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Worksheets

EMT FINAL

Total questions: 239

Worksheet time: 2hrs 0mins

Name
Class
Date
1.
Scene Size-up consists of all EXCEPT
a)
determining MOI
b)
considering additional resources
c)
determining level of responsiveness
d)
Using PPE / standard precautions
2.
Normal Respiratory Rate in Adult Patient:
a)
5-10
b)
12-20
c)
15-30
d)
20-30
3.
The best indicator of a patient's brain function is:
a)
mental status
b)
papillary response
c)
pulse
d)
respiratory rate and depth
4.
A patient does not respond to your questioning, but flinches and cries out when you pinch her trapezius muscle. This patient is said to be:
a)
Alert and Oriented x 4
b)
Unresponsive
c)
Responsive to painful stimuli
d)
Responsive to verbal stimuli
5.
What is the MOST effective method of assessing the quality of air movement in the lungs?
a)
Auscultating breath sounds with a stethoscope
b)
Looking for accessory muscle use
c)
Applying a pulse oximeter
d)
Checking for cyanosis
6.
Which of these is the MOST accurate way to palpate a pulse
a)
Avoid compressing the artery against a bone or solid structure
b)
Use your thumb to increase surface area of your palpation
c)
Apply firm pressure with your ring and little fingers
d)
Place the tips of your index and middle finger over the pulse point
7.
You respond to a an unresponsive male patient. Your primary assessment reveals that he is apneic and pulseless. You should:
a)
ask the family about a medical history
b)
perform CPR and transport immediately
c)
notify dispatch and request an ALS response
d)
Start CPR and attach the AED as soon as possible
8.
A pulse with a consistent pattern is considered to be:
a)
weak 
b)
regular
c)
irregular
d)
strong
9.
When palpating a patient's pulse, you note that there is an unusually short interval between pulsations. This indicates that the pulse is: 
a)
slow
b)
rapid
c)
irregular
d)
thready
10.
When assessing an unresponsive patient, you note that it has a bluish tint. This is called:
a)
mottling
b)
pallor
c)
flushing
d)
cyanosis
11.
Normal skin conditions should be:
a)
Flushed, cool, and dry
b)
pale, cool, and moist
c)
pink, warm, and dry
d)
pink, warm, and moist
12.
Patients presenting with hypertension would be be expected to have skin that is:
a)
cyanotic and moist
b)
flushed and red
c)
pale and moist
d)
mottled and dry
13.
Your patient is responsive but unable to follow commands. His wife tells you he had a small stroke three years ago. After administering O2, you should:
a)
repeat the primary assessment
b)
obtain a more thorough report
c)
prepare for immediate transport
d)
perform a detailed head-to-toe assessment
14.
The Golden Hour begins when an injury occurs and ends when:
a)
the patient receives definitive care
b)
the patient is admitted to the ICU
c)
you depart the scene en route to the hospital
d)
you arrive at the ED
15.
Which question can be used to determine the patient's chief complaint?
a)
"What seems to be the matter?"
b)
"When did your chest pain begin?"
c)
"Are you having trouble breathing?"
d)
"Do you have diabetes?"
16.
Which of the following responses addresses the "E" in SAMPLE history?
a)
"I am fine"
b)
"I was in the hospital last month with excessive diarrhea"
c)
"I have had a heart attack before"
d)
"I was practicing my dance moves when the pain began"
17.
When performing the secondary assessment of a trauma patient, you note the presence of Battle sign. This is:
a)
unequal pupils
b)
bruising behind the ear
c)
swelling of the orbital area
d)
fluid drainage from the nose
18.
Diastolic blood pressure represents:
a)
the average pressure against the arterial walls during a cardiac cylce
b)
the minimum amount of pressure always present in the arteries
c)
the increased arterial pressure that occurs during ventricular contractions
d)
the difference between pressures of ventricular contraction and relation
19.
You should palpate a patient's pelvis only if:
a)
you notice gross deformity to the pelvic area
b)
the patient does not complain of pelvic pain
c)
the MOI suggests significant trauma to the pelvis
d)
the possibility of a pelvic fracture has been ruled out
20.
You should palpate a patient's pelvis only if:
a)
you notice gross deformity to the pelvic area
b)
the patient does not complain of pelvic pain
c)
the MOI suggests significant trauma to the pelvis
d)
the possibility of a pelvic fracture has been ruled out
21.
You and your partner are providing two-rescuer CPR. An advanced airway has not yet been established. The correct ratio of compressions to breaths is:
a)
10:2
b)
15:2
c)
30:2
d)
50:2
22.
The leaf-shaped structure located superior to the larynx is called the:
a)
vallecula
b)
cricoid ring
c)
thyroid cartilage
d)
epiglottis
23.
All of the following can be found in the lower airway EXCEPT:
a)
the epiglottis
b)
alveoli
c)
the trachea
d)
bronchioles 
24.
Which of the following factors will cause a decreased minute volume in an adult?
a)
increased tidal volume
b)
shallow breathing
c)
respirations of 20 breaths/min
d)
Slight decrease in respiratory rate
25.
In contrast to inhalation, exhalation:
a)
requires muscular effort to effectively expel air from the lungs.
b)
occurs when the diaphragm lowers and expels air from the lungs.
c)
is a passive process caused by increased intrathoracic pressure.
d)
is an active process caused by decreased intrathoracic pressure
26.
The hypoxic drive is influenced by:
a)
high blood O2 levels
b)
high blood CO2 levels
c)
low blood O2 levels
d)
low blood CO2 levels
27.
Which of the following is a late sign of hypoxia?
a)
anxiety
b)
cyanosis
c)
tachycardia
d)
restlessness
28.
The process of exchanging O2 and CO2 between the alveoli and the blood of the capillaries is called
a)
external respiration
b)
cellular metablosim
c)
ventilation
d)
alveolar ventilation
29.
The primary waste product of aerobic metabolism is:
a)
lactic acid
b)
pyruvic acid
c)
Carbon Dioxide
d)
adenosine triphosphate
30.
An unconscious patient found in the prone position must be placed in the supine position in case the patient:
a)
requires CPR
b)
begins to vomit
c)
regains consciousness
d)
has increased tidal volume
31.
To select the appropriately sized OPA, measure from:
a)
corner of the mouth to the earlobe
b)
center of the mouth to the back of the ear
c)
corner of the mouth to the chin
d)
angle of the jaw to the base of the skull
32.
A nasopharyngeal airway is inserted:
a)
into the smaller nostril with the tip to the roof of the nose
b)
with the bevel pointed downward
c)
into the smaller nostril with the tip pointed to the seput
d)
into the larger nostril with the bevel facing the septum 
33.
Which of the following organs or tissues can survive the longest without oxygent
a)
Heart
b)
Liver
c)
Kidneys
d)
Muscle
34.
The pressure of gas in a full O2 cylinder should be approximately _____ psi.
a)
500
b)
1000
c)
2000
d)
3000
35.
An O2 cylinder should be taken out of service and refilled when the pressure inside is less than:
a)
200
b)
500
c)
1000
d)
1500
36.
A 51 year old female patient presents with sudden onset difficulty breathing. She is alert & oriented x 4, and able to communicate in complete sentences. Her respirations are 22 breaths/min and regular. You should:
a)
assist ventilations with a BVM
b)
Perform a secondary assessment
c)
insert an OPA and assist ventilations
d)
administer O2 via a nonrebreathing mask
37.
While eating dinner, your partner suddenly grabs his throat and has a panicked look on his face. He has a weak cough, faint inspiratory stridor, and cyanosis around the lips. You should:
a)
encourage him to cough forcefully
b)
deliver five back blows and reassess
c)
place him in the supine position and open his airway
d)
stand behind him and administer abdominal thrusts
38.
Complications associated with chest compressions include all of the following, EXCEPT:
a)
gastric distension.
b)
rib fractures.
c)
a fractured sternum.
d)
liver laceration
39.
Hemoglobin is a molecule that attaches to ___________ and carries oxygen.
a)
thrombocytes
b)
leukocytes
c)
monocytes
d)
erythrocytes
40.
Your protocols state that during the first few minutes of working on a cardiac arrest patient, you should provide passive ventilation. This means that you will:
a)
time your positive-pressure ventilations to occur during chest recoil.
b)
allow recoil of the chest between compressions to draw air into the lungs.
c)
deliver positive-pressure ventilation at rate of only 5 or 6 breaths/min.
d)
ventilate with a bag-valve mask that is not attached to oxygen.
41.
Shock due to severe infection is called ________.
a)
septic shock 
b)
neurogenic shock
c)
anaphylactic shock
d)
hypovolemic shock
42.
Burns tend to result in hypovolemic shock resultant from a loss in:
a)
whole blood
b)
erythrocytes
c)
plasma
d)
platelets
43.
You recognize that your patient may be in shock, but his body has been able to maintain adequate circulation. You recognize this patient is in:
a)
late shock
b)
irreversible shock
c)
compensated shock
d)
decompensated shock
44.
Clinical signs of labored breathing include all of the following, EXCEPT:
a)
supraclavicular retractions.
b)
gasping attempts to breathe.
c)
use of accessory muscles.
d)
shallow chest movement.
45.
A patient with spontaneous respirations is breathing:
a)
without assistance.
b)
with shallow depth.
c)
without difficulty.
d)
at a normal rate.
46.
Inadequate circulation of blood throughout the body is called ________.
a)
shock
b)
hypotension
c)
hypoxia
d)
perfusion
47.
In order to maintain the function of vital organs, the body will direct blood from organs that are more tolerant of this low flow, such as:
a)
the brain
b)
the heart
c)
the lungs
d)
the skin
48.
Carbon monoxide blocks the ability of the blood to oxygenate the body because it:
a)
causes the body to expel too much carbon dioxide.
b)
destroys the number of circulating red blood cells.
c)
binds with the hemoglobin in red blood cells.
d)
fills the alveoli in the lungs with thick secretions.
49.
Which are of the following is NOT a component of the perfusion triangle?
a)
Heart
b)
Blood Vessels
c)
Blood
d)
Lungs
50.
A 25-year-old unrestrained female struck the steering wheel with her chest when her car hit a tree while traveling at a high rate of speed. She has signs and symptoms of shock, which you suspect are the result of intrathoracic bleeding. Which of the following interventions will provide this patient with the greatest chance for survival?
a)
High-flow oxygen administration 
b)
Rapid transport to a trauma center 
c)
Full immobilization of her spine 
d)
Intravenous fluid administration
51.
You respond to a residence for a patient with a severe leg injury following an accident with a chainsaw. When you arrive, you find the patient, a 44-year-old male, lying supine in the backyard. He has a partial amputation of his right lower leg that is actively bleeding. The patient is conscious and breathing adequately; however, he is restless and his skin is diaphoretic. You should:
a)
apply direct pressure to the wound. 
b)
immediately evaluate his airway. 
c)
assess the rate and quality of his pulse. 
d)
obtain a comprehensive patient history.
52.
While transporting a woman with diabetes, you inadvertently give her oral glucose even though her blood glucose level was high. You reassess the patient and note that her condition did not change; she remained stable. You should:
a)
contact medical control and notify them of the error.
b)
document the error and report it to your supervisor.
c)
notify law enforcement so they can file an incident report
d)
exclude this intervention from the PCR because it did not harm the patient.
53.
According to the National EMS Scope of Practice Model, an EMT should be able to:
a)
administer epinephrine via the subcutaneous route.
b)
assist a patient with certain prescribed medications.
c)
interpret a basic (ECG) rhythm and treat accordingly.
d)
insert a peripheral IV line and infuse fluids.
54.
Which of the following statements regarding agonal respirations is correct?
a)
Agonal respirations are ineffective and need to be assisted.
b)
Agonal respirations are characterized by fast, irregular breaths.
c)
Agonal respirations result in excessive tidal volume.
d)
Agonal respirations typically occur before the heart stops.
55.
A 60-year-old man is found to be unresponsive, pulseless, and apneic. You should:
a)
begin CPR until an AED is available.
b)
start CPR and transport immediately.
56.
When should non-lifesaving interventions be performed for a multisystem trauma patient?
a)
Prior to transport
b)
En route to the hospital
c)
During the primary assessment
d)
immediately after injuries are discovered
57.
Foods, medications, and insects are common causes of:
a)
septic shock
b)
neurogenic shock
c)
psychogenic shock
d)
anaphylactic shock
58.

