AEMT Final Test Latest Updated with Complete Solutions

A trauma patient complains of pain to the costovertebral angle. The organ(s) MOST likely injured is/are the: A. liver B. bladder C. spleen D. kidneys - ANSWER-kidneys pg.291 A patient with a core body temperature of 85F would be expected to present with: A. profoundly slow respirations B. deep, rapid respirations C. confusion or lethargy D. uncontrolled shivering - ANSWER-profoundly slow respirations pg.1378 The process of removing dirt, dust, blood, or other visible contaminants from a surface or equipment is called: A. high-level disinfection B. cleaning C. disinfection D. sterilization - ANSWER-cleaning pg.1629 Following administration of an amiodarone bolus, your paramedic partner begins a continuous infusion. This is necessary in order to: A. decrease the therapeutic index of the medication B. ensure clearance of the drug from the body C. maintain a therapeutic blood level of the drug D. slow excretion of the drug by the renal system - ANSWER-maintain a therapeutic blood level of the drug pg.642 A liquid mixture of one or more substances that cannot be separated by filtering or allowing the mixture to stand is called a(n): A. suspension B. solution C. syrup D. emulsion - ANSWER-solution pg.557 During a hockey game, a 19-year-old male player was pushed and he landed on his left shoulder. He complains of pain and point tenderness to the area. Your assessment reveals an anterior bulge of the lateral clavicle. This patient has MOST likely experienced a/an: A. fracture of the lateral clavicle. B. acromioclavicular separation. C. dislocation of the left shoulder. D. sternoclavicular joint fracture. - ANSWER-acromioclavicular separation pg.1348 Following the administration of one tube of oral glucose, your 20-year-old female diabetic patients condition markedly improves. You should: A. administer 25 mL of D50 via IV push and transport promptly B. avoid giving further glucose in order to avoid hyperglycemia C. allow her to drive herself to the hospital if she remains stable D. transport her to the hospital and reassess her blood sugar en route - ANSWER-transport her to the hospital and reassess her blood sugar en route pg.930 A patient has a gunshot wound to the left side of the chest. How should you describe the anatomic location of the injury? A. Inferoposterior B. Anteromedial C. Anterolateral D. Inferolateral - ANSWER-Anterolateral pg.160 A hemostatic agent is useful in controlling external bleeding because: A. it causes enhanced clot formation at the wound site B. it stops the bleeding faster than a proximal tourniquet C. it constricts the blood vessels to stop the bleeding D. the gauze it is impregnated with can be wrapped tightly - ANSWER-it causes enhanced clot formation at the wound site pg.1113 A patient who presents with hypotension, jugular venous distention, and a rapid irregular pulse should be suspected of experiencing: A. distributive shock B. neurogenic shock C. hypovolemic shock D. obstructive shock - ANSWER-obstructive shock pg.665 Blood enters the right atrium through the: A. left and right coronary arteries B. coronary artery and foramen ovale C. vena cavae and coronary sinus D. foramen ovalis and vena cavae - ANSWER-vena cavae and coronary sinus pg.806 The ________, which is present wherever a nerve cell terminates, connects to the next cell via _________. A. axon, catecholamines B. synapse, neurotransmitters C. dendrite, nerve fibers D. neuron, catecholamines - ANSWER-synapse, neurotransmitters pg.850 A fracture of the orbital bone is commonly referred to as a: A. blowout fracture B. midface fracture C. Le Fort fracture D. basilar fracture - ANSWER-blowout fracture pg.241 A biphasic response to an antigen occurs when: A. there is no acute response but a delayed response hours later B. the acute response is rapidly corrected by the immune system C. the acute response is sustained despite appropriate care D. an acute response is followed later by a delayed response - ANSWER-an acute response is followed later by a delayed response pg.956 All of the following are facial bones, EXCEPT the: A. maxilla B. palatine C. lacrimal D. parietal - ANSWER-parietal pg.240 All of the following signs are indicative of upper airway burns due to an inhalation injury, EXCEPT: A. dyspnea and hypoxia B. wheezing or rhonchi C. carbonaceous sputum D. an altered mental status - ANSWER-wheezing or rhonchi pg.1150 An anion is an: A. ion with an overall positive charge. B. electrolyte with a neutral charge. C. ion with both a negative and positive charge. D. ion with an overall negative charge. - ANSWER-ion with an overall negative charge pg.590 When caring for a patient with a behavioral crisis, you should ensure your own safety, and then: A. apply oxygen with a nonrebreathing mask B. determine if the patient is seeing a psychiatrist C. frisk