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EMT Test 4

LimmerEducation
Get Quizlet's official NREMT - 1 term, 1 practice question, 1 full practice test
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Terms in this set (48)

What do you NOT consider when determining the location and position of patients in a wrecked vehicle?
the make and model of the vehicle
What should you do at the scene of a law enforcement tactical situation?
report to the incident commander for instructions
What are the components of the Apgar score and how do you calculate one?
A (activity)
- 0 points for absent
- 1 point for flexed arms and leg
- 2 points for active

P (pulse)
- 0 points for absent
- 1 point for below 100 bpm
- 2 points for over 100 bpm

G (grimace)
- 0 points for floppy
- 1 point for minimal response to stimulation
- 2 points for prompt response to stimulation

A (appearance)
- 0 points for blue;pale
- 1 point for pink body, blue extremities
- 2 points for pink

R (respiration)
- 0 points for absent
- 1 point for slow and irregular
- 2 points for vigorous cry
What is the Abruptio placenta and how does it occur?
the placenta prematurely separates from the uterine wall
What is considered the weak point in most major incidents?
communication
What is the triage process?
the sorting of 2+ patients according to the perceived severity of their conditions in order to establish priority for care
What is the vacuum power of suction units?
300 mm Hg
What is the proper way to pass a vehicle?
pass on the left
Why would aggressive ambulance driving have a negative effect on other motorists?
it may not allow for their reaction time to respond to your vehicle
Why might an elderly patient underestimate or minimize the symptoms of his or her illness?
he or she fears hospitalization
What should you do when caring for an elderly patient who is hearing impaired?
recall that elderly patients have difficulty hearing high-frequency sounds
Why might children go into cardiac arrest?
respiratory distress
What causes supine hypotensive syndrome and how do you treat it?
dizziness and a drop in blood pressure caused when the mother is in a supine position and the weight of the uterus, infant, placenta, and amniotic sac compress the inferior vena cava, reducing return of blood to the heart and cardiac output

treat it by placing the patient on her left side
How do you transport a pregnant female experiencing vaginal bleeding?
lay her down on her left side
How do you evaluate hazards present at the scene and determine the number of patients?
perform a 360- walk through of the scene
When does the onset of labor begin?
when uterine contractions begin
How do the signs and symptoms of a silent heart attack differ from a heart attack?
in a silent heart attack, the usual chest pain is not present
What is the stroke assessment?
F - (face) drooping

A - (arm) arm drift

S - (speech)

T - (time)
What could lead to the possibility of a pulmonary embolism?
- immobility
- recent surgery
- fractures
- cancer
- estrogen therapy
- clotting disorders
- smoking
- deep vein thrombosis
What is the pediatric assessment triangle and how is it used?
it is a method of quickly determining the acuity of the child, and can determine whether the child is in respiratory distress, respiratory failure, or shock

- appearance
- work of breathing
- perfusion
When would a respiratory arrest patient be classified as a black tag in a multiple-casualty incident?
if breathing does not occur after the airway is opened
Which of the following does not normally contribute to or cause obesity?
rapid metabolism
What is situational awareness?
the ability to recognize any possible issues once you arrive at the scene and act proactively to avoid a negative impact
What is a unified command system and how does it work?
under the unified command system, plans are drawn up in advance by all cooperating agencies that assume a shared responsibility for decision making
Which system would require the use of a specialized rescue team?
a patient trapped in a cave or a confined space
When enlisting the help of an interpreter, why is it important for you to ask the interpreter to report exactly what the patient says?
report exactly what the patient says and not add any commentary
What actions stimulate the production of oxytocin and cause uterine contraction?
following the deliver of the placenta, the mother is experiencing vaginal bleeding. After massaging the uterine fundus and allowing the mother to breastfeed, the bleeding stops.
What are the common causes of syncope in older patients include all of the following except?
vasoconstriction
When and how do you report child abuse?
Even when talking to your​ partner, the hospital​ staff, the​ police, and your​ superiors, use the terms​ "suspected" and​ "possible" when reporting suspicions of child abuse.
What are the signs and symptoms of choking in children and how do you treat it?
signs and symptoms
- grabbing the throat
- cyanosis treatment - conscious: Abdominal thrusts (Heimlich maneuver) until object dislodged or patient unresponsive -unconscious: Perform CPR, but look in mouth before giving breaths to see if there is a removable object in back of throat before giving breath
What are the signs of child abuse?
bruising in various stages of healing
What is hydrogen cyanide?
blocks the body's ability to use oxygen and possesses an odor similar to almonds
When is capillary refill time the most reliable as an indicator of end-organ perfusion?
for children under 6 years old
Causes of delirium in the older patient include all of the following, EXCEPT:
Alzheimer's disease
Which of the following is NOT generally considered an obstetrical emergency?
return of contractions following delivery of the baby
When do EMTs and other health care providers function as a true team and how do they do this?
work independently
What causes a compression fracture?
Occurs when one or more bones in the spine weaken and crumble/ osteoporosis
What is the proper method of transporting a patient to the hospital?
be safe and get the patient to the hospital in the shortest practical time
What are the factors the EMT uses when determining whether or not to declare multiple-casualty incident using an incident command system?
...
What are the speeds that medivac helicopters fly at?
130 and 150 mph
What is the definition of a disease vector?
any agent that acts as a carrier or transporter.
What is anthrax?
a notifiable bacterial disease of sheep and cattle, typically affecting the skin and lungs. It can be transmitted to humans, causing severe skin ulceration or a form of pneumonia
When should a disposable oxygen humidifier be considered?
if the transportation is longer than an hour
What is the difference between retractions and accessory muscle use?
retractions: pulling in of the muscles
accessory muscles: using muscles of the neck and abdomen
A tube from the brain to the abdomen that drains excessive cerebrospinal fluid is called a?
shunt
How do you assess and treat and unresponsive child with no signs of breathing?
assessing for a carotid pulse, performing 30 chest compressions, opening the airway, and delivering two rescue breaths.
Delivering a patient to the hospital involves all of the following activities, EXCEPT:
giving a verbal report to the triage clerk
Why would an oropharyngeal airway not be used in children who have ingested a caustic or petroleum based product?
cause the child to vomit.
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