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Module 6 emt

Total questions: 28

Worksheet time: 14mins

Name
Class
Date
1.

A 7 year old male who is allergic to peanuts, inadvertently ate cookies that included peanut butter and school principal called when he started to make whistling sounds while breathing. His face and lips are swollen, and you are unable to auscultate any lung sounds. The principal hands you the child's epinephrine autoinjector. You should

a)

prepare for rapid transport

b)

administer diphenhydramine (Benadryl)

c)

Administer oxygen by non-rebreather mask

d)

administer the epinephrine autoinjector

2.

Which of the following psychological disorders can cause a patient to have a blank affect?

a)

Paranoia

b)

Delusions

c)

Schizophrenia

d)

Depression

3.

An 18 year old female complains of increasing low abdominal pain and tenderness over the past hour. You should direct your patient interview toward questions covering

a)

The types of food she ate over the past five hours

b)

her sexual intercourse and menstrual history

c)

her bowel and bladder activity during the day

d)

the location, duration, and any referred type of pain.

4.

Pelvic inflammatory disease is most often caused by

a)

sexually transmitted bacteria

b)

untreated urinary viral infections

c)

direct contact with the virus

d)

large bowel obstruction

5.

Most ingested poisons are absorbed in the

a)

small bowel

b)

colon

c)

large bowel

d)

stomach

6.

Agonal respirations are

a)

irregular and gasping

b)

rapid and shallow

c)

very rapid and deep

d)

shallow and wheezing

7.

A 62 year old male is having chest pain. He tells you it began one hour ago. You auscultate crackles in his lungs. His vital signs are P 94, R 16, BP 142/82, and SpO2 is 94% on room air. You administer aspirin and begin transport. En route he begins to sweat and wheeze. His BP changes to 106/82. You should suspect

a)

pneumonia

b)

right-sided heart failure

c)

cardiac asthma

d)

anaphylactic reaction

8.

A 72 year old male is vomiting large amounts of dark, foul-smelling liquids. He has diffuse, colicky abdominal pain. His skin is cool and clammy. His vital signs are P 112, R 16, BP 108/86, and SpO2 is 94% on room air. You should

a)

administer oxygen by nasal cannula

b)

administer oxygen by non-rebreather mask

c)

provide supportive care

d)

give sips of sport drinks

9.

You are called to an unkempt home of a 32 year old female who complains of an acute onset of shortness of breath. You hear diffuse wheezes throughout her lung fields. During your assessment, she tells you she is AFRAID to go outside and to the hospital. Her vital signs are P 90, R 16, BP 128/84, and SpO2 is 92% on room air. You should suspect

a)

a drug interaction

b)

hypoglycemia

c)

hyperventilation syndrome

d)

she has a phobia

10.

What is the primary cause of esophageal varices?

a)

portal hypertension

b)

liver failure

c)

alcoholism

d)

gastric reflux

11.

An 18 year old female is in law enforcement custody. She was pulled over for unsafe driving, spit on the officer, and tried to punch him before she became unresponsive. You should first

a)

determine her mental status prior to collapsing

b)

see if she was angry before she struck the officer

c)

see if she has a history of diabetes

d)

determine if she complained of a headache

12.

Which of the following specific therapeutic effects of epinephrine will reduce hypotension in a patient who is having an anaphylactic reaction?

a)

Alpha effects

b)

beta effects

c)

adrenergic effects

d)

sympathetic effects

13.

A 78 year old male complains of chest pain. During your examination, you see what appears to be a pulsating mass in the center of his abdomen. You place your hand over it and count a rate of 78. Your partner reports his vital signs are P 78, R 16, BP 110/82, and SpO2 is 95% on room air. You should suspect the mass is a/an

a)

cancerous tumor

b)

retroperitoneal abscess

c)

umbilical hernia

d)

aortic aneurysm

14.

Which of the following findings should lead you to suspect that your patient is suffering from a dissection of his aorta?

a)

a ripping pain in his chest and back

b)

weak carotid pulses

c)

a weakness of his left arm

d)

distended neck veins

15.

The most important treatment you can provide to a rape victim is to

a)

treat injuries as you do other patients

b)

keep detailed notes regarding care

c)

offer psychological support

d)

preserve all evidence

16.

A 46 year old male complains of severe epigastric pain 20 minutes after eating dinner. He is diaphoretic and pale. His vitals are P 94, R 16, BP 138/82, and SpO2 is 96% on room air. You should

a)

administer oxygen by nasal cannula 3lpm

b)

provide supportive care

c)

administer ASA 81 mg

d)

attach an AED

17.

As you approach a parked car, you see a middle-aged female who appears to be sleeping. There is a sign on the window that reads, "Beware hydrogen sulfide gas!" You should

a)

move away and await hazmat

b)

band on the window to arouse her

c)

don a N-95 mask

d)

break the window and run

18.

A 9 year old male is sick and complains of abdominal pain. His mother tells you he won't sit up and you observe him lying in a fetal position in bed. His skin is hot to touch. As you begin to assess him, you should ask,

a)

"can you tell me if the pain increases or decreases when you cough"

b)

"can you point, with one finger, to the spot that hurts the most?"

c)

"is the pain like gas, burning, or squeezing

d)

Does it hurt when I push here?" as you push over the RLQ

19.

An anaphylactic reaction occurs because of a/an

a)

sympathetic-parasympathetic interactin

b)

alpha beta interaction

c)

antigen-antibody interaction

d)

toxin-exotoxing interaction.

20.

Patients who have a history of behavioral illness most often become involved with EMS when they

a)

Act out and get arrested by law enforcement

b)

are reaching out for help from the society

c)

don't take their medications as schedule

d)

Are looking for a free meal

21.

A 19 year old male threatens to kill you if you approach him. He has already told his mother that he wants to die. You should first

a)

ask him his plan

b)

determine if he is serious

c)

determine his lethality

d)

leave the scene

22.

Which of the following is the most common inhaled poison?

a)

chlorine

b)

carbon monoxide

c)

cyanide

d)

propane

23.

Heat stroke patients have hot, dry skin because

a)

during the prodromal phase, all their fluids are shifted.

b)

during the transition from exhaustion to stroke, they did not absorb water

c)

they were unable to ingest adequate fluids

d)

their ability to sweat becomes disrupted.

24.

An 84 year old female has a weakening of her abdominal wall muscles, and bowel is bulging out of the abdominal cavity below the skin. You should suspect a/an

a)

evisceration

b)

hernia

c)

polyp

d)

hemorrhoid

25.

A homeless 60 year old male is leaning against a sign talking to no visible person. When you ask, he tells you he's interviewing for a job. You should suspect he has

a)

schizophrenia

b)

bipolar disorder

c)

delusions

d)

illusions

26.

A 63 year old male who has a history of alcoholism is vomiting up bright red blood. You should suspect

a)

stomach cancer

b)

peptic ulcer disease

c)

ruptured esophageal varices

d)

esophageal tear

27.

While completing a mental status examination, a 28 year old male states, "I am afraid the CIA is going to arrest me for being an alien from outer space." You should suspect

a)

delusions of grand theft auto

b)

delusional conflicts

c)

catatonic schizophrenia

d)

paranoid schizophrenia

28.

Body temperature is controlled by the brain's

a)

cerebellum

b)

hypothalamus

c)

medulla

d)

cerebrum