WorksheetsEMT- Principles of Pharmacology
Total questions: 96
Worksheet time: 48mins
When used appropriately, medications may alleviate pain and improve a patient’s condition.
True
False
Failure to administer medications safely and competently can lead to serious consequences for the patient, including death.
True
False
Pharmacology is the science of ________, including their ingredients, preparation, uses, and actions on the body.
drugs
cells
hormones
vitamins
A substance used to treat or prevent disease or relieve pain is called a ________.
medication
vitamin
enzyme
mineral
Pharmacodynamics is the process by which ________ works on the body.
medication
the liver
the kidney
the heart
A medication that causes stimulation of receptors is called an ________.
agonist
antagonist
inhibitor
blocker
A medication that binds to a receptor and blocks other medications or chemicals from attaching there is called an ________.
antagonist
agonist
substrate
enzyme
The amount of the medication that is given is called the ________.
dose
prescription
tablet
frequency
Which of the following factors does the dose of a medication depend on?
Patient’s weight
Patient’s age
Desired action of the medication
All of the above
The therapeutic effect that a medication is expected to have on the body is called its ________.
action
side effect
dosage
contraindication
Pharmacokinetics refers to the actions of the body upon the medication (or chemical).
True
False
Which of the following is NOT a component of pharmacokinetics?
A. Onset of action
B. Duration
C. Elimination
D. Infection
The point or period when the maximum clinical effect is achieved is called the ________.
peak
onset
duration
trough
Which of the following are factors affecting how a medication works?
Route of administration
Shock states
Both A and B
Reasons or conditions for which a particular medication is given are called ________.
indications
contraindications
complications
interactions
What is an absolute contraindication?
When the medication should never be given
When the benefits of administering the drug may outweigh the risks
When the medication has no effect
What are unintended effects of a medication?
Effects that are desirable
Effects that are undesirable but pose little risk to the patient
Effects that can be harmful to the patient
Fill in the blank: The generic name of a medication is a simple, clear, ________ name.
nonproprietary
brand
chemical
trademark
Match the following types of drugs with their examples:
Heroin, cocaine
Recreational drugs
Ginseng, echinacea
Herbal remedies
Steroids
Enhancement drugs
Vitamin C
Vitamin supplements
Acupuncture
Alternative medicines
Enteral medications enter the body through which system?
Respiratory system
Digestive system
Circulatory system
Parenteral medications are often administered in which form?
Pill
Liquid through needles or syringes
Tablet
What is the process by which medications travel through body tissues to the bloodstream called?
Absorption
Excretion
Metabolism
Filtration
Which route of medication administration is described as 'By rectum' and is easy to administer with reliable absorption?
PR
IV
SC
Inhalation
Which route of medication administration is described as 'By mouth' and enters the bloodstream through the digestive system?
PO
IV
SC
IM
Which route of medication administration is the fastest for delivery but cannot be used for all medications?
Intravenous (IV) injection
Oral administration
Subcutaneous injection
Topical application
Which route of medication administration requires drilling a needle into the outer layer of bone?
Intraosseous (IO) injection
Intramuscular (IM) injection
Subcutaneous injection
Intravenous (IV) injection
Which route of medication administration is given into the fatty tissue between the skin and muscle?
Subcutaneous (SC) injection
Intravenous (IV) injection
Intramuscular (IM) injection
Intradermal (ID) injection
Which route of medication administration is described as 'Into the muscle' and is usually absorbed quickly?
IM injection
SC injection
IV injection
ID injection
Which route of medication administration is absorbed into the bloodstream quickly through the lungs?
Inhalation
Oral
Topical
Subcutaneous
Which route of medication administration is placed 'under the tongue' and enters the bloodstream within minutes?
Sublingual (SL)
Intramuscular (IM)
Topical
Rectal
Which route of medication administration is applied as a patch to the skin and has a longer-lasting effect than other routes?
Transcutaneous (transdermal)
Intravenous
Oral
Subcutaneous
Which route of medication administration uses a mucosal atomizer device (MAD) to aerosolize the liquid for delivery into the nostril?
Intranasal (IN)
Intramuscular (IM)
Subcutaneous (SC)
Intravenous (IV)
Which of the following is NOT a common route of medication administration?
Oral (PO)
Intravenous (IV)
Subcutaneous (SC)
Intracranial (IC)
Inhalation forms include aerosols, fine powders, and sprays.
