EMT Sectional exam 3

Created by mmayer13 

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which of the following is MORE common in children than in adults following a head injury?

A. Spinal cord injury
B. nausea and vomiting
C. seizures and hypoxia
D. loss of consciousness

B. nausea and vomiting

when obtaining patient care orders from a physician via a two way radio, it is MOST important to remember that:

A. the physician may or may not be located within you sirvice area.
B. all orders should be carried out immediately and without question.
C. his or her instructions are based on the information you provide.
D. the use of 10 codes is an effective method of communication.

C. his or her instructions are based on the information you provide.

A 4-year-old boy had an apparent seizure. He is conscious and calm and is sitting on his mother's lap. His father is sitting in a nearby chair. The child's mother suddenly begins crying uncontrollably which causes the child to start crying. you should:

A. give the child a favorite toy or blanket to hold onto and preform your assessment to the best of your ability
B. consider asking the father to hold the child so you can assess him while your partner tries to calm the mother.
C. reassure the childs mother that seizures in children are very common and that there is nothing to worry about.
D. attempt to calm the child's mother but avoid separating her from her child because this will increase her anxiety.

B. consider asking the father to hold the child so you can assess him while your partner tries to calm the mother.

which of the following statements regarding communication with a child is MOST correct?

A. most children are intrigued by strangers wearing uniforms.
B. give the child minimal information to avoid scaring him or her
C. unlike adults, children cannot see through lies or deceptions.
D. standing over a child often increases his or her level of anxiety

D. standing over a child often increases his or her level of anxiety

an oropharyngeal airway should not be used in children who have ingested a caustic or petroleum based product because it may:

A. depress the gag reflex
B. cause the child to vomit
C. result in a soft tissue injury
D. result in airway swelling

B. cause the child to vomit

effective methods for providing pain relief to a child with an extremity injury include:

A. separating the child from his or her parents.
B. avoiding the placement of a splint, if possible
C. positioning, ice packs, and emotional support
D. het compresses and lowering the injured extremity

C. positioning, ice packs, and emotional support

signs and symptoms of a sympathomimetic drug overdose include:

A. slurred speech
B. hypotension
C. sedation
D. tachycardia

D. tachycardia

where would you MOST likely find information regarding a patient's wishes about being an organ donor?

A. insurance card
B. voter registration card
C. drivers license
D. social security card

C. drivers license

supine hypotensive syndrome occurs when:

A. the pregnant uterus compresses the inferior vena cava.
B. a supine position kinks the ascending aorta.
C. blood pressure decreases as a result of hypovolemia.
D. the superior vena cava is compressed by the uterus.

A. the pregnant uterus compresses the inferior vena cava.

the purpose of the pediatric assessment triangls (PAT) is to:

A. gather critical data by preforming a rapid hands-on assessment of the child
B. determine if the childs vital signs are within the age-appropriate limits.
C. allow you to rapidly and visually form a general impression of the child.
D. facilitate a rapid head to toe assessment of the child by visualization only.

C. allow you to rapidly and visually form a general impression of the child.

which of the following statements regarding the use of nasopharyngeal airways in children is correct?

A. they are usually not well tolerated in children with a gag reflex
B. they are rarely used in infants younger that 1 year
C. blanching of the nares after insertion indicates correct placement.
D. it is the recommended adjunct for children with head trauma

B. they are rarely used in infants younger that 1 year

you are transporting a 54 year old male in cardiac arrest. an EMR is driving the ambulance as you and your partner attempt to resuscitate the patient. what is the MOST logical way of notifying the hospital?

A. Have the driver contact dispatch and relay the patient information to the hospital
B. wait until you arrive at the hospital and then quickly apprise them of the situation
C. request that a police officer

A. Have the driver contact dispatch and relay the patient information to the hospital

Febrile seizures in a child:
A. are usually caused by viral meningitis
B. occur after a week of a febrile illness
c.may indicate a serious underling illness
D.typically last less the 30 minutes

c.may indicate a serious underling illness

Submersion injuries in the adolescent age group are MOST commonly associated with:
A.alcohol
B hyperthermia
C swimming pools
D child abuse

A.alcohol

Which of the following statements regarding spinal injuries in pediatric patients is correct?
A.The majority of cervical spin injuries in children are partial transections of the spinal cord resulting in partial paralysis
B.The most cervical spine fractures in infants and children occur between the first and second cervical vertebrae
C.If the cervical spin is injured it is most likely to be an injury to the ligaments because of rapid movement of the head.
D because of a child's proportionately large head they are more prone to spinal cord injuries then adults.

