Emergency Medical Technician Quiz 2

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  1. A 30 year old unconscious female has an obstructed airway unrelieved by abdominal thrusts. The next therapy would be:

    2. Your answer:
    direct laryngoscopy
    attempt to ventilate
    positive pressure ventilation
    cricothyrotomy

  2. Painful bleeding in the third trimester of pregnancy is most likely:

    3. Your answer:
    PID
    mittleschmertz
    placenta previa
    abruptio placenta

  3. Bleeding in the third trimester of pregnancy without pain is most likely:

    4. Your answer:
    placenta previa
    prolapsed cord
    spontaneous abortion
    abruptio placenta

  4. While administering 6 liters of O2 to a COPD patient, the patient suddenly becomes apnecis. You should:

    5. Your answer:
    begin assisting ventilations with a BVM
    immediately intubate the patient
    increase the O2 flow
    discontinue the O2 therapy

  5. A 35 year old female on bedrest got up and suddenly developed chest pain and severe dyspnea. Her lung sounds are clear and equal. What do you suspect?

    6. Your answer:
    acute MI
    pneumonia
    pulmonary embolism
    spontaneous pneumothorax

  6. Which drug is used as both an anti-arrythnic and an anti-convulsant?

    7. Your answer:
    diazepam
    physostigmine
    lidocaine
    phenytoin

  7. A radio's squelch should be adjusted:

    8. Your answer:
    when it is first installed
    monthly
    every time the radio is turned on
    before each transmission

  8. In a COPD patient the respiratory drive is triggered by?

    9. Your answer:
    hypercarbia
    hypoxia
    hypocarbia
    hypovolemia

  9. The waste product of anaerobic metabolism is:

    10. Your answer:
    HCO3
    lactic acid
    CO2 and H2O
    acetylcholine

  10. What hormone is secreted by the female posterior pituitary gland and causes lactation and the contraction of the uterine smooth muscle?

    11. Your answer:
    evesterone
    estrogen
    progesterone
    oxytocin

  11. A normal, head first delivery is termed:

    12. Your answer:
    transverse
    breech
    cephalic
    caudal

  12. A heat exhaustion patient is suffering from what type of shock?

    13. Your answer:
    metabolic
    cardiogenic
    hypovolemic
    neurogenic

  13. Which of the following solutions is hypotonic?

    14. Your answer:
    D5W
    D5OW
    045% NSS
    0.9% NSS

  14. Which of the following is NOT an endpoint to the administration of procainamide?

    15. Your answer:
    1 gm has been administered
    hypertension develops
    QRS narrows by more than 50%
    the dysrhythmia is suppressed

  15. Which drug is a parasympathetic antagonist?

    16. Your answer:
    dopamine
    diagoxin
    lidocaine
    atropine

  16. The EMT should know that the administration of nitrous oxide?

    17. Your answer:
    should be self administered by the patient only
    should not be used if patient has a suspected AMI
    should not be used in trauma patients
    causes a decrease in intracranial pressure

  17. A patient receiving a unit of blood begins complaining of lower back pain substernal chest pain, dyspnea and a headache. What do you suspect?

    18. Your answer:
    hemolytic reaction
    pyrogenic reaction
    dehydration
    anaphylactic reaction

  18. Where is the femoral artery in relation to the inguinal ligament?

    19. Your answer:
    posterior
    medial
    lateral
    anterior

  19. Who would most likely suffer a painless, silent MI?

    20. Your answer:
    alcoholics
    diabetics
    elderly people
    drug abusers

  20. A 30 year old pregnant patient is suffering from seizures. You have treated her with 5mg Valium IV push. You would give what drug next?

    21. Your answer:
    1 mg magnesium sulfate IM
    250 mg dilantin at 25 mg/min
    2-4 gms 10% solution of magnesium sulfate IV push
    2-4 mg 20% solution magnesium sulfate IV push

  21. Normal tidal volume of the lungs of an adult is:

    22. Your answer:
    100 mls
    500 mls
    200 mls
    800 mls

  22. Which is NOT a symptom of anaphylaxsis?

    23. Your answer:
    stomach cramps
    respiratory distress
    bradycardia
    urticaria

  23. Which defines the relative refractory period:

    24. Your answer:
    when no stimulus may occus during depolarization
    when a stimulus may occur during repolarization
    when no stimulus may occur during repolarization
    when a stimulus may occur during depolarization

