EMT NREMT PRACTICE (CLIFFNOTES) QUESTIONS WITH CORRECT ANSWERS

While treating a patient, you call your supervising hospital on your cell phone and speak to the on- duty medical director regarding treatment of a patient with chest pain. The medical director authorizes an additional dose of nitroglycerin, outside of normal protocol. This is an example of a- standing orders b- off-line medical control c- on-line medical control d- consent - c- on-line medical control Your patient is experiencing uncontrollable vomiting. Upon arriving at the patients residence, you notice a trash can containing approximately 400-500 cc of bright red blood. You find that the patient is not currently vomiting. Appropriate body substance isolation (BSI) precautions would include a- gloves only b- gloves, goggles, and mask c- gloves, goggles, mask and gown d- no BSI precautions are required for this patient - c- gloves, goggles, mask and gown Guidelines for proper lifting technique include all of the following EXCEPT a- keeping the weight close to your body b- keeping your stance as wide as possible c- lifting with the muscles of your legs, not your back d- avoiding twisting your body while lifting - b- keeping your stance as wide as possible You respond to a call for a "man down". On the scene, you find two police officers and a man lying on a sidewalk. The man is not responding to vocal stimuli. As you begin your assessment, the patient begins moving spontaneously, but he doesn't seem to understand what you're telling him, and he cant answer any of your questions. You may treat this patient a- only after obtaining consent from a family member b- only if the patient can verbalize his full consent c- after receiving permission from medical direction d- without obtaining anyone's consent - d- without obtaining anyone's consent An urgent move should be used a- when the patient is in immediate danger on the scene of an accident b- when the patient must be moved quickly to treat life-threatening problems c- for patients who require rapid transport but with spinal immobilization maintained d- without regard for spinal immobilization - c- for patients who require rapid transport but with spinal immobilization maintained Nasopharyngeal airways should not be used in patients suspected of having a- skull or facial fractures b-jaw fractures c- cervical fractures d- hemorrhagic shock - a- skull or facial fractures The preferred method of providing artificial ventilation is the a- one rescuer bag-valve mask technique b- two rescuer mouth to mask technique c- two rescuer bag- valve mask technique d- two rescuer mouth to mouth technique - c- two rescuer bag valve mask technique You respond with your partner to a 911 call for a "man down". Upon arriving at the scene, you find the patient lying face down between two cars in a parking lot. As you begin your assessment of the patient, you notice noisy breathing. You know that to open this patients airway, you should first use a- a head- tilt chin-lift maneuver b- an oropharyngeal airway c- a nonvisualized airway such as the Combitube d- a jaw thrust manuever - d- a jaw thrust maneuver The most common cause of airway obstruction is a- food b- vomitus c- the tongue d- airway swelling - c- the tongue You can assume that a patient has a patent airway without further assessment if the patient a- has a pulse b- is conscious c- does not complain of dyspnea d- can speak without difficulty - d- can speak without difficulty You are ventilating an apneic patient with a bag- valve mask. To ensure the proper volume for each breath, you should a- terminate each breath when you see the chest begin to rise. b- completely empty the bag with each breath c- deliver each ventilation quickly to maximize chest pressure d- deliver at least 20 breaths per minute - a- terminate each breath when you see the chest begin to rise A patient who is complaining of dyspnea has what? - shortness of breath A patient who is apneic is experiencing what? - suspension of breathing, absence of respiration A disadvantage of the oropharyngeal airway is it: a- cant be used on patients who have a gag reflex b- doesn't allow the airway to be suctioned while in place c- cant be used on infants or children d- is often difficult to position the airway properly - a- can't be used on patients who have a gag reflex After opening the patients airway using a head-tilt chin-lift maneuver, the EMT Basic should a- move on to other assessment steps because the airway has been successfully managed b- ask a bystander or family member to maintain the patients airway c- remain in place to maintain the airway position and assess breathing d- none of the above - c- remain in place to maintain the airway position and assess breathing You are treating an unconscious patient with gurgling, agonal respirations. After performing a jaw thrust to open the airway manually, your first treatment priority is to a- begin ventilations with a bag valve mask b- complete the initial assessment c- place a non-visualized airway d- suction the oropharynx - d- suction the oropharynx