Where should you position the weight of an object being lifted?

As close to the body as possible

Which of the following statements regarding angina pectoris is true?

It can be brought on by exertion or stress

Which of the following techniques minimize the possibility of further spinal injury?

Moving the PT in the direction of the long axis of the body

Which of the following BEST describes a portable radio?

A two-way radio that can be carried on a belt clip

A standardized test to evaluate a conscious patient for possible stroke

Cincinnati Prehospital Stroke Scale

What does the medical abbreviation R/0 stand for and how is it used?

Rule out, condition not present

Ventilating 6 y/o and note that pulse has decreased from 70 to 54. Which is NOT appropriate?

Notify medical control that the PT's condition has improved

When giving a radio report to the hospital, which of the following should be stated first?

The patient is a 55-year-old male

Which of the following BEST defines adenosine triphosphate?

energy produced in the mitochondria and is the cell's engine

Which of the following agencies is responsible for establishing EMS system assessment programs?

National Highway Traffic Safety Administration (NHTSA)

Which of the following is true concerning the initial assessment?

Initial assessment begins by just observing a patient

What are the five rights?

Right Patient, Drug, Dose, Route, Time

Which of the following is NOT true concerning a patient's reaction to toxic gas exposure?

Immediate treatment will avoid any long term effects

When assessing a patient's pertinent past history, you should ask which of the following?

Have you been having any medical problems?

When managing a patient who may hurt himself or others, do all of the following EXCEPT:

make sure only you and the patient are in the room

Which patient is experiencing visceral pain?

PT complaining of abdominal pain 'all over'

Which BEST illustrates an act of abandonment?

An EMT transports PT to the ER but does not advise staff

Which of the following patients is a high priority for transport?

