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 Question 1

You have just administered nitroglycerin to a 68-year-old patient. Within a few minutes, she complains of feeling faint and
lightheaded, but states that she is still having some chest pain. Which of the following would be the BEST sequence of actions?
Selected
Answer: Lower the head of the stretcher and take the patient's blood pressure.
Answers:
Lower the head of the stretcher and take the patient's blood pressure.
Administer activated charcoal to prevent further absorption of the nitroglycerin and closely monitor the
patient's blood pressure.
Advise the patient that this is a normal occurrence and administer a second dose of nitroglycerin.
Increase the amount of oxygen you are giving to the patient before administering a second dose of
nitroglycerin.
 Question 2
1 out of 1 points

Which of the following is a desired action of epinephrine delivered by auto-injector?


Selected Answer:
Constriction of blood vessels
Answers:
Constriction of blood vessels
Constriction of coronary arteries
Dilation of coronary arteries
Decrease in blood pressure
 Question 3
1 out of 1 points

Which of the following describes the sublingual route of medication administration?


Selected Answer:
The medication is placed under the tongue.
Answers: The medication is injected under the skin.
The medication is breathed into the lungs, such as from an inhaler.

The medication is placed under the tongue.


The medication is swallowed whole, not chewed.
 Question 4
1 out of 1 points

What medication is given when a patient suffers from a medical or traumatic condition called hypoxia?
Selected Answer:
Oxygen
Answers:
Oxygen
Oral glucose
Epinephrine
Aspirin
 Question 5
1 out of 1 points
Why do EMTs give aspirin to the patient on the ambulance?
Selected
Answer: Aspirin reduces the blood's ability to clot and works to prevent clot formation in patients suffering chest
pain.
Answers: Aspirin reduces the heart's ability to beat fast and works to prevent rapid heart rate.
Aspirin reduces the pain level in patients who are in pain.

Aspirin reduces the blood's ability to clot and works to prevent clot formation in patients suffering chest
pain.
It is given to calm the patient by reducing the pain because stress is the real killer.
 Question 6
1 out of 1 points

Nitroglycerin is indicated for which of the following chief complaints?


Selected Answer:
Chest pain
Answers: Decreased level of consciousness

Chest pain
Headache
Difficulty breathing
 Question 7
1 out of 1 points

How is activated charcoal, which is carried by some EMS systems, supplied for use in emergency situations?
Selected Answer:
As a powder, which is premixed with water
Answers:
As a powder, which is premixed with water
As a gel or paste
As tablets
As a fine liquid spray for inhalation
 Question 8
1 out of 1 points

The EMT, after administering any medication, must do which of the following?
Selected Answer:
Document the administration, reassess the patient, and report to the receiving facility.
Answers: Reconsider the five rights, reassess the patient, and contact medical control.

Document the administration, reassess the patient, and report to the receiving facility.
Wait 5 minutes, repeat the medication if needed, and reassess the patient's vitals.
Document the route, dose, and time; reassess the patient; and re-administer the medication.
 Question 9
1 out of 1 points
Which of the following BEST describes the five rights?
Selected Answer:
Right patient, right medication, right time, right dose, right route
Answers: In date, right medication, right order, right dose, right time
Right patient, right medication, in date, right dose, right route
Right decision, right medication, right order, right dose, right place

Right patient, right medication, right time, right dose, right route
 Question 10
1 out of 1 points

Which of the following BEST describes a contraindication to a medication?


Selected Answer:
A reason why you should avoid giving a medication to a patient
Answers: An unintended action of the drug
The way in which a drug causes its effects

A reason why you should avoid giving a medication to a patient


A reason why you should give a medication to a patient
 Question 1

Your patient is a 6-year-old male who appears very anxious, is using increased effort during expiration, and has a fever. He is
wheezing and has a respiratory rate of 34. The patient's skin is very warm and dry. He does not have any cyanosis. The child is
drooling and his mother states that he complained of a sore throat and pain on swallowing earlier in the afternoon. Which of the
following conditions is most likely causing the patient's distress?
Selected Answer:
Epiglottitis
Answers: COPD

Epiglottitis
Pertussis
Pneumonia
 Question 2
1 out of 1 points

Which of the following is proper when assisting a patient with the use of a prescribed inhaler?
Selected Answer:
Have the patient hold the inhaled medication in his lungs as long as possible.
Answers:
Have the patient hold the inhaled medication in his lungs as long as possible.
Make sure that the inhaler has been kept in the refrigerator.
Do not use the patient's inhaler, because you do not know how the medication has been stored.
Have the patient inhale deeply before delivering the spray.
 Question 3
1 out of 1 points

Which of the following patients with difficulty breathing should NOT receive supplemental oxygen?
Selected Answer:
None of these patients should have oxygen withheld.
Answers: A patient with a chronic lung disease who may have a hypoxic drive
An infant whose eyes may be damaged by excessive oxygen administration
A patient whose oxygen saturation level is 100 percent on room air

None of these patients should have oxygen withheld.


 Question 4
1 out of 1 points

Which of the following observations indicate that your patient may have overused his prescription inhaler?
Selected Answer:
Nervousness
Answers: Decreased level of consciousness

Nervousness
Increased secretions from the airway
Decreased heart rate
 Question 5
1 out of 1 points

Your patient is a 15-year-old male with a history of multiple prior hospitalizations for asthma. Upon your arrival the patient
responds only to painful stimuli and is making very weak respiratory effort. Which of the following should you do next?
Selected Answer:
Assist the patient's ventilations with a bag-valve-mask device and supplemental oxygen.
Answers: Contact medical control.
Check the patient's oxygen saturation level.
Assist the patient with his inhaler.

Assist the patient's ventilations with a bag-valve-mask device and supplemental oxygen.
 Question 6
1 out of 1 points

Which of the following does NOT occur during inspiration?


Selected Answer:
Diaphragm relaxes
Answers: Intercostal muscles contract
Chest cavity increases in size
Diaphragm lowers

Diaphragm relaxes
 Question 7
1 out of 1 points

While caring for a 3-year-old child, you should be concerned if his respiratory rate exceeds ________ breaths per minute.
Selected Answer:
30
Answers: 16
20
24

30
 Question 8
1 out of 1 points

Which of the following respiratory rates is considered an abnormal respiratory rate for an adult?
Selected Answer:
8 breaths/min
Answers: 20 breaths/min
12 breaths/min
16 breaths/min

8 breaths/min
 Question 9
1 out of 1 points

When ventilating a child with inadequate respirations, which of the following is the maximum rate at which artificial
respirations should be delivered?
Selected Answer:
20 per minute
Answers: 15 per minute
12 per minute
24 per minute

20 per minute
 Question 10
1 out of 1 points

Your patient is a 60-year-old female with a sudden onset of severe difficulty breathing. She has no prior history of respiratory
problems. Which of the following should be done before applying oxygen by nonrebreather mask?
Selected Answer:
None of the above
Answers: Listen to the patient's breath sounds.
Obtain a history of the present illness.
Check the patient's oxygen saturation level.

