EMT Midterm Alpha

A newborn infant will usually begin breathing spontaneously within________ seconds following birth
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Terms in this set (145)
Amniotic fluid serves to:insulate and protect the fetus.An air embolism associated with diving occurs when:the diver holds his or her breath during a rapid ascent.When treating a partial-thickness burn, you should:avoid the use of creams, lotions, and antisepticsBurns associated with lightning strikes are typically:superficialHeat stroke occurs when:the body's heat-eliminating mechanisms are overwhelmed.The body's natural protective mechanisms against heat loss areConstriction of blood vessels in the skin and shiveringFor sweating to be an effective cooling mechanism:it must evaporate from the body.A partial thickness burn involves the outer layer of skin Any portion of theDermal layerSigns of late heatstroke include:a weak, rapid pulse.A burn that is characterized by redness and pain is classified as asuperficial burnDrowning is MOST accurately defined as:death from suffocation after submersion in water.____________ Is what you can see of a person to respond to the environmentBehaviorA 66-year-old male presents with bizarre behavior. His daughter states that he did not seem to recognize her and was very rude to her. The patient is conscious, and has a patent airway and adequate breathing. You should:ask the daughter how her father normally behaves.A patient with a history of schizophrenia called EMS because he was experiencing abdominal pain. When law enforcement arrived the patient became violent necessitating The placement of handcuffs. When you assess the patient, he tells you that killing someone will make his abdominal pain go away. His vital signs are stable. How should you manage the situation?Request a police officer to Accompany you in the ambulance.You respond to a call for an unknown emergency. When you arrive at the scene, the patient's husband meets you at the door and states that his wife has been depressed and has locked herself in an upstairs bedroom. He further tells you that he keeps his handgun in the bedroom. You should:remain in a safe place and request law enforcement.Immediately after physically restraining a violent patient, The EMT shouldReassess the patient's airway and breathingSigns of excited delirium include:diaphoresis, tachycardia, and hallucinations.The term "behavioral crisis" is MOST accurately defined as:a situation in which a patient of any age exhibits agitated, violent, or uncooperative behaviorIf you are uncertain how to treat a patient who has been poisoned or exposed to a specific substance, you should:try to find the container the substance was in.As you enter the residence of a patient who has possibly overdosed, you should:be alert for personal hazardsDuring your assessment of a 50 year old Nelle who was found unresponsive in an alley you know that he has slow shallow respirations bradycardia facial cyanosis pinpoint pupils. As your partner begins assisting the patient's ventilations, he directs your attention to the patient's arm, which have multiple needle tracks on them. Which of the following would most likely explain the patient's presentationHeroin overdoseMost poisonings occur via the_________ route.IngestionWhat type of poisoning will cause burns around the mouth in children?alkaline poisonCommon side effects of Epinephrine include all the following, exceptdrowsinessWhich are the following psysiologic Actions does upper different produced when given for an allergic reactionVasoconstriction and bronchodilationThe foreign substance responsible for causing an allergic reaction is called a(n):allergenWhich of the following sounds indicate swelling of the upper airwaystridorWhich of the following medications Blocks to release of histaminesDiphenhydramine (Benadryl)The stinger from a honeybee should be:scraped away from the skin.Urticaria is the medical term for:hivesDiabetes is MOST accurately defined as a(n):disorder of carbohydrate metabolismIn contrast to hypoglycemia, hyperglycemia:can only be corrected in the hospital setting.Insulin Functions in the body byenabling glucose to enter the cells.Assessment of a patient with hypoglycemia will MOST likely reveal:combativenessIn contrast to type one diabetes type two diabetesis caused by resistance to insulin at the cellular level.Kussmaul respirations are an indication that the body isattempting to eliminate acids from the blood.Excessive eating caused by Cellular "hunger" is called:PolyphagiaThe normal blood Glucose level is between80-120 mg/dLA patient who is experiencing a stroke is not eligible for thrombolytic (fibrinolytic) Therapy if he or sheHas bleeding within the brainA patient who speech is slurred and difficult to understand is experiencingdysarthriaWhich of the following conditions is not a common cause of seizureshypotensionA patient with an altered mental status is:not thinking clearly or is incapable of being aroused.generalized tonic-clonic seizure Is characterized bysevere twitching of all the body's musclesfebrile seizuresare usually benign but should be evaluated.Status epilepticus is characterized byprolonged seizures without a return of consciousness.What assessing for arm drift of a patient with A suspected stroke, You shouldAsk the patient to close his or her eyes during the assessmentWhich of the following clinical signs is most suggestive of a ruptured aneurysmsudden, severe headacheWhich of the following most accurately describe the cause of an ischemic stroke?Blockage of a cerebral arteryThe ability of cardiac muscle cells to contract spontaneously without a stimulus from a nerve source is calledautomaticityNarrowing of the coronary arteries