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Following proper decontamination, a 30-year-old male is brought to you. He is semiconscious and has rapid, shallow respirations. A quick visual assessment reveals no obvious bleeding. You should: A) begin some form of positive-pressure ventilation. B) ask a fire fighter what the patient was exposed to. C) administer 100% oxygen via a nonrebreathing mask. D) perform a rapid assessment to locate critical injuries. - correct answersA) begin some form of positive-pressure ventilation. Which of the following is NOT a role of the AEMT at the scene of a HazMat incident? A) Rehabilitation B) Decontamination C) Transportation D) Triage and treatment - correct answersB) Decontamination According to the JumpSTART triage system, infants or children not developed enough to walk or follow commands, including children with special needs: A) are treated immediately in the primary triage area and then transported. B) are initially triaged on the basis of whether or not they have distal pulses. C) should be taken to the treatment area for immediate secondary triage. D) are the first to be transported, regardless of the severity of their injuries. - correct answersC) should be taken to the treatment area for immediate secondary triage. 4. Pulmonary hemorrhage and inner ear damage are examples of __________ blast injuries. A) primary B) secondary C) tertiary D) miscellaneous - correct answersA) primary All of the following biologic agents or diseases can be transmitted from person to person, EXCEPT: A) ricin. B) smallpox. C) pneumonic plague. D) viral hemorrhagic fever. - correct answersA) ricin. You are treating a patient who experienced a significant exposure to cyanide. He is semiconscious and is breathing inadequately. The MOST appropriate method of providing assisted ventilations to this patient is to: A) use a bag-mask device. B) perform mouth-to-mask ventilations. C) request a paramedic unit to intubate. D) perform mouth-to-mouth ventilations. - correct answersA) use a bag-mask device. You and your partner are standing by at the scene of a residential fire when you hear the incident commander state "We have located a victim" over the radio. You should: A) notify the hospital that you will be transporting a burn patient to their facility. B) remain with the ambulance and wait for fire personnel to bring the victim to you. C) immediately locate the incident commander and ask where the victim is located. D) locate the victim and provide initial care while your partner stays with - correct answersB) remain with the ambulance and wait for fire personnel to bring the victim to you. Your unit has been dispatched to stand by at the scene of a structure fire. There are no injuries of which you are aware. Upon arriving at the scene, you should: A) contact medical control and apprise him or her of the situation. B) park your ambulance behind the incident commander's vehicle. C) set up a staging area where fire fighters can be treated if necessary. D) ask the incident commander where the ambulance should be staged. - correct answersD) ask the incident commander where the ambulance should be staged. A hiker was injured when he fell approximately 20' from a cliff. When you arrive at the scene, a member of the technical rescue group escorts you to the patient, who is positioned on a steep incline. The MOST appropriate method of immobilizing and moving the patient to the ambulance is to: A) immobilize his spine with a long backboard and place him in a basket stretcher. B) immobilize him to a long backboard and use the four-person carry to move him. C) apply a vest-style immobilization device and move him using a stair chair device. D) immobilize him with a short backboard and place him on the ambulance stretcher. - correct answersA) immobilize his spine with a long backboard and place him in a basket stretcher. When a helicopter must land on a grade (uneven ground), you should: A) approach the aircraft from the uphill side. B) approach the aircraft from the downhill side. C) attempt to approach the aircraft from behind. D) move the patient to the aircraft as soon as it lands. - correct answersB) approach the aircraft from the downhill side. Which of the following statements regarding the use of the warning lights and siren on the ambulance is correct? A) If it is necessary to use the siren, you should tell the patient beforehand. B) If the patient is stable, you may use the warning lights without the siren. C) Warning lights and siren should be avoided, even if the patient is unstable. D) It is generally acceptable to increase your speed if lights and siren are in use. - correct answersA) If it is necessary to use the siren, you should tell the patient beforehand. Upon arriving at the scene of a major motor vehicle crash at night, you find that the safest place to park your ambulance is in a direction that is facing oncoming traffic. You should: A) turn your headlights off. B) quickly access the patient. C) place a flare near the crash. D) turn all warning lights off. - correct answersA) turn your headlights off. When positioning and managing the airway of a small child, it is important to remember that the child's: A) larynx is lower and is located more posteriorly than an adult's. B) epiglottis is relatively stiff and is more oval shaped than an adult's. C) occipital skull is proportionately larger and rounder than an adult's. D) tongue is proportionately smaller and is positioned more posteriorly. - correct answersC) occipital skull is proportionately larger and rounder than an adult's. Infants and small children are referred to as "belly breathers" because: A) Their rib cage is less rigid and the ribs sit horizontally. their intercostal muscles are weak and not well developed. B) the skin covering the abdomen is thicker than the chest wall. C) gastric distention interferes with diaphragmatic movement. D) the diaphragm is less developed than the intercostal muscles. - correct answersA) Their rib cage is less rigid and the ribs sit horizontally. their intercostal muscles are weak and not well developed. Insertion of an intraosseous (IO) catheter is contraindicated: A) if the upper extremities are fractured. B) when large fluid volumes are needed. C) if peripheral venous access is available. D) in children younger than 6 years of age. - correct answersC) if peripheral venous access is available. You have administered 25% dextrose to an 18-month-old infant with a documented blood glucose reading of 40 mg/dL. Ten minutes later, you reassess the child's blood glucose level and note that it reads 70 mg/dL. You should: A) give half of the original dose of 25% dextrose. B) reassess the child to determine if he is symptomatic. C) repeat the 25% dextrose at the same dose and reassess. D) administer the appropriate dose of oral glucose. - correct answersB) reassess the child to determine if he is symptomatic. Despite 100% oxygen and the administration of a beta-2 agonist, a conscious 9-year-old female still has diffuse expiratory wheezing and respiratory distress. Medical control or local protocol will MOST likely dictate the administration of: A) 1:1,000 epinephrine SC. B) 0.02 mg/kg of albuterol. C) nebulizer treatments every 3 minutes. D) 