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Worksheets

Final Exam

Total questions: 100

Worksheet time: 51mins

Name
Class
Date
1.

After _____ minutes without a pulse, irreversible damage occurs to the patient’s brain.

a)

1 to 2

b)

2 to 3

c)

4 to 6

d)

8 to 10

2.

To determine pulselessness in an unresponsive adult patient, palpate the _____ pulse. In an infant, palpate the _____ pulse.

a)

carotid, brachial

b)

tibial, cartotid

c)

pedal, carotid

d)

brachial, tibial

3.

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.

a)

60 to 80

b)

80 to 100

c)

100 to 120

d)

120 to 140

4.

A patient is receiving CPR and has had an endotracheal tube inserted by an advanced provider. Which of the following is correct?

a)

The compression rate is 80 per minute.

b)

Pause compressions to perform ventilations.

c)

Defibrillations can no longer be performed.

d)

The ventilation rate is one breath every 6 seconds (12 per minute).

5.

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.

a)

TMJ

b)

Jaw Thrust

c)

Mandible Lift

d)

Head-tilt, Chin-lift

6.

Which of the following terms describes occasional and gasping respirations?

a)

Apnea

b)

Bradyapnea

c)

Tachyapnea

d)

Agonal

7.

In CPR, the rate of compressions for adult, child, and infant is how many per minute?

a)

60 to 80

b)

80 to 100

c)

100 to 120

d)

120 to 140

8.

The highest level of EMS provider is:

a)

Advanced EMT

b)

Emergency Transport Technician

c)

Emergency Medical Technician

d)

Paramedic

9.

Emergency Medical Responder care is usually authorized by:

a)

National Registry

b)

The Patient's Physician

c)

State Laws

d)

Department Bylaws

10.

As an Emergency Medical Responder, which of the following should you set as your top priority at the scene of an emergency?

a)

CPR

b)

Patient Care

c)

Safety

d)

Traffic Control

11.

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.

a)

Trauma Center

b)

Emergency and Intensive Care Center

c)

Special Surgical Center

d)

Accident Care and Treatment Center

12.

Patients of legal age who are competent and who accept your care are giving____ consent.

a)

Implied

b)

Expressed

c)

Guardian

d)

Minor's

13.

Standard Precautions may include:

a)

a personal flotation device.        

b)

gloves, eye protection, and mask.

c)

a rescue helmet with chin strap.

d)

turnout gear and reflective tape.

14.

An Emergency Medical Responder possesses all of the following skills EXCEPT:

a)

Defibrillation

b)

Medication Administration

c)

Oxygen Administration

d)

Bleeding Control

15.

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.

a)

Implied

b)

Expressed

c)

Guardian

d)

Minor's

16.

A careful and deliberate walk around a scene, scanning for dangers or hazards, is known as a:

a)

360-Degree Assessment

b)

270-Degree Assessment

c)

180-Degress Assessment

d)

90-Degree Assessment

17.

Appropriate lifestyle changes to aid in dealing with stress would include all of the following EXCEPT:

a)

cutting down on sugar, fat, and caffeine.

b)

adding exercise in your daily routine.

c)

avoiding cigarettes and alcohol.

d)

avoiding the use of relaxation techniques.

18.

An Emergency Medical Responder who flees a scene because of potential violence and positions himself behind a brick retaining wall is using which technique?

a)

Cover

b)

Concealment

c)

Distraction

d)

Misdirection

19.

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?

a)

Bargaining

b)

Depression

c)

Denial

d)

Anger

20.

Disease-causing agents are called:

a)

Venoms

b)

Toxemias

c)

Pathogens

d)

Amoebas

21.

Practice to prevent exposure to disease during patient contact is called:

a)

Infection Precautions

b)

Universal Isolations

c)

Disease Control Methods

d)

Standard Precautions

22.

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:

a)

5 Minutes

b)

10 Minutes

c)

15 Minutes

d)

20 Minutes

23.

If you observe potential signs of violence at a scene, what should your first action be?

a)

Stabilize the patient.

b)

Contact your medical director.

c)

Turn on your vehicle’s siren.

d)

Retreat to a position of safety.

24.

If you find danger from a threatening person at a scene, do all of the following EXCEPT:

a)

Engage

b)

Distract

c)

Retreat

d)

Conceal

25.

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:

a)

time, retreating, and blockading.

b)

time, spacing, and protecting.

c)

time, protection, and avoidance.

d)

time, distance, and shielding.

26.

