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All 111P Quiz Questions

All of the following processes take place in the uterus, EXCEPT?

Fertilization

Cervical spondylosis is a degenerative change in the cervical spine that causes:

narrowing of the spinal canal and pressure on the spinal cord

Common causes of bradycardia include?

Beta blocker use

Many veteran EMS providers have embraced a leadership role in primary injury prevention after?

witnessing too many episodes of needless suffering

Prior to unloading a patient from the ambulance, you should:

ensure that the patient is secured to the stretcher

Q. A size 3 or 4 LMA:

will accommodate the passage of a 6.0mm ET tube

The second impact that occurs when an adult pedestrian is struck by a motor vehicle would MOST likely result in injuries to the:

pelvis and chest

When communicating with a patient whose cultural background differs from the paramedics, it is MOST important for the paramedic to?

treat the patient with utmost respect at all times

Which of the following statements regarding selective serotonin reuptake inhibitors (RRSIs) is most correct?

SSRIs have fewer anticholinergic and cardiac effects than tricyclics.

Your entire assessment of a patient should:

Appear to be a seamless process

An endogenous ligand is?

a molecule that is produced by the body and binds to a receptor

Fall-related fractures in the elderly occur MOST often to the ___, usually in patients with underlying:

hip, osteoporosis

Gathering a patient's medical history and performing an in-depth physical examination should occur:

Once the initial assessment and correction of life threats is completed

Nerve agents block ___, an essential enzyme of the nervous system.

cholinesterase

Q. The MOST effective way to minimize the risk of hypoxia while intubating a child is to:

limit your intubation attempt to 20 seconds.

The 6-second method for calculating the rate of a cardiac rhythm?

Involves counting the number of QRS complexes in a 6-second-strip and multiplying that number by 10.

The volume of plasma in an adult with a total blood volume of 6.5 liters is approximately?

6.5x0.55 = 3.6L

What is the target heart rate for a 35 yo man with a resting heart rate of 75 bpm?

152 beats/min

When a patient takes the "up and over" pathway during a head-on collision:

the anterior part of the neck may strike the steering wheel, resulting in a fractured larynx

Women who have had a cesarean section?

Can have a normal vaginal delivery

A key part of making your practice of prehospital care successful is for you to:

Develop and cultivate your own style of assessment and an overall strategy for evaluating and providing care for the patients you will encounter in the unique and varied circumstances in the field setting

According to the START triage system, if a patient has a strong radial pulse, you should:

control bleeding and assess mental status

At 2 months of age, an infant should be able to?

track objects with his or her eyes

Delirium is MOST accurately defined as:

an acute alteration in mentation that indicates an underlying condition

Q. Patients with decompensated asthma or COPD that require positive-pressure ventilation:

may develop a pneumothorax or experience a decrease in venous return to the heart if they are ventilated too rapidly

Sudden deceleration of a motor vehicle that is traveling at 60 mph:

dissipates tremendous forces and causes major injuries

The primary component of the immune system is the?

Leukocyte

When dispatched to a residence for an injury involving a pregnant woman, you should?

Be alert for evidence of abuse

You have been attempting resuscitation of a middle-aged woman for approximately 15 minutes; however, she has not responded to any of your treatment. There is no evidence of hypothermia or drug ingestion, and the cardiac monitor shows asystole. You should?

consider terminating your resuscitative efforts

You receive a call to a skilled nursing facility for an elderly man with generalized weakness. The patients nurse tells you that he has not eaten anything in the past 18 hours. She presents you with his chart, which states that he has a history of atrial fibrillation, CHF, and hypertension. His medications include Vasotec, digoxin, and Warfarin. As you apply the cardiac monitor, your partner takes the patients vital signs, which reveal a blood pressure of 136/76 mmHg, a rapid and irregular pulse, and respirations of 22 breaths/min. The ECG reveals atrial fibrillation with a variable rate between 110 and 130 beats/min, and a 12-lead ECG tracing reveals the same. After applying supplemental oxygen, you should?

