Mod 1
You are called to treat a 55-year-old man who is experiencing
difficulty breathing. After making contact with your patient,
he extends his arm out to allow you to take his blood pressure.
This is an example of:
A. informed consent.
B. implied consent.
C. formal consent.
D. expressed consent or actual
D. expressed consent or actual
Which of the following is a sign of an inadequate airway?
A) Regular chest movements
B) Nasal flaring
C) Equal expansion of both sides of the chest when patient inhales
D) Typical skin coloration
Answer: B
Page Ref: 178–179
Objective: 8.3
When there are no apparent hazards at the
scene the danger zone should be considered
to be:
A. 50 feet in all directions
B. 100 feet in all directions
C. Uphill and upwind
D. None of the above
A. 50 feet in all directions
Which of the following medications does NOT interfere with the blood-clotting process?
A) Omeprazole
B) Warfarin
C) Heparin
D) Clopidogrel
A) Omeprazole
page 603, 26.3
You and your partner arrive on scene to find a 10 year old boy who
was struck by a car while chasing a cat into the street. He is
unresponsive to painful stimuli and has a large abrasion on his right
side. He is breathing at 24 respirations per minute and regular. Your
next course of action would be:
A. Give high flow O2 via NRB
B. Initiate CPR
C. Start bagging him with a BVM
D. Put a c-collar on him
D. Put a c-collar on him
A set of regulations and ethical considerations that define the extent or limits of an EMT’s job is called:
A. the Medical Practices Act.
B. scope of practice.
C. a duty to act.
D. confidentiality.
B. scope of practice
Which of the following structures is found in the lower airway?
A) Bronchi
B) Uvula
C) Pharynx
D) Tonsils
Answer: A
Page Ref: 175
Objective: 8.2
During the initial assessment of a patient, you find a decreased level of responsiveness. Your next step in the assessment of this patient should be to:
A. administer high flow oxygen by non-rebreather
B. manually stabilize the patient’s cervical spine
C. Continue the initial assessment
D. rapidly transport the patient
C. Continue the initial assessment
Which of the following organs may seriously be damaged in sickle cell anemia, and often subsequently leads to severe infections?
A) Lungs
B) Kidneys
C) Liver
D) Spleen
D) Spleen
page 604, 26.4
You are dispatched to a residence for a seizing child. When you arrive at the scene, the 4-year-old child’s grandfather tells you that he has had several full body seizures over the past 20 minutes, but never woke up in between the seizures. The child’s skin is hot and flushed. This is MOST indicative of:
A.Focal motor seizure
B.Febrile seizure
C.Status Epilepticus
D.An absence seizure
C. Status Epilepticus
While treating a patient in cardiac arrest, you turn the AED on and
attach the pads to the patient. However, when the AED begins to
analyze the patient's cardiac rhythm, it signals "low battery" and then
shuts off. The patient subsequently died. Which of the following
statements regarding this scenario is MOST correct?
A. You and your partner may be held liable for negligence.
B. The crew that preceded you may be held liable for negligence.
C. Most errors associated with the AED involve equipment failure.
D. The manufacturer of the AED will be held liable for negligence.
A. You and your partner may be held
liable for negligence.
. Which of the following patients should NOT have their airway opened using a head-tilt, chin-lift maneuver?
A) A 35-year-old diabetic woman found unresponsive in the driver's seat of her vehicle in the parking lot of her apartment complex
B) A homeless person of undetermined age found lying unresponsive in an alley with no bystanders
C) A 50-year-old woman who choked on a piece of food while dining in a restaurant and slid out of her chair
D) A 25-year-old man who is still unresponsive after a grand mal seizure
Answer: B
Page Ref: 180–181
Objective: 8.5
A 80 year old male patient complains of chest pain. After completing
Your OPQRST you should next:
A. Obtain baseline vital signs
B. Finish your SAMPLE history
C. Do a focused physical exam of the chest
D. Ask the patient if he took any action to relieve the pain
D. Ask the patient if he took any action to relieve the pain
Because of abnormally shaped hemoglobin, sickle cell anemia patients may occasionally experience _________, causing a blockage of small blood vessels
A) sludging
B) aggregation
C) clotting
D) clumping
One of the most reliable signs of decreased
perfusion in the pediatric patient is:
A. capillary refill.
B. respiratory rate.
C. heart rate.
D. blood pressure.
A. capillary refill.
Confidentiality of patient information can be broken in all of the
following situations EXCEPT:
A. Shared with other health care providers at any time
b. Court order
C. Written release signed by the patient
D. Certain patient-care information for insurance billing forms
A. Shared with other health care
providers at any time
On which of the following types of calls should you bring your portable suction unit to the patient's side upon arrival on the scene?
§A) Motor vehicle collision
§B) Cardiac arrest
§C) Seizure
§D) All of the above
D) all of the above
A detailed physical exam is most
appropriate for:
A. the trauma patient who is unresponsive
B. the medical patient who is responsive
C. a trauma patient without significant mechanism of injury
D. any patient over the age of 16 years
A. the trauma patient who is unresponsive
The correct terminology used for patients whose kidneys are damaged to the point where they require dialysis to survive is:
A) acute renal failure
B) end-stage renal disease
C) hepatic failure
D) terminal kidney disease
B) end-stage renal disease
page 607, 26.8
When entering the scene you notice a 3 year old girl sitting on her
mother’s lap. The child is leaning forward with a dazed look not
realizing you entered the room. This can indicate to the EMT:
A.Child abuse
B.Head injury
C.Normal reaction
D.An altered mental status
D. An altered mental status
The role of the emergency medical
dispatcher includes all of the following
EXCEPT:
A. obtaining appropriate information from callers
B. giving instructions for emergency care
C. dispatching appropriate agencies for the emergency scene
D. providing on-line medical direction to EMS personnel
D. providing on-line medical direction to EMS personnel
Which of the following is an advantage of using a nasopharyngeal airway?
A) It eliminates the need for manual positioning of the patient's head to keep the airway open.
B) It is ideal for patients with a suspected skull fracture.
C) It may be tolerated by many patients with a gag reflex.
D) All of the above
C) It may be tolerated by many patients with a gag reflex.
During which part of the ongoing assessment would you most
likely discover that a patient’s abdomen has become firm and
distended?
A. when you reassess the vital signs
B. when you recheck your patient care interventions
C. when you repeat the focused assessment
D. when you repeat the initial assessment
C. when you repeat the focused assessment
Two chronic medical conditions that dialysis patients frequently have in addition to kidney failure are _________ and _________.
A) blood clots; COPD
B) high cholesterol; cerebral aneurysms
C) heart failure; stroke
D) hypertension; diabetes
D) hypertension; diabetes
page 607, 26.8
Following an apparent febrile seizure, a 4 year old
boy is alert and crying. His skin is warm and moist.
The most appropriate management of this child
includes:
A. rapidly cooling the child in cold water
B. allowing the parents to transport the child
C. offering blow-by oxygen and providing transport
D. keeping the child warm and providing transport
C. Offering blow-by oxygen and
providing transport