stud
bud
Sign up
Log in
Home
Library
Explore
SAT
More
EMT NYS STUDY GUIDE Flashcards | StudBud
Explore
/
EMT NYS STUDY GUIDE
EMT NYS STUDY GUIDE
93 terms
·
StudBud Administration
·
135 plays
Imported from external platform
Flashcards
93 cards
F
Practice quiz
P
Host live
L
Questions
93
Answers
1
Which one of the following statements regarding burns is INCORRECT?
Full thickness burns involving hands, feet or face and critical
Burn in patients with heart conditions should be critical
Chemical antidotes should never be used to neutralize burns of eyes
Electric burns usually cause insignificant damage to soft tissues
2
Appropriate action to take when you MUST apply restraints to psych patient, is to remove straps :
when the patient appears rational
when directed by a physician at the hospital
if the patient complains of discomfort
when the patient calms down
3
In the initial assessment of a conscious pt, EMS provider must attend to pt’s emergency needs in order of:
respiration, bleeding, and pulse
airway, respiration, pulse
airway, pulse, respiration, and bleeding
pulse, bleeding, and respiration
4
A 25-year old woman is in active labor. The umbilical cord is presenting through the vagina. You would:
Place mother in supine position w/ hips elevated, oxygen, transport
try to replace the cord in the vagina, keep the mother flat, and transport
massage the uterus and time the contractions
gently pull on the cord to facilitate normal birth, and administer oxygen
5
Which one of the following measures is NOT part of the Initial Assessment of an accident victim?
Manual stabilization of the cervical spine
Taking patient history
Suctioning of the airway
Assessing the pulse quality
6
All of the following statements concerning sudden infant death syndrome (SIDS) are true EXCEPT:
it is preventable if parents are more attentive to their children
If infant shows signs of obvious death, EMS should help family with grief
If EMS provider arrives shortly after infants arrest, do CPR
Defined as death of infant that is sudden, unexpected and unexplainable
7
The oropharyngeal airway will help keep the tongue away from the:
Posterior larynx
Nasal passage
posterior pharyngeal wall
Epiglottis
8
Treatment for excessive vaginal bleeding following delivery is to:
apply direct pressure to the vagina
pack the vagina with gauze pads
hold the mother’s legs together in order to stop the bleeding
massage the mother’s uterus
9
EMS provider called to scene where victim has sustained electric burns. Important for EMS provider to:
administer oxygen to the patient via nasal cannula
check the patient for entry and exit wounds
immediately pull the patient from the electrical source
immediately connect the patient to an automated external defibrillator
10
When the spinal cord is severed above the fifth cervical vertebrae, paralysis is likely to occur in:
all extremities
the lower extremities only
one extremity only
the upper extremities only
11
Which of the following is an example of a symptom?
Cyanosis
Dilated pupils
Low blood pressure
Chest pain
12
When spinal injuries are suspected, the EMS Provider should FIRST:
hyperextend the neck to secure the airway
apply an extrication collar
determine the extent of paralysis
Apply manual stabilization and secure the airway
13
During breach delivery, what should you do if the baby’s head is not delivered after the body?
Apply pressure over the mother’s lower abdomen
With a gloved hand, establish an airway for the baby
Place the mother in an exaggerated shock position
Gently pull the baby out of the vagina
14
To extricate patient from automobile with suspected spinal injury which mechanical aid should be used first:
Extrication collar
Soft cervical collar
Short backboard
Long backboard
15
Assisting in emergency childbirth. Baby’s head is completely emerged and supporting it with one hand. At this point you:
Should gently pull in baby’s head to ensure complete delivery
Should Remove cord if it’s wrapped around baby’s neck and suction mouth
apply pressure to baby’s head to avoid explosive delivery of shoulders
turn the baby’s head to one side to assist in delivery of the shoulders
16
A patient with acute respiratory distress requiring oxygen therapy is LEAST likely to exhibit:
Anxiety
Nasal flaring
a slow pulse rate
Intercostal muscle retractions
17
When a patient is stable, the EMS Provider should repeat the ongoing assessment every:
10 minutes
15 minutes
5 minutes
20 minutes
18
Due to relatively large size of the head, spinal immobilization for infants and children should include padding of the:
Neck
Head
Shoulders
Hips
19
Patient with suspected lumbar spinal injury; best device to use for moving pt as single unit over uneven terrain is the:
Long spine board
Short spine board
Wheeled stretcher
Flexible stretcher
20
In triage, which of the following injuries would be considered to have the HIGHEST priority?