Start an IV line to keep the vein open, administer diltiazem, and transport.

* If a patient sees you as someone with whom it is safe to be, who does not pose a threat, and who honestly cares, then he or she will most likely?

be reassured that you will handle the crisis

Fluid-refractory hypotension following a barbiturate overdose is treated MOST effectively with?

Dopamine

In prehospital care, the priorities of evaluation and treatment are based on:

The degree of threat to the patient's life

Level ___ personal protective equipment would MOST likely be worn during the transport of patients with the potential of secondary contamination.

C

Q. Which of the following statements regarding translaryngeal catheter ventilation is MOST correct?

ventilation is achieved by the use of a high-pressure jet ventilator

Resting tremor of an extremity and bradykinesia are associated with:

Parkinson's disease

The greatest amount of kinetic energy would be created if a ___ pound driver struck a tree while traveling at ___ mph.

150, 40

Torsades de pointes?

Is a variant of polymorphic ventricular tachycardia and is often caused by a prolonged Q-T interval.

Which of the following assessment parameters is MOST difficult to interpret when a pregnant woman is injured?

pulse rate

With regard to injury prevention, effective educational techniques include all of the following EXCEPT?

penalties

A person taking beta blockers or calcium channel blockers would MOST likely present with:

a slower than usual heart rate

Hypertrophic cardiomyopathy is characterized by?

enlargement or thickening of the heart muscle

Myocardial ischemia occurs when the heart muscle?

Is deprived of oxygen because of a blocked coronary artery.

Q. Approximately how far should you insert a 5.0mm ET tube in a 4-year-old child?

15 cm (diameter x 3)

The dome-shaped top of the uterus is called the?

fundus

The permissible exposure limit (PEL) of a given chemical is the:

maximum concentration of a chemical that a person may be exposed to under OSHA regulations

When chlorine gas comes in contact with the body's mucous membranes, it forms?

Hydrochloric acid

Which of the following injuries would MOST likely require transport to a level 1 trauma center?

Two or more proximal long bone fractures

Which of the following is NOT a part of your overall job as a paramedic?

Always remember that your overall job as a paramedic is to quickly identify your patient's problem(s), set your care priorities, develop a patient care plan, and quickly and efficiently execute the patient care plan.

Which of the following statements regarding ethics in the workplace is MOST correct?

off-duty misconduct on the part of the paramedic may lessen the public's confidence of EMS in general

A decreased number of pacemaker cells in the sinoatrial node would MOST likely contribute to a decline in cardiac output secondary to:

bradycardia

Atrial kick is MOST accurately defined as?

20% of ventricular filling caused by atrial contraction.

Complications in a pregnant woman with cystic fibrosis are usually the result of?

reduced pulmonary function

Muscle cramps and paresthesias in a malnourished patient with alcoholism are most likely the result of?

hypocalcemia

Q. Wheezing is resolved with medications that:

relax the smooth muscle of the bronchiole

Signs and symptoms of marijuana use include all of the following, EXCEPT?

Decreased appetite

The most significant fall occurs from a height greater than:

15 feet

When determining whether a patient is sick, your MOST effective tool is often:

A quick visual assessment based on the chief complaint, respiration's, pulse, mental status, and skin signs and color.

You are dispatched to a residence for a 50-year-old woman with respiratory distress. While you are assessing the patient, she tells you that she began experiencing flu-like symptoms 4 days ago, shortly after delivering mail on the rural mail route for which she is responsible. Due to her illness, she has been unable to return to work. Her blood pressure is 90/50 mmHg, pulse rate is 120 beats/min, and respirations are 26 breaths/min and labored. Auscultation of her breath sounds reveals the presence of coarse crackles. This patient has MOST likely been exposed to:

anthrax

You arrive at the scene of an injured person. As you and your partner approach the patient, you see that he is bleeding profusely from a large laceration to his neck. As you are about to begin care, a man walks up and states, "I cut him!" You should?

retreat from the scene to a safe area and immediately notify law enforcement

___ is the process in which individual units or different organizations make independent decisions about the next appropriate action.

freelancing

A person wishes to be an organ donor. He or she must?

have witnessed informed consent, usually in writing

Approximately one third of the body's platelets:

are stored in the spleen.

