final exam

100問 • 1年前

問題一覧

As an EMT it is important to remember that signs and symptoms of cumulative stress

are not always present

The final stage of death and dying is most commonly known as

acceptance

After arriving at the scene of a motor vehicle crash you notice two small cars collided head on. The occupants are still in the vehicles. The fire department is in the process of stabilizing the vehicles and law enforcement is directing traffic. After parking your ambulance at a safe distance you and your partner should

put on a high visibility vest

A byproduct of involuntary muscle contraction and relaxation

Lactic acid

How do respirations differ from ventilation

respiration is oxygen attaching to blood cells and moving throughout the body

Bones of forearm

radius and ulna

45 year old women stung by a hornet and has a rash. She tells you she is allergic to hornets and has her own EpiPen. She also tells you she takes medication for hypertension her breath sounds do not reveal any wheezing. Breathing is unlabored bp 154/94. What should you do if you’re unable to contact medical control

give oxygen, transport and monitor en route

With a flow meter set to 6 L per min on a nasal cannula what is the % of oxygen

44%

A drug is contraindicated if it’s used to treat a multitude of conditions

may cause harm or no positive effects

What does asprin do if it is treating a heart attack

antiplatelet coagulation

In what manner would you act and speak with a patient

calm and confident

When relying information by radio communication should be

brief and easily understood

Pcr ensures what happens

continuity of care

Dispatched to a school for a 16 year old female experiencing an asthma attack, she is conscious and alert but in severe respiratory distress. The school tells you they have tried several times to contact the patient’s parents without success what do you do

provide treatment up to your level and transport at once

What type of consent when a 39 year old mentally competent female with a headache asks you to take her to the hospital

expressed consent

What type of consent allows a treatment of a patient who is conscious or mentally incapacitated

implied consent

Why can an infant or small child’s airway be occluded if it is overextended or overstretched

the occupant is proportionally large and trachea is flexible

Infants are referred to as belly breathers why

rib cage less rigid and sits horizontal

19 year old female was found unconscious by her roommate, primary assessment reveals her breathing is inadequate you insert an opa and nqa

remove opa and begin to suction

A single EMT manages an apneic patients airway,preferred method of giving ventilation is

pocket face mask

Actual exchange of oxygen and carbon dioxide occurs in the

alveoli

Lead like structure located superior to the larynx

epiglottis

Nasal cannula is most appropriately used in the pre hospital setting when

a patient can not tolerate a non rebreather mask and or needs a little bit of oxygen

Pressure of a full oxygen cylinder

2000psi

Late sign of hypoxia

cyanosis

Which of the following is the most reliable indicator of adequately performed BVM

chest rise

You are ventilating a patient with a stoma however air is escaping through the mouth and nose, you should

seal mouth and nose

Crackling sound of air bubbles beneath the skin is called

subcutaneous emphysema (rice crispy sound)

Adult patient who is not experiencing respiratory difficulties will

be speaking clearly

In primary assessment circulation is evaluated by assessing what 3 things

c.c.t. ( color, condition, temperature) major bleeding/radial pulses

End tidal co2 is defined as

waste product of co2 at the end of exhilation ( amount of co2 when breathing out)

In response to patients older then 1, you should palpitate the pulse at the ___artery

radial

Observations when forming a general impression would include all of the following except

pulse strength

What is the golden hour

1 hour which starts when the injury occurred to definitive care (surgical intervention)

Normal respiring rate for adult

12-20

Normal respiratory rate for child

15-30

Normal respiratory rate for infant

25-60

Typical methods for assessing a patients breathing include all of the following except

observing nasal flaring during inhilation

When patients respirations are shallow what happens

tidal volume is reduced

When ausculating the blood pressure in a persons upper extremity you should place the stethoscope over the___ artery

brachial

Capillary refill time

2 seconds

When you use the palpatation method to obtain blood pressure the measurement you obtain is

systolic

Which of the following is the most effective method for assessing the quality of air movement in the lungs

ausculating lungs with stethoscope

Which of the following statements regarding strider is correct

inhalation-upper airway high pitch sound on inhalation

Injuries patient is assigned a total score of 9 on the Glasgow coma scale, eye opening 3 verbal response

Which of the following clinical findings is consistent with the Glasgow coma scale

eyes open to response of pain, used inappropriate words and withdraws from pain eye opening 2 verbal response 3 motor response 4

