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EMT- Pharmacology EXAM

Total questions: 75

Worksheet time: 44mins

Name
Class
Date
1.

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

a)

drugs

b)

cells

c)

hormones

d)

vitamins

2.

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

a)

medication

b)

the liver

c)

the kidney

d)

the heart

3.

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

a)

agonist

b)

antagonist

c)

inhibitor

d)

blocker

4.

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

5.

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

6.

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

7.

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

a)

Route of administration

b)

Shock states

c)

Both A and B

8.

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

a)

indications

b)

contraindications

c)

complications

d)

interactions

9.

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

10.

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

11.

Parenteral medications are often administered in which form?

a)

Pill

b)

Liquid through needles or syringes

c)

Tablet

12.

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

13.

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

14.

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

15.

Topical medications include which of the following?

a)

Lotions

b)

Creams

c)

Ointments

d)

All of the above

16.

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

17.

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

18.

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

19.

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

a)

dose

b)

time

c)

route

d)

patient

20.

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

a)

route

b)

dose

c)

time

d)

patient

21.

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

a)

time

b)

dose

c)

route

d)

patient

22.

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

23.

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

24.

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.

25.

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

a)

Oxygen

b)

Oral glucose

c)

Metered-dose inhaler

26.

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.

27.

What is hypoglycemia?

a)

Extremely low blood glucose

b)

Extremely high blood pressure

c)

Excessive sweating

d)

High cholesterol levels

28.

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

a)

True

b)

False

29.

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

30.

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

31.

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.

32.

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

a)

True

b)

False

33.

Nitroglycerin is mainly used to:

a)

Reduce fever

b)

Relieve angina pain

c)

Treat infections

d)

Lower cholesterol

34.

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

35.

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

36.

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

37.

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

38.

Epinephrine is also known as _________.

a)

adrenaline

b)

insulin

c)

thyroxine

d)

cortisol

39.

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

a)

Insulin

b)

Adrenaline

c)

Cortisol

d)

Glucagon

40.

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

a)

opioid

b)

stimulant

c)

antibiotic

d)

antidepressant

41.

What is the most common technique for naloxone administration?

a)

Intravenous

b)

Intramuscular

c)

Intranasal

d)

Oral

42.

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

a)

oxygen

b)

glucose

c)

carbon dioxide

d)

protein

43.

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

44.

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

45.

This type of injection is administered just below the skin.

a)

ID

b)

IV

c)

SC

d)

IM

46.

intraosseous means...

a)

into the muscle

b)

into the bone

c)

into a joint

d)

into the abdomen

47.

Why do we administer nitroglycerin to a chest pain patient?

a)

Lowers the blood pressure

b)

It relieves the pain

c)

It calms the patient

d)

Dilates the coronary arteries.

48.

Choose the correct dose for aspirin.

a)

1 tablet

b)

324mg

c)

2 x 81 mg tablets

d)

81 mg

49.

Choose the correct dose for nitroglycerin.

a)

0.4 mg

b)

1 spray

c)

0.3 mg

d)

4.0 mg

50.

Which of the following is the correct dose for nebulized Albuterol?

a)

2.5 mg/3mL

b)

3 mcg/3mL

c)

25 mcg/5mL

d)

2 ml/mg

51.

Choose the correct adult dose for epinephrine for a patient experiencing and anaphylactic reaction.

a)

3 mcg

b)

0.03 mg

c)

3 g

d)

0.3 mg

52.

Aspirin eases the workload of the heart by which of the following?

a)

Prevents clotting factors

b)

Relieves the pain

c)

Relaxes the heart muscle

d)

Makes the heart beat slower

53.

Match the following

a)

an undesired or negative response to medication

1.

adverse reaction

b)

highly sensitive reaction to any otherwise harmless substance

2.

allergy

c)

illness or disease that is contagious or transmittable to others

3.

communicable

d)

problems that occur from taking medication in addition to the desired therapeutic effect

4.

side effect

e)

having or exhibiting healing powers

5.

therapeutic

54.

subcutaneous

a)

SC

b)

ST

c)

suc

d)

c

55.

By mouth

a)

PR

b)

BM

c)

PO

d)

PM

56.

Which term describes a drug that relaxes the smooth muscle lining bronchial tubes?

a)

Chemotherapy

b)

Antihistamine

c)

Bronchodilator

d)

Vasodilator

57.

