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A SS oo ll A crilical incident stress debriefing should be conducted no longer than hours following the incident. - CORRECT ANSWER -72 Which of the following skills or interventions is included at every level of prehospital emergency training? - ep As an EMT, it is important to remomber that the signs and symptoms of cumulative str Ee: not be present or obvious at all times The patient care report (PCR) ensures: - DE continuity of care Which of the following scenarios does NOT involve the administration of ALS? /A\. a 53-year-old palicnt who is given ghicagon for significant hypoglycemia Incorree! B. a 64-year-old cardiac arrest patient who is defibrillated with an automated external defibrillator (AED) Correct C. a 48-year-old patient whose airway is secured with a multilumen device Incorrect D. a 61-year-old trauma patient whose chest is decompressed with a needle Incorrect - CORRECT ANSWER -B. a 64-year-old cardiac arrest patient who is defibrillated with an automated oxtomal defibrillator (AED) A patient's refusal for EMS treatment and/or transport must be: - CORRECT ANSWER -an informed refusal ac Which of the following MOST accurately defines negligence? deviation from the standard of care that may result in further injury Which of the following scenarios MOST accurately depicts abandonment? - CORRECT ANSWER -A paramedic transfers patient care to an EMT I While assisting an advanced life support (ALS) ambulance crew, you are accidentally stuck with I an IV needle. You should: - Heo the incident to your supervisor after I the call I I A positive TB skin test indicates that: - CORRECT ANSWER - rou have been exposed to the I disease. H Communicating wilh hearing-impaired paticnts can be facilitated by doing all of the following, H EXCEPT: - CORRECT. ANSWER-. elevating the tone of your voice and exaggerating word H pronunciation. H When relaying patient information via radio, communications should be: ly understood. | I -. brief and eas fan action or procedure that was performed on a patient is not recorded on the written report: - I CORRECT ANSWER -it was nol performed in the eyes of the law. Maintaining the chain of evidence at the scene of a crime should include: - CORRECT | a cutting through holes in clothing that were caused by weapons When you begin an oral report, you should state the patient’s age, sex, and: - CORRECT | sae complaint. ac In which of the following situations does the EMT NOT have a legal duty to act? Choose one answer. A. a response to an injured patient while off duty B. a response to a motor vehicle crash while off duty C. Local policy requires you to assist in any emergency. D. a response to the residence of a palicnt who fell - CORRECT ANSWER -a response Lo a motor vehicle crash while off duty The official transfer of patient care does not occur until the EMT: - CORRECT ANSWER - gives an oral report to the emergency room physician or nurse The spread of HIV and hepatitis in the health care setting can usually be traced to: - CORRECT GR carciess handling of sharps. When faced with a situation in which a patient is in cardiac arrest, and a valid living will or DNR order cannot be located, you should: - cin res ation al once. After delivering your patient to the hospital, you sil down Lo complete the PCR. When documenting the patient’s last blood pressure reading, you inadvertently write 120/60 instead of 130/70. To correct this mistake, you should: - | a single horizontal line through the error, initial it, and write the correct data next to it. What section of the Health Insurance Portability and Accountability Act (HIPAA) MOST affects EMS personnel: E>: otectine patient privacy Typical components of an oral patient report include all of the following, EXCEPT: A SS SS SS important medical history not previously given. B. the set of baseline vital signs taken at the scene. C. the chief complaint or mechanism of injury. D. the patient’s response to treatment you provided. CORRECT ANSWER -the set of baseline tal signs taken at the scene. Calming and reassuring an anxious patient can be facilitated by: A. maintaining eye contact with the patient whenever possible. B. using medical terminology to ensure the patient understands. C. positioning yourself at a level that is higher than the patient. D. withholding unpleasant information until arrival at the hospital. CORRECT ANSWER - maintaining eye contact with the patient whenever possible. General guidelines for effective radio communications include all of the following, EXCEPT: Choose one answer. A. acknowledging a transmission as soon as possible. B. holding the microphone about 2" to 3" from your mouth. C. using 10 codes to ensure radio traffic confidentiality. D. speaking in a clear, calm, monotone voice. - CORRECT ANSWER. C. using 10 codes to ensure radio traffic confidentiality. Why are prehospital emergency care guidelines updated on a regular basi Choose one answer. A. Stau particular illness. ical dala indicale that an increasing mimber of people are being diagnosed with a a a a a a a a a a a a a a a a 4 A SS oo ll ac ac ne of a motor vehicle crash involving the same type of car in which a child was previously killed. Correct CPAP is indicated for patients who: - | ttsti(i‘éia pulmonary edema and can follow verbal commands. When the body sa state of hypoperfusion, the sympathetic nervous system releases