Paramedic Jb Learning All Chapter Exams

1. Unless the fluid level is low, you should NOT uncap the brake fluid reservoir because D. Brake fluid absorbs moisture from the atmosphere 2. Safe practices when parking your emergency vehicle on a roadway at night include all of the following, EXCEPT B. Leaving the headlights on. 3. The paramedic should NOT operate an emergency vehicle if he or she is taking a cold remedy or an analgesic. 4. Air ambulances are advantageous for all of the following reasons, EXCEPT D. the more experience of the flight paramedics. 5. in which of the following situations should a helicopter generally NOT be utilized? A. a patient in cardiopulmonary arrest who has been unresponsive to defibrillation. 6. Which of the following pieces of equipment typically does not require calibration? B. Cardiac monitor. 7. The motor oil level of the ambulance : should be checked prior to starting the engine. 8. When checking the ambulance engi - ANS Enjoy and remember to do your own self study 1. 11-Which of the following patient data id NOT typically communicated during your radio report to the hospital? The patient's ethnicity 2. 12-If the EMD suspects that your patient has a life-threatening emergency, the EMD should make you aware of the situation and then: give prearrival instructions to the caller 3. 13-Using the International Phonetic Alphabet, how should you spell Dr. Wilson? WHISKEY-INDIA-LIMA-SIERRA-OSCAR-NOVEMBER 4. 14-It is important to remember that if a patient is not personally sensitive to modesty because of an impaired mental state: the patient's family likely will be 5. 15-Which of the following questions would be appropriate to ask a patient who has no medical training? "Do you have any breathing problems?" 6. 16-It would be appropriate to ask a patient a closed-end question when: you are trying to obtain medical history information 7. 17-If a patient avoids answering a specific question - ANS Rhy 17 The diameter of a patients pupils and their reactivity to light provide information about the - status of cerebral perfusion. 18 When assessing a patient's conjunctivae you note they are injected. This means that the conjunctivae are - red. 3 Frank blood or clear watery fluid draining from the ear canal following head trauma is MOST suggestive of a (N) - basilar skull fracture. 4 Swollen lymph nodes in the anterior neck usually indicate - an infection. 5 Percussion of the chest produces _____ if the pleural space is full of blood - a dull sound. 6 You would NOT expect to encounter decreased breath sounds in a patient with - cardiac tamponade. 7 S1 the first heart sounds represents - closure of the mitral and tricuspid valve. 8 The fourth heart sound - indicates increased pressure in the atria. 9 When auscultating heart sounds, you should place your stethoscope at the - fifth intercoastal space, over the apex of th - ANS 119. A patient who overdosed on acetaminophen at at greatest risk for - liver failure. 120. A patient recently began taking an antipsychotic medication and is experiencing a dystonic reaction. What drug is indicated ? - diphenhydramine. CHAPTER 11 1 The history of present illness is defined as - a chronologic account of the patient's signs and symptoms. 2 ems providers who read off a list of questions to the patient to fill In all the blanks on the run report - tend to make little or no eye contact with the patient. 3 Paying attention, making eye contact and repeating key information from the pateints answers are examples of - facilitation. 4 Which of the following is an example of a leading question ? - "do you think that you are experiencing a cardiac emergency "? 5 The mnemonic "OPQRST" is a tool that - offers an easy to remember approach to analyzing a patients chief complaint. 6 When asking questions pertaining to a patient's sexual history it is important to remember that - obtaining the history in a private setting is essential. 7 Situational depression Is - a reaction to a stressful event in a patients life. 8 The residual pressure in the circulatory system while the left ventricle is called the - diastolic pressure. 9 To obtain a heart rate in infants younger than 1 year of age, you should - palpate the brachial artery. 10 A conscious patients respiratory rate should be measured - for a minimum of 30 seconds. 11 When using a tympanic device to obtain a patients's body temperature, you should - be aware of extrinsic factors that can skew the reading. 12 What does pulse oximetry measure ? - the percentage of hemoglobin saturation. 