0.01 mL/kg of epinephrine 1:10,000 IV. - correct answersA) 1:1,000 epinephrine SC. Decompensated shock in a 2-year-old child is characterized by all of the following, EXCEPT: A) a decreased mental status. B) weak and rapid central pulses. C) a systolic BP of 80 mm Hg. D) marked tachypnea or bradypnea. - correct answersC) a systolic BP of 80 mm Hg. You receive a call to a residence for a "sick child." Upon arrival, the mother states that her child, a 3-year-old male, has been experiencing vomiting and diarrhea for the past 24 hours. Your assessment reveals that the child is conscious, but has a decreased level of activity. His pulse rate is 150 beats/min,capillary refill time is less than 2 seconds, and his mucous membranes are dry. This clinical presentation is MOST consistent with: A) mild dehydration. B) moderate dehydration. C) severe dehydration. D) hypovolemic shock. - correct answersB) moderate dehydration. You are triaging children who were injured when the school bus they were riding in collided with another vehicle. The first child you triage is unresponsive and apneic. According to the JumpSTART triage system, you should: A) give 5 rescue breaths. B) assess for a palpable pulse. C) assign him as a low priority. D) position the upper airway. - correct answersD) position the upper airway. Which of the following statements regarding febrile seizures is correct? A) A temperature of greater than 102.5°F will cause a seizure. B) An abrupt rise in body temperature may cause a febrile seizure. C) Febrile seizures are not associated with tonic-clonic movement. D) Febrile seizures are common in children older than 7 years of age. - correct answersB) An abrupt rise in body temperature may cause a febrile seizure. At 11:50 p.m., you are dispatched to a residence for a 3-year-old female with respiratory distress. The child's mother tells you that her daughter has had symptoms of a cold for the past few days. Your assessment reveals that the child is tachycardic, has nasal flaring, a low-grade fever, and a harsh cough.You should suspect: A) asthma. B) croup. C) bronchiolitis. D) epiglottitis. - correct answersB) croup. A 29-year-old female has experienced a spontaneous abortion during the latter part of her first trimester. She is conscious and alert, with a blood pressure of 100/60 mm Hg and a heart rate of 100beats/min and strong. In addition to providing emotional support and administering oxygen, you should: A) massage the fundus of her uterus and transport. B) start a large-bore IV of normal saline and transport. C) massage her uterine fundus, start an IV, and transport. D) start an IV, administer 20 mL/kg fluid boluses, and transport. - correct answersB) start a large-bore IV of normal saline and transport. A 34-year-old female in her second trimester of pregnancy presents with a generalized motor seizure.Her husband tells you that her obstetrician recently diagnosed her with preeclampsia. You should: A) gently restrain her extremities, assist her ventilations, start an IV, and give a 20 mL/kg fluid bolus. B) insert a multilumen airway device, protect her from injury, and contact medical control for further guidance. C) protect her from injury, maintain her airway and administer oxygen, and be prepared to suction her mouth. D) hyperventilate her with a bag-mask device, protect her from injury, and carefully restrain her extremities. - correct answersC) protect her from injury, maintain her airway and administer oxygen, and be prepared to suction her mouth. The MOST effective way to improve the cardiac output of an uninjured hypotensive woman in her third trimester of pregnancy is to: A) administer 20 mL/kg crystalloid boluses. B) manually displace the uterus to the right. C) ensure that she is placed on her left side. D) position her supine and elevate her legs. - correct answersC) ensure that she is placed on her left side. What is the pathophysiology of gestational diabetes? A) Estrogen causes the pancreas to produce significantly less insulin. B) Progesterone causes the liver to produce and store more glycogen. C) The pancreas ceases insulin production until the pregnancy has ended. D) Increased insulin secretion and decreased cellular sensitivity to insulin. - correct answersD) Increased insulin secretion and decreased cellular sensitivity to insulin. You are dispatched to a drug rehabilitation center for a 27-year-old pregnant female with vaginal bleeding and a tearing sensation in her abdomen. When you arrive at the scene and begin to assess the patient, you note the presence of dark red vaginal bleeding, hypotension, and tachycardia. The individual responsible for the patient states that she is 36 weeks' pregnant and is in the rehabilitation center for frequent cocaine use. This patient's clinical presentation and history suggests that: A) the arteries of the umbilical cord have ruptured. B) the placenta has separated from the uterine wall. C) vessels are tearing from the placenta at the cervix. D) her uterus has ruptured due to frequent cocaine use. - correct answersB) the placenta has separated from the uterine wall. When evaluating a woman in labor, who is gravida - 5 and para - 4, you should: A) expect a relatively short second stage of labor. B) digitally assess the patient for cervical dilation. C) expect that the second stage will last for hours. D) realize that she has had at least one miscarriage. - correct answersA) expect a relatively short second stage of labor. A 24-year-old female, in her second trimester of pregnancy, presents with what she describes as"mild" contractions. After further questioning, she tells you that there is no regular pattern to the contractions and that they have not increased in intensity since they began. She denies vaginal bleeding or any other symptoms. This patient is MOST likely experiencing: A) premature labor. B) a placenta previa. C) a threatened abortion. D) Braxton-Hicks contractions. - correct answersD) Braxton-Hicks contractions. It is MOST important to suction the newborn's mouth before the nose because: A) infants are obligate mouth breathers until they are 6 months of age. B) aspiration may occur if the newborn gasps when the nose is suctioned. C) there is less risk of vagal-induced bradycardia when suctioning the mouth. D) a larger volume of secretions can effectively be removed from the mouth. - correct answersB) aspiration may occur if the newborn gasps when the nose is suctioned. A baby is born at 34 weeks' gestation. Its body is cyanotic and it has weak muscle tone. Further assessment reveals that the infant has a weak cry, a heart rate of approximately 90 beats/min, and irregular respirations of approximately 12 breaths/min. What is this infant's Apgar score? A) 4 B) 5 C) 6 D) 7 - correct answersA) 4 The quickest and most effective way to prevent newborn hypothermia in the prehospital setting is to: A) leave the newborn's head exposed so that it can rapidly absorb heat. B) apply warmed oxygen to the newborn and wrap it with layered blankets. C) apply chemical heat packs to the newborn and infuse warmed IV fluids. D) preheat the back of the ambulance and quickly dry the newborn after birth. - correct answersD) preheat the back of the ambulance and quickly dry the newborn after birth.

