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A series of multiple-choice questions and answers covering various topics related to emergency medical technician (emt) training. It covers a range of subjects, including neurogenic shock, airway management, medication administration, patient assessment, and emergency procedures. The questions are designed to test knowledge and understanding of emt principles and practices.
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Neurogenic shock occurs when: Answer: failure of the nervous system causes widespread vasodilation.
Covering a patient's will significantly minimize radiation heat loss. Answer: head
Situations in which you should use the rapid extrication technique include all of the following, EXCEPT: Answer: a patient who can be properly assessed while still in the vehicle
Hyperventilation could be associated with all of the following, EXCEPT: Answer: a narcotic overdose
An alert patient presents with a regular pattern of inhalation and exhalation and breath sounds that are clear and equal on both sides of the chest. These findings are consistent with: Answer: adequate air exchange.
After assisting your patient with prescribed nitroglycerin, you should Answer: reassess his or her blood pressure within 5 minutes to detect hypotension.
A disposable oxygen humidifier should be considered for ambulance services that often transport patents for hour(s) or more: Answer: 1
Epinephrine is indicated for patients with an allergic reaction when: Answer: wheezing and hypotension are present.
A 40 year-old male crashes his motorcycle into a tree. He is semiconscious, has snoring respirations, and has a laceration to the forearm with minimal bleeding. You should: Answer: open his airway with the jaw-thrust maneuver.
Most terrorist attacks: Answer: require multiple terrorists working together
According to the JumpSTART triage system, if a pediatric patient is not breathing, you should: Answer: assess for a distal pulse.
Signs and symptoms of a sympathomimetic drug overdose include: Answer: tachycardia
Your assessment of an unresponsive patient reveals that her breathing is inadequate. Your MOST immediate action should be to: Answer: check her airway for obstructions
Aggressive ambulance driving may have a negative effect on other motorists because: Answer: it may not allow for their reaction time to respond to your vehicle.
If the incident command system (ICS) is already established at the scene of a WMD or terrorist attack, the EMT should: Answer: locate the medical staging officer to obtain his or her assignment.
A critical incident stress debriefing should be conducted no more than hours following the incident. Answer: 72
A 62 year-old man with a history of congestive heart failure presents with severe respiratory distress and an oxygen saturation of 82%. When you auscultate his lungs, you hear widespread rales. He is conscious and alert, is able to follow simple commands, and can only speak in two- to three-word sentences at a time. You should: Answer: apply a continuous positive airway pressure (CPAP) device, monitor his blood pressure, and observe him for signs of improvement or deterioration.
A common side effect of nitroglycerin include all of the following, EXCEPT: Answer: hypertension
A young male is unresponsive after overdosing on an opioid. He is not breathing and his pulse is weak. The EMT should immediately: Answer: ventilate with a BVM.
A 40 year-old man is in cardiac arrest. Your partner is performing CPR. You are attaching the AED when the patient's wife tells you that he has an implanted pacemaker. The AED advises that a shock is indicated. What should you do? Answer: Deliver the shock followed by immediate resumption of CPR.
During your treatment of a woman in cardiac arrest, you apply the AED, analyze her cardiac rhythm, and receive a "no shock advised" message. This indicates that: Answer: she is not in ventricular fibrillation.
A ventilation/perfusion (V/Q ratio) mismatch occurs when: Answer: a disruption in blood flow inhibits the exchange of oxygen and carbon dioxide in the lungs, even though the alveoli are filled with fresh oxygen.
Common signs and symptoms of acute hyperventilation syndrome include: Answer:
tachypnea and tingling in the extremities.
A patient who does not respond to your questions, but moves or cries out when his or her trapezius muscle is pinched, is said to be: Answer: responsive to painful stimuli.
According to Occupational Safety and Health Administration (OSHA) regulations, an employer must: Answer: offer a workplace environment that reduces the risk of exposure.
A 50 year-old male presents with an altered mental status. His wife tells you that he had a "small stroke" 3 years ago but has otherwise been in good health. The patient is responsive but unable to follow commands. After administering oxygen, you should: Answer: prepare for immediate transport.
