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WorksheetsFinal Exam
Total questions: 100
Worksheet time: 51mins
After _____ minutes without a pulse, irreversible damage occurs to the patient’s brain.
1 to 2
2 to 3
4 to 6
8 to 10
To determine pulselessness in an unresponsive adult patient, palpate the _____ pulse. In an infant, palpate the _____ pulse.
carotid, brachial
tibial, cartotid
pedal, carotid
brachial, tibial
Your patient is a 58-year-old male. He is unresponsive, breathless, and pulseless. You should perform CPR at the rate of _____ compressions per minute.
60 to 80
80 to 100
100 to 120
120 to 140
A patient is receiving CPR and has had an endotracheal tube inserted by an advanced provider. Which of the following is correct?
The compression rate is 80 per minute.
Pause compressions to perform ventilations.
Defibrillations can no longer be performed.
The ventilation rate is one breath every 6 seconds (12 per minute).
If a patient is unresponsive and can’t maintain his own airway and you suspect trauma, open the patient’s airway by using a _____ maneuver.
TMJ
Jaw Thrust
Mandible Lift
Head-tilt, Chin-lift
Which of the following terms describes occasional and gasping respirations?
Apnea
Bradyapnea
Tachyapnea
Agonal
In CPR, the rate of compressions for adult, child, and infant is how many per minute?
60 to 80
80 to 100
100 to 120
120 to 140
The highest level of EMS provider is:
Advanced EMT
Emergency Transport Technician
Emergency Medical Technician
Paramedic
Emergency Medical Responder care is usually authorized by:
National Registry
The Patient's Physician
State Laws
Department Bylaws
As an Emergency Medical Responder, which of the following should you set as your top priority at the scene of an emergency?
CPR
Patient Care
Safety
Traffic Control
A(n) ____ is a facility that is capable of advanced care on a 24-hour basis and that meets criteria established by the American College of Surgeons.
Trauma Center
Emergency and Intensive Care Center
Special Surgical Center
Accident Care and Treatment Center
Patients of legal age who are competent and who accept your care are giving____ consent.
Implied
Expressed
Guardian
Minor's
Standard Precautions may include:
a personal flotation device.
gloves, eye protection, and mask.
a rescue helmet with chin strap.
turnout gear and reflective tape.
An Emergency Medical Responder possesses all of the following skills EXCEPT:
Defibrillation
Medication Administration
Oxygen Administration
Bleeding Control
In an emergency in which a patient is so severely injured that a clear decision cannot be made, you have the right to provide care based on _________ consent.
Implied
Expressed
Guardian
Minor's
A careful and deliberate walk around a scene, scanning for dangers or hazards, is known as a:
360-Degree Assessment
270-Degree Assessment
180-Degress Assessment
90-Degree Assessment
Appropriate lifestyle changes to aid in dealing with stress would include all of the following EXCEPT:
cutting down on sugar, fat, and caffeine.
adding exercise in your daily routine.
avoiding cigarettes and alcohol.
avoiding the use of relaxation techniques.
An Emergency Medical Responder who flees a scene because of potential violence and positions himself behind a brick retaining wall is using which technique?
Cover
Concealment
Distraction
Misdirection
A patient with a terminal illness has an outburst where she yells “Why is this happening to me?” This patient is exhibiting what stage of the grieving process?
Bargaining
Depression
Denial
Anger
Disease-causing agents are called:
Venoms
Toxemias
Pathogens
Amoebas
Practice to prevent exposure to disease during patient contact is called:
Infection Precautions
Universal Isolations
Disease Control Methods
Standard Precautions
If an Emergency Medical Responder has an exposure and the contamination involves the eyes, it is recommended that irrigation be done for a minimum of:
5 Minutes
10 Minutes
15 Minutes
20 Minutes
If you observe potential signs of violence at a scene, what should your first action be?
Stabilize the patient.
Contact your medical director.
Turn on your vehicle’s siren.
Retreat to a position of safety.
If you find danger from a threatening person at a scene, do all of the following EXCEPT:
Engage
Distract
Retreat
Conceal
The Emergency Medical Responder must balance the need for rapid response to emergencies with the avoidance of becoming part of the incident itself, using the concepts of:
time, retreating, and blockading.
time, spacing, and protecting.
time, protection, and avoidance.
time, distance, and shielding.
An Emergency Medical Responder’s obligation to keep patients from getting hurt further is the goal of:
finding them a shelter.
transporting them to safety.
protecting them from harm.
establishing a safety perimeter for them.
An Emergency Medical Responder should position herself to communicate with a patient:
above eye level.
at eye level.
well below eye level.
at any level that is comfortable.
The personal space around a patient is _____ feet in all directions.
3
4
5
6
Which of the following is a barrier to communication?
Good Lighting
Quiet
Being at Patient's Eye Level
Distractions
A person who is lying down on her left side is in a(n) _____ position.
Prone
Supine
Anatomical
Lateral Recumbent
A person who is standing erect, with arms at sides and palms forward, is in a(n) ____ position.