Burns, major multiple fractures, spinal injury, compensated shock
Diabetic complications, open fractures, avulsed fingers
Decapitation, cardiac arrest, spinal injuries
Severe uncontrolled bleeding, open abdominal wounds, severe head injuries
21
EMS provider clamped and cut umbilical cord following delivery, notices blood at end attached to baby. Most appropriate:
place a sterile dressing over the bleeding site
remove the clamp and relocate it along the cord closer to the baby
accept the bleeding as a normal occurrence
apply another clamp as close to the original as possible
22
Treating 35 year old trauma patient; palpate strong radial pulse of 100. Partner took pt’s bp and advised its 68/32:
treat the patient for hypertension immediately
accept the reading as accurate
suspect the accuracy of the pressure reading and reevaluate it yourself
ask your partner to take the blood pressure reading again in 15 minutes
23
If you suspect that a patient is a victim of child abuse, you should:
notify the local child protective agency and complete the DSS form
avoid reporting these suspicions in the absence of definitive proof
question the parents about these suspicions
report your findings to the local police department
24
One reason for using the automated external defibrillator is to:
Repair damage from myocardial infarction by delivering shock to patient
restore regular breathing in a non-breathing patient
prevent extensive brain damage in a patient who has had a CVA
detect a shockable rhythm in a patient
25
65-year-old male, involved in two car MVC. He complains of chest pain when breathing and tenderness of sternum. INITIAL
administering high-concentration oxygen
positioning the patient on his side
stabilizing the sternum
Administering the patient’s prescribed nitroglycerin
26
The pre-hospital care report (PCR) is considered to be
a research document only
a part of the patient’s hospital chart
a matter of public record
inadmissible in a court of law
27
Immediately after delivering an initial shock to a patient, the EMS Provider should:
Perform compressions
Check for pulse
Check blood pressure
Give two ventilations
28
During single-rescuer CPR, which of the following ventilation devices would be MOST EFFECTIVE for ventilating a patient?
Bag-Valve Mask without oxygen
Non-rebreather mask
Pocket mask with oxygen
Flow-restricted, oxygen-powered, ventilation device (FROPVD)
29
The “A” in the mnemonic AVPU, as it relates to patient assessment, stands for:
Airway
Awake
Alert
Allergy
30
Operator of emergency vehicle must remember NYS Vehicle and traffic law grants all privileges to EMS vehicles except:
driving the wrong way on a one-way street
absolute right-of-way
proceeding through a red light
passing other vehicles in a no-passing zone
31
In a child, all of the following are signs of respiratory failure EXCEPT:
crying
limp muscle tone
cyanosis
slow heart rate
32
Which of the following is a sign associated with a patient with a history of diabetes who has an altered mental status?
Warm, dry skin
Flushed face
Slow pulse
Drunken appearance
33
Which of the following is/are the MOST IMPORTANT personal safety item(s) while responding to an emergency call?
