column 1
A decrease in blood pressure may indicate:
A) loss of vascular tone.
B) arterial constriction.
C) increased blood volume.
D) forceful cardiac contraction.
loss of vascular tone.
Shortly after you load your patient, a 50-year-old man with abdominal pain, into the ambulance, he tells you that he changed his mind and does not want to go to the hospital. The patient is conscious and alert and has no signs of mental incapacitation. You are suspicious that the man has a significant underlying condition and feel strongly that he should go to the hospital. Which of the following statements regarding this situation is correct?
A) A mentally competent adult can withdraw his or her consent to treat at any time.
B) Any patient who refuses EMS treatment must legally sign a patient refusal form.
C) Because of your suspicions, the best approach is to transport him to the hospital.
D) Once the patient is in the ambulance, he cannot legally refuse EMS treatment.
A mentally competent adult can withdraw his or her consent to treat at any time.
What part of the patient assessment process focuses on obtaining additional information about the patient's chief complaint and any medical problems he or she may have?
A) History taking
B) General impression
C) Primary assessment
D) Secondary assessment
History taking
When caring for a 65-year-old male with respiratory distress, you place him in a comfortable position but do not apply oxygen. The patient's condition continues to deteriorate and he develops cardiac arrest and dies at the hospital. This scenario is an example of:
A) assault.
B) battery.
C) negligence.
D) abandonment.
negligence.
A crackling sound produced by air bubbles under the skin is called:
A) crepitus
B) rhonchi.
C) Korotkoff sounds.
D) subcutaneous emphysema.
subcutaneous emphysema.
Which of the following findings indicates that your patient has a patent airway?
A) Audible breathing
B) Forceful coughing
C) Inspiratory stridor
D) Unresponsiveness
Forceful coughing
Which of the following statements is MOST consistent with the bargaining phase of the grieving process?
A) “It is because of our lousy health care system that I developed this brain tumor.”
B) “I will be compliant with all my medications if I can just see my grandson graduate.”
C) “I understand that my death is inevitable and I am ready to die when the time comes.”
D) “The doctors must be wrong in their diagnosis because I have always been healthy.”
“I will be compliant with all my medications if I can just see my grandson graduate.”
After performing a primary assessment, a rapid exam of the body should be performed to:
A) determine the need for spinal motion restriction precautions.
B) identify less-obvious injuries that require immediate treatment.
C) look specifically for signs and symptoms of inadequate perfusion.
D) find and treat injuries or conditions that do not pose a threat to life.
identify less-obvious injuries that require immediate treatment.
You are assessing a woman who was thrown from a horse. She is located in a large field and you can see that a thunderstorm is rapidly approaching. Suddenly, you feel your skin begin to tingle and the hair on your arms stands on end. The ambulance is located about 30 yards away. You should:
A) crouch down in a position so that only your feet are touching the ground.
B) sit down, bend your knees, and hold your crossed arms close to your body.
C) quickly cover the patient with a blanket and then lie down flat on the ground.
D) immediately lie down on your side and draw your knees into your abdomen.
crouch down in a position so that only your feet are touching the ground.
Which of the following scenarios MOST accurately depicts abandonment?
A) A paramedic transfers patient care to an EMT.
B) An AEMT transfers patient care to a paramedic.
C) A physician assumes patient care from an EMT.
D) An EMT gives a verbal report to an emergency room nurse.
A paramedic transfers patient care to an EMT
Which of the following is the MOST effective method of assessing the quality of air movement in the lungs?
A) Evaluating the patient's chest for cyanosis
B) Applying a pulse oximeter and monitoring the SpO2
C) Auscultating breath sounds with a stethoscope
D) Looking for the presence of accessory muscle use
Auscultating breath sounds with a stethoscope
If you cannot palpate a pulse in an unresponsive patient whose collapse was not witnessed, you should:
A) apply an AED at once.
B) immediately begin CPR.
C) palpate at another pulse site.
D) assess for adequate breathing.
immediately begin CPR.
Which of the following MOST accurately defines negligence?
