EMT Review: Exam 1 (Chapter 1-7)

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Descriptions that MOST accurately portrays emergency medical services:

Healthcare professionals responsible for providing emergency care and transport

The standards for Prehospital care and the individuals who provide it are typically regulated by the:

State Office of EMS

An EMS provider who has extensive training in various aspects of advanced life support (ALS) is called a(n):

Paramedic

EMT training in nearly every state meets or exceeds the guidelines recommended by the:

National Highway Traffic Safety Administration (NHTSA)

According to the National EMS Scope of Practice Model, an EMT would require special permission from the medical director and the state EMS office in order to:

Perform blood glucose monitoring

Which of the following statements regarding the NREMT is correct:

Provides the national standard for EMS testing

The _________ deals with the well-being of the EMT, career progression, and EMT compensation.

Human Resources Department

If a defibrillator manufacturer claims that its device terminates ventricular fibrillation on the first shock 95% of the time, you should:

Recognize that this does not mean that it will save more lives.

When decontaminating the back of your ambulance after a call you should:

Allow surfaces to dry unless otherwise indicated in the product details.

You have been working at the scene of a major building collapse for 8 hours. Many injured people are still being removed, and everyone is becoming frustrated and losing focus. This situation is MOST effectively managed by:

Requesting a CISM team to provide on-scene peer support.

The manner in which the EMT must act or behave when caring for a patient is called the:

Standard of Care

Which of the following scenarios MOST accurately depicts abandonment:

A paramedic transfers care to an EMT.

Acting in such a way as to make another person fear immediate bodily harm is called:

Assault.

All information recorded on the PCR must be:

Considered Confidential.

Medical control gives you an order that seems inappropriate for the patient's condition. After confirming that you heard the physician correctly, you should:

Advise the physician that the order is unclear and ask for clarification.

What is the Moro Reflex?

Neonate opens his or her arms wide, spreads fingers, seems to grasp at something after being startled.

Which of the following statements regarding toddlers and preschoolers is correct?

Commonly experience upper respiratory infections because of a loss of passive immunity.

Physical changes that typically occur in early adults include an:

Increase in fatty tissue which leads to weight gain.

Which of the following statements regarding middle adults is correct?

Cardiovascular health becomes an issue as does the greater incidence of cancer.

When communicating with an older patient, it is wise to remember that:

Age-related changes diminish the effectiveness of the eyes and ears.

After taking diphendydramine (Benadryl) for an allergic reaction, a person begins experiencing drowsiness and a dry mouth. These findings are an example of a(n):

Side-effect.

When gathering a patient;s medications, you find the following: Isordil, Lasix, Motrin, and Digoxin. Which of these medications can be obtained over-the-counter (OTC)?

Motrin.

Perental Medications are:

Absorbed more quickly than enteral medications.

Epinephrin auto-injectior requirements include:

The contacting of medical control.

A 31-year-old female is experiencing an acute asthma attach. She is conscious and alert, but in obvious respiratory distress. After assisting her with her prescribed MDI, you should:

Reassess the patient and document her response to the medication.

An EMT may administer aspirin to a patient if:

Authorization from medical control has been obtained.

The benefits of Aspirin during an MI include:

The prevention of aggregation of platelets.

The areas of the spinal column include:

Cervical, Thoracic, Lumbar, Sacral, Coccyx.

The inferior cartilaginous tip of the sternum is called the:

Xiphiod Process.

Negative Pressure bleeding is indicated by:

A drop in pressure within the Chest Cavity.

Produced in the liver and concentrated and stored in the Gallbladder.

Bile.

The binding or sticking to a surface.

Adsorption.

Medications travel through the body tissues until they reach the bloodstream.

Absorption.

A mixture of ground particles that are distributed evenly throughout a liquid but do not dissolve.

Suspension.

The heart muscle.

Myocardium.

The processing of food that nourishes the individual cells of the body.

Digestion.

The bottom surface of the foot.

Plantar.

The fibrous sac that surrounds the heart.

Pericardium.

The posterior surface of the body, including the back of the hand.

Dorsal.

The anterior surface of the body.

Ventral.

A bluish gray skin color that is caused by a reduced level of oxygen in the blood.

Cyanosis.

Per Rectum (PR)

Enteral. Rapid. Most commonly used with children because of easier administration.

Ingestion (Oral, PO)

Enteral. Slow. Enter the bloodstream through the digestive system. As long as 1 hour.

Intravenous (IV)

Parenteral. Immediate. Vein. Injected directly into the bloodstream.