None of the above


 Question 1
1 out of 1 points

Which of the following is NOT typical of angina pectoris?


Selected Answer:
All of the above are typical findings of angina pectoris.
Answers: Responds to nitroglycerin
Lasts 3 to 5 minutes
Often subsides with rest

All of the above are typical findings of angina pectoris.


 Question 2
1 out of 1 points

Your patient is a 60-year-old male who is complaining of severe chest pain and difficulty breathing. He is pale, sweaty, and
pleads with you, "Don't let me die, I think I'm going to die." Which of the following measures is NOT part of your initial
treatment of this patient?
Selected Answer:
Applying the defibrillator pads to his chest
Answers: Giving 15 lpm of oxygen by nonrebreather mask

Applying the defibrillator pads to his chest


Determining whether you should assist the patient in taking nitroglycerin
Placing the patient in a position of comfort
 Question 3
1 out of 1 points

Your patient is a 49-year-old male with a history of heart problems. Assuming he has a bottle of nitroglycerin tablets with
him, under which of the following circumstances could you administer the nitroglycerin to the patient?
Selected Answer:
The patient complains of chest pain and has a blood pressure of 132/90 mmHg.
Answers: The patient is complaining of dyspnea and has a blood pressure of no greater than 100 mmHg systolic.
The patient's personal physician is on the scene and has advised you to administer the nitroglycerin.

The patient complains of chest pain and has a blood pressure of 132/90 mmHg.
The patient has taken at least three tablets on his own without relief.
 Question 4
1 out of 1 points

In which of the following ways does cardiac arrest in children differ from cardiac arrest in adults?
Selected Answer:
Cardiac arrest in children is more likely to be due to respiratory failure.
Answers:
Cardiac arrest in children is more likely to be due to respiratory failure.
Ventricular fibrillation is common in children.
Ventricular fibrillation is not common in adults.
Cardiac arrest in adults is more likely to be due to respiratory failure.
 Question 5
1 out of 1 points

A weakened area of an artery that balloons out and may rupture, causing catastrophic bleeding, is called:
Selected Answer:
aneurysm.
Answers: angina.
asystole.

aneurysm.
angioplasty.
 Question 6
1 out of 1 points

Which of the following statements regarding the administration of nitroglycerin tablets is true?
Selected Answer:
The patient may complain of a headache following administration.
Answers: An increase in blood pressure should be expected.

The patient may complain of a headache following administration.


If it is fresh it will have no noticeable taste.
It takes 20 to 30 minutes for nitroglycerin to have an effect.
 Question 7
1 out of 1 points

Which of the following heart chambers pumps oxygenated blood to the body?
Selected Answer:
Left ventricle
Answers:
Left ventricle
Left atrium
Right ventricle
Right atrium
 Question 8
1 out of 1 points

Which of the following is NOT a typical indication of congestive heart failure?


Selected Answer:
Low blood pressure
Answers: Productive cough
Wet sounding breath sounds
Increased heart rate

Low blood pressure


 Question 9
1 out of 1 points

Which of the following is the result of a portion of the heart muscle dying due to a lack of oxygen?
Selected Answer:
Myocardial infarction
Answers: Angina pectoris

Myocardial infarction
Cardiac arrest
Heart failure
 Question 10
1 out of 1 points

Which of the following may be a symptom of a problem with the heart?


Selected Answer:
All of the above
Answers: Mild chest discomfort
Severe, crushing pain in the chest
Nausea, with or without vomiting

All of the above


 Question 1
1 out of 1 points

Which of the following is one of the most common characteristics of a stroke?


Selected Answer:
Weakness on one side of the body
Answers:
Weakness on one side of the body
Projectile vomiting
Sudden onset of bizarre behavior
Sudden, severe headache
 Question 2
1 out of 1 points

A hormone called insulin is secreted by the:


Selected Answer:
Islets of Langerhans in the pancreas.
Answers: Islets of Langerhans in the liver.
gallbladder found in the pancreas.

Islets of Langerhans in the pancreas.


None of the above
 Question 3
1 out of 1 points

The death of brain tissue due to deprivation of oxygen because of a blocked or ruptured artery in the brain is known as which
of the following?
Selected Answer:
Stroke
Answers: Transient ischemic attack

Stroke
Aphasia
Seizure
 Question 4
1 out of 1 points

Which of the following is an action of insulin?


Selected Answer:
It increases the movement of sugar from the bloodstream to the cell.
Answers: It increases the transfer of sugar from the stomach and small intestine to the bloodstream.

It increases the movement of sugar from the bloodstream to the cell.


It increases the circulating level of glucose in the blood.
It blocks the uptake of sugar by the body's cells.
 Question 5
1 out of 1 points

What is epilepsy?
Selected Answer:
A condition in which a person has multiple seizures usually controlled by medication.
Answers:
A condition in which a person has multiple seizures usually controlled by medication.
A condition in which a person has an aura followed by seizure usually controlled by medication.
A condition caused by congenital brain abnormalities that causes seizures only twice a year.
A condition in which a person has general seizures that start in childhood.
 Question 6
1 out of 1 points

Which of the following may result in hypoglycemia in the diabetic patient?


Selected Answer:
Vomiting after eating a meal
Answers: Failure to take insulin or oral diabetes medications
Lack of exercise

Vomiting after eating a meal


Overeating
 Question 7
1 out of 1 points

When assessing a patient for a possible stroke, which of the following three functions should be tested by the EMT?
Selected
Answer: Control of facial muscles, ability to speak, and ability to hold both arms in an extended position for 10
seconds
Answers: Memory, ability to speak, and ability to track movement with the eyes
Ability to walk, control of facial muscles, and balance

Control of facial muscles, ability to speak, and ability to hold both arms in an extended position for 10
seconds
Ability to walk, ability to hold both arms in an extended position for 10 seconds, and ability to name
common objects
 Question 8
1 out of 1 points

You have arrived on the scene of a call for a possible stroke. On your arrival, the patient denies signs and symptoms, is alert
and oriented, and moves all extremities well. Her husband states that before you arrived the patient could not move her right
arm and the left side of her face seemed to be "slack." Which of the following has most likely occurred?
Selected Answer:
The patient suffered a transient ischemic attack.
Answers: The patient suffered a cerebral vascular accident.
The patient is suffering from aphasia.
The patient has had a subarachnoid hemorrhage.

The patient suffered a transient ischemic attack.


 Question 9
1 out of 1 points

Which of the following conditions may be mimicked by hypoglycemia?


Selected Answer:
Intoxication
Answers:
Intoxication
Respiratory distress
Heart attack
All of the above
 Question 10
1 out of 1 points

Your patient is a 19-year-old female who is 7 months pregnant. She has just experienced a seizure, although she has no
previous history of seizures other than hypertension associated with the pregnancy. Which of the following is the most likely
cause of the seizure?
Selected Answer:
Eclampsia
Answers: Trauma
Hypoglycemia

Eclampsia
Any of the above
 Question 1
1 out of 1 points

Which of the following does NOT commonly lead to anaphylaxis?


