EMT B Mid-term 151 Study Guide.rtf

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					                                 EMT B Mid-term 151 Study Guide

Name: __________________________ Date: _____________

    1. Temporary, widespread vasodilation and syncope caused by a sudden nervous system
       reaction MOST accurately describes:

    2. Which of the following skills or interventions is included at every level of prehospital
       emergency training?

    3. The principal clinical difference between a stroke and hypoglycemia is that patients with

    4. The decline in cardiac function that commonly occurs in late adulthood is MOST often
       related to:

    5. A pleural effusion is MOST accurately defined as:

    6. At the onset of an acute asthma attack, patients commonly experience difficulty
       breathing and:

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                                     EMT B Mid-term 151

 7. Treatment and transport priorities at the scene of a mass-casualty incident should be
    determined after:

 8. A blood pressure cuff that is too small for a patient's arm will give a:

 9. A 37-year-old female with a history of diabetes presents with excessive urination and
    weakness of 2 days' duration. You apply 100% oxygen and assess her blood glucose
    level, which reads 320 mg/dL. If this patient's condition is not promptly treated, she will
    MOST likely develop:

10. Hypoglycemic crisis tends to develop more often and more severely in children because:

11. With the flowmeter set at 6 L/min, the nasal cannula will deliver up to _______ oxygen.

12. During two-rescuer CPR, the compressor and ventilator switch positions. While rescuer
    one is finishing his or her cycle of 30 compressions, rescuer two should:

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13. A 29-year-old male complains of a severe headache and nausea that has gradually
    worsened over the past 12 hours. He is conscious, alert, and oriented and tells you that
    his physician diagnosed him with migraine headaches. He further tells you that he has
    taken numerous different medications, but none of them seem to help. His blood
    pressure is 132/74 mm Hg, his pulse is 110 beats/min and strong, and his respirations
    are 20 breaths/min and adequate. In addition to high-flow oxygen, further treatment
    should include:

14. In which of the following circumstances can the EMT legally release confidential
    patient information?

15. Which of the following components are needed to prove negligence?

16. Which of the following statements regarding gastrointestinal bleeding is correct?

17. Which of the following is NOT an indication to stop CPR once you have started?

18. In contrast to viral hepatitis, toxin-induced hepatitis:

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19. When assessing the pulse of an unresponsive infant, you should palpate the ________

20. Because the stinger of a honeybee remains in the wound following a sting:

21. If ventilation is impaired, carbon dioxide levels in the bloodstream will increase. This
    condition is called:

22. If an EMT candidate has been convicted of a felony or misdemeanor, he or she should:

23. What type of medical direction do standing orders and protocols describe?

24. You and your paramedic partner are caring for a patient who ingested codeine,
    acetaminophen (Tylenol), and propoxyphene (Darvon). The patient is unresponsive, his
    breathing is slow and shallow, and his pulse is slow and weak. Treatment for this patient
    will include:

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25. You 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 are 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?

26. Which of the following is a major difference between angina pectoris and AMI?

27. Which of the following would MOST likely provide clues regarding the source of a
    patient's allergic reaction?

28. The secondary assessment of a medical patient:

29. The risk of bleeding in the skull, which increases with age, is MOST directly related to:

30. The stinger from a honeybee should be:

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31. Which of the following represents the MOST appropriate method of assisting a patient
    with his or her prescribed nitroglycerin tablet or spray?

32. If a patient develops difficulty breathing after your primary assessment, you should

33. You arrive at a residence approximately 20 minutes after a 7-year-old boy, who weighs
    22 kg, ingested a bottle of Advil. He is conscious and alert and has stable vital signs.
    Medical control orders you to administer activated charcoal and oxygen and then
    transport the child at once. The appropriate maximum dose of activated charcoal for this
    child is:

34. Functions of the liver include:

35. Negative pressure breathing involves:
    A) relaxing the respiratory muscles.
    B) a drop in pressure within the chest cavity.
    C) pushing or forcing air into the lungs.
    D) increasing airway resistance during breathing.
    Ans: B
36. You are assessing a conscious 55-year-old male with a sudden change in behavior.
    Which of the following clinical findings would be MOST suggestive of dysfunction of
    this patient's central nervous system?