Deoxygenated blood from the body returns to the:

a)

right atrium.

b)

right ventricle.

c)

left atrium.

d)

left ventricle.

59.

Angina pectoris occurs when:

a)

a coronary artery is totally occluded by plaque.

b)

myocardial oxygen demand exceeds supply.

c)

one or more coronary arteries suddenly spasm.

d)

myocardial oxygen supply exceeds the demand.

60.

The electrical impulse generated by the heart originates in the:

a)

bundle of His.

b)

coronary sinus.

c)

atrioventricular node.

d)

sinoatrial node.

61.

A 49-year-old male presents with an acute onset of crushing chest pain and diaphoresis. You should:

a)

administer up to 324 mg of baby aspirin.

b)

administer up to three doses of nitroglycerin.

c)

obtain vital signs and a SAMPLE history.

d)

assess the adequacy of his respirations.

62.

You and your partner arrive at the scene of a middle-aged man who collapsed about 5 minutes ago. He is unresponsive, apneic, and pulseless. Bystanders are present, but have not provided any care. You should:

a)

begin high-quality CPR and apply the AED as soon as possible.

b)

have your partner perform CPR while you question the bystanders.

c)

perform two-rescuer CPR for 5 minutes and request ALS backup.

d)

immediately apply the AED pads and analyze his cardiac rhythm.

63.

The only vein(s) in the body that carry oxygenated blood is/are the:

a)

external jugular veins.

b)

subclavian veins.

c)

pulmonary veins.

d)

inferior vena cava.