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AEMT Final Study

Following proper decontamination, a 30-year-old male is brought to you. He is semiconscious and has
rapid, shallow respirations. A quick visual assessment reveals no obvious bleeding. You should:

A) begin some form of positive-pressure ventilation.

B) ask a fire fighter what the patient was exposed to.

C) administer 100% oxygen via a nonrebreathing mask.

D) perform a rapid assessment to locate critical injuries. - correct answersA) begin some form of
positive-pressure ventilation.



Which of the following is NOT a role of the AEMT at the scene of a HazMat incident?

A) Rehabilitation

B) Decontamination

C) Transportation

D) Triage and treatment - correct answersB) Decontamination



According to the JumpSTART triage system, infants or children not developed enough to walk or follow
commands, including children with special needs:

A) are treated immediately in the primary triage area and then transported.

B) are initially triaged on the basis of whether or not they have distal pulses.

C) should be taken to the treatment area for immediate secondary triage.

D) are the first to be transported, regardless of the severity of their injuries. - correct answersC) should
be taken to the treatment area for immediate secondary triage.



4. Pulmonary hemorrhage and inner ear damage are examples of __________ blast injuries.

A) primary

B) secondary

C) tertiary

D) miscellaneous - correct answersA) primary

,All of the following biologic agents or diseases can be transmitted from person to person, EXCEPT:

A) ricin.

