EMT mod 4 | STUDY SET | 100% verified

EMT mod 4 | STUDY SET | 100% verified The three major parts of the brain are the: - cerebrum, cerebellum, brain stem Which of the following symptoms would lead the EMT to believe that a patient's headache is caused by sinus congestion? -The headache began suddenly -There is associated neck stiffness -There is numbness in the extremities -The pain is worse when bending over - The pain is worse when bending over Interruption of cerebral blood flow may result from all of the following, EXCEPT: - Cerebral vasodilation The MOST significant risk factor for a hemorrhagic stroke is: - Hypertension A patient whose speech is slurred and difficult to understand is experiencing: - Dysarthria Which of the following conditions would be the LEAST likely to mimic the signs and symptoms of a stroke? - Hypovolemia Which of the following MOST accurately describes a simple partial seizure? - A seizure that begins in one extremity Which of the following MOST accurately describes what the patient will experience during the postictal state that follows a seizure? - Confusion and fatigue You respond to a residence for a child who is having a seizure. Upon arrival at the scene, you enter the residence and find the mother holding her child, a 2-year-old male. The child is conscious and crying. According to the mother, the child had been running a high fever and then experienced a seizure that lasted approximately 3 minutes. You should: - Transport the child to the hospital and reassure the mother en route A patient with an altered mental status is: - not thinking clearly or is incapable of being aroused. When caring for a patient with documented hypoglycemia, you should be MOST alert for: - A seizure During the primary assessment of a semiconscious 70-year-old female, you should: - Ensure a patent airway and support ventilation as needed You are caring for a 68-year-old man with sudden onset of left-sided paralysis and slurred speech. His airway is patent, his respirations are 14 breaths/min with adequate depth, and his oxygen saturation is 98%. Treatment for this patient should include: - Recovery position and transport When you are obtaining medical history from the family of a suspected stroke patient, it is MOST important to determine: - When the patient last appeared normal When assessing for arm drift of a patient with a suspected stroke, you should: - Ask the patient to close his or her eyes during the assessment Your patient opens his eyes, moans, and pulls away from you when you pinch his trapezius muscle. You should assign a Glasgow Coma Scale (GCS) score of: - 8 A patient who is possibly experiencing a stroke is NOT eligible for thrombolytic (fibrinolytic) therapy if he or she: - Has bleeding within the brain A 30-year-old male experienced a generalized (tonic-clonic) seizure, which stopped before you arrived at the scene. The patient is conscious, is answering your questions appropriately, and refuses EMS transport. Which of the following would be the MOST compelling reason to disagree with his refusal of transport? - He is currently not prescribed any medications The left cerebral hemisphere controls - The right side of the body Which of the following conditions would MOST likely affect the entire brain? - Respiratory failure or cardiopulmonary arrest What is hemiparesis? - weakness on one side of the body What is aphasia? - An inability to produce or understand speech What is an aneurysm? - A swelling or enlargement of part of an artery resulting from weakness of the arterial wall What is the postictal state? - A period following a seizure that typically includes labored respirations and altered mental status What is an aura? - A sense of warning experienced prior to an event Headache, vomiting, altered mental status, and seizures are all considered early signs of? - Increased intracranial pressure Hypoglycemia can mimic conditions such as - A stroke Patients with a subarachnoid hemorrhage typically complain of a sudden severe - Headache When blood flow to a particular part of the brain is cut off by a blockage inside a blood vessel, the result is: - An ischemic stroke You are called to a home and find a 56-year-old woman supine in her bed. She appears alert, but has slurred speech. Her family tells you she has a history of TIAs and hypertension. You ask the patient, "What day is it today?" Her reply is, "Butterfly." Which area of the brain is likely affected? - Left hemisphere A transient ischemic attack (TIA) occurs when: - A small clot in a cerebral artery causes temporary symptoms Febrile seizures - Are usually benign but should be evaluated Individuals with chronic alcoholism are predisposed to intracranial bleeding and hypoglycemia secondary to abnormalities in the: - Liver The mental status of a patient who has experienced a generalize seizure - Is likely to improve over a period of 5-30 minutes The most basic functions of the body, such as breathing, blood pressure, and swallowing, are controlled by the: - Brain stem The spinal cord exits the cranium through the? - Foramen magnum Which of the following is a metabolic cause of a seizure? - Poisoning