EMT FINAL EXAM 3 LATEST VERSIONS (VERSION A, B AND C) ACTUAL EXAM COMPLETE 400 QUESTIONS WITH ANSWERS

EMT FINAL EXAM 3 LATEST VERSIONS (VERSION A, B AND C) ACTUAL EXAM COMPLETE 400 QUESTIONS WITH ANSWERS -/ANSWE/.__________ rays easily penetrate through the human body and require lead or several inches of concrete to prevent penetration. - Beta - Neutron - Gamma - Alpha -/ANSWE/Gamma .____________ is what you can see of a person's response to the environment. - Neurosis - Psychosis - Affect - Behavior -/ANSWE/Behavior ."Gastro" in the word "gastroenteritis" means: - tongue. - bowel. - stomach. - intestine. -/ANSWE/stomach ."PASTE" is an alternate assessment tool for ___________. - respiratory patients - stroke patients - cardiac patients - seizure patients -/ANSWE/respiratory patients .A "hip" fracture is actually a fracture of the: - proximal femur. - femoral shaft. - pubic symphysis. - pelvic girdle. -/ANSWE/proximal femur. .A 12-year-old male jumped approximately 12 feet from a tree and landed on his feet. He complains of pain to his lower back. What injury mechanism is MOST likely responsible for his back pain? - Lateral impact to the spine - Energy transmission to the spine - Secondary fall after the initial impact - Direct trauma to the spinal column -/ANSWE/Energy transmission to the spine .A 13-year-old child is on a home ventilator. The parents called because the mechanical ventilator is malfunctioning and the child has increasing respiratory distress. You should: - reset the ventilator by unplugging it for 30 to 60 seconds. - place a call to the home health agency treating this patient. - disconnect the ventilator and apply a tracheostomy collar. - attempt to troubleshoot the mechanical ventilator problem. -/ANSWE/disconnect the ventilator and apply a tracheostomy collar. .A 15-year-old female was struck by a small car while riding her bicycle. She was wearing a helmet and was thrown to the ground, striking her head. In addition to managing problems associated with airway, breathing, and circulation, it is MOST important for you to: - leave her bicycle helmet on. - obtain baseline vital signs. - inspect the helmet for cracks. - stabilize her entire spine. -/ANSWE/stabilize her entire spine. .A 16-year-old female complains of vaginal bleeding and abdominal cramping that began several hours ago. During your assessment interview, you should: - inquire about the possibility of pregnancy in private, if possible. - avoid asking questions that she will feel uncomfortable answering. - obtain the majority of your information from one of her parents. - recall that patients in this age group prefer not to be treated as adults. -/ANSWE/inquire about the possibility of pregnancy in private, if possible. .A 17-year-old female dislocated her patella while playing soccer. Her knee is flexed and she complains of severe pain. You should: - keep her knee flexed and secure it with padded board splints. - flex her knee slightly more and assess for distal circulation. - make one attempt to return the patella to its normal position. - gently straighten her knee and apply a padded board splint. -/ANSWE/keep her knee flexed and secure it with padded board splints. .A 19-year-old female has just been extricated from her severely damaged car. She is on a long backboard and has been moved to a place of safety. As your partner maintains manual stabilization of her head, you perform a rapid assessment. The patient is unresponsive, has slow and shallow respirations, and has bilaterally closed femur deformities. You should: - obtain baseline vital signs and transport at once. - stabilize her legs with long board splints. - direct your partner to begin ventilatory assistance. - apply oxygen via a nonrebreathing mask. -/ANSWE/direct your partner to begin ventilatory assistance. .A 19-year-old female is found unconscious by her roommate. Your primary assessment reveals that her breathing is inadequate. As you insert an oropharyngeal airway, she begins to gag violently. You should: - continue to insert the airway as you suction her oropharynx. - insert the airway no further but leave it in place as a bite block. - remove the airway and be prepared to suction her oropharynx. - select a smaller oropharyngeal airway and attempt to insert it. -/ANSWE/remove the airway and be prepared to suction her oropharynx. .A 19-year-old female was stung multiple times on the legs by fire ants. She states that she is allergic to fire ants, but does not carry her own epinephrine. The patient is conscious and alert and complains of pain to the area of the bites. Her blood pressure is 122/70 mm Hg, her pulse is 100 beats/min and strong, and her respirations are 18 breaths/min and unlabored. You should: - administer oxygen and transport her to the hospital. - advise her to see her physician as soon as possible. - request a paramedic unit to administer epinephrine. - position her legs well above the level of her heart. -/ANSWE/administer oxygen and transport her to the hospital. .A 19-year-old male was stung multiple times by fire ants. He is experiencing obvious signs and symptoms of anaphylactic shock. You administer high-flow oxygen and give him epinephrine via intramuscular injection. Upon reassessment, you determine that his condition has not improved. You should: - transport him immediately and provide supportive care while en route. - repeat the epinephrine injection after consulting with medical control. - request a paramedic unit that is stationed approximately 15 miles away. - consider that he may actually be experiencing an acute asthma attack. -/ANSWE/repeat the epinephrine injection after consulting with medical control. .A 2-year-old female has experienced a seizure. When you arrive at the scene, the child is conscious, crying, and