West Coast EMT Block 2 Exam with verified
| | | | | || | |
answers
A |60-year-old |man |is |found |to |be |unresponsive, |pulseless, |and |apneic. |You |should:
Select |one:
A. |start |CPR |and |transport |immediately.
B. |begin |CPR |until |an |AED |is |available.
C. |withhold |CPR |until |he |is |defibrillated.
D. |determine |if |he |has |a |valid |living |will. |- |ANSWER-B. |begin |CPR |until |an |AED |is |available.
Basic |life |support |(BLS) |is |defined |as:
Select |one:
A. |basic |lifesaving |treatment |that |is |performed |by |bystanders |while |EMS |providers |are |en |route |to |
the |scene |of |an |emergency.
B. |noninvasive |emergency |care |that |is |used |to |treat |conditions |such |as |airway |obstruction, |respiratory
|arrest, |and |cardiac |arrest.
C. |invasive |emergency |medical |interventions |such |as |intravenous |therapy, |manual |defibrillation, |and |
advanced |airway |management.
D. |any |form |of |emergency |medical |treatment |that |is |performed |by |advanced |EMTs, |paramedics, |
physicians, |and |emergency |nurses. |- |ANSWER-B. |noninvasive |emergency |care |that |is |used |to |treat |
conditions |such |as |airway |obstruction, |respiratory |arrest, |and |cardiac |arrest.
Between |each |chest |compression, |you |should |__________.
Select |one:
A. |check |for |a |pulse
B. |allow |full |chest |recoil
C. |administer |a |breath
D. |remove |your |hands |from |the |chest |- |ANSWER-B. |allow |full |chest |recoil
,Complications |associated |with |chest |compressions |include |all |of |the |following, |EXCEPT:
Select |one:
A. |a |fractured |sternum.
B. |gastric |distention.
C. |rib |fractures.
D. |liver |laceration. |- |ANSWER-B. |gastric |distention.
CPR |is |in |progress |on |a |pregnant |woman. |Shortly |after |manually |displacing |her |uterus |to |the |left, |
return |of |spontaneous |circulation |occurs. |Which |of |the |following |would |MOST |likely |explain |this?
Select |one:
A. |Displacement |of |her |uterus |caused |blood |to |flow |backward, |which |increased |blood |flow |to |her |
heart.
B. |Increased |blood |flow |to |her |heart |caused |her |ventricles |to |stop |fibrillating, |which |restored |her |
pulse.
C. |Displacement |of |her |uterus |allowed |her |lungs |to |expand |more |fully, |which |restored |her |pulse.
D. |Pressure |was |relieved |from |her |aorta |and |vena |cava, |which |improved |chest |compression |
effectiveness. |- |ANSWER-D. |Pressure |was |relieved |from |her |aorta |and |vena |cava, |which |improved |
chest |compression |effectiveness.
CPR |retraining |is |the |MOST |effective |when |it:
Select |one:
A. |occurs |every |24 |months.
B. |is |delivered |by |computer.
C. |involves |hands-on |practice.
D. |is |self-paced |and |brief. |- |ANSWER-C. |involves |hands-on |practice.
CPR |should |be |initiated |when:
Select |one:
A. |rigor |mortis |is |obvious.
B. |signs |of |putrefaction |are |present.
,C. |the |carotid |pulse |is |very |weak.
D. |a |valid |living |will |is |unavailable. |- |ANSWER-D. |a |valid |living |will |is |unavailable.
CPR |will |NOT |be |effective |if |the |patient |is:
Select |one:
A. |supine.
B. |prone.
C. |horizontal.
D. |on |a |firm |surface. |- |ANSWER-B. |prone.
Gastric |distention |will |MOST |likely |occur:
Select |one:
a. |when |you |deliver |minimal |tidal |volume.
b. |
| c. |in |patients |who |are |intubated.
d. |when |the |airway |is |completely |obstructed.
e. |if |you |ventilate |a |patient |too |quickly. |- |ANSWER-e. |if |you |ventilate |a |patient |too |quickly.
If |an |object |is |visible |in |the |unconscious |patient's |airway, |you |should |__________.
Select |one:
A. |leave |it |in |place
B. |continue |chest |compressions
C. |remove |it
D. |place |the |patient |on |his |or |her |side |- |ANSWER-C. |remove |it
In |most |cases, |cardiopulmonary |arrest |in |infants |and |children |is |caused |by:
Select |one:
A. |a |cardiac |dysrhythmia.
B. |severe |chest |trauma.
, C. |respiratory |arrest.
