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EMT- Principles of Pharmacology

Total questions: 96

Worksheet time: 48mins

Name
Class
Date
1.

When used appropriately, medications may alleviate pain and improve a patient’s condition.

a)

True

b)

False

2.

Failure to administer medications safely and competently can lead to serious consequences for the patient, including death.

a)

True

b)

False

3.

Pharmacology is the science of ________, including their ingredients, preparation, uses, and actions on the body.

a)

drugs

b)

cells

c)

hormones

d)

vitamins

4.

A substance used to treat or prevent disease or relieve pain is called a ________.

a)

medication

b)

vitamin

c)

enzyme

d)

mineral

5.

Pharmacodynamics is the process by which ________ works on the body.

a)

medication

b)

the liver

c)

the kidney

d)

the heart

6.

A medication that causes stimulation of receptors is called an ________.

a)

agonist

b)

antagonist

c)

inhibitor

d)

blocker

7.

A medication that binds to a receptor and blocks other medications or chemicals from attaching there is called an ________.

a)

antagonist

b)

agonist

c)

substrate

d)

enzyme

8.

The amount of the medication that is given is called the ________.

a)

dose

b)

prescription

c)

tablet

d)

frequency

9.

Which of the following factors does the dose of a medication depend on?

a)

Patient’s weight

b)

Patient’s age

c)

Desired action of the medication

d)

All of the above

10.

The therapeutic effect that a medication is expected to have on the body is called its ________.

a)

action

b)

side effect

c)

dosage

d)

contraindication

11.

Pharmacokinetics refers to the actions of the body upon the medication (or chemical).

a)

True

b)

False

12.

Which of the following is NOT a component of pharmacokinetics?

a)

A. Onset of action

b)

B. Duration

c)

C. Elimination

d)

D. Infection

13.

The point or period when the maximum clinical effect is achieved is called the ________.

a)

peak

b)

onset

c)

duration

d)

trough

14.

Which of the following are factors affecting how a medication works?

a)

Route of administration

b)

Shock states

c)

Both A and B

15.

Reasons or conditions for which a particular medication is given are called ________.

a)

indications

b)

contraindications

c)

complications

d)

interactions

16.

What is an absolute contraindication?

a)

When the medication should never be given

b)

When the benefits of administering the drug may outweigh the risks

c)

When the medication has no effect

17.

What are unintended effects of a medication?

a)

Effects that are desirable

b)

Effects that are undesirable but pose little risk to the patient

c)

Effects that can be harmful to the patient

18.

Fill in the blank: The generic name of a medication is a simple, clear, ________ name.

a)

nonproprietary

b)

brand

c)

chemical

d)

trademark

19.

Match the following types of drugs with their examples:

a)

Heroin, cocaine

1.

Recreational drugs

b)

Ginseng, echinacea

2.

Herbal remedies

c)

Steroids

3.

Enhancement drugs

d)

Vitamin C

4.

Vitamin supplements

e)

Acupuncture

5.

Alternative medicines

20.

Enteral medications enter the body through which system?

a)

Respiratory system

b)

Digestive system

c)

Circulatory system

21.

Parenteral medications are often administered in which form?

a)

Pill

b)

Liquid through needles or syringes

c)

Tablet

22.

What is the process by which medications travel through body tissues to the bloodstream called?

a)

Absorption

b)

Excretion

c)

Metabolism

d)

Filtration

23.

Which route of medication administration is described as 'By rectum' and is easy to administer with reliable absorption?

a)

PR

b)

IV

c)

SC

d)

Inhalation

24.

Which route of medication administration is described as 'By mouth' and enters the bloodstream through the digestive system?

a)

PO

b)

IV

c)

SC

d)

IM

25.

Which route of medication administration is the fastest for delivery but cannot be used for all medications?

a)

Intravenous (IV) injection

b)

Oral administration

c)

Subcutaneous injection

d)

Topical application

26.

Which route of medication administration requires drilling a needle into the outer layer of bone?

a)

Intraosseous (IO) injection

b)

Intramuscular (IM) injection

c)

Subcutaneous injection

d)

Intravenous (IV) injection

27.