During an explosion, secondary blast injuries occur when:

the patient is struck by flying debris, such as shrapnel

Hypertensive emergencies in the geriatric population:

require a controlled decline in blood pressure that often cannot be achieved in the prehospital setting.

Q. An elderly woman with COPD presents with peripheral edema. The patient is conscious but agitated. She is breathing with slight difficulty but has adequate tidal volume. During your assessment, you note that her jugular veins engorge when you apply pressure to her right upper abdominal quadrant. She tells you that she takes a "water pill" and Vasotec for high blood pressure. You should:

suspect acute right heart failure and administer oxygen

Regardless of what a patient asks, the paramedic should?

immediately acknowledge what the patient asked

Which of the following clinical findings is LEAST suggestive of a peripheral vascular disorder?

An S3 sound during auscultation of the heart.

Which of the following medications would MOST likely be used in the prehospital setting to treat some women with severe premenstrual syndrome?

glucose and fentanyl

You are in the BEST position to decide what, if any, care needs to be provided at the scene versus en route to the hospital once you:

Have qualified whether your patient is sick or not sick, and then you must quantify how sick the patient is.

A do not resuscitate (DNR) order is MOST accurately defined as a?

written order designed to tell health care providers when resuscitation is or is not appropriate

Elderly patients experience a slower physiologic response to hypoxemia and hypercarbia because of:

decreased sensitivity to changes in arterial blood content

Q. Digital intubation is absolutely contraindicated if the patient:

is unconscious but breathing

Which of the following general statements regarding trauma is MOST correct?

Blunt trauma is difficult to diagnose by paramedics in the field and is often more lethal than penetrating trauma

Which of the following statements regarding growth spurts in adolescents is most correct?

boys generally experience this stage of growth later in life than girls do

Which of the following statements regarding the use of vasopressin in cardiac arrest is MOST correct?

A one-time dose of 40 units of vasopressin may be given to replace the first or second dose of epinephrine.

Which of the following would be of LEAST value when trying to determine the type of hazardous material a commercial tanker truck is carrying?

waybill

With hyperbaric oxygen therapy, carbon monoxide is typically eliminated from the body within:

15 to 20 minutes

You are assessing a 36-year-old woman who is in the 33rd week of her pregnancy. The patient complains of bright red vaginal bleeding, but denies abdominal pain or cramping. She tells you that she felt her baby move about 5 or 10 minutes ago. Fetal heart tones are audible at a rate of 130 beats/min. Gentle palpation of her abdomen reveals that it is soft and nontender. Which of your assessment findings is MOST suggestive of placenta previa?

absence of abdominal pain

You will MOST likely make your field diagnosis of a patient based on the:

Patients history and chief complaint.

* Touching a conscious elderly patient in a nursing home without his or her permission?

is nonverbally communicating, "You are not important enough or mentally competent enough to be asked for permission."

A 22-year-old man experienced an acid chemical burn to his left forearm. He complains of intense pain and tingling in his fingers. He is conscious and alert, and denies any other symptoms. You should:

begin immediate irrigation with water

In contrast to stress incontinence, urge incontinence is triggered by:

cold fluids

Mittelschmerz is MOST accurately defined as?

unilateral abdominal pain and cramping that occurs during the ovulatory process

Normally, the S-T segment should be?

At the level of the isoelectric line.

Q. Apneustic breathing is characterized by:

short, brisk inhalations with a long pause before exhalation

The motor oil level of the ambulance:

should be checked prior to starting the engine

The paramedic must make a field diagnosis in order to:

Get the info needed to make the best decisions for your patient.