C.If the cervical spin is injured it is most likely to be an injury to the ligaments because of rapid movement of the head.

If an action or procedure that was performed on a patient is not recorded on the written report
A.it can not be used in establishing negligence
B.it was not performed in the eyes of the law
c.it can be qualified by the EMT in charge
D.it was performed haphazardly by the met.

B.it was not performed in the eyes of the law

In contrast to adults, deterioration to cardiac arrest in infants and children is usually associated with:
A.acute hypoxia and tachycardia
B.severe hypoxia and bradycardia
C. a sudden ventricular arrhythmia
D. irritability of the left ventricle.

B.severe hypoxia and bradycardia

The usual dose for activated charcoal is up to___ for a pediatric patient and up to ___ for an adult patient.
A.5g, 10g
B. 25g, 50g
C. 10g, 20g
D. 12.5g, 25g

B. 25g, 50g

You respond to a college campus for a young male who is acting strangely. After law enforcement has secured the scene, you enter the patient's dorm room and find him sitting on the edge of the bed; he appears agitated. As you approach him, you note that he has dried blood around both nostrils. He is breathing adequately, his pulse is rapid and irregular, and his blood pressure is 200/110 mm Hg. Treatment for this patient includes:
A.assisting his ventilations with a bag-mask device
B. asking law enforcement to place handcuffs on the patient
C. attempting to clam him and giving hime oxygen if tolerated
D.requesting a paramedic to administer naloxone (Narcan)

C. attempting to clam him and giving hime oxygen if tolerated

Blood loss in a child exceeding ____ of his or her total blood volume significantly increases the risk of shock
A.25%
B. 5%
C. 35%
D.15%

A.25%

When assessing an infants ventilation status, you should:
A. palpate the abdomen for rise and fall
B. observe the chest for rise and fall
C. give oxygen if the SaO2 is less the 90%
D. rule out hypoxia if cyanosis is absent

A. palpate the abdomen for rise and fall

Signs and symptoms of meningitis in the infant or child include all of the following, EXCEPT:
A. a stiff or painful neck
B headache and fever
C. sunken fontanelles
D. an altered mental status

C. sunken fontanelles

Which of the following situations requires you to notify the appropriate authorities?
A. drug overdose
B. accidental knife wound
C. cardiac arrest
D. attempted suicide

D. attempted suicide

Death caused by shaken baby syndrome is usually the result of:
A. bleeding in the brain
B. multiple open fractures
C. fracture of the cervical spine
D. intra-abdominal hemorrhage

A. bleeding in the brain

Acting in such a way as to make another person fear immediate bodily harm is called:
A.negligence
B. libel
C. assault
D. battery

C. assault

You suspect that a 6-year-old girl has broken he leg after falling from a swing at a playground. Shortly after you arrive, the child's mother appears and refuses to alloy you to continue treatment. You should:
A. Try to persuade the mother that treatment is needed.
B. use your authority under the applied consent law.
C. tell the mother hat her refusal is a form of child abuse.
D. ask the mother to sign a refusal form and then leave.

A. try to persuade the mother that the treatment is needed.

After administering activated charcoal to a patient, it is MOST important to:
A. reassess the patient's blood pressure.
B. document the intervention.
C. call medical control.
D. be alert for vomiting.

D. be alert for vomiting.

As an EMT, the performance of you duties will be compared to that of:
A. a paramedic supervisor.
B. the medical director.
C. the general public.
D. another EMT.

D. another EMT.

When administering oxygen to a frightened child, it would be MOST appropriate to:
A tightly secure the oxygen mask straps to the face.
B. have a parent restrain the child as you give oxygen.
C. place oxygen tubing through a hole in a paper cup.
D. use a nansal cannula instead of a nonrebreathing mask.

C. place oxygen tubing through a hole in a paper cup.

A 6-month-old male presents with 2 days of vomiting and diarrhea. He is conscious, but his level of activity is decreased. The infant's mother rells you that he has not had a soiled diaper in over 12 hours. The infant's heart rate is 140/beats/min and his anterior fontanelle appears to be slightly sunken. You should suspect:
A. mild dehydration
B. severe dehydration.
C. moderat dehydration.
D. hypovolemic shock.

