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WorksheetsEMS103 CHAP 6-10
Total questions: 100
Worksheet time: 2hrs 39mins
What is the strongest and most muscular part of the heart?
Right atrium
Left ventricle
Right ventricle
Left atrium
Which of the following is not part of the lower extremity?
Pelvis
Patella
Femur
Carpals
Which of the following best describes the medical condition of shock?
An extreme emotional reaction to a stressful event
A state of inadequate tissue perfusion
Delayed capillary refill
Hypotension
Failure of the liver would result in which of the following?
Inability to secrete insulin
Inability to detoxify harmful substances in the bloodstream
Inability to filter out old and damaged blood cells
Inability to regulate temperature
What causes the "seesaw" breathing pattern of young children?
Young children have a pronounced inward curvature at the bottom of the ribcage.
The cricoid cartilage and trachea are both more flexible than in adults, making breathing more difficult.
They rely more on the diaphragm during breathing difficulty.
The size of their tongues in proportion to their mouths is larger than an adult's.
Which of the following makes up more than half of the volume of blood in the body?
Plasma
Red blood cells
White corpuscles
Platelets
What is the large, wing-shaped bone on either side of the pelvis?
Pubis
Ilium
Ischium
Acetabulum
A clot cannot form without which of the following blood components?
White blood cells
Platelets
Plasma
Corpuscles
Which of the following respiratory processes requires the active use of muscles?
Inhalation
Exhalation
Gas exchange
Bifurcation
Which of the following is not a function of the skin?
Protection from the environment
Removal of old blood vessels
Regulation of body temperature
Balancing water in the body
Which of the following terms describes the heart muscle's ability to generate its own electrical impulses?
Irritability
Conductivity
Contractility
Automaticity
What are the two most easily injured portions of the spine?
Lumbar and sacral
Cervical and lumbar
Cervical and thoracic
Sacral and coccygeal
Which layer of the skin is exposed to the environment?
Subcutaneous tissue
Dermis
Epidermis
Adipose tissue
Which of the following structures do not form part of the thorax?
Manubrium
Sternum
Ribs
Ischium
You have been dispatched to the site of a construction accident where a 36-year-old male patient was moderately cut by some machinery. His left arm has a 4" deep laceration that appears to have stopped bleeding with the gauze and direct pressure applied by his coworkers. Your knowledge of physiology suggests that which component of blood was partially responsible for forming clotting factors to stop the bleeding?
Plasma
Platelets
White blood cells
Red blood cells
What is the bone on the thumb side of the forearm?
Fibula
Acromion
Ulna
Radius
Which of the following structures or tissues is not part of the musculoskeletal system?
Acetabulum
Ligaments
Fat
Tendons
Physiology is the study of:
disease.
exercise and nutrition.
body structure.
body function.
What two body systems are critical for the life support chain?
Cardiovascular and lymphatic systems
Respiratory and cardiovascular systems
Cardiopulmonary and digestive systems
Respiratory and endocrine systems
Your 15-year-old patient was playing baseball today and was struck in the face by a baseball bat. As you assess his injuries and manage spinal immobilization, you note that several of his teeth are broken and he seems to have deformity and pain isolated to his lower jaw. The lower jaw bone is also known as the:
manubrium.
maxillae.
mandible.
orbit.
You are on the scene at a local park where a 51-year-old male is reported to be confused and having difficulty walking. Your partner notes that the patient is wearing a bracelet indicating he is diabetic. Upon questioning, the patient is able to report that he has not eaten in 8 hours. Your knowledge of pathophysiology suggests that the patient may be suffering from a diabetic emergency. Glucose is a building block for what form of energy in the cell?
Mitochondria
Endoplasmic reticulum
ATP
Electrolytes
Your patient is a 22-year-old female who accidentally ate some shellfish and is now having a severe reaction. She tells you that the last time she ate shellfish, 'They had to put a breathing tube in my throat and I almost died.' Her face is starting to swell up and you can hear audible wheezing when she breathes. The chemical that produces edema and narrowing of the airways during hypersensitivity reactions like this is called:
insulin.
histamine.
serotonin.
acetylcholine.