Intraosseous (OS)

Parenteral. Immediate. Bone. Reach the blood stream through the bone marrow.

Subcutaneous (SC)

Parenteral. Slow. Beneath the skin. Given to the tissue between the skin and muscle.

Intramuscular (IM)

Parenteral. Moderate. Muscle. Absorbed quickly into the muscle because muscles have many blood vessels.

Inhalation.

Parenteral. Rapid. Inhaled into the lungs so that they can be absorbed into the blood stream more quickly.

Sublingual (SL)

Parenteral. Rapid. Tongue. Enter through the oral mucosa under the tongue and are absorbed into the bloodstream within minutes. Protects medications from chemicals in the digestive system.

Transcutaneous.

Parenteral. Slow. Absorbed through the skin.

Intranasal (IN)

Medication is pushed through a Mucosal Atomizer Device (MAD). Liquid is turned into a spray and is administered into a nostril.

Functions of the EMS medical director and the relationship to the EMT's Scope of Practice:

Medical director authorizes the EMT to work in the field and outlines the standing orders.

Ways to prevent the spread of an infectious disease include:

Immunizations, infection control, hygiene, PPE, BSI.

According to the CDC, recommended immunizations and tests include a(n):

Tetanus-Diptheria booster every 10 years.

Expressed Consent:

Actual Consent. Given verbally by the patient or otherwise acknowledging that they want care.

Implied Consent:

When a patient is incapable of providing legal consent, law assumes that consent would be given by the patient.

Involuntary Consent:

Consent may be given by someone who is legally responsible for the patient, or by authorized law enforcement.

If a patient refuses care, you must:

Explain all consequences to the best of your ability and document all conversations.

Obvious signs of death include:

Obvious mortal damage (Decapitation), Dependant Lividity, Rigor Mortis.

Situations involving an EMT's legal duty to act include

-EMT is charged with an Emergency medical response
-The EMT's service or departments policy states that you must assist in an emergency.

Components of an Oral Report.

Unit Identification and level of services, Receiving hospital and your estimated time of arrival, Patients age and gender, patients chief complaint or your perception of the problem and its severity, a brief history of the patients current problem, a brief report of physical findings, brief summary of the care given and any patient response.

Computerized PCR Reports should include:

Complete and thorough narrative because drop down boxes cannot provide all information that needs to be documented.

Main roles of the FCC:

Allocating specific radio frequencies for use by EMS providers, Licensing base stations and assigning appropriate radio call signs for those stations, Establishing licensing standards and operating specifications for radio equipment used by EMS providers, Establishing limitations for transmitter power output, Monitoring radio operations.

During the alert and dispatch phase of EMS communications, the dispatcher's responsibilities are:

Screen and assign priority to each call, select and alert appropriate EMS units, coordinate EMS response units with other public safety services throughout the call, provide emergency medical instructions to the caller before EMT's arrive.

Immediately after being dispatched to a residence for an elderly patient with diabetic complications, you should:

Confirm with dispatch that you received the call information.

An infant or small child's airway can be overextended or overflexed because:

The large size of the infant's occiput and the flexibility of the trachea can cause the airway to be inadvertently occluded due to incorrect positioning.

An infant or toddler would MOST likely gain trust in an individual who:

Provides an organized, routine environment.

Average life expectancy:

78 years.

Maximum life expectancy:

120 years.

Examples of drug's generic name include:

Ibuprofen, acetaminophen.

Skeletal muscle is also called:

Voluntary muscle because they are under direct control of the brain.

Formula to calculate the minute volume of a patient:

CO=HRxSV

The system responsible for releasing hormones that regulate body activities is called:

Endocrine System.

When considering his or her personal life, it is important for the EMT to realize that:

It is important to make sure you have the time you need to relax with family and friends.

During the primary assessment, circulation is evaluated by assessing:

The pulse. Palpate the wrist if responsive, and the neck if unresponsive.

Opiate Drugs will cause the pupils to become:

Pinpoint/Constricted.

Intercranial Hemorrhaging or bleeding will cause the pupils to become:

Fully dilated and fixed.

Normal respiratory rate for a neonate (0-1 month) is:

30-60 bpm.

Normal respiratory rate for an infant (1 month- 1 year) is:

25-50 bpm.

Normal respiratory rate for a toddler (1-3 years) is:

20-30 bpm.

Normal respiratory rate for a preschooler (3-6 years) is:

20-25 bpm.

Normal respiratory rate for a School age child (6-12 years) is:

15-20 bpm.

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