Emergency Medical Technician 300

Increased pressure in the sac surrounding the heart as a result of hemorrhage is known as:

Your answer:
pneumothorax
congestive heart failure
pericardial temponade
hemothorax

When dealing with head trauma victim, the EMT's MOST IMPORTANT priority is to:

Your answer:
identify changes in the level of response to painful stimuli
control external hemorrhaging
maintain the rate and quality of respirations
look for leaking cerebrospinal fluid

In which quadrant is the liver located:

Your answer:
upper right
lower right
upper left
lower left

In which of the following positions should a patient with congestive heart failure be transported?

Your answer:
supine with feet elevated
sitting up
prone
supine

When a diabetic goes into diabetic coma, he/she may have:

Your answer:
exercised too much
taken too much insulin
not taken enough insulin
not eaten

Which one of the following is an illness caused by acute spasms of the airway that result in airway constriction?

Your answer:
tuberculosis
chronic obstructive pulmonary disease (COPD)
acute myocardial infarctionn
congestive heart failure/pulmonary edema

Which of the following states usually follows a convulsion?

Your answer:
hypotension
hyperexcitability
drowniness
return to normality

Which drug listed below can be administered via the endotracheal tube?

Your answer:
naloxone
atropine
epinephrine
all of the above

The metric units for mass, length, and volume are which of the following, respectively?

Your answer:
gram, meter, liter
meter, liter, gram
liter, meter, gram
meter, gram, liter

Biological death:

Your answer:
follows clinical death and is not reversible
is not reversible
begins immediately with the cessation of breathing and circulation
follows clinical death

Your unit is summoned to a home for a sick child. Parents tell you their son has "not been acting right" and they don't know why. Your patient is an 8-year-old boy. As you question him, he acts belligerent and appears confused. He recently had the flu, but parents say he was getting better. The only medical problems they have noted is that he appears fatigued and has had recurrent vomiting. You suspect:

Your answer:
rey'es syndrome
glue sniffing
aspirin overdose
septic shock

You patient is a 28-year-old female in her eight month of pregrancy. The family called because she has been complaining of a severe headache and has been vomiting. As you begin your evaluation, you notice that her face and hands appear swollen. She is somewhat confused and disoriented, and vital signs reveal a blood pressure of 146/92. Further questioning of the family revels the patient experienced sudden weight gain prior to the onset of the other complaints. This patient most likely has:

Your answer:
supine hypotensive syndrome
an incompleter abortion
pulmonary embolism
toxemia of pregnancy

While caring for this pateint, the EMT should be alert for:

Your answer:
sudden respiratory arrest
seizures
development of hypoolemic shock
sudden drop in blood pressure

You are dispatched for a sick child with a high fever. On arrival, you find a 4-year-old female sitting on the living room couch. She is leaning slightly foward and drooling because she says it "hurts too much to swallow." Her mother tells you she has a sore throat and fever, which developed relatively quickly. You are concerned because by now you suspect:

Your answer:
strep throat
foreign body upper airway obstruction
meningitis
epiglottitis

An important part of your treatment of this patient would be:

Your answer:
to cool her off with towels soaked in tepid water
to lay her flat on her back
to avoid placing anything in her mouth or throat
to examine her throat for signs of redness or swelling

Prolapsed umbilical cord describes the condition in which the cord is:

Your answer:
wrapped around the baby's neck
presenting through the vagina before the baby presents
torn loose from the uterus
presenting through the vagina after the bady presents

On arriving home after work, a man finds his wife unconscious on the kitchen floor. Your patient is a 28-year-old female. She is responsive to painful stimuli only. Her pulse is fast, and her respirations are rapid and deep. You notice a sweet, fruity smell to her breath. Her skin is dry, and she appears flushed. The husband tells you she has a history of diabetes and that she in on insulin. He does not know if she has taken her insulin today. You suspect:

Your answer:
stroke
diabetic coma
insulin shock
narcotics overdose

Your patient is a 12-year-old male who is responsive only to deep painful stimuli. He has no history of medical problems and is taking no medications. Parents tell you that he was playing little league baseball earlier in the day and was hit in the left temple with a baseball. The patient loss consciousness momentarily but regained consciousness and complained only of pain at the site of impact. Rather than go to the hospital, the parents decided to take him home to "let his rest" you suspect the patient is suffering from:

Your answer:
an epidural hematoma
a concussion
neurogenic shock
a subdural hematoma

Treatment of patients who are unconscious may be carried out under the law of:

Your answer:
actual consent
implied consent
applied consent
informed consent

Spontaneous respirations should begin within _____ after delivery.