caused by a buildup of fatty deposits is called:atherosclerosisIn contrast to the Sympathic nervous system, the parasympathetic nervous system:Slows the heart and respiratory rateThe electrical impulse generated by the heart originates in the:coronary sinusThe left ventricle has the thickest walls because itpumps blood into the aorta and systemic circulationAngina pectoris occurs when:myocardial oxygen demand exceeds the supplyBlood that is objected from the right ventricleFlows into the pulmonary arteriesA risk factor for AMI that cannot be controlled includeFamily historyDeoxygenated blood from the body returns to the:right atriumInferior vena cava returns deoxygenated blood to the right side of the heart from all of the following areas except the:brainYou are assisting an asthma patient with his prescribed metered-dose inhaler. After the patient takes a deep breath and depresses the inhaler, you should:instruct him to hold his breath for as long as he comfortably can.Dyspnea is MOST accurately defined as:Shortness of breath or difficulty breathing.In a healthy individual, The brainstem stimulates breathing on the basis ofincreased carbon dioxide levels.Asthma is caused by a response of the:immune systemWhich of the following is most Characteristic of adequate breathing24 breaths/min with bilaterally equal breath sounds and pink skinThe two processes that occur during respiration are:inspiration and expirationThe term "pharmacology" is MOST accurately defined as:the study of drugs and their actions on the bodyMedications In case in a gelatin Shell That are taken by mouth are calledCapsulesA drug is contraindicated for a patient when it:May cause harm or have no positive effectWhich of the following is an example of a trade (brand) Name of a drugTylenolAn EMT may administer aspirin to a patient if:Authorization from medical control has been obtainedA patient who is suspected of being hypoxic and is breathing adequately should be given supplemental oxygen with a:nonrebreathing maskThe nasopharyngeal airway is MOST beneficial because it:can maintain a patent airway in a semiconscious patient with a gag reflex.The physical act of moving air into and out of the lungs is called:ventilationWhen testing a mechanical suction unit, you should turn on the device, clamp the tubing, ensure that it generates a vacuum pressure of more than300 MM HgWhich of the following patients should you place in recovery positionA 31-year-old semiconscious male with low blood sugar and adequate breathingWhich other following statements regarding normal gas exchange in the lungs is correctAdequate tidal volume is often difficult to achieve when one EMT is operating the bag mask deviceA flow of 6 L/min, A nasal cannula can Deliver an approximate oxygen concentration of up to44%Structures of the lower airway include all of the following, EXCEPT the:epiglottisWhat is the most common cause of an airway obstruction and an unconscious patienttongueWhich of the following patient is breathing adequatelyA conscious meal with respirations of 19 breaths per minute and pink skinWhich of the following structures is not found in the upper airwaybronchusA patient Lacerated the dorsal aspect of his hand. This means the injury isOn the back of the handA patient has kidney disease that is causing him severe pain. What condition does he have and what would be administered for his pain?Nephropathy; analgesicA patient has bilateral femur fractures. This means thatboth femurs are fractured.A trauma patient has a gunshot wound to the left side of his chest, away from the nipple. How should the injury location be describedAnterolateralA multiparous patient is one who:has given birth more than onceA proximal humeral Fracture is one that is locatedUpper part of humerusIt is important to understand medical terminology in order toCommunicate effectively with other healthcare membersA patient with hepatomegaly has:an enlarged liverA body part that is nearer to the hand from a specific reference point is said to beSuperiorYou Would expect a patient who is experiencing difficulty breathing to be in which of the following positionsFowlerDuring your assessment of a patient with a chest injury, you know that only one side of his chest moves when he breathes. How should you describe his chest movementUnilateralIn the recovery position, The patient is:on his or her sideRelative to the ankle, the knee is:proximalA patient is diagnosed with nephritisInformation of the kidneyRegarding medical terminology, The foundation of the word is called theRootA woman amputated the tip of her finger. Which directional term should be used to describe her injury location?distalA newborn has for an atomic abnormalities of the heart. What prefix is used to describe this?TetraPhysician who specializes in diseases of the nervous system is called aNeurologistA_________ receives messages and signals on one frequency and then automatically re-transmits Them on a second frequencyA repeaterYou are transporting a 54-year-old male in respiratory arrest. An EMR is driving the ambulance as you and your partner are caring for the patient. What is the most logical way to notify the hospital?Have the driver contact dispatch and relayed the patient information to the hospital.Despite your numerous, sincere efforts to convince a 40-year-old man to consent to EMS treatment and transport, he refuses. After explaining the potential consequences of his refusal and determining that the patient has decision-making capacity, you ask him to sign an EMS refusal form, but he refuses to do that as well. You should:ask a family member, law enforcement officer, or bystander to sign the form verifying that the patient refused to sign.When you are communicating with an older