Goggles or safety glasses
Seat belt and shoulder harness
Reflective clothing
Hard hat or protective helmet
34
Which of the following statements regarding the basic anatomy of the developing fetus is correct?
the afterbirth is another name for amniotic sac
the umbilical cord connects the fetus directly to the uterus
the fetus develops inside the placenta
the fetus receives oxygen and nutrients from the placenta
35
A diabetic emergency with a rapid onset is due to
Excessive fluid intake
Excessive food intake
Too much insulin
Too little insulin
36
While performing ventilations on an infant or a child in respiratory arrest, you should ventilate once every:
6-8 seconds
3-5 seconds
1-2 seconds
9-10 seconds
37
To control a nosebleed in a patient WITHOUT suspected spinal trauma, the EMS Provider should:
apply tepid compresses to the patient’s face and nose
have the patient positioned forward with the head between the legs
have the patient sit upright with the head tilted backward
Pinch patients nostrils together and sit patient leaning forward for drain.
38
A correct statement about diastolic blood pressure is that it is the pressure:
that exists when the heart’s left ventricle is refilling
caused by the relaxation of the walls of the major arteries
due to the contraction of the ventricles of the heart
caused by the contraction of the atria of the heart
39
Which of the following is an effective method of quickly assessing the circulatory status of a pediatric trauma victim?
Completing the AVPU scale for this patient
Squeezing the patient’s finger to check capillary refill
Listening to the patient’s heart with a stethoscope
Taking the patient’s blood pressure on each arm
40
Which of the following are the signs of a severe allergic reaction?
Decreased blood pressure, itching, swelling, difficulty breathing
Decreased blood pressure, rapid strong pulse, heavy breathing
Pain in the chest, rapid strong pulse, pallor, sweating
Rapid strong pulse, increased blood pressure, pallor, sweating
41
The purpose of the first set of vital signs is to
determine all that is necessary for the pre-hospital care report (PCR)
establish a baseline for additional evaluations
fully assess the patient’s condition
accurately measure the patient’s status
42
Male pt w/ penetrating chest wound, frothy bright red blood at mouth. After sealing chest wall breathing becomes worse:
administer pure oxygen to aid respiration
administer positive-pressure ventilation immediately
lift one corner of the dressing
immediately place the patient on his uninjured side
43
EMS provider treating a patient with a head injury resulting from blow by baseball bat, what other problems are likely:
Spinal injuries
Hypothermia
Hypertensive shock due to blood loss
Lung collapse
44
Patient bitten by rattlesnake on arm, which of the following actions should be taken while transporting patient?
Place an ice pack over the site of the bite
Place a hot pack over the site of the bite
Place the site of the bite below the level of the patient’s heart
Exercise the arm with the bite
45
While assessing the MOI at a MVA, EMS provider finds airbag was deployed, the EMS provider should:
disconnect the battery
decontaminate the patient
lift the airbag and check underneath for damage
remove the airbag
46
After you have determined that the scene is safe, the FIRST step in caring for a patient is to:
open the airway
Check for breathing
check for a carotid pulse
Determine unresponsiveness
47
A patient was pulled from a house fire and has burns involving arms, chest and back. You should FIRST:
remove burned clothes that adhere to the skin
assess for airway and respiratory distress
determine the percentage of burn area and apply moist dressings
Cover burn area w/ sterile sheet and treat for hypoperfusion(shock)
48
Which condition commonly found in children; symptoms: fever, diarrhea, vomiting and sunken eyes?
Hypoglycemia
Seizures
Dehydration
Croup
49
When the bone ends of a joint are out of place, the injury is called a:
Strain
Sprain
Dislocation
Fracture
50
Before assisting patients in taking their own nitroglycerin, an EMS Provider must check the:
physician’s name
prescription date
color of the tablet
expiration date
51
Im performing ongoing assessment to 10 yr old pedestrian struck by Motor vehicle, EMS providers first step is to:
repeat the Primary Assessment
recheck the patient’s vital signs
check the interventions
repeat a rapid assessment
52
Sugar passes from the blood to the cells with the aid of a chemical substance known as:
Insulin
glucose
Oxygen
Dextrose
53
Which one of the following is the medical term for a low-blood-sugar condition?