Prone
Supine
Anatomical
Lateral Recumbent
The opposite of anterior, which refers to the front, is _____, which refers to the back.
Posterior
Inferior
Lateral
Distal
The spinal column is divided into how many sections?
4
5
6
7
The ________ is the longest and strongest bone in the body.
Femur
Humerus
Tibia
Ulna
The shoulder girdle consists of:
Clavicle and Humerus
Humerus and Ischium
Scapula and Humerus
Clavicle and Scapula
A person who is lying face up on his back is in a(n) _____ position.
Prone
Supine
Anatomical
Lateral Recumbent
How many pairs of ribs are attached anteriorly to the sternum?
9
10
11
12
Which organ is particularly sensitive to an inadequate supply of oxygen and may, as a result, cause the patient to exhibit such signs as restlessness and anxiety?
Heart
Brain
Lungs
Liver
How many bones are in the spinal column?
22
33
29
44
The skull, rib cage, and spinal column are referred to together as the:
Appendicular Skeleton
Medial Skeleton
Basal Skeleton
Axial Skeleton
Proximal means close, or near the point of reference, and _____ means distant, or far away from the point of reference.
Posterior
Inferior
Lateral
Distal
The fluid that surrounds the brain is called:
aqueous humour fluid.
synovial fluid.
hemoplasmatic fluid.
cerebrospinal fluid.
Manual _____ is the technique used to keep the head and neck aligned when the patient has a suspected neck injury.
Traction
Stabilization
Repositioning
Blocking
Common mechanisms of injury include all of the following EXCEPT:
a fall from high place.
infectious diseases.
a penetrating wound (gun/knife).
vehicular collisions.
Trauma assessment is largely:
dependent upon online medical control.
a highly specialized process.
based on patient history and scene observations.
based on a hands-on physical examination.
The _____ is a general idea of how bad a person’s injuries may be, based upon the mechanism of injury.
resource determination
scene assessment and evaluation
index of suspicion
kinetic energy of trauma
Bright red blood that spurts from a wound is called _____ bleeding.
Venous
Lymphatic
Capillary
Arterial
Which type of dressing should be applied to an open chest wound?
Porous
Absorbent
Occlusive
Form-fitting
The grating sound of bone ends rubbing together is called:
Rubbing
Scour
Stridulous
Crepitus
The force of trauma applied over a large area is referred to as:
Blunt Trauma
Penetrating Trauma
Ecchymotic Trauma
Abrasive Trauma
A(n) _____ is a cut to the skin and/or to the layers of the soft tissue beneath the skin, caused by a sharp object.
Puncture
Abrasion
Laceration
Avulsion
The covering for a wound, designed to control bleeding and to protect the wound, is called a(n):
Dressing
Hemostatic Application
Bandage
Adhesive Compress
Bruising behind the ears, which is a delayed sign of a skull fracture, is called:
Raccoon Sign
Battle Sign
Cushing's Sign
Hoffman's Sign
Which of the following best describes how a dressing and bandage should be applied?
Place the dressing loosely over the bandage.
Place the bandage over the dressing, securing it as tightly as possible.
Place the dressing tightly over the bandage, but don’t restrict the flow of blood.
Place the bandage tightly over the dressing, but don’t restrict the flow of blood.
Impaled objects usually should be secured in place—EXCEPT when the object is impaled in the:
Lung
Cheek
Eye
Neck
The posturing that occurs with a closed head injury is an involuntary movement of the patient’s limbs, referred to as:
Flexion or Extension
Superior or Inferior
Tension or Relaxation
Reflexive or Responsive
Trauma to the skeletal system and associated muscles, tendons, and joints is a(n):
Neurologic Injury
Allopathic Injury
Orthopedic Injury
Thoracic Injury
In a(n) ___________musculoskeletal injury, the skin overlying the injured bone perforates the skin from the inside out.
Closed
Osteopathic
Communited
Open
_______ force causes an injury away from the site of impact because the force is transferred to other parts of the body.
Twisting
Direct
Indirect
Transverse
Which type of injury occurs when muscles and tendons are overworked?
Sprain
Dislocation
Strain
Disruption
Shortness of breath, extended exhalations and non-productive cough are signs/symptoms of what Respiratory compromise?
Asthma
Chronic Bronchitis
Emphysema
Hyperventilation
A person in early stages of shock oftentimes demonstrates a pulse that is:
Weak and Slow
Strong and Irregular
Weak and Rapid
Strong and Slow
Accessory muscle use in the neck is an indication of:
High Blood Pressure
Blood backing up in the Heart
Neck Injury
Difficulty Breathing
The oxygenated blood supply for the heart is provided by which blood vessels?
The Inferior and Superior Vena Cava
The Coronary Artery
The Lymphatic Vascular System
The Aortic Veins
A patient with asthma may make what type of sound when breathing—a sound that sometimes can be heard even without a stethoscope?
Wheezing
Rhonchi
Rales
Stridor
In the condition known as _____, a patient has difficulty breathing because inefficient beating of the heart causes fluid to build up in the lungs.