An adult male with difficulty breathing

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EMS 1421 Final Exam

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Questions 84

Answers

1
What term describes a permanent surgical opening in the neck through which a patient breathes?
Stoma
Cricothyroidotomy
Laryngectomy
Tracheotomy
2
Jogger down. Bystanders provide no info. As you approach the patient, what is the priority?
Place a cervical collar on
Check his blood sugar
Get a set of vital signs
Perform a rapid assessment
3
Where should you position the weight of an object being lifted?
As far from the body as possible
As close to the body as possible
At arm's length
Below your waist
4
PT 16 y/o male supine in bed. Airway Patent. Respirations are slow/shallow. Pinpoint pupils.
Opiate overdose
Meth overdose
Volatile chemical overdose
Alcohol overdose
5
Which of the following is NOT an objective element of documented patient information?
Patient's age
Patient's complaint of nausea
Position in which the patient was found
Patient's blood pressure
6
Which of the following statements regarding angina pectoris is true?
It can be brought on by exertion or stress
It results in death of a smaller poltion of myocardium
It is generally relieved by over-the-counter medications
It generally lasts 30 to 60 minutes
7
Which of the following techniques minimize the possibility of further spinal injury?
Pulling the patient from the feet, NOT the shoulders
Moving the patient sideways
Moving the PT in the direction of the long axis of the body
Rolling the patient over
8
Which of the following BEST describes a portable radio?
A two-way radio that can be carried on a belt clip
Receives and amplifies signals sent over long distances
A two-way radio that is mounted in a vehicle
A two-way radio at a fixed site
9
The process of air moving in and out of the chest is called
inhalation
respiration
ventilation
tidal volume
10
Death of brain tissue due to deprivation of oxygen..
Seizure (Status Epilepticus)
Stroke (CVA)
Aphasia
Transient ischemic attack
11
In which abdominal quad is the appendix Iocated?
RUQ
LUQ
LLQ
RLQ
12
A standardized test to evaluate a conscious patient for possible stroke
The Functional Analysis Stroke Test
Michigan TIA Assessment
Numbness-Aphasia-Paralysis (NAP) Test
Cincinnati Prehospital Stroke Scale
13
Hemodialysis is used to help the kidneys filter __ and remove excess ___
urine; poisons
blood; cholesterol
electrolytes; hormones
toxins; fluids
14
What does the medical abbreviation R/0 stand for and how is it used?
Rule out, condition not present
Round out, "total picture" of patient assessment
Root of, illness identifier
Route of, administration of drugs
15
Ventilating 6 y/o and note that pulse has decreased from 70 to 54. Which is NOT appropriate?
Notify medical control that the PT's condition has improved
Insert an oropharyngeal airway and continue ventilating
Increase the force of ventilations
Check the flow of oxygen reaching' the bag-valve-mask device
16
When giving a radio report to the hospital, which of the following should be stated first?
The patient is having a heart attack
The patient is complaining of chest pain
The patient has taken nitroglycerin
The patient is a 55-year-old male
17
Which of the following BEST defines adenosine triphosphate?
energy produced in the nucleus from glucose
energy produced in the mitochondria from glucose and DNA
energy produced in the' endoplasmic reticulum
energy produced in the mitochondria and is the cell's engine
18
In which abdominal quad is the spleen Iocated?
LLQ
RUQ
RLQ
LUQ
19
Which of the following blood glucose levels is considered normal for an adult?
80 mg/dL
150 mg/dL
40 mg/dL
180 mg/dL
20
In OPQRST, when you ask a patient if anything makes it better or worse, this is represented by
R
P
O
Q
21
A person that is considered a threat may be transported for evaluation against their will..
According to the Ryan White Act
According to the Marchman Act
According to the Baker Act
According to the Myers Act
22
The liver is primarily in which abdominal quad?
LLQ
LUQ
RLQ
RUQ
23
Which of the following agencies is responsible for establishing EMS system assessment programs?
National Transportation Safety s!ard (NTSB)
Department of Health and Human Services (DHHS)
United States Health Services Agency (HSA)
National Highway Traffic Safety Administration (NHTSA)
24
Which of the following is true concerning the initial assessment?
Initial assessment begins by just observing a patient
External bleeding will be obvious "as you enter the room.
All patients must have their airway opened
All patients should receive a sternal rub.
25
What are the five rights?
Right decision, medication, order, dose, place
Right patient, medication, day, dose, route
Right Dose, Patient, Drug, Day, Order
Right Patient, Drug, Dose, Route, Time
26
What condition may result if a pregnant woman is placed in a supine position for transport?
Maternal hypotension
None
Fetal hypertension
Maternal hypertension
27
Which of the following is NOT true concerning a patient's reaction to toxic gas exposure?
Signs and symptoms may be delayed
The patient may or may not have respiratory distress
Signs and symptoms may be immediate and severe
Immediate treatment will avoid any long term effects
28
While transporting your patient suffers +LOC. Which of the following should you do next?
Notify dispatch you are upgrading your transport mode
Reassess ABCs