An Emergency Medical Responder’s obligation to keep patients from getting hurt further is the goal of:

a)

finding them a shelter.

b)

transporting them to safety.

c)

protecting them from harm.

d)

establishing a safety perimeter for them.

27.

An Emergency Medical Responder should position herself to communicate with a patient:

a)

above eye level.

b)

at eye level.

c)

well below eye level.

d)

at any level that is comfortable.

28.

The personal space around a patient is _____ feet in all directions.

a)

3

b)

4

c)

5

d)

6

29.

Which of the following is a barrier to communication?

a)

Good Lighting

b)

Quiet

c)

Being at Patient's Eye Level

d)

Distractions

30.

A person who is lying down on her left side is in a(n) _____ position.

a)

Prone

b)

Supine

c)

Anatomical

d)

Lateral Recumbent

31.

A person who is standing erect, with arms at sides and palms forward, is in a(n) ____ position.

a)

Prone

b)

Supine

c)

Anatomical

d)

Lateral Recumbent

32.

The opposite of anterior, which refers to the front, is _____, which refers to the back.

a)

Posterior

b)

Inferior

c)

Lateral

d)

Distal

33.

The spinal column is divided into how many sections?

a)

4

b)

5

c)

6

d)

7

34.

The ________ is the longest and strongest bone in the body.

a)

Femur

b)

Humerus

c)

Tibia

d)

Ulna

35.

The shoulder girdle consists of:

a)

Clavicle and Humerus

b)

Humerus and Ischium

c)

Scapula and Humerus

d)

Clavicle and Scapula

36.

A person who is lying face up on his back is in a(n) _____ position.

a)

Prone

b)

Supine

c)

Anatomical

d)

Lateral Recumbent

37.

How many pairs of ribs are attached anteriorly to the sternum?

a)

9

b)

10

c)

11

d)

12

38.

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?

a)

Heart

b)

Brain

c)

Lungs

d)

Liver

39.

How many bones are in the spinal column?

a)

22

b)

33

c)

29

d)

44

40.

The skull, rib cage, and spinal column are referred to together as the:

a)

Appendicular Skeleton

b)

Medial Skeleton

c)

Basal Skeleton

d)

Axial Skeleton

41.

Proximal means close, or near the point of reference, and _____ means distant, or far away from the point of reference.

a)

Posterior

b)

Inferior

c)

Lateral

d)

Distal

42.

The fluid that surrounds the brain is called:

a)

aqueous humour fluid. 

b)

synovial fluid.

c)

hemoplasmatic fluid.

d)

cerebrospinal fluid.

43.

Manual _____ is the technique used to keep the head and neck aligned when the patient has a suspected neck injury.

a)

Traction

b)

Stabilization

c)

Repositioning

d)

Blocking

44.

Common mechanisms of injury include all of the following EXCEPT:

a)

a fall from high place.

b)

infectious diseases.

c)

a penetrating wound (gun/knife).

d)

vehicular collisions.

45.

Trauma assessment is largely:

a)

dependent upon online medical control.

b)

a highly specialized process.

c)

based on patient history and scene observations.

d)

based on a hands-on physical examination.

46.

The _____ is a general idea of how bad a person’s injuries may be, based upon the mechanism of injury.

a)

resource determination

b)

scene assessment and evaluation

c)

index of suspicion

d)

kinetic energy of trauma

47.

Bright red blood that spurts from a wound is called _____ bleeding.

a)

Venous

b)

Lymphatic

c)

Capillary

d)

Arterial

48.

Which type of dressing should be applied to an open chest wound?

a)

Porous

b)

Absorbent

c)

Occlusive

d)

Form-fitting

49.

The grating sound of bone ends rubbing together is called:

a)

Rubbing

b)

Scour

c)

Stridulous

d)

Crepitus

50.

The force of trauma applied over a large area is referred to as:

a)

Blunt Trauma

b)

Penetrating Trauma

c)

Ecchymotic Trauma

d)

Abrasive Trauma

51.

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.

a)

Puncture

b)

Abrasion

c)

Laceration

d)

Avulsion

52.

The covering for a wound, designed to control bleeding and to protect the wound, is called a(n):

a)

Dressing

b)

Hemostatic Application

c)

Bandage

d)

Adhesive Compress

53.

Bruising behind the ears, which is a delayed sign of a skull fracture, is called:

a)

Raccoon Sign

b)

Battle Sign

c)

Cushing's Sign

d)

Hoffman's Sign

54.