Hypervolemia
Hypoglycemia
Hyperglycemia
Hypovolemia
54
Infants are obligate nose breathers until approximately 6 months of age, which means that they:
may suffer respiratory distress if their noses become obstructed
should never be given oxygen by a nasal cannula
are at high risk for dying of SIDS
Should never be placed on their stomachs for sleeping
55
Which of the following is the best indicator of the quality of ventilations?
chest expansion
Pupil size
Skin color
Blood pressure
56
The treatment for a trauma victim who has sustained a hip joint injury is to:
apply an air splint
apply padded board splints and a long spine board
attempt to replace the hip to its socket
apply a traction splint to the injured leg
57
Rhythms shockable by an automated external defibrillator include ventricular fibrillation and:
asystole
supraventricular tachycardia
ventricular tachycardia
sinus tachycardia
58
In a HEALTHY person, respiration is controlled by the level of:
Carbon monoxide
Oxygen
Blood sugar
Carbon dioxide
59
Implied Consent exists when a patient is suffering from a life-threatening injury or illness and is:
Under 18 years of age
Unconscious
A threat to himself/herself and others around him/her
Under police custody
60
Upon arrival of MVA, EMS provider should immediately asses scene for safety, determine # of pts and MOI, and:
request helicopter response
set up triage and staging areas
take body substance isolation precautions
get the names of witnesses
61
Which following instructions applies to performance of mask-to-stoma ventilation on person who has COMPLETE laryngectomy
Neither the nose nor the mouth must be sealed off
the nose and mouth must be manually sealed off
the nose must be sealed off
perform head-tilt / neck-lift maneuver to open the airway
62
When you take the pulse of a patient, you are really:
noting the heartbeats in the column of blood in a large vein
counting the pressure waves of blood that the heart sends through an artery
Feeling swelling of vein as each wave of blood passes back to heart
Feeling vibration of heart muscles as they push blood through blood vessels
63
What acute disorder of the cardiovascular system is caused by a sudden blockage of the coronary arteries?
Chronic heart failure
Angina Pectoris
Myocardial Infarction
Stroke
64
You are treating a patient who is complaining of chest pain and difficulty breathing. You should have the patient lie:
on his/her back with head elevated and take fast shallow breaths
In a coma position
in whatever position feels most comfortable
flat and take slow deep breaths
65
All of the following conditions can lead to hypoperfusion (shock) EXCEPT:
loss of fluid volume
Decreased cardiac output
increased fluid volume
dilated blood vessels/pooling blood in the extremities
66
Any physical examination of a patient should begin with:
Palpation
inspection
manipulation
Stabilization
67
58 yr old man develops chest pain suddenly & shortness of breathe. Appears frightened , vomits, has cool, clammy skin:
heart attack
fatigue
heat exhaustion
hiatal hernia
68
The chamber of the heart that is the most muscular and that pumps blood into the aorta is the:
Right ventricle
Right atrium
Left atrium
Left ventricle
69
Assessing patient who complains of difficulty breathing. Which following will CONFIRM patient isnt getting enough oxygen
constricted pupils
fingernail beds that are pink in color
the smell of nail polish remover on the patient’s breath
the use of accessory muscles while breathing
70
A nitroglycerin patch discovered on the chest of a 75-year-old patient in cardiac arrest should:
remain on the chest during defibrillation
be used on a conductive medium
be ignored
be removed prior to defibrillation
71
The MOST COMMON cause of seizures in children is:
airway obstruction
epilepsy
fever
head injury
72
If life threatening conditions are identified during focused history and physical examination, EMT should IMMEDIATELY:
take a set of vital signs
repeat the Initial Assessment
provide life-saving interventions
begin transportation efforts
73
Autoinjectors should be administered in the
medial aspect of the humerus
hollow of the elbow
lateral thigh, midway between the waist and the knee
mouth by spraying the contents
74
Adult suffered partía thickness burns over ches, abdomen, back, buttocks and right arm. What percentage is burned
54%
45%
36%
27%
75
If the baby’s head has been delivered and the amniotic sac is still intact, the EMS provider should:
