EMT JBL FINAL Exam Questions With Accurate Answers.
A 28 y/o female PT is found to be responsive to verbal stimuli only. Her
roommate states that she was recently diagnosed with type 1 diabetes and
has had difficulty controlling her blood sugar level. She further tells you that
the PT has been urinating excessively and has progressively worsened over
the last 24-36 hours. The the basis of this PT clinical representation you
should suspect
A. Has a low blood glucose level
B. Has a UTI
C. Has overdosed on insulin
D. Is significantly hyperglycemic - accurate answers-D. Is significantly
hyperglycemic
Diabetes is MOST accurately defined as a(n)
A. Disorder of glucose metabolism
B. Mass excretion of glucose by the kidneys
C. Lack of insulin production in the pancreas
D. Abnormally high blood glucose level - accurate answers-A. Disorder of
glucose metabolism
Diabetic ketoacidosis occurs when
A. The cells rapidly metabolize glucose
B. Insulin is not available in the body
C blood glucose levels rapidly fall
D. Pancreas produces excess insulin - accurate answers-B. Insulin is not
available in the body
PT with type 2 diabetes usually control their disease with all the following
except
A. Tolbutamide (orinase )
B. Glyburide (micronase)
C. Diet and exercise
,D. Supplemental insulin - accurate answers-D. Supplemental insulin
Normal blood glucose level is between
A. 160-200 mg/dL
B. 80-120 mg/dL
C. 130-150 mg/dL
D. 60-180 mg/dL - accurate answers-B. 80-120 mg/dL
A 29y/o female presents with confusion and disorientation. Her respirations
are rapid and shallow and her pulse is 120 b/min and threads. She is
markedly diaphoretic and has an oxygen saturation of 89% . You should
A. Transport immediately
B. Provide ventilators support
C. Treat her for hyperglycemia
D. Administer oral glucose - accurate answers-B. Provide ventilators support
A 66 y/o woman experienced a sudden onset of difficulty breathing. She has a
history of type 2 diabetes and deep vein thrombosis. In the basis of her
medical history which of the following should the EMT suspect
A. Pulmonary embolism
B. Congestive heart failure
C. Severe hypoglycemia
D. Diabetic ketoacidosis - accurate answers-A. Pulmonary embolism
Is contrast to hypoglycemia, hyperglycemia
A. Commonly results in excess water retention
B. Can only be corrected in the hospital setting
C. Is rapidly reversible is oral glucose is given
D. Is rapidly developing metabolic disturbance - accurate answers-B. Can only
be corrected in the hospital setting
Insulin functions in the body by
A. Increasing circulating blood glucose
B. Enabling glucose to enter the cells
,C. Producing new glucose as needed
D. Metabolizing glucose to make energy - accurate answers-B. Enabling
glucose to enter the cells
A 38 y/o woman was bitten by fire ants while at the park. Your primary
assessment reveals that she is semiconscious; has labored breathing; and has
rapid, threads pulse. She has red each on her entire body and her face is
swollen. You should
A. Locate the area where the fire ants bit her
B. Assist her ventilations with 100% oxygen
C. Place her supine with her legs elevated
D. Perform a rapid secondary assessment - accurate answers-B. Assist her
ventilations with 100% oxygen
A raised, swollen, well-defined area on the skin that is the result of an insect
bite or sting is called
A. Pustule
B. Uriticaria
C purpura
D. Wheal - accurate answers-D. Wheal
Chemicals that are responsible for the signs and symptoms of an allergic
reaction to a bee sting include
A. Histamines and leukotrienes
B. The bee venom itself
C. Luekocytes and epinephrine
D. Adrenaline and histamines - accurate answers-A. Histamines and
leukotrienes
Common signs and symptoms of an allergic reaction include all of the
following except
A. Persistent dry cough
B. Flushing of the skin
C. Drying of the eyes
D. Abdominal cramps - accurate answers-C. Drying of the eyes
, Epinephrine is indicated for PT with an allergic reaction when
A. The reaction produces sever urticaria
B. A paramedic is present at the scene
C. The PT is anxious and tachycardic
D. Wheezing and hypotension are present - accurate answers-D. Wheezing
and hypotension are present
A 37 y/o male is having a severe allergic reaction to penicillin. He does not
have an epinephrine auto-injector and your protocols do not allow you to
carry epinephrine on the ambulance. How should you proceed with the
treatment of this patient
A. Ask the PT if he has any diphenhydramine tablets that you can administer
B. Quickly determine if there are any bystanders that carry epinephrine
C. Admin oxygen transport at once and request paramedic intercept
D. Remain at the scene and request ALS - accurate answers-C. Admin oxygen
transport at once and request paramedic intercept
A 48 y/o male was stung by a honey bee 15 min ago. He presents with
respiratory distress, facial swelling, and hypotension. After placing him on
oxygen and admin epinephrine via auto injector you note breathing improved.
