WorksheetsModule 7 Exam Review
Total questions: 64
Worksheet time: 32mins
A patient is stung by a bee. Which of these findings would be present in anaphylaxis, but not a local allergic reaction?
Anxiousness
Hives
Hypotension
Swelling at the site of the sting
A painful patient who is responsive to stimuli is covered with hives. He has labored respirations and a weak pulse that is tachycardic. His vital signs are: pulse 128, respirations 24, and blood pressure 80/50 mmHg. Given this presentation, the EMT should be suspicious of what condition?
Anaphylactic reaction
Allergic reaction
Stroke
Hypotension
After assisting a patient with the use of an epinephrine auto-injector, you note that the patient's blood pressure has improved. As a knowledgeable EMT, you realize that this has occurred due to epinephrine's ability to:
relax the smooth muscle of the blood vessels.
increase the oxygen carrying capacity of the red blood cells.
constrict blood vessels.
increase the number of circulating red blood cells.
What should an EMT do to administer a patient his epinephrine auto-injector?
Place the injector against the deltoid muscle in the arm, and push the plunger to slowly inject the medication.
Pinch the skin on the anterior thigh, press the injector against the skin, and wait until it activates.
Press the injector against the lateral thigh, and wait for it to automatically inject.
Pinch the skin on the lateral thigh, press the injector against the skin, and rapidly push the plunger to inject the medication.
Which of the following would lead you to suspect that a patient is going to have an allergic or anaphylactic reaction involving swelling of the airway and blood vessel dilation?
The first time a person is exposed he has hives, itchy eyes, and a runny nose.
A development of diarrhea two days after eating a substance the patient was allergic to.
A second exposure after a previous reactive incident where the body formed antibodies.
A slow development of signs and symptoms after a first exposure.
When administering epinephrine to an infant or child, the EMT would place the injector at what site?
Upper arm
Lateral thigh
Hip muscle
Outer buttock
The EMT would recognize which of the following as true regarding poisoning?
The number two cause of poisoning in the United States is medications.
A poison is any substance that impairs a person's health by its chemical action.
All toxins are poisonous when in contact with the human body.
The majority of poisonings are intentional and result in homicide or suicide.
Which of the following is characteristic of carbon monoxide?
It's symptoms mimic the flu, but it tends to cause a higher fever than the flu.
It is a tasteless gas that is produced by household appliances like electric furnaces.
It is an odorless gas that can kill a person by causing severe hypoxia.
It generally takes several days for a toxic level to accumulate in the body.
You have entered a safe scene and when managing a patient that has been exposed to a poisonous substance, the first priority of the EMT is to:
induce vomiting.
identify the poison.
The most common route by which a poison enters the body is:
ingestion
visual
inhalation
exposure
When treating a patient for an overdose, the highest priority of care is placed on:
contacting law enforcement.
establishing the patient's risk for suicide.
managing the airway and breathing.
determining what and how much drug was taken.
You have been called to a residence for a cognitively challenged 32-year-old female who drank a bottle of floor cleaner. She is lethargic, and having a difficult time breathing due to swelling from burns in her mouth, with mild stridor on inspiration. Which of the following would be your initial action in caring for this patient?
Contact poison control.
Suction the airway.
Insert a supraglottic airway.
Insert a nasal airway.
A drug addict informs you that he has been taking Oxycontin and now requires more and more of the drug to take his chronic back pain away. The EMT would recognize this patient as experiencing:
tolerance
overdose
dependence
adverse reaction
You have been called to a party by friends of a 14-year-old female with a decreased level of consciousness. On scene, the party goers state that they were "huffing" when she suddenly complained of a headache and then passed out. In reference to the term "huffing," you would recognize this as:
smoking methamphetamine.
sampling multiple prescription drugs.
inhaling fumes or vapors.
injecting drugs intravenously.
Which of the following statements indicates that the EMT understands the condition of withdrawal?
Withdrawal from drugs or alcohol can be just as serious a medical emergency as an overdose.
Withdrawal is a term that is applied to the cessation of street drugs to which the patient is addicted, not prescription drugs.
Withdrawal is typically not a life-threatening situation and is easily handled by EMS.
Withdrawal indicates that a patient is addicted to a drug and is presently overdosed on that drugs.
