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WorksheetsChapter 15 Respiratory Emergencies
Total questions: 60
Worksheet time: 3hrs 0mins
a blood clot lodged in the pulmonary artery is referred to as a:
myocardial infarction
stroke
pulmonary embolism
pulmonary effusion
the oxygen-carbon dioxide exchange takes place in the:
trachea
bronchial tree
alveoli
blood
the letter "s" in the pneumonic PASTE refers to:
symptoms
sputum
severity
sickness
if carbon dioxide levels drop too low, the person automatically breathes:
normally
rapidly and deeply
slower and less deeply
fast and shallow
in the level of carbon dioxide in the arterial blood rises above normal, the patient breathes:
normally
rapidly and deeply
slower and less deeply
fast and shallow
inflammation and swelling of the pharynx, larynx, and trachea resulting in a "seal bark" is typically caused by:
emphysema
chronic bronchitis
croup
epiglottitis
the rate of breathing is typically increased when:
oxygen levels increase
oxygen levels decrease
carbon dioxide levels increase
carbon dioxide levels decrease
_______________is a sign of hypoxia to the brain
altered mental status
decreased pulse rate
decreased respiratory rate
delayed capillary refill time
an obstruction to the exchange of gases between the alveoli and the capillaries may result from:
epiglottitis
pneumonia
a cold
croup
pulmonary edema can develop quickly after a major:
heart attack
episode of syncope
brain injury
trauma
pulmonary edema may be produced by:
cigarette smoking
seasonal allergies
inhaling toxic chemical fumes
carbon monoxide poisoning
_______________is a loss of the elastic material around the air spaces as a result of chronic stretching of the alveoli
emphysema
bronchitis
pneumonia
diphtheria
_______________is a genetic disorder that affects the lungs and digestive system
chronic obstructive pulmonary disease
cystic fibrosis
pertussis
bronchiolitis
which of the following signs and symptoms will help distinguish COPD from congestive heart failure?
dyspnea
dependent edema
wheezing
skin color changes
a pneumothorax is a partial or complete accumulation of air in the:
pleural space
alveoli
abdomen
subcutaneous tissue
asthma produces a characteristic _______________as patients attempt to exhale through partially obstructed air passages
rhonchi
stridor
wheezing
rattle
an allergic response to certain foods or some other allergen may produce an acute:
bronchodilation
asthma attack
vasoconstriction
insulin release
in most cases, what is the treatment of choice for anaphylaxis?
epinephrine
high-flow oxygen
antihistamines
albuterol
a collection of fluid outside the lungs on one or both sides of the chest is called a:
pulmonary edema
subcutaneous emphysema
pleural effusion
tension pneumothorax
always consider _______________in patients who were eating just before becoming short of breath
upper airway obstruction
anaphylaxis
lower airway obstruction
bronchoconstriction
_____________is defined as overbreathing to the point that the level of arterial carbon dioxide falls below normal
reactive airway syndrome
hyperventilation
tachypnea
pleural effusion
which of the following is NOT an indication of inadequate breathing?
accessory muscle use
cyanosis
a regular pattern of inspiration and expiration
unequal chest expansion
you respond to the home of a 78-year-old man having difficulty breathing. he is sitting at the kitchen table in a classic tripod position, wearing a nasal cannula. he is cyanotic, smoking, and has his shirt unbuttoned. his respirations are 30 breaths/min and shallow, his pulse rate is 110 beats/min, and his blood pressure is 136/88 mm Hg.
your first thought as an EMT should be to:
apply a nonbreathing mask at 15 L/min
call for backup
assess the airway status
determine scene safety
you respond to the home of a 78-year-old man having difficulty breathing. he is sitting at the kitchen table in a classic tripod position, wearing a nasal cannula. he is cyanotic, smoking, and has his shirt unbuttoned. his respirations are 30 breaths/min and shallow, his pulse rate is 110 beats/min, and his blood pressure is 136/88 mm Hg.
his brain stem senses the level of _______________in the arterial blood, causing the rapid respirations
carbon dioxide
oxygen
insulin
tobacco
you respond to the home of a 78-year-old man having difficulty breathing. he is sitting at the kitchen table in a classic tripod position, wearing a nasal cannula. he is cyanotic, smoking, and has his shirt unbuttoned. his respirations are 30 breaths/min and shallow, his pulse rate is 110 beats/min, and his blood pressure is 136/88 mm Hg.
proper management of this patient should include:
supplemental oxygen
chest compressions
suctioning
epinephrine
you respond to the home of a 78-year-old man having difficulty breathing. he is sitting at the kitchen table in a classic tripod position, wearing a nasal cannula. he is cyanotic, smoking, and has his shirt unbuttoned. his respirations are 30 breaths/min and shallow, his pulse rate is 110 beats/min, and his blood pressure is 136/88 mm Hg.