What does "pharmacology" refer to?

a)

Study of drugs.

b)

Pertaining to under the skin.

c)

Pertaining to a condition of sleep.

d)

Pertaining to under the tongue.

58.

What does "vasodilator" mean?

a)

Substance that causes blood vessels to widen.

b)

Pertaining to under the skin.

c)

Pertaining to a condition of sleep.

d)

Pertaining to under the tongue.

59.

What is "anaphylaxis"?

a)

A hypersensitive state of the body to a foreign protein (antigen) or drug; can produce severe symptoms and shock.

b)

An agent given to counteract unwanted effect of a drug.

c)

Chemical agent, produced from molds or bacteria, that inhibits or kills bacteria.

d)

Factor in the patient's condition that prevents the use of a drug or treatment.

60.

What does "contraindication" mean?

a)

Factor in the patient's condition that prevents the use of a drug or treatment.

b)

A hypersensitive state of the body to a foreign protein (antigen) or drug; can produce severe symptoms and shock.

c)

An agent given to counteract unwanted effect of a drug.

d)

Chemical agent, produced from molds or bacteria, that inhibits or kills bacteria.

61.

What is the meaning of "parenteral"?

a)

Pertaining to injection of drugs other than through the intestines.

b)

A hypersensitive state of the body to a foreign protein (antigen) or drug; can produce severe symptoms and shock.

c)

An agent given to counteract unwanted effect of a drug.

d)

Chemical agent, produced from molds or bacteria, that inhibits or kills bacteria.

62.
A mucosal atomizer device (MAD) is used to deliver certain medications via the:
a)
intranasal route.
b)
inhalation route.
c)
sublingual route.
d)
transdermal route.
63.
The medical term for an extremely low blood glucose level is:
a)
hypoglycemia
b)
hyperglycemia.
c)
hypotension
d)
hypertension
64.
Which of the following is NOT a characteristic of epinephrine?
a)
Secreted naturally by the adrenal glands
b)
Dilates passages in the lungs
c)
Constricts the blood vessels
d)
Decreases heart rate and blood pressure
65.
Which of the following patient populations typically require a modified drug dose?
a)
Pediatric patients
b)
Females
c)
Patients with asthma
d)
Middle adults
66.
a)
EPI
b)
NITRO
c)
Oral Gulcose 
d)
Albuterol rescue inhaler 
67.

Some common ___________________ of taking medication include headaches, upset

stomach, and drowsiness.

a)

antibiotics

b)

depressants

c)

stimulants

d)

side effects

e)

narcotics

68.
Aspirin is beneficial to patients suspected of having a heart attack because it:
a)
reduces the associated chest pain.
b)
dissolves the coronary artery clot.
c)
causes direct coronary vasodilation.
d)
prevents the aggregation of platelets.
69.
Which of the following statements regarding glucose is correct?
a)
Glucose is a complex sugar that rapidly absorbs into the bloodstream.
b)
Glucose is a simple sugar that is readily absorbed by the bloodstream.
c)
Glucose is given to patients who are suspected of being hyperglycemic.
d)
Glucose is usually administered by the EMT via the intravenous route.
70.
 Which question is most important for the EMT to ask a patient before administering a new drug?
a)
“Are you allergic to any drugs?”
b)
 “Do you know what this drug is for?”
c)
“When was the last time you ate or drank?”
d)
 “What other drugs have you taken in the last 24 hours?”
71.
Which action is most important when the EMT prepares to administer an oral drug to a patient of any age?
a)
 Asking the patient whether he or she prefers a tablet or a capsule
b)
Determining when the patient last ate or drank
c)
Assessing whether the patient has nausea
d)
Checking the patient’s ability to swallow
72.

Use of an SpO2 monitor on a person suffering from carbon monoxide poisoning will be inaccurate because

a)

The oxygen has stronger bonding properties than the CO2 molecule

b)

CO2 is odorless and tasteless so the monitor cannot detect it

c)

Carbon monoxide has a weaker bond with the hemoglobin

d)

The carbon monoxide molecule displaces the oxygen molecule inhibiting oxygen delivery

73.

What does the mnemonic DCAP - BTLS stand for?

(a)  

74.

Physician instructions that are given directly by radio or cell phone (online/direct) or indirectly by protocol/guidelines (off-line/indirect), as authorized by the medical director of the service program.

a)

Medical Control

b)

Medical Director

c)

Dispatcher

d)

Physician

75.

Explain why medications will have different therapeutic effects in different phases of shock.

4 lines