In which of the following situations is a pertinent negative applied

59 year old man complains of crushing chest pain but denies shortness of breath

Why can’t you palpitate a Carotid pulse in an infant

you would inadvertently compress the trachea

Which of the following statements regarding blood pressure is correct

blood pressure is typically not measured in children younger then the age of 3 ( not reliable)

Which of the following statements regarding secondary assessment is correct

you may not have time to perform a secondary assessment if you must continue to manage life threatening threats iden to fief by the primary assessment

39 year old male sustained a stab wound to his genitales during an altercation in a bar, as you approach the patient you notice he is conscious, screaming in pain and is attempting to control the bleeding which is bright red and squirting from his groin what should you do

apply direct pressure to the wound

Most effective way to determine whether your patients problem is medical or traumatic in origin is to

perform a careful and thorough assessment

62 year old female with crushing chest pain, you notice her pulse is rapid and irregular in addition to administering oxygen what should you think of

transport and consider a paramedic unit

Which of the following actions would not be performed during

rapidly assessing the patients respiratory status

Critical incident stress debriefing should be conducted no longer than __hours following incident

72 hours

66 year old female has history of hypertention and diabetes presents with sub-sternal chest pain of a 2 hour duration, BP 140/90 pulse 100 irregular respirations 22 adequate depth patient does not have prescribed nitroglycerin but her husband does what do you do

administer oxygen give 324mg of aspirin and assess her further

After the we’d delivered a shock what do you do

continue cpr

Angina pectoris occurs when what happens

when the supply does not meet the demand

Deoxygenated blood from the body returns to the

right atrium

In relation to the wrist the elbow is

proximal

The myocardium recieves oxygenated blood from the

coronary arteries and aorta

When treating a patient with chest pain you should assume they are having an Ami because what can’t we do in the field

cause of pain in the field can’t be diagnosed

Which of the following signs and symptoms would you not encounter in a patient with congestive heart failure

hypotension and flat jugular veins

59 year old male with history of emphysema complains of acute worsening of dyspena and chest pain following a forceful cough

spontaneous pneumothorax

60 male presents with acute respiratory distress he is conscious and alert has pink dry skin respirations are 24 with adequate depth

oxygen via non rebreather mast and focused secondary exam

62 year old man named mosses history of congestive heart failure and presents with severe respiratory distress oxygen saturation if 82% when you auscultate his lungs you hear widespread rails what do you do

continuous positive airway pressure (cpap) monitor his blood pressure and observe for signs of improvement or deterioration

Onset of acute asthma attack the patients commonly experience difficulty breathing and what sign and symptom

expiratory wheezing

What is dyspena

shortness of breath

2 process that occur during respiration are

Inhalation and exhalation

Which of the following conditions would least likely result in hypoxia

severe anxiety

Good characteristic of adequate breathing

24 breaths per min, bi lateral breath sounds and pink skin

Which of the following statements regarding sars is correct

viral infection that often starts with flu like symptoms

You are dispatched to a resident of a 67 year old female awaken by shortness of breath and sharp chest pain her husband states she was recently discharged from the hospital after having hip surgey. Your assessment reveals dry blood around the mouth facial cyanosis and o2=88. This patients presentation is consistent with

acute pulmonary embolism

58 year old male presents with confusion and right sided weakness, slurred speech. Wife is present and very upset as your partner applies oxygen what do you do

fast scale. facial droop arm drift speech time transport

Seizure characterized by

severe twitching of all muscles

What is status epileptic

prolong seizure without regaining consciousness

When you are obtaining medical history information from a family member of a suspected stroke patient it is most importantly to determine

when patient last appeared normal

66 year old male who according to family suffered a massive stroke. Primary assessment reveals the patient is apneic unresponsive and has no pulse

initiate cpr attach aed

Corrosion of the protective layer of the stomach can cause

ulcers

Pain that is localized to the lower back or lower abdominal quadrant

aortic aneurysm

Solid abdominal organs include

spleen kidney pancreas

Which organ would most likely bleed profusely

liver

When assessing a patient with abdominal pain what should we do

one away from painful quadrant in clockwise motion

Pain that is precieved on the distant point on the surface of the body such as back or shoulder is called

referee pain

Chronic renal failure is a condition most often characterized by

hypertension and diabetes

After taking Benadryl for an allergic reaction a person began experiencing drowsiness and dry mouth

side effects

Newborn heart rate less then 60 beats per min what do you fo

cpr

What is an immediate sign of delivery

crowning

Primigravada refers to

first pregnancy

Which is not a proponent of the algae scale

body size

When is a LVAD used

patient awaiting a new heart

A surgical procedure that creates an opening between intestines and the surface of the body that eliminates waste products is called a