Selected Answer:
Cat dander
Answers: Peanuts

Cat dander
Wasp stings
Sulfa drugs
 Question 2
1 out of 1 points

Most epinephrine auto-injectors, except the Twinject, contain how many doses of epinephrine?
Selected Answer:
One
Answers: Two
Three

One
None of the above
 Question 3
1 out of 1 points

You are managing a patient who has been stung by a bee and has had an allergic reaction to bee stings in the past. The patient
has some localized redness and swelling in the area of the bee sting but is not having difficulty breathing. Of the following,
which would be performed first for this patient?
Selected Answer:
Continue the focused assessment.
Answers:
Continue the focused assessment.
Perform a head-to-toe exam.
Advise him to take an oral antihistamine, such as Benadryl.
Assist him with his epinephrine auto-injector.
 Question 4
1 out of 1 points

Your patient is a 45-year-old female who is allergic to sesame seeds, which she accidentally ingested when she ate a deli
sandwich. She is having difficulty breathing, and she has hives, watery eyes, a weak pulse of 120 per minute, and swelling of
the face and tongue. Which of the following is the BEST course of immediate action?
Selected Answer:
Contact medical control for orders to administer the patient's epinephrine auto-injector.
Answers: Transport immediately.

Contact medical control for orders to administer the patient's epinephrine auto-injector.
Contact dispatch to see where the closest ALS unit is.
Insert an oropharyngeal airway.
 Question 5
1 out of 1 points

Which of the following is MOST likely to be a complaint of a patient suffering from anaphylaxis?
Selected Answer:
"My throat feels like it is closing."
Answers: "I am having severe muscle pains."
"My legs are numb and I can't move them."

"My throat feels like it is closing."


"I can't remember what happened."
 Question 6
1 out of 1 points

Which of the following is the dosage of subcutaneous epinephrine in a pediatric patient?


Selected Answer:
0.15 mg
Answers: 1.5 mg
0.3 mg

0.15 mg
0.03 mg
 Question 7
1 out of 1 points

You have responded to a park where you find a 23-year-old female sitting on a bench near a running trail. She states that she
has been running for the past 30 minutes, and all of a sudden she can't catch her breath. She states that this has never happened
before and she usually runs 5 miles a day. Your assessment reveals that she is flushed, her pulse is fast and weak, her
respirations are fast and she is wheezing, and she has hives on her arms and chest. She is most likely suffering from which of
the following?
Selected Answer:
Anaphylaxis
Answers:
Anaphylaxis
Heat stroke
Allergic reaction
Hyperventilation syndrome
 Question 8
1 out of 1 points

Which of the following statements concerning severe allergic reactions is true?


Selected
Answer: The quicker the onset of symptoms, the greater the likelihood of a severe allergic reaction.
Answers:
The quicker the onset of symptoms, the greater the likelihood of a severe allergic reaction.
A severe allergic reaction can be prevented by the use of an epinephrine auto-injector before exposure to
the substance.
Allergies do not develop until a person is in his late teens to early 20s.
A severe allergic reaction occurs only when the patient has never been exposed to the substance before.
 Question 9
1 out of 1 points

Which of the following occurs to blood vessels during an anaphylactic reaction?


Selected Answer:
Dilation
Answers: Constriction
No change
Spasm

Dilation
 Question 10
1 out of 1 points

Your patient has a history of severe anaphylaxis and carries several auto-injectors. You have administered one of the auto-
injectors, but the patient's condition continues to worsen. Which of the following is the next best course of action?
Selected Answer:
Contact medical control.
Answers: Divert transport to a hospital with critical care capabilities.
Continue supportive care en route to the hospital.

Contact medical control.


Immediately administer a second auto-injector.
 Question 1
1 out of 1 points

The term poison is BEST described as any substance that can do which of the following?
Selected Answer:
Harm the body
Answers: Increase cellular activity
Deactivate nerve transmission
Depress the body's respirations

Harm the body


 Question 2
1 out of 1 points

Which of the following conditions can mimic the signs of alcohol intoxication?
Selected Answer:
All of the above
Answers: Epilepsy
Head injuries
Diabetes

All of the above


 Question 3
1 out of 1 points

Which of the following is a sign or symptom of withdrawal from alcohol?


Selected Answer:
All of the above
Answers: Seizures
Sweating
Hallucinations

All of the above


 Question 4
1 out of 1 points
Which of the following describes any substance produced by a living organism that is poisonous to human beings?
Selected Answer:
Toxin
Answers: Antibody
Acid

Toxin
Antigen
 Question 5
1 out of 1 points

Carbon monoxide poisoning should be suspected when a patient has been in an enclosed area and has which of the following
signs and/or symptoms?
Selected Answer:
All of the above
Answers: Headache, dizziness, and nausea
Flu-like symptoms
Vomiting and altered mental status

All of the above


 Question 6
1 out of 1 points

You have just arrived on the scene of an agricultural business and see three men coming out of a building, choking and
holding their heads. One of the men tells you there are two workers still inside. What should you do next?
Selected
Answer: Call for properly trained assistance and stay a safe distance away from the scene.
Answers:
Call for properly trained assistance and stay a safe distance away from the scene.
Cover your nose and mouth with a wet towel and check on the status of the two workers inside the
building.
Get the assistance of the men who made it out of the building to prevent delay in finding the workers
inside.
Evaluate the three men and administer high-concentration oxygen, then help them get a safe distance away
from the scene.
 Question 7
1 out of 1 points

Which of the following is the most important means of managing a patient who has inhaled a poison, after the airway has been
established?
Selected Answer:
High concentrations of oxygen
Answers: Hyperventilation

High concentrations of oxygen


Monitoring pulse oximetry
Administering a specific antidote
 Question 8
1 out of 1 points

Your patient is a 48-year-old male who has been exposed to a toxic powder that can be absorbed through the skin. Which of
the following measures should be taken by the EMT?
Selected Answer:
Brush off the powder and flush the patient's skin with copious amounts of water.
Answers: Wipe the powder away with a damp cloth.
Brush off the powder and flush the patient's skin with a solution of baking soda and water.
Flush the patient's skin with copious amounts of water.

Brush off the powder and flush the patient's skin with copious amounts of water.
 Question 9
1 out of 1 points

Which of the following is one of the most common inhaled poisons associated with fire?
Selected Answer:
Cyanide
Answers: Carbon dioxide
Methane gas
Polyvinyl chloride

Cyanide
 Question 10
1 out of 1 points

When a poison attaches to the chemical structure of activated charcoal, which of the following BEST describes this
mechanism of action?
Selected Answer:
Adsorption
Answers: Absorption
Inactivation
Incorporation

Adsorption
 Question 1
1 out of 1 points

Your patient is a 34-year-old male complaining of pain "in his right side." He is pale and diaphoretic with a heart rate of 90
beats per minute, a respiratory rate of 28 breaths per minute, and a blood pressure of 132/80 mmHg. The patient is very
agitated and anxious. Which approach is most appropriate?
Selected
Answer: Reassure him that you will make him as comfortable as possible and get him to the hospital for additional
care.
Answers: Try to determine the cause of his pain.
Tell the patient that you cannot transport him unless he calms down and lies still.
Insert an oropharyngeal airway.
Reassure him that you will make him as comfortable as possible and get him to the hospital for additional
care.
 Question 2
1 out of 1 points

Which of the following is a characteristic of referred pain?