Your answer:
1 minute
45 seconds
30 seconds
2 minutes

The second stage of labor begins when the:

Your answer:
amniotic sac ruptures
cervix starts to dilate
baby moves into the birth canal
placenta delivers

As the head emerges you should:

Your answer:
tell the mother to push hard, but don't touch the head
pull gently and rotate
exert firm pressure witht he palm of your hand
exert gentle pressure around the head with your fingers evenly spread

The muscular organ that protects the fetus is called the:

Your answer:
placenta
umbilicus
uterus
fundus

Steps to control maternal bleeding after delivery include:

Your answer:
massaging the uterus
letting the baby nurse
covering the vaginal opening with a sanitary napkin
all of the above

An APGAR score of 0 to 3 represents _________ distress

Your answer:
no
moderate
severe
mild

You arrive on scene and find a 69-year-old patient who is unable to move his right arm or leg and has unequal pupils, he is probably experiencing:

Your answer:
seizure activity
a heart attack
congestive heart failure
a stroke

You are called to treat a 78-year-old male patient who awoke with dyspnea. He is restless and diaphoretic, vital signs are: Pulse - 100, Respirations - 30, B/P - 170/90. These signs and symptoms indicate:

Your answer:
anaphylactic shock
cerebrovascular accident
congestive heart failure
acute myocardial infarction

An unconscious patient who is vomiting should be positioned:

Your answer:
supine with their feet elevated
semisitting
prone
laterally recumbent

Which class of drugs will cause a decreased level of consciousness, pulse and respiratory rate and constricted pupils:

Your answer:
narcotics
amphetamines
barbiturates
hallucinogens

Anatomically, the term superior in relation to other human body structure is defined as:

Your answer:
bigger than
better than
in front of
toward the head

The Golden hour begins:

Your answer:
when the patient arrives at the hospital
when the patient has been extricated
when the accident occurs
when the ambulance arrives

When using the log roll, three rescuers roll the victim as a unit while the 4th rescuer:

Your answer:
secures the straps
positions the backboard
maintains axial stabilization
keeps the victim awake

When using the AVPU scale to evalute a trauma patient, the A stands for:

Your answer:
alert
agitated
anoxic
aggressive

How deep should chest compressions be on an adult?

Your answer:
1/2 to 1 1/2 inches
1 to 2 inches
1 1/2 to 2 inches
1 1/2 to 2 1/2 inches

To determine if a child has a pulse, you should check the _________ artery.

Your answer:
radial
carotid
brachial
femoral

With respect to the diaphragm, the lungs are:

Your answer:
distal
proximal
superior
anterior

Unequal pupils may indicate:

Your answer:
narcotic overdose
use of LSD
cardiac arrest
stroke

For the second time today, you are called to a local retirement home. Your patient is 72 going on 32 and is very independent. She is not pleased that her neighbors summoned you, but she is obviously having much difficulty breathing. She states she has been short of breath for about the past 4 hours but did not want to bother anyone. She has no chest pain. Her pulse is 96 and irregular, her B/P is 144/82, and her respirations are 26 and labored. When you listen to her chest you note wheezing bilaterally on both inspiration and expiration. In the course of your exam your patient admits to having a productive cough. She states she has been coughing up a thick, yellow mucus since yesterday. You suspect this patient has:

Your answer:
CVA
CHF
COPD
TIA

A 54-year-old man is experiencing chest pain and shortness of breath. The pain started approximately 45 minutes prior to you being dispatched. The patient states the pain is mostly on the left side and feels like a tremendous pressure. The pain radiates down the left arm. He states he has taken two nitroglycerin tablets with no relief. You notice also that he is pale and diaphoretic. This patient is most likely experiencing:

Your answer:
a myocardial infarction
pulmonary embolism
a spontaneous pneumothorax
angina pectoris

All of the following are signs of shock EXCEPT:

Your answer:
ashen or cyanotic coloration
anxiety
restlessness
constriction of the pupils

In selecting a vein for field venipuncture, you should usually avoid which of the following?

Your answer:
joints
injured areas
the lower extremities
all of the above

The most common complication of an IV is:

Your answer:
air embolism
subcutaneous infiltration
thrombophlebitis
catherer embolism

Total body water accounts for ________ % of the total body weight.

Your answer:
15
45
60
80

The respiratory system contributes to acid-based balance by regulating the retention and elimination of:

Your answer:
carbonic acid
oxygen
carbon dioxide
bicarbonate

Bicarbonate is a primary component of the:

Your answer:
hemoglobin
respiratory system
blood buffers
kidneys

Which of the following may result from hyperventilation?

Your answer:
respiratory acidosis
respiratory alkalosis
metabolic alkalosis
hypoxemia

A person who has blood type _____ is called a universal donor.