True
False
Which route of administration is described as 'Through the skin' and is applied as a patch?
Transcutaneous (transdermal)
Intravenous
Subcutaneous
Oral
Which route of administration is relatively new and involves delivery of medication into the nostril?
Intranasal (IN)
Intravenous (IV)
Subcutaneous (SC)
Transdermal (TD)
The form of a medication usually dictates the route of administration. What are the reasons the manufacturer chooses the form of a medication?
Proper route of administration
Timing of the medication’s release into the bloodstream
Effects on the target organs or body systems
All of the above
Most medications given by mouth are in ______ or ______ form. (Fill in the blanks)
tablet; capsule
liquid; powder
injection; syrup
cream; ointment
Capsules are gelatin shells filled with ______ or ______ medication. (Fill in the blanks)
powder; liquid
gas; vapor
cream; ointment
tablet; syrup
Solutions can be given by almost any route.
True
False
What is a suspension?
A liquid mixture of one or more substances that cannot be separated simply
A mixture of finely ground particles that are distributed evenly throughout a liquid by shaking or stirring but do not dissolve
A solid medication
A type of capsule
It is important to ______ or ______ a suspension before its administration.
shake; swirl
heat; cool
freeze; melt
dilute; concentrate
Metered-dose inhalers (MDIs) are often used for respiratory illnesses such as ______ or ______. (Fill in the blanks)
asthma; emphysema
diabetes; hypertension
eczema; psoriasis
arthritis; gout
Topical medications include which of the following?
Lotions
Creams
Ointments
All of the above
Transcutaneous medications are also referred to as ______ medications.
transdermal
oral
sublingual
inhaled
What is the form of medication that is semiliquid and administered in capsules or through plastic tubes?
Tablets
Gels
Liquids
Powders
Which gas is most commonly used in gas form outside the operating room?
Nitrous oxide
Oxygen
Carbon dioxide
Helium
Medications should be administered only under the authorization of online or off-line medical direction.
True
False
Which of the following is NOT one of the 'rights' of medication administration?
Right patient
Right color
Right dose
Right route
Fill in the blank: The right _______ ensures that the patient who needs the medication is the person who receives the medication.
patient
dose
time
route
Fill in the blank: The right _______ verifies the proper medication and prescription.
medication and indication
dose and route
time and frequency
patient and doctor
Fill in the blank: The right _______ verifies the form and dose of the medication.
dose
time
route
patient
Fill in the blank: The right _______ verifies the route of the medication.
route
dose
time
patient
Fill in the blank: The right _______ checks the expiration date and condition of the medication.
time
dose
route
patient
Fill in the blank: The right _______ informs the patient of the medication you intend to administer, including any likely adverse effects or unusual sensations.
education
dose
route
time
Fill in the blank: The right _______ allows patients with decision-making capacity to decline or refuse proposed interventions or medications.
to refuse
to consent
to inform
to comply
The purpose of using a verbal cross-check procedure during medication administration is to:
ensure accuracy and prevent medication errors
speed up the medication administration process
reduce the need for documentation
allow only one person to administer medication
Which of the following is an example of a peer-assisted medication?
You administer medication to yourself or your partner after exposure to a toxic agent.
You assist the patient with administering his or her own medication.
The EMT directly administers the medication to the patient.
Which of the following is an example of a patient-assisted medication?
Epinephrine auto-injector
Oxygen
Oral glucose
Which of the following is NOT an example of an EMT-administered medication?
Oxygen
Oral glucose
Metered-dose inhaler
Fill in the blank: Many departments have strict guidelines on when an EMT is allowed to administer a medication. These include peer-assisted medication, patient-assisted medication, and _________
EMT-administered medication
Hospital-administered medication
Family-assisted medication
Physician-administered medication
Medical control, state guidelines, and local protocols determine what an EMT in your system may administer.
True
False
Which of the following lists the correct steps to perform oral medications?
Check the medication order, prepare the medication, identify the patient, administer the medication, document the administration.
Prepare the medication, administer the medication, check the medication order, document the administration, identify the patient.
Identify the patient, administer the medication, check the medication order, prepare the medication, document the administration.
Document the administration, check the medication order, prepare the medication, identify the patient, administer the medication.
What is hypoglycemia?
Extremely low blood glucose
Extremely high blood pressure
Excessive sweating
High cholesterol levels
Oral glucose can counteract the effects of _________
hypoglycemia
hypertension
hypercalcemia
hypokalemia
An EMT can give glucose only by mouth in the form of a gel.
