PARAMEDIC FINAL EXAM, Paramedic || || || ||
Exam 1 Questions With Answers || || || || ||
A protocol that is a written document signed by the EMS
|| || || || || || || || || || ||
system's medical director that outlines specific
|| || || || || ||
directions, permissions, and sometimes prohibitions
|| || || || ||
regarding patient care that is rendered prior to
|| || || || || || || ||
contacting medical control. - CORRECT || || || || ||
ANSWER(S)✔✔Standing order ||
If a paramedic transports a patient without the patient's
|| || || || || || || || ||
consent or uses restraints in a wrongful manner -
|| || || || || || || || ||
CORRECT ANSWER(S)✔✔False Imprisonment || ||
A treatment plan developed for a specific illness or
|| || || || || || || || ||
injury. - CORRECT ANSWER(S)✔✔Protocol
|| || ||
If you must deviate from your protocols because of
|| || || || || || || || ||
unusual circumstances, you should FIRST: - CORRECT
|| || || || || || ||
ANSWER(S)✔✔Notify Medical Control || ||
HIPPA mandates that: - CORRECT ANSWER(S)✔✔Patient
|| || || || ||
information shall not be shared with entities or persons
|| || || || || || || || || ||
not involved in the care of the patient.
|| || || || || || ||
,HIPPA Defined: - CORRECT ANSWER(S)✔✔a. The first
|| || || || || || ||
standards established to protect the confidentiality of a
|| || || || || || || ||
patient's health information.
|| ||
b. Medical information can be disclosed only if it is
|| || || || || || || || || ||
necessary for a patient's treatment or for payment.
|| || || || || || ||
c. Special situations such as dog bites, gunshot wounds,
|| || || || || || || || ||
and abuse require the release of patient information
|| || || || || || || ||
without the patient's consent.
|| || ||
According to HIPAA, it is acceptable and permissible for
|| || || || || || || || ||
hospitals to: - CORRECT ANSWER(S)✔✔share
|| || || || ||
information with the EMS providers about patient
|| || || || || || ||
outcome for purposes of quality assurance and
|| || || || || || ||
education.
Wheezing that is resolved with administration of
|| || || || || || ||
bronchodilator medication was probably caused by? - || || || || || || ||
CORRECT ANSWER(S)✔✔constriction of smooth muscles
|| || || ||
Wheezing is resolved with medications that? - CORRECT
|| || || || || || || ||
ANSWER(S)✔✔Relax the smooth muscle of the || || || || || ||
bronchiole
Difficulty with exhalation is MOST characteristic of: -
|| || || || || || || ||
CORRECT ANSWER(S)✔✔obstructive lung disease
|| || ||
,COPD: Emphysema: - CORRECT || || || ||
ANSWER(S)✔✔Characterized by distention of the alveoli || || || || || ||
and destructive changes in the lungs.
|| || || || ||
COPD: Chronic Bronchitis: - CORRECT || || || || ||
ANSWER(S)✔✔Defined as sputum production most days || || || || || ||
of month for 3 or more months out of year for more than
|| || || || || || || || || || || || ||
2 years. Will rarely have normal oxygen saturation;
|| || || || || || || ||
(maybe less than 90%). May have another condition,
|| || || || || || || ||
including respiratory conditions || ||
A 66-year-old man with chronic bronchitis presents with
|| || || || || || || ||
severe respiratory distress. The patient's wife tells you
|| || || || || || || ||
that he takes medications for high blood pressure and
|| || || || || || || || ||
bronchitis, is on home oxygen therapy, and has recently || || || || || || || || ||
been taking an over-the-counter antitussive. She further
|| || || || || || ||
tells you that he has not been compliant with his oxygen
|| || || || || || || || || || ||
therapy. Auscultation of his lungs reveals diffuse rhonchi.