D. |a |drug |overdose. |- |ANSWER-C. |respiratory |arrest.
Several |attempts |to |adequately |open |a |trauma |patient's |airway |with |the |jaw-thrust |maneuver |have |
been |unsuccessful. |You |should:
Select |one:
A. |try |opening |the |airway |by |lifting |up |on |the |chin.
B. |suction |the |airway |and |reattempt |the |jaw-thrust |maneuver.
C. |tilt |the |head |back |while |lifting |up |on |the |patient's |neck.
D. |carefully |perform |the |head |tilt-chin |lift |maneuver. |- |ANSWER-D. |carefully |perform |the |head |tilt-chin
|lift |maneuver.
Signs |of |a |sudden |severe |upper |airway |obstruction |include |all |of |the |following, |EXCEPT:
Select |one:
A. |grasping |the |throat.
B. |acute |cyanosis.
C. |inability |to |speak.
D. |forceful |coughing. |- |ANSWER-D. |forceful |coughing.
The |impedance |threshold |device |(ITD) |may |improve |circulation |during |active |compression-
decompression |CPR |by:
Select |one:
A. |limiting |the |amount |of |air |that |enters |the |lungs |during |the |recoil |phase |between |chest |
compressions, |which |results |in |negative |intrathoracic |pressure |and |improved |cardiac |filling.
B. |maintaining |increased |intrathoracic |pressure |during |the |downward |stroke |of |each |chest |
compression, |which |forces |more |blood |from |both |of |the |ventricles.
C. |drawing |all |of |the |air |out |of |the |lungs |in |between |chest |compressions, |which |causes |positive |
intrathoracic |pressure |and |a |reduction |of |blood |return |to |the |right |side |of |the |heart.
D. |maximizing |the |amount |of |air |in |the |lungs |following |chest |recoil, |which |hyperinflates |the |lungs |and
|forces |more |blood |from |the |ventricle |during |each |compression. |- |ANSWER-A. |limiting |the |amount |of |
air |that |enters |the |lungs |during |the |recoil |phase |between |chest |compressions, |which |results |in |
negative |intrathoracic |pressure |and |improved |cardiac |filling.
| | | | | || | |
answers
A |60-year-old |man |is |found |to |be |unresponsive, |pulseless, |and |apneic. |You |should:
Select |one:
A. |start |CPR |and |transport |immediately.
B. |begin |CPR |until |an |AED |is |available.
C. |withhold |CPR |until |he |is |defibrillated.
D. |determine |if |he |has |a |valid |living |will. |- |ANSWER-B. |begin |CPR |until |an |AED |is |available.
Basic |life |support |(BLS) |is |defined |as:
Select |one:
A. |basic |lifesaving |treatment |that |is |performed |by |bystanders |while |EMS |providers |are |en |route |to |
the |scene |of |an |emergency.
B. |noninvasive |emergency |care |that |is |used |to |treat |conditions |such |as |airway |obstruction, |respiratory
|arrest, |and |cardiac |arrest.
C. |invasive |emergency |medical |interventions |such |as |intravenous |therapy, |manual |defibrillation, |and |
advanced |airway |management.
D. |any |form |of |emergency |medical |treatment |that |is |performed |by |advanced |EMTs, |paramedics, |
physicians, |and |emergency |nurses. |- |ANSWER-B. |noninvasive |emergency |care |that |is |used |to |treat |
conditions |such |as |airway |obstruction, |respiratory |arrest, |and |cardiac |arrest.
Between |each |chest |compression, |you |should |__________.
Select |one:
A. |check |for |a |pulse
B. |allow |full |chest |recoil
C. |administer |a |breath
D. |remove |your |hands |from |the |chest |- |ANSWER-B. |allow |full |chest |recoil
,Complications |associated |with |chest |compressions |include |all |of |the |following, |EXCEPT:
Select |one:
A. |a |fractured |sternum.
B. |gastric |distention.
C. |rib |fractures.
D. |liver |laceration. |- |ANSWER-B. |gastric |distention.
CPR |is |in |progress |on |a |pregnant |woman. |Shortly |after |manually |displacing |her |uterus |to |the |left, |
return |of |spontaneous |circulation |occurs. |Which |of |the |following |would |MOST |likely |explain |this?
Select |one:
A. |Displacement |of |her |uterus |caused |blood |to |flow |backward, |which |increased |blood |flow |to |her |
heart.