Based on current guidelines, in which of the following situations should supplement oxygen be administered? Answer: Exposure to carbon monoxide and an oxygen saturation of 95%
Acute pulmonary edema would MOST likely develop as the result of: Answer: toxic chemical inhalation
Activities such as walking, talking, and writing are regulated exclusively by the: Answer: somatic nervous system
When the level of arterial carbon dioxide rises above normal: Answer: respirations increase in rate and depth
An air embolism associated with diving occurs when: Answer: the driver holds his or her breath during a rapid ascent
Most prehospital cardiac arrests occur as the result of: Answer: a cardiac dysrhythmia
A patient is bleeding severely from a severed femoral artery high in the groin region. Which of the following would MOST likely control the bleeding? Answer: apply a topical hemostatic agent with direct pressure
A patient regains consciousness en route from his office to the emergency department. The patient tells you that he feels fine and does not want to of to the hospital. Under these circumstances, you should: Answer: assess whether the patient's mental condition is impaired.
Braxton-Hicks contractions are characterized by: Answer: alleviation of pain with movement or changing positions
You are transporting a 33 year-old male who has involved in a major motor vehicle crash. You have addressed all immediate and potentially life-threatening conditions and have stabilized his condition with the appropriate treatment. With an estimated time of arrival at the hospital of 20 minutes, you should: Answer: reassess his condition in 5 minutes.
Answer: be alert for vomiting
If a woman with vaginal bleeding reports syncope, the EMT must assume that she: Answer: is in shock
Aspirin is beneficial to patients suspected of having a heart attack because it: Answer: prevents the aggregation of platelets
A nasopharyngeal airway is inserted: Answer: with the bevel facing the septum if inserted into the right nare
A patient with profuse sweating is referred to as being: Answer: diaphoretic
An unrestrained patient is sitting in his car after an automobile crash. He is conscious and alert, has no visible trauma, and is complaining of neck and back pain. Before removing him from his car, you should: Answer: apply a cervical collar and immobilize him with a vest-style device
A 17 year-old male was shot in the right anterior chest during an altercation. As you partner is applying oxygen you perform a rapid assessment and find an open chest wound with a small amount of blood bubbling from it. You should: Answer: apply an occlusive dressing to the wound and continue your assessment
A strangulated hernia is one that: Answer: loses its blood supply due to compression by local tissues.
A critical function of the safety officer is to: Answer: stop an emergency operation whenever a rescuer is in danger.
After administering 0.3 mg of epinephrine via auto-injector to a 22-year-old female with an allergic reaction, you note improvement in her breathing and dissipation of her hives. However, she is still anxious and tachycardic. You should:
Answer: blood acidity is reduced by excessive breathing.
A disease vector is defined as: Answer: any agent that acts as a carrier or transporter
in general, injected poisons are impossible to dilute or remove because they: Answer: are usually absorbed quickly into the body.
Dyspnea is MOST accurately defined as: Answer: shortness of breath or difficulty breathing.
A 40 year-old male presents with pain to the right upper quadrant of his abdomen. He is conscious and alert with stable vital signs. During your assessment, you note that his skin and sclera are jaundiced. You should suspect: Answer: liver dysfunction
In the eyes of the court, an incomplete or untidy patient care form indicates: Answer: inadequate patient care was administered.
According to the terminal drop hypothesis: Answer: mental function is presumed to decline in the 5 years preceding death.
Clinical signs of compensated shock include all of the following, EXCEPT: Answer: absent peripheral pulses.
To which of the following diabetic patients should you administer oral glucose? Answer: A confused 55 year-old male with tachycardia and pallor
A 22 year-old male with a history of clinical depression called 9- 1 - 1 and stated that he has attempted to kill himself. Your unit and law enforcement officers arrive at the scene simultaneously. You find the patient lying supine on the living room floor. He is unconscious and cyanotic. An empty bottle of hydromorphone (Dilaudid) is found on an adjacent table. You should: Answer:
After receiving online orders from medical control to preform a patient care intervention, you should: Answer: repeat the order to medical control word for word.
In most instances, you should move a patient on a wheeled ambulance stretcher by: Answer: pushing the head of the stretcher while your partner guides the foot.
Because the stinger of a honeybee remains in the wound following a sting: Answer: it ca continue to inject venom for up to 20 minutes.
Common signs and symptoms of acute hyperventilation syndrome include: Answer: cool, clammy skin
Functions of the liver include: Answer: secretion of bile and filtration of toxic substances.
According to the National EMS Scope of Practice Model, an EMT should be able to: Answer: insert a peripheral intravenous catheter
Factors that contribute to a decline in the vital capacity of an elderly patient include all of the following, EXCEPT: Answer: increased surface area available for air exchange
As the single EMT managing an apneic patient's airway, the preferred initial method of providing ventilations is the: Answer: mouth-to-mouth mask technique with a one way valve.
Febrile seizures: Answer: are usually benign but should be evaluated.
Common side effects of epinephrine include all of the following, EXCEPT: Answer: drowsiness