Which of the following best describes how a dressing and bandage should be applied?

a)

Place the dressing loosely over the bandage.

b)

Place the bandage over the dressing, securing it as tightly as possible.

c)

Place the dressing tightly over the bandage, but don’t restrict the flow of blood.

d)

Place the bandage tightly over the dressing, but don’t restrict the flow of blood.

55.

Impaled objects usually should be secured in place—EXCEPT when the object is impaled in the:

a)

Lung

b)

Cheek

c)

Eye

d)

Neck

56.

The posturing that occurs with a closed head injury is an involuntary movement of the patient’s limbs, referred to as:

a)

Flexion or Extension

b)

Superior or Inferior

c)

Tension or Relaxation

d)

Reflexive or Responsive

57.

Trauma to the skeletal system and associated muscles, tendons, and joints is a(n):

a)

Neurologic Injury

b)

Allopathic Injury

c)

Orthopedic Injury

d)

Thoracic Injury

58.

In a(n) ___________musculoskeletal injury, the skin overlying the injured bone perforates the skin from the inside out.

a)

Closed

b)

Osteopathic

c)

Communited

d)

Open

59.

_______ force causes an injury away from the site of impact because the force is transferred to other parts of the body.

a)

Twisting

b)

Direct

c)

Indirect

d)

Transverse

60.

Which type of injury occurs when muscles and tendons are overworked?

a)

Sprain

b)

Dislocation

c)

Strain

d)

Disruption

61.

Shortness of breath, extended exhalations and non-productive cough are signs/symptoms of what Respiratory compromise?

a)

Asthma

b)

Chronic Bronchitis

c)

Emphysema

d)

Hyperventilation

62.

A person in early stages of shock oftentimes demonstrates a pulse that is:

a)

Weak and Slow

b)

Strong and Irregular

c)

Weak and Rapid

d)

Strong and Slow

63.

Accessory muscle use in the neck is an indication of:

a)

High Blood Pressure

b)

Blood backing up in the Heart

c)

Neck Injury

d)

Difficulty Breathing

64.

The oxygenated blood supply for the heart is provided by which blood vessels?

a)

The Inferior and Superior Vena Cava

b)

The Coronary Artery

c)

The Lymphatic Vascular System

d)

The Aortic Veins

65.

A patient with asthma may make what type of sound when breathing—a sound that sometimes can be heard even without a stethoscope?

a)

Wheezing

b)

Rhonchi

c)

Rales

d)

Stridor

66.

In the condition known as _____, a patient has difficulty breathing because inefficient beating of the heart causes fluid to build up in the lungs.

a)

Chronic Obstructive Pulmonary Disease

b)

Congestive Heart Failure

c)

Asthma

d)

Pneumonia

67.

1.       A _____ occurs when one of the coronary arteries is blocked, preventing blood from getting to heart muscle.

a)

Cardiac Tamponade        

b)

myocardial dysplasia

c)

myocardial infarction

d)

cardiac heart block

68.

A substance that causes an abnormal immune response is called an:

a)

Antibody

b)

Allergen

c)

Antihistamine

d)

Atopy

69.

A severe, life-threatening allergic reaction is referred to as what type of shock?

a)

Neurologic

b)

Hypovolemic

c)

Septic

d)

Anaphylactic

70.

Which of the following is a sign of anaphylaxis?

a)

Slow Pulse

b)

High Blood Pressure

c)

Wheezing

d)

Swelling hands and feet

71.

_____ is a medication that a person can carry in an auto-injector in case of a severe allergic reaction.

a)

Epinephrine

b)

Atropine

c)

Dopamine

d)

Promethazene

72.

What is a side effect of an Epi-Pen®?

a)

A slowing respiratory rate

b)

A Calming effect

c)

An Increased Heart Rate

d)

Flushed Skin

73.

A sign of respiratory distress known as _____ occurs when abdominal and neck muscles are used for breathing.

a)

Anterior Muscle Use

b)

Additional Muscle Use

c)

Ancillary Muscle Use

d)

Accessory Muscle Use

74.

The consistent delivery of adequate oxygen to the cells is called:

a)

Circulation

b)

Contusion

c)

Perfusion

d)

Hypoxation

75.

The type of shock caused by a failure of the heart is referred to as:

a)

Hypovolemic

b)

Blood Loss

c)

Distributive

d)

Cardiogenic

76.

A sign of the late stages of shock, in which the body can no longer compensate, is:

a)

A drop in blood pressure

b)

Very rapid respirations

c)

a significant rise in pulse

d)

incontinence

77.