colostomy

What is a silent heart attsck

no noticeable symptoms

PID typically does not affect

urinary bladder

Whenever possible the victim of a sexual assault should be given the option

to be treated by a female

Each ovary produces a ovum in alternating and releases into the

fallopian tubes

45 year old women surgery depressed states that she feels as if the world is crashing down and she has frequent thoughts of suicide, but not sure if she would go through with it what should you do

ask if she had a suicidal plan

A technique used to gain insight into a patients which involves repeating in question from what the patient has said is called

reflective listening

The person responsible for an EMT to perform in the field is the

medical director

100

Which of the following activities occurs in the warm zone

decontamination

test-1

test-1

test 2

test 2

test3

test3

test 4

test 4

final pt 2

final pt 2

問題一覧

As an EMT it is important to remember that signs and symptoms of cumulative stress

are not always present

The final stage of death and dying is most commonly known as

acceptance

put on a high visibility vest

A byproduct of involuntary muscle contraction and relaxation

Lactic acid

How do respirations differ from ventilation

respiration is oxygen attaching to blood cells and moving throughout the body

Bones of forearm

radius and ulna

give oxygen, transport and monitor en route

With a flow meter set to 6 L per min on a nasal cannula what is the % of oxygen

44%

A drug is contraindicated if it’s used to treat a multitude of conditions

may cause harm or no positive effects

What does asprin do if it is treating a heart attack

antiplatelet coagulation

In what manner would you act and speak with a patient

calm and confident

When relying information by radio communication should be

brief and easily understood

Pcr ensures what happens

continuity of care

provide treatment up to your level and transport at once

What type of consent when a 39 year old mentally competent female with a headache asks you to take her to the hospital

expressed consent

What type of consent allows a treatment of a patient who is conscious or mentally incapacitated

implied consent

Why can an infant or small child’s airway be occluded if it is overextended or overstretched

the occupant is proportionally large and trachea is flexible

Infants are referred to as belly breathers why

rib cage less rigid and sits horizontal

19 year old female was found unconscious by her roommate, primary assessment reveals her breathing is inadequate you insert an opa and nqa

remove opa and begin to suction

A single EMT manages an apneic patients airway,preferred method of giving ventilation is

pocket face mask

Actual exchange of oxygen and carbon dioxide occurs in the

alveoli

Lead like structure located superior to the larynx

epiglottis

Nasal cannula is most appropriately used in the pre hospital setting when

a patient can not tolerate a non rebreather mask and or needs a little bit of oxygen

Pressure of a full oxygen cylinder

2000psi

Late sign of hypoxia

cyanosis

Which of the following is the most reliable indicator of adequately performed BVM

chest rise

You are ventilating a patient with a stoma however air is escaping through the mouth and nose, you should

seal mouth and nose

Crackling sound of air bubbles beneath the skin is called

subcutaneous emphysema (rice crispy sound)

Adult patient who is not experiencing respiratory difficulties will

be speaking clearly

In primary assessment circulation is evaluated by assessing what 3 things

c.c.t. ( color, condition, temperature) major bleeding/radial pulses

End tidal co2 is defined as

waste product of co2 at the end of exhilation ( amount of co2 when breathing out)

In response to patients older then 1, you should palpitate the pulse at the ___artery

radial

Observations when forming a general impression would include all of the following except

pulse strength

What is the golden hour

1 hour which starts when the injury occurred to definitive care (surgical intervention)

Normal respiring rate for adult

12-20

Normal respiratory rate for child

15-30

Normal respiratory rate for infant

25-60

Typical methods for assessing a patients breathing include all of the following except

observing nasal flaring during inhilation

When patients respirations are shallow what happens

tidal volume is reduced

When ausculating the blood pressure in a persons upper extremity you should place the stethoscope over the___ artery

brachial

Capillary refill time

2 seconds

When you use the palpatation method to obtain blood pressure the measurement you obtain is

systolic

Which of the following is the most effective method for assessing the quality of air movement in the lungs

ausculating lungs with stethoscope

Which of the following statements regarding strider is correct

inhalation-upper airway high pitch sound on inhalation

Injuries patient is assigned a total score of 9 on the Glasgow coma scale, eye opening 3 verbal response

Which of the following clinical findings is consistent with the Glasgow coma scale

eyes open to response of pain, used inappropriate words and withdraws from pain eye opening 2 verbal response 3 motor response 4