Selected Answer:
It is felt in a location other than the organ causing it.
Answers: It is only felt in hollow organs.

It is felt in a location other than the organ causing it.


It is caused by psychological stress.
It is usually described as "crampy" or "colicky."
 Question 3
1 out of 1 points

Which of the following questions may help the EMT assess a patient with abdominal pain?
Selected Answer:
All of the above
Answers: Do you have any allergies to foods or medicines?
Do you have any medical problems, such as diabetes or heart problems?
What medications are you taking?

All of the above


 Question 4
1 out of 1 points

Which of the following is NOT a cause of parietal pain?


Selected Answer:
Muscle spasm
Answers:
Muscle spasm
Bleeding into the abdominal cavity
Inflammation
Infection
 Question 5
1 out of 1 points

Which of the following is the main focus of the EMT's assessment and history taking of the patient with abdominal pain?
Selected Answer:
Determining the presence of shock
Answers: Determining the possible need for immediate surgery
Determining if the patient meets criteria to refuse treatment and transport
Determining the cause of the pain

Determining the presence of shock


 Question 6
1 out of 1 points

Which of the following is NOT true concerning abdominal pain in geriatric patients?
Selected Answer:
The causes of abdominal pain in the elderly are rarely serious.
Answers: The elderly person may not be able to give a specific description of the pain.
The elderly have a decreased ability to perceive pain.
Medications may mask signs of shock associated with an abdominal complaint.

The causes of abdominal pain in the elderly are rarely serious.


 Question 7
1 out of 1 points

You respond, along with fire department medical responders, to a 48-year-old female having a syncope episode in the
bathroom. You find the patient sitting on the commode vomiting into the trashcan. The vomitus appears to look like coffee
grounds and has a foul smell. The patient is pale and has been weak for the past few days. She has:
Selected Answer:
GI bleeding.
Answers: peritonitis.
abdominal aortic aneurysm.
hernia.

GI bleeding.
 Question 8
1 out of 1 points

Which of the following structures is technically not located in the abdominal cavity?
Selected Answer:
Kidneys
Answers:
Kidneys
Liver
Spleen
Stomach
 Question 9
1 out of 1 points

Which of the following is NOT a cause of abdominal pain?


Selected Answer:
Stroke
Answers:
Stroke
Food poisoning
Heart attack
Diabetes
 Question 10
1 out of 1 points
Pain that originates in an organ, such as the intestines, is called ________ pain.
Selected Answer:
visceral
Answers:
visceral
referred
acute
parietal
 Question 1
1 out of 1 points

When a person acts in a manner that is unacceptable to himself or those around him, this would be considered which of the
following?
Selected Answer:
Behavioral emergency
Answers: Mental illness
Psychotic episode

Behavioral emergency
Psychosomatic reaction
 Question 2
1 out of 1 points

Which of the following may cause a patient to exhibit abnormal behavior?


Selected Answer:
Hypoxia
Answers:
Hypoxia
Allergic reaction
Gastroenteritis
All of the above
 Question 3
1 out of 1 points

Which of the following statements concerning behavioral emergencies is true?


Selected Answer:
It may be difficult to determine what behavior is abnormal for a given person in a given situation.
Answers: Emotional outbursts are considered behavioral emergencies.
The person with a behavioral emergency requires prolonged institutionalization.
A person with a behavioral emergency is mentally ill.

It may be difficult to determine what behavior is abnormal for a given person in a given situation.
 Question 4
1 out of 1 points

Which of the following statements concerning people who have made prior suicide attempts is true?
Selected Answer:
They are at an increased risk for a subsequent successful suicide.
Answers:
They are at an increased risk for a subsequent successful suicide.
They do not require psychological counseling like a person who is truly depressed.
They should be allowed to sign a release if their injuries are not serious.
They are usually just making a cry for help but do not want to die.
 Question 5
1 out of 1 points

Which of the following must be treated by the EMT if present in a patient with an apparent behavioral emergency?
Selected Answer:
Hypoglycemia
Answers: Acute alcohol intoxication

Hypoglycemia
Suicidal ideology
Severe clinical depression
 Question 6
1 out of 1 points

Concerning behavioral emergencies, which of the following statements is true?


Selected
Answer: A diabetic problem may mimic signs of a behavioral emergency.
Answers: Only a licensed psychiatrist can apply crisis management techniques with a patient having a behavioral
emergency.

A diabetic problem may mimic signs of a behavioral emergency.


It is relatively easy to determine if the underlying cause of a behavioral emergency is related to drug abuse.
A patient who does not respond to crisis management techniques must be restrained for transport to a
psychiatric facility.
 Question 7
1 out of 1 points

Which of the following actions is the MOST appropriate for the EMT to take when managing a patient with a behavioral
emergency?
Selected Answer:
Calm and reassure the patient.
Answers: Find out if the patient's insurance covers psychiatric treatment.

Calm and reassure the patient.


Establish control of the situation by a show of force.
Quickly perform a head-to-toe exam and transport without delay.
 Question 8
1 out of 1 points

Concerning attempted suicide, which of the following statements is true?


Selected Answer:
All suicide attempts must be taken seriously, even if the method seems insincere.
Answers: Truly suicidal patients nearly always leave a note.

All suicide attempts must be taken seriously, even if the method seems insincere.
There is always an indication that a suicide attempt is imminent.
Attempted suicide is a matter for law enforcement, not EMS.
 Question 9
1 out of 1 points

When restraining a patient, which of the following is NOT a consideration?


Selected Answer:
The patient's informed consent
Answers: The number of people available to carry out the required actions
The patient's size and strength

The patient's informed consent


How to position the patient
 Question 10
1 out of 1 points

You are on the scene of a possible overdose. You find a 30-year-old man pacing about his living room. There is evidence of
illicit drug use and the apartment is in disarray. The patient seems agitated and nervous. Attempts at calming the patient
should include which of the following?
Selected Answer:
Repeat part of what the patient is saying to show that you are listening to him.
Answers: Speak quickly to give the patient all of the important information without delay.