C. Moderate dehydration.

Which of the following statements regarding patients with developmental disabilities is correct?
A. A developmental disability differs from mental retardation in that it is the result of a congenital abnormality.
B. Speaking with the patient's family is the least effective way to determine how much the patient understands.
C. Most patients with developmental disabilities have normal cognitive function, but abnormal physical features.
D. Patients with developmental disabilities are susceptible to the same disease processes as other patients.

D. Patients with developmental disabilities are susceptible to the same disease processes as other patients.

A 70-year-old male complains of shortness of breath. During your assessment, you note that he has bilateral hearing aids. When you ask him questions related to his complaint, he does not answer you. You can hear a whistling sound coming from his hearing aids. You should:
A. recognize that the batteries in his hearing aids are probably depleted.
B. remove his hearing aids, turn up the volume, and replace them in his ears.
C. try repositioning the hearing aid or remove it and turn down the volume.
D. remove both of his hearing aids and use pencil and paper to communicate.

C. try repositioning the hearing aid or remove it and turn down the volume.

When you begin an oral report, you should state the patient's age, sex, and:
A. chief complaint.
B. any known allergies.
C. the emergency care given.
D. the past medical history.

A. chief complaint.

Which of the following is NOT a component of the Apgar score?
A. pulse
B. grimace
C. body size
D. activity

C. body size

When questioning the parent of a child who ingested a poisonous substance, which of the following questions would be of LEAST pertinence?
A. Do you know what substance was ingested?
B. Have you noticed any signs or symptoms?
C. What time did the ingestion occur?
D. Why did your child ingest the poison.

D. Why did your child ingest the poison.

After a baby is born, it is important to:
A. ensure that it is thoroughly dried and warmed.
B. immediately clamt and cut the umbilical cord.
C. coon the infant to stimulate effective breathing.
D. position it so that its head is higher than its body.

A. ensure that it is thoroughly dried and warmed.

When a child experiences a blunt injury to the abdomen:
A. he or she can compensate for blood loss better than adults.
B. his or her blood pressure falls with as little as 5% blood loss.
C. delayed capillary refill indicates a state of decompensated shock.
D. your assessment will most often reveal bruising to the abdomen.

A. he or she can compensate for blood loss better than adults.

The patient care teport (PCR) ensures:
A. research data.
B. quality assurance.
C. legal protection.
D. continuity of care.

D. continuity of care.

A tube from the brain to the abdomen that drains excessive cerebrospinal fluid is called a:
A. cerebral bypass.
B. shunt.
C. G-tube.
D. CS tube.

B. shunt.

Many older victims of physical abuse may make false statements or lie about the origin of their injuries because:
A. they fear retribution form the abuser
B. most elderly patients have dementia.
C. they are protective of the abuser.
D. they do not want to be bothersome.

A. they fear retribution form the abuser

The signs of the symptoms of poisoning in children:
A. are more obvious than in the adult population.
B. usually present within the first 10 minutes of ingestion.
C. are more severe if the child ingested a poisonous substance.
D vary widely, depending on the child's age and weight.

D vary widely, depending on the child's age and weight.

Abruptio placenta occurs when:
A. the placenta affixes itself to the outer layer of the uterus.
B. a tear in the placneta causes severe internal hemorrhage.
C. the placenta prematurely separates from the uterine wall.
D. the placenta develops over and covers the cervical opening.

C. the placenta prematurely separates from the uterine wall.

Which of the following statements regarding gestational diabetes is correct?
A. The onset of gestational diabetes typically manifest with hypoglycemia.
B. Diet and excercis4e are typically ineffective in controlling gestational diabetes.
C. Gestational diabetes results in permanent diabetes mellitus after delivery.
D. In some cases, women with gestational diabetes require insulin injections.

D. In some cases, women with gestational diabetes require insulin injections.

Which of the following incidents does NOT require a report to be filed with local authorities?
A. gunshot wounds.
B. cardiac arrest.
C. animal bites.
D. spousal abuse.

B. cardiac arrest.

The amniotic fluid serves to:
A. remove viruses from the fetus.
B. insulate and protect the fetus.
C. transfer oxygen to the fetus.
D. assist in fetal development.

B. insulate and protect the fetus.

Your BEST protection against legal liability when a competent patient refuses EMS care and transport is to:
A. advise medical control of the situation.
B. err on the side of caution and transport.
C.thoroughly document the entire event.
D. ensure that the family is aware of the risks.