64.

In general, a maximum of _____ dose(s) of nitroglycerin is/are given for any one episode of chest pain.

a)

2

b)

3

c)

4

d)

5

65.

What is the function of the left atrium?

a)

It ejects oxygenated blood into the aorta.

b)

It receives oxygenated blood from the lungs.

c)

It receives blood from the pulmonary arteries.

d)

It receives oxygenated blood from the vena cava.

66.

When an electrical impulse reaches the AV node, it is slowed for a brief period of time so that:

a)

blood can pass from the atria to the ventricles.

b)

blood returning from the body can fill the atria.

c)

the impulse can spread through the Purkinje fibers.

d)

the SA node can reset and generate another impulse.

67.

Major risk factors for AMI include all of the following, EXCEPT:

a)

hypoglycemia.

b)

hypertension.

c)

diabetes mellitus.

d)

elevated cholesterol.

68.

The three major parts of the brain are the:

a)

cerebellum, medulla, and occiput.

b)

brain stem, midbrain, and spinal cord.

c)

midbrain, cerebellum, and spinal cord.

d)

cerebrum, cerebellum, and brain stem.

69.

The MOST significant risk factor for a hemorrhagic stroke is:

a)

severe stress.

b)

hypertension.

c)

heavy exertion.

d)

diabetes mellitus.

70.

Which of the following conditions would be the LEAST likely to mimic the signs and symptoms of a stroke?

a)

Hypoglycemia

b)

Hypovolemia

c)

A postictal state

d)

Intracranial bleeding

71.

Which of the following MOST accurately describes what the patient will experience during the postictal state that follows a seizure?

a)

Hyperventilation and hypersalivation

b)

A rapidly improving level of consciousness

c)

Confusion and fatigue

d)

A gradually decreasing level of consciousness

72.

When caring for a patient with documented hypoglycemia, you should be MOST alert for:

a)

a seizure.

b)

an acute stroke.

c)

violent, explosive diarrhea.

d)

a febrile convulsion.

73.

Which of the following conditions would MOST likely affect the entire brain?

a)

Blocked cerebral artery in the frontal lobe

b)

Reduced blood supply to the left hemisphere

c)

Ruptured cerebral artery in the occipital lobe

d)

Respiratory failure or cardiopulmonary arrest

74.

The most basic functions of the body, such as breathing, blood pressure, and swallowing, are controlled by the:

a)

brain stem.

b)

cerebrum.

c)

cerebellum.

d)

cerebral cortex.

75.

Which of the following is a metabolic cause of a seizure?

a)

Poisoning

b)

Head trauma

c)

Brain tumor

d)

Massive stroke

76.

Febrile seizures:

a)

often result in permanent brain damage.

b)

are also referred to as absence seizures.

c)

are usually benign but should be evaluated.

d)

occur when a child's fever rises slowly.

77.

You are dispatched to a residence for a 66-year-old male who, according to family members, has suffered a massive stroke. Your primary assessment reveals that the patient is unresponsive, apneic, and pulseless. You should:

a)

assess the patient for a facial droop and hemiparesis.

b)

initiate CPR and attach an AED as soon as possible.

c)

obtain a blood glucose sample to rule out hypoglycemia.

d)

perform CPR for 5 minutes before applying the AED.

78.

Which of the following statements regarding the unified command system is correct?

a)

The unified command system is one in which one person is in charge, even if multiple agencies respond to a disaster or mass-casualty incident.

b)

Ideally, the unified command system is used for short-duration, limited incidents that require the services of a single agency from one jurisdiction.

c)

In a unified command system, there are separate ICs for fire, police, EMS, and any other agencies that respond to the incident.

d)

Under the unified command system, plans are drawn up in advance by all cooperating agencies that assume a shared responsibility for decision making.

79.

If an incident increases in scope and complexity, the incident commander should consider:

a)

ceasing all operations until a revised plan is established.

b)

maintaining responsibility for all of the command functions.

c)

relinquishing command to someone with more experience.

d)

requesting a second incident commander to assist him or her.

80.

At a very large incident, the __________ section is responsible for managing the tactical operations usually handled by the incident commander on routine EMS calls

a)

logistics

b)

operations

c)

planning

d)

finance

81.

A critical function of the safety officer is to:

a)

determine the most efficient approach to extricate a victim.

b)

stop an emergency operation whenever a rescuer is in danger.

c)

monitor emergency responders for signs of stress and anxiety.

d)

brief responders during the demobilization phase of an incident.

82.

Which of the following MOST accurately describes a mass-casualty incident?

a)

An incident that involves more than five critically injured or ill patients

b)

An incident where patients have been exposed to hazardous materials

c)

An incident in which at least half of the patients are critically injured

d)

An incident that greatly taxes or depletes a system's available resources

83.

Which of the following activities occurs in the warm zone?

a)

Command

b)

Personnel staging

c)

Decontamination

d)

Medical monitoring

84.

The term used when individual units or different organizations make independent, and often inefficient, decisions regarding an incident is called:

a)

freelancing

b)

undermining

c)

logistical chaos

d)

single command

85.

A supervisor who has more than seven people reporting to him or her:

a)

is more beneficial to the overall effort than a supervisor with fewer personnel because his or her team can accomplish more tasks.

b)

should regularly report to the incident commander (IC) to inform him or her of the functions that his or her team is performing.

c)

has exceeded an effective span of control and should divide tasks and delegate the supervision of some tasks to another person.

d)

should assign a specific task to each person reporting to him or her and regularly follow up to ensure that the tasks were carried out.

86.

In preparing for a disaster, EMS systems should have enough supplies for at least a ______ period of self-sufficiency.

a)

24-hour

b)

48-hour

c)

72-hour

d)

96-hour

87.

The FIRST step in the START triage system is to:

a)

focus on the patients who are unconscious.

b)

scan the area for patients with severe bleeding.

c)

move all walking patients to a designated area.

d)

get a quick head count of all the patients involved.

88.

Most terrorist attacks:

a)

are carried out by fewer than three people.

b)

occur within the continental United States.

c)

involve the use of nuclear explosive devices.

d)

require multiple terrorists working together.

89.

Phosgene (CG) has an odor that resembles:

a)

garlic

b)

bleach.

c)

almonds.

d)

cut grass.

90.

The primary route of exposure of vesicant agents is the:

a)

skin.

b)

nervous system.

c)

vascular system.

d)

respiratory tract.

91.

Nerve agents, a class of chemicals called organophosphates, were first discovered while in search of a superior:

a)

vaccine.

b)

antibiotic.

c)

pesticide

d)

detergent.

92.

Which of the following chemicals is a nerve agent?

a)

Phosgene

b)

Soman

c)

Lewisite

93.

Which of the following agents blocks the body's ability to use oxygen and possesses an odor similar to almonds?

a)

Hydrogen cyanide

b)

Phosgene oxime

c)

Organophosphates

d)

Carbon monoxide

94.