Repeat part of what the patient is saying to show that you are listening to him.
Stand still with your arms crossed to instill a sense of control and authority.
Sit close to him with your arm around his shoulders to show that you are truly concerned.
 Question 1
1 out of 1 points

A patient with a medical history of sickle cell anemia is complaining of chest pain and shortness of breath. The patient is
breathing 26 times a minute in short, shallow respirations. However, the patient's oxygen saturation via pulse oximetry is 100
percent on room air. The best approach regarding supplemental oxygen is to:
Selected Answer:
place the patient on a nonrebreather mask.
Answers: do nothing; no supplemental oxygen is necessary.

place the patient on a nonrebreather mask.


place the patient on a nasal cannula.
place the patient on a simple face mask.
 Question 2
1 out of 1 points

Peritoneal dialysis allows patients to dialyze at home through:


Selected Answer:
the abdomen.
Answers: a dialysis machine.

the abdomen.
an AV fistula.
the urethra.
 Question 3
1 out of 1 points

_________ patients are at high risk for acquiring the inherited disorder called sickle cell anemia.
Selected Answer:
African American
Answers: Native American

African American
Eastern European
Hispanic
 Question 4
1 out of 1 points

You are dispatched to a sick call. The patient was just extricated from a bathtub where he was trapped under the shower door
for 2 weeks. This 72-year-old male had limited access to water from the bathtub faucet. The patient is complaining of
disorientation, nausea, and vomiting. What do you think is the underlying cause for the illness?
Selected Answer:
Acute renal failure
Answers: Chronic renal failure
End-stage renal disease

Acute renal failure


Gastrointestinal infection
 Question 5
1 out of 1 points

Dialysis patients who have missed an appointment may present with signs of _________, which is a similar presentation to
_________.
Selected Answer:
pulmonary edema; congestive heart failure
Answers:
pulmonary edema; congestive heart failure
shortness of breath; pneumonia
chest pain; acute myocardial infarction
neurological disturbances; stroke
 Question 6
1 out of 1 points

Hemodialysis is used to help the kidneys filter ________ and remove excess ________.
Selected Answer:
toxins; fluids
Answers: electrolytes; hormones
urine; poisons
blood; cholesterol

toxins; fluids
 Question 7
1 out of 1 points

Which of the following pathologies make patients at high risk for acute renal failure?
Selected Answer:
Shock
Answers: Polycystic kidney disease

Shock
Uncontrolled diabetes
Hypertension
 Question 8
1 out of 1 points

The medications that transplant patients need to take for the rest of their lives to prevent organ rejection also often lead to high
susceptibility of:
Selected Answer:
infection.
Answers:
infection.
renal failure.
ulcers.
congestive heart failure.
 Question 9
1 out of 1 points

Once you encounter uncontrolled bleeding from an AV fistula, which of the following methods would you consider using to
control bleeding in addition to direct pressure and elevation?
Selected Answer:
Hemostatic dressings
Answers: Internal wound management
Tourniquet

Hemostatic dressings
Pressure points
 Question 10
1 out of 1 points

The most frequently transplanted organ is the:


Selected Answer:
kidney.
Answers: liver.
heart.

kidney.
pancreas.
 Question 1
1 out of 1 points

Which of the following is another way of describing the condition of shock?


Selected Answer:
Hypoperfusion
Answers: Internal bleeding
Hypotension

Hypoperfusion
Hemorrhage
 Question 2
1 out of 1 points

Which of the following BEST describes the function of blood?


Selected Answer:
It transports gases along with nutrients, aids in excretion, and provides protection and regulation.
Answers: It is a life-giving liquid that supports all the body's functions to maintain hypoperfusion.
It clots, flows, transports, protects, and excretes to fight disease and life.

It transports gases along with nutrients, aids in excretion, and provides protection and regulation.
It flows from the heart with the vital gases and nutrients to maintain lack of perfusion.
 Question 3
1 out of 1 points

Your patient is a 33-year-old man who has a gunshot wound to his right leg and has active, steady, dark red bleeding. He is
awake, pale, and diaphoretic. He has a strong radial pulse of 112 per minute, a respiratory rate of 24 breaths per minute, and a
blood pressure of 122/82 mmHg. He has no other injuries or complaints. Which of the following is the BEST sequence of
steps in the management of this patient?
Selected
Answer: Direct pressure, high-concentration oxygen, and splinting the leg
Answers: High-concentration oxygen, elevation of the extremity, and application of ice
Cervical spine immobilization, high-concentration oxygen, direct pressure, and pressure point
compression
High-concentration oxygen, tourniquet, PASG, and elevation of the extremity

Direct pressure, high-concentration oxygen, and splinting the leg


 Question 4
1 out of 1 points

If you do not have a commercial tourniquet available, what common device found on the ambulance can be used as a
substitute?
Selected Answer:
Blood pressure cuff
Answers: Air or vacuum splint

Blood pressure cuff


Ice packs tied in place with triangle bandage
Use a rope tie-down to make a tourniquet
 Question 5
1 out of 1 points

In which of the following instances would PASG be an appropriate choice to control bleeding?
Selected Answer:
Multiple lacerations to the lower extremities
Answers:
Multiple lacerations to the lower extremities
A knife impaled in the abdomen
A laceration of the large veins of the neck
A gunshot wound to the chest
 Question 6
1 out of 1 points

Which of the following signifies a failure in the patient's compensatory response to blood loss?
Selected Answer:
Hypotension
Answers:
Hypotension
Tachycardia
Tachypnea
Pale, cool skin
 Question 7
1 out of 1 points

Which of the following vessels has the thickest muscular walls that allow constriction and dilation?
Selected Answer:
Arteries
Answers:
Arteries
Capillaries
Veins
Lymphatic vessels
 Question 8
1 out of 1 points

Which of the following is the purpose of making airway management the highest priority of patient care when managing the
patient in shock?
Selected Answer:
All of the above
Answers: It allows for oxygenation of the lungs.
It allows for improved elimination of carbon dioxide.
It minimizes the chances of aspiration of blood or vomit.

All of the above


 Question 9
1 out of 1 points

Which of the following is NOT recommended when controlling epistaxis?


Selected Answer:
Having the patient tilt the head backward to elevate the nose
Answers: Pinching the nostrils together
Keeping the patient calm and quiet

Having the patient tilt the head backward to elevate the nose
Placing the unconscious patient in the recovery position
 Question 10
1 out of 1 points

Your patient is a 6-year-old child who has fallen down while running on a sidewalk. She has abrasions on both knees and the
palms of both hands, which are oozing blood. This is an example of bleeding from which of the following types of vessels?
Selected Answer:
Capillaries
Answers: Veins
Arteries
Lymphatic vessels

Capillaries
 Question 1
1 out of 1 points

Your patient is a 55-year-old male who was found in the parking lot behind a tavern. He states that he was assaulted and
robbed by three individuals. He is complaining of being "hit in the face and kicked and punched in his ribs and stomach."
Your examination reveals contusions and swelling around both eyes, bleeding from the nose, a laceration of his upper lip, and
multiple contusions of the chest, abdomen, and flanks. Which of the following should cause the greatest concern regarding the
prehospital care of this patient?
Selected Answer:
Potential internal injuries
Answers: The presence of any defensive wounds the patient may have sustained
The swelling around his eyes, which may be reduced by applying a cold pack

Potential internal injuries


Getting a description of the assailants
 Question 2
1 out of 1 points

Which of the following injuries requires the use of an occlusive dressing?