When returning your unit to service following a call, the responsibility of ensuring that the unit is restocked and ready for another call rests with?

everyone on the EMS team

Which of the following will be of MOST benefit in helping the paramedic predict the type of injuries that a patient experienced?

Mechanism of injury

Decreased elasticity of the lungs and calcification of the costochondral cartilage results in:

an increase in residual lung volume

Gestational diabetes is caused by?

increased insulin production and decreased cellular sensitivity to insulin

In sinus bradycardia, the?

Pacemaker site is the SA node.

Lithium is MOST commonly used to treat patients with:

bipolar disorder

Q. Patients with pneumonia often experience a coughing fit when they roll from one side to the other because:

pnuemonia often occurs in the lung bases, typically on only one side

The preferred initial method for disentangling a patient who is trapped between the seat and steering wheel involves:

trying to slide the seat back on its track

The shock wave velocity from an explosion is slower and its duration is longer if a person is:

farther from the explosion

What instructions or guidance would an emergency medical dispatcher (EMD) MOST likely provide to a caller?

controlling bleeding and performing CPR

Which of the following statements regarding renal function in older adults is most correct?

aging kidneys respond less efficiently to hemodynamic stress

Which of the following statements regarding the patient assessment process is correct?

(all correct) Ask questions relevant to the patients chief complaint. Think of the assessment as a "fluid process". As the patient interview unfolds, you need to be able to change the sequence of your questioning as the situation or patients condition dictates.

A properly worn motorcycle helmet will:

not protect the cervical spine

Although the technicalities of EMS DNR orders vary from state to state, the all?

are designed to tell EMS providers when resuscitation is or is not appropriate

Broadly speaking, the finance section chief is responsible for:

documenting all expenditures at an incident and seeking reimbursement

Epinephrine is used to treat patients in anaphylactic shock because of its effects of?

Bronchodilation and vasoconstriction.

In contrast to infants, toddlers?

have a slower respiratory rate

On most runs, the two MOST important pieces of patient history information that you need to obtain initially are the:

Patient's Name and Chief Complaint

Q. Intubation of a patient with severe asthma:

is often a last resort because asthmatics are difficult to ventilate and are prone to pneumothoraces

Red blood cell production is stimulated by a protein secreted by the:

kidneys

Which of the following conditions is characterized by a lack of progesterone and increased androgen levels, and can lead to hypertension and cardiac problems?

polycystic ovaries

Which of the following is NOT a predisposing risk factor for trauma in the elderly?

Decreased body water

* Conveying calm, unmistakable, genuine concern for someone you've never met before is the most essential challenge as a/an?

therapeutic communicator

After determining that the scene is safe, the FIRST step in approaching a patient is to:

Introduce yourself and to explain that you are a paramedic

An electrical impulse is slightly delayed at the AV node so that the?

Atria can empty into the ventricles.

During normal menstruation, approximately ___ to ___ mL of blood is discharged from the vagina?

25, 65

Lap belts that are worn alone and high by a pregnant woman:

allow enough forward flexion and subsequent compression to rupture the uterus

Q. Which of the following is NOT performed before, during, or after insertion of a nasogastric (NG) tube in a conscious patient?

keeping the patients head in a flexed position during insertion of the tube

The BEST example the paramedic can set with regard to injury prevention is?

taking care of himself or herself and serving as a role model for others

Which of the following cardiac dysrhythmias is associated with the HIGHEST risk of stroke?

Atrial fibrillation

Which of the following is NOT a common sign of lead poisoning?

Hypotension

Which of the following is NOT a pre-incident indicator of terrorism?

there is a report of a loud explosion

A cardiac patient with respiratory distress should be assumed to be experiencing?

Heart failure with pulmonary edema.