strip the entire sac away from the baby’s body during delivery
puncture the sac and remove the membrane from the baby’s mouth and nose
remove the sac after the baby has been delivered
rush the baby and the mother to the hospital
76
40 yr old has difficulty breathing. You determine airway is open and AMS. Respirations are 8 and shallow. MOST IMPORTANT
assess the use of accessory muscles while breathing
watch the patient carefully and obtain vital signs
assist patient’s respiratory efforts with high-concentration oxygen, w/ BVM
Ask family or patients if there is history of chronic obstructive lung dis
77
In rescuing a diving accident victim from a swimming pool, the EMS Provider’s FIRST action is to:
Immobilize victims entire spine as soon as victim is removed from water
Immobilize victims entire spine before removing victim from water
be sure that the victim’s neck is hyperextended
lay the victim on a flat surface immediately
78
A severe heat emergency is characterized by
Cool, dry skin
Hot, moist skin
Cool, moist skin
Hot, dry skin
79
When treating an injured child suspected of being a victim of child abuse, your PRIMARY responsibility is to:
assess and provide appropriate care
ask the child if he/she has been abused
immediately notify the police
tell the parents you suspect child abuse
80
If unable to find a patients peripheral pulse during initial assessment, the next step should be :
turn on the automated external defibrillator
palpate the carotid pulse
open the airway and insert an oropharyngeal airway
check breathing and begin CPR
81
In the emergency care of extremity injuries, a splint should be applied because:
if left out of alignment, the bone ends might grow together crookedly
splinting will permit a limited use of the broken limb
this will promote immediate healing
immobilization lessens pain and avoids further damage to tissues
82
A localized closed soft-tissue injury characterized by swelling and bruising is called a/an:
Contusion
Abrasion
Avulsion
Laceration
83
The treatment for an unconscious patient with generalized hypothermia would be to:
rapidly rewarm the victim, using external heat sources
attempt to administer warm fluids by mouth
prevent further heat loss and transport gently
exercise the patient’s extremities to improve blood circulation
84
In people whose skin is darkly pigmented, cyanosis is BEST seen by observing:
Face
Scalp
Earlobes
Under the tongue
85
Which of the following BEST describes an evisceration
The exit wound of a bullet
Bowel loops protruding through the abdomen
A hand severed from the arm
Part of the earlobe dangling from the rest of the ear
86
How would you describe bleeding from a vein?
Bright red, spurting
Dark red, spurting
Bright red, flowing steadily
Dark red, flowing steadily
87
62 yr old male complaining of difficulty breathing. Left arm pain radiate to jaw. BP=90/60 P=120 R=24. Administer:
Low concentration oxygen; place in position of comfort to ease breathing
High concentration oxygen; placed in position of comfort to ease breathing
high-concentration oxygen; should be positioned with legs raised
low-concentration oxygen and should be placed lying down
88
What should you do FIRST for a victim who shows signs of an injured shoulder?
Manually stabilize the injury site
Cushion the injury
Check for a proximal pulse
Apply traction promptly
89
The opposite of distal is:
Proximal
Medial
Superior
Lateral
90
During Initial Assessment, trauma patient complaining loudly of leg pain, you should:
Assess leg immediately
Begin to obtain history
Continue with you initial assessment
Discontinue initial assessment and start the detailed physical examination
91
Adult patient should be suctioned for NO LONGER THAN:
25 seconds
20 seconds
15 seconds
5 seconds
92
In correct sequence, from the head to the feet, the names of the groups of vertebrae are the:
cervical, thoracic, lumbar, sacral, and coccygeal
cervical, lumbar, thoracic, sacral, and coccygeal
cervical, thoracic, sacral, lumbar, and coccygeal
cervical, lumbar, sacral, thoracic and coccygeal
93
Child drank unknown fluid. Arrive and notice these signs: mouth and lips burned and child is coughing and gagging. You :
Should administer activated charcoal and induce vomiting
Should administer syrup of ipecac and activated charcoal
Should call the medical or poison control center for advice
Should administer syrup of ipecac