C.thoroughly document the entire event.

You and your partner are attempting to resuscitate a middle-aged female in cardiac arrest. Because of the remote location you are in, you are unable to contact medical control. What should you do?
A. Follow locally established protocols or standing orders.
B. Ask the husband if he wants to continue resuscitation.
C. Make continuous attempts contact medical control.
D. Perform CPR only and initiate immediate transport.

A. Follow locally established protocols or standing orders.

Your are assessing a 75-year-old woman with mild shortness of breath. As you are asking her questions regarding her chief complaint and medical history, you progressively mover closer and closer to her. In doing this, it is important to remember that:
A. it is necessary to enter an older person's intimate space because the elderly are typically hearing impared.
B. a patient's personal space should not be violated, regardless of any barriers that may hamper communication.
C. as you physically get closer to the patient, a greater and greater sense of trust must be established.
D. placing yourself in the patients's personal space is relaying to her that you can be trusted.

C. as you physically get closer to the patient, a greater and greater sense of trust must be established.

The ONLY indications for placing your gloved fingers in the vagina during delivery are:
A. vertex presentation and delivery of the placenta.
B. breech presentation and prolapsed umbilical cord.
C. limb presentation and severe vaginal hemorrhage.
D. nuchal cord and presentation of an arm or leg.

B. breech presentation and prolapsed umbilical cord.

Which of the following statements regarding the Salmonella bacterium is correct?
A. The Salmonella bacterium produces toxins that cause food poisoning.
B. The Salmonella bacterium itself causes food poisoning.
C. Symptoms of salmonellosis appear within 12 hours.
D. Refrigeration of food will prevent salmonellosis.

B. The Salmonella bacterium itself causes food poisoning.

A precipitous labor and delivery is MOST common in women who:
A. have delivered a baby before.
B. are younger than 30 years of age.
C. are pregnant for the first time.
D. have gestational diabetes.

A. have delivered a baby before.

Causes of infant death that may be mistaken for SIDS include all of the following, EXCEPT:
A. meningitis.
B. child abuse.
C. hyperglycemia.
D. severe infection.

C. hyperglycemia.

After being dispatched on an emergency call, you should expect the dispatcher to provide you with all of the following information, EXCEPT:
A. the number of patients involved in the incident.
B. the general geographic location of the incident.
C. other agencies that are responding to the scene.
D. the time at which your unit was dispatched.

B. the general geographic location of the incident.

Bruising to the _____ is least suggestive of child abuse.
A. shins
B. face
C. buttocks
D. back

A. shins

Which of the following statements is NOT appropriate to document in the narrative section of a PCR?
A. "General impression revealed that the patient was intoxicated."
B. "The patient admits to smoking marijuana early in the day."
C. "After oxygen was administered, the patient's breathing improved."
D. "Significant damage was noted to the front end of the vehicle."

A. "General impression revealed that the patient was intoxicated."

Common causes of seizures in children include all of the following, EXCEPT:
A. electrolyte imbalances.
B. infection.
C. hyperglycemia.
D. poisonings or ingestion.

C. hyperglycemia.

Your are dispatched to a local nursery for a 39-year-old female who is sick. When you arrive, you find the patient lying on the floor. She is semiconscious, has copious amounts of saliva coming from her mouth, and is incontinent of urine. You quickly feel her pulse and note that it is very slow. initial management of this patient should include:
A. assisted ventilation with a bag-mask device.
B. requesting a paramedic to give her atropine.
C. performing a rapid secondary assessment.
D. thoroughly suctioning her oropharynx.

A. assisted ventilation with a bag-mask device.

Early signs of respiratory distress in child include:
A. restlessness.
B. bradycardia.
C. cyanosis.
D. decreased LOC.

A. restlessness.

Pregnant women are advised to take iron supplements, such as prenatal vitamins, because:
A. white blood cells decrease during pregnancy, which increases the mother's risk of an infection.
B. pregnancy causes a decreased number of red blood cells, which predisposes the mother to anemia.
C. iron makes the blood clot faster, which protects the mother from excessive bleeding during delivery.
D. the blood naturally thins during pregnancy, which predisposes the mother to seer bleeding.