Reassess BP and pulse ox
Notify the hospital
29
Which of the following is a possible side effect of a prescribed inhaler?
Trapped air in the lungs
Tremors
Sleepiness
Decreased heart rate
30
What is the first step in the reassessment process?
Focused Exam
Vital Signs
Secondary Assessment
Primary Assessment
31
You delivered a shock. You completed 2 minutes of CPR. You are able to locate a carotid pulse..
Disconnect the AED pads
Check for respirations
Resume compressions
Push analyze on the AED
32
Which of the following is a typical cause of seizures in children 6 months to 3 years of age?
Fever
Asthma
Hyperglycemia
Epiglottis
33
You delivered a shock and completed 2 minutes of CPR. You are able to locate a carotid pulse..
Resume compressions
Push analyze on the AED
Disconnect the AED pads
Check for respirations
34
Which BEST describes not finding a sign or symptom that you would expect to find?
Pertinent negative
False negative
Double negative
Chief negative
35
When assessing a patient's pertinent past history, you should ask which of the following?
Have you ever had a reaction to a medication?
Could you describe what happerfd?
Have you been having any medical problems?
Are you currently taking any medications?
36
Which of the following is an example of a trade name?
NitroStat
Epinephrine
AIbuterol
Activated Charcoal
37
When managing a patient who may hurt himself or others, do all of the following EXCEPT:
watch for sudden changes in the patient's behavior
retreat if the patient becomes threatening
make sure only you and the patient are in the room
keep bystanders a safe distance away
38
Your patient swallowed many pills. She was alert but is now lethargic. What's the priority?
Finding out exactly what she took
Checking the patient's pupil size and reactivity to light
Notifying the facility of the change in mental status
Maintaining an open airway
39
Speaking about the importance of wearing flotation devices is an example of the following?
Water safety
Youth assistance program
Public education
Injury prevention for youth
40
Where are automatic implanted cardiac defibrillators typically placed?
In the upper left chest
In the lower left chest
In the lower right chest
In the upper right chest
41
Which patient is experiencing visceral pain?
PT complaining of cramps in the lower abdominal quadrants
PT complaining of rebound tenderness
PT complaining of abdominal pain 'all over'
PT complaining of severe left flank pain
42
Which of the following is NOT considered a sign of illness?
Rapid respirations
Rapid pulse
Chest pain
Sweaty skin
43
The elbow is ___ to the wrist
dorsal
proximal
inferior
medial
44
A weakened area of an artery that balloons out and may rupture
angina
asystole
angioplasty
aneurysm
45
Which of the following is NOT determined in a scene size-up?
Number of PTs
Cervical Spine Immobilization
Chief complaint
Proper PPE
46
Which of the following does NOT help the EMT minimize the chance of being named ina lawsuit?
Being a patient advocate
Malpractice insurance
Documenting Findings
Providing quality care
47
Which BEST illustrates an act of abandonment?
The EMT resuscitates a patient who has a DNR
An EMT transports PT to the ER but does not advise staff
An EMT who is off-duty does not stop to help an individual
An EMT begins care then turns the patient over to paramedics
48
Which of the following describes the sublingual route of drug administration?
Under the tongue
inhaled from a metered dose inhaler
injected into the thigh
swallowed whole, not chewed
49
What does the first leg of the Pediatric Assessment Triangle stand for?
Airway
Alteration of mental status
Assessment
Appearance
50
Patients in which age group tend to be very concerned with body image?
Early adulthood
Adolescence
Middle adulthood
Schoolage
51
Which of the following patients is a high priority for transport?
An adult male with difficulty breathing
An adult male with a headache
An adult male with sharp lower back pain
An adult male with dull abdominal pain
52
Child in respiratory distress. Presents swollen tongue, stridor, wheeze, hives. Condition?
Allergic reaction
Asthma
Anaphylaxis
Heat exhaustion
53
You hear wheezes while auscultating your patient's breath sounds...
There is fluid in the lungs
There is mucus in the air passages
The lower air passages in the lungs are narrowed
There is an upper airway obstruction
54
Where is the brachial artery located?
Abdomen
Groin
Arm
Neck
55
When responding to an attempted suicide, which of the following is the EMT's primary concern?
Contacting law enforcement since suicide is illegal
Determining whether the patient suffers from depression
Managing the patient's airway
Personal safety
56
If caring for a trauma patient who is in late adulthood, what must you must be concerned with
All of the above
Medications that may hide symptoms
Physical traits that make it difficult to spinally restrict
Decreased ability to perceive pain
57
Concerning aging, which of the following statements is NOT true?
Some elderly people have a low threshold for pain.
Many elderly patients have a high threshold for pain.
The diastolic blood pressure tends to rise with age.
The systolic blood pressure tends to increase with age.
58
During transport, where should the catheter bag be placed?
Lower than the patient, but not on the floor
Hanging from the ceiling of the ambulance
On the ambulance floor
In the patient's lap
59
Which of the following describes the midline of the body?