A disease vector is defined as:

a)

he spectrum of signs that define a disease.

b)

the period of time between exposure and illness.

c)

any agent that acts as a carrier or transporter.

95.

The Centennial Park bombing during the 1996 Summer Olympics is an example of:

a)

domestic terrorism

b)

apocalyptic violence

c)

an ecoterrorist attack

d)

state-sponsored terrorism

96.

To date, the preferred weapons of mass destruction for terrorists have been:

a)

nuclear weapons

b)

chemical weapons

c)

biologic weapons

d)

explosive weapons

97.

Unlike viral agents, bacterial agents:

a)

are far less infectious.

b)

respond to antibiotics.

c)

are usually not treatable.

d)

do not replicate in the body.

98.

You carry a jump bag to:

a)

facilitate defibrillation within 5 to 10 minutes after making patient contact.

b)

manage a critically injured patient until he or she is loaded into the ambulance.

c)

carry advanced life support equipment approved by the EMS medical director.

d)

contain anything that you might need during the first 5 minutes of patient care.

99.

Transporting a patient to a hospital involves all the following, EXCEPT:

a)

a written report

b)

informing dispatch of arrival

c)

restocking supplies

d)

giving billing information to the clerk

100.

If the safest place for you to park on a scene happens to face in the direction of oncoming traffic, you should:

a)

quickly access the patient

b)

light a few flares near the scene

c)

turn off your headlights

d)

turn off all warning lights

101.

If someone is tailgating you while you're responding to an emergency call, you should:

a)

let the driver pass you

b)

speed up

c)

brake-check the driver

d)

stop and confront the driver

102.

Which of the following is an example of regional equipment or supplies?

a)

Oral glucose

b)

Vacuum splint

c)

DuoDote Auto-Injector

d)

Inhaled bronchodilator

103.

What's the least likely type of safety gear to be found on an ambulance?

a)

face shields

b)

hazmat gear

c)

goggles

d)

turnout gear

104.

When is it most likely that you use a police escort?

a)

The weather is treacherous and there are numerous roads washed out.

b)

you are unfamiliar with the location, but the police officer knows the area.

c)

you are transporting a critical pediatric patient through traffic.

d)

The call is dispatched as an unresponsive patient with CPR in progress.

105.

Your primary concern when arriving at the scene of a motor vehicle crash is:

a)

gaining access to the patient(s).

b)

requesting additional resources.

c)

immediately beginning triage.

d)

surveying the area for hazards and making sure the scene is safe.

106.

The scene size-up at a motor vehicle crash or other incident:

a)

is an ongoing process until the incident is terminated.

b)

should be performed by the most experienced EMT.

c)

is a quick visual assessment of the scene prior to entry.

d)

determines who is allowed to safely enter the hot zone.

107.

In order to evaluate hazards present at the scene and determine the number of patients, you should:

a)

request the fire department at all scenes.

b)

perform a 360-degree walk around of the scene.

c)

use the information provided by dispatch.

d)

interview bystanders present at the scene.

108.

Upon arriving at the scene of a law enforcement tactical situation, you should ensure your own safety and then:

a)

begin immediate triage of any injured personnel.

b)

report to the incident commander for instructions.

109.

You arrive at an accident scene to find an alternative-fuel vehicle leaking an unknown substance. You should immediately _________.

a)

search the vehicle for occupants

b)

disconnect the car battery

c)

apply retardant to the leaking fuel

d)

call for additional resources and keep bystanders away from the vehicle

110.

The EMT's responsibility during search-and-rescue operations is to _________.

a)

assist in the search on foot

b)

direct other incoming EMS units

c)

assume medical command

d)

wait at the staging area until the patient is located

111.

Upon arriving at the scene of a motor vehicle crash, you can see three patients, one who is entrapped in his car and two who have been ejected from their vehicle. You should:

a)

begin triage to determine injury severity.

b)

call medical control for further direction.

c)

immediately request additional resources.

d)

request law enforcement for traffic control.

112.

When functioning at the scene of a motor vehicle crash in which a patient will require complex extrication, you should enter the vehicle and provide care to the patient:

a)

only if the patient has experienced a major injury.

b)

after rescue personnel have cut the battery cables.

c)

after receiving approval from the incident commander.

d)

only after you believe the vehicle has been stabilized.

113.
Which of the following MOST accurately defines negligence?
a)
Transferring patient care to a provider with a lower level of training
b)
Providing care that is consistent with care provided by other EMTs
c)
Transport of a mentally incompetent patient against his or her will
d)
Deviation from the standard of care that may result in further injury
114.
Which of the following interventions is used by all levels of EMS providers?
a)
AED
b)
Needle Decompression
c)
Automatic Ventilators
d)
Multilumen Airways
115.
The brain connects to the spinal cord through a large opening at the base of the skull called the:
a)
vertebral foramen.
b)
spinous foramen.
c)
foramen ovale.
d)
foramen magnum.
116.
A 5-year-old boy has fallen and has a severe deformity of the forearm near the wrist. He has possibly sustained a fracture of the ____________ forearm.
a)
superior
b)
proximal
c)
distal
d)
dorsal
117.
The artery that supplies all other arteries with blood is the:
a)
femoral
b)
brachial
c)
carotid
d)
aorta
118.
The patient report commonly includes all of the following, EXCEPT
a)
your estimated time of arrival.
b)
the patient's age and gender.
c)
a brief history of the patient's current problem.
d)
a list of the patient's medications.
119.
Which type of consent is involved when a 39-year-old mentally competent female with a severe headache asks you to take her to the hospital?
a)
Implied
b)
Expressed
c)
Informed
d)
Formal
120.
Bile is produced by the liver and concentrated and stored in the:
a)
gallbladder.
b)
stomach.
c)
pancreas.
d)
kidneys.
121.
Which of the following statements regarding the NREMT is correct?
a)
EMS training standards are regulated by the NREMT.
b)
The NREMT provides a national standard for EMS testing.
c)
The NREMT is the exclusive certifying body for EMTs.
d)
The NREMT is a governmental agency that certifies EMTs.
122.
Deoxygenated blood from the abdomen, pelvis, and lower extremities is returned to the right atrium via the:
a)
inferior vena cava.
b)
superior vena cava.
c)
coronary sinus vein
d)
common iliac vein
123.
The electrical impulse of the heart normally begins at the:
a)
sinoatrial node.
b)
Purkinje fibers.
c)
atrioventricular node.
d)
bundle of His.
124.
The circulation of blood within an organ or tissue in adequate amounts to meet the cells' current needs is called:
a)
metabolism
b)
perfusion
c)
cardiac output
d)
respiration
125.
The topographic term used to describe the location of body parts that are closer toward the midline of the body is:
a)
midaxillary.
b)
lateral
c)
midaxillary
d)
medial.
126.
The term “pericardiocentesis” means:
a)
a surgical opening made in the heart.
b)
surgical repair of the sac around the heart.
c)
the removal of fluid from around the heart.
d)
narrowing of the arteries supplying the heart.
127.
Digital signals are used in some kinds of paging and tone-alerting systems because they transmit ________ and allow for more choices and flexibility.
a)
numerically
b)
faster
c)
alphanumerically
d)
encoded messages
128.
According to Occupational Safety and Health Administration (OSHA) regulations, an employer must:
a)
guarantee a 100% risk-free environment prior to employment.
b)
offer a workplace environment that reduces the risk of exposure.
c)
screen all prospective employees for blood-borne pathogens.
d)
provide gloves and other personal protective equipment to full-time paid employees only.
129.
An important safeguard against legal implication is:
a)
transporting every patient to an emergency department.
b)
writing a complete and accurate run report.
c)
checking ambulance equipment once a month.
d)
responding to every call with lights and siren.
130.
Prescription glasses do not provide adequate eye protection because they:
a)
have large, rounded lenses.
b)
are not secured with a strap.
c)
offer little or no side protection.
d)
are too expensive.
131.
When is forcible restraint permitted?
a)
Only if law enforcement personnel have witnessed threatening behavior
b)
Anytime that the EMT feels threatened
c)
When the patient poses a significant threat to self or others
d)
Only if consent to restrain is given by a family member
132.
Which of the following is NOT true of medical control?
a)
It may be written or “standing orders.”
b)
It is determined by the dispatcher.
c)
It may require online radio or phone consultation.
d)
It describes the care authorized by the medical director.
133.
Your patient developed a nose bleed and headache right behind the eyes. A physician ascertained that her previous head cold had left the patient with sinusitis. The root word "sinus" pertains to which of the following?
a)
wall, divider
b)
opening
c)
membrane
d)
cavity, channel, or hollow space
134.
After stocking the ambulance this morning, you and your partner go out for breakfast. While entering the restaurant, you see an older gentleman clutch his chest and collapse to the floor. When you get to him, he has no pulse and is not breathing. To treat this patient, you will follow:
a)
off-line medical control.
b)
online medical control.
c)
protocols.
d)
All of these answers are correct.
135.
Which of the following is generally NOT considered confidential?
a)
Location
b)
Patient's Name
c)
Assessment Findings
d)
Patient History
136.
The __________ officially occurs during your oral report at the hospital, not as a result of your radio report en route.
a)
patient report
b)
termination of services
c)
transfer of care
d)
All of these answers are correct.
137.
Your patient has had laryngitis for almost a week. It has progressed to the point that she has difficulty swallowing. What is the suffix pertaining to eating or swallowing?
a)
“-phagia”
b)
“-osis”
c)
“-phobia”
d)
“-phasia”
138.