which of the following is NOT a sign or symptom of his inadequate breathing?
he was cyanotic
his shirt was unbuttoned
he was in a tripod position
his pulse rate was over 100 beats/min (tachycardia)
you respond to the home of a 78-year-old man having difficulty breathing. he is sitting at the kitchen table in a classic tripod position, wearing a nasal cannula. he is cyanotic, smoking, and has his shirt unbuttoned. his respirations are 30 breaths/min and shallow, his pulse rate is 110 beats/min, and his blood pressure is 136/88 mm Hg.
what should you do during the reassessment of this patient?
assess vital signs every 2 minutes
repeat the initial and focused assessments
reassess what time your shift ends
repeat the initial history
which of the following is a question you would NOT typically ask during the history taking of a patient with dyspnea?
what has the patient already done for the breathing problem?
does the patient use a prescribed inhaler?
does the patient have any allergies?
what time did the patient wake up this morning?
generic names for popular inhaled medications include:
ventolin
flovent
albuterol
atrovent
contraindications to helping a patient self-administer a metered-dose inhaler include all of the following EXCEPT:
failure to obtain permission from medical control
noticing that the patient is in the tripod position
noticing that the patient has already taken the maximum dose of the medication
noticing that the medication has expired
contraindications for continuous positive airway pressure (CPAP) include:
being alert and able to follow commands
a pulse oximetry reading of less than 90%
a respiratory rate greater than 26 breaths/min
hypotension
a prolonged asthma attack that is unrelieved by epinephrine may progress into a condition known as:
pleural effusion
status epilepticus
status asthmaticus
reactive airway disease
which of the following statements is FALSE regarding influenza?
it may worsen chronic medical conditions
it is primarily a human respiratory disease that has mutated to infect animals
it is transmitted by direct contact with nasal secretions an aerosolized droplets
it has the potential to become a pandemic
pulse oximeters measure the percentage of hemoglobin saturated with:
carbon dioxide
carbon monoxide
oxygen
iron
an acute spasm of the smaller airways associated with excessive mucus production and swelling is a characteristic of:
asthma
chronic bronchitis
emphysema
severe acute respiratory syndrome (SARS)
chronic bronchitis is characterized by spasm and narrowing of the bronchioles due to exposure to allergies
treu
false
with pneumothorax, the lung collapses because the negative vacuum pressure in the pleural space is lost
true
false
anaphylactic reactions occur only in patients with a previous history of asthma or allergies
true
false
decreased breath sounds in asthma occur because fluid in the pleural space has moved the lung away from the chest wall
true
false
patients with carbon monoxide poisoning initially complain of headache, fatigue, and nausea
true
false
pulmonary edema is commonly associated with congestive heart failure
true
false
the distinction between hyperventilation and hyperventilation syndrome is straightforward and should guide that EMT's treatment choices
true
false
COPD most often results from cigarette smoking
true
false
COPD is characterized by long inspiratory times
true
false
in cystic fibrosis, mucus becomes thick, sticky, and hard to move
true
false
when assessing a patient, the general impression will help you decide whether the patient's condition is stable or unstable
true
false
the pulse oximeter can help you determine the severity of the respiratory component of a patient's problem
true
false
oxygen is typically withheld from COPD patients regardless of their breathing status
true
false
side effects of inhalers used for acute shortness of breath include increased pulse rate, nervousness, and muscle tremors
true
false
patients who are hyperventilating should be treated by having them breathe into a paper bag
true
false
epiglottitis is more predominant in the adult population
true
false
an RSV infection can cause respiratory illnesses such as bronchiolitis and pneumonia
true
false
when assisting a patient with a small-volume nebulizer, the oxygen flowmeter should be set to 10 L/min
true
false
snoring sounds are indicative of a partial upper airway obstruction
true
false
signs and symptoms of pulmonary emboli include dyspnea, hemoptysis, and tachycardia
true
false
you have been assessing a 17-year-old girl in respiratory distress and you have just completed the secondary assessment. your next step is to:
make a transport decision
consider a secondary assessment
contact medical control
make interventions
you have been assessing a 17-year-old girl in respiratory distress and you have just completed the secondary assessment.
you have determined that the patient is hyperventilating. your emergency care would include:
having her breathe into a small paper sack
providing oxygen
having her run in place until the hyperventilation subsides
no interventions are necessary
you have been called to a patent who resides in a long-term care facility and who is having difficulty breathing. after assessing and treating life threats to the patient's airway, breathing, and circulation, your next step in this case is to:
make a transport decision
obtain a SAMPLE history
obtain an OPQRST history
obtain baseline vital signs
during the reassessment, vital signs should be taken every _______________minutes for the unstable patient
3
5
10
15
during the reassessment, vital signs should be taken every _______________minutes for the stable patient
3
5
10
15
