emt midterm study guide with complete solution

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which of the following skills or interventions is included at every level of pre-hospital emergency training? - ANSWER automated external defibrillation which of the following statements regarding ... the EMS medical director and an EMT's scope of practice is correct? - ANSWER an emts scope of practice may be expanded by the medical director after proper training and state approval which of the following statements regarding the different stages of the grieving process is correct - ANSWER the stages of the grieving process may occur simultaneously your partner, a veteran emt with whom you have worked regularly for the past 4 years, seems unusually agitated during a call involving am elderly patient. upon arrival back at your station, you note the obvious smell of alcohol on his breath. what should you do? - ANSWER discreetly report your suspicions to your supervisor you have been working at the scene of a major building collapse for 8 hours. man injured people are still being removes, and everyone is becoming frustrated and losing focus. this situation is most effectively managed by - ANSWER requesting a CISM team to provide on-scene peer support if you are exposed to a patients blood or other bodily fluid, your first action should be to: - ANSWER transfer care of the patient to another ems provider when faces with a situation in which a patient is in cardiac arrest and a valid living will or DNR order cannot be located, you should - ANSWER begin resuscitation at once your best protection against legal liability when a patient with decision making capacity refuses ems care and transport is to - ANSWER thoroughly document the entire event which of the following scenarios is an example of informed consent - ANSWER an emt advises a patient of the risks of receiving treatment Typical components of an oral patient report include all of the following, EXCEPT: - ANSWER the set of baseline vital signs taken at the scene calming and reassuring an anxious patient can be facilitated by - ANSWER maintaining eye contact with the patient whenever possible 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 - ANSWER "do you have any heart problems or take any medications" enlargement of the liver is called - ANSWER hepatomegaly the areas of the spinal column is descending order are - ANSWER cervical, thoracic, lumbar, sacral, coccyx which of he following statements regarding smooth muscle is correct - ANSWER a person has no voluntary control over smooth muscle Relative to an adult's airway anatomy, the child's: - ANSWER pharynx is smaller and less deeply curved when assessing an 80 year old patient in shock, it is important to remember that - ANSWER age related changes in the cardiovascular system may make the patient less able to compensate for decreased perfusion Infants are often referred to as "belly breathers" because: - ANSWER their rib cage is less rigid and the ribs sit horizontally you have 2 patients who were involved in a motor vehicle crash when their SUV struck a tree - one with neck and back pain, and the other with a deformed left femur. the patient with the deformed femur states that he doesnt want to be placed on a hard board, nor does he want a collar around his neck. what is the most appropriate and practical method of securing these patients and placing them into the ambulance. - ANSWER immobilize the patient with neck and back pain on a long backboard and place him on the wheeled stretcher; place the patient with the deformed femur on a folding stretcher secured to the squad bench which of the following steps is not proper procedure when performing an emergency move - ANSWER lifting the patient by the belt to move him or her when the shoulder girdle is aligned over the pelvis during lifting - ANSWER the weight is exerted straight down the vertebrae You respond to the scene of a motor vehicle collision. Upon arrival, you find the driver, a young female, sitting on the curb. She is confused, is in obvious respiratory distress, and has pale, moist skin. As your partner manually stabilizes her head, you perform a primary assessment. After performing any immediate livesaving treatment, you should: - ANSWER perform a detailed head-to-toe exam and prepare for immediate transport external bleeding from an extremity can usually be controlled initially by - ANSWER applying direct pressure observations made when forming a general impression of a patient would include all of the following except - ANSWER pulse strength what is the alveolar minute volume of a patient with a tidal volume of 500ml, a dead space volume of 150ml, and a resiratory rate of 16 breaths/min - ANSWER 5600ml a 71 year old male is semiconscious following a sudden, severe headache. there is vomitus on his face and his respirations are slow and shallow. the EMT must immediately - ANSWER perform oropharyngeal suctioning you are dispatches to a residence where a middle aged man was found unconscious in his front yard. there are no witnesses who can tell you what happened. you find him in a prone position; his eyes are closed and he is not moving. your first action should be to - ANSWER log roll him as a unit to a supine position you are treating a middle ages man with chest discomfort. he has a history of 3 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 should - ANSWER confirm that the patient is not allergic to aspirin, give him the appropriate dose of aspirin, and document the time and dose given Which of the following medication routes has the slowest rate of absorption - ANSWER oral When gathering a patient's medications, you find the following: Isordil, Lasix, Nexium, and Digoxin. Which of these medications can be obtained over-the-counter (OTC) - ANSWER nexium Which of the following clinical signs is unique to anaphylactic shock? - ANSWER wheezing A 70 year old female was recently discharged from the hospital following a hip replacement. Today, she presents with restlessness, tachycardia, and a blood pressure of 100/64 mm Hg. Her skin is hot and moist. You should be Most suspicious that she is experiencing - ANSWER septic shock Abdominal thrusts in a conscious child or adult with severe upper airway obstruction are performed - ANSWER until he/she looses consciousness Which of the following statements regarding ventricular fibrillation is correct - ANSWER V-Fib results in an absence of forward blood flow Which of the following is NOT a BLS intervention - ANSWER Cardiac monitoring Which of the following statements regarding hepatitis A is correct? - ANSWER Hepatitis A can only be transmitted by a patient who has an acute infection A 58-year-old man complains of chest discomfort and nausea. He is conscious and alert; his blood pressure is 140/90 mm Hg, his pulse is 104 beats/min. Your partner has applied supplemental oxygen. Prior the assisting the patient with one of his prescribed nitroglycerin tablets, you ask him if he takes medication to treat erectile disfunction (ED) and he tells you that he does. You should: - ANSWER ask him what he takes, how much, and when he last took it When assessing for fluid collection in the lungs during auscultation of lung sounds, you should; - ANSWER Start at the lower lung field and determine at which level you start hearing clear breath sounds 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%. You should suspect - ANSWER acute pulmonary embolism The left ventricle has the thickest walls because it: - ANSWER pumps blood into the aorta and systemic circulation prompt transport of a patient with suspected AMI is important because: - ANSWER the patient may be eligible to receive thrombolytic therapy An absence seizure is also referred to as a: - ANSWER petit mal seizure You are assessing a 49 year old male who, according to his wife, experienced a sudden, severe headache and then passed out. He is unresponsive and has slow irregular breathing. His blood pressure is 190/94 mm Hg and his pulse rate is 50 beats/min. His wife tells you that he has hypertension and diabetes. He has most likely experienced: - ANSWER a ruptured cerebral artery Which of the following statements regarding gastrointestinal bleeding is correct: - ANSWER Bleeding within the gastrointestinal tract is a symptom, of another disease, not a disease itself. Erosion of the protective layer of the stomach or duodenum secondary to overactivity of digestive juices result in: - ANSWER an ulcer Patients with uncontrolled diabetes experience polyuria because: - ANSWER Excess glucose in the blood is excreted by the kidneys A 50 year old man with diabetes has an altered mental status and is unable to tell you when he last ate or took his insulin. Your glucometer keeps malfunctioning and you are unable to determine his blood glucose level. Which of the following clinical signs would MOST likely lead you to the correct diagnosis? - ANSWER deep and rapid breathing Ketone production is the result of: - ANSWER fat metabolization when glucose is unavailable. Kussmaul respirations are an indication that the body is: - ANSWER attempting to eliminate acids from the blood When obtaining a SAMPLE history from a patient with diabetes, it would be MOST important to determine: - ANSWER If he or she has had any recent illness or excessive stress [Show More]

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