B. pregnancy causes a decreased number of red blood cells, which predisposes the mother to anemia.

Your are interviewing a 52-year-old man who complains of chest discomfort. The patient is a retired paramedic and is very anxious because he thinks he is having a heart attack. which of the following statements would be appropriate to say?
A. "It is possible that you are experiencing a heart attack. I am going to give you four baby aspirin to chew and swallow."
B. "This is nothing to worry about. Please try to stay calm. The physician and the hospital will probably not find any signs of a heart problem."
C. I notice that you are a retired paramedic, so I'm sure you will understand all of the things that we will be doing to you."
D. "We need to take you to the ED stats. We will give you ASA and NTG en route and then reassess your vitals. Do you have any questions?"

A. "It is possible that you are experiencing a heart attack. I am going to give you four baby aspirin to chew and swallow."

Common names for activated charcoal include all the following, EXCEPT:
A. Actidose.
B. Fructose.
C. LiqiChar.
D. InstaChar.

B. Fructose.

By the 20th week of pregnancy, the uterus is typically at or above the level of the mother's:
A. belly button.
B. pubic bone.
C. xiphoid process.
D. superior diaphragm.

A. belly button.

A 4-year-old male ingested an unknown quantity of acetaminophen (Tylenol). The Child's mother states that the ingestion occurred approximately 20 minutes ago. The child is conscious and alert and in no apparent distress. After contacting medical control, you should:
A. transport the child for definitive care.
B. administer up to 25g of activated charcoal.
C. induce vomiting with syrup of ipecac.
D. give the child cold milk to absorb the Tylenol.

B. administer up to 25g of activated charcoal.

Which of the following components are needed to prove negligence?
A. breach of duty, injury/damages, abandonment, and causation
B. duty to act, breach of duty, injury/damages, and causation.
C. abandonment, breach of duty, damages, and causation.
D. duty to act, abandonment, breach of duty and causation.

B. duty to act, breach of duty, injury/damages, and causation.

A 60-gar-old man complains of chest pain. He is conscious and alert and denies shortness of breath. Which of the following questions would be MOST appropriate to ask him?
A. "Were you exerting yourself when the chest pain began?"
B. "Do you have heart problems or take any medications?"
C."Does the pain in your chest move to either of your arms?"
D. "Does the pain in your chest feel like a stabbing sensation?"

B. "Do you have heart problems or take any medications?"

General guidelines for effective radio communications include all of the following, EXCEPT:
A. speaking in a clear, calm, monotone voice.
B. acknowledging a transmission as soon as possible.
C. using 10 codes to ensure radio traffic confidentiality.
D. holding the microphone about 2" to 3" from your mouth.

C. using 10 codes to ensure radio traffic confidentiality.

If a baby is boarn at 7:52, the second Apgar score should be calculated at:
A. 7:57.
B. 7:59.
C. 7:53.
D. 8:00.

A. 7:57.

A newborn infant will usually begin breathing spontaneously within ____ second following birth?
A. 3 to 5
B. 30 to 60
C. 15 to 30
D. 5 to 10

C. 15 to 30

Compared to an adult, the diaphragm dictates the amount of air that a child inspires because the:
A. intercostal muscles are not well developed.
B. abdominal organs force the diaphragm upward.
C. upper airway is small and easily collapsible.
D. rib cage is rigid and provides little flexibility.

A. intercostal muscles are not well developed.

A 33-Year-old woman who is 36 weeks pregnant is experiencing scant vaginal bleeding. During transport, you note that she suddenly becomes diaphoretic, tachycardic, and hypotensive. In addition to administering 100% oxygen, you should:
A. assist her ventilations with a bag-mask device.
B. carefully place sterile gauze into her vagina.
C. position her supline and elevate her legs 12".
D. place her in a left lateral recumbent position.

D. place her in a left lateral recumbent position.

All of the following are normal findings in an infant or child, EXCEPT:
A. quiet breathing.
B. fear or anxiety.
C. belly breathing.
D. head bobbing.

D. head bobbing.

Drawing in of the muscles between the ribs or of the sternum during inspiration is called:
A. accessory muscle use.
B. retracting.
C. hyperpnea.
D. tenting.

B. retracting.

The tip of a central venous catheter rests in the :
A. left atrium.
B. right ventricle.
C. pulmonary vein.
D. vena cava.

D. vena cava.

General treatment guidelines when caring for a woman with traumatic vaginal bleeding include:
A. cleaning external wounds with sterile water.
B. packing the vagina with sterile dressings.
C. transporting to an appropriate facility.
D. carefully removing impaled objects.

