assess?
Primary and Secondary assessment only
Do the Primary assessment and wait for extrication
Do the Primary assessment and skip Secondary
Do all the parts of the assessment that you can perform
67
A trauma pt will most likely develop shock and die due to what?
Head injuries
Burns
Pelvic Fx
Hemorrhage
68
Cells are forced into ____________ when compensatory mechanisms fail?
Alkalosis
Anaerobic metabolism
Aerobic metabolism
69
Which patient should have a complete secondary assessment if time allows?
Pt in cardiac arrest
A peds suffering from croup
Pt suffering from bee sting
Pt suffering a fall while riding his bike
70
After performing a rapid extracation which of the following would be most important?
Splinting a femur fx
A rapid trauma assessment
Placing a C-collar
C-spine stabilization