Injuries to the brain and spinal cord, sepsis, and systemic allergic reactions can cause what similar cardiovascular problem?
Hypertension
Loss of tone
Increased SVR
Permeability
A 59-year-old male has suffered a severe laceration from a circular saw while cutting wood in his garage. Upon your arrival, you find the patient sitting on the floor in a pool of blood. He is extremely pale. Based on your knowledge of pathophysiology, you would expect his body to try to compensate for the blood loss in all of the following ways, except:
increased respirations.
increased pulse.
constricted pupils.
sweaty skin.
What is the best description of the chest's mechanical functions?
The chest is a closed space, and the pleural space surrounds the lungs; when the diaphragm contracts and the intercostal muscles expand, the chest and lungs move outward and downward, allowing expiration and gas exchange in the lungs.
The diaphragm contracts, causing the intercostal muscles that are attached to the lungs to also contract, which moves the air into the lungs.
The chest is a closed space with only one opening; the trachea, to inspire air; the diaphragm contracts downward and the intercostal muscles expand the ribs, causing a negative pressure that fills the lungs with air.
With the chest being an airtight space, the act of breathing occurs when the the diaphragm and intercostal muscles relax, which causes the lungs to expand and air to flow into the lungs.
Production of energy occurs in what part of the cell?
Potassium pump
Endoplasmic reticulum
Mitochondria
Nucleus
A 12-year-old female patient is having an asthma attack after participating in some strenuous activity during recess at school. She's taken several doses of her own bronchodilator with little relief. Your partner immediately administers oxygen. Providing supplemental oxygen will increase the amount of oxygen molecules carried by the _______ in her blood, helping oxygenate critical organs like the brain.
hemoglobin
white blood cells
albumin
plasma
Which of the following is not an indicator that a patient's nervous system has been impaired?
A) General weakness
B) Changes in pupil dilation
C) Hearing disturbances
D) Pale, sweaty skin
An infection of the protective covering for the brain and spinal cord is called:
encephalitis.
Lou Gehrig's disease.
multiple sclerosis.
meningitis.
Plasma oncotic pressure is created by the movement of which of the following?
Dilation of the vessels
Constriction of the vessels
Contraction of the heart
Large proteins
You and your EMT partner respond to a local shipping warehouse for a worker who was hit by a falling crate. Upon arrival, you find the man lying on the concrete floor of the facility, alert and oriented but unable to move or even feel his legs below the waist. Based on the mechanism of injury and the symptoms, which of the patient's body systems would you suspect has been impaired?
Cardiopulmonary system
Immune system
Endocrine system
Nervous system
You respond to a patient who is choking on a foreign object. This would indicate that the problem is most likely in the (a) airway.
bronchial
lower
alveoli
upper
_______ blood returns to the right side of the heart.
Oxygenated
Anemic
Red
Deoxygenated
You are caring for a 25-year-old male patient who has been shot once in the head. The patient is in extremis (near the point of death) with a noticeable breathing pattern that alternates between no breathing and fast breathing. Your understanding of pathophysiology leads you to believe the breathing pattern may be due to damage to the section of his brain responsible for respiratory control, also known as the:
cerebellum.
frontal lobe.
thalamus.
medulla oblongata.
Stroke volume depends on a series of factors: one is the force the myocardial muscle exerts to move the blood. This is known as:
contractility.
automaticity.
afterload.
preload.
Nausea, vomiting, and diarrhea are common (a) disorders.
cardiac
digestive
neurological
endocrine
The respiratory system moves air in and out; however, to (a) cells, the air that is inhaled must meet up with the circulatory system.
defuse
register
hyperoxygenate
perfuse
Carbon dioxide is transported back to the lungs via:
hydrostatic pressure.
oncotic pressure.
white blood cells.
plasma.