Asking the patient about the date, time, location, and events surrounding the current situation will enable you to:

Determine if the patient is (A&Ox4) Alert to Person, Place, Time and Event

During the attempted resuscitation of a 79 yo man in cardiac arrest, a young man arrives at the scene and asks you to cease resuscitative efforts. He further tells you that the pt has entrusted him to make all of his medical decisions. You should?

continue full resuscitative efforts and ask the man if the pt has a living will and if he has documentation naming him as the person authorized to make decisions

Eye-to-eye contact with a patient communicates?

honesty and concern

Hematologic manifestations of lead poisoning include:

anemia

If a person survives the initial trauma from a shotgun wound at a close range:

contaminants that were driven into the wound can cause a severe infection

Q. The cricothyroid membrane is the ideal site for making a surgical opening into the trachea because:

no important structures lie between the skin covering the cricothyroid membrane and the airway

Requesting a hazardous materials (Haz-Mat) team as early as possible to a scene involving a weapon of mass destruction is MOST important because:

it takes time for the Haz-Mat team to assemble their personnel and equipment

Risk factors for pelvic inflammatory disease (PID) include all of the following, EXCEPT?

monogamy

The social assessment component of the GEMS diamond includes:

determining if activities of daily living are being provided by another person

* When cells are hypoxic for more than a few seconds?

they produce substances that may damage other local or distant body systems

A 55-year-old man complains of severe pain between his shoulder blades, which he describes as "ripping" in nature. He tells you that the pain began suddenly and has been intense and unrelenting since its onset. His medical history includes HTN; however, he admits to being noncompliant with his antihypertensive medication. Which of the following assessment findings would MOST likely reinforce your suspicion regarding the cause of his pain?

Difference in blood pressure between the two arms.

During third trimester vaginal bleeding?

the mother may lose as much as 40% of her blood volume before significant signs of hypovolemia occur

Older men often experience difficulty urinating because of:

urethral pressure from an enlarged prostate

People who call 911 at the moment of a loved one's death MOST often needed?

information and support

Q. Intrapulmonary shunting occurs when:

nonfunctional alveoli inhibit pulmonary gas exchange

The recommended dose and method for administering naloxone to a patient who overdosed on a narcotic and is unresponsive and hypoventilating is:

2 mg injected slowly until the patient's respirations improve

When a patient presents with two seemingly unrelated complaints, it is MOST important for the paramedic to determine:

If the two complaints are related. If they are not related, which one will take priority.

When a person falls from a significant height and lands on his or her feet, axial loading results in:

compression or burst fractures to the lumbar spine

Which of the following medications would be the LEAST likely to cause hypotension?

toradol

A critical incident is MOST accurately defined as?

an incident that overwhelms the ability of an EMS worker or system to cope with the experience, either at the scene or later

A helicopter landing zone should be:

100 feet by 100 feet in size, and on a surface that is firm, level, and free of debris

An elderly person is more likely to sustain serious injury following trauma due to:

brittle, demineralized bone

Following a head-on collision of a motorcycle and a truck, the motorcyclist would MOST likely experience initial injury to the:

femurs and tibias

Prehospital treatment for a patient who overdosed on aspirin would MOST likely include:

sodium bicarbonate

Q. What function do the nasal turbinates serve?

warming and humidifying inhaled air

The history of present illness is MOST accurately defined as:

A clear sequence and chronologic account of the patient's sign and symptoms, that is, what happened and when.

There is evidence that a 21-year-old woman was given Rohypnol before being raped. She presents with alcohol on her breath, drowsiness, and memory loss. Her blood pressure is 98/68 mmHg, pulse is 58 beats/min and weak, and her respirations are decreased and shallow. You attempt to administer high-flow oxygen, but she resists. What should you do now?

consider administering naloxone in case she was also given a narcotic drug.

When analyzing a cardiac rhythm strip in lead II, you should routinely evaluate all of the following components, EXCEPT?

S-T segment.