WorksheetsMod Exam Five (Study)
Total questions: 36
Worksheet time: 18mins
A 60-year-old female presents with a tearing sensation in her lower back. Her skin is sweaty and she is tachycardic. The EMT should suspect:
kidney stones.
aortic aneurysm.
acute pancreatitis.
strangulated hernia.
Chronic renal failure is a condition that:
can be reversed with prompt treatment.
occurs from conditions such as dehydration.
causes dehydration from excessive urination.
is often caused by hypertension or diabetes.
Functions of the liver include:
release of amylase, which breaks down starches into sugar.
production of hormones that regulate blood sugar levels.
secretion of bile and filtration of toxic substances.
absorption of nutrients and toxins.
Injury to a hollow abdominal organ would MOST likely result in:
pain secondary to blood in the peritoneum.
profound shock due to severe internal bleeding.
leakage of contents into the abdominal cavity.
impairment in the blood's clotting abilities.
The kidneys help to regulate blood pressure by:
eliminating toxic waste products from the body.
removing sodium and water from the body.
retaining key electrolytes, such as potassium.
accommodating a large amount of blood volume.
Which of the following organs assists in the filtration of blood, serves as a blood reservoir, and produces antibodies?
Liver
Pancreas
Kidney
Spleen
Common signs and symptoms of severe hyperglycemia include all of the following, EXCEPT:
cool, clammy skin.
rapid, thready pulse.
warm, dry skin.
acetone breath odor.
Kussmaul respirations are an indication that the body is:
trying to generate energy by breathing deeply.
attempting to eliminate acids from the blood.
compensating for decreased blood glucose levels.
severely hypoxic and is eliminating excess CO2.
When assessing an unresponsive diabetic patient, the primary visible difference between hyperglycemia and hypoglycemia is the:
rate and depth of breathing.
presence of a medical identification tag.
rate of the patient's pulse.
patient's mental status.
When obtaining a SAMPLE history from a patient with diabetes, it would be MOST important to determine:
if there is a family history of diabetes or related conditions.
approximately how much water the patient drank that day.
if he or she has had any recent illnesses or excessive stress
the name of the physician who prescribed his or her insulin.
Which of the following signs or symptoms would the EMT MOST likely encounter in a patient with new-onset type 1 diabetes?
Total lack of appetite
Low blood glucose level
Weight loss and polyuria
Weight gain and edema
A raised, swollen, well-defined area on the skin that is the result of an insect bite or sting is called:
urticaria.
a pustule.
purpura
a wheal.
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 resolution of her hives. However, she is still anxious and tachycardic. You should:
monitor her closely but recall that anxiety and tachycardia are side effects of epinephrine.
transport her rapidly, as it is obvious that she is having a severe reaction to the epinephrine.
consider administering 0.15 mg of epinephrine to completely resolve her allergic reaction.
contact medical control and obtain authorization to administer another 0.3 mg of epinephrine.
Immediately after giving an epinephrine injection, you should:
record the time and dose given.
properly dispose of the syringe.
notify medical control of your action.
reassess the patient's vital signs.
The foreign substance responsible for causing an allergic reaction is called a(n):
allergen.
antibody.
leukotriene.
histamine.
Which of the following negative effects of anaphylaxis will be the MOST rapidly fatal if not treated immediately?
Upper airway swelling
Severe hypotension
Diffuse urticaria
Systemic vasodilation
Which of the following patients would MOST likely have a delayed onset of an allergic reaction?
A 30-year-old male who was stung by a bee
A 50-year-old male who was exposed to latex
A 21-year-old female who inhaled pollen
A 45-year-old male who ingested penicillin
You have administered one dose of epinephrine to a 40-year-old female to treat an allergic reaction that she developed after being stung by a scorpion. Your reassessment reveals that she is still having difficulty breathing, has a decreasing mental status, and has a blood pressure of 80/50 mm Hg. You should:
administer a nebulized bronchodilator to improve the status of her breathing.
request permission from medical control to give another dose of epinephrine.
monitor her en route to the hospital and call medical control if she worsens.
crush up an antihistamine tablet and place it in between her cheek and gum.
A 66-year-old woman experienced a sudden onset of difficulty breathing. She has a history of type 2 diabetes and deep vein thrombosis (DVT). On the basis of her medical history, which of the following should the EMT suspect?