Selected Answer:
All of the above
Answers: An open wound to the neck
An open wound to the abdomen from which a loop of intestine is protruding
An open wound to the chest

All of the above


 Question 3
1 out of 1 points

An injury in which the epidermis remains intact, but blood vessels and cells in the dermis are injured, is called a(n):
Selected Answer:
contusion.
Answers:
contusion.
abrasion.
concussion.
avulsion.
 Question 4
1 out of 1 points

Which of the following patients has the greatest likelihood of being cared for in a burn center?
Selected
Answer: A 30-year-old woman who has deep partial thickness burns on her hand and arm as a result of spilling hot
cooking oil on herself
Answers: A 45-year-old man who has a full thickness burn about 3 inches long by 1/2 inch wide on his posterior arm
from backing into a barbecue grill

A 30-year-old woman who has deep partial thickness burns on her hand and arm as a result of spilling hot
cooking oil on herself
A 12-year-old male with a superficial partial thickness burn involving his forearm as a result of making a
torch by lighting aerosol from a can of hairspray
A 16-year-old female who came into contact with a motorcycle exhaust pipe and has a full thickness burn on
her leg about 2 inches in diameter
 Question 5
1 out of 1 points

Which of the following is a major function of the skin?


Selected Answer:
All of the above
Answers: Excretion of wastes
Protection from the environment
Temperature regulation

All of the above


 Question 6
1 out of 1 points
Which of the following BEST describes an avulsion?
Selected Answer:
A flap of skin that is partially or completely torn away from the underlying tissue
Answers: An injury caused by a sharp, pointed object

A flap of skin that is partially or completely torn away from the underlying tissue
The epidermis that is scraped away by a rough surface
An accumulation of blood beneath the skin, resulting in swelling
 Question 7
1 out of 1 points

When using the rule of palm to estimate the approximate body surface area burned, the patient's palm equals about what
percentage of the body's surface area?
Selected Answer:
1 percent
Answers:
1 percent
2 percent
5 percent
3 percent
 Question 8
1 out of 1 points

While assessing a patient with partial thickness burns to his chest and neck, what should be your highest priority (even if there
are no symptoms presently)?
Selected Answer:
Airway
Answers: None of the choices

Airway
Hypothermia
Bleeding
 Question 9
1 out of 1 points

Your patient is a 25-year-old man who picked up an iron skillet with a very hot handle. He has a reddened area with blisters
across the palm of his hand. Which of the following must be avoided in the prehospital management of this wound?
Selected Answer:
Application of antibiotic ointment
Answers: Application of a dry, sterile dressing

Application of antibiotic ointment


Elevation of the wound above the level of the heart
Keeping the site clean
 Question 10
1 out of 1 points
Your patient is a 40-year-old male who has been exposed to a dry chemical powder and is complaining of severe pain on both
of his hands, the site of the contact. He is working in an illegal chemical manufacturing plant and there is no decontamination
shower on site. Which of the following would be the BEST way to manage this situation?
Selected
Answer: Brush away as much of the powder as possible and then have the patient hold his hands under running water
from a faucet or regular garden hose.
Answers: Have the fire department connect to a hydrant and spray down the patient from head to toe.
Brush away as much powder as possible and then pour a bottle of sterile saline solution over his hands.

Brush away as much of the powder as possible and then have the patient hold his hands under running water
from a faucet or regular garden hose.
Brush away the powder and bandage the hands in a position of function.
 Question 1
1 out of 1 points

In addition to lacerations, blunt trauma resulting in a closed chest injury creates the potential for which of the following
internal injuries?
Selected Answer:
Contusion
Answers: Abrasion

Contusion
Evisceration
Avulsion
 Question 2
1 out of 1 points

Which of the following patients is at greatest risk of respiratory failure and should be carefully monitored for ventilatory status
throughout treatment and transport?
Selected Answer:
Tension pneumothorax
Answers:
Tension pneumothorax
Flail chest
Abdominal evisceration
Hemopneumothorax
 Question 3
1 out of 1 points

Your patient is a 55-year-old male who was found in the parking lot behind a tavern. He states that he was assaulted and
robbed by three individuals. He is complaining of being "hit in the face and kicked and punched in his ribs and stomach."
Your examination reveals contusions and swelling around both eyes, bleeding from the nose, a laceration of his upper lip, and
multiple contusions of the chest, abdomen, and flanks. Which of the following should cause the greatest concern regarding the
prehospital care of this patient?
Selected Answer:
The possibility of a pneumothorax
Answers: The presence of any defensive wounds the patient may have sustained
Getting a description of the assailants
The possibility of a pneumothorax
Reducing the swelling around his eyes by applying a cold pack
 Question 4
1 out of 1 points

Which of the following injuries does NOT produce distended neck veins?
Selected Answer:
All of the answer choices may cause distended neck veins.
Answers: Traumatic asphyxia
Tension pneumothorax
Cardiac tamponade

All of the answer choices may cause distended neck veins.


 Question 5
1 out of 1 points

For which of the following wounds should the EMT apply an absorbent dressing moistened with sterile saline and then cover
it with an occlusive dressing?
Selected Answer:
A gunshot wound to the abdomen from which a loop of intestine is protruding
Answers:
A gunshot wound to the abdomen from which a loop of intestine is protruding
A stab wound to the chest
A laceration to the neck
The stump of an amputated extremity
 Question 6
1 out of 1 points

Which of the following is a vascular organ in the abdomen that can produce blood loss quickly enough to result in life-
threatening hemorrhage following high mechanism of injury blunt trauma?
Selected Answer:
Liver
Answers: Intestines

Liver
Pancreas
Kidneys
 Question 7
1 out of 1 points

Which of the following is an unreliable sign for determining the presence of a tension pneumothorax?
Selected Answer:
Trachea that shifts to the side opposite the injury
Answers: Distended neck veins
Signs and symptoms of shock
Shortness of breath
Trachea that shifts to the side opposite the injury
 Question 8
1 out of 1 points

On assessment of the midsection of a 32-year-old male who was struck by a car, you find an abdominal evisceration with
several loops of his large intestine exposed. The abdomen appears to have a clean-cut laceration and the bleeding is controlled.
Which of the following is the BEST approach toward managing the exposed intestines?
Selected Answer:
Moisten a sterile dressing with saline solution and cover the abdominal contents.
Answers:
Moisten a sterile dressing with saline solution and cover the abdominal contents.
Gently replace the intestines after moistening with sterile saline solution.
Leave the abdominal contents in the place in which they were found and transport immediately.
Cover the abdomen with an occlusive dressing of aluminum foil.
 Question 9
1 out of 1 points

Which of the following is a true statement regarding the skin's status in the case of a closed chest injury?
Selected Answer:
The skin is not penetrated.
Answers: Internal contusions and lacerations cannot occur.
The skin may be penetrated and occluded.
The skin is penetrated.

The skin is not penetrated.


 Question 10
1 out of 1 points

Which of the following BEST describes an evisceration?