B. |Increased |blood |flow |to |her |heart |caused |her |ventricles |to |stop |fibrillating, |which |restored |her |
pulse.
C. |Displacement |of |her |uterus |allowed |her |lungs |to |expand |more |fully, |which |restored |her |pulse.
D. |Pressure |was |relieved |from |her |aorta |and |vena |cava, |which |improved |chest |compression |
effectiveness. |- |ANSWER-D. |Pressure |was |relieved |from |her |aorta |and |vena |cava, |which |improved |
chest |compression |effectiveness.
CPR |retraining |is |the |MOST |effective |when |it:
Select |one:
A. |occurs |every |24 |months.
B. |is |delivered |by |computer.
C. |involves |hands-on |practice.
D. |is |self-paced |and |brief. |- |ANSWER-C. |involves |hands-on |practice.
CPR |should |be |initiated |when:
Select |one:
A. |rigor |mortis |is |obvious.
B. |signs |of |putrefaction |are |present.
,C. |the |carotid |pulse |is |very |weak.
D. |a |valid |living |will |is |unavailable. |- |ANSWER-D. |a |valid |living |will |is |unavailable.
CPR |will |NOT |be |effective |if |the |patient |is:
Select |one:
A. |supine.
B. |prone.
C. |horizontal.
D. |on |a |firm |surface. |- |ANSWER-B. |prone.
Gastric |distention |will |MOST |likely |occur:
Select |one:
a. |when |you |deliver |minimal |tidal |volume.
b. |
| c. |in |patients |who |are |intubated.
d. |when |the |airway |is |completely |obstructed.
e. |if |you |ventilate |a |patient |too |quickly. |- |ANSWER-e. |if |you |ventilate |a |patient |too |quickly.
If |an |object |is |visible |in |the |unconscious |patient's |airway, |you |should |__________.
Select |one:
A. |leave |it |in |place
B. |continue |chest |compressions
C. |remove |it
D. |place |the |patient |on |his |or |her |side |- |ANSWER-C. |remove |it
In |most |cases, |cardiopulmonary |arrest |in |infants |and |children |is |caused |by:
Select |one:
A. |a |cardiac |dysrhythmia.
B. |severe |chest |trauma.
, C. |respiratory |arrest.
D. |a |drug |overdose. |- |ANSWER-C. |respiratory |arrest.
Several |attempts |to |adequately |open |a |trauma |patient's |airway |with |the |jaw-thrust |maneuver |have |
been |unsuccessful. |You |should:
Select |one:
A. |try |opening |the |airway |by |lifting |up |on |the |chin.
B. |suction |the |airway |and |reattempt |the |jaw-thrust |maneuver.
C. |tilt |the |head |back |while |lifting |up |on |the |patient's |neck.
D. |carefully |perform |the |head |tilt-chin |lift |maneuver. |- |ANSWER-D. |carefully |perform |the |head |tilt-chin
|lift |maneuver.
Signs |of |a |sudden |severe |upper |airway |obstruction |include |all |of |the |following, |EXCEPT:
Select |one:
A. |grasping |the |throat.
B. |acute |cyanosis.
C. |inability |to |speak.
D. |forceful |coughing. |- |ANSWER-D. |forceful |coughing.
The |impedance |threshold |device |(ITD) |may |improve |circulation |during |active |compression-
decompression |CPR |by:
Select |one:
A. |limiting |the |amount |of |air |that |enters |the |lungs |during |the |recoil |phase |between |chest |
compressions, |which |results |in |negative |intrathoracic |pressure |and |improved |cardiac |filling.
B. |maintaining |increased |intrathoracic |pressure |during |the |downward |stroke |of |each |chest |
compression, |which |forces |more |blood |from |both |of |the |ventricles.
C. |drawing |all |of |the |air |out |of |the |lungs |in |between |chest |compressions, |which |causes |positive |
intrathoracic |pressure |and |a |reduction |of |blood |return |to |the |right |side |of |the |heart.
D. |maximizing |the |amount |of |air |in |the |lungs |following |chest |recoil, |which |hyperinflates |the |lungs |and
|forces |more |blood |from |the |ventricle |during |each |compression. |- |ANSWER-A. |limiting |the |amount |of |
air |that |enters |the |lungs |during |the |recoil |phase |between |chest |compressions, |which |results |in |
negative |intrathoracic |pressure |and |improved |cardiac |filling.