  24. What is crack?

    25. Your answer:
    opiate derivative
    a CNS stimulant
    a CNS depressant
    muscle relaxant

  25. The effective action of adrenalin is:

    26. Your answer:
    cholinergic
    anatonistic
    sympathetic
    parasmpathetic

  26. A drug with predominantly alpha effects will cause:

    27. Your answer:
    vasoconstriction
    vasodilation
    bronchodilation
    none of the above

  27. Catecholamines are:

    28. Your answer:
    sympathomimetic
    parasympathetic
    cholinergic
    none of the above

  28. Ecchymosis over the mastoid bone is called:

    29. Your answer:
    Cheyne stokes sign
    quadriplegia
    hemoptysis
    Battle's sign

  29. Which injuries have the lowest priority in the field?

    30. Your answer:
    respiratory burns and abdominal trauma
    spinal injury and open fractures
    thoracic trauma and airway obstruction
    thoracic trauma and head injury

  30. In a normal person, respiration is triggered by:

    31. Your answer:
    HCO3 level
    CO level
    oxygen level
    CO2 level

  31. If a rescuer inadvertently increases rate and depth while ventilating a patient it may result in:

    32. Your answer:
    hypocarbia and metabolic alkalosis
    hypercarbia and respiratory alkalosis
    hypercarbia and metabolic acidosis
    hypocarbia and respiratory acidosis

  32. The physician orders 8 mcg/min of isuprell for a 70 kg patient. You put 2 mg in 250 mls of D5W. What is the rate of microdrips?

    33. Your answer:
    60 gtts/min
    30 gtts/min
    90 gtts/min
    120 gtts/min

  33. Lidocaine toxicity may produce:

    34. Your answer:
    ventricular fibrillation
    asthma
    yellow vision
    seizures/convulsions

  34. Which valve prevents regurgitation of blood from the left ventricle to the left atrium?

    35. Your answer:
    aortic valve
    tricuspid valve
    mitral valve
    pulmonic valve

  35. In lead II what are you reading?

    36. Your answer:
    +RA to -LL
    -RA to +LA
    -RA to +LL
    -LA to +LL

  36. In AV junctional rhythms, the P wave is inverted because:

    37. Your answer:
    atria are depolarized retrogradely
    atria are depolarized sinultaneously
    the pacemaker is in the left atrium
    atria are depolarized spontaneously

  37. Depolarization is the:

    38. Your answer:
    electrical stimulus moves throughout the cell and results n cardiac muscle work
    the cell will not respond to strong stimulus
    electrical stimulus results in defibrillation
    recovery of the cell

  38. A diabetic with hypertension who experiences numbness of the left arm for 30 minutes has likely had:

    39. Your answer:
    petit mal seizures
    focal seizures
    conversion hysteria
    transient ischemic attacks

  39. The most significant problem resulting from hypoglycemia is:

    40. Your answer:
    hunger
    loss of consciousness
    damage to the brain cells
    damage to the pancreas

  40. The danger of thrombophebitis is that a clot may break loose and travel to the:

    41. Your answer:
    lungs
    brain
    liver
    legs

  41. Which is the correct placement of the paddles for defibrillation?

    42. Your answer:
    cardiac apex and on left of sternum
    cardiac apex and over center of sternum
    cardiac apex and on sternum at Angle of Louis
    cardiac apex and below clavicle, right of sternum

  42. The patient who is decorticate will move his hands and arms:

    43. Your answer:
    toward the body
    over the head
    extended away from the body
    none of the above

  43. A 5 year old is leaning forward, drooling, stridorous, feverish, and has pain on swallowing. He most likely has:

    44. Your answer:
    epiglottitis
    asthma
    bronchiolitis
    croup

  44. A patient who is pacing, anxious, and blaming himself may be suffering:

    45. Your answer:
    conversion hysteria
    depression
    schizophrenia
    subdued mania

  45. A female watched her husband and son die in a domestic disturbance. She appears paralyzed, but no injury is found. What is she likely suffering from?

    46. Your answer:
    conversion hysteria
    psychogenic shock
    post-traumatic shock
    neurogenic shock

  46. What statemnt is true of suicides?

    47. Your answer:
    women are more successful than men
    many suicides isolate themselves
    many have a history of psychiatric illness
    most give no prior notice of what they will do

  47. How much energy is used in initial defibrillation of a 70kg adult?

    48. Your answer:
    maximum output
    100-200 joules
    200 joules
    300 joules

  48. For how long may you interrupt CPR to intubate?

    49. Your answer:
    30 seconds
    10 seconds
    5 seconds
    45 seconds

  49. A 60 year old patient with a-fib develops signs of CVA. This is probably due to:

    50. Your answer:
    cerebral hemorrhage
    pulmonary embolism
    cerebral thrombosis
    cerebral embolism

  50. R on T phenomenon may result in:

    51. Your answer:
    premature atrial contractions
    supraventricular tachycardia
    ventricular fibrillation
    atrial fibrillation

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