NEW
Font size
WorksheetsEMT Section 8-10 Review
Total questions: 50
Worksheet time: 25mins
A 52 y/o male presents with a fever of 102.5 degrees and a severe headache. As you assess him, you note the presence of multiple blisters on his face and chest, which are all identical in shape and size. This patient's clinical presentation is MOST consistent with:
yellow fever virus
smallpox
cutaneous anthrax
sarin toxicity
Which of the following duties or responsibilities does NOT fall within the realm of the medical branch of the incident command system?
Traige
Transport
Extrication
Treatment
Which of the following is NOT a common cause of altered mental status is pediatric patients?
Drug and alcohol ingestion
Hypertension
Seizure
Hypoglycemia
You are assessing a 440-lb man who complains of shortness of breath and lower back pain, The patient is conscious and alert, his BP is 148/98 mmHg, and his heart rate is 120 beats/min. Your MOST immediate action should be to:
perform a secondary assessment, focusing on his respiratory system and back
ask a member of your team to locate the best route to move him to the ambulance
avoid placing him in a supine position if possible and administer oxygen
notify the receiving facility and advise them of the patients weight and status
Equipment and supplies that are carried on an ambulance should be stored:
in locked or secured cabinets in order to prevent theft
according to the urgency and frequency of their use
as directed by the EMS systems medical director
based on recommendations of the health department
In order to evaluate hazards present at the scene and determine the number of patients, you should:
request the fire department at all scenes
use the information provided by dispatch
perform a 360-degree walk around of the scene
interview bystanders present at the scene.
Three days after delivering her baby, a 30 y/o woman complains of sudden onset of difficulty breathing. Her level of consciousness is decreased and she is tachycardic. The EMT should suspect:
spontaneous pneumothorax
intrauterine bleeding
pulmonary embolism
acute pulmonary edema
Common interventions used to stimulate spontaneous respirations in the newborn include all of the following, EXCEPT:
suctioning of the upper airway
positive-pressure ventilations
thorough drying with a towel
some form of tactile stimulation
The FIRST step in the START triage system is to:
scan the area for patients with severe bleeding
move all walking patients to a designated area
get a quick head count of all the patients involved
focus on the patients who are unconscious
The scene size-up at a motor vehicle crash or other incident:
is an ongoing process until the incident is terminated
should be performed by the most experienced EMT
determines who is allowed to safely enter the hot zone
is a quick visual assessment of the scene prior to entry
You have just delivered a major trauma patient to the hospital. Shortly after departing the hospital, dispatch advises you of another call. The back of the ambulance is contaminated with bloody dressings and is in disarray, and you are in need of airway equipment and numerous other supplies. You should:
quickly proceed to the call and clean and restock the ambulance afterwards
have your partner quickly clean the ambulance you proceed to the call
proceed to the call, functioning only as an emergency medical responder
advise the dispatcher that you are out of service and to send another unit.
According to the START triage system, what should you do if a patient is found to have a respiratory rate of 24 breaths/min?
Administer high-glow oxygen
Assess his or her neurologic status
Assess for bilateral radial pulses
triage the patient as delayed
When removing a critically injured patient from his or her vehicle, you should:
protect the cervical spine during the entire process
release c-spine control to facilitate rapid removal
move him or her in one fast, continuous step
remove him or her using a short backboard
Which of the following would be the MOST practical method of communicating with a hearing-impaired patient until his or her hearing aids can be located?
using a high-pitched voice while speaking directly into the ear
Contacting dispatch and requesting a sign language interpreter
Using a piece of paper and writing utensil to ask questions
Attempting to use body language to determine the problem
Under what circumstances is a left ventricular assist device used?