epinephrine, the effects of which include: - DI -:achycardia Which of the following is MOST characteristic of adequate breathing? Choose one answer. A. 24 breaths/min with bilaterally equal breath sounds and pink skin B. 30 breaths/min with supraclavicular relractions and clammy skin C. 20 breaths/min with shallow movement of the chest wall and pallor D. 22 breaths/min with an irregular pattern of breathing and cyanosis - CORRECT ANSWER - 24 breaths/min with bilaterally equal breath sounds and pink skin Correct Which of the following will MOST reliably allow you to determine the nature of a patient's illness? Choose one answer. A\. asking questions related to the chief complaint B. trending of the patient’s vital signs over time C. foensing solely on how the call is dispatched D. refraining from asking open-ended questions - CORRECT. ANSWER -A. asking questions related to the chief complaint A SS SS SS The diaphragm functions as an involuntary muscle when a person: - CORRECT ANSWER - I sleeps the leaf-shaped structure located superior to the larynx is called the: - CORRECT ANSWER- The primary prehospital treatment for most medical emergencies: - CORRECT. ANSWER - addresses the patient's symptoms more than the actual disease process. An index of suspicion is MOST accurately defined as: - CORRECT. ANSWER -your awareness and concern for potentially serious underlying and unseen injuries or illness. Structures of the lower airway include all of the following, EXCEPT the: I ! Choose one answer. I fh. lrachca. I A. trachea. B. alveoli. €. opiglottis. D. bronchioles. - CORRECT ANSWER -C. epiglottis. The jaw-thrust maneuver is used to open the airway of patients with suspected: - CORRECT | . ee I Hc rvical spine imjuries: DE incomploicly convert and lactic acid accumulates in the blood. Without adequate oxygen, the bady’s cells: glucose into energy, Which of the following structures is NOT found in the upper airway? I ! A. larynx I I B. pharynx H C. bronchus D. oropharynx - CORRECT. ANSWER -c. bronchus In infants and children, a capillary refill time (CRT) t greater than second(s CORRECT ANSIER 2 ! sign of poor peripheral perfusion. Ten days after treating a 34-year-old patient with tuberculosis, you are given a tuberculin skin ds a positive result. This MOST likely indicates that: CORRECT. ANSWER - test, which yi H you were exposed to another infected person prior to treating the 34-year-old pat: I I i Distributive shock occurs when: - I -:isespread dilation of the blood I vessels causes bload Lo pool in the vascular beds. The lwo processes that oceur during respiration are - HR 3spiration and oxpiralion. Which of the following statements regarding the hypoxic drive is MOST correct? I Choose one answer. A. Chronic carbon dioxide elimination often results in activation of the hypoxic drive. B. 100% supplemental oxygen will always cause apnea in palicnts wilh a hypoxic drive. C. The hypoxic drive serves as the primary stimulus for breathing in healthy individuals. D. The hypoxic drive stimulates a person to breathe on the basis of low oxygen levels. - H CORRECT ANSWER. The hypoxic drive stimulates a person to breathe on the basis of low H oxygen levels. In order for efficient pulmonary gas exchange to occur: - CORRECT ANSWER-. o carbon dioxide must be able to freely diffus lhe alveolar-capillary membrane. Which of the following statements regarding methicillin-resistant Staphylococcus aureus I (MRSA) is correct? I I Choose one answer. I A. MRSA is a bacterium that causes infections and is resistant to most antibiotics. I B. The communicable period for MRSA is 19 days to 2 weeks after being infected. I I I I I . 5 . = . I I C. Studies have shown thal less than 1% of health care providers are MRSA carriors. I D. Mast cases of MRSA transmission occur following an accidental necdlestick. - CORRECT I Ms: sant. Lo most antibiotics. sa bactcriuim that. causes infections and is r defined as: - HN «inadequate oxygen to the Hypoxia is MOST accurate tissues and cells. Upon initial contact with a patient who appears to be unconscious, you should - CORRECT. I OE attempt to elicit a verbal response by talking to the patient | Which of the following conditions would LEAST Likely result in hypoxia? A. liver laceration I ! ! B. repeated diarrhea ! I a. ! I C. severe vomiting I H D. excessive sweating - CORRECT ANSWER -liver laceration H Temporary. widespread vasodilation and syncope caused by a sudden nervous system reaction I . . J I MOST accurately describes: - DN sy chogenic shock. I I Which of the following statements regarding the human immunodeficiency virus (HIV) is correct? I Which of the following slatements regarding the human immunodeficiency virus (HIV) is I correct? I same I I Choose one answer. I A. The risk of HIV infection is greatest when deposited on a mucous membrane or directly into the bloadstream. B. HIV is far more contagious than hepatitis B and is easily transmitted in the health care setting. C. Most patients who are infected with HIV experience chronic symptoms that vary in duration and severity. D. The risk of HIV infection is high. n if an infected person's blood comes in contact with your intact skin. - CORRECT ANSWER -The risk of HIV infection is greatest when deposited I on a mucous membrane or directly into the bloodstream. Gas exchange in the lungs is facilitated by: - HN 2 hecuate amounts of | surfactant. Which of the following is