Selected Answer:
An open wound of the abdomen from which organs protrude
Answers:
An open wound of the abdomen from which organs protrude
A flap of skin that is partially or completely torn away from the underlying tissue
An accumulation of blood beneath the skin, resulting in swelling
The epidermis that is scraped away by a rough surface
 Question 1
1 out of 1 points

Which of the following complications may arise from properly splinting an injured extremity?
Selected Answer:
Ignoring life-threatening problems while focusing on an extremity injury
Answers: Converting a closed fracture to an open one
Compromising circulation to the extremity

Ignoring life-threatening problems while focusing on an extremity injury


All of the above
 Question 2
1 out of 1 points

Which of the following bones is found in the chest?


Selected Answer:
Sternum
Answers: Tarsals
Ilium

Sternum
Metacarpals
 Question 3
1 out of 1 points

Your patient is a 70-year-old male whose tractor rolled over onto him. Your assessment makes you suspicious that the patient
has a fractured pelvis. Which of the following complications should you anticipate?
Selected Answer:
All of the above
Answers: Shock
Damage to internal organs
Damage to the nerves of the lower extremities

All of the above


 Question 4
1 out of 1 points

Which of the following structures connect bone ends, making joints more stable?
Selected Answer:
Ligaments
Answers:
Ligaments
Cartilage
Tendons
Periosteum
 Question 5
1 out of 1 points

What is a primary problem when treating musculoskeletal injuries?


Selected
Answer: Many musculoskeletal injuries have a grotesque appearance, and the EMT cannot be distracted from life-
threatening conditions by a deformed limb.
Answers:
Many musculoskeletal injuries have a grotesque appearance, and the EMT cannot be distracted from life-
threatening conditions by a deformed limb.
All musculoskeletal injuries are life threatening due to the bone bleeding, leading to hypoperfusion.
Splints do not adequately fit the patient's extremities and must be modified with padding to ensure
immobilization.
Most musculoskeletal injuries are simply splinted and not a life threat to the patient.
 Question 6
1 out of 1 points

Your patient is a 37-year-old man who tripped while walking down a hill and now has a painful, deformed right leg. Your
assessment reveals that the foot is cold and mottled in appearance. You cannot detect a pulse in the foot or ankle. Which of the
following is the BEST course of action?
Selected
Answer: Gently attempt to straighten the leg to regain a pulse before splinting.
Answers: Explain to the patient that, because you cannot detect circulation in his foot, his leg will most likely have to
be amputated above the site of the injury.

Gently attempt to straighten the leg to regain a pulse before splinting.


Splint the leg in the position in which it was found and transport without delay.
Transport rapidly to the nearest trauma center.
 Question 7
1 out of 1 points

A traction splint may be used on which of the following musculoskeletal injuries?


Selected Answer:
A possible fracture of the femur
Answers: A possible fracture of the cervical spine

A possible fracture of the femur


Suspected multiple fractures of the femur, tibia, and fibula
A possible fracture of the humerus
 Question 8
1 out of 1 points

Which of the following is an injury to the musculature of an extremity?


Selected Answer:
Strain
Answers: Luxation

Strain
Fracture
Sprain
 Question 9
1 out of 1 points

Which of the following is NOT a benefit of splinting an injury to bones and connective tissues?
Selected Answer:
It restricts blood flow to the site of the injury to prevent swelling.
Answers: It prevents neurological damage due to movement of bone ends or fragments.
It may prevent a closed injury from becoming an open injury.

It restricts blood flow to the site of the injury to prevent swelling.


It reduces pain.
 Question 10
1 out of 1 points

Which of the following is NOT a principle of splinting that must be considered by the EMT?
Selected Answer:
Gently replace protruding bone ends back beneath the skin to prevent further contamination.
Answers: Immobilize the site of an extremity injury from the joint above it to the joint below it.
Splint an isolated extremity injury before moving the patient to the stretcher.
Check the distal neurovascular function before and after splinting.

Gently replace protruding bone ends back beneath the skin to prevent further contamination.
 Question 1
1 out of 1 points

Of the following patients, which injury is the highest priority to receive controlled hyperventilation?
Selected
Answer: A 15-year-old female who was ejected from a vehicle, struck her head on a tree, and displays decerebrate
movements in response to painful stimuli
Answers: A 25-year-old female victim of battery who is awake but complains of a headache and has bloody fluid
draining from her nose and left ear

A 15-year-old female who was ejected from a vehicle, struck her head on a tree, and displays decerebrate
movements in response to painful stimuli
A 25-year-old male who regained consciousness one or two minutes after being struck on the head by a
baseball bat and is now asking repetitive questions
A 70-year-old male who struck his head when he fell in the parking lot, has a large laceration on his
forehead, and is disoriented
 Question 2
1 out of 1 points

Which of the following is controlled by the left side of the brain?


Selected Answer:
Sensation of the right leg
Answers: Sensation in the left arm

Sensation of the right leg


Movement of both lower extremities
Movement of the left arm
 Question 3
1 out of 1 points

Your patient is pregnant at 20 weeks' gestation and has been thrown from a horse. She is complaining of back pain. Which of
the following is the correct procedure for immobilizing her spine?
Selected Answer:
Place the patient supine on the backboard, then put a pillow under the right side of the backboard.
Answers: Use a short immobilization device and transport the patient in a sitting position.
Place the patient supine on the backboard.
Place the patient on her left side on the backboard.
Place the patient supine on the backboard, then put a pillow under the right side of the backboard.
 Question 4
1 out of 1 points

Which of the following statements concerning a concussion is true?


Selected Answer:
The patient may not have any symptoms of the injury.
Answers: It is a bruising of the brain tissue.

The patient may not have any symptoms of the injury.


It is accompanied by recurrent episodes of unconsciousness.
All of the above
 Question 5
1 out of 1 points

Messages from the body to the brain are carried by which of the following types of nerves?
Selected Answer:
Sensory
Answers:
Sensory
Skeletal
Motor
Cranial
 Question 6
1 out of 1 points

Which of the following is a sign of possible brain injury?


Selected Answer:
All of the above
Answers: A deep laceration of the scalp
Projectile vomiting
Irregular breathing pattern

All of the above


 Question 7
1 out of 1 points

To which of the following sections of the spine are the ribs attached?
Selected Answer:
Thoracic
Answers:
Thoracic
Sacral
Cervical
Lumbar
 Question 8
1 out of 1 points
Your patient is a 30-year-old female involved in a motorcycle crash. She was not wearing a helmet and struck her head on the
pavement. She is unresponsive and has a blood pressure of 152/110 mmHg. Her pulse is 60 beats per minute and respirations
are 8 breaths per minute and shallow. Which of the following is an appropriate intervention?
Selected Answer:
Provide cervical spine immobilization.
Answers: Elevate the legs.

Provide cervical spine immobilization.


