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100

.  The myocardium receives oxygenated blood from the __________, which originate(s) from the __________.

A)  coronary sinus, vena cava

B)  aorta, inferior vena cava

C)  vena cava, coronary veins

D)  coronary arteries, aorta

D)  coronary arteries, aorta

100

The mental status of a patient who has experienced a generalized seizure:

A)  progressively worsens over a period of a few hours.

B)  is easily differentiated from that of acute hypoglycemia.

C)  is likely to improve over a period of 5 to 30 minutes.

D)  typically does not improve, even after several minutes.

C)  is likely to improve over a period of 5 to 30 minutes.

100

You are dispatched to a residence for a 66-year-old male who, according to family members, has suffered a massive stroke. Your primary assessment reveals that the patient is unresponsive, apneic, and pulseless. You should:

A)  assess the patient for a facial droop and hemiparesis.

B)  initiate CPR and attach an AED as soon as possible.

C)  obtain a blood glucose sample to rule out hypoglycemia.

D)  perform CPR for 5 minutes before applying the AED.

B)  initiate CPR and attach an AED as soon as possible.

100

Which of the following organs assists in the filtration of blood, serves as a blood reservoir, and produces antibodies?

A)  Liver

B)  Kidney

C)  Spleen

D)  Pancreas

C)  Spleen

100

.  Ketone production is the result of:

A)  acidosis when blood glucose levels are low.

B)  blood glucose levels higher than 120 mg/dL.

C)  fat metabolization when glucose is unavailable.

D)  rapid entry of glucose across the cell membrane.

C)  fat metabolization when glucose is unavailable.

200

The right coronary artery supplies blood to the:

A)  left ventricle and inferior wall of the right atrium.

B)  right ventricle and inferior wall of the left ventricle.

C)  right atrium and posterior wall of the right ventricle.

D)  left ventricle and posterior wall of the right ventricle

B)  right ventricle and inferior wall of the left ventricle.

200

Which of the following is a metabolic cause of a seizure?

A)  Poisoning

B)  Head trauma

C)  Brain tumor

D)  Massive stroke

A)  Poisoning

200

Solid abdominal organs include the:

A)  stomach and small intestine.

B)  spleen, kidneys, and pancreas.

C)  gallbladder and large intestine.

D)  urinary bladder, colon, and ureters.

B)  spleen, kidneys, and pancreas.

200

The kidneys help to regulate blood pressure by:

A)  retaining key electrolytes, such as potassium.

B)  eliminating toxic waste products from the body.

C)  removing sodium and water from the body.

D)  accommodating a large amount of blood volume.

C)  removing sodium and water from the body.

200

.  Kussmaul respirations are an indication that the body is:

A)  attempting to eliminate acids from the blood.

B)  trying to generate energy by breathing deeply.

C)  severely hypoxic and is eliminating excess CO2.

D)  compensating for decreased blood glucose levels

A)  attempting to eliminate acids from the blood.

300

The most basic functions of the body, such as breathing, blood pressure, and swallowing, are controlled by the:

A)  brain stem.

B)  cerebrum.

C)  cerebellum.

D)  cerebral cortex.

A)  brain stem.

300

.  Febrile seizures:

A)  often result in permanent brain damage.

B)  are also referred to as absence seizures.

C)  are usually benign but should be evaluated.

D)  occur when a child's fever rises slowly.

C)  are usually benign but should be evaluated.

300

Which of the following organs would MOST likely bleed profusely if injured?

A)  Liver

B)  Stomach

C)  Appendix

D)  Gallbladder

A)  Liver

300

The parietal peritoneum lines the:

A)  retroperitoneal space.

B)  lungs and chest cavity.

C)  walls of the abdominal cavity.

D)  surface of the abdominal organs.

C)  walls of the abdominal cavity.

300

.  Common signs and symptoms of severe hyperglycemia include all of the following, EXCEPT:

A)  warm, dry skin.