You have been called for an alcoholic patient experiencing a medical emergency. On scene, a home health nurse informs you that the patient is experiencing delirium tremens. As an EMT, you recognize which of the following?
There is little to be done except encouragement and supportive care.
The patient is extremely intoxicated and in danger of dying.
The patient is in the early stages of alcohol withdrawal.
This is a life-threatening condition requiring rapid transport.
Medical direction has ordered the administration of activated charcoal to a 3-year-old boy. What dose would be most appropriate?
50 grams
100 mg
1 gram/kilogram
0.5 mg/kilogram
You have been called for an unresponsive patient. On scene, hysterical family members direct you to an unresponsive 32-year-old woman who is lying on the bedroom floor. Her husband says that she left a note saying that she wanted to kill herself and took an unspecified poison. Assessment reveals a green-colored liquid in her mouth and respirations that are rapid and shallow. Her pulse is weak and her skin is cool and dry with cyanosis noted to her fingertips. Your immediate action would be to:
start positive pressure ventilation.
extricate and provide care en route to the hospital.
open the airway and suction.
read the note for clues to what was taken.
A female patient reports that she took a large number of anti-anxiety pills because she was angry with her husband. Her airway is patent and her breathing is adequate. Her pulse is normal and her skin is warm and dry. During your reassessment, she reports that she is now dizzy and feels extremely nauseated. The EMT would:
prepare to administer positive pressure ventilation.
place her in a lateral recumbent position.
position her supine on the stretcher.
perform a jaw-thrust maneuver.
You have been called to a patient who has had a poisonous powder cover his body. Which of the following treatments is in the most appropriate order?
Remove the contaminated clothes, brush the chemical off, and then irrigate him.
Begin showering the person as you remove his clothes.
Brush the powder off, shower him, and then remove his clothing.
Brush the powder off and then shower him.
You have a patient with carbon monoxide poisoning. Which of the following is your MOST important treatment after removing the patient from the source?
Nitroglycerine.
High-flow oxygen.
Activated charcoal.
Inhaled poison antidote
If a patient missed his last dialysis appointment, which complaint would you anticipate?
Hypotension
Shortness of breath
Generalized abdominal pain and fever
Bleeding from the fistula
If a patient has a retroperitoneal infection, what organ would be involved?
Kidney
Small intestine
Gall bladder
Bladder
You have been called for a patient with abdominal pain. The patient states that he recently had his gall bladder removed. As an EMT, you realize that:
his ability to digest fats is impaired.
he has a more difficult time urinating.
his ability to absorb nutrients is decreased.
he cannot filter blood normally.
Which of the following best describes the structure and function of the stomach?
A vascular organ that regulates the balance of water in the body
A vascular abdominal organ that filters nutrients from the blood
A hollow organ that secretes digestive enzymes and fluids
A hollow organ that allows the absorption of nutrients
The EMT would recognize which of the following patients as suffering from an acute abdomen injury?
71-year-old female in respiratory distress and complaining of nausea
37-year-old male with history of drug abuse and liver disease
17-year-old female pregnant with twins whose delivery date is next month
62-year-old male with no medical history with sudden pain to the lower abdomen
31. A middle-aged female patient has dialed 911 for an abdominal emergency. On scene, she informs you she has a bad gall bladder and it has been increasingly bothering her, thus she needs transport to the hospital for further care. Your assessment reveals tenderness and mild discomfort to the right upper quadrant of the abdomen. She also states that her right shoulder is aching. Given the patient's complaint, the EMT would recognize the:
pain as referred pain from gallbladder disease
symptoms as unrelated to the gallbladder
right shoulder pain as a sign of heart attack
abdominal pain as likely due to appendicitis
The EMT would recognize that the pain associated with a kidney stone is caused by:
formation of the stone in the kidney.
passage of the stone through the ureter.
inability to empty the bladder of urine.
infection of the bladder and ureter.
Your partner is performing the Markle (heel drop test) on a patient complaining of abdominal pain. Which of the following instructions provided to the patient indicates that she is performing the test correctly?
I am going to press on your belly with my hands. Please tell me if you suddenly feel pain in your ankles.