As a bridge to heart transplantation while a donor heart is being located
To ensure that the ventricles contract at an adequate and consistent rate
To reduce ventricular pumping force is patients with aortic aneurysms
To permanently replace the function of one or both of the ventricles
A surgical procedure that creates an opening between the intestine and the surface of the body that allows for elimination of waste products is called a(n):
gastrostomy
colostomy
intestinal shunt
gastric stoma
A 19 y/o female has just been extricated from her severely damaged car. She is on a long backboard and has been moved to a place of safety. As your partner maintains manual stabilization of her head, you perform a rapid assessment. The patient is unresponsive, has slow and shallow respirations, and has bilaterally closed femur deformities. You should:
obtain baseline vital signs and transport at once
apply oxygen via a nonrebreathing mask
direct your partner to begin ventilatory assistance
stabilize her legs with long board splints
By the 20th week of pregnancy, the uterus is typically at or above the level of the mother's:
superiod diaphagm
belly button
xiphoid process
pubic bone
When victims involved in a multiple-casualty incident are moved to the treatment area:
secondary triage is performed and the appropriate treatment is rendered
they will be rapidly assessed and prioritized according to their injuries
all uninjured patients are placed in a holding area and closely observed
definitive care is provided and preparations for transport will be made
Once entrance and access to the patient have been provided, you should:
administer high-flow oxygen
perform a primary assessment
allow extrication to commence
begin treating his or her injuries
You are dispatched to a residence for a child with respiratory distress. The patient, an 18 month old female, is tachypneic, has sternal retractions, and is clinging to her mother. Her skin is pink and dry, and her heart rate is 120 beats/min. The MOST appropriate treatment for this child includes:
separating the child from her mother and providing ventilatory assistance
requesting a Paramedic ambulance to insert an advanced airway device
allowing the child to remain with her mother and applying a nasal cannula
administering blow-by oxygen and transporting the child with her mother.
According to the START triage system, which of the following patients should be triaged as an immediate priority (red tag)?
Conscious, in severe pain, with radial pulses present
Conscious with a respiratory rate of 24 breaths/min
Unresponsive with a respiratory rate of 34 breaths/min
Apneic, despite manually opening the airway
A specific legal document that directs relatives and caregivers regarding the medical treatment that may be given to patients who cannot speak for themselves is called a(n):
advanced directive
power of attorney
statute of care
physician directive
A history of pelvic inflammatory disease or tubal ligations increases a woman's risk for:
placenta previa
preeclampsia
an ectopic pregnancy
gestational diabetes
A 69 y/o female was involved in a motor vehicle crash. She is semiconscious with a BP of 80/50 and a heart rate of 74. Her daughter, who was uninjured in the crash, tells you that her mother has a history of hypertension and takes a beta-blocker. Considering the fact that this patient is probably in shock, what is the MOST likely explanation for the absence of tachycardia?
Intrathoracic bleeding and cardia compression
The effects of her antihypertensive medication
Failure of the parasympathetic nervous system
Deterioration of the cardiac conduction system
A patient in respiratory arrest at the scene of a multi-casualty incident would typically be classified as a fourth priority (black tag) patient, unless:
there are at least three other patients in respiratory arrest
he or she has signs of an injury to the cervical spine
he or she has external signs of severe thoracic trauma
there are enough resources to provide care for him or her.
Your 22 y/o patient is in, active labor. Upon visual inspection, you note that the infants leg is protruding from the vagina. Appropriate management of this situation includes:
placing the mother in a recumbent position and rapidly transporting.
placing the mother supine with her head down and pulvis elevated
gently pulling on the infants leg in an attempt to facilitate delivery
carefully attempting to push the infants leg off of the umbilical cord.
A nuchal cord is defined as an umbilical cord that:
has abnormally developed blood vessels
is wrapped around the babys neck
is lacerated due to the traumatic delivery
has separated from the placenta
When arriving at the scene of an overturned tractor-trailer rig, you note that a green cloud is being emitted from the crashed vehicle. The driver is still in the truck; he is conscious but bleeding profusely from the head. After notifying the hazardous materials team, you should:
park downhill from the scene
position the ambulance upwind
quickly gain access to the patient
ask the driver to exit the vehicle.