If the victim of a toxicologic emergency vomits, an EMT should _________.

a)

have the patient enclose the vomitus in a container and take it to the emergency department

b)

use appropriate personal protective equipment and examine the vomitus for pill fragments or other clues for patient care.

c)

safely dispose of the vomitus as soon as possible and decontaminate the vehicle as necessary.

d)

be on the lookout for for diarrhea leaks.

139.

Which of the following sounds suggests an obstruction or swelling of the upper airway?

a)

Wheezing

b)

Rhonchi

c)

Rales

d)

Stridor

140.

Which of the following is a genetic disorder that predisposes the patient to repeated lung infections?

a)

Diarrhea Lung

b)

Severe acute respiratory syndrome

c)

Cystic fibrosis

d)

Multiple sclerosis

141.

General guidelines for managing a patient with a behavioral emergency include:

a)

being prepared to spend extra time with the patient.

b)

firmly identifying yourself as an EMS provider.

c)

placing the patient between yourself and an exit.

d)

allowing the patient to be alone if he or she wishes.

142.

A patient with an altered mental status is:

a)

typically alert but is confused as to preceding events.

b)

usually able to be aroused with a painful stimulus.

c)

completely unresponsive to all forms of stimuli.

d)

not thinking clearly or is incapable of being aroused.

143.

You respond to a residence for a child who is having a seizure. Upon arrival at the scene, you enter the residence and find the mother holding her child, a 2-year-old male. The child is conscious and crying. According to the mother, the child had been running a high fever and then experienced a seizure that lasted approximately 3 minutes. You should:

a)

cover the child with wet towels and give oxygen via nasal cannula.

b)

transport the child to the hospital and reassure the mother en route.

c)

advise the mother to take her child to the doctor the following day.

d)

call medical control and request permission to give the child aspirin.

144.

Dyspnea is MOST accurately defined as:

a marked increase in the exhalation phase.

a)

a marked increase in the exhalation phase.

b)

shortness of breath or difficulty breathing.

c)

a complete cessation of respiratory effort.

d)

labored breathing with reduced tidal volume.

145.

Most patients with abdominal pain prefer to:

a)

lie in a supine position with their knees in a flexed position.

b)

lie on their side with their knees drawn into the abdomen.

c)

sit fully upright because it helps relax the abdominal muscles.

d)

sit in a semi-Fowler position with their knees slightly bent.

146.

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?

a)

Severe hypoglycemia

b)

Pulmonary embolism

c)

Congestive heart failure

d)

Diabetic ketoacidosis

147.

As you enter the residence of a patient who has possibly overdosed, you should:

a)

be alert for hazards affecting your own safety.

b)

look for drug paraphernalia.

c)

observe the scene for drug bottles.

d)

quickly gain access to the patient.

148.

You are assessing a conscious 55-year-old male with a sudden change in behavior. Which of the following clinical findings would be MOST suggestive of dysfunction of this patient's central nervous system?

a)

An irregular pulse

b)

Consistent eye contact

c)

Excessive diarrhea

d)

Rapid eye movement

149.

An overdose of acetaminophen, the active ingredient in Tylenol, will MOST likely cause:

a)

liver failure.

b)

CNS depression.

c)

kidney failure.

d)

gastric ulcers.

150.

Epinephrine stimulates the ________ response, increasing blood pressure and relieving bronchospasm.

a)

parasympathetic

b)

sympathetic

151.

When an electrical impulse reaches the AV node, it is slowed for a brief period of time so that:

a)

the SA node can reset and generate another impulse.

b)

blood can pass from the atria to the ventricles.

c)

the impulse can spread through the Purkinje fibers.

d)

lood returning from the body can fill the atria.

152.

In what area of the lungs does respiration occur?

a)

Trachea

b)

Bronchi

c)

Capillaries

d)

Alveoli

153.

When treating a patient with chest pain, you should assume that he or she is having an AMI because:

a)

the cause of the pain cannot be diagnosed in the field by BLS personnel.

b)

angina and AMI present identically.

c)

most patients with chest pain are experiencing an AMI.

d)

angina usually occurs after an AMI.

154.

Which of the following is a metabolic cause of a seizure?

a)

Head trauma

b)

Brain tumor

c)

Poisoning

d)

Massive stroke

155.

Which of the following signs or symptoms would the EMT MOST likely encounter in a patient with new-onset type 1 diabetes?

a)

Weight loss and polyuria

b)

Low blood glucose level

c)

Total lack of appetite

d)

Weight gain and edema

156.

