INHS EMT Course Final Review #1

You are dispatched to an office building for a 49-year-old male with chest pain. When you arrive at the scene, you find the patient to be conscious and alert, but in obvious pain. He tells you that he did not call 9-1-1; a coworker did. He further states that he does not want to be treated or transported to the hospital. You should:

• ensure that he is aware of the risks of refusing medical care.
• err in the best interest of the patient and transport him at once.
• have him sign a refusal of care form and then return to service.
• tell him that he is having a heart attack and needs medical care.

You receive a call for a 70-year-old female with respiratory distress. Her husband tells you that she has congestive heart failure; however, he does not think that she has been taking her medications as prescribed. The patient is laboring to breathe, appears tired, and has cyanosis around her lips. You should:

• assist her ventilations with a bag-valve mask.
• apply a pulse oximeter and assess her vital signs.
• administer oxygen via a nonrebreathing mask.
• obtain a complete list of all of her medications.

A 50-year-old male was stung by a honeybee approximately 15 minutes ago. He presents with respiratory distress, facial swelling, and hypotension. After placing him on oxygen and administering his epinephrine via auto-injector, you note that his breathing has improved. Additionally, his facial swelling is resolving and his blood pressure is stable. Your next action should be to:

• reassess his breathing and blood pressure in 15 minutes.
• visualize his airway to assess for oropharyngeal swelling.
• notify medical control of the patient's response to your treatment.
• record the time and dose of the injection and transport promptly.

The EMT certification exam is designed to:

• rank EMTs based on performance on the certification exam.
• identify those EMTs who are prepared for advanced levels of training.
• provide EMTs with the best possible wage once certification is achieved.
• ensure that EMTs are competent and have the same level of knowledge and skills.

If a person is partially immune to a particular disease, he or she:

• is not protected from a new infection if exposed to another individual.
• must be revaccinated at least every 18 months to avoid infection.
• may develop illness from germs that lie dormant from the initial infection.
• will not experience future illness, even if his or her immune system is stressed.

All information recorded on the PCR must be:

• typewritten or printed.
• considered confidential.
• a matter of public record.
• reflective of your opinion.

The term “supraventricular tachycardia” means:

• a slow heart rate that originates from within the ventricles.
• a rapid heart rate that originates from within the ventricles.
• a slow heart rate that originates from above the ventricles.
• a rapid heart rate that originates from above the ventricles.

How does respiration differ from ventilation?

• Ventilation occurs when air is forced into the lungs, whereas respiration occurs when air is drawn or sucked into the lungs.
• Respiration occurs when the diaphragm and intercostal muscles contract, whereas ventilation occurs when those same muscles relax.
• Respiration occurs when oxygen is delivered to the cells of the body, whereas ventilation occurs when carbon dioxide is removed.
• Respiration is the process of gas exchange, whereas ventilation is the movement of air between the lungs and the environment.

With increasing age, the heart must work harder to move the blood effectively because:

• the blood vessels become stiff.
• the arteries dilate significantly.
• diastolic blood pressure decreases.
• the blood thickens as a person ages.

What is the MOST common cause of airway obstruction in an unconscious patient?

• Vomitus
• The tongue
• Blood clots
• Aspirated fluid