The pressure that is created within the blood vessels when the heart beats is called:
hydrostatic pressure.
hyperstatic pressure.
oncotic pressure.
osmotic pressure.
Daniel has been performing landscaping on a hot, humid summer day when he suddenly becomes dizzy and feels like he might faint. This disruption of fluid balance is most likely caused by:
hypotension.
hyperthermia.
dehydration.
tachycardia.
Patients in late adulthood are likely to face which of the following challenges?
Tax burden
Hygiene
Self-worth
All of the above
In which age group do you anticipate seeing patients who have less efficient cardiovascular systems and a reduction of previous blood volume?
Early adulthood
Infancy
Late adulthood
Middle adulthood
At which of the following stages is toilet-training most likely to begin?
Preschool age
Infant
School age
Toddler
Middle adulthood is the stage of life from _______ to _______ years.
41; 60
35; 55
35; 65
31; 60
Your 4-month-old patient is reported to be irritable and lethargic after feeding poorly for two days. One method for assessing the patient's level of hydration is to look at one of the soft spots on the surface of the skull. This soft spot is known as the:
mandibles.
anterior fontanelle.
acromion process.
carpals.
Which of the following would be a normal set of vitals for a 4-year-old male patient?
Heart rate 140/minute, respiratory rate 30/minute, and systolic blood pressure of 60 mmHg
Heart rate 110/minute, respiratory rate 24/minute, and systolic blood pressure of 98 mmHg
Heart rate 60/minute, respiratory rate 24/minute, and systolic blood pressure of 96 mmHg
Heart rate 100/minute, respiratory rate 44/minute, and systolic blood pressure of 100 mmHg
Which of the following is the feeling infants get when they know all their needs will be met?
Bonding
Scaffolding
Moro reflex
Trust
When you startle a 4-month-old, he throws his arms out, spreads his fingers, then grabs with his fingers and arms. The reaction is known as the:
rooting reflex.
Moro reflex.
startle reflex.
scaffolding reflex.
You have been dispatched to a shopping mall to assess a 1-month-old female patient that tumbled out of her stroller while her mother was shopping. Upon your arrival, the baby is awake, alert, and happily smiling and cooing at her mom. The mother reports that the child did not appear to suffer any injuries as a result of the fall. As you assess the patient and place your finger in her hand, she grasps it tightly. This is known as the:
rooting reflex.
palmar reflex.
sucking reflex.
Moro reflex.
A 26-month-old toddler is reported to have fallen and lacerated his chin. His mother did not witness the fall. As you proceed through your assessment, your partner reports that she's concerned about his heart rate, which she measures as 64. She's checked it twice. Your knowledge of normal vital signs for a patient this age suggests that his heart rate is:
within normal range.
too slow.
not reliable.
too fast.
Patients in which age group tend to be very concerned with body image?
Early adulthood
Middle adulthood
School age
Adolescence
You are caring for a 4-month-old male patient who is reported to have vomited five times today. His parents describe no other associated symptoms or complaints. The patient is lying on the couch with a pacifier in his mouth, smiling at you. Developmentally, you would expect a patient of this age to be able to:
sit up without assistance.
have attachment anxiety or fear strangers.
say the word "no."
drool without swallowing.
The transition from childhood to adulthood is known as which of the following?
Transitional
Adolescence
Early adulthood
Young adult
Which of the following stages is commonly referred to as "the twilight years"?
Late adulthood
Middle adulthood
Adolescence
Early adulthood
Your 89-year-old male patient has called for help because he almost passed out after bringing in his garbage cans from the curb. The patient lives alone and says that he became panicked when he started feeling so lightheaded and dizzy. Patients in this age group often undergo all of the following changes to their health except:
an increase in metabolism.
sleep-wake cycle disruption.
deterioration of the respiratory system.
a decrease in blood volume.