Which of the following organs assists in the filtration of blood, serves as a blood reservoir, and produces antibodies?

a)

Kidney

b)

Spleen

c)

Liver

d)

Pancreas

157.

When a psychiatric emergency arises, a patient is most likely to exhibit which of the following behaviors?

a)

Visual or auditory hallucinations

b)

Any behaviors unacceptable to the patient, family, or community

c)

Disruptions to activities of daily living

d)

Any behaviors that are a violent threat to the patient, EMTs, or others

158.

Which of the following statements regarding the vitreous humor is correct?

a)

It is a clear, jellylike fluid near the back of the eye that cannot be replaced if it is lost.

b)

It is a clear fluid that is produced by the lacrimal glands and cannot be replaced if it is lost.

c)

It is a clear, watery fluid surrounding the eye and can be replaced if it is lost.

d)

It is a clear, watery fluid that is located in front of the lens and can be replaced if it is lost.

159.

A reflex arc occurs when:

a)

a sensory nerve sends a message to the brain but the motor nerve fails to send the appropriate response to the body.

b)

the motor nerves function automatically without receiving a message from the CNS.

c)

the brain interprets sensory information that it receives from peripheral and cranial nerves and sends a signal to the muscles.

d)

a sensory nerve detects an irritating stimulus and bypasses the brain by sending a direct message to the motor nerve.

160.

Gastrointestinal bleeding should be suspected if a patient presents with:

a)

hemoptysis

b)

dyspnea

c)

hematemesis.

d)

hematuria.

161.

Drowning is MOST accurately defined as:

a)

water in the lungs following submersion in water.

b)

death from suffocation after submersion in water.

c)

temporary survival after submersion in water.

d)

death beyond 24 hours after submersion in water.

162.

Accumulation of blood in the abdominal cavity will MOST likely cause:

a)

distention.

b)

diffuse bruising.

c)

nausea or vomiting.

d)

referred pain.

163.

An open fracture is MOST accurately defined as a fracture in which:

a)

a large laceration overlies the fracture.

b)

a bullet shatters the underlying bone.

c)

the overlying skin is no longer intact.

d)

bone ends protrude through the skin.

164.

Which of the following sets of vital signs depicts Cushing triad?

a)

Blood pressure, 80/40 mm Hg; pulse, 30 beats/min; respirations, 32 breaths/min

b)

Blood pressure, 190/110 mm Hg; pulse, 55 beats/min; irregular respirations, 30 breaths/min

c)

Blood pressure, 200/100 mm Hg; pulse, 140 beats/min; respirations, 28 breaths/min

d)

Blood pressure, 90/50 mm Hg; pulse, 120 beats/min; respirations, 10 breaths/min

165.

A 67-year-old male presents with weakness, dizziness, and melena that began approximately 2 days ago. He denies a history of trauma. His blood pressure is 90/50 mm Hg and his pulse is 120 beats/min and thready. You should be MOST suspicious that this patient is experiencing:

a)

gastrointestinal bleeding.

b)

an aortic aneurysm.

c)

intrathoracic hemorrhaging.

d)

acute appendicitis.

166.

A 56-year-old male has an incomplete avulsion to his right forearm. After controlling any bleeding from the wound, you should:

a)

carefully probe the wound to determine if the bleeding is venous or arterial.

b)

replace the avulsed flap to its original position and cover it with a sterile dressing.

c)

thoroughly irrigate the wound with sterile water and cover it with a sterile dressing.

d)

carefully remove the avulsed flap and wrap it in a moist, sterile trauma dressing.

167.

A young male was shot in the abdomen by an unknown type of gun. He is semiconscious, has shallow breathing, and is bleeding externally from the wound. As you control the external bleeding, your partner should:

a)

obtain baseline vital signs.

b)

perform a secondary assessment.

c)

assist the patient's ventilations.

d)

apply a nonrebreathing mask.

168.

You have sealed the open chest wound of a 40-year-old male who was stabbed in the anterior chest. Your reassessment reveals that he is experiencing increasing respiratory distress and tachycardia, and is developing cyanosis. You should:

a)

call for a paramedic ambulance.

b)

begin rapid transport at once.

c)

begin ventilatory assistance.

d)

partially remove the dressing.

169.

Which of the following body systems or components is the LEAST critical for supplying and maintaining adequate blood flow to the body?

a)

An intact system of blood vessels

b)

The filtering of blood cells in the spleen

c)

An effectively pumping heart

d)

Adequate blood in the vasculature

170.

The _________ contain(s) about 75% of the brain's total volume.

a)

meninges

b)

brain stem

c)

cerebrum

d)

cerebellum

171.

You are transporting a 42-year-old male who experienced blunt abdominal trauma. He is receiving oxygen at 12 L/min via a nonrebreathing mask and full spinal precautions have been applied. During your reassessment, you note his level of consciousness has decreased and his respirations have become shallow. You should:

a)

insert an airway adjunct if he will tolerate it and begin assisting his ventilations with a BVM.

b)

reassess his vital signs and then notify the receiving hospital of the change in his clinical status.

c)

suction his oropharynx to ensure it is clear of secretions and then increase the oxygen flow rate to 15 L/min.

d)

perform a comprehensive secondary assessment to determine why his clinical status has changed.

172.

The musculoskeletal system refers to the:

a)

involuntary muscles of the nervous system.

b)

connective tissue that supports the skeleton

c)

bones and voluntary muscles of the body.

d)

How was this one of the most missed questions???

173.

Crepitus and false motion are:

a)

indicators of a severe sprain.

b)

most common with dislocations.

c)

positive indicators of a fracture.

d)

only seen with open fractures.

174.

The MOST significant hazard associated with splinting is:

a)

aggravation of the injury or worsened pain.

b)

delaying transport of a critically injured patient.

c)

compression of nerves, tissues, and vasculature.

d)

reduction in circulation distal to the injury site.

175.

Which of the following musculoskeletal injuries would pose the greatest threat to a patient's life?

a)

An amputated extremity

b)

Nondisplaced long bone fractures

c)

Pelvic fracture with hypotension

d)

Bilateral femur fractures

176.

When should you visually inspect the external genitalia on your patient?

a)

Only when there is a complaint of severe pain or other injury

b)

Only when ordered by medical direction

c)

Always during the secondary assessment

d)

Anytime the patient agrees to treatment and transport

177.

In order to avoid exacerbating a patient's injury, it is especially important to use extreme caution when providing positive-pressure ventilation to patients with a:

a)

cardiac tamponade.

b)

flail chest.

c)

pneumothorax.

d)

myocardial contusion.

178.

Which of the following occurs during true labor?

a)

Uterine contractions last about 10 seconds.

b)

Uterine contractions decrease in intensity.

c)

Uterine contractions become more regular.

d)

The uterus becomes very soft and movable.

179.

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):

a)

gastric stoma.

b)

colostomy.

c)

intestinal shunt.

d)

gastrostomy.

180.