Facial swelling is resolving and BP is stable. You next action is
A. Reassess his breathing and BP every 15 min
B. Record time and dose of injector and transport promptly
C. Notify MC of PT response
D. Visualize his airway and assess for oral pharyngeal swelling - accurate
answers-B. Record time and dose of injector and transport promptly
After administering 0.3 mg of epinephrine via auto-injector to a 22-year-old
woman with an allergic reaction, you note improvement in her breathing and
dissipation of her hives. However, she is still anxious and tachycardic. You
should
A. Transport rapidly, because it's obvious she is having a severe reaction to
epinephrine
B. Consider admin .15 mg of epinephrine to completely resolve the reaction
A 28 y/o female PT is found to be responsive to verbal stimuli only. Her
roommate states that she was recently diagnosed with type 1 diabetes and
has had difficulty controlling her blood sugar level. She further tells you that
the PT has been urinating excessively and has progressively worsened over
the last 24-36 hours. The the basis of this PT clinical representation you
should suspect
A. Has a low blood glucose level
B. Has a UTI
C. Has overdosed on insulin
D. Is significantly hyperglycemic - accurate answers-D. Is significantly
hyperglycemic
Diabetes is MOST accurately defined as a(n)
A. Disorder of glucose metabolism
B. Mass excretion of glucose by the kidneys
C. Lack of insulin production in the pancreas
D. Abnormally high blood glucose level - accurate answers-A. Disorder of
glucose metabolism
Diabetic ketoacidosis occurs when
A. The cells rapidly metabolize glucose
B. Insulin is not available in the body
C blood glucose levels rapidly fall
D. Pancreas produces excess insulin - accurate answers-B. Insulin is not
available in the body
PT with type 2 diabetes usually control their disease with all the following
except
A. Tolbutamide (orinase )
B. Glyburide (micronase)
C. Diet and exercise
,D. Supplemental insulin - accurate answers-D. Supplemental insulin
Normal blood glucose level is between
A. 160-200 mg/dL
B. 80-120 mg/dL
C. 130-150 mg/dL
D. 60-180 mg/dL - accurate answers-B. 80-120 mg/dL
A 29y/o female presents with confusion and disorientation. Her respirations
are rapid and shallow and her pulse is 120 b/min and threads. She is
markedly diaphoretic and has an oxygen saturation of 89% . You should
A. Transport immediately
B. Provide ventilators support
C. Treat her for hyperglycemia
D. Administer oral glucose - accurate answers-B. Provide ventilators support
A 66 y/o woman experienced a sudden onset of difficulty breathing. She has a
history of type 2 diabetes and deep vein thrombosis. In the basis of her
medical history which of the following should the EMT suspect
A. Pulmonary embolism
B. Congestive heart failure
C. Severe hypoglycemia
D. Diabetic ketoacidosis - accurate answers-A. Pulmonary embolism
Is contrast to hypoglycemia, hyperglycemia
A. Commonly results in excess water retention
B. Can only be corrected in the hospital setting
C. Is rapidly reversible is oral glucose is given
D. Is rapidly developing metabolic disturbance - accurate answers-B. Can only
be corrected in the hospital setting
Insulin functions in the body by
A. Increasing circulating blood glucose
B. Enabling glucose to enter the cells
,C. Producing new glucose as needed
D. Metabolizing glucose to make energy - accurate answers-B. Enabling
glucose to enter the cells
A 38 y/o woman was bitten by fire ants while at the park. Your primary
assessment reveals that she is semiconscious; has labored breathing; and has
rapid, threads pulse. She has red each on her entire body and her face is
swollen. You should
A. Locate the area where the fire ants bit her
B. Assist her ventilations with 100% oxygen
C. Place her supine with her legs elevated
D. Perform a rapid secondary assessment - accurate answers-B. Assist her
ventilations with 100% oxygen
A raised, swollen, well-defined area on the skin that is the result of an insect
bite or sting is called
A. Pustule
B. Uriticaria
C purpura
D. Wheal - accurate answers-D. Wheal
Chemicals that are responsible for the signs and symptoms of an allergic
reaction to a bee sting include
A. Histamines and leukotrienes
B. The bee venom itself
C. Luekocytes and epinephrine
D. Adrenaline and histamines - accurate answers-A. Histamines and
leukotrienes
Common signs and symptoms of an allergic reaction include all of the
following except
A. Persistent dry cough
B. Flushing of the skin
C. Drying of the eyes
D. Abdominal cramps - accurate answers-C. Drying of the eyes
, Epinephrine is indicated for PT with an allergic reaction when
A. The reaction produces sever urticaria
B. A paramedic is present at the scene
C. The PT is anxious and tachycardic
D. Wheezing and hypotension are present - accurate answers-D. Wheezing
and hypotension are present
A 37 y/o male is having a severe allergic reaction to penicillin. He does not
have an epinephrine auto-injector and your protocols do not allow you to
carry epinephrine on the ambulance. How should you proceed with the
treatment of this patient
A. Ask the PT if he has any diphenhydramine tablets that you can administer
B. Quickly determine if there are any bystanders that carry epinephrine
C. Admin oxygen transport at once and request paramedic intercept
D. Remain at the scene and request ALS - accurate answers-C. Admin oxygen
transport at once and request paramedic intercept
A 48 y/o male was stung by a honey bee 15 min ago. He presents with
respiratory distress, facial swelling, and hypotension. After placing him on
oxygen and admin epinephrine via auto injector you note breathing improved.
Facial swelling is resolving and BP is stable. You next action is
A. Reassess his breathing and BP every 15 min
B. Record time and dose of injector and transport promptly
C. Notify MC of PT response
D. Visualize his airway and assess for oral pharyngeal swelling - accurate
answers-B. Record time and dose of injector and transport promptly
After administering 0.3 mg of epinephrine via auto-injector to a 22-year-old
woman with an allergic reaction, you note improvement in her breathing and
dissipation of her hives. However, she is still anxious and tachycardic. You
should
A. Transport rapidly, because it's obvious she is having a severe reaction to
epinephrine
B. Consider admin .15 mg of epinephrine to completely resolve the reaction