|| || || || || || ||
What is the MOST likely cause of this patient's
|| || || || || || || || || ||
respiratory distress? - CORRECT ANSWER(S)✔✔Recent || || || || ||
antitussive use ||
A 76-year-old woman with emphysema presents with
|| || || || || || ||
respiratory distress that has worsened progressively || || || || || ||
over the past 2 days. She is breathing through pursed
|| || || || || || || || || ||
lips and has a prolonged expiratory phase and an oxygen
|| || || || || || || || || ||
saturation of 76%. She is on home oxygen at 2 L/min. || || || || || || || || || || ||
Your initial action should be to? - CORRECT
|| || || || || || || ||
, ANSWER(S)✔✔place her in a position that facilitates || || || || || || ||
breathing.
Common clinical findings in patients with obstructive
|| || || || || || ||
lung disease include all of the following, EXCEPT: -
|| || || || || || || || ||
CORRECT ANSWER(S)✔✔a decreased expiratory phase
|| || || ||
Chronic obstructive pulmonary disease (COPD) is
|| || || || || ||
characterized by: - CORRECT ANSWER(S)✔✔changes in || || || || || ||
pulmonary structure and function that are progressive
|| || || || || || ||
and irreversible
||
The hypoxic drive is a phenomenon in which - CORRECT
|| || || || || || || || || ||
ANSWER(S)✔✔bicarbonate ions migrate into the || || || || ||
cerebrospinal fluid of a chronically hypoventilating
|| || || || || ||
patient, making the brain think that acid and base are in
|| || || || || || || || || || ||
balance
Pulmonary Embolism Characteristics - CORRECT
|| || || || ||
ANSWER(S)✔✔Sudden dyspnea & cyanosis, and || || || || ||
perhaps, a sharp pain in the chest. A hallmark of
|| || || || || || || || || ||
pulmonary embolism is that the cyanosis does not
|| || || || || || || ||
resolve with oxygen therapy.
|| || ||
You are dispatched to a residence for a young woman
|| || || || || || || || || ||
with difficulty breathing. When you arrive, you find the
|| || || || || || || || ||
Exam 1 Questions With Answers || || || || ||
A protocol that is a written document signed by the EMS
|| || || || || || || || || || ||
system's medical director that outlines specific
|| || || || || ||
directions, permissions, and sometimes prohibitions
|| || || || ||
regarding patient care that is rendered prior to
|| || || || || || || ||
contacting medical control. - CORRECT || || || || ||
ANSWER(S)✔✔Standing order ||
If a paramedic transports a patient without the patient's
|| || || || || || || || ||
consent or uses restraints in a wrongful manner -
|| || || || || || || || ||
CORRECT ANSWER(S)✔✔False Imprisonment || ||
A treatment plan developed for a specific illness or
|| || || || || || || || ||
injury. - CORRECT ANSWER(S)✔✔Protocol
|| || ||
If you must deviate from your protocols because of
|| || || || || || || || ||
unusual circumstances, you should FIRST: - CORRECT
|| || || || || || ||
ANSWER(S)✔✔Notify Medical Control || ||
HIPPA mandates that: - CORRECT ANSWER(S)✔✔Patient
|| || || || ||
information shall not be shared with entities or persons
|| || || || || || || || || ||
not involved in the care of the patient.
|| || || || || || ||
,HIPPA Defined: - CORRECT ANSWER(S)✔✔a. The first
|| || || || || || ||
standards established to protect the confidentiality of a
|| || || || || || || ||
patient's health information.
|| ||
b. Medical information can be disclosed only if it is
|| || || || || || || || || ||
necessary for a patient's treatment or for payment.
|| || || || || || ||
c. Special situations such as dog bites, gunshot wounds,
|| || || || || || || || ||
and abuse require the release of patient information
|| || || || || || || ||
without the patient's consent.
|| || ||
According to HIPAA, it is acceptable and permissible for
|| || || || || || || || ||
hospitals to: - CORRECT ANSWER(S)✔✔share
|| || || || ||
information with the EMS providers about patient
|| || || || || || ||
outcome for purposes of quality assurance and
|| || || || || || ||
education.