True
False
Never administer oral medications to an unconscious patient or to one who is unable to ________ or protect the airway.
swallow
breathe
cough
blink
What are the effects of aspirin?
Reduces fever, pain, and inflammation
Inhibits platelet aggregation (clumping), which is useful during a potential heart attack
Both a and b
None of the above
Which of the following is NOT a contraindication for aspirin?
Hypersensitivity to aspirin
Preexisting liver damage, bleeding disorders, and asthma
Should be given to children
Should not be given to children
List two advantages of sublingual medications.
Easy to talk with awake and alert patients and advise them to place a pill under their tongue; Absorption is relatively quick.
They are always flavored for better taste; They require swallowing with water.
They are only effective if chewed; They have a delayed onset of action.
They are best given to unconscious patients; They are absorbed slowly.
Any medication placed in the mouth requires constant evaluation of the airway.
True
False
Nitroglycerin is mainly used to:
Reduce fever
Relieve angina pain
Treat infections
Lower cholesterol
Before administering nitroglycerin, you should:
Check the patient’s blood pressure
Obtain a medical order or follow local protocols
Both a and b
None of the above
Name two erectile dysfunction drugs that can have potentially fatal interactions with nitroglycerin if taken within the past 24 hours.
Sildenafil (Viagra), Tadalafil (Cialis)
Ibuprofen, Acetaminophen
Metformin, Glipizide
Amlodipine, Lisinopril
When administering nitroglycerin by tablet, where should the tablet be placed?
Under the tongue
On top of the tongue
In the cheek pouch
Swallowed with water
One spray of metered-dose nitroglycerin equals one tablet.
True
False
What is one advantage of intramuscular medication administration?
It is painless
Provides quick and easy access to the circulatory system without the need for placing a needle within a vein
It is always faster than intravenous administration
It does not require any training
What is a disadvantage of intramuscular medication administration?
It is very slow
Use of a needle and subsequent pain
It is always risk-free
It cannot be used in emergencies
Epinephrine is also known as _________.
adrenaline
insulin
thyroxine
cortisol
When is epinephrine released inside the body?
When there is sudden stress
When you are sleeping
When you are eating
When you are exercising
What is the main hormone that controls the body’s fight-or-flight response?
Insulin
Adrenaline
Cortisol
Glucagon
Which of the following are characteristics of epinephrine?
It increases heart rate and dilates airways.
It decreases heart rate and constricts airways.
It lowers blood pressure and causes drowsiness.
It inhibits glucose release and slows metabolism.
Naloxone is used to reverse the effects of a(n) ________ overdose.
opioid
stimulant
antibiotic
antidepressant
Who can administer naloxone?
Only doctors
Only patients
Family members or caregivers
Only pharmacists
What is the most common technique for naloxone administration?
Intravenous
Intramuscular
Intranasal
Oral
Which medication is by far the most commonly administered in the prehospital setting?
Nitroglycerin
Oxygen
Epinephrine
Aspirin
All cells, especially those in the heart and brain, need ______ to function properly.
oxygen
glucose
carbon dioxide
protein
How is oxygen generally administered?
Via a nonrebreathing mask at 10 to 15 L/min
Via nasal cannula at 2 to 6 L/min
Both A and B
Neither A nor B
You must provide artificial ventilations if the patient is not breathing, using a bag-mask device at 15 L/min.
True
False
What should you ensure before administering oxygen?
The patient is sitting up
There are no open flames, lit cigarettes, or sparks in the area
The patient has eaten recently
The room is dark
What is a disadvantage of using metered-dose inhalers and nebulizers?
They are fast and easy to use
They can be used for unconscious patients
The patient needs to be cooperative and control breathing
They do not require any coordination
An MDI requires a great deal of ______ to administer.
coordination
patience
strength
speed
SVNs are much easier to use than MDIs.
True
False
Patient assessment includes finding out which medications the patient is currently taking.
True
False
Which of the following may provide vital clues to the patient's condition?
May help guide your treatment
May be extremely useful to the emergency department physician
Can help you determine a chronic or underlying condition when a patient is unable to relate his or her medical history
All of the above
What should you do if a medication error does take place?
Report the error and take corrective action
Ignore the error and continue as normal
Blame another staff member for the error
Wait for the patient to report symptoms
