EMT Practice Final Examination Q&A GRADED A+

EMT Practice Final Examination Snoring respirations are most rapidly managed by A. suctioning the oropharynx B. initiating assisted ventilations C. correctly positioning the head D. inserting an oropharnygeal airway - correctly positioning the head Which of the following patients would be most in need of a rapid trauma assessment? A. an awake and alert 19-year-old man with a small caliber gunshot wound to the abdomen B. A conscious 25-year-old woman who fell 12' from a roof and landed on her side C. A 43-year-old woman with a unilaterally swollen, painful deformity of the femur D. a 60-year old man who fell from a standing position and has an abrasion on his check - an awake and alert 19-year-old man with a small caliber gunshot wound to the abdomen Which of the following bones is affected with a swollen, painful deformity to the lateral bone of the left forearm? A. Ulna B. Radius C. Clavicle D. Humerus - Radius During your assessment of a 34-year old man with a gunshot wound to the chest, you note that his skin is pale. This finding is most likely caused by A. a critically low blood pressure B. increased blood flow to the skin C. decreased blood flow to the skin D. peripheral dilation of the vasculature - decreased blood flow to the skin An 80-year old woman has pain in the right upper quadrant of her abdomen and a yellowish tinge to her skin. You should suspect dysfunction of the A. liver B. spleen C. pancreas D. gallbladder - liver Which of the following situations is an example of abandonment? A. An EMT--Paramedic givers a verbal report to any emergency nurse. B. An EMT--Intermediate assumes patient care from an EMT-Basic C. An EMT--Basic transfers care of a patient to patient to an EMT-Paramedic D. A first responder assumes patient care from an EMT-Intermediate - A first responder assumes patient care from an EMT-Intermediate Which artery should you palpate when assessing for a pulse in an unresponsive 6-month old patient? A. Radial B. Carotid C. Femoral D. Brachial - Brachial During the initial assessment of a trauma patient, you note massive facial injuries, weak radial pulses, and clammy skin. What should be your most immediate concern? A. Potential obstruction of the airway B. Internal bleeding and severe shock C. Applying 100% supplemental oxygen D. Providing rapid transport to a trauma center - Potential obstruction of the airway You are called to treat a male patient who overdosed on heroin and and is unconscious with shallow breathing and cyanosis to the face. The patient suddenly begins to vomit. What should you do first? A. Suction the oropharynx B. Turn the patient onto his side. C. Insert an oropharyngeal airway. D. Assist ventilations with 100% oxygen. - Turn the patient onto his side. The scene size up includes all of the following components, EXCEPT A. determining scene safety B. applying personal protective gear C. assessing the need for assistance D. evaluating the mechanism of injury - applying personal protective gear In which of the following patients would an oropharyngeal airway be indicated? A. Any patient suspected of having hypoxia B. A semiconscious patient with an intact gag reflex C. A semiconscious patient who took an overdose of propoxyphene D. An unconscious patient with fluid drainage from the ears - An unconscious patient with fluid drainage from the ears Upon arriving at the scene of a multiple vehicle crash, you can see that at least two patients have been ejected from their vehicles. What should you do next? A. Begin triage B. Treat the most critical patient first C. Gather all of the patients together D. Call for at least one more ambulance - Call for at least one more ambulance A 75 year old man has generalized weakness and chest pain. He has a bottle of prescribed nitroglycerin and he states that he has not taken any of his medication. After initiating oxygen therapy, you should next A. apply the AED and prepare the patient for immediate transport B. perform a detailed physical examination to located any other problems. C. contact medical control for permission to assist the patient with his nitroglycerin. D. complete a focused physical examination, including obtaining baseline vital signs. - complete a focused physical examination, including obtaining baseline vital signs. Which of the following organs is not part of the endocrine system? A. Thyroid B. Pituitary C. Pancreas D. Gallbladder - Gallbladder Which of the following injuries or conditions should be managed first? A. Fluid drainage from both ears B. Bleeding within the oral cavity C. A large open abdominal wound D. Bilateral fractures of the femurs - Bleeding within the oral cavity You arrive at a residence where you find a man lying unconscious in his front yard. There were no witnesses to the event that caused the unconsciousness. In assessing this man, you must assume that he A. has sustained an injury B. is having a heart attack C. is having a diabetic reaction D. is having a heat-related emergency - has sustained an injury When is the best time to perform a detailed physical examination? A. While enroute to the hospital B. After all life threats have been ruled out C. Immediately after taking baseline vital signs D. Following the initial assessment of a trauma patient. - While enroute to the hospital Which of the following conditions would most likely cause flushed skin? A. Shock B. Hypoxia C. Exposure to heat D. Low blood pressure - Exposure to heat During the rapid trauma assessment of a patient with multiple injuries, you expose the chest and find an open wound with blood bubbling from it. What should you do next? A. Apply 100% supplemental oxygen. B. Provide rapid transport to the hospital C. Prevent air from entering the wound. D. Place a porous dressing over the wound. - Prevent air from entering the wound. You are called to a local park for a 7-year old boy with respiratory distress. During your assessment, you find that the patient is wheezing and has wide-spread hives and facial edema. What should you suspect has occurred? A. Heat emergency B. allergic reaction C. Acute asthma attack D. Exposure to a poisonous plant - allergic reaction A common side effect of nitroglycerin is A. nausea B. headache C. hypertension D. chest discomfort - headache As you assess a 56-year old man, you note that he is pulseless and apneic. As your partner gets the AED from the ambulance, you should A. obtain a medical history from the wife. B. place the patient in the recovery position C. perform CPR until the AED is ready to use D. conduct a detailed examination of the patient. - perform CPR until the AED is ready to use Prescribed inhalers, such as albuterol (Ventolin), relieve respiratory distress by A. constricting the bronchioles in the lungs. B. contracting the smaller airways in the lungs. C. relaxing the smooth muscle of the bronchioles. D. dilating the large mainstem bronchi of the airway. - relaxing the smooth muscle of the bronchioles. In a patient with cardiac compromise, you would be LEAST likely to encounter A. anxiety B. dyspnea C. headache D. chest pain - headache When monitoring a patient with a head injury, the most reliable indicator of his or her condition is the A. pupillary reaction B. level of consciousness C. systolic blood pressure D. rate and depth of breathing - level of consciousness A 56-year-old man with a history of cardiac problems reports pain in the upper midabdominal area. This region of the abdomen is called the A. peritoneum B. epigastrium C. mediastinum D. retroperitoneum - epigastrium Which of the following mechanisms cause respiratory and circulatory collapse during anaphylactic shock? A. Bronchodilation and vasodilation B. Bronchodilation and vasoconstriction C. Bronchoconstriction and vasodilation D. Bronchoconstriction and vasoconstriction - Bronchoconstriction and vasodilation In the patient with diabetes, hypoglycemia typically presents with A. dry skin and a slow onset B. dry skin and a rapid onset C. clammy skin and a slow onset D. clammy skin and a rapid onset - clammy skin and a rapid onset Which of the following signs would LEAST suggest a diabetic emergency? A. Bradycardia B. Tachycardia C. Combativeness D. Fruity breath odor - Bradycardia