the patient for dangerous weapons D. identify any life-threatening conditions - ANSWER-identify any life-threatening conditions pg.1014 When evaluating the mechanism of injury of a car-versus-pedestrian collision, you should first: A. evaluate the vehicle that struck the patient for structural damage B. determine if the patient was propelled away from the vehicle C. approximate the speed of the vehicle that struck the pedestrian D. determine if the patient was struck and pulled under the vehicle - ANSWER-approximate the speed of the vehicle that struck the pedestrian pg.1072 Appropriate management for a conscious adult patient with acute abdominal pain, a BP of 80/50 mm Hg, and a pulse rate of 120 beats/min includes: A. elevating the lower extremities 12 to 15 inches B. IV fluid boluses as needed to maintain perfusion C. increasing the blood pressure to 120 mm Hg D. fluids by mouth if the patient is not nauseated - ANSWER-IV fluid boluses as needed to maintain perfusion pg.899 Insulin maintains homeostasis by: A. converting glycogen to glucose. B. facilitating cellular glucose uptake. C. causing the cells to produce glucose. D. increasing blood glucose circulation. - ANSWER-facilitating cellular glucose uptake pg.913 In which of the following patients would it be MOST appropriate to administer oral glucose? A. stroke patient with a depressed swallowing mechanism B. conscious patient with a blood glucose level of 70 mg/dL C. unresponsive patient with adequate ventilatory effort D. confused diabetic patient who is breathing adequately - ANSWER-confused diabetic patient who is breathing adequately pg.929 Which of the following factors would have the least effect on a 75-year-old patients vital signs? A. medical conditions B. medications C. overall health D. increased weight - ANSWER-increased weight pg.380 In the absence of obvious external trauma, an abdominal injury would be MOST difficult to assess for in a(n): A. patient in severe pain B. unresponsive patient C. intoxicated patient D. hypovolemic patient - ANSWER-unresponsive patient pg.1293 Which of the following causes of an acute abdomen would be LEAST likely to present with fever? A. acute pancreatitis secondary to an infectious process B. appendicitis prior to rupture and abscess formation C. acute cholecystitis caused by the presence of gallstones D. inflammation of the small pockets in the large intestine - ANSWER-appendicitis prior to rupture and abscess formation pg.888 Which of the following statements regarding methicillin-resistant Staphylococcus aureus (MRSA) is correct? A. studies have shown that less than 1% of health care providers are MRSA carriers B. MRSA is a bacterium that causes infections and is resistant to most antibiotics C. the communicable period for MRSA is 10 days to 2 weeks after being infected D. most cases of MRSA transmission occur following an accidental needlestick - ANSWER-MRSA is a bacterium that causes infections and is resistant to most antibiotics pg.745 Heatstroke occurs when the: A. body is subjected to more heat than it can remove B. hypothalamus produces excessive body heat C. patients core body temperature gradually rises D. process of thermogenesis is rendered ineffective - ANSWER-body is subjected to more heat than it can remove pg.1387 "Normal" behavior is basically classified as what: A. is agreed upon by psychiatrists B. the patient perceives C. is acceptable by society D. your protocols dictate - ANSWER-is acceptable by society pg.1009 Cellular ischemia results in anaerobic metabolism. What occurs during this process? A. postcapillary sphincters dilate, causing a release of CO2 from the cells B. blood stagnates in the capillaries and lactic acid is produced C. lactic acid is rapidly produced and results in metabolic alkalosis D. precapillary sphincters constrict in response to decreased perfusion - ANSWER-blood stagnates in the capillaries and lactic acid is produced pg.661 Which of the following activities occurs in the warm zone? A. command B. decontamination C. medical monitoring D. personnel staging - ANSWER-decontamination pg.1675 To minimize the risk of injuring yourself when lifting or moving a patient, you should: A. use a direct carry whenever possible B. avoid the use of log rolls or body straps C. keep the weight as close to your body as possible D. flex at the waist instead of the hips - ANSWER-keep the weight as close to you body as possible pg.187 The decline in cardiac function that commonly occurs in late adulthood is MOST often related to: A. atherosclerosis B. hypotension C. medication use D. kidney failure - ANSWER-atherosclerosis pg.380 An ectopic pregnancy occurs when an ovum develops: A. within the abdominal cavity B. inside one of the ovaries C. late in the womans cycle D. outside of the uterus - ANSWER-outside of the uterus pg.1043 Kussmaul respirations indicate that