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EMT Chapter 17

Total questions: 20

Worksheet time: 15mins

Name
Class
Date
1.

Deoxygenated blood from the body returns to the:

a)

 right atrium

b)

 right ventricle

c)

 left atrium

d)

left ventricle

2.

Which of the following blood vessels transports oxygenated blood?

a)

Superior vena cava

b)

 Pulmonary arteries

c)

 Inferior vena cava

d)

Pulmonary veins

3.

The electrical impulse generated by the heart originates in the:

a)

 bundle of His

b)

coronary sinus

c)

sinoatrial node

d)

 atrioventricular node

4.

In contrast to the sympathetic nervous system, the parasympathetic nervous system:

a)

 prepares the body to handle stress

b)

 causes an increase in the heart rate

c)

 slows the heart and respiratory rates

d)

dilates the blood vessels in the muscles

5.

The right coronary artery supplies blood to the:

a)

 left ventricle and inferior wall of the right atrium

b)

 right ventricle and inferior wall of the left ventricle

c)

 right atrium and posterior wall of the right ventricle

d)

 left ventricle and posterior wall of the right ventricle

6.

The iliac arteries immediately subdivide into the:

a)

femoral arteries

b)

 peroneal arteries

c)

anterior tibial arteries

d)

posterior tibial arteries

7.

Narrowing of the coronary arteries caused by a buildup of fatty deposits is called:

a)

angina pectoris

b)

 arteriosclerosis

c)

acute ischemia

d)

atherosclerosis

8.

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

9.

The MOST common reason that many people experiencing AMI do not seek immediate medical attention is because they:

a)

are elderly

b)

 are in denial

c)

cannot afford it

d)

do not trust EMTs

10.

When documenting a patient’s description of his or her chest pain or discomfort, the EMT should:

a)

use medical terminology

b)

 use the patient’s own words

c)

underline the patient’s quotes

d)

document his or her own perception

11.

Which of the following signs is commonly observed in patients with right-sided heart failure?

a)

 Labored breathing

b)

Dependent edema

c)

Pulmonary edema

d)

Flat jugular veins

12.

 A dissecting aortic aneurysm occurs when:

a)

 all layers of the aorta suddenly contract

b)

 a weakened area develops in the aortic wall

c)

 the inner layers of the aorta become separated

d)

the aorta ruptures, resulting in profound bleeding

13.

Upon arriving at the residence of a patient with a possible cardiac problem, it is MOST important to:

a)

 assess the scene for potential hazards

b)

determine if you need additional help

c)

request a paramedic unit for assistance

d)

gain immediate access to the patient

14.

Which of the following medications is commonly given to patients with chest pain to prevent blood clots from forming or getting bigger?

a)

Furosemide (Lasix)

b)

Aspirin

c)

Oxygen

d)

Metoprolol (Toprol)

15.

Which of the following statements regarding nitroglycerin is correct?

a)

The potency of nitroglycerin is increased when exposed to light

b)

A maximum of five nitroglycerin doses should be given to a patient

c)

Nitroglycerin should be administered between the cheek and gum

d)

Nitroglycerin usually relieves anginal chest pain within 5 minutes

16.

Most patients are instructed by their physician to take up to _______ doses of nitroglycerin before calling EMS

a)

two

b)

three

c)

four

d)

five

17.

When preparing to obtain a 12-lead ECG, the LL and RL electrodes should be placed: 

a)

 on the lower abdomen

b)

anywhere on the arms

c)

on the thighs or ankles

d)

on either side of the chest

18.

The AED is MOST advantageous to the EMT because:

a)

 it is lightweight, easy to use, and safe for the EMT who is using it

b)

 it delivers prompt defibrillation to patients with ventricular fibrillation

c)

its use does not require the presence of advanced life support personnel

d)

it delivers an unlimited number of shocks with the same amount of energy

19.

Prior to attaching the AED to a cardiac arrest patient, the EMT should:

a)

 contact medical control

b)

dry the chest if it is wet

c)

perform CPR for 30 seconds

d)

 assess for a pulse for 20 seconds

20.

Cardiogenic shock following AMI is caused by:

a)

decreased pumping force of the heart muscle

b)

 a profound increase in the patient’s heart rate

c)

hypovolemia secondary to severe vomiting

d)

widespread dilation of the systemic vasculature