Emergency Medical Technician Quiz 3

Defibrillation of an infant requires:

Your answer:
2-4 joules/kg
5 joules/kg
1 joule/kg
200 joules

Morphine is a schedule ____ narcotic medication.

Your answer:
IV
III
I
II

A farmer who had been spraying his crops calls EMS because he has a sudden onset of dyspnea. On arrival you find him sitting in a chair complaining of nausea, substernal tightness, and abdominal cramps. He is sweating and in some respiratory distress. After placing him on high-flow O2 and starting an IV of NSS you would next give:

Your answer:
atropine 1 mg
atropine 5 mg IV push
epinephrine 0.3-0.5 sub-q
atropine 2 mg IM followed by 1 mg IV push

What do you hyperventilate a patient with a head injury?

Your answer:
to lower pCO2 below 40 torr
to lower pCO2 below 100 torr
to raise pCO2 above 40 mmHg
none of the above

An infant with one leg burned on both sides has what percent of body burned?

Your answer:
12%
13.5%
18%
9%

If you put 400mg of dopamine