Which route of medication administration is given into the fatty tissue between the skin and muscle?

a)

Subcutaneous (SC) injection

b)

Intravenous (IV) injection

c)

Intramuscular (IM) injection

d)

Intradermal (ID) injection

28.

Which route of medication administration is described as 'Into the muscle' and is usually absorbed quickly?

a)

IM injection

b)

SC injection

c)

IV injection

d)

ID injection

29.

Which route of medication administration is absorbed into the bloodstream quickly through the lungs?

a)

Inhalation

b)

Oral

c)

Topical

d)

Subcutaneous

30.

Which route of medication administration is placed 'under the tongue' and enters the bloodstream within minutes?

a)

Sublingual (SL)

b)

Intramuscular (IM)

c)

Topical

d)

Rectal

31.

Which route of medication administration is applied as a patch to the skin and has a longer-lasting effect than other routes?

a)

Transcutaneous (transdermal)

b)

Intravenous

c)

Oral

d)

Subcutaneous

32.

Which route of medication administration uses a mucosal atomizer device (MAD) to aerosolize the liquid for delivery into the nostril?

a)

Intranasal (IN)

b)

Intramuscular (IM)

c)

Subcutaneous (SC)

d)

Intravenous (IV)

33.

Which of the following is NOT a common route of medication administration?

a)

Oral (PO)

b)

Intravenous (IV)

c)

Subcutaneous (SC)

d)

Intracranial (IC)

34.

Inhalation forms include aerosols, fine powders, and sprays.

a)

True

b)

False

35.

Which route of administration is described as 'Through the skin' and is applied as a patch?

a)

Transcutaneous (transdermal)

b)

Intravenous

c)

Subcutaneous

d)

Oral

36.

Which route of administration is relatively new and involves delivery of medication into the nostril?

a)

Intranasal (IN)

b)

Intravenous (IV)

c)

Subcutaneous (SC)

d)

Transdermal (TD)

37.

The form of a medication usually dictates the route of administration. What are the reasons the manufacturer chooses the form of a medication?

a)

Proper route of administration

b)

Timing of the medication’s release into the bloodstream

c)

Effects on the target organs or body systems

d)

All of the above

38.

Most medications given by mouth are in ______ or ______ form. (Fill in the blanks)

a)

tablet; capsule

b)

liquid; powder

c)

injection; syrup

d)

cream; ointment

39.

Capsules are gelatin shells filled with ______ or ______ medication. (Fill in the blanks)

a)

powder; liquid

b)

gas; vapor

c)

cream; ointment

d)

tablet; syrup

40.

Solutions can be given by almost any route.

a)

True

b)

False

41.

What is a suspension?

a)

A liquid mixture of one or more substances that cannot be separated simply

b)

A mixture of finely ground particles that are distributed evenly throughout a liquid by shaking or stirring but do not dissolve

c)

A solid medication

d)

A type of capsule

42.

It is important to ______ or ______ a suspension before its administration.

a)

shake; swirl

b)

heat; cool

c)

freeze; melt

d)

dilute; concentrate

43.

Metered-dose inhalers (MDIs) are often used for respiratory illnesses such as ______ or ______. (Fill in the blanks)

a)

asthma; emphysema

b)

diabetes; hypertension

c)

eczema; psoriasis

d)

arthritis; gout

44.

Topical medications include which of the following?

a)

Lotions

b)

Creams

c)

Ointments

d)

All of the above

45.

Transcutaneous medications are also referred to as ______ medications.

a)

transdermal

b)

oral

c)

sublingual

d)

inhaled

46.

What is the form of medication that is semiliquid and administered in capsules or through plastic tubes?

a)

Tablets

b)

Gels

c)

Liquids

d)

Powders

47.

Which gas is most commonly used in gas form outside the operating room?

a)

Nitrous oxide

b)

Oxygen

c)

Carbon dioxide

d)

Helium

48.

Medications should be administered only under the authorization of online or off-line medical direction.

a)

True

b)

False

49.

Which of the following is NOT one of the 'rights' of medication administration?

a)

Right patient

b)

Right color

c)

Right dose

d)

Right route

50.