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37. A 60-year-old man complains of chest pain. He is conscious and alert and denies
    shortness of breath. Which of the following questions would be the MOST appropriate
    to ask him?

38. While transporting a woman with diabetes, you inadvertently give her oral glucose even
    though her blood glucose level was high. You reassess the patient and note that her
    condition did not change; she remained stable. You should:

39. Signs and symptoms of a hypertensive emergency would MOST likely be delayed in
    patients who:

40. A 47-year-old male presents with severe abdominal pain of 3 hours' duration. His
    abdomen is distended and guarded. Your MOST important consideration for this patient
    should be to:

41. Which of the following medication routes has the slowest rate of absorption?

42. A 37-year-old male has an apparent foreign body airway obstruction. He is conscious
    and alert and is coughing forcefully. His skin is pink, warm, and moist. The MOST
    appropriate treatment for this patient includes:

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43. Airborne substances are diluted with:

44. The MOST serious consequence of drug or alcohol abuse among EMS personnel is:

45. You 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 for this patient should

46. You have been tasked by your medical director to assist in the development of your
    EMS agency's institutional standards. When developing these standards, it is important

47. Twelve pairs of ribs attach to what section of the spinal column?

48. A 29-year-old female presents with confusion and disorientation. Her respirations are
    rapid and shallow and her pulse is 120 beats/min and thready. She is markedly
    diaphoretic and has an oxygen saturation of 89%. You should:

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49. You are dispatched to a residence for a 40-year-old female who complains of lower
    abdominal pain, fever and chills, and a foul-smelling vaginal discharge. Which of the
    following additional assessment findings would increase your index of suspicion for

50. You are dispatched to a residence for a 67-year-old female who was awakened by
    shortness of breath and sharp chest pain. Her husband tells you that she was recently
    discharged from the hospital after having hip surgery. Your assessment reveals dried
    blood around her mouth, facial cyanosis, and an oxygen saturation of 88%. This
    patient's presentation is MOST consistent with:

51. A 56-year-old male is found semiconscious by his wife. Your assessment reveals that
    his respirations are rapid and shallow, his pulse is rapid and irregular, and his blood
    pressure is low. The patient's wife states that he complained of left arm pain and nausea
    the day before, but would not allow her to call 9-1-1. The MOST likely cause of this
    patient's present condition is:

52. The spread of HIV and hepatitis in the health care setting can usually be traced to:

53. Most patients with abdominal pain prefer to:

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54. The official transfer of patient care does not occur until the EMT:

55. Which of the following MOST accurately describes a simple partial seizure?

56. The effects of epinephrine are typically observed within _________ following

57. A 28-year-old female patient is found to be responsive to verbal stimuli only. Her
    roommate states that she was recently diagnosed with type 1 diabetes and has had
    difficulty controlling her blood sugar level. She further tells you that the patient has
    been urinating excessively and has progressively worsened over the last 24 to 36 hours.
    On the basis of this patient's clinical presentation, you should suspect that she:

58. General treatment for a woman with vaginal bleeding and shock following sexual
    assault includes all of the following, EXCEPT:

59. A patient has fractured both femurs. Anatomically, these injuries would be described as

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60. The AED is MOST advantageous to the EMT because:

61. A 49-year-old male presents with confusion, sweating, and visual hallucinations. The
    patient's wife tells you that he is a heavy drinker and she thinks he had a seizure shortly
    before your arrival. This patient is MOST likely experiencing:

62. PID typically does NOT affect the:

63. When caring for a patient with an altered mental status and signs of circulatory
    compromise, you should:

64. A 37-year-old male is having a severe allergic reaction to penicillin. He does not have
    an epinephrine auto-injector and your protocols do not allow you to carry epinephrine
    on the ambulance. How should you proceed with the treatment of this patient?