The reasons for rescue failure can be recalled by the mnemonic FAILURE. According to the mnemonic, the "U" stands for:
undertrained to correctly utilize equipment
unprepared to effectively manage the scene
underestimating the logistics of the incident
underutilizing personnel at the scene
Immediately upon arriving at the scene of an emergency call involving a traumatic injury, you should notify the dispatcher of your arrival and then:
observe the scene for safety hazards
determine if additional units are needed
quickly gain access to the patient
carefully assess the mechanism of injury
Signs and symptoms of preeclampsia include:
dyspnea and bradycardia
marked hypoglycemia
dysuria and constipation
headache and edema
The presence of meconium in the amniotic fluid indicates:
that the baby's airway may be obstructed
that the fetus is at least 4 weeks premature
that full newborn resuscitation will be needed
an expected finding in full-term infants
If a problem with a team member is not directly or immediately impacting patient care, the team leader should:
contact the medical director at once
enfate the team member at once
ignore the problem to avoid conflict
discuss the problem after the call
You are attending to a 46 y/o male patient complaining of chest pain. Shortly after you begin to render care, an ALS unit arrives and the transfer of care in made. The decision is made to start an IV line an administer medication. You should:
clear space and, if necessary, explain the procedure to the patient
ensure that enough assessments have been done to justify the decision
move out of the ALS providers way and clear the scene
acknowledge that is no longer your patient and stand back allowing the ALS provider to work
Botulinum is:
a potent bacterial neurotoxin
an acute viral infection
a disease of the leukocytes
rarely associated with death
You are attempting to gain access to a patient who was injured when his truck struck another vehicle from behind. The patient is conscious and alert, but is screaming in pain. You try to open the door, but it is locked. You should:
request the rescue team to extricate him
break the window and unlock the door
use a pry bar to attempt to open the door
ask the patient if he can unlock the door.
During the transport phase of an ambulance call, it is MOST important to:
complete the run from before arrival at the hospital
converse with the patient and provide reassurance
reassess unstable patients at least every 15 minutes
reassess the patient only if he or she deteriorates
At the scene with downed electrical lines, the EMT should ______________.
enter the danger (hot)zone for patient removal only
remain outside the danger (hot) zone
stabilize the patient in the danger (hot) zone
relocate the danger (hot) zone away from the patient.
The JumpSTART triage system is intended to be used for children younger than ____________ years or who appear to weight less then _____________.
6; 70 lbs
8; 100 lbs
7; 90 lbs
5; 50 lbs
The Microdrip administration delivers 1 mL of fluid for every ___________ drops.
10
60
15
45
Extrication is defined as:
removal from a dangerous situation or position
immobilizing a patient before moving him or her
using heavy equipment to access a patient
dismantling an automobile to remove a victim
According to the Emergency Medical Treatment and Active Labor Act (EMTALA):
a patient maintains the legal right to recant his or her consent to emergency treatment, even after signing in to the emergency department
a health care facility has the right to refuse assessment and treatment to a patient, but only if his or her condition is not deemed critical
all health care facilities are legally obligated to provide assessment and care only if the patient is critically ill or injured
all health care facilities must provide a medical assessment and required treatment, regardless of the patient's ability to pay.
A viral infection that may cause obstruction of the upper airway in a child is called:
epiglottitis
croup
asthma
bronchitis
Breath sounds in the pediatric population are more easily heard because:
the size of their lungs amplifies the sound
the chest cavity is small in proportion to the rest of the body
their chest walls are thinner
children typically have upper airway problems
While examining a woman in labor, you see the umbilical cord protruding from the vagina. You should:
push the infant's head away from the cord
cover the umbilical cord with a dry dressing
carefully push the cord back into the vagina
gently pull on the cord to facilitate delivery.
A mother who is pregnant with her first baby is typically in the first stage of labor for approximately:
8 hours
4 hours
10 hours
16 hours
The type and severity of wounds sustained from incendiary and explosive devices primarily depend on the:
patients distance from the epicenter of the explosion
pressure that is generated from the explosion itself
type of material used to manufacture the device
size of the structure that was involved in the explosion
You are called to the scene of a 56 y/o female patient who was the driver of a car that struck a telephone pole. THe patient is sitting in her vehicle with her seat belt on and the air bag is deployed. A bystander approaches as you arrive and informs you that he is on off-duty FF and was first on scene. The bystander wishes to provide you with a patient care report. You should:
ask the bystander to wait and you will take their report after you have finished your assessment
ask your partner to perform the primary survey while you listen to the report
listen to the report while you perform a primary survey an render care to the patient
ask the bystander for any formal identification and listen to the report once if is verified.
Blood levels of medications may rise in elderly, sometimes to toxic level. This is MOST likely due to:
splenic dysfunction
renal insufficiency
pancreatic failure
intentional overdose