C. transporting to an appropriate facility.

Your are dispatched to a skilled nursing care facility for an 80-year-old female with abnormal behavior. The patient is clearly confused and asks you if your are her husband. As your partner administers oxygen to the patient, you should:
A. ask an attendant for the patient's medical records.
B. obtain complete list of patient's medications.
C. inquire about a history of Alzheimer disease.
D. determine he patient's baseline mental status.

D. determine he patient's baseline mental status.

When an elderly patient presents you with multiple over-the-counter medications that he or she is taking, it is MOST important to:
A. contact each of the physicians whose names are on the medications.
B. ask the patient to explain what each of the medications is used for.
C. recall that the patient is at risk for negative medication interactions.
D. look up all of the medications before providing care to the patient.

C. recall that the patient is at risk for negative medication interactions.

Communication with hearing-impaired patients can be facilitated by doing all of the following, EXCEPT:
A. shining a light on your face when you are in a darkened environment.
B. providing pen and paper if the patient prefers to write his or her response.
C. placing yourself in a position to ensure that the patient can see your lips.
D. elevating the tone of your voice and exaggerating word pronunciation.

D. elevating the tone of your voice and exaggerating word pronunciation.

Placenta previa is MOST accurately defined as:
A. premature placental separation from the uterine wall.
B. abnormal development and functioning of the placenta.
C. development of the placenta over the cervical opening.
D. delivery of a portion of the placenta before the baby.

C. development of the placenta over the cervical opening.

When communicating with a visually impaired patient, you should:
A. determine the degree of the patient's impairment.
B. expect him or her to have difficulty understanding.
C. recall that most visually impaired patients are blind.
D. possess an in-depthg knowledge of sign language.

A. determine the degree of the patient's impairment.

Which of the following statements regarding a breech presentation is MOST correct?
A. Breech deliveries occur rapidly, so the EMT should deliver at the scene.
B. There is minimal risk of trauma to the infant with breech presentation.
C. It is impossible to deliver a breech presentation in the prehospital setting.
D. A breech presentation occurs when the buttocks are the presenting part.

D. A breech presentation occurs when the buttocks are the presenting part.

Immediately after being dispatched to a residence for an elderly patient with diabetic complications, you should:
A. ask the dispatcher to obtain a medical history from the caller.
B. confirm with dispatch that your received the call information.
C. request that law enforcement secure the scene before your arrive.
D. ask the dispatcher if the patient is conscious or unconscious.

B. confirm with dispatch that your received the call information.

When immobilizing an injured child in a pediatric immobilization device, you should:
A. secure the torso before the head.
B. pad underneath the child's head.
C. secure the head before the torso.
D. slide the device under the child.

A. secure the torso before the head.

To minimize distraction and confusion when assessing an older patient, you should:
A. have only one EMT speak to the patient at at time.
B. dismiss the family members from the room or area.
E. elevate your voice and spak directly to the patient.
D. perform a physical exam and then talk to the patient.

A. have only one EMT speak to the patient at at time.

Braxton-Hicks contractons are characterized by:
A. a rupture of the amniotic sac just before the contractions begin.
B. regular contractions of progressively increasing intensity.
C. pink or red bloody show in conjunction with the contractions.
D. alleviation of pain with movement or changing positions.

D. alleviation of pain with movement or changing positions.

The normal respiratory rate for a newborn should not exceed____ breaths/min.
A.60
B. 50
C. 70
D/ 80

A.60

General care for a patient with a tracheostomy tube includes all of the following, EXCEPT:
A. maintaining the patient in a position of comfort when possible.
B. removing the tube if the area around it appears to be infected.
C. ensuring adequate oxygenation and ventilation at all times.
D. suctioning the tube as needed to clear a thick mucous plug.

B. removing the tube if the area around it appears to be infected.

When assessing an 8-year-old child, you should:
A. talk to the child, not the caregiver.
B. refrain from taking a blood pressure.
C. use a ton-to-head assessment approach.
D. rely solely on the parent information.

A. talk to the child, not the caregiver.

The EMT's primary responsibility to the patient who has been poisoned is to:
A. administer 25 g of activated charcoal.
B. recognize that a poisoning occurred.
C. contact poison control immediately.
D administer the appropriate antidote.