In which of the following situations is a pertinent negative applied

59 year old man complains of crushing chest pain but denies shortness of breath

Why can’t you palpitate a Carotid pulse in an infant

you would inadvertently compress the trachea

Which of the following statements regarding blood pressure is correct

blood pressure is typically not measured in children younger then the age of 3 ( not reliable)

Which of the following statements regarding secondary assessment is correct

you may not have time to perform a secondary assessment if you must continue to manage life threatening threats iden to fief by the primary assessment

apply direct pressure to the wound

Most effective way to determine whether your patients problem is medical or traumatic in origin is to

perform a careful and thorough assessment

62 year old female with crushing chest pain, you notice her pulse is rapid and irregular in addition to administering oxygen what should you think of

transport and consider a paramedic unit

Which of the following actions would not be performed during

rapidly assessing the patients respiratory status

Critical incident stress debriefing should be conducted no longer than __hours following incident

72 hours

administer oxygen give 324mg of aspirin and assess her further

After the we’d delivered a shock what do you do

continue cpr

Angina pectoris occurs when what happens

when the supply does not meet the demand

Deoxygenated blood from the body returns to the

right atrium

In relation to the wrist the elbow is

proximal

The myocardium recieves oxygenated blood from the

coronary arteries and aorta

When treating a patient with chest pain you should assume they are having an Ami because what can’t we do in the field

cause of pain in the field can’t be diagnosed

Which of the following signs and symptoms would you not encounter in a patient with congestive heart failure

hypotension and flat jugular veins

59 year old male with history of emphysema complains of acute worsening of dyspena and chest pain following a forceful cough

spontaneous pneumothorax

60 male presents with acute respiratory distress he is conscious and alert has pink dry skin respirations are 24 with adequate depth

oxygen via non rebreather mast and focused secondary exam

continuous positive airway pressure (cpap) monitor his blood pressure and observe for signs of improvement or deterioration

Onset of acute asthma attack the patients commonly experience difficulty breathing and what sign and symptom

expiratory wheezing

What is dyspena

shortness of breath

2 process that occur during respiration are

Inhalation and exhalation

Which of the following conditions would least likely result in hypoxia

severe anxiety

Good characteristic of adequate breathing

24 breaths per min, bi lateral breath sounds and pink skin

Which of the following statements regarding sars is correct

viral infection that often starts with flu like symptoms

acute pulmonary embolism

58 year old male presents with confusion and right sided weakness, slurred speech. Wife is present and very upset as your partner applies oxygen what do you do

fast scale. facial droop arm drift speech time transport

Seizure characterized by

severe twitching of all muscles

What is status epileptic

prolong seizure without regaining consciousness

When you are obtaining medical history information from a family member of a suspected stroke patient it is most importantly to determine

when patient last appeared normal

66 year old male who according to family suffered a massive stroke. Primary assessment reveals the patient is apneic unresponsive and has no pulse

initiate cpr attach aed

Corrosion of the protective layer of the stomach can cause

ulcers

Pain that is localized to the lower back or lower abdominal quadrant

aortic aneurysm

Solid abdominal organs include

spleen kidney pancreas

Which organ would most likely bleed profusely

liver

When assessing a patient with abdominal pain what should we do

one away from painful quadrant in clockwise motion

Pain that is precieved on the distant point on the surface of the body such as back or shoulder is called

referee pain

Chronic renal failure is a condition most often characterized by

hypertension and diabetes

After taking Benadryl for an allergic reaction a person began experiencing drowsiness and dry mouth

side effects

Newborn heart rate less then 60 beats per min what do you fo

cpr

What is an immediate sign of delivery

crowning

Primigravada refers to

first pregnancy

Which is not a proponent of the algae scale

body size

When is a LVAD used

patient awaiting a new heart

A surgical procedure that creates an opening between intestines and the surface of the body that eliminates waste products is called a

colostomy

What is a silent heart attsck

no noticeable symptoms

PID typically does not affect

urinary bladder

Whenever possible the victim of a sexual assault should be given the option

to be treated by a female

Each ovary produces a ovum in alternating and releases into the

fallopian tubes

45 year old women surgery depressed states that she feels as if the world is crashing down and she has frequent thoughts of suicide, but not sure if she would go through with it what should you do

ask if she had a suicidal plan

A technique used to gain insight into a patients which involves repeating in question from what the patient has said is called

reflective listening

The person responsible for an EMT to perform in the field is the

medical director

100

Which of the following activities occurs in the warm zone

decontamination