I am going to gently press inward on your belly and then quickly release the pressure.
I need you to stand on the tips of your toes then on my command, drop onto your heels.
Please raise each leg one at a time. I will need to know if you feel any pain, especially in your heels.
A patient informs you that he was recently diagnosed with an abdominal aortic aneurysm (AAA). He states that the surgeon did not want to operate on it immediately because he felt it was stable and not worth the risks that surgery posed. Tonight the patient states that he suddenly developed abdominal pain and wants to be evaluated in the hospital to see if the AAA has increased in size. Given this history, which of the following assessment findings would cause the EMT to suspect that the AAA is the cause of the abdominal pain?
Pain that subsides when the patient lies still
"Tearing" pain located to the back
Inability to urinate
You have been dispatched for a male patient who is "sick." While enroute, Emergency Medical Responders inform you that the patient has esophageal varices, which appear to have ruptured. You would inform your partner to prepare what materials or piece of equipment?
Suction machine
Automated external defibrillator
Long spinal board
Trauma dressings
Which of the following statements is true concerning the functions of the vagina?
The vagina allows for the excretion of urine from the bladder along with accommodation of the penis during intercourse.
The vagina permits the outflow of menstrual blood as well as the site of fertilization between egg and sperm.
The vagina allows for the passage of a baby during delivery and the outlet of urine from the bladder
The vagina serves as a passage for the fetus during delivery as well as an outlet for blood during menstruation.
You have been called for a 31-year-old male who experienced sudden left lower quadrant pain while lifting and moving a friend's couch to an upstairs bedroom. The EMT would recognize this history as suggestive of what type of abdominal injury?
Hernia
Cholecystitis
Aortic aneurysm
Appendicitis
You are dispatched to the residence of a 20-year-old female who appears very ill. She indicates that she has had a fever and foul-smelling vaginal discharge, and she reports severe pain upon palpation of the lower abdomen. Her history indicates that she has been diagnosed with gonorrhea and chlamydia. Which of the following is MOST likely the cause of her abdominal discomfort?
Endometritis.
Pelvic inflammatory disease.
Endometriosis.
Ectopic pregnancy.
When obtaining a medical history from a female patient with abdominal pain, she tells you that she suffers from endometriosis. As an EMT, you know that this condition describes:
endometrial tissue located outside of the uterus.
infection of the uterine lining.
infection of the ovaries and/or fallopian tubes.
bacterial infection of the bladder.
While you are transporting a 44-year-old female with abdominal pain in a low Fowler's position, she becomes unresponsive and starts to vomit. Your immediate action would be to:
place some vomit in a specimen bag for the hospital.
examine the vomit for blood.
palpate her abdomen.
place her in a left lateral recumbent position.
Which statement regarding abdominal pain would lead the EMT to suspect appendicitis?
Pain that begins near the navel and then moves to the lower right abdomen
Sudden onset of chest pain radiating to the left arm
Dull, generalized pain in the upper left abdomen after eating fatty foods
Sharp pain in the lower left abdomen after strenuous exercise
Which of the following assessment findings would increase the EMT's suspicion of a gastrointestinal bleed?
Watery and foul-smelling diarrhea
Sudden onset of constipation
Black semi-formed stool
Sharp left lower quadrant pain
You are called to the scene of a female complaining of a burning sensation on urination. She complains of lower abdominal pain and has a low-grade fever. The above findings point to which of the following?
Chronic renal failure.
Urinary tract infection
Acute renal failure.
Renal calculi.
After completing a rapid medical exam on an unconscious patient who was exposed to excessive heat, you determine the patient requires rapid cooling. Which of the following conditions would require this type of intervention?
Heat exhaustion.
Heat stroke.
Heat cramps.
Hypothermia.
While treating a victim after falling in the water duck hunting. During your assessment the patient begins to shiver. After placing the patient in the patient compartment of ambulance and removing the wet clothing, you would:
Rub the extremities to improve circulation.
Passively re-warm with heating the patient compartment and blankets.
Actively re-warm with heat packs quickly re-warming patient.
Allow the patient to drink warm liquid slowly.
You have been called to a football practice field in the summer on a very hot day for a heat-related emergency. On scene you find a young male patient panting and lying under a tree. His skin is flushed and teammates are continually wiping the sweat off his face, arms, and chest with towels. Which one of the following statements is most appropriate?