You have been called to a private residence where a 16-year-old female patient is reported by her parents to be "acting strangely" and possibly "on something." Upon your arrival, the patient is locked in her bedroom refusing to open the door. The patient refuses to speak to you and will only come out if her best friend is present. Your knowledge of life-span development indicates that the following characteristics are common with a patient of this age.
Preoccupation with body image
Self-destructive behaviors such as tobacco, alcohol, and drug use
Depression and suicide
All of the above
What is the stage of development where there are several physiological and psychosocial changes, second only to those seen in infancy or adolescence?
Late adulthood
Toddler
Preschool age
Middle adulthood
You are assessing a 12-year-old male patient who has been involved in a bicycle accident. This patient would be classified as being in which stage of life?
Junior school age
Middle school age
Adolescence
School age
When you place your finger in an infant's palm, she grasps it with her fingers. This is an example of which reflex?
Rooting
Moro
Palmar
Sucking
You are assessing a 6-month-old female patient who, according to the parents, is not acting normally. At this stage of development, the patient should be able to do which of the following?
Sit upright in a high chair
Sit alone on the floor
Sleep
Respond to the word "no"
When inserting an oropharyngeal airway, how many degrees do you need to rotate the airway so the tip is pointing down into the patient's pharynx?
90
180
270
45
Which of the following is true concerning the procedure for inserting a nasopharyngeal airway (NPA)?
The length of the device is not as important as it is with oropharyngeal airways.
If a water-soluble lubricant is not available, a silicon spray can be substituted.
It can only be placed in the right nostril.
The bevel should be turned toward the nasal septum or the base of the nostril.
Perhaps the simplest way to determine if a patient has a patent airway is to:
auscultate for breath sounds.
check for appropriate chest rise.
determine the respiratory rate.
say "hello."
To be effective, a suction unit must be able to generate air flow of at least _______ liters per minute and create a vacuum of no less than _______ mmHg.
300; 300
30; 300
300; 30
30; 30
You are ventilating an 85-year-old male without difficulty. A nurse tells you that the patient has dentures. To ensure a good mask seal, you should:
use an infant mask over the nose.
remove the dentures.
leave the dentures in place.
tape the dentures in place.
Which of the following should be kept in mind when assessing and managing the airway of a pediatric patient?
Gastric distention is unlikely.
Due to their short necks, pediatric patients require a greater degree of hyperextension to open the airway than do adults.
The tongue is not as likely to obstruct the airway as in an adult.
The trachea is easily obstructed by swelling.
On which of the following types of calls should you bring your portable suction unit to the patient's side upon arrival on the scene?
Cardiac arrest
Seizure
Motor vehicle collision
All of the above
Which of the following is the correct method of suctioning?
Begin suctioning as you insert the suction tip or catheter into the mouth.
Suction intermittently, both while inserting and withdrawing the suction tip or catheter.
Insert the catheter or tip to the desired depth prior to applying suction.
Suction continuously, both while inserting and withdrawing the suction tip or catheter.
Which of the following is a sign of an inadequate airway?
Movement of air around the mouth and nose
Equal expansion of both sides of the chest on inhalation
Nasal flaring
Regular chest movements
The trachea branches at the ________ and forms two mainstem bronchi.
glottic opening
alveoli
carina
bronchioles
What is the sound of the soft tissue of the upper airway creating impedance or partial obstruction to the flow of air?
Gurgling
Hoarseness
Stridor
Snoring
When suctioning the airway, you should try to limit suctioning to no longer than ________ seconds at a time.
10
60
30
45
Which of the following patients should not have their airway opened using a head–tilt, chin–lift maneuver?
A) A 35-year-old diabetic woman in the driver's seat of the car in her driveway who becomes unresponsive while speaking to her husband.
B) A homeless person of undetermined age found lying unresponsive in an alley with no bystanders.
C) A 25-year-old man who is still unresponsive after a grand mal seizure.
D) A 50-year-old man who choked on a piece of food while dining in a restaurant and was lowered to the floor by a waiter.
