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