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EMT AAOS C CORREH 1 1 PHARMACT ANSWCERSOLOGY 100 %EXAM VERI QFIED!!UESTIONS AND
A drug is contraindicated for a patient when it: A. may cause harm or have no positive effect. B. produces actions other than the desired ones.C. is used to treat a multitude of conditions. D. is used to treat a specific medical condition. - ANSWER A. may cause harm or haveno positive effect.
Activated charcoal is frequently suspended in sorbitol, a complex sugar that: A. significantly slows the process of digestion. B. binds to any chemicals that are in the stomach. C. facilitates movement through the digestive system. D. disguises the unpleasant taste of the activated charcoal. - ANSWER c. facilitatesmovement through the digestive system.
Your patient is complaining of chest pain. He states it feels just like his last heart attack.You have applied oxygen with no relief. He does not take any medications. His BP is 88/64, pulse is 100, and respirations are 20. Your treatment should include. A. Asprin
B. Nitroglycerin C. albuterol MDI D. epinephrine - ANSWER A. aspirin You are dispatched to a movie theater for a 39-year-old female with signs and symptomsof an allergic reaction. As you are assessing her, she pulls an epinephrine auto-injector out of her purse and hands it to you. After confirming the drug's name and expirationdate, you should:
A. administer the drug. B. contact medical control. C. ask her if she takes other medications. D. request an ALS ambulance to administer the drug. - ANSWER B. contact medicalcontrol
EMTs arrive at the scene of a patient who was "found down." A family member statesthat she gave naloxone (Narcan) to the patient before the ambulance arrived. The EMTs should suspect that the patient: - ANSWER overdosed on an opioid drug. A medication with antagonistic properties is one that: A. blocks receptor sites and prevents other chemicals from attaching to them. B. produces a cumulative effect when mixed with the same type of medication.
When administering naloxone (Narcan) via the intranasal route, the EMT shouldadminister: - ANSWER a half dose into each nostril.
Which of the following is the MOST rapidly acting medication administration route? -ANSWER Intravenous (IV)
You arrive at a residence approximately 20 minutes after a 7-year-old boy, who weighs22 kg, ingested a bottle of Advil. He is conscious and alert and has stable vital signs. Medical control orders you to administer activated charcoal and then transport the childat once. The appropriate maximum dose of activated charcoal for this child is:
A. 22 g. B. 44 g.C. 11 g. D. 36 g. - ANSWER B. 44 g. The _____ of a medication usually dictates the route by which it will be administered. A. type B. form C. class D. name - ANSWER B. Form You are attending to a 52-year old female patient who appears to have suffered a stroke.The patient is alone in her apartment and is unable to speak or communicate with you. In determining her medical history, it is most appropriate to: - ANSWER search for and
document all medications (prescription and nonprescription) that the patient may betaking.
You are attending to a 26-year-old suspected overdose patient who is unresponsive. Aspart of your care you administer naloxone to reverse the effects of the suspected opioid overdose. Immediately after administering the drug you realize that while the dose andthe route were correct, the patient condition did not warrant Naloxone as per your local protocols. Your most appropriate next step should be to: - ANSWER continue to providecare for the patient and address any issues that the naloxone administration may have caused. a 49-year-old-male with an extensive cardiac history presents with 2 hours of crushingchest pain and shortness of breath. He is pale and diaphoretic and tells you that he feels like he is going to die. His medications include nitroglycerin, sildenafil (Viagra), andenalapril (Vasotec). His blood pressure is 140/90 mm Hg and his heart rate is 110 beats/min. In addition to administering supplemental oxygen if needed, you should: A. administer one nitroglycerin and call medical control. B. obtain physician approval to give the nitroglycerin. C. place him in a supine position and transport at once. D. ask him if he took his Viagra within the past 24 hours. - ANSWER D. ask him if he tookhis Viagra within the past 24 hours.
Which of the following is an example of a trade name of a drug. A. Tylenol B. Ibuprofen
A. prevents the aggregation of platelets. B. dissolves the coronary artery clot. C. causes direct coronary vasodilation.D. reduces the associated chest pain. - ANSWER A. prevents the aggregation of platelets. You are treating a middle-aged man with chest discomfort. He has a history of threeprevious heart attacks and takes nitroglycerin as needed for chest pain. You have standing orders to administer aspirin to patients with suspected cardiac-related chestpain or discomfort. While your partner is preparing to give oxygen to the patient, you should: A. contact medical control, apprise him or her of the patient's chief complaint and vitalsigns, and request permission to give him aspirin.