65. Which of the following signs of respiratory distress is seen MOST commonly in
    pediatric patients?

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                                   EMT B Mid-term 151

66. Calming and reassuring an anxious patient can be facilitated by:

67. When performing a full-body scan on a supine patient, what part of the body is typically
    assessed last?

68. All information recorded on the PCR must be:

69. Which of the following are central pulses?

70. Which of the following oxygen flowmeters is NOT affected by gravity and can be used
    in any position when attached to an oxygen cylinder?

71. A 40-year-old male intentionally cut his wrist out of anger after losing his job. Law
    enforcement has secured the scene prior to your arrival. As you enter the residence and
    visualize the patient, you can see that he has a towel around his wrist and a moderate
    amount of blood has soaked through it. You should:

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72. An appropriate demonstration of professionalism when your patient is frightened,
    demanding, or unpleasant is to:

73. You and your partner are caring for a critically injured patient. Your partner is
    controlling severe bleeding from the patient's lower extremities as you attempt
    ventilations with a bag-mask device. After repositioning the mask several times, you are
    unable to effectively ventilate the patient. You should:

74. CPR will NOT be effective if the patient is:

75. Ventricular tachycardia causes hypotension because:

76. You are assisting an asthma patient with his prescribed metered-dose inhaler. After the
    patient takes a deep breath and depresses the inhaler, you should:

77. Which of the following statements regarding positive-pressure ventilation is correct?

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78. A 60-year-old male presents with acute respiratory distress. He is conscious and alert,
    has pink and dry skin, and has respirations of 24 breaths/min with adequate depth.
    Which of the following treatment modalities is MOST appropriate for this patient?

79. When assessing an 80-year-old patient in shock, it is important to remember that:

80. When communicating with a visually impaired patient, you should:

81. You are treating a middle-aged man with chest discomfort. He has a history of three
    previous heart attacks and takes nitroglycerin as needed for chest pain. You have
    standing orders to administer aspirin to patients with suspected cardiac-related chest
    pain or discomfort. While your partner is preparing to give oxygen to the patient, you

82. Distributive shock occurs when:

83. General guidelines for managing a patient with a behavioral emergency include:

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84. Carbon monoxide blocks the ability of the blood to oxygenate the body because it:

85. In infants and children, a capillary refill time (CRT) that is greater than ______
    second(s) is a sign of poor peripheral perfusion.

86. Which of the following organs lies in the retroperitoneal space?

87. Which of the following is considered an obvious sign of death and would not require the
    initiation of CPR?

88. An increase in heart rate and contractility occurs due to stimulation of:

89. 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:

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90. The signs and symptoms of insulin shock are the result of:

91. Which of the following statements regarding methicillin-resistant Staphylococcus
    aureus (MRSA) is correct?

92. The __________ of a medication usually dictates the route by which it will be

93. Which of the following patients is in decompensated shock?

94. A patient with an altered mental status is:

95. Which of the following is a physical change that typically occurs in the adolescent age

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 96. From a mental health standpoint, an abnormal or disturbing pattern of behavior is a
     matter of concern if it lasts for at least:

 97. When caring for a woman who is experiencing a gynecologic emergency, the EMT's
     main focus should be to:

 98. Which of the following questions would be of LEAST pertinence during the initial
     questioning of a patient who ingested a substance?

 99. When transporting a stable stroke patient with unilateral paralysis, it is best to place the
     patient in a:

100. While providing care to a patient, blood got onto the ambulance stretcher. Because the
     stretcher was not properly cleaned afterward, a virus was transmitted to another
     emergency medical technician (EMT) several days later. What route of transmission
     does this scenario describe?

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