a late sign of hypoxia? Choose one answer. A. tachycardia Incorrect B. anxiety Incorrect C. restlessness D. cyanosis - as An infeclious disease is MOST accuralcly defined as: Choose one answer. A\. the invasion of the human body by a bactcrinm thal cannot be destroyed by antibiotics or other drugs. B. a discase that can be spread [rom one person or specics Lo another lhrough a number of mechanisms. C. a medical condition caused by the growth and spread of small harmful organisms within the body. D. any disease thal the body via the bloodstream and renders the immune system nonfunctional. - CORRECT ANSWER -C. a medical condition caused by the growth and spread of small harmful organisms within the body. Correct Pulmonary edema and impaired ventilation occur during: - HR -2rcivgenic shock Reas with a medical complaint should begin by - CORRECT ANSWER - repeating the primary assessment ssment of a pati an organ or tissue may be better to resis damage from hypperfusion if the - CORRECT HE oy temperature is consistently less than 98.6F (37.0) a a a a a a a a a a a a a a a 4 A SS oo ll ac hypoperfusion is another name for - shock activated charcoal administration is contraindicated in patients who have ingested - CORRECT H2cics or alkalies s mod accurately defines as an - CORRECT ANSWER. extreme allergic reaction that may affect multiple body systems anaphylaxis what is not an assessment parameter included in the cincinati prehospital stroke scale - BE 00 what is not a function of the sympathetic nervous $ ME oisouing the resull. of an insce! bil or sting - a raiscd swollen well defined area on the skin thal ig Pe status epileptics is characterized by - Ho longea seizures without return of consciousness a transicnt ischemic attack (TIA) occurs when - CORRECT ANSWER -the normal body proc destroy a clot ina cerebral artery a a a a a a a a a a a a a a a 4 A SS oo ll ac as woman approaches menopause CORRECT ANSWER. her menstrul periods may become irregular and vary in severity a young male sustained a gunshot wound to the abdomen during an altercation with a rival gang member. as your partner is assessing and managing his airway, you should control obvious bleeding then - [a for an exit wound the most significant risk factor for a hemorragic stroke is - Hs pertension ease If the heart beats too rapidly because - CORRECT ANSWER - there is not enough time between contractions for the heart to refill cardiac output may de because the stinger of a honeybee remains in the wound following sting - CORRECT ANSWER -it can continue to inject venom up to 20 mins your unit is dispatched to the county jail for an inmate. on arrival, you find the patient a 33 year ald male lying supine ina jail ecll. He is responsive Lo painfil stimuli only has a slow, shallow respirations. you should be most concerned that this patient - | ti vomit and aspirate air bags are designed to - HR ht ccrease the severity of deceleration injuries functions of the liver include - Hr oduction of substances necessary for blood clotting the normal blood glucose level as measured by a glucometer is between - CORRECT ANSWER - 80 and 120 mg/dl a a a a a a a a a a a a a a a 4 A SS oo ll ac esophageal varicose most commonly occur in patients - Eick a lot of alcohol urticaria is the medical term for - Ee ives a patient with an altered mental status - CORRECT ANSWER -is not thinking clearly or is incapable of being aroused hypoglycemic crisis tends to develop more often and severely in children - CORRECT | ite do not always eat correctly and on schedule you arrive at the scene of a 33 year old woman who i experiencing a generalized seizure. she has a small amount of vomiyus draining from the side of her mouth. after protecting her from further injury. you should - DE -ainiain her airway, suction her airway, insert nasopharyngerl airway. admin high flow 02 an important aspect in the treatment of a patient with severe abdominal pain is to - CORRECT HR roviae emotional support to the hospital pain that is localized to the lower back and/or lower abdominal quadrants is most suggestive of - MR 20:45 ancurysm gastrointestinal bleeding should be suspected if a patient presents with - CORRECT ANSWER -hematomsis the inferior vena cava returns deoxygenated blood to the right side of the heart from all the following areas(kidney abdomen legs) except the - ain a a a a a a a a a a a a a a a 4 A SS oo ll ac approx 25% of severe injuries to the aorta occurring during - Eaters collisions s, an early indictor of internal bleeding Is - CORRECT ANSWER - dizziness upon standing in non trauma patie vstemic veins function by HE etercine deoxygenated blood back to the heart injury to a hollow abdominal organ would most likely result in - CORRECT ANSWER -a leakage of contents into the abdominal cavi | have experienced a nitroglycerin is contraindicated in patients head injury the single most significant factor that contribules Lo snicide is depression which of the following met accurately describes the cause of an ischemic stroke - CORRECT GE blockaze ofa cerebral artery AED is the most advantageous to an EMT because - CORRECT. ANSWER -it delivers prompt defillbilartion to patients in V-Fib you arrive at the home of a 50 year old female with severe epitaxis, as you treat her it is most important to recall - CORRECT ANSWER -the patient is at risk for vomitting and aspiration a a a a a a a a a a a a a a a 4 A SS oo ll ac 