Fill in the blank: The right _______ ensures that the patient who needs the medication is the person who receives the medication.

a)

patient

b)

dose

c)

time

d)

route

51.

Fill in the blank: The right _______ verifies the proper medication and prescription.

a)

medication and indication

b)

dose and route

c)

time and frequency

d)

patient and doctor

52.

Fill in the blank: The right _______ verifies the form and dose of the medication.

a)

dose

b)

time

c)

route

d)

patient

53.

Fill in the blank: The right _______ verifies the route of the medication.

a)

route

b)

dose

c)

time

d)

patient

54.

Fill in the blank: The right _______ checks the expiration date and condition of the medication.

a)

time

b)

dose

c)

route

d)

patient

55.

Fill in the blank: The right _______ informs the patient of the medication you intend to administer, including any likely adverse effects or unusual sensations.

a)

education

b)

dose

c)

route

d)

time

56.

Fill in the blank: The right _______ allows patients with decision-making capacity to decline or refuse proposed interventions or medications.

a)

to refuse

b)

to consent

c)

to inform

d)

to comply

57.

The purpose of using a verbal cross-check procedure during medication administration is to:

a)

ensure accuracy and prevent medication errors

b)

speed up the medication administration process

c)

reduce the need for documentation

d)

allow only one person to administer medication

58.

Which of the following is an example of a peer-assisted medication?

a)

You administer medication to yourself or your partner after exposure to a toxic agent.

b)

You assist the patient with administering his or her own medication.

c)

The EMT directly administers the medication to the patient.

59.

Which of the following is an example of a patient-assisted medication?

a)

Epinephrine auto-injector

b)

Oxygen

c)

Oral glucose

60.

Which of the following is NOT an example of an EMT-administered medication?

a)

Oxygen

b)

Oral glucose

c)

Metered-dose inhaler

61.

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 _________

a)

EMT-administered medication

b)

Hospital-administered medication

c)

Family-assisted medication

d)

Physician-administered medication

62.

Medical control, state guidelines, and local protocols determine what an EMT in your system may administer.

a)

True

b)

False

63.

Which of the following lists the correct steps to perform oral medications?

a)

Check the medication order, prepare the medication, identify the patient, administer the medication, document the administration.

b)

Prepare the medication, administer the medication, check the medication order, document the administration, identify the patient.

c)

Identify the patient, administer the medication, check the medication order, prepare the medication, document the administration.

d)

Document the administration, check the medication order, prepare the medication, identify the patient, administer the medication.

64.

What is hypoglycemia?

a)

Extremely low blood glucose

b)

Extremely high blood pressure

c)

Excessive sweating

d)

High cholesterol levels

65.

Oral glucose can counteract the effects of _________

a)

hypoglycemia

b)

hypertension

c)

hypercalcemia

d)

hypokalemia

66.

An EMT can give glucose only by mouth in the form of a gel.

a)

True

b)

False

67.

Never administer oral medications to an unconscious patient or to one who is unable to ________ or protect the airway.

a)

swallow

b)

breathe

c)

cough

d)

blink

68.

What are the effects of aspirin?

a)

Reduces fever, pain, and inflammation

b)

Inhibits platelet aggregation (clumping), which is useful during a potential heart attack

c)

Both a and b

d)

None of the above

69.

Which of the following is NOT a contraindication for aspirin?

a)

Hypersensitivity to aspirin

b)

Preexisting liver damage, bleeding disorders, and asthma

c)

Should be given to children

d)

Should not be given to children

70.

List two advantages of sublingual medications.

a)

Easy to talk with awake and alert patients and advise them to place a pill under their tongue; Absorption is relatively quick.

b)

They are always flavored for better taste; They require swallowing with water.

c)

They are only effective if chewed; They have a delayed onset of action.

d)

They are best given to unconscious patients; They are absorbed slowly.

71.

Any medication placed in the mouth requires constant evaluation of the airway.

a)

True

b)

False

72.

Nitroglycerin is mainly used to:

a)

Reduce fever

b)

Relieve angina pain

c)

Treat infections

d)

Lower cholesterol

73.