B. confirm that the patient is not allergic to aspirin, give him the appropriate dose ofaspirin, and document the time and dose given.
C. assist the patient in taking one of his prescribed nitroglycerin, assess his vital signs,and give him aspirin if he is still experiencing chest discomfort.
D. ensure that the patient's systolic blood pressure is at least 100 mm Hg since aspirindilates the blood vessels and can cause a drop in bl - ANSWER B. confirm that the patient is not allergic to aspirin, give him the appropriate dose of aspirin, and documentthe time and dose given.
Shortly after assisting a 65-year-old female with her prescribed nitroglycerin, shebegins complaining of dizziness and experiences a drop of 30 mm Hg in her systolic blood pressure. The patient remains conscious and her breathing is adequate. Youshould:
A. transport her in a sitting position.
B. place her supine and elevate her legs. C. assist ventilations with a bag-mask device. D. wait 5 minutes and reassess her blood pressure. - ANSWER B. place her supine andelevate her legs.
When given to patients with cardiac-related chest pain, nitroglycerin: A. relaxes the walls of the coronary arteries. B. increases blood return to the right atrium. C. constricts the veins throughout the body. D. increases myocardial contraction force. - ANSWER A. relaxes the walls of thecoronary arteries.
You are dispatched to a state park for a young female experiencing an allergic reaction.Your assessment reveals that her breathing is severely labored and her blood pressure is very low. You carry epinephrine auto-injectors on your ambulance and have beentrained and approved by your medical director to administer them. As your partner gives the patient high-flow oxygen, you attempt to contact medical control but do nothave a signal from your cell phone. You should:
A. immediately load the patient into the ambulance, begin transport, and reattempt tocontact medical control when you receive a cell signal.
B. notify dispatch and request that a paramedic unit respond to the scene so they canadminister epinephrine to the patient.
You are treating a 45-year-old woman who was stung by a hornet and has a rash. Shetells you that she is allergic to hornets and has her own epinephrine auto-injector. She also tells you that she takes medication for hypertension. Her breath sounds do notreveal any wheezing, her breathing is unlabored, and her blood pressure is 154/94 mm Hg. What should you do if you are not able to make contact with medical control? A. Begin immediate transport and request an intercept with a paramedic ambulance. B. Administer her epinephrine, reassess her condition, and transport her promptly. C. Give her half the dose of her epinephrine in case her allergic reaction is delayed. D. Give her oxygen, transport her to the hospital, and monitor her condition en route. -ANSWER D. Give her oxygen, transport her to the hospital, and monitor her condition en route. A 31-year-old female is experiencing an acute asthma attack. She is conscious andalert, but in obvious respiratory distress. After assisting her with her prescribed MDI, you should: A. check the drug's expiration date to ensure that it is still current. B. reassess the patient and document her response to the medication. C. administer another treatment in 30 seconds if she is still in distress. D. contact medical control and apprise him or her of what you did. - ANSWER B.reassess the patient and document her response to the medication.
How is nitroglycerin usually given by the emt - ANSWER Sublingually
Which of the following medication routes delivers a drug through the skin over anextended period of time , such as a nitroglycerin it nicotine patch - ANSWER Transcutaneous A mucosal atomizer device (MAD) is used to deliver certain medication via the -ANSWER Intranasal route
A 37 year old male is found unconscious in his car. His airway is patent and hisrespirations are rapid and labored. As you and your partner are assessing and treating the patient, a police officer hands you a medication named alupent, which he found inthe backseat of the patients car. This medication suggests that the patient has a history of - ANSWER Asthma When assessing an elderly male who complains of nausea and generalized weakness,you find that he takes simvastatin (vytorin) and clopidoherl(plavix). This medication regimen suggests a history of - ANSWER Cardiovascular disease The process of binding or sticking to a surface is called - ANSWER Adsorption Activated charcoal is an example of - ANSWER Suspension What medication form does oral glucose come in - ANSWER Gel While assisting a paramedic in the attempted resuscitation of a 55 year old male incardiac arrest, you should expect the paramedic to - ANSWER Administer drugs via the IV route to achieve the fastest effect Which of the following is an example of a drugs generic name - ANSWER asprin Which of the following medication routes has the slowest rate of absorption - ANSWEROral
