QUESTIONS AND ANSWERS A+ GRADED
1. Common Heuristics - ANSWER Each of the following are considered
common heuristics or biases except under confidence.
2. Confirmation Bias - ANSWER When a clinician is specifically looking for
evidence that supports the diagnosis he or she already has in mind.
3. Representativeness Bias - ANSWER When a patient does not fit the classic
pattern, the EMT has to be careful not to make a representativeness error or
bias.
4. Availability Bias - ANSWER An EMT is more likely to think of a recent
diagnosis, such as heat stroke, when faced with a similar situation.
5. Illusory Correlation - ANSWER Drawing conclusions about the cause of a
diagnosis can lead to an illusory correlation.
6. Secondary Diagnosis - ANSWER If you stop the search for a diagnosis as
soon as you come up with the cause of today's problem, this can lead to
missing out on the secondary diagnosis.
7. Limitations of Technology - ANSWER An EMT who wants to think like a
highly trained experienced physician should understand the limitations of
technology and people.
8. Learning from Others - ANSWER An EMT who wants to think like a highly
experienced physician should try not to learn from others.
9. Severe Allergic Reaction - ANSWER If you begin treating a patient with a
rash as a victim of a severe allergic reaction without questioning her about
previous similar rashes, you would be exhibiting an illusionary correlation.
10.scope of practice - ANSWER The collective set of regulations and ethical
considerations governing the EMT.
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,11.Legislation governing EMT skills - ANSWER Different from state to state.
12.ethical responsibility - ANSWER When the EMT makes the
physical/emotional needs of the patient a priority.
13.types of consent - ANSWER Applied is NOT a type of consent required for
any treatment or action by an EMT.
14.expressed consent - ANSWER When you informed the adult patient of the
procedures about to perform and its associated risks.
15.implied consent - ANSWER Consent based on the assumption that an
unconscious patient would approve the EMT's life-saving interventions.
16.patient's refusal of medical care - ANSWER Should include informing the
patient of the risks and consequences of refusal, documenting the steps you
took, and obtaining a release form with the patient's witnessed signature.
17.assault and battery - ANSWER Forcing a competent adult patient to go to
the hospital against his or her will may result in these charges against the
EMT.
18.action not to take if a patient refuses care - ANSWER Recommend that a
relative call the family physician to report the incident.
19.advanced directive - ANSWER Another name for a DNR order.
20.varying degrees of DNR orders - ANSWER Expressed through a variety of
detailed instructions that may be part of the order.
21.allowing CPR only if cardiac or respiratory arrest was observed - ANSWER
One of the detailed instructions that may be part of a DNR order.
22.allowing comfort-care measures - ANSWER Such as intravenous feeding, as
part of DNR orders.
23.disallowing the use of long-term life-support measures - ANSWER A
potential instruction included in DNR orders.
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,24.specify that only five minutes of artificial respiration will be attempted -
ANSWER An example of a detailed instruction that may be part of a DNR
order.
25.Long-term life support - ANSWER Measures that consist of intravenous
feeding and the use of a respirator.
26.Negligence - ANSWER The failure to provide the standard of care that
causes harm or injury to the patient.
27.Abandonment - ANSWER Leaving a patient on the hallway stretcher in a
busy ED without giving report to a healthcare professional.
28.Confidential information - ANSWER Patient history gained through the
interview, assessment findings, and treatment rendered.
29.Circumstances for releasing confidential information - ANSWER Informing
other health care professionals, reporting incidents required by state law, and
complying with legal subpoenas.
30.Medical identification device - ANSWER Indicates serious patient medical
conditions, allergies, and/or medications they are currently prescribed.
31.You are administering oral glucose to a known diabetic. What should you be
most concerned about? - ANSWER The smell of acetone on breath
32.45 year old female is 34 weeks pregnant. She complains of a severe
headache, sensitivity to light, and swollen feet. Vitals signs are BP 130/88,
P104, R 24 what should you suspect? - ANSWER Pre-eclampsia
33.A 10 month old is choking, what should you do? - ANSWER 5 Back blows
34.First step with a sexually assaulted patient? - ANSWER Reassure patient
35.2 year old has been vomiting for 12 hours and has decreased oral intake. She
does not track your movements. P150 R 24. Cool skin w/ mottling. What
type of shock should you suspect? - ANSWER Hypovolemic
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, 36.50 year old female states she has "the worst headache of her life". The onset
was 20 minutes ago and it was abrupt. Vitals BP 180/90 P56 and R 20. You
should suspect? - ANSWER Subarachnoid hemorrhage
37.32 y/o female. 18 weeks pregnant. Lower ab pain w/vaginal bleeding. You
should suspect? - ANSWER Spontaneous abortion
38.70 y/o with SOB "I woke up and felt like i was drowning". He has been
recently sleeping with extra pillows under his head. Bp 160/80 P 98 and
irregular. R 24. Spo2 86%. - ANSWER Left heart failure
39.Request additional resources for which victim? - ANSWER Foot wedged in
pedal
40.56 yo M with severe pain after eating greasy food - ANSWER Cholecystitis
41.Newborn is apneic immediately after delivery - ANSWER Stimulate baby
42.3 yo F sitting on dads lap, drooling and won't eat or drink - ANSWER
Epiglottis
43.56 yo F complains of chest pain that is unrelieved after 3 NTG's. Troubled
breathing speaking in 2-3 word sentences. You should? - ANSWER Provide
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44.EMS displays a "Free BP Check" sign on the window. This is a sign of? -
ANSWER Community relations
45.Which the following will only occur in the 1st trimester of pregnancy? -
ANSWER Ectopic pregnancy
46.36 yo M complains of nausea, vomiting and ab pain. Homeless and admits
to chronic alcohol use. Vital signs are BP 92/54, P122, and R8. You
suspect? - ANSWER Pancreatitis
47.62 yo M with history of COPD ran out of Home O2. SOB and dry lung
nonproductive cough, clear lung sounds. You suspect? - ANSWER
Emphysema
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