A 77-year-old female presents with an acute onset of altered mental status. Her son is present and advises that she has a history of hypertension, atrial fibrillation, type 2 diabetes, and glaucoma. He further advises that she takes numerous medications and that she is normally alert. When you assess this patient, it is important to note that:

a)

the patient is experiencing delirious behavior, which suggests a new health problem.

b)

her mental status is likely the result of hypoglycemia and you should give her sugar.

c)

dementia typically presents as an acute onset of deterioration of cognitive function.

d)

because of her age and medical history, you should suspect Alzheimer disease.

181.

When assessing a geriatric patient who has possibly experienced an acute ischemic stroke, it is MOST important to:

a)

determine if the patient has risk factors for a stroke.

b)

determine the onset of the patient's symptoms.

c)

ascertain if there is a history of atrial fibrillation.

d)

administer 324 mg of aspirin as soon as possible.

182.

A normal level of consciousness in an infant or child is characterized by:

a)

awareness to place, pink and dry skin, and consistent eye contact.

b)

age-appropriate behavior, good muscle tone, and good eye contact.

c)

normal interactiveness, awareness to time, and pink skin color.

183.

The JumpSTART triage system is intended to be used for children younger than _____ years or who appear to weigh less than _____.

a)

5; 50 lb

b)

6; 70 lb

c)

8; 100 lb

d)

7; 90 lb

184.

When transporting a stable older patient to the hospital, the MOST effective way to reduce his or her anxiety is to:

a)

transport him or her to a hospital that he or she is familiar with.

b)

perform frequent detailed assessments to gain the patient's trust.

c)

avoid the use of a long backboard, even if one is indicated.

d)

allow at least two family members to accompany the patient.

185.

The umbilical cord:

a)

carries oxygen to the baby via the umbilical vein.

b)

contains two veins and one large umbilical artery.

c)

carries blood away from the baby via the artery.

d)

separates from the placenta shortly after birth.

186.

If hydroplaning of the ambulance occurs, the driver should:

a)

slowly pump the brakes until he or she regains vehicle control.

b)

gradually slow down without jamming on the brakes.

187.

If a technical rescue team is required at the scene, but is not present when you arrive, you should:

a)

remain with your ambulance until the rescue team arrives at the scene.

b)

check with the incident commander to ensure that the team is en route.

c)

don personal protective equipment and begin the rescue process.

d)

have fire personnel initiate the rescue process if they are at the scene.

188.

Braxton-Hicks contractions are characterized by:

a)

regular contractions of progressively increasing intensity.

b)

pink or red bloody show in conjunction with the contractions.

c)

alleviation of pain with movement or changing positions.

d)

a rupture of the amniotic sac just before the contractions begin.

189.

Returning the emergency unit to service is part of the _________.

a)

support phase

b)

termination phase

c)

hazard-control phase

d)

transfer phase

190.

Greenstick fractures occur in infants and children because:

a)

the growth plate is commonly injured.

b)

their bones are more brittle than an adult's.

c)

twisting injuries are more common in children.

d)

their bones bend more easily than an adult's.

191.

At present, the likelihood of a nuclear attack against the United States is very low because:

a)

the United States has an effective early warning system to detect an incoming nuclear missile.

b)

terrorist nations do not have the ability to deliver a nuclear weapon via missile or bomb.

c)

other than the United States, no other countries are currently in possession of nuclear weapons.

d)

all nuclear devices or weapons that different countries are in possession of are currently accounted for.

192.

The use of lights and siren on an ambulance:

a)

signifies a request for other drivers to yield the right of way.

b)

allows other drivers to hear and see you from a great distance.

c)

legally gives the emergency vehicle operator the right of way.

d)

is fun.

193.

You are at the scene of multiple-casualty incident when your partner slips and falls, injuring his leg. He is alert and responds appropriately to your questions. His respirations are 20 breath/min and his radial pulses are strong. What triage category should you assign your partner?

a)

Delayed

b)

Minimal

c)

Expectant

d)

Immediate

194.

Febrile seizures in a child:

a)

typically last less than 30 minutes.

b)

are usually caused by viral meningitis.

c)

may indicate a serious underlying illness.

d)

occur after a week of a febrile illness.

195.

Regardless of where portable and mounted oxygen cylinders are stored in the ambulance, they must:

a)

be capable of delivering oxygen at 1 to 15 L/min.

b)

hold a minimum capacity of 1,500 L of oxygen.

c)

undergo hydrostatic testing on a weekly basis.

d)

be easily identifiable by their bright green color.

196.

A 5-year-old child has had severe vomiting and diarrhea for 4 days. Which of the following assessment findings would be the MOST indicative of decompensated shock?

a)

Respiratory rate of 30 breaths/min

b)

Pulse rate greater than 120/min

c)

Blood pressure of 70/40 mm Hg

d)

Capillary refill time of 4 seconds

197.

Sedentary behavior while healing from a hip fracture would MOST likely predispose the older patient to:

a)

heart failure.

b)

osteoporosis.

c)

pneumonia.

d)

ischemic stroke.

198.

EMTs are dispatched for a fall. The patient, a 16-year-old female with Down syndrome, is experiencing difficulty walking and says that her fingers “feel like needles.” The EMTs should suspect:

a)

a seizure.

b)

an intracranial hemorrhage.

c)

hydrocephalus.

d)

a cervical spine injury.

199.

Which one of these is a type I Ambulance?

a)
b)
c)
d)
200.

The tube that carries food to the stomach is called the:

a)

Esophagus

b)

Intestines

c)

Trachea

d)

Trochanter

201.

Which of the following is not in the upper airway?

a)

Trachea

b)

Larynx

c)

Pharynx

d)

Nasopharynx

202.

Which of the following is the most important during an assessment:

a)

Getting a prompt SAMPLE history

b)

Keeping the patient comfortable

c)

Maintaining an open airway

d)

Performing a rapid body assessment

203.

What is placenta previa?

a)

Placenta covering the cervix

b)

Placenta detaching from the uterus

c)

Excessively small placenta

d)

Excessively large placenta

204.

The bone on the thumb-side of the forearm is the:

a)

Radius

b)

Ulna

c)

Tibia

d)

Fibula

205.

Prone refers to a patient who is:

a)

Lying on his abdomen

b)

Lying on his back

c)

Lying on his side

d)

Standing

206.

What is the inherent rate of conduction for the SA (sinoatrial) node?

a)

20 - 40 bpm

b)

40 - 60 bpm

c)

60 - 100 bpm

d)

100 - 120 bpm

207.

The appendix is located in the?

a)

LLQ

b)

LUQ

c)

RLQ

d)

RUQ

208.

What is the name of the upper arm bone?

a)

Humerus

b)

Humorous

c)

Radius

d)

Ulna

209.

The anatomical structure where the trachea splits into two bronchi is called the:

a)

Carina

b)

Clavicular Notch

c)

Cricoid Cartilage

d)

Xyphoid process

210.

Which of the following most accurately describes septic shock?

a)

Leaking blood vessels and vasodilation due to infection

b)

Leaking blood vessels and vasoconstriction due to infection

c)

Infection of the nervous system with widespread vasodilation

211.