clinging to her mother. Her skin is hot and moist. The mother tells you that the seizure lasted approximately 5 minutes. She further tells you that her daughter has no history of seizures, but has had a recent ear infection. You should: - suspect that the child has meningitis and transport at once. - allow the mother to drive her daughter to the hospital. - place the child in cold water to attempt to reduce her fever. - cool the child with tepid water and transport to the hospital. -/ANSWE/cool the child with tepid water and transport to the hospital. .A 20-year-old male has a large laceration to his wrist. He is holding a blood-soaked towel over the wound, but it continues to bleed rapidly. You should: - apply a tourniquet proximal to the wrist. - wrap the towel with pressure bandages. - administer high-flow supplemental oxygen. - apply pressure to the brachial artery. -/ANSWE/apply a tourniquet proximal to the wrist. .A 21-year-old male was working in an auto repair shop and sustained radiator burns to the anterior aspect of both arms and to his anterior chest. According to the rule of nines, this patient has burns that cover _____ of his BSA. - 18% - 36% - 45% - 27% -/ANSWE/18% .A 22-year-old female patient is complaining of dyspnea and numbness and tingling in her hands and feet after an argument with her fiancé. Her respirations are 40 breaths/min. You should: - request a paramedic to give her a sedative. - provide reassurance and give oxygen as needed. - have her breathe into a paper or plastic bag. - position her on her left side and transport at once. -/ANSWE/provide reassurance and give oxygen as needed. .A 22-year-old female was ejected from her car after striking a tree head-on. As you approach her, you note obvious closed deformities to both of her femurs. She is not moving and does not appear to be conscious. You should: - apply manual stabilization to both of her femurs. - administer oxygen and perform a rapid assessment. - stabilize her head and perform a primary assessment. - assess for a carotid pulse and assist her ventilations. -/ANSWE/stabilize her head and perform a primary assessment. .A 22-year-old male with a history of clinical depression called 9-1-1 and stated that he has attempted to kill himself. Your unit and law enforcement officers arrive at the scene simultaneously. You find the patient lying supine on the living room floor. He is unresponsive and cyanotic. An empty bottle of hydromorphone (Dilaudid) is found on an adjacent table. You should: - provide care after determining what Dilaudid is used for. - open the patient's airway and assess his respirations. - wait for the police to examine him before providing care. - ask the police to handcuff the patient for safety purposes. -/ANSWE/open the patient's airway and assess his respirations. .A 25-year-old unrestrained female struck the steering wheel with her chest when her car hit a tree while traveling at a high rate of speed. She has signs and symptoms of shock, which you suspect are the result of intrathoracic bleeding. Which of the following interventions will provide this patient with the greatest chance for survival? - High-flow oxygen administration - Full immobilization of her spine - Intravenous fluid administration - Rapid transport to a trauma center -/ANSWE/Rapid transport to a trauma center .A 26-year-old female presents with heavy vaginal bleeding. She is conscious, but restless. Her blood pressure is 84/54 mm Hg, her pulse is 120 beats/min and weak, and her respirations are 22 breaths/min with adequate depth. She tells you that she inserted a tampon about 2 hours ago. You should: - administer high-flow oxygen, perform a detailed assessment of her vaginal area for signs of trauma, place her on her side, and transport. - administer high-flow oxygen, ask her to remove the tampon, perform a detailed secondary assessment, and transport promptly. - assist her ventilations with a bag-valve mask, place one sterile dressing into her vagina, perform a rapid secondary assessment, and transport. - administer high-flow oxygen, place a sterile pad over her vagina, keep her warm, elevate her lower extremities, and transport without delay. -/ANSWE/administer high-flow oxygen, place a sterile pad over her vagina, keep her warm, elevate her lower extremities, and transport without delay. .A 26-year-old female who is 34 weeks pregnant is experiencing a seizure. Her husband tells you that her blood pressure has been high and that she had been complaining of a headache for the past few days. You should: - insert an oral airway and ventilate her with a bag-valve mask. - place her on her side, administer high-flow oxygen, and transport. - elevate her legs to improve brain perfusion and keep her warm. - administer oral glucose for presumed hypoglycemia and transport. -/ANSWE/place her on her side, administer high-flow oxygen, and transport. .A 28-year-old male was struck in the chest with a baseball bat during an altercation. He is conscious and alert and complains of severe chest pain. Your assessment reveals a large area of ecchymosis over the sternum and a rapid, irregular pulse. In addition to providing supplemental oxygen, you should: - apply bulky dressings to the sternum. - prepare for immediate transport. - apply an AED and assess his BP. - determine if he has cardiac problems. -/ANSWE/prepare for immediate transport. .A 29-year-old male with a head injury opens his eyes when you speak to him, is confused as to the time and date, and is able to move all of his extremities on command. His Glasgow Coma Scale (GCS) score is: - 12 - 14 - 13 - 10 -/ANSWE/13 .A 29-year-old 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: - esophageal varices - esophagitis - acute pancreatitis - Mallory-Weiss tear -/ANSWE/Mallory-Weiss tear