EMS 202 FINAL EXAM Questions and Answers

you made the mistake of giving oral glucose to a diabetic with high glucose. you should: document error and report it to your supervisor OR contact medical control and inform them of the error - ANSWER contact medical control and inform them of the error you have a patient with a broken leg. you explain your plan to splint her leg and she agrees. what kind of consent is this? expressed consent OR informed consent - ANSWER expressed consent EMS today had its origins established in 1966 with the publication of what? - ANSWER accidental death and disability: the neglected disease of modern society EMT training in nearly every state meets or exceeds the guidelines recommended by the: - ANSWER national highway traffic safety administration (NHTSA) During each heartbeat, _______ of blood is ejected from the adult heart. This is called stroke volume (SV) - ANSWER 70-80 mL the electrical impulse of the heart normally begins at what part of the heart? - ANSWER the sinoatrial node the average adult has ____ of blood in their vascular system - ANSWER 6 L what gland regulates the function of all endocrine glands in the body? - ANSWER the pituitary gland which of the following is not a common factor that would affect a 75 y/o patient's vital signs? medications overall health increased weight medical conditions - ANSWER increased weight you walk into a room with a patient in respiratory distress. what is the first thing you should do? - ANSWER introduce yourself first before assessing patient's airway status what way should the bevel of a nasopharyngeal airway be facing if inserted into the right nare? - ANSWER bevel should be facing the septum you are on scene with a critically-injured patient. your partner is controlling bleeding of the lower extremities. you attempt ventilations with a BVM but ventilations are not effective. you should: - ANSWER begin ventilations using mask-to-mouth you arrive at the home of a 50 y/o complaining of weakness. primary assessment reveals he is critically ill and will require aggressive treatment. the closest hospital is 25 min away. you should: load him into the ambulance, begin transport, and perform treatment en route OR manage ABCs and consider ALS - ANSWER manage ABCs and consider ALS you are treating a 54 y/o patient at a homeless shelter. he had the flu a couple weeks ago and has not gotten over it. he is tired and keeps waking up sweating. he coughs up green sputum and has chest pain that gets worse with breathing. patient is suffering from: - ANSWER tuberculosis patient with diabetes has excessive urination and weakness of 2 days. blood glucose is 320 mg/dL. if this condition is not treated, she will likely develop: acidosis and dehydration OR irreversible renal failure - ANSWER irreversible renal failure if a toxicologic patient vomits, the EMT should: have the patient enclose vomitus in a container and take to the ED OR use PPE and examine the vomit for pill fragments or other clues - ANSWER use PPE and examine the vomit for pill fragments or other clues General guidelines for managing a patient with a behavioral emergency include: - ANSWER being prepared to spend extra time with the patient patient complains of pain during intercourse, low abdominal discomfort, and nausea. she may have: - ANSWER PID sexual assault patient is conscious, alert, and crying. she refuses treatment and wants to clean herself up. you should: - ANSWER provide emotional support and visually assess for trauma a normal systolic BP for a 30 y/o is between: - ANSWER 90-140 mmHg a patient that has overdosed and is unresponsive in an upstairs bedroom should be brought downstairs: - ANSWER secured to a fracture board with the strongest provider at the head Hepatitis B is more virulent than hepatitis C, which means that it: - ANSWER it has a greater ability to produce disease NOT that it is a more contagious type of disease asthma is caused by a response of the: - ANSWER immune system NOT the respiratory system An 8-year-old male was bitten by a stray dog. He has a large laceration to the back of his left hand, which your partner covered with a sterile dressing and bandage. In addition to transporting the child to the hospital, you should: - ANSWER report the incident to the proper authorities NOT ask the father to locate the dog what is the clear, jelly-like fluid near the back of the eye that cannot be replaced once lost? - ANSWER the virtuous humor Significant trauma to the face should increase the EMT's index of suspicion for a(n): - ANSWER spinal column injury NOT an airway obstruction a 6 y/o was struck by a clothesline to her throat. she has difficulty breathing, a crackling sensation in the soft tissues of her neck and facial cyanosis. in addition to airway management, the intervention that will most likely improve survival is: - ANSWER rapidly transporting her to the hospital NOT quickly immobilizing her spine Following blunt trauma to the head, patient is confused with a severe headache and nausea. you should most concerned that he has: - ANSWER intracranial bleeding NOT fracture of the skull when should you inspect the external genitalia? - ANSWER only when there is sever pain or injury NOT always on the secondary assessment Because the depth of an open abdominal wound is often difficult to determine: - ANSWER prompt transport to the hospital is essential NOT vital signs should be monitored frequently hockey player collided and has pain to the left shoulder. clavicle is bulging anteriorly at the shoulder. you should suspect: - ANSWER separation of the acromioclavicular joint the venom of a black widow spider is toxic to the: - ANSWER nervous system Crepitus and false motion are: A. positive indicators of a fracture. B. most common with dislocations. C. indicators of a severe sprain. D. only seen with open fractures - ANSWER A common signs and symptoms of a sprain include all of the following except: A. swelling B. deformity C. ecchymosis D. point tenderness - ANSWER B In contrast to the brown recluse spider, the black widow spider: - ANSWER is large and has a red-orange hourglass mark on its abdomen a 77 y/o fell and landed on her left hip. she did not strike her head or lose consciousness. her left leg is shortened and externally rotated. distal pulses, sensory, and motor functions are intact. you should: - ANSWER place her on a scoop stretcher, pad around her left hip with pillows, and secure her to the scoop with straps NOT manually stabilize her left leg, apply a traction splint, and secure her to a long backboard or scoop the first month after birth is called: - ANSWER the neonatal period NOT the start of infancy viral infection causing upper airway obstruction in a child is called: - ANSWER croup NOT epiglottis Sedentary behavior while healing from a hip fracture would MOST likely predispose the older patient to: - ANSWER pneumonia NOT ischemic stroke a child is alert, conscious, breathing, bilateral pulses, and a severely angulated leg that isn't bleeding. you should: - ANSWER asking him delayed (yellow) and continue to other patients While staged at the scene of a structure fire, the EMT should _________. - ANSWER remain with the ambulance NOT locate the safety officer NOT stay with the incident commander