In a life-threatening condition known as a ______, a pneumothorax puts pressure on the heart and great vessels of the chest, causing profound shock.

a)

Hemothorax

b)

Spontaneous Pneumothorax

c)

Tension Pneumothorax

d)

Paradoxical Pneumothorax

78.

Heat loss involving the transfer of heat to an object without physical contact is known as:

a)

Convection

b)

Conduction

c)

Radiation

d)

Evaporation

79.

Most body heat is lost through which part of the body?

a)

The Chest and Back

b)

The Arms and Legs

c)

The Head and Neck

d)

The Abdomen and Pelvis

80.

Which of the following is NOT a risk factor for a patient’s response to cold?

a)

Underlying Medical Condition

b)

Age

c)

Use of alcohol or drugs

d)

Altitude

81.

A sign of mild hypothermia is:

a)

Increased Blood Pressure

b)

Decreased Pulse Rate

c)

Decreased Respiration Rate

d)

Absence of Shivering

82.

Shortness of breath, wheezing and non-productive cough are signs/symptoms of what Respiratory compromise?

a)

Asthma

b)

Chronic Bronchitis

c)

Emphysema

d)

Hyperventilation

83.

Shortness of breath, wheezing and productive cough are signs/symptoms of what Respiratory compromise?

a)

Asthma

b)

Chronic Bronchitis

c)

Emphysema

d)

Hyperventilation

84.

In the condition known as a _________, air works its way in between the chest wall and the lung, causing the lung to collapse.

a)

Flail Chest

b)

Pneumothorax

c)

Thoracic Decompression

d)

Negative Pressure Syndrome

85.

Which one of the following is NOT part of scene size-up?

a)

Taking standard precautions

b)

Determining the number of patients

c)

Identifying the mechanism of injury

d)

Establishing an airway and ventilating

86.

The patient’s response to your question about how he is feeling or what is wrong is called the:

a)

General Impression

b)

Rapid Check

c)

Chief Complaint

d)

Subjective Evaluation

87.

The letter “A” of the mnemonic “AVPU,” used for determining responsiveness, stands for:

a)

Alert

b)

Anxious

c)

Altered Mental Status

d)

Aware

88.

A finding that is relayed from the patient but that cannot be observed or measured is a(n):

a)

Sign

b)

Suspicion of Cause

c)

Symptom

d)

Objective Discovery

89.

The “P” in SAMPLE history stands for:

a)

Past Medical History

b)

Pharmaceuticals used

c)

Present Illnesses

d)

Primary Complaint

90.

Taking multiple vital signs over time is referred to as:

a)

Repetitive Evaluation

b)

Trending

c)

Baseline Shifting

d)

Redundancy

91.

Which of the following senses is usually NOT used when assessing vital signs?

a)

Sight

b)

Hearing

c)

Touch

d)

Smell

92.

The general assessment technique that involves feeling patients with one’s hands is called:

a)

Ausciltating

b)

Observation

c)

Palpating

d)

Scanning

93.

The “D” in the “BP-DOC” mnemonic stands for:

a)

Distress

b)

Deformity

c)

Dyspnea

d)

Dislocation

94.

The first part of the head-to-toe examination is:

a)

Palpate

b)

Ausciltate

c)

Evaluate

d)

Inspect

95.

Which of the following is NOT one of the five decisions in the scene size-up for the Emergency Medical Responder?

a)

How many patients are involved in the incident?

       

b)

Which hospital to transport the patient

       

c)

What resources will be needed in order to handle

       

d)

     Whether the scene is safe for emergency personnel

96.

The primary assessment includes which of the following steps?

a)

Patient Disposition

b)

A SAMPLE History

c)

ABCs

d)

Vital Signs

97.

What is a factor in more than half of motor vehicle crashes involving emergency vehicles?

a)

Weather

b)

Impaired Driving

c)

Road Conditions

d)

Speed

98.

When using warning lights and the siren, the driver of an emergency vehicle should exercise:

a)

The right-of-way in emergencies.

b)

Due regard for the safety of others.

c)

Warning signal rules for emergency vehicles.

d)

Rules for emergency response.

99.

The EMS vehicle that the Emergency Medical Responder responds in should be inspected:

a)

Daily

b)

Weekly

c)

Monthly

d)

Biweekly

100.

Which of the following components is NOT part of the daily safety inspection for a response vehicle?

a)

Communications Equipment

b)

Siren and Horn

c)

Outside the Vehicle

d)

Medical Equipment