Hyperventilate at a rate of 24 breaths per minute using supplemental oxygen.
Apply a pressure dressing to her scalp lacerations.
 Question 9
1 out of 1 points

Hyperventilation of a patient with a severe brain injury means that bag-valve-mask ventilations are provided at a rate of
________ per minute.
Selected Answer:
20
Answers:
20
24
30
34
 Question 10
1 out of 1 points

Your patient is a 27-year-old male who has been involved in a motorcycle collision in which he was not wearing a helmet. He
does not respond when you speak to him, but he makes incomprehensible sounds when you press your knuckles on his
sternum. Which of the following BEST describes his level of consciousness?
Selected Answer:
Painful
Answers: Alert
Verbal

Painful
Unresponsive
 Question 1
1 out of 1 points

What is the height from which an adult fall would meet trauma triage criteria set forth by the CDC?
Selected Answer:
20 feet
Answers: 10 feet
25 feet

20 feet
15 feet
 Question 2
1 out of 1 points

Multiple trauma and multisystem trauma patients are situations in which the EMT is expected to perform which of the
following?
Selected Answer:
Anticipate and treat problems with a greater level of complexity than usual.
Answers:
Anticipate and treat problems with a greater level of complexity than usual.
Provide the best quality care possible, including definitive care on-scene.
Respond above and beyond the call of duty.
Practice outside the scope of practice in order to provide the greatest good.
 Question 3
1 out of 1 points

Based on the following presentations of patient injuries, which one would be considered MOST severe, justifying immediate
transportation to a trauma center?
Selected Answer:
Flail chest
Answers: Midline cervical spine pain
An open (compound) midshaft femur fracture
Closed head injury

Flail chest
 Question 4
1 out of 1 points

You encounter an accident on a busy intercity street while on duty. Calling into dispatch, you make note that the occupants of
both vehicles are outside, and request additional units to proceed non-emergently. You approach an elderly male who is
rubbing his back and left shoulder. During secondary assessment of past medical history, you make note of several important
details: The patient is on high blood pressure medications, and has had a heart attack in the past. He is complaining of midline
thoracic pain on palpation of his spine and left shoulder pain, which may have been from the seat belt, but is refusing care and
transport. The patient did not lose consciousness. Based on this information, which transport decision would be most
appropriate for this patient?
Selected Answer:
Take the patient to a local community hospital.
Answers: Take the patient to a trauma center.
Allow the patient to sign a refusal.
Call for ALS intercept.

Take the patient to a local community hospital.


 Question 5
1 out of 1 points

Which of the following trauma triage criteria would justify transportation to a trauma center based on mechanism of injury
alone?
Selected Answer:
Auto versus pedestrian
Answers: Vehicle rollover
Vehicle crash-generated telemetry data
Intrusion into the occupant area greater than 8 inches

Auto versus pedestrian


 Question 6
1 out of 1 points

What are some of the most important critical decisions an EMT can make on the scene of a serious trauma?
Selected Answer:
Determining patient priority, amount of time on-scene, and hospital transport decision
Answers:
Determining patient priority, amount of time on-scene, and hospital transport decision
Whether to await ALS care on-scene or begin BLS transport
Load and go versus stay and play
Physiological determinants, anatomic criteria, and mechanism of injury
 Question 7
1 out of 1 points

Which of the following choices is NOT a justifiable reason for delaying transport of a critical trauma patient?
Selected Answer:
Awaiting arrival of the patient's parents on-scene
Answers: Suctioning the airway

Awaiting arrival of the patient's parents on-scene


Ventilating a patient in respiratory distress
Immobilizing the patient to a long spine board
 Question 8
1 out of 1 points

According to CDC guidelines, a systolic blood pressure of less than _______ indicates a patient should be transported to a
trauma center.
Selected Answer:
90
Answers:
90
100
110
80
 Question 9
1 out of 1 points

What is the definition of multiple trauma?


Selected Answer:
A trauma in which the patient has more than one serious injury.
Answers:
A trauma in which the patient has more than one serious injury.
A trauma in which there are multiple casualties.
A trauma that requires the response of multiple agencies.
Multiple injuries that affect more than one body system.
 Question 10
1 out of 1 points

What trauma triage guidelines did the Centers for Disease Control and Prevention release in order to guide the most injured
patients into trauma centers?
Selected Answer:
Physiological determinants, anatomic criteria, and mechanism of injury
Answers: Teamwork, timing, and transport

Physiological determinants, anatomic criteria, and mechanism of injury


Determining patient priority, amount of time on-scene, and hospital transport decision
Lights, sirens, and diesel
 Question 1
1 out of 1 points

Most radiant heat is lost through which part of the body?


Selected Answer:
The head
Answers: The hands and feet

The head
The buttocks
The torso
 Question 2
1 out of 1 points

Which of the following increases a scuba diver's risk of decompression sickness?


Selected Answer:
Flying within several hours after a dive
Answers: Taking cold or sinus medications before a dive

Flying within several hours after a dive


Diving on a full stomach
Breathing 100 percent oxygen before a dive
 Question 3
1 out of 1 points

Which of the following describes the condition of having an abnormally high body temperature?
Selected Answer:
Hyperthermia
Answers:
Hyperthermia
Septic shock
Hyperdynamic state
Heat shock
 Question 4
1 out of 1 points

Why is it important to keep patients at rest when they are hypothermic?

Selected
Answer: Since the blood is coldest in the extremities, exercise or unnecessary movement could quickly circulate the
cold blood and lower the core body temperature.
Answers: Since the blood is warmest in the extremities, exercise or unnecessary movement could quickly circulate the
warm blood and raises the core body temperature.
Since the blood is coldest in the extremities, exercise or unnecessary movement could quickly circulate the
cold blood and drop the blood pressure.

Since the blood is coldest in the extremities, exercise or unnecessary movement could quickly circulate the
cold blood and lower the core body temperature.
None of the above
 Question 5
1 out of 1 points

Which of the following is the process in which heat is lost from the body as wind passes over it?
Selected Answer:
Convection
Answers:
Convection
Hydrodynamic cooling
Exposure
Condensation
 Question 6
1 out of 1 points

The term gangrene means tissue:


Selected Answer:
death.
Answers: damage.
discoloration.
infection.

death.
 Question 7
1 out of 1 points

Which of the following spiders can cause a characteristic wound with a bite that is often painless?
Selected Answer:
Brown recluse spider
Answers:
Brown recluse spider
Sheet web spider
Argiope spider
Black widow spider
 Question 8
1 out of 1 points

To assess skin temperature for a possibly hypothermic patient, the EMT should place the back of his hand against which part
of the patient's body?
Selected Answer:
Abdomen
Answers: Forehead
Cheek

Abdomen
Inner wrist
 Question 9
1 out of 1 points

In which of the following ways does the body produce heat in response to being cold?
Selected Answer:
Shivering
Answers: Excreting more urine
Burning fewer calories

Shivering
Increasing the respiratory rate
 Question 10
1 out of 1 points

Which of the following would you expect to see in a patient with severe hypothermia?
Selected Answer:
Irrational behavior
Answers:
Irrational behavior
Loss of muscle tone
Rapid respirations
Tachycardia

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