B) smallpox.

C) pneumonic plague.

D) viral hemorrhagic fever. - correct answersA) ricin.



You are treating a patient who experienced a significant exposure to cyanide. He is semiconscious and is
breathing inadequately. The MOST appropriate method of providing assisted ventilations to this patient
is to:

A) use a bag-mask device.

B) perform mouth-to-mask ventilations.

C) request a paramedic unit to intubate.

D) perform mouth-to-mouth ventilations. - correct answersA) use a bag-mask device.



You and your partner are standing by at the scene of a residential fire when you hear the incident
commander state "We have located a victim" over the radio. You should:

A) notify the hospital that you will be transporting a burn patient to their facility.

B) remain with the ambulance and wait for fire personnel to bring the victim to you.

C) immediately locate the incident commander and ask where the victim is located.

D) locate the victim and provide initial care while your partner stays with - correct answersB) remain
with the ambulance and wait for fire personnel to bring the victim to you.



Your unit has been dispatched to stand by at the scene of a structure fire. There are no injuries of which
you are aware. Upon arriving at the scene, you should:

A) contact medical control and apprise him or her of the situation.

B) park your ambulance behind the incident commander's vehicle.

C) set up a staging area where fire fighters can be treated if necessary.

D) ask the incident commander where the ambulance should be staged. - correct answersD) ask the
incident commander where the ambulance should be staged.

,A hiker was injured when he fell approximately 20' from a cliff. When you arrive at the scene, a member
of the technical rescue group escorts you to the patient, who is positioned on a steep incline. The MOST
appropriate method of immobilizing and moving the patient to the ambulance is to:

A) immobilize his spine with a long backboard and place him in a basket stretcher.

B) immobilize him to a long backboard and use the four-person carry to move him.

C) apply a vest-style immobilization device and move him using a stair chair device.

D) immobilize him with a short backboard and place him on the ambulance stretcher. - correct
answersA) immobilize his spine with a long backboard and place him in a basket stretcher.



When a helicopter must land on a grade (uneven ground), you should:

A) approach the aircraft from the uphill side.

B) approach the aircraft from the downhill side.

C) attempt to approach the aircraft from behind.

D) move the patient to the aircraft as soon as it lands. - correct answersB) approach the aircraft from the
downhill side.



Which of the following statements regarding the use of the warning lights and siren on the ambulance is
correct?

A) If it is necessary to use the siren, you should tell the patient beforehand.

B) If the patient is stable, you may use the warning lights without the siren.

C) Warning lights and siren should be avoided, even if the patient is unstable.

D) It is generally acceptable to increase your speed if lights and siren are in use. - correct answersA) If it
is necessary to use the siren, you should tell the patient beforehand.



Upon arriving at the scene of a major motor vehicle crash at night, you find that the safest place to park
your ambulance is in a direction that is facing oncoming traffic. You should:

A) turn your headlights off.

B) quickly access the patient.

C) place a flare near the crash.

D) turn all warning lights off. - correct answersA) turn your headlights off.

, When positioning and managing the airway of a small child, it is important to remember that the child's:

A) larynx is lower and is located more posteriorly than an adult's.

B) epiglottis is relatively stiff and is more oval shaped than an adult's.

C) occipital skull is proportionately larger and rounder than an adult's.

D) tongue is proportionately smaller and is positioned more posteriorly. - correct answersC) occipital
skull is proportionately larger and rounder than an adult's.



Infants and small children are referred to as "belly breathers" because:

A) Their rib cage is less rigid and the ribs sit horizontally. their intercostal muscles are weak and not well
developed.

B) the skin covering the abdomen is thicker than the chest wall.

C) gastric distention interferes with diaphragmatic movement.

D) the diaphragm is less developed than the intercostal muscles. - correct answersA) Their rib cage is
less rigid and the ribs sit horizontally. their intercostal muscles are weak and not well developed.



Insertion of an intraosseous (IO) catheter is contraindicated:

A) if the upper extremities are fractured.

B) when large fluid volumes are needed.

C) if peripheral venous access is available.

D) in children younger than 6 years of age. - correct answersC) if peripheral venous access is available.



You have administered 25% dextrose to an 18-month-old infant with a documented blood glucose
reading of 40 mg/dL. Ten minutes later, you reassess the child's blood glucose level and note that it
reads 70 mg/dL. You should:

A) give half of the original dose of 25% dextrose.

B) reassess the child to determine if he is symptomatic.

C) repeat the 25% dextrose at the same dose and reassess.

D) administer the appropriate dose of oral glucose. - correct answersB) reassess the child to determine if
he is symptomatic.

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