Your answer:
C
A
AB
O

The presence of a radial pulse indicates a systolic blood pressure of at least:

Your answer:
40 mmHg
60 mmHg
90 mmHg
80 mmHg

How much pressure should be exerted on each electrode paddle during adult defibrillation?

Your answer:
5 lbs
25 lbs
10 lbs
20 lbs

Inspiratory stridor suggests:

Your answer:
bronchial obstruction
lower airway obstruction
chronic obstructive pulmonary disease
upper airway obstruction

The type of drug, which binds to a receptor and causes the expected response, is called an antagonist.

Your answer:
TrueFalse

A medication which decreases a body function or activity is called:

Your answer:
stimulant
synergism
depressant
antagonism

An eye pulled from it's socket is a form of:

Your answer:
avulsion
amputation
puncture wound
abrasion

A "blood tumor" is know as a(n)

Your answer:
avulsion
hematoma
evisceration
ecchymosis

A dislocation occurs when:

Your answer:
a bone is pulled from it's socket
a bone is broken in two places
the patient experiences crepitus
there is a loss of synovial fluid

A good rule for applying splints to injuries of the extremities is:

Your answer:
splint all dislocations in the anatomical position
when in doubt, use soft splints only
when in doubt splint
when in doubt, do not splint

If the mechanism of injury produced enough force to damage the strong bones of the pelvis, the following should be assumed:

Your answer:
bladder injury
spinal injury
hip fracture
arterial damage

Complications of femoral fractures are often caused by:

Your answer:
the mechanism of injury
thigh muscle contractions
open wounds
femoral tendons

By lowering cardon dioxide levels and raising oxygen levels, "hyperventilating the patient" with a head injury helps

Your answer:
stop bleeding
clear the airway
reduce brain tissue swelling
all of the above

Which of the following cannot be replaced by the body?

Your answer:
conjunctiva
scleral fluids
aqueous humor
viteous humor

The ear houses two organs that are the mechanisms for:

Your answer:
external auditory sounds and internal auditory sounds
outer ear function and inner ear function
hearing and equilibrium
nerve impulses and head positioning

Air entering the thoracic via and external wound is know as a(n):

Your answer:
open pneumothorax
dyspnea
subcutenous emphysema
perforation

Nifedipine is anti-hypertensive drug, it is a calcium channel blocker that reduces coronary artery spasm in angina, it also decreased peripheral vascular resistance and blood pressure. The question is this: should this drug be given to a patient receiving IV beta blockers:

Your answer:
yes
no
depends on amount of beta blocker given
none of the above

Which of the following side effects could be observed after administering lidocaine:

Your answer:
lowered level of consciousness
confusion
coma
all of the above

You are called to a house where a 68-year-old female patient is sitting in a chair complaining of difficulty breathing. Her ankles are swollen and she has engorged pulsating neck veins. She is mostly likely showing signs and symptoms of:

Your answer:
atherosclerosis
hyperventilation
congestive heart failure
angina attack

A correct statement about subdural hematoma is that it is a:

Your answer:
blood clot within the tissues of the brain
pool of blood between the brain and the protective covering of the brain
seepage of blood and clear fuild from the nose and ears
pool of blood under the soft tissue behind the ear

A heart rate above 120 beats per minute is called:

Your answer:
bradycardia
tachycardia
ventricular fibrillation
atrial fibrillation

You are called to a construction site for a person having "difficulty breathing." You find a 19-year-old male experiencing marked dyspnea. He is tall and thin. He tells you that he was laying bricks when he suddenly experienced a sharp pain in his left chest, followed by difficulty breathing. His pulse and respirations are fast. His trachea is midline. You listen to his chest with your stethoscope and find that, although you plainly hear breath sounds on the right side, you cannot hear them very well on the left side. He has not medical problems and has had no recent chest injuries. You suspect:

Your answer:
tension pneumothorax
cardiac tamponade
spontaneous pneumothorax
flail chest

Your patient is in active labor. On your arrival, you follow all the local protocols for handling a potential delivery. Everything seems to be going routinely, but immediately after moving your patient to your litter, her bag of water ruptures. You notice that the fluid is thick and resembles pea soup. You become concerned because you are now dealing with a:

Your answer:
breech delivery
prepartum hemorrhage
meconium emergency
preeclampsia

You have been summoned to the local shopping mall to examine a pregnant female injured in a fall. She is pale, her pulse is rapid, and she is complaining of severe, localized abdominal pain. This is her seventh month of pregnancy. Physical examination reveals steady bleeding from the vagina. The probable cause of this bleeding is:

Your answer:
uterine inversion
placenta abruptio
plancenta previa
postpartum hemorrhage

It is a hot summer day and your squad is sent to a metal foundry for a "man down." On arrival you find a 22-year-old unresponsive male patient. His pulse is rapid, and he is flushed. His skin is hot and dry to the touch. This patient is probably suffering from:

Your answer:
heat exhaustion
heat stroke
diabetic coma
insulin shock

Grand mal seizures have three distinct phases - tonic, clonic, and:

Your answer:
postictal
partial
generalized
psychomotor

Prolonged seizure activity may cause:

Your answer:
epilepsy
hypoxia
hyperglycemia
diabetes mellitus

Which of the following substances gives an initial "rush" and then acts as a depressant on the central nervous system?