B. recognize that a poisoning occurred.

Which of the following is the LEAST reliable assessment parameter to evaluate when determining the presence of shock in infants and children?
A. blood pressure
B. capillary refill
C. skin condition
D. heart rate

A. blood pressure

Your respond to the home of a 59-year-old man who is unconscious, has slow, shallow breathing, and has a weak pulse. The family states that the patient has terminal brain cancer and does not wish to be resuscitated. They further state that there is a DNR order for this patient; however, they are unable to locate it. You should:
A. honor the patient's wishes and withhold all treatment.
B. transport the patient without providing any treatment.
C. begin treatment and contact medical control as needed.
D. decide on further action once the DNR order is produced.

C. begin treatment and contact medical control as needed.

The vagina and the neck of the uterus comprise the:
A. fundus
B. birth canal
C. cervix
D. womb

B. birth canal

Which of the following statements regarding inhaled poisons is correct?
A. Burns around the eyes are the most common indication of an inhalation poisoning.
B. Chlorine is a colorless and odorless gas that causes hypoxia and pulmonary edema.
C. Carbon monoxide is very irritation to the upper airway and may cause swelling.
D. Lung damage may progress after the patient is removed from the environment.

D. Lung damage may progress after the patient is removed from the environment.

When assessing a geriatric patient who has prossibly experienced an acute ischemic stroke, it is MOST important to:
A. administer 324 mg of aspirin as soon as possible.
B. determine the onset of the patient's symptoms.
C. ascertain about the history of atrial fibrillation.
D. determine if the patient has risk factors for a stroke.

B. determine the onset of the patient's symptoms.

When ventilating a pediatric patient with a bag-mask device, the EMT should:
A. block the pop off valve if needed to achieve adequate chest rise.
B. squeeze the bag 40 times/min when ventilation an infant.
C. ensure that he or she uses a neonatal device for children younger than 12 months.
D. ventilate the child with sharp, quick breaths at the appropriate rate.

A. block the pop off valve if needed to achieve adequate chest rise.

The leading cause of maternal death during the first trimester of pregnancy is:
A. unrecognized or untreated supine hypotensive syndrome.
B. massive brain damage secondary to prolonged seizure.
C. blunt trauma to the abdomen during a motor vehicle crash.
D. internal bleeding caused by a ruptured ectopic pregnancy.

D. internal bleeding caused by a ruptured ectopic pregnancy.

An abortion occurs whern the fetus and placenta deliver before:
A. 20 weeks.
B. 26 weeks.
C. 28 weeks.
D. 24 weeks.

A. 20 weeks.

The official transfer of patient care does not occur until the EMT:
A. notifies the admitting clerk of their arrival at the hospital.
B. informs dispatch of their arrival at the emergency department.
C. gives a radio report to the receiving medical facility.
D. gives an oral report to the emergency room physician or nurse.

D. gives an oral report to the emergency room physician or nurse.

A patient regains consciousness en route from his office to the emergency department. The patient tells you that he feels fine and does not want to go to the hospital. Under these circumstances, you should:
A. have hte patient sign a refusal form and return him to his office.
B. document the patient's request but continue to transport him.
Cl request that the police place the patient under protective custody.
D. assess wheter or not the patient's mental condition is impaired.

D. assess wheter or not the patient's mental condition is impaired.

Your EMS system uses a computerized PCR in which you fill in the information electronically and then send it to the emergency department via a secure Internet server. The PCR has a comprehensive series of drop-drown boxes, which are used to identify your assessment findings and specify the treatment that you provided; it also has a section for your narrative. When completing your PCR after a call, you should:
A. enter all of the pertinent information of the electronic PCR, but then print it out and provide a copy to the emergency department staff.
B. complete a thorough and accurate narrative because drop-down boxes cannot provide all of the information that needs to be documented.
C. avoid documenting personally identifiable information, such as the patient's name, because the PCR could be intercepted during transmission.
D. defer the narrative only if the information in the drop-down boxes accurately reflects the assessment and treatment that you performed.

B. complete a thorough and accurate narrative because drop-down boxes cannot provide all of the information that needs to be documented.

During the alert and dispatch phase of EMS communications, the dispatcher's responsibilities include al of the following, EXCEPT:
A. selecting and notifying the correct EMS response units and personnel.
B. discouraging the caller from providing care until the EMS unit arrives.
C. coordinating responding EMS units with other public safety personnel.
D. screening and assigning a priority to each call based on local protocols.

B. discouraging the caller from providing care until the EMS unit arrives.

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