Severe hypoglycemia
Diabetic ketoacidosis
Congestive heart failure
Pulmonary embolism
Classic signs and symptoms of hypoglycemia include:
cold, clammy skin; bradycardia; hunger; and deep, rapid respirations.
warm, dry skin; hunger; abdominal pain; and deep, slow respirations.
cool, clammy skin; weakness; tachycardia; and rapid respirations.
warm, dry skin; irritability; bradycardia; and rapid respirations.
In contrast to type 1 diabetes, type 2 diabetes:
is caused by a complete lack of insulin in the body.
is commonly diagnosed in children and young adults.
occurs when antibodies attack insulin-producing cells.
is caused by resistance to insulin at the cellular level.
Pain that may be perceived at a distant point on the surface of the body, such as the back or shoulder, is called:
referred pain.
radiating pain.
remote pain.
visceral pain.
When assessing a patient with abdominal pain, you should:
visually assess the painful area of the abdomen, but avoid palpation because this could worsen his or her condition.
ask the patient to point to the area of pain or tenderness and assess for rebound tenderness over that specific area.
observe for abdominal guarding, which is characterized by sudden relaxation of the abdominal muscles when palpated.
palpate the abdomen in a clockwise direction, beginning with the quadrant after the one the patient indicates is painful.
Which of the following is correct about the secondary assessment for a high-priority patient?
The secondary assessment must be performed prior to transport.
You may not have time to complete a secondary assessment.
Never perform a secondary assessment on a high-priority patient.
Never contact medical direction before completing the secondary assessment.
After administering 0.3 mg of epinephrine via auto-injector to a 22-year-old woman with an allergic reaction, you note improvement in her breathing and dissipation of her hives. However, she is still anxious and tachycardic. You should:
contact medical control and obtain authorization to administer another 0.3 mg of epinephrine.
monitor her closely but recall that anxiety and tachycardia are side effects of epinephrine.
consider administering 0.15 mg of epinephrine to completely resolve her allergic reaction.
transport her rapidly, as it is obvious that she is having a severe reaction to the epinephrine.
Epinephrine stimulates the ________ response, increasing blood pressure and relieving bronchospasm.
parasympathetic
cardiac
sympathetic
respiratory
The adult epinephrine auto-injector delivers ______ mg of epinephrine, and the infant-child auto-injector delivers ______ mg.
0.01; 0.1
0.1; 0.01
0.03; 0.3
0.3; 0.15
None of the above
Urticaria is the medical term for:
hives.
burning.
a wheal.
swelling.
None of the above
Which of the following medications blocks the release of histamines?
Epinephrine (Adrenalin)
Diphenhydramine (Benadryl)
Albuterol (Ventolin)
Acetaminophen (Tylenol)
None of the above
Which of the following sounds indicates swelling of the upper airway?
Rhonchi
Wheezing
Rales
Stridor
Activated charcoal is given to patients who have ingested certain substances because it:
is a direct antidote for many toxic substances.
binds to the substance and prevents absorption.
induces vomiting and empties the stomach.
decreases absorption of poisons into the lungs.
None of the above
Which of the following sets of vital signs would the EMT MOST likely encounter in a patient with acute cocaine overdose?
BP, 190/90 mm Hg; pulse, 40 beats/min
BP, 180/100 mm Hg; pulse, 50 beats/min
BP, 200/100 mm Hg; pulse, 150 beats/min
BP, 60/40 mm Hg; pulse, 140 beats/min
During gynecologic emergencies, in addition to the standard SAMPLE questions, the EMT should attempt to determine which of the following?
The amount of time since of the patent's last menstrual cycle
The possibility that the patient may be pregnant
If the patient is sexually active
All of these answers are correct.
When caring for a female patient who has been sexually assaulted, you should:
allow law enforcement to take her statement before you begin treatment.
place any bloodstained clothing or other articles in separate paper bags.
ask the patient for a concise, detailed report of what happened to her.
advise her that she will not be allowed to shower or change her clothes.
Which of the following MOST accurately describes what the patient will experience during the postictal state that follows a seizure?
A gradually decreasing level of consciousness
Hyperventilation and hypersalivation
Confusion and fatigue
A rapidly improving level of consciousness
Your patient opens his eyes, moans, and pulls away from you when you pinch his trapezius muscle. You should assign a Glasgow Coma Scale (GCS) score of:
8
7
6
9