the respiratory system is: A. trying to lower the bloods pH B. excreting ketones from the blood C. compensating for severe hypoxia D. removing lactic acid from the body - ANSWER-excreting ketones from the blood pg.923 During transport of a patient with a possible fractured arm, you come upon a major car accident involving multiple patients. Your patient is responsive, alert, and has stable vital signs. What should you do? A. radio the dispatcher to send ambulances to the scene and continue transport B. quickly triage the patients and wait for other ambulances to arrive at the scene C. notify the dispatcher of the major accident once you have arrived at the hospital D. ask a bystander to stay with your patient as you and your partner begin triage - ANSWER-radio the dispatcher to send ambulances to the scene and continue transport pg.81 Most cases of anthrax begin with: A. signs of shock. B. pulmonary edema. C. flulike symptoms. D. respiratory distress - ANSWER-flulike symptoms pg.1724 According to the Starling law of the heart: A. decreased venous return reduces the amount of blood delivered to the lungs B. damage to the right ventricle causes blood to back up in the systemic circulation C. the cardiac muscle can generate its own electrical impulses without outside influence D. increased venous return stretches the ventricles, resulting in increased contractility - ANSWER-increased venous return stretches the ventricles, resulting in increased contractility pg.808 Blunt or penetrating trauma can be especially lethal in pregnant patients because the: A. uterus descends into the pelvis B. fetus can sustain serious injury C. gravid uterus is highly vascular D. vital signs usually remain normal - ANSWER-gravid uterus is highly vascular pg.1299 A common clinical finding in patients with hypo- or hyperglycemic crisis is: A. an altered mental status B. rapid and shallow breathing C. profound dehydration D. diaphoresis and pale skin - ANSWER-an altered mental status pg.928 When documenting medical terminology on a patient care form, you should: A. spell the word to the best of your ability B. use only standard medical abreviations C. avoid the use of medical abbreviations D. use abbreviations unique to your protocols - ANSWER-use only standard medical abbreviations pg.133 An unconscious, adequately breathing patient should be placed in the recovery position, which is: A. laterally recumbent B. prone C. supine D. semi-sitting - ANSWER-laterally recumbent pg.160 Glycogenolysis is a metabolic process in which: A. insulin causes increased production of glycogen B. glucagon converts stored glycogen into glucose C. insulin facilitates the cellular uptake of glucose D. glucagon destroys glycogen in the bloodstream - ANSWER-glucagon converts stored glycogen into glucose pg.914 A 4-year-old female has a peanut lodged in the external auditory canal of her right hear. You should: A. transport her to the emergency department B. thoroughly flush her ear with sterile saline C. remove the peanut with a cotton-tipped swab D. use tweezers to try to remove the object - ANSWER-transport her to the emergency department pg.1186 Patients with COPD are highly susceptible to pneumonia because: A. their age predisposes them to COPD-related lung infections B. they cannot effectively expel infected pulmonary secretions C. their immune system is inherently weakened by the disease D. their hyperactive cough reflex leads to alveolar destruction - ANSWER-they cannot effectively expel infected pulmonary secretions pg.767 When caring for a morbidly obese patient, you should: A. establish his or her chief complaint and then communicate your plan to help. B. call for ALS backup because obese patients are at high risk for heart attack C. leave him or her in a supine position, because this often facilitates breathing D. ask the patient if he or she knows what led to his or her obesity problem - ANSWER-establish his or her chief complaint and then communicate your plan to help. pg.1598 When a driver is in a car equipped with an air bag, but is not wearing a seatbelt, he or she will MOST likely strike the __________ when the air bag deploys upon impact. A. dashboard B. steering wheel C. door D. windshield - ANSWER-door pg.1068 An alteration in the size, shape, and organization of cells is called: A. atrophy B. hyperplasia C. dysplasia D. metaplasia - ANSWER-dysplasia pg.317 The MOST serious consequence of a poorly planned or rushed patient move is: A. unnecessarily wasting time B. causing patient anxiety or fear C. confusion among team members D. injury to you or your patient - ANSWER-injury to you or your patient pg.201 The fourth link in the chain of survival includes: A. immediate high-quality CPR B. basic and advanced EMS care C. post arrest care in the hospital D. activation of the EMS system - ANSWER-basic and advanced EMS care pg.605