The jaw–thrust maneuver is the only ________ airway procedure for an unconscious patient with possible head, neck, or spine injury or an unknown mechanism of injury.
required
recommended
prohibited
discouraged
You have performed a head tilt–chin lift maneuver on a 17–month–old boy and are attempting to ventilate him with a bag–valve mask. You are experiencing a lot of resistance with each breath and the chest is barely rising. Prior to attempting ventilations again, you should:
perform chest thrusts.
ease the head forward a little.
tilt the head back further.
finger sweep the airway.
You are ventilating a cardiac arrest patient when he begins to vomit copious amounts of large pieces of undigested food. Which of the following would be most effective in clearing the airway?
Irrigating the mouth with sterile water to dilute the material before suctioning
Using a rigid pharyngeal suction tip
Using a 14 French suction catheter
Using large bore suction tubing without a tip or catheter attached
Which of the following is a disadvantage of oropharyngeal airways (OPAs)?
They require the use of a water–soluble lubricant.
They cannot be used in patients with a suspected skull fracture.
They cannot be used in a patient with a gag reflex.
They do not come in pediatric sizes.
Which of the following is an advantage of using a nasopharyngeal airway (NPA)?
It is ideal for patients with a suspected skull fracture.
It eliminates the need for manual positioning of the patient's head to keep the airway open.
It may be tolerated by many patients with a gag reflex.
All of the above
What is the danger that an altered mental status can pose to a patient's breathing?
Hyperoxia
Depressed alveolar function
Bronchospasms
Loss of muscle tone and airway collapse
The high-pitched sound caused by an upper airway obstruction is known as:
snoring.
stridor.
gurgling.
hoarseness.
Why is inhalation described as an active process?
It requires the diaphragm to relax and use energy to move, creating a negative pressure.
It requires chest muscles to contract and use energy to move, creating a negative pressure.
It requires chest muscles to relax and use energy to move, creating a positive pressure.
It requires the diaphragm to contract and use energy to move, creating a positive pressure.
What two measurements are multiplied to calculate the minute volume?
Tidal volume and dead space air
Tidal volume and respiratory rate
Alveolar ventilation and respiratory rate
Respiratory rate and bronchial dilation
Concerning the use of humidified oxygen, which of the following is true?
It is not of great benefit during short transports but can make the patient more comfortable.
It should only be used when assisting ventilations with a bag-valve-mask device.
The water reservoir should be changed on a weekly basis.
The water in the reservoir should be treated with chlorine tablets to prevent the growth of bacteria.
The movement of oxygen and carbon dioxide between the alveoli and circulating blood is called:
pulmonary respiration.
internal respiration.
diffusion.
cellular respiration.
You and your EMT partner are preparing to ventilate an elderly non-trauma patient who has a stoma. Your partner performs the head-tilt, chin-lift maneuver and you ask him to return the patient's head to a neutral position. "Why? This is not a pediatric patient!" your partner protests. What would you say?
Using the head-tilt, chin-lift prior to clearing any mucus plugs from the stoma can cause airway occlusion.
It is not necessary to position the airway of a stoma breather when providing ventilations.
Stoma breathers should only have their airways positioned after placement of the ventilation device.
Elderly patients should never have their heads tilted back because spinal curvatures are common and can prevent airway positioning.
Which of these patients would require a tracheostomy mask for supplemental oxygen administration?
A patient with upper airway inflammation
A patient with chronic bronchitis
A patient with a stoma
A patient with quadriplegia
The oxygen flow rate for a nasal cannula should not exceed liters per minute.
2
8
When does respiratory distress change to respiratory failure?
When a patient who is short of breath presents in the tripod position with noisy respirations that suddenly clear up and return to normal.
When a compensatory mechanism is no longer needed and the patient goes into respiratory arrest.
When continuation of a respiratory challenge results in the systems being unable to keep up with the demand, and the skin color and mental status change.
When continuation of a respiratory challenge causes the systems to fail, the pupils to dilate, and the skin to become hot and dry due to the demand for oxygen.