Which of the following is not a risk factor for pneumothorax?

a)

Smoking

b)

On mechanical ventilation

c)

Family history

d)

Being female

212.

Which membrane surrounds the abdominal cavity?

a)

Perimastoid

b)

Perineum

c)

Peritoneum

d)

Pleura

213.

Which of the following actions would NOT be performed during the scene size-up?

a)

Rapidly assessing a patient's respiratory status

b)

Asking a neighbor to secure the patient's dog

c)

Notifying the dispatcher to send fire personnel

d)

Noting the position of a crashed motor vehicle

214.

When approaching a 32-year-old male who is complaining of traumatic neck pain, you should:

a)

approach him from behind and ask him not to move.

b)

ensure that the patient can see you approaching him.

c)

stand behind him and immediately stabilize his head

d)

assess his mental status by having him move his head.

215.

What maneuver should be used to open the airway of an unresponsive patient with suspected trauma?

a)

Tongue-jaw lift

b)

Head tilt–chin lift

c)

Jaw-thrust maneuver

d)

Head tilt–neck lift

216.

The chief complaint is MOST accurately defined as the:

a)

most serious thing the patient is concerned about.

b)

most life-threatening condition that you discover.

c)

condition that exacerbates an underlying problem.

d)

gross physical signs that you detect on assessment.

217.

When you inspect a patient's pupils with a penlight, the pupils should normally react to the light by:

a)

dilating.

b)

enlarging.

c)

fluttering.

d)

constricting.

218.

If a patient develops difficulty breathing after your primary assessment, you should immediately:

a)

determine his or her respiratory rate.

b)

begin assisting his or her breathing.

c)

auscultate his or her breath sounds.

d)

reevaluate his or her airway status.

219.

When assessing the skin of an unresponsive patient, you note that it has a bluish tint to it. This finding is called:

a)

flushing

b)

pallor.

c)

cyanosis.

d)

mottling.

220.

The leaf-shaped structure located superior to the larynx that helps prevent aspiration is called the:

a)

epiglottis.

b)

vallecula.

c)

cricoid ring.

d)

thyroid cartilage.

221.

Which of the following statements regarding oxygenation and ventilation is correct?

a)

In carbon monoxide (CO) poisoning, ventilation is impaired because CO binds to oxygen very quickly.

b)

In mines or confined places, where oxygen levels are low, ventilation may continue despite adequate oxygenation.

c)

Oxygenation is the movement of air into and out of the lungs, whereas ventilation is the exchange of gases.

d)

Oxygenation without adequate ventilation can occur in climbers who quickly ascend to an altitude of lower atmospheric pressure.

222.

The pressure of gas in a full cylinder of oxygen is approximately _______ pounds per square inch (psi).

a)

500

b)

1,000

c)

2,000

d)

3,000

223.

Prior to applying a nonrebreathing mask to a patient, you must ensure that the:

a)

reservoir bag is fully inflated.

b)

one-way valve is sealed.

c)

flow rate is set at 6 L/min.

d)

patient has reduced tidal volume.

224.

Which of the following statements regarding normal gas exchange in the lungs is correct?

a)

The oxygen content in the alveoli is highest during the exhalation phase.

b)

The actual exchange of oxygen and carbon dioxide occurs in the capillaries.

c)

Oxygen and carbon dioxide diffuse across the alveolar walls and capillaries.

d)

Blood that returns to the lungs from the body has low levels of carbon dioxide.

225.

Which of the following patients is breathing adequately?

a)

A conscious female with facial cyanosis and rapid, shallow respirations

b)

A conscious male with respirations of 19 breaths/min and pink skin

c)

A conscious male with respirations of 18 breaths/min and reduced tidal volume

d)

An unconscious 52-year-old female with snoring respirations and cool, pale skin

226.

Foods, medications, and insects are common causes of ________.

a)

anaphylactic shock

b)

septic shock

c)

neurogenic shock

d)

psychogenic shock

227.

Your patient is in shock, but the body's defense mechanisms are currently able to maintain adequate circulation. This is called ___________.

a)

irreversible shock

b)

late shock

c)

decompensated shock

d)

compensated shock

228.

To protect vital organs, the body compensates by directing blood flow away from organs that are more tolerant of low flow, such as:

a)

the skin.

b)

the heart.

c)

the brain.

d)

the lungs.

229.

A 56-year-old male is found semiconscious by his wife. Your assessment reveals that his respirations are rapid and shallow, his pulse is rapid and irregular, and his blood pressure is low. The patient's wife states that he complained of left arm pain and nausea the day before, but would not allow her to call 9-1-1. The MOST likely cause of this patient's present condition is:

a)

cardiogenic hypoperfusion.

b)

acute myocardial infarction.

c)

severe septic hypoperfusion.

d)

a ruptured aortic aneurysm.

230.

Clinical signs of compensated shock include all of the following, EXCEPT:

a)

restlessness or anxiety.

b)

cool and clammy skin.

c)

absent peripheral pulses.

d)

rapid, shallow breathing.

231.

Which of the following is the ONLY action that can prevent eventual death from a tension pneumothorax?

a)

Early administration of high-flow oxygen

b)

Decompression of the injured side of the chest

c)

Rapid administration of intravenous fluids

d)

Positive-pressure ventilation with a bag-valve mask

232.

What is the correct compression-to-ventilation ratio for adult CPR?

a)

30:1

b)

30:2

c)

5:1

d)

diarrhea

233.

Between each chest compression, you should __________.

a)

allow full chest recoil

b)

remove your hands from the chest

c)

check for a pulse

d)

administer a breath

234.

If an object is visible in the unconscious patient's airway, you should __________.

a)

continue chest compressions

b)

leave it in place

c)

remove it

d)

place the patient on his or her side

235.

Basic life support (BLS) is defined as:

a)

invasive emergency medical interventions such as intravenous therapy, manual defibrillation, and advanced airway management.

b)

any form of emergency medical treatment that is performed by advanced EMTs, paramedics, physicians, and emergency nurses.

c)

noninvasive emergency care that is used to treat conditions such as airway obstruction, respiratory arrest, and cardiac arrest.

d)

basic lifesaving treatment that is performed by bystanders while EMS providers are en route to the scene of an emergency.

236.

CPR will NOT be effective if the patient is:

a)

on a firm surface.

b)

horizontal.

c)

supine.

d)

prone.

237.

Upon arriving at a potentially unsafe scene, you should:

a)

call the national guard.

b)

call your mom.

c)

ensure that you are safe.

d)

remove all bystanders.

238.

What is the leading cause of death in a Geriatric patient?

a)

Heart disease

Cancer

Chronic lower respiratory disease

Stroke

Alzheimer disease

Diabetes mellitus

Influenza and pneumonia (p.1285)

b)

HTN (hypertension)

c)

(AMS) altered mental status

d)

arthritis

239.

Activated charcoal is an example of:

a)

Suspension

b)

Solution

c)

Elixir

d)

Gel