B)  cool, clammy skin.

C)  rapid, thready pulse.

D)  acetone breath odor.

B)  cool, clammy skin.

400

The spinal cord exits the cranium through the:

A)  foramen magnum.

B)  vertebral foramen.

C)  foramen lamina.

D)  cauda equina.

A)  foramen magnum.

400

.  You arrive at a local grocery store approximately 5 minutes after a 21-year-old female stopped seizing. She is confused and disoriented; she keeps asking you what happened and tells you that she is thirsty. Her brother, who witnessed the seizure, tells you that she takes valproate (Depakote) for her seizures, but has not taken it in a few days. He also tells you that she has diabetes. In addition to administering oxygen, you should:

A)  administer one tube of oral glucose and prepare for immediate transport.

B)  place her in the recovery position and transport her with lights and siren.

C)  monitor her airway and breathing status and assess her blood glucose level.

D)  give her small cups of water to drink and observe for further seizure activity.

C)  monitor her airway and breathing status and assess her blood glucose level.

400

.  Injury to a hollow abdominal organ would MOST likely result in:

A)  pain secondary to blood in the peritoneum.

B)  profound shock due to severe internal bleeding.

C)  impairment in the blood's clotting abilities.

D)  leakage of contents into the abdominal cavity.

D)  leakage of contents into the abdominal cavity.

400

.  In contrast to the parietal peritoneum, the visceral peritoneum:

A)  is supplied by the same nerves from the spinal cord that supply the skin of the abdomen.

B)  lines the walls of the abdominal cavity and is stimulated when the solid abdominal organs contract.

C)  is less likely to become inflamed or infected because it lines the abdominal organs themselves.

D)  is supplied by nerves of the autonomic nervous system, which are less able to localize pain or sensation.

D)  is supplied by nerves of the autonomic nervous system, which are less able to localize pain or sensation.

400

Which of the following signs or symptoms would the EMT MOST likely encounter in a patient with new-onset type 1 diabetes?

A)  Total lack of appetite

B)  Weight gain and edema

C)  Weight loss and polyuria

D)  Low blood glucose level

C)  Weight loss and polyuria

500

.  A transient ischemic attack (TIA) occurs when:

A)  medications are given to dissolve a cerebral blood clot.

B)  a small cerebral artery ruptures and causes minimal damage.

C)  a small clot in a cerebral artery causes temporary symptoms.

D)  signs and symptoms resolve spontaneously within 48 hours.

C)  a small clot in a cerebral artery causes temporary symptoms.

500

.  Individuals with chronic alcoholism are predisposed to intracranial bleeding and hypoglycemia secondary to abnormalities in the:

A)  brain.

B)  kidneys.

C)  liver.

D)  pancreas.

C)  liver.

500

Functions of the liver include:

A)  absorption of nutrients and toxins.

B)  secretion of bile and filtration of toxic substances.

C)  production of hormones that regulate blood sugar levels.

D)  release of amylase, which breaks down starches into sugar.

B)  secretion of bile and filtration of toxic substances.

500

Which of the following is characteristic of peptic ulcer disease (PUD)?

A)  The passage of bright red blood in the stool or coughing up blood

B)  Symptom relief after taking nonsteroidal anti-inflammatory drugs

C)  Sharp pain that is typically located in both lower abdominal quadrants

D)  Burning or pain in the stomach that subsides immediately after eating

D)  Burning or pain in the stomach that subsides immediately after eating

500

You respond to a residence for a patient who is “not acting right.” As you approach the door, the patient, a 35-year-old male, begins shouting profanities at you and your partner while holding a baseball bat. The man is confused and diaphoretic, and is wearing a medical identification bracelet. You should:

A)  calm him down so you can assess him.

B)  be assertive and talk the patient down.

C)  contact medical control for instructions.

D)  retreat at once and call law enforcement.

D)  retreat at once and call law enforcement.

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