patient, it is important to remember that:most older people think clearly and are capable of answering questions.Which of the following manners should you act and speak with a patientcalm and confidentWhich of the following incidents does not require report to be filed with local authoritiescardiac arrestYou are caring for a 52-year-old man who complains of chest discomfort. The patient is A retired paramedic and is very anxious because he think he's having a heart attack. Which of the following statements would be appropriate?It is possible that you are experiencing a heart attack. I'm going to give you four baby aspirin to chew and swallow.All the information recorded on the PCR must beconsidered confidentialWhen providing a patient report via radio, You should protect the patient privacy bynot disclosing his or her name.Any radio hardware containing a transmitter and a receiver that is located in a fix location is called aBase stationWhich type of communications equipment functions as a radio receiver and searches across several frequencies?scannerIf an action or procedure that was performed on a patient is not recorded on the written reportit was not performed in the eyes of the law.You and your partner are the first to arrive at a potential crime scene with a critically injured patient involved. The scene is safe. your first priority is to?provide immediate patient careWhich of the following scenarios is an example of informed consentAn EMT advises a patient of the risks of receiving treatment.When face with the situation in which a patient is in cardiac arrest, and a valid living will or DNR order cannot be located, you should:Begin resuscitation at onceWhile caring for a 65-year-old Male with respiratory distress, you place him in a comfortable position, but do not apply oxygen. The patient condition continues to deteriorate. He develops cardiac arrest and dies at the hospital. This scenario is an example of:NegligenceIn which of the following situation does a legal duty to act clearly existA call is received 15 minutes prior to shift changeYou receive a subpoena to testify in court regarding a case that occurred two years ago in which you and your partner did not attempt resuscitation of a cardiac arrest patient. Upon receiving the subpoena, you should:notify the director of your EMS system and obtain legal counsel.When is forcible restraint permitted?When the patient poses a significant threat to self or othersYou suspect that a pregnancy 16 year old girl has a broken leg after she was hit by a car. You explain that you plan to splint her leg, and she agrees to treatment. Which of the following types of consent described her agreementExpressedTo minimize the risk of litigation, the EMT should always:provide competent care that meets current standardsYou suspect that a six-year-old girl has a broken leg after falling from a swing at a playground. Shortly after you arrive, the child's mother appears refuses to allow you to continue treatment. You shouldTry to persuade the mother that treatment is neededWhen you and your partner arrive at the residence of a man in cardiac arrest, you immediately recognize the patient as the drunk driver who killed your brother several years earlier. A back up ambulance is in route to the scene. You shouldBegin two-rescuer CPR and apply the AED as soon as possible.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:assess whether or not the patient's mental condition is imparedIn which of the following circumstances, EMT legally release confidential informationThe patient is competent and signs a release formAll of the following are considered to be protected health information (PHI) Exceptlocation of the callWhile transporting a stable patient with chest pain to the hospital, you come across a major motor vehicle crash involving several critically injured patients. You should:continue transporting your patient and notify the dispatcher of the crashmonthly internal quality improvement (QI) meeting, you review several patient care reports with the staff of your EMS system. You identify the patients name age and sex and then discuss a treatment that was provided by the EMTs in the field. By taking this approach to the QI process, you:Are invalition of HIPAA because you did not remove the PHI from the PCR before handYou arrive at the scene of a motor vehicle versus pedestrian accident. The patient,a 13 year old Male is unconscious and has multiple injuries. As you were treating the child, A law enforcement officer advises you that the child's parents will be at the scene in approximately 15 minutes. What should you do?Transport the child immediately and have the parents meet you at the hospital.You respond to the home of a 59-year-old male who is unconscious with slow, shallow breathing and 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. But they are unable to locate it. You should:Begin treatment and contact medical control.You have been tasked by your medical Director with assisting in the development of your EMS agency's institutional standards. When developing these standards, it is important to:Be reasonable and realistic to avoid overburdening EMS PersonalThe tough, fibrous outer meningeal layer is called the:dura materCentral Nervous System (CNS) Is composed of thebrain and spinal cordOnce a cervical collar has been applied to a patient with a possible spinal injury, it should not be removed unless:it causes a problem managing the airway.Glasgow Coma Scale (GCS) is used to assesseye opening, verbal response, motor responseThe five sections of the spinal column, in descending order, are the:cervical, thoracic, lumbar, sacral, coccygealWhat part of the nervous system controls the bodies voluntary activitiesSomatic