13 The skin becomes ______ when red blood cell perfusion to the capillary beds of the skin is poor - pale 14 Flushed skin is commonly seen as a result of all the following EXCEPT 1 Clinical signs of hypokalemia include - weakness and flattened T waves. 2 Common signs and symptoms of acute gastroenteritis include all of the following, EXCEPT -chest pain. 3 Common signs of bleeding in the upper gastrointestinal tract include all of the following EXCEPT- hematochezia. 4 Which of the following statements regarding Grey Turner sign is correct ? - Grey Turner sign is characterized by flank bruising and indicates internal bleeding. 5 Blood that has been digested by stomach acids manifests as - coffee grounds emesis. 6 You are caring for a middle aged man with severe abdominal pain and dark, tarry stools. He is conscious but very restless. His blood pressure is 78/52 mm hg, pulse rate is 130 beats/min and weak, and respirations are 24 breaths/min and shallow. Further assessment reveals that his skin is cool and clammy and his radial pulses are weakly present. You should - administer high flow oxygen - ANS 1 The MOST likely cause of Crohn disease is - autoantibody destruction of the intestinal wall. 2 An incarcerated hernia is one that - cannot be reduced and becomes trapped. 3 During your examination of a patients abdomen, you note the presence of striae. This finding is MOST indicative of - change in the size of the abdomen over a short period of time. 4 In contrast to somatic pain, visceral pain - is difficult to localize. 5 Which of the following medications should be given with caution in patient who are taking blood thinners? - Toradol. 6 A positive murphy sign is characterized by - a sudden stop in inspiration due to sharp pain when pressure is applied to the right upper quadrant. 7 A sudden onset of discomfort in the throat, severe dysphagia, and vomiting bright red blood are MOST indicative of - ruptured esophageal varices. 8 A 62 year old man presents with an acye onset of bright red vomiting. According to his wife, he ingests excessive amounts of alcohol each day. As you are assessing the patient, you note that his level of consciousness has decreased markedly. His mouth is full of blood, and his skin is pale and moist. You should- turn him on his side and suction his oropharynx, intubate his trachea if the oral bleeding continues, establish at least one large bore IV with normal saline, and administer enough fluids to maintain adequate perfusion. 9 A 55 year old male who is currently receiving radiation therapy for cancer complains of dyspepsia and upper abdominal pain. He tells you that the pain worsens when he lies supine. What should you suspect ? - esophagitis. 10 The MOST common signs and symptoms of colorectal cancer are - abdominal pain, rectal bleeding, and changes in bowel habits. 11 Which of the following behaviours does NOT place a person at risk for gastrointestinal disease ? - high fiber diet. 12 1 the primary reason for the extent of trauma a patient sustains are - amount of energy in the object and the mechanism by which the object is delivered to the body. 2 Which of the following will be of MOST benefit in helping the paramedic predict the type of injuries that a patient experienced ? - mechanism of injury 3 A specific attribute of a level 1 trauma center is that it - has a 24 hour in house coverage by general surgeons. 4 If a level 1 trauma center is 30 miles away, and a level 2 trauma center is 10 miles away, it would be MOST appropriate to transport a patient with a severe traumatic brain injury - via air transport to the level 1 trauma center. 5 Which of the following is NOT a factor when considering a transport of a trauma patient via helicopter ? - the need for definitive airway management. 6 When summoning an air transport service to transport a crtically injured patient, it is MOST important to - - ANS 1 Which of the following is a disadvantage of using a crystalloid solution when treating a patient with hemorrhagic shock ? - they do not have oxygen carrying capacity 2 The MOST common cause of cardiogenic shock is - myocardial infarction. 3 Intrinsic causes of cardiogenic shock include - cardiomyopathy. 4 If the left ventricle fills with 85 ml of blood and ejects 60 ml during a contraction, the ejection fraction is approximately ___ % - 70 5 The MOST immediate treatment for the patient with a tension pneumothorax is to - eate air from the pleural space. 6 Which of the following blood pressure is MOST consistent with a pericardial tamponade ? - 90/70 mm hg.