To keep him from sweating, let's put his shirt back on.
Please let him sweat. It is helping his body cool down.
Good job guys. By wiping him down you are helping him cool down.
Keep wiping. You are helping him retain water that his body needs.
You have been called to a hunting camp for a patient with a severe localized cold injury to his hand and fingers. The patient is suffering no life-threatening conditions and you elect to rewarm the affected areas. Which one of the following would be appropriate for this patient?
Thaw and rewarm the tissue as quickly as possible.
Immerse the hand and fingers in water no hotter than 120°F.
Do not stir the water while the hand is submerged to decrease risk for injury.
Place the hand lower than the heart after rewarming is complete.
You have been called for a 78-year-old female who slipped while getting out of her bathtub. She is confused and cold to the touch. You learn that she must have slipped 24 hours ago and has been on the tile bathroom floor ever since. Since it is summer, she also had her air conditioner running on high. The EMT would best categorize this emergency as:
localized external hypothermia caused by immobility.
internal urban hypothermia with heat loss caused by conduction.
external urban hypothermia caused by a medical complaint.
generalized hyperthermia caused by convection.
Which one of the following signs would present earliest in the hypothermic patient?
Hypotension
Bradycardia
Shivering
Confusion
When moving a patient with severe generalized hypothermia, which one of the following instructions is most appropriate?
Let's secure her with her arms and legs extended since this position promotes the retention of heat in the body.
I want everyone to take extra care in moving her very gently to the stretcher. We do not want her to go into cardiac arrest.
Be careful when moving her to the stretcher; the cold makes the patient very prone to bone fractures.
Let's place her on her side on the stretcher since her body temperature contraindicates placement of a nasal airway.
The EMT should recognize heat cramps as the probable cause of a patient's problem when the patient states:
I cannot remember what day it is.
I have pain in my belly and legs.
You are called to a construction site on a hot and humid day for a male patient suffering a heat emergency. On scene you find a 49-year-old man who is responsive. Coworkers state that the patient has been moving concrete blocks all day in the hot weather and has not rested, eaten, or had anything to drink in the past two hours. After conducting the primary assessment, you note his airway to be open and breathing rapid but adequate. His radial pulse is rapid and bounding, and his skin is cool and moist. Which heat emergency is the patient showing signs of?
Heat exhaustion
Heatstroke
Heat Cramps
Heat Exposure
You are transporting a patient who was bitten on her hand by a spider about 20 minutes ago. On scene the primary assessment revealed no life threats and vital signs were stable. While conducting your ongoing assessment, which one of the following would be of most concern to the EMT?
Complaint of a headache
Swelling to the area of the bite
Increased pain to the area of the bite
Hives to the chest and abdomen
A patient has been bitten by what appears to be a black widow spider. The bite to her left hand is dull and achy and she states that the muscles in her shoulders and back are
The muscles in her shoulders and back are likely cramping or experiencing muscle spasms, which is a common symptom of a black widow spider bite.
The muscles in her shoulders and back are likely numb and paralyzed, which is a common symptom of a black widow spider bite.
The muscles in her shoulders and back are likely experiencing severe itching, which is a common symptom of a black widow spider bite.
The muscles in her shoulders and back are likely swelling rapidly, which is a common symptom of a black widow spider bite.
After ensuring that no life-threatening conditions are present and administering oxygen, the EMT should:
keep the hand below the level of the heart.
apply hot packs to the bite.
pour a vinegar solution over the bite.
massage the muscles of the back and shoulders.
You have been summoned to a field where a 32-year-old male patient has been struck by lightning. Emergency Medical Responders are with the patient holding manual spinal motion restriction. Once you arrive at the patient's side, which one of the following would you do first?
Assess the airway and breathing.
Apply a cervical spine collar.
Perform a secondary assessment.
Place the patient on the stretcher.
A young man has been struck by lightning on a golf course and is in cardiac arrest. Other golfers say that he was struck about 10 minutes ago. Which one of the following would you do immediately?
Start cardiopulmonary resuscitation.
Attach the automated external defibrillator.
Do a secondary assessment to locate the burn sites.