The intersection of 2 lines crossing at the umbilicus
A line dividing the body into equal right and left halves
A line dividing the body into a front and a back portion
The line dividing the body into a top and bottom portion
60
The process by which an EMT forms a field diagnosis is known as
critical thinking
clinical thinking
differential thinking
diagnostic thinking
61
On which of the following patients should a reassessment be performed?
A patient with chest pain
A patient with a gunshot wound
All patients, after lifesaving interventions
A patient having difficulty breathing
62
Which of the following is NOT a purpose of trending?
Allows the EMT to form a basis for accepting a refusal
Allows the EMT to see if the PT's condition is improving
Allows for determining the effects of an intervention
Allows a hospital to see how the PT has changed overtime
63
HIPAA requires ambulance services to do all of the following EXCEPT:
not disclose information to unauthorized persons
place patient care reports in a locked box
report suspected child abuse
safeguard patient confidentiality
64
On arrival c/c CVA, PT denies signs and symptoms, A&0x4, and moves all extremities well:
The patient suffered a cerebral vascular accident.
The patient is suffering from aphasia
The patient has had a subarachnoid hemorrhage.
The patient suffered a transient ischemic attack.
65
Which of the following is credited with developing the earliest emergency medical service?
French
Americans
Germans
Mayans
66
Which of the is the name given to the condition in which fluid accumulates in the lungs?
Dyspnea
Pulmonary edema
Chronic obstructive pulmonary disease
Pedal edema
67
When giving a radio report to the hospital, which of the following should be stated first?
The patient is having a heart attack
The patient has taken nitroglycerin
The patient is complaining of chest pain
The patient is a 55-year-old male
68
PT 49 Y/O male history of heart problems. Admin Nitro?
The patient's physician is on scene and advised you
The patient has taken 3 tablets on his own without relief
PT C/C dyspnea. blood pressure of no greater than 100 sys.
PT c/c chest pain and has a blood pressure of 132/90
69
At what point is the scene size-up complete?
At the end of the call
Upon stabilization of the c-spine
When the number of patients has been determined
When crashed vehicles have been stabilized
70
Checking lung sounds in at least six fields is part of the ________?
Rapid assessment
Initial assessment
Ongoing assessment
Detailed assessment
71
PT with OPA is beginning to regain consciousness..
Pull the airway out slightly
Spray a topical anesthetic into the throat
Turn the patient on her side and remove the airway
Use gentle manual pressure to keep OPA inserted
72
Patient is 59. He collapsed while working in the yard. Neighbor attempting CPR. What do you do?
Ask your partner to take over CPR from the neighbor
Apply the AED
Ask the neighbor to stop CPR so you can check pulse
Load the patient into the ambulance for further evaluation
73
Which of the following should NOT be done during defibrillation?
Shaving the chest before placing the defibrillation pads
Pressing the defibrillation pads firmly to the chest
Continued ventilation during the analysis phase
Performing CPR WHILE the AED is being attached
74
In which abdominal quad is the pancreas Iocated?
RLQ
RUQ
LUQ
LLQ
75
83 y/o female presents hip pain. You notice that pulse rate is irregularly irregular.
Check distal CSM and apply a pelvic wrap
Alert paramedics to respond
The irregularity is not a reason for concern
Contact med control to have the PT transported by helicopter
76
Which of the following is MOST helpful identifying an illness in an elderly patient?
When was the last time you had a bowel movement?
How do you feel today compared to last week?
How is your appetite?
Are you complying with your medications?
77
Which of the following is NOT an objective finding?
Vital signs
Patient's complaint of explosive diarrhea
Postion found
Age
78
Vehicle struck a power pole and there's a line down. The driver is awake and sitting..
Use a broomstick or other non-metallic rod to move the line
Determine if the fire department has any linemen's gloves
Instruct PT not to move. Contact the local power company.
Have the patient open the door and jump out
79
What is the primary reason for changing gloves between contact with patients?
To minimize the possibility of latex allergy
To prevent spreading infection to the next patient
To properly account for the items charged to each account
To protect oneself from becoming infected
80
When placing all fingers and the palm in contact with the object being lifted, you are using
Power lock
Power lift
Power grip
Lock grip
81
You are called to a campground for 3 patients c/c headache, dizziness, nausea, +AMS, cyanotic
food poisoning
bee sting
snake bite
carbon monoxide poisoning
82
Which must be treated by the EMT if present in a patient with an apparent behavioral emergency?
Suicidal thoughts
Acute alcohol intoxication
Hypoglycemia
Severe clinical depression
83
This type of metabolism is created with a balance of adequate oxygen and nutrients.
Aerobic
Anaerobic
Hypoxic
Homeostatic
84
While developing a diagnosis, when should the EMT treat life threats found in the primary?
When a threat is found
After the EMS diagnosis
At the end of the primary assessment
After the differential diagnosis

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