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EMT 214 quiz
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What is a characteristic of battering?
Establishes control and fear in a relationship through violence and threats
What is infliction of anguish, pain or distress through verbal or nonverbal acts?
What is refusal or failure to fulfill obligations to a person called?
What is a characteristic of violence associated with battering?
Escalates over time
Which phase in the cycle of domestic violence is most likely to precipitate a call to 911?
Which statement most accurately reflects domestic violence against women?
Is the leading cause of injury to women between the ages of 15 and 44
Which statement most accurately reflects male victims of battering?
Account for about 5% of reported incidents of domestic violence
What is a typical characteristic of one or both persons in an abusive relationship?
Dependence on alcohol or other drugs
Where do unintentional injuries tend to be centered?
Which would lead you to suspect injury caused by abuse?
Repeated requests for EMS assistance
Paramedics are called to care for a victim of domestic violence. On arrival, what is the primary concern?
The safety of the scene and personal safety
During the interview of a possible abuse victim, what should the paramedic do?
Tell the victim that he or she suspects that the patient's injuries are due to abuse
Before you begin to display sympathy or question an abuse victim regarding violence, the victim should be in the ambulance and separated from the perpetrator. Why is this the case?
Perpetrator is often unwilling to allow the patient to make a statement
Who would be at the greatest risk for elder abuse?
An 82-year-old bedridden male living with his son's family
What is the most common form of elder abuse in the domestic setting?
Neglect of the victim
Who is most likely to abuse or neglect an elderly person?
Adult children of the victims
If any form of abuse or neglect is suspected by the paramedic team, what must be done?
Document finding factually and provide details about the injuries in written documentation
If the perpetrator of the abuse is in custody but his or her release is likely, how should this information be handled?
Communicated to the patient, along with advice to take precautions for personal safety
What is the most common type of child abuse?
How is a large majority of substantiated child abuse reported?
Who is the most common perpetrator of child abuse'?
The victim's mother
What form of child abuse is most commonly attributed to female perpetrators?
What is a characteristic of a child abuser?
Blames the child for the injury
What is the age range of most victims of child abuse?
Less than 7 years of age
What is the most common type of injury seen in child abuse?
Soft tissue injury
Most fatalities in child abuse cases occur in what age group?
Less than 4 years of age
What is a major factor in the likelihood of child abuse?
Living in a home where spouse or partner abuse occurs
Which is most suggestive of possible abuse in a 2-year-old child?
Second- and third-degree burns on both lower legs from the knees down
Paramedics are dispatched to the scene of a 5-year-old male with a visibly broken arm. The victim is extremely quiet and withdrawn and draws away from contact with the paramedics. He does not want to sit in his mother's lap when she tries to hold him. When asked what happened, he quickly says that he fell out of a tree at the same time that his mother says he fell from his bike. The paramedics should suspect:
That the child may have been abused by his mother
Paramedics are dispatched to a sexual assault. The victim exhibits petechiae of the face and conjunctiva. What would this be indicative of?
Choking of the victim
What is a true statement?
Rape is a crime of violence, motivated by the desire for power
Which of the following types of deafness may be curable?
What is a characteristic of sensorineural deafness?
May occur later in life because of prolonged exposure to loud nõises
Paramedics are dispatched to the home of a 42-year-old male who complains of diarrhea for the past 3 days. He has been unable to eat for the past 24 hours and would like to go to the emergency department. He is visually impaired by complete blindness and has a leader/work dog to assist him. He states that he can walk and would prefer walking to being carried on a stretcher. How should the paramedic proceed?
Allow the patient to take your arm and lead him to the stretcher
Stuttering is an example of which type of speech disorder?
What is the definition of obesity?
Thirty percent or more above the ideal body weight
What is the definition of bariatric?
The field of medicine focused on the treatment and control of obesity
Which would the paramedic expect in a patient with paraplegia?
Loss of urinary control
What causes schizophrenia?
A biological disorder
What are the characteristic facial features of patients with Dowm syndrome?
Folds of skin on either side of the nose that cover the inner corners of the eyes
A condition common in patients with cerebral palsy is involuntary writhing movements called
Which of the following complications is associated with muscular dystrophy?
Chronic lung infections and congestive heart failure typically lead to death during the teenage years
While providing treatment for a 74-year-old female with a 50-year history of polio, you can anticipate that this patient may be deficient in her ability to perform which actions?
Walk and breathe
Paramedics are called to a local elementary school for a special-needs 9-year-old male with an unknown medical problem. The school nurse informs EMS that the patient suffered some neurological impairment as the result of a head injury when involved in a motor vehicle collision. The patient's 12-year-old sister is present and tells the paramedics that the patient has been vomiting all morning. While treating this patient, the paramedics observe that he overreacts to minor stimuli such as a penlight. He alternates between being profoundly agitated and periods of sleepiness and lethargy. To assess this patient's mental status, how should the paramedic proceed?
Ask the patient's sister about his normal mental status
Paramedics are transporting an unresponsive cancer patient who accidentally overdosed on narcotic pain medication. The protocol states that EMS should administer naloxone for narcotic overdoses. Which intervention is most correct in the case of a cancer patient?
Be especially careful to use aseptic techniques because this patient is most likely immunocompromised
Paramedics are called to a grocery store for a 68-year-old female who suffered a ground- evel fall. She informs EMS that she slipped on a water puddle and fell over forward, triking her chin on a display shelf. She is complaining of cervical neck pain. Her nedical history includes arthritis, which she states has been "a product of the aging process." This patient most likely suffers from which type of arthritis?
Who is the single largest payer of home health care services in the United States?
In what way, if any, is the initial assessment of home health care patients different from the initial assessment of acute care (out-of-home) patients?
The initial assessment is no different in the home health care setting
What does CPAP stand for?
Continuous positive airway pressure
47-year-old female's home ventilator is malfunctioning. She states that during normal operation, this "poncho" style ventilator augments her inhalations by dropping the pressure in the lungs, thus drawing air in. What is this type of ventilator referred to as?
For what type of illness would a negative-pressure ventilator be recommended?
Spinal cord trauma
What is the standard initial tidal volume setting for a home ventilator?
6 to 8 mL/kg
A patient who is anxious and fighting against an endotracheal tube will typically trigger what type of ventilator alarm?
What will increasing the flow rate on a ventilator usually result in?
Higher respiratory pressure
What are PICC, Hickman and Groshong all types of?
Vascular access devices
What is a PEG tube a type of?
Indwelling nutritional-support device
When inserting a urinary catheter in a male patient, how far should the catheter be advanced?
Urine enters the catheter
A 23-year-old female is complaining of vaginal bleeding. She states that she delivered her first child 5 weeks ago, has not had a return of her normal menstrual cycle and has a very heavy flow of dark-red vaginal bleeding. Which statement is true of this presentation?
This may be postpartum hemorrhage, which can be delayed by up to 6 weeks
Which guideline correctly identifies the parameters of infantile apnea?
Cessation of respirations for less than 10 seconds, with bradycardia
Palliative care is a unique form of care provided for terminally ill patients. What is the primary goal of palliative care?
Provide pain relief, family assurance and comfort as death approaches
Who is palliative care programs service directed by?
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