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Exam (elaborations)

EMT JBL QUESTIONS AND ANSWERS WITH CORRECT SOLUTION 2024

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EMT JBL QUESTIONS AND ANSWERS WITH CORRECT SOLUTION 2024 Basic causes of shock include: Select one: A. poor pump function. B. blood or fluid loss. C. blood vessel dilation. D. All of these answers are correct. - D Neurogenic shock is caused by: Select one: A. massive vasoconstriction. B. low volume. C. fluid collecting around the spinal cord, causing compression of the cord. D. a radical change in the size of the vascular system. - D Regulation of blood flow is determined by: Select one: A. cellular need. B. oxygen intake. C. systolic pressure. D. diastolic pressure. - A The action of hormones such as epinephrine and norepinephrine stimulates _____ to maintain pressure in the system and, as a result, perfusion of all vital organs. Select one: A. an increase in heart rate B. an increase in the strength of cardiac contractions C. vasoconstriction in nonessential areas D. All of these answers are correct. - D You are called to a construction site where a 27-year-old worker has fallen from the second floor. He landed on his back and is drifting in and out of consciousness. A quick assessment reveals no bleeding or blood loss. His blood pressure is 90/60 mm Hg with a pulse rate of 110 beats/min. His airway is open and breathing is within normal limits. You realize the patient is in shock. The patient's shock is due to an injury to the: Select one: A. spinal cord. B. peripheral nerves. C. skull. D. cervical vertebrae. - A 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: Select one: A. consider that he may actually be experiencing an acute asthma attack. B. request a paramedic unit that is stationed approximately 15 miles away. C. repeat the epinephrine injection after consulting with medical control. D. transport him immediately and provide supportive care while en route. - C A 56-year-old male is found semiconscious by his wife. Your assessment reveals that his respirations are rapid and shallow, his pulse is rapid and irregular, and his blood pressure is low. The patient's wife states that he complained of left arm pain and nausea the day before, but would not allow her to call 9-1-1. The MOST likely cause of this patient's present condition is: Select one: A. severe septic hypoperfusion. B. a ruptured aortic aneurysm. C. acute myocardial infarction. D. cardiogenic hypoperfusion. - D Clinical signs of compensated shock include all of the following, EXCEPT: Select one: A. cool and clammy skin. B. absent peripheral pulses. C. restlessness or anxiety. D. rapid, shallow breathing. - B Neurogenic shock occurs when: Select one: A. failure of the nervous system causes widespread vasodilation. B. there is too much blood to fill a smaller vascular container. C. the spinal cord is severed and causes massive hemorrhaging. D. massive vasoconstriction occurs distal to a spinal cord injury. - A Which of the following MOST accurately describes septic shock? Select one: A. Viral infection of the blood vessels, vascular damage, and vasoconstriction B. Bacterial infection of the nervous system with widespread vasodilation C. Widespread vasoconstriction and plasma loss due to a severe viral infection D. Bacterial damage to the vessel wall, leaking blood vessels, and vasodilation - D Which of the following statements regarding anaphylactic shock is correct? Select one: A. Subsequent exposure after sensitization often produces a more severe reaction. B. Sensitized people will experience less severe reactions upon subsequent exposure. C. Anaphylactic shock occurs immediately after a person is sensitized to an allergen. D. Anaphylactic shock is caused by immune system failure due to a toxic exposure. - A You are dispatched to a residence for a 40-year-old female who fainted. Upon your arrival, the patient is conscious and alert, and states that she is fine. Her husband tells you that she fainted after receiving news that her sister was killed in a car crash. You offer oxygen to the patient, but she refuses to accept it. At this point, your primary concern should be to: Select one: A. obtain baseline vital signs and a medical history. B. provide emotional support regarding her sister. C. determine if she was injured when she fainted. D. advise her that she needs to go to the hospital. - C You are transporting a 33-year-old male who was involved in a major motor vehicle crash. You have addressed all immediate and potentially life-threatening conditions and have stabilized his condition with the appropriate treatment. With an estimated time of arrival at the hospital of 20 minutes, you should: Select one: A. reassess his condition in 5 minutes. B. take his vital signs in 15 minutes. C. arrange for an ALS rendezvous. D. repeat your secondary assessment. - A You respond to a residence for a patient with a severe leg injury following an accident with a chainsaw. When you arrive, you find the patient, a 44-year-old male, lying supine in the backyard. He has a partial amputation of his right lower leg that is actively bleeding. The patient is conscious and breathing adequately; however, he is restless and his skin is diaphoretic. You should: Select one: A. assess the rate and quality of his pulse. B. apply direct pressure to the wound. C. administer 100% supplemental oxygen. D. immediately evaluate his airway. - B Your assessment of an unresponsive patient reveals that her breathing is inadequate. Your MOST immediate action should be to: Select one: A. move her to the ambulance stretcher. B. ventilate her with a bag-valve mask. C. check her airway for obstructions. D. administer high-flow oxygen. - C A fall from more than _____ times the patient's height is considered to be significant. Select one: A. five B. four C. three D. two - C A patient complaining of chest tightness, coughing up blood, and subcutaneous emphysema following an explosion may be suffering from a: Select one: A. ruptured peritoneal cavity. B. ruptured tympanic membrane. C. myocardial blast injury. D. pulmonary blast injury. - D A young boy was riding his bicycle down the street when he hit a parked car. What was the second collision? Select one: A. The bike rider hitting his bike or the car B. The bike rider's internal organs striking the solid structures of the body C. The bike hitting the car D. The bike rider striking the pavement - A Awareness of and concern for potentially serious obvious and underlying injuries is referred to as the: Select one: A. general impression. B. index of suspicion. C. scene size-up. D. mechanism of injury. - B Significant clues to the possibility of severe injuries in motor vehicle collisions include: Select one: A. broken glass. B. death of a passenger. C. a deployed air bag. D. a blown-out tire. - B

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April 16, 2024
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