Before administering nitroglycerin, you should:

a)

Check the patient’s blood pressure

b)

Obtain a medical order or follow local protocols

c)

Both a and b

d)

None of the above

74.

Name two erectile dysfunction drugs that can have potentially fatal interactions with nitroglycerin if taken within the past 24 hours.

a)

Sildenafil (Viagra), Tadalafil (Cialis)

b)

Ibuprofen, Acetaminophen

c)

Metformin, Glipizide

d)

Amlodipine, Lisinopril

75.

When administering nitroglycerin by tablet, where should the tablet be placed?

a)

Under the tongue

b)

On top of the tongue

c)

In the cheek pouch

d)

Swallowed with water

76.

One spray of metered-dose nitroglycerin equals one tablet.

a)

True

b)

False

77.

What is one advantage of intramuscular medication administration?

a)

It is painless

b)

Provides quick and easy access to the circulatory system without the need for placing a needle within a vein

c)

It is always faster than intravenous administration

d)

It does not require any training

78.

What is a disadvantage of intramuscular medication administration?

a)

It is very slow

b)

Use of a needle and subsequent pain

c)

It is always risk-free

d)

It cannot be used in emergencies

79.

Epinephrine is also known as _________.

a)

adrenaline

b)

insulin

c)

thyroxine

d)

cortisol

80.

When is epinephrine released inside the body?

a)

When there is sudden stress

b)

When you are sleeping

c)

When you are eating

d)

When you are exercising

81.

What is the main hormone that controls the body’s fight-or-flight response?

a)

Insulin

b)

Adrenaline

c)

Cortisol

d)

Glucagon

82.

Which of the following are characteristics of epinephrine?

a)

It increases heart rate and dilates airways.

b)

It decreases heart rate and constricts airways.

c)

It lowers blood pressure and causes drowsiness.

d)

It inhibits glucose release and slows metabolism.

83.

Naloxone is used to reverse the effects of a(n) ________ overdose.

a)

opioid

b)

stimulant

c)

antibiotic

d)

antidepressant

84.

Who can administer naloxone?

a)

Only doctors

b)

Only patients

c)

Family members or caregivers

d)

Only pharmacists

85.

What is the most common technique for naloxone administration?

a)

Intravenous

b)

Intramuscular

c)

Intranasal

d)

Oral

86.

Which medication is by far the most commonly administered in the prehospital setting?

a)

Nitroglycerin

b)

Oxygen

c)

Epinephrine

d)

Aspirin

87.

All cells, especially those in the heart and brain, need ______ to function properly.

a)

oxygen

b)

glucose

c)

carbon dioxide

d)

protein

88.

How is oxygen generally administered?

a)

Via a nonrebreathing mask at 10 to 15 L/min

b)

Via nasal cannula at 2 to 6 L/min

c)

Both A and B

d)

Neither A nor B

89.

You must provide artificial ventilations if the patient is not breathing, using a bag-mask device at 15 L/min.

a)

True

b)

False

90.

What should you ensure before administering oxygen?

a)

The patient is sitting up

b)

There are no open flames, lit cigarettes, or sparks in the area

c)

The patient has eaten recently

d)

The room is dark

91.

What is a disadvantage of using metered-dose inhalers and nebulizers?

a)

They are fast and easy to use

b)

They can be used for unconscious patients

c)

The patient needs to be cooperative and control breathing

d)

They do not require any coordination

92.

An MDI requires a great deal of ______ to administer.

a)

coordination

b)

patience

c)

strength

d)

speed

93.

SVNs are much easier to use than MDIs.

a)

True

b)

False

94.

Patient assessment includes finding out which medications the patient is currently taking.

a)

True

b)

False

95.

Which of the following may provide vital clues to the patient's condition?

a)

May help guide your treatment

b)

May be extremely useful to the emergency department physician

c)

Can help you determine a chronic or underlying condition when a patient is unable to relate his or her medical history

d)

All of the above

96.

What should you do if a medication error does take place?

a)

Report the error and take corrective action

b)

Ignore the error and continue as normal

c)

Blame another staff member for the error

d)

Wait for the patient to report symptoms