Ventilate 10 to 12 breaths per minute.
Which statement by the EMT indicates proper application of the term drowning?
A drowning occurs any time a person is submerged in a liquid and dies, but the incident is determined to have been preventable.
A drowning occurs any time a person is submerged in water and subsequently dies as a result.
A drowning occurs any time a person is submerged in a liquid and suffers some sort of respiratory impairment.
Friends pulled an unresponsive 15-year-old male from a lake. They say they were swimming when they lost track of him. Assessment reveals labored breathing and a weak pulse. Which one of the following questions would give the EMT the most information related to the prognosis of the patient?
Is there any chance he hit his head?
Does he have a history of breathing problems?
How long was he under the water?
Was he drinking or doing drugs?
You have been dispatched to a pool party for a 19-year-old male with shoulder pain. He states that he dove off the diving board and hit the bottom of the pool with his right shoulder and back. Although there is alcohol at the party, he has not been drinking. He is alert and oriented and has obvious redness and abrasions to his shoulder, neck, and back. He denies pain or discomfort to any other part of the body. Which one of the following would the EMT do immediately?
Perform a secondary assessment on the patient.
Establish manual spinal motion restriction.
Measure and apply a cervical collar.
Start positive pressure ventilation.
Torrential rains have been falling over the past few days and your service area is experiencing major flooding. While returning to the disaster command post, you are flagged down by a group of people who inform you that a woman is clinging to a tree in the middle of a rapidly moving and swollen stream. She is screaming for help and states that she does not know how much longer she can hang on. Which one of the following would you do immediately?
Toss a life preserver in the vicinity of the patient.
Call for a water rescue team and boat.
A 24-year-old intoxicated female patient was pulled from a pool by hotel personnel. Your primary assessment reveals her airway to be open and her breathing adequate. Her radial pulse is fast but strong and she is persistently coughing. Which one of the following would be considered appropriate in the care of this patient?
Abdominal thrusts to remove water from the lungs
Precautionary application of the automated external defibrillator
Deep pharyngeal suctioning to remove water from the airway
High-concentration oxygen through a nonrebreather face mask
You are assessing a young child who was briefly submerged after falling approximately 20 feet from an observation platform into the shallow portion of a lake. Family members jumped into the lake immediately and pulled the girl to safety. She is confused and begins to vomit water. Which one of the following would you do immediately?
Suction, using a rigid tip catheter.
Place her in a prone position.
Check her breath sounds.
Perform the head tilt-chin lift.
A patient who was found face down in a pond is unresponsive, apneic, and pulseless. Friends state that the patient was hot and wanted to take a summer's swim in the pond. Which one of the following should be included in your care of this patient?
Positive pressure ventilations at 10-12 per minute with oxygen
Position in a prone position to evacuate water from the lungs
Hyperventilation with a bag-valve mask and high-flow oxygen
Application of the AED with the delivery of no more than one shock
A 23-year-old diver has been brought to the surface by fellow divers after acting erratically while in the water. Your assessment reveals him to be confused and uncoordinated with an open airway and adequate breathing. He has a strong radial pulse and a SpO2 of 98%. He is diabetic and your partner reports that his blood sugar is 91 mg/dl. The remainder of your assessment is unremarkable. Based on this presentation and history, which one of the following would be the most likely cause of his condition?
Seizure activity
Increased nitrogen levels in the blood
Hypoglycemia
Hypoxia and hypoglycemia
A fisherman fell through the ice and was submerged in a lake for approximately four minutes, before being pulled out by friends. You find the man to be unresponsive, not breathing, and without a pulse. Which one of the following would you do immediately?
Determine the patient's core temperature.
Start cardiopulmonary resuscitation.
Apply the automated external defibrillator.
Immobilize the patient.
What is your first priority in managing a patient with a behavioral emergency?
Assessing and managing the patient's airway
Determining if the patient is a threat to him- or herself
Ensuring the safety of you and your partner
Providing high-concentration oxygen
Which of the following BEST defines a behavioral emergency?
When a person exhibits an abnormal behavior that is unacceptable.
When a person laughs at something that you do not find humorous.
When a person is acting odd or eccentric.
When a person is depressed after finding out about a loved one's death.