Chronic Obstructive Pulmonary Disease
Congestive Heart Failure
Asthma
Pneumonia
1. A _____ occurs when one of the coronary arteries is blocked, preventing blood from getting to heart muscle.
Cardiac Tamponade
myocardial dysplasia
myocardial infarction
cardiac heart block
A substance that causes an abnormal immune response is called an:
Antibody
Allergen
Antihistamine
Atopy
A severe, life-threatening allergic reaction is referred to as what type of shock?
Neurologic
Hypovolemic
Septic
Anaphylactic
Which of the following is a sign of anaphylaxis?
Slow Pulse
High Blood Pressure
Wheezing
Swelling hands and feet
_____ is a medication that a person can carry in an auto-injector in case of a severe allergic reaction.
Epinephrine
Atropine
Dopamine
Promethazene
What is a side effect of an Epi-Pen®?
A slowing respiratory rate
A Calming effect
An Increased Heart Rate
Flushed Skin
A sign of respiratory distress known as _____ occurs when abdominal and neck muscles are used for breathing.
Anterior Muscle Use
Additional Muscle Use
Ancillary Muscle Use
Accessory Muscle Use
The consistent delivery of adequate oxygen to the cells is called:
Circulation
Contusion
Perfusion
Hypoxation
The type of shock caused by a failure of the heart is referred to as:
Hypovolemic
Blood Loss
Distributive
Cardiogenic
A sign of the late stages of shock, in which the body can no longer compensate, is:
A drop in blood pressure
Very rapid respirations
a significant rise in pulse
incontinence
In a life-threatening condition known as a ______, a pneumothorax puts pressure on the heart and great vessels of the chest, causing profound shock.
Hemothorax
Spontaneous Pneumothorax
Tension Pneumothorax
Paradoxical Pneumothorax
Heat loss involving the transfer of heat to an object without physical contact is known as:
Convection
Conduction
Radiation
Evaporation
Most body heat is lost through which part of the body?
The Chest and Back
The Arms and Legs
The Head and Neck
The Abdomen and Pelvis
Which of the following is NOT a risk factor for a patient’s response to cold?
Underlying Medical Condition
Age
Use of alcohol or drugs
Altitude
A sign of mild hypothermia is:
Increased Blood Pressure
Decreased Pulse Rate
Decreased Respiration Rate
Absence of Shivering
Shortness of breath, wheezing and non-productive cough are signs/symptoms of what Respiratory compromise?
Asthma
Chronic Bronchitis
Emphysema
Hyperventilation
Shortness of breath, wheezing and productive cough are signs/symptoms of what Respiratory compromise?
Asthma
Chronic Bronchitis
Emphysema
Hyperventilation
In the condition known as a _________, air works its way in between the chest wall and the lung, causing the lung to collapse.
Flail Chest
Pneumothorax
Thoracic Decompression
Negative Pressure Syndrome
Which one of the following is NOT part of scene size-up?
Taking standard precautions
Determining the number of patients
Identifying the mechanism of injury
Establishing an airway and ventilating
The patient’s response to your question about how he is feeling or what is wrong is called the:
General Impression
Rapid Check
Chief Complaint
Subjective Evaluation
The letter “A” of the mnemonic “AVPU,” used for determining responsiveness, stands for:
Alert
Anxious
Altered Mental Status
Aware
A finding that is relayed from the patient but that cannot be observed or measured is a(n):
Sign
Suspicion of Cause
Symptom
Objective Discovery
The “P” in SAMPLE history stands for:
Past Medical History
Pharmaceuticals used
Present Illnesses
Primary Complaint
Taking multiple vital signs over time is referred to as:
Repetitive Evaluation
Trending
Baseline Shifting
Redundancy
Which of the following senses is usually NOT used when assessing vital signs?
Sight
Hearing
Touch
Smell
The general assessment technique that involves feeling patients with one’s hands is called:
Ausciltating
Observation
Palpating
Scanning
The “D” in the “BP-DOC” mnemonic stands for:
Distress
Deformity
Dyspnea
Dislocation
The first part of the head-to-toe examination is:
Palpate
Ausciltate
Evaluate
Inspect
Which of the following is NOT one of the five decisions in the scene size-up for the Emergency Medical Responder?
How many patients are involved in the incident?
Which hospital to transport the patient
What resources will be needed in order to handle
Whether the scene is safe for emergency personnel
The primary assessment includes which of the following steps?
Patient Disposition
A SAMPLE History
ABCs
Vital Signs
What is a factor in more than half of motor vehicle crashes involving emergency vehicles?
Weather
Impaired Driving
Road Conditions
Speed
When using warning lights and the siren, the driver of an emergency vehicle should exercise:
The right-of-way in emergencies.
Due regard for the safety of others.
Warning signal rules for emergency vehicles.
Rules for emergency response.
The EMS vehicle that the Emergency Medical Responder responds in should be inspected:
Daily
Weekly
Monthly
Biweekly
Which of the following components is NOT part of the daily safety inspection for a response vehicle?
Communications Equipment
Siren and Horn
Outside the Vehicle
Medical Equipment