Of the three types of oxygen flowmeters, which one can only be used upright?
Constant flow selector valve
All flowmeters must be used upright
Pressure-compensated flowmeter
High-pressure flowmeter
For life to be maintained, a balance of oxygen and carbon dioxide is needed. The condition when oxygen levels are low is called:
hypoperfusion.
hypoxia.
hyperventilation.
hypercapnia.
Which of the following colors identifies an oxygen cylinder?
Black
Green
Orange
Blue
You have arrived at the scene of a call for a "man down." As you enter the residence you note that your patient is a male in his mid-60s who is awake but does not seem to acknowledge your presence. He is perspiring profusely, has cyanosis of his ears and lips, and has rapid, shallow respirations. Which of the following should you do first?
Assist ventilations with a bag-valve mask and supplemental oxygen.
Listen to his lung sounds.
Obtain the patient's medical history.
Check for a radial pulse.
Which of the following can cause respiratory depression?
The eyes develop scar tissue on the retina from high concentrations of oxygen, leading to breathing becoming depressed.
End-stage COPD changes the stimulus to breathe from high carbon dioxide levels to low oxygen levels, causing breathing to become depressed when oxygen is administered.
The lungs react unfavorably to high concentrations of oxygen administered for long periods of time and breathing becomes depressed.
High concentrations of oxygen depress breathing when the patient has an allergic reaction to administered oxygen.
Your patient is a 65-year-old male with a history of COPD. He is sitting up and complaining of a severe shortness of breath. You should:
insert a nasal airway and ventilate.
apply a nonrebreather mask giving 15 lpm of oxygen.
administer 4 lpm of oxygen via nasal cannula.
suction the airway with a rigid suction catheter.
Your patient is a 55-year-old man with a history of chronic bronchitis. You have been called to his home today because of an increase in his level of respiratory distress. The patient is on 2 liters per minute of oxygen by nasal cannula at home. Your assessment reveals difficulty speaking due to shortness of breath, leaning forward to breathe, a productive cough, and a respiratory rate of 32 per minute. Which of the following is true concerning the best course of action for this patient?
You should increase the patient's oxygen flow rate to deliver adequate amounts of oxygen to his tissues. If his respiratory rate decreases, you can assist him with a bag-valve-mask device.
You should not increase the patient's oxygen flow rate because of his likely dependence on a hypoxic drive to stimulate breathing.
You should increase the patient's oxygen flow rate until his respiratory rate decreases and then resume oxygen administration at 2 liters per minute.
Because increased blood levels of carbon dioxide are the primary stimulus to breathe, you should encourage the patient to rebreathe his exhaled air from a paper bag.
You are aggressively ventilating an adult patient with a bag-valve mask when you notice that his previously strong pulse is getting weaker. You should:
increase the concentration of oxygen.
reduce the concentration of oxygen.
begin chest compressions.
reduce the volume of the ventilations.
What are the signs of hypoxia?
Cyanosis (blue or gray skin) and deterioration of the patient's mental status
Warm dry skin, difficulty breathing, and hypertension
Irreversible shock caused by the lack of blood flowing to the vital organs like the brain and heart
Disease process that robs the patient of adequate breathing and perfusion
The movement of oxygen and carbon dioxide across the cell membranes from the capillaries is called:
external respiration.
oxygenation.
hyperventilation.
internal respiration.
Which of the following best describes inadequate breathing?
The minute volume is greater than normal.
The minute volume is less than normal.
The respiratory rate is slower than normal.
The respiratory rate is faster than normal.
Which of the following statements best describes the exchange of gas in the alveoli?
Blood moves by way of the pulmonary capillaries, air arrives at the alveoli, and osmosis occurs.
Air moves into the airway, blood arrives via the pulmonary veins, and osmosis occurs.
Blood moves from the left heart to the lungs, air arrives in the alveoli sacs, and diffusion occurs.
Air moves into the alveoli, blood is transported by the pulmonary capillaries, and diffusion occurs.