Wheezing that is resolved with administration of
|| || || || || || ||
bronchodilator medication was probably caused by? - || || || || || || ||
CORRECT ANSWER(S)✔✔constriction of smooth muscles
|| || || ||
Wheezing is resolved with medications that? - CORRECT
|| || || || || || || ||
ANSWER(S)✔✔Relax the smooth muscle of the || || || || || ||
bronchiole
Difficulty with exhalation is MOST characteristic of: -
|| || || || || || || ||
CORRECT ANSWER(S)✔✔obstructive lung disease
|| || ||
,COPD: Emphysema: - CORRECT || || || ||
ANSWER(S)✔✔Characterized by distention of the alveoli || || || || || ||
and destructive changes in the lungs.
|| || || || ||
COPD: Chronic Bronchitis: - CORRECT || || || || ||
ANSWER(S)✔✔Defined as sputum production most days || || || || || ||
of month for 3 or more months out of year for more than
|| || || || || || || || || || || || ||
2 years. Will rarely have normal oxygen saturation;
|| || || || || || || ||
(maybe less than 90%). May have another condition,
|| || || || || || || ||
including respiratory conditions || ||
A 66-year-old man with chronic bronchitis presents with
|| || || || || || || ||
severe respiratory distress. The patient's wife tells you
|| || || || || || || ||
that he takes medications for high blood pressure and
|| || || || || || || || ||
bronchitis, is on home oxygen therapy, and has recently || || || || || || || || ||
been taking an over-the-counter antitussive. She further
|| || || || || || ||
tells you that he has not been compliant with his oxygen
|| || || || || || || || || || ||
therapy. Auscultation of his lungs reveals diffuse rhonchi.
|| || || || || || ||
What is the MOST likely cause of this patient's
|| || || || || || || || || ||
respiratory distress? - CORRECT ANSWER(S)✔✔Recent || || || || ||
antitussive use ||
A 76-year-old woman with emphysema presents with
|| || || || || || ||
respiratory distress that has worsened progressively || || || || || ||
over the past 2 days. She is breathing through pursed
|| || || || || || || || || ||
lips and has a prolonged expiratory phase and an oxygen
|| || || || || || || || || ||
saturation of 76%. She is on home oxygen at 2 L/min. || || || || || || || || || || ||
Your initial action should be to? - CORRECT
|| || || || || || || ||
, ANSWER(S)✔✔place her in a position that facilitates || || || || || || ||
breathing.
Common clinical findings in patients with obstructive
|| || || || || || ||
lung disease include all of the following, EXCEPT: -
|| || || || || || || || ||
CORRECT ANSWER(S)✔✔a decreased expiratory phase
|| || || ||
Chronic obstructive pulmonary disease (COPD) is
|| || || || || ||
characterized by: - CORRECT ANSWER(S)✔✔changes in || || || || || ||
pulmonary structure and function that are progressive
|| || || || || || ||
and irreversible
||
The hypoxic drive is a phenomenon in which - CORRECT
|| || || || || || || || || ||
ANSWER(S)✔✔bicarbonate ions migrate into the || || || || ||
cerebrospinal fluid of a chronically hypoventilating
|| || || || || ||
patient, making the brain think that acid and base are in
|| || || || || || || || || || ||
balance
Pulmonary Embolism Characteristics - CORRECT
|| || || || ||
ANSWER(S)✔✔Sudden dyspnea & cyanosis, and || || || || ||
perhaps, a sharp pain in the chest. A hallmark of
|| || || || || || || || || ||
pulmonary embolism is that the cyanosis does not
|| || || || || || || ||
resolve with oxygen therapy.
|| || ||
You are dispatched to a residence for a young woman
|| || || || || || || || || ||
with difficulty breathing. When you arrive, you find the
|| || || || || || || || ||
