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