You are caring for a 70-year-old female with signs and symptoms of an acute stroke. She is conscious, has secretions in her mouth, is breathing at a normal rate with adequate depth, and has an oxygen saturation of 96%. You should: - Suction her oropharynx and transport immediately 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: - Initiate CPR and attach an AED as soon as possible 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: - Monitor her airway and breathing status and assess her blood glucose level For a patient with a gastrointestinal complaint, it is MOST important for the EMT to _________. - Identify whether the patient requires rapid transport Which of the following helps filter blood and has no digestive function? - Spleen Your patient complains of chronic "burning" stomach pain that improves after eating. You should suspect: - Peptic ulcer disease Urinary tract infections are more common in ________________. - Women Which of the following is correct about the secondary assessment for a high-priority patient? - you may not have time to complete a secondary assessment Which of the following may help reduce your patient's nausea? - Low flow oxygen Which of the following statements regarding the acute abdomen is correct? - The initial pain associated with an acute abdomen tends to be vague and poorly localized Pain that may be perceived at a distant joint on the surface of the body, such as the back or shoulder, is called: - Referred pain A 30 y/o woman with a history of alcoholism presents with severe upper abdominal pain and is vomiting large amounts of bright red blood. Her skin is cool, pale, and clammy; her heart rate is 120 bpm and weak; and her blood pressure is 70/50 mmHg. Your MOST immediate action should be to: - Protect her airway from aspiration An important aspect in the treatment of a patient with severe abdominal pain is to: - Provide emotional support en route to the hospital A 47 y/o male presents with severe abdominal pain of 3 hours' duration. His abdomen is distended and guarded. Your MOST important consideration for this patient should be to: - Be alert for signs and symptoms of shock Which of the following statements regarding dialysis is correct? - Patients who miss a dialysis treatment often present with weakness Which of the following organs lies in the retroperitoneal space? - Pancreas A young female presents with costovertebral angle tenderness. She is conscious and alert, with stable vital signs. Which of the following organs is MOST likely causing her pain? - Kidney A 29 y/o pregnant woman has had severe vomiting for the last 2 days. Today, she is vomiting large amounts of blood. Her skin is cool and pale and she is tachycardic. The EMT should suspect: - Mallory-weiss tear When assessing a patient with abdominal pain, you should? - Palpate the abdomen in a clockwise direction, beginning with the quadrant after the one the patient indicates is painful A 59 y/o male presents with sudden-onset severe lower back pain. He is conscious and alert, but very restless and diaphoretic. Your assessment reveals a pulsating mass to the left of his umbilicus. You should: - Administer oxygen and prepare for immediate transport Most patients with abdominal pain prefer to: - lie on their side with their knees drawn into the abdomen. _______ commonly produces symptoms about 30 minutes after a particularly fatty meal and usually at night. - Cholecystitis What is refered pain? - Pain felt in an area of the body other than where the cause of the pain is located What is acute abdomen? - A condition of sudden onset of pain within the abdomen What is peritonitis? - inflammation of the peritoneum What is retroperitoneal? - behind the peritoneum What Ileus? - Paralysis of the bowel What is the peritoneum? - A membrane lining the abdomen ______ occur(s) when there is excess pressure within the portal system and surrounding vessel and may lead to life-threatening bleeding. - Esophageal varices Severe back pain may be associated with which of the following conditions? - Abdominal aortic aneurysm When the abdominal muscles become rigid in an effort to protect the abdomen from further irritation, this is referred to as: - Guarding You have been dispatched to the home of a 52-year-old woman with severe flank pain. Which of the following would be an appropriate question to ask regarding the pain? - Is the pain constant or intermittent? A 60-year-old female presents with a tearing sensation in her lower back. Her skin is sweaty and she is tachycardic. The EMT should suspect: - Aortic aneurysm A strangulated hernia is one that: - loses its blood supply due to compression by local tissues. Chronic renal failure is a condition that: - is often caused by hypertension or diabetes. Functions of the liver include - secretion of bile and filtration of toxic substances. In contrast to the parietal peritoneum, the visceral peritoneum: - Is supplied by nerves of the autonomic nervous system, which are less able to localize pain or sensation. Injury to a hollow abdominal organ would most likely result in? - Leakage of contents into the abdominal cavity Solid abdominal organs