A) Transport of a mentally incompetent patient against his or her will
B) Deviation from the standard of care that may result in further injury
C) Transferring patient care to a provider with a lower level of training
D) Providing care that is consistent with care provided by other EMTs
Deviation from the standard of care that may result in further injury
In which of the following situations is a pertinent negative identified?
A) A 50-year-old woman states that nothing makes her chest pain better or worse.
B) A 53-year-old man with dizziness also tells you that he has vomited three times.
C) A 56-year-old woman states that her chest hurts when she takes a deep breath.
D) A 59-year-old man complains of crushing chest pain but denies shortness of breath.
A 59-year-old man complains of crushing chest pain but denies shortness of breath.
In the eyes of the courts, an incomplete or untidy patient care form indicates:
A) inadequate patient care was administered.
B) potential falsification of the patient care form.
C) thorough documentation was not required.
D) the EMT was too busy providing patient care to fill out the form.
inadequate patient care was administered.
Normal skin color, temperature, and condition should be:
A) pink, warm, and dry.
B) pale, cool, and moist.
C) pink, warm, and moist.
D) flushed, cool, and dry.
pink, warm, and dry.
When assessing the skin of an unresponsive patient, you note that it has a bluish tint to it. This finding is called:
A) pallor.
B) flushing.
C) cyanosis.
D) mottling.
cyanosis.
When caring for the parents of a child who has died of leukemia, the EMT should:
A) immediately refer them to a counselor.
B) tell them that their feelings are understood.
C) refrain from using words such as “died” or “dead.”
D) acknowledge the death of their child in private.
acknowledge the death of their child in private.
When interviewing a patient, you can show him or her that you understand the situation by:
A) repeating statements back to him or her.
B) using medical terminology whenever possible.
C) maintaining constant eye contact with him or her.
D) interrupting him or her as needed for clarification.
repeating statements back to him or her.
While trying to make a family member feel better after a loved one has died, your partner states, “I know how you are feeling.” The family members may view this as:
A) your partner's attempt to diminish their grief.
B) a show of respect for the person who has died.
C) coaching them through the grieving process.
D) your partner's caring and supportive attitude.
your partner's attempt to diminish their grief
You are transporting a 40-year-old male with respiratory distress. The patient tells you that he recently had a positive tuberculosis (TB) skin test and is currently being evaluated for possible TB. You should:
A) apply a nonrebreathing mask on the patient and a high-efficiency particulate air (HEPA) respirator on yourself.
B) remain at least 3 feet away from the patient and apply a surgical mask on him.
C) apply a sterile surgical mask on yourself and a HEPA respirator on the patient.
D) apply a nasal cannula on the patient and a sterile surgical mask on yourself.
apply a nonrebreathing mask on the patient and a high-efficiency particulate air (HEPA) respirator on yourself.
The goal of the systematic head-to-toe exam that is performed during the secondary assessment is to:
A) detect and treat all non–life-threatening injuries.
B) assess only the parts of the body that are injured.
C) definitively rule out significant internal injuries.
D) locate injuries not found in the primary assessment.
locate injuries not found in the primary assessment.
You and your partner respond to the residence of a 66-year-old male with shortness of breath. As you are assessing the patient, his wife tells you that he was recently diagnosed with lung cancer. The patient is verbally abusive and tells you that failure of the health care system caused his disease. Which stage of the grieving process is this patient's behavior consistent with?
A) Denial
B) Anger
C) Bargaining
D) Depression
Anger
Which of the following statements regarding the blood pressure is correct?
A) The systolic pressure represents ventricular relaxation.
B) Blood pressure falls early in patients with hypoperfusion.
C) Blood pressure is the most reliable indicator of perfusion.
D) Blood pressure is usually not measured in children younger than 3 years of age.
Blood pressure is usually not measured in children younger than 3 years of age.
A patient is sitting in a chair, leaning forward on his outstretched arms. His head and chin are thrust forward. This position indicates that he:
A)has abdominal muscle spasms.
B)is experiencing severe back pain.
C) has a decreased level of consciousness.
D)is experiencing difficulty breathing.
is experiencing difficulty breathing.