EMT Chaoter 10 Patient Assessment,
EMT Block 2:Exam Complete
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Verified EMT Exam Paper
\.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:
A. remove the airway and be prepared to suction her oropharynx.
B. select a smaller oropharyngeal airway and attempt to insert it.
C. continue to insert the airway as you suction her oropharynx.
D. insert the airway no further but leave it in place as a bite block. - Answer- A. remove the
airway and be prepared to suction her oropharynx
\.A 37-year-old male has an apparent foreign body airway obstruction. He is conscious and alert
and is coughing forcefully. His skin is pink, warm, and moist. The MOST appropriate treatment
for this patient includes:
A. a series of back blows and chest thrusts.
B. a series of abdominal thrusts.
C. finger sweeps to remove the obstruction.
D. encouraging him to cough and transporting. - Answer- D. encouraging him to cough and
transporting
\.Structures of the lower airway include all of the following, EXCEPT:
A. the trachea.
,B. alveoli.
C. the epiglottis.
D. bronchioles. - Answer- C. the epiglottis
\.How does CPAP improve oxygenation and ventilation in patients with certain respiratory
problems?
A. It decreases intrathoracic pressure, which allows more room for lung expansion.
B. It pushes thick, infected pulmonary secretions into isolated areas of the lung.
C. It prevents alveolar collapse by pushing air into the lungs during inhalation.
D. It forces the alveoli open and increases the concentration of oxygen in the alveoli. - Answer-
D. it forces the alveoli open and increases the concentration of oxygen in the alveoli
\.During your assessment of a patient with respiratory distress, you hear wheezing when
listening to breath sounds. This indicates:
A. secretions in the airway.
B. a lower airway obstruction.
C. fluid in the alveoli.
D. swelling of the upper airway. - Answer- B. a lower airway obstruction
\.You and your partner are treating a 66-year-old man who experienced a sudden onset of
respiratory distress. He is conscious but is unable to follow simple verbal commands. Further
assessment reveals that his breathing is severely labored and his oxygen saturation is 80%. You
should:
A. assist his ventilations with a bag-mask device.
B. apply high-flow oxygen via nonrebreathing mask.
C. attempt to insert an oropharyngeal airway.
D. administer continuous positive airway pressure - Answer- A. assist his ventilations with a
bag-mask device
,\.As the single EMT managing an apneic patient's airway, the preferred initial method of
providing ventilations is the:
A. mouth-to-mask technique with a one-way valve.
B. one-person bag-valve mask.
C. manually triggered ventilation device.
D. mouth-to-mouth technique. - Answer- A. mouth-to-mask technqiue with a one-way valve
\.How does positive-pressure ventilation affect cardiac output?
A. There is no effect on cardiac output because positive-pressure ventilation is the act of normal
breathing.
B. It increases intrathoracic pressure, which decreases venous return to the heart and causes a
decrease in cardiac output.
C. It decreases intrathoracic pressure, which facilitates venous return to the heart and increases
cardiac output.
D. It causes pressure in the chest to decrease, which increases stroke volume and cardiac
output. - Answer- B. it increases intrathoracic pressure, which decreases venous return to the
heart and causes a decrease in cardiac output
\.While providing CPAP to a patient in severe respiratory distress, you note that his heart rate
has increased by 20 beats/min. He is conscious, but is no longer following verbal commands.
You should:
A. remove the CPAP device and apply oxygen by nonrebreathing mask.
B. increase the amount of pressure that the CPAP device is delivering.
C. decrease the amount of pressure that the CPAP device is delivering.
D. remove the CPAP device and ventilate him with a bag-mask device. - Answer- D. remove
the CPAP device and ventilate him with a bag-mask device
, \.You and your partner are caring for a critically injured patient who is unresponsive and apneic.
Your partner is controlling severe bleeding from the patient's lower extremities as you attempt
ventilations with a bag-mask device. After repositioning the mask several times, you are unable
to effectively ventilate the patient. You should:
A. suction the patient's airway for 30 seconds and reattempt ventilations.
B. insert an oropharyngeal airway and reattempt ventilations.
C. continue attempted ventilations and transport immediately.
D. hyperextend the patient's head and reattempt ventilations. - Answer- B. insert an
oropharyngeal airway and reattempt ventilations
\.Your protocols state that during the first few minutes of working on a cardiac arrest patient,
you should provide passive ventilation. This means that you will:
A. ventilate with a bag-valve mask that is not attached to oxygen.
B. allow recoil of the chest between compressions to draw air into the lungs.
C. deliver positive-pressure ventilation at a rate of only 5 or 6 breaths/min.
D. time your positive-pressure ventilations to occur during chest recoil. - Answer- B. allow
recoil of the chest between compressions to draw air into the lungs
\.The diaphragm is innervated by the _________ nerve, which allows it to contract.
A. phrenic
B. vestibulocochlear
C. hypoglossal
D. vagus - Answer- A. phrenic
\.For which of the following conditions would the EMT most likely administer humidified
oxygen?
A. Blood loss
B. Apnea