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WorksheetsGeriatrics, Transport Operations, and Special Rescue
Total questions: 50
Worksheet time: 26mins
A “silent” heart attack occurs when...
Chest pain is not present
Chest pain presents abnormally
Sweating is the only symptom
Sudden dysrhythmia causes death
Which of the following findings should alert the EMT to the possibility of a pulmonary embolism?
A distended abdomen
History of Deep Vein Thrombosis
Frequent Urinary Tract Infections
Patient has a history of COPD
As a person ages, the heart might enlarge as a result of...
Decreased blood return to the heart
Widespread vasodilation
Chronically increased afterload (i.e. hypertension)
Overall decrease in blood volume
During the natural process of aging, the number of functional cilia in the respiratory system decreases, resulting in...
Air trapping in the alveoli
Increased risk of COPD
Baseline respiratory distress
Decreased ability to cough
In contrast to younger patients, older patients are more prone to a decrease in blood pressure upon standing because...
The body is less able to adapt B/P to rapid postural changes
Overall increase in blood volume
Red blood cells are destroyed at a faster rate
Any change in position causes blood to be shunted to the brain
The slow progression of a decline in cognitive function, disorientation, and shortened attention span is known as...
Delirium
Dementia
Delusion
Altered Mental Status
A sudden onset of mental status change usually brought on by fever, metabolic changes, or mental illness is know as...
Dementia
Delirium
Alzheimer's Disease
Delusion
When an elderly patient presents you with multiple over-the-counter medications that he or she is taking, it is most important to...
Ask them what they take each medication for
Contact the physician on each medication
The patient is at higher risk for medication interactions
Look up all the medications before providing care
When explaining the need for a particular procedure to an elderly patient, you should...
Be complex so the patient can understand
Use appropriate medical terminology
Realize that they will not be able to understand you
Use plain language and simple terms
Which of the following patients is at highest risk for a pulmonary embolism?
A patient who recently had surgery on their lower leg
A patient recovering from pneumonia
A patient with a history of hypertension
A patient who takes a blood thinner
When assessing an older patient who has multiple bruises in various stages of healing, the EMT should do all of the following, EXCEPT...
Review the patient's daily activities
Accuse the caregiver of physical abuse
Factually document all findings
Ask the patient how the bruises occurred
How should you set up a landing zone?
Place 4 flares 100 feet apart in an "X" pattern
Use yellow caution tape to mark off the perimeter
Use weighted cones to mark all 4 corners
Ask bystanders to stand at all 4 corners
You have a stable patient you are going to transport to the hospital. You have provided appropriate treatment and loaded them into the ambulance. While en route to the hospital you should...
Use your lights and sirens but drive slowly and carefully
Keep your lights on but don't use the siren
Drive slowly and use the far left hand lane
Turn your lights off and obey all traffic laws
For every emergency call, dispatch should gather and record all of the following information, EXCEPT...
Patient's medical history
Nature of the call
Caller's phone number
Address or location of the patient
If hydroplaning occurs while driving the ambulance, you should...
Quickly jerk the steering wheel
Gradually slow down without slamming on the breaks
Slowly turn the steering wheel left and right
Slowly pump the breaks until you regain control
Medivac helicopters should be utilized in...
Ground transport would leave your district without coverage for more than 30 minutes
A patient has been in cardiac arrest for more than 15 minutes
Patient has a time dependent illness or injury and traffic would delay definitive care
Ground transport is longer than 30-45 minutes with a stable patient
When you arrive at the designated landing zone, you should...
Mark the landing zone with using personnel with flashlights
Provide the flight crew with a patient status update
Mark the landing zone with road flares
Survey the area for power lines or other hazards
The LEAST practical place to store a portable oxygen cylinder is...
The driver's compartment
Side or rear door
Inside the jump kit
The ambulance's stretcher
The six-pointed Star of Life emblem is often affixed to all of the following areas of the ambulance EXCEPT...
Rear
Front
Sides
Roof
Upon arriving at the scene of a major motor vehicle crash at night, you find that the safest place to park your ambulance is in a direction that is facing oncoming traffic. You should...
Turn off all warning lights
Quickly access the patient
Turn your headlights off
Place a flare near the crash
When a helicopter must land on a grade (uneven ground), you should...
Approach the aircraft from the uphill side
Approach the aircraft from the rear
Move the patient to the aircraft as soon as it lands
Approach the aircraft from the downhill side
When parking your ambulance at the scene of a motor vehicle crash, you should position the ambulance...
100' passed the scene on the same side of the road
50' passed on the same side of the road
50' passed on the opposite side of the road
Along side the scene to rapidly access the patient
When working at the scene of a motor vehicle crash at night, you should not use...
Portable flood lights
Road flares
Reflective vests
Intermittent flashing devices
You are en route to an emergency call when you approach a slow-moving vehicle on a two-way road. You can see oncoming traffic in the other lane. You should...
Pass the driver on the right hand shoulder
Use your public address system to alert the driver
Remain at a safe distance until it is safe to pass
Quickly pass the driver on the left
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...
Proceed to the call and only function as an emergency medical responder
Proceed to the call and clean and restock the ambulance after the call
Have your partner clean the ambulance while you drive to the call
Advise dispatch you are out of service and to send another unit
Your unit and a fire engine are responding to the scene of a patient in cardiac arrest. As you approach an intersection that is highly congested, you should...
Use a different siren tone than the fire engine
Turn off your lights and sirens
Ask the fire engine to remain 1,000' behind you
Advise the fire engine to follow closely behind you
A male restrained driver of a motor vehicle crash is awake and alert, complaining only of neck pain and left leg pain. The vehicle is stable, and no hazards are present. When removing this patient from his vehicle, you should...
Maintain slight traction to his neck when helping him out of the car
Immobilize him with a vest style device like a KED
Use rapid extrication technique
Apply a full leg splint prior to extrication
A driver is entrapped in her car after it struck a tree. As the rescue team is preparing to extricate her, you quickly assess her and determine that she is breathing shallowly and her radial pulse is absent. You should...
Begin CPR as soon as the team extricates her
Secure her with a KED before extrication
Maintain manual spinal stabilization as you extricate her
Stabilize the patient before extrication
A hiker fell into a ravine and is positioned on a steep incline. The most appropriate method of immobilizing and moving the patient to the ambulance is to...
Apply a KED and move the patient using a stair chair
Place them on a short backboard then move him to the stretcher
Immobilize the patient to a longboard backboard and use 4 person carry
Immobilize the patient on a longboard backboard and place them in a basket stretcher
A unique consideration when dealing with a hybrid vehicle is that...
The battery has higher voltage than a normal car battery
Cutting the battery cable results in explosion or fire
You must locate the ignition switch and cut it to prevent fire
Rescue teams should disconnect the positive cable battery first
As you and your team are removing an unresponsive patient from her wrecked car, you note that she has deformities to both of her legs and a deformity to her left humerus. You should...
Splint her extremities before removal
Support injured extremities and proceed with removal
Assess distal neurovascular functions in her extremities
Realign her deformed extremities before removal
____ is stereotyping older people that leads to discrimination.
Geriatricism
Racism
Ageism
Elder Abuse
A disease that causes arteries to harden, thicken, and calcify is known as...
Aneurysm
Arthritis
Atherosclerosis
Arteriosclerosis
You and your partner have been called to a residence at 0200 for a 68 year old male complaining of chest pain and difficulty breathing. The patient said it began suddenly while he was sleeping. The patient is sweaty, anxious, and his heart rate is elevated. You note marked JVD, a long scar down the length of his chest, and swelling in both of his legs. Based on this information you should MOST suspect...
Paroxysmal Nocturnal Dyspnea
Myocardial Infarction
Pulmonary Embolism
Pneumonia
____ is age related hearing loss.
Prebyopia
Presbycusis
Presbyteria
Presbycoma
When an elderly patient is taking multiple different prescription medications, often prescribed by different doctors, this is known as...
Polymedicine
Polygamy
Polypharmacy
Polyprescription
All of the following infections are commonly seen in patients living in skilled nursing facilities EXCEPT...
MRSA
VRE
C diff
E-Coli
Elder abuse most often occurs in which group?
Females over age 75
Females under age 75
Males over age 75
Males under age 75
Depression and other mental illnesses are rare in the geriatric population, but when they do occur, patients usually seek immediate medical care for behavioral issues.
True
False
A standard van, forward-control integral cab-body ambulance is what type?
Type I
Type II
Type III
Type IV
Your jump it should include everything you need for the first (a) minutes of patient care.
The ambulance inspection should include checks of all of the following EXCEPT...
Oil and fuel levels
Tire pressure and wear
Blinker fluid and horn pressure
Heating and cooling system
You should park the ambulance about ___ feet past the scene on the same side of the road.
50
150
75
100
The process that removes all microbial contamination through use of heat is called...
Cleaning
Disinfection
Pasteurization
Sterilization
Driving an ambulance with lights and sirens on automatically supersedes all traffic laws and gives you the right of way.
True
False
Keeping a safe distance between your vehicle and the one in front of you, checking for tailgaters behind you, and keeping aware of vehicles around you and in your blind spots is considered maintaining a ____ __ ____.
Cushion of safety
Cushion of space
Safe driving space
Cushion of defense
When approaching a medivac helicopter, you should always approach from the...
Rear
Side or front
From above
Quickly
When driving through an active school zone, you should reduce your speed to the posted speed limit, but keep your lights and sirens on to warn other vehicles of the emergency.
True
False
Which phase of an ambulance run is the most dangerous for first responders?
En route
Arrival
Transport
Delivery
Which of the following statements regarding hearing aids is correct?
Hearing aids can restore hearing to normal levels
A whistling sounds indicates proper placement
Hearing aids cannot restore hearing
Hearing aids only restore low levels of sound