Your answer:
volatile chemicals
downers
hallucinogens
uppers

Alcohol withdrawal may result in a condition characterized by sweating, trembling, anxiety, and hallucinations known as:

Your answer:
delirium tremens
status epilepticus
diaphoresis
tremens sundrome

A major factor in burn cases is the patient's:

Your answer:
age
prior cases to burns
tolerance to pain
body type

A firefighter is suffering from a form of shock brought about by fluid and salt loss. You should classify this condition as:

Your answer:
heat cramps
hypothermia
heat exhaustion
heat stroke

All of the following are signs and symptoms of hypothermia EXCEPT:

Your answer:
feelings of numbness
loss of motor coordination
fast breathing and pulse rate
drowsiness

In the mannalian diving reflex:

Your answer:
the body tends to sink to the bottom
breathing is inhibited
the body tends to float to the surface
heart rate increases

The number one rule in ice rescue is:

Your answer:
wear a cold water submersion suit
call for backup support
protect yourself
save the victim

Do not try to restrain a patient unless:

Your answer:
it is legal for you to do so
a member of the clergy requests it
a physician orders you to even if it means danger for you
his family asks you to

As you double the speed of an object, the ability to cause trauma is:

Your answer:
unchanged
quadrupled
doubled
reduced by one half

The anatomical region commonly injured in the rear-end impact is the:

Your answer:
head
neck
chest
pelvis

An early sign of increasing intracranial pressure is:

Your answer:
bradypnea
tachypnea
change in the level of consciousness
irregular respiratory patterns

If a patient has a history of trauma to the left flank and has pain in that region, which of the following organs might you suspect as being injured?

Your answer:
kidney
heart
liver
gall bladder

Hemothorax refers to:

Your answer:
collapse of one half of the lung
air in the chest cavity
blood in the chest cavity
fluid in the abdomen

The patient who is suspected of chest injury without spinal injury should be placed:

Your answer:
supine with legs elevated
on the uninjured side
on the injured side
on the left lateral side

Which fracture occurs most often in children because their bones are still pilable?

Your answer:
transverse
greenstick
oblique
spiral

Which sector is normally the first established at the mass-casualty scene?

Your answer:
treatment
triage
extrication
transport

The level of mass-casualty response that overwhelms local and regional resources and typically involves several sites is a __________.

Your answer:
command incident
level 1 response
level 3 response
level 2 response

The stridor associated with anaphylaxis is caused by ______________.

Your answer:
mucosal edema
bronchodilatation
respiratory center depression
spasm of the vocal cords

A person that has a weight of 100 lbs. Weighs how much in Kg's?

Your answer:
25 Kg
45.5 Kg
100 Kg
220 Kg

After blood leaves the right atrium, which valve does the blood flow through next?

Your answer:
tricuspid valve
aortic valve
pulmonary valve
mitral valve

The normal QRS complex represents ventricular depolarization, hidden in the PR interval of an EKG is what event?

Your answer:
S wave repolarization
atrial depolarization
ventricular repolarization
atria repolarization

To properly examine a patient for juglar vein distention, the patient should be placed:

Your answer:
seated at 45 degrees
on his or her side
supine
prone

The most common cause of death during the myocardial infarction is:

Your answer:
dysrhythmia
cardiac rupture
valvular failure
muscle loss

Which is the dominant pacemaker of the heart:

Your answer:
Purkinje system
AV node
AV junction
SA node

In what order would the cardiac electrial impules travel through the following structures? 1. Bundle of His, 2. Purkinje fibers, 3. SA node, 4. Internodal pathways, 5. AV junction

Your answer:
3,4,5,1,2
4,3,5,2,1
1,4,3,5,2
2,3,4,5,1

In which of the following situations can defibrillation be carried out safely?

Your answer:
a patient lying on a metal floor
a patient lying outside in the rain
a patient positioned on a wooden backboard
in the back of a moving ambulance

The thickest chamber of the heart is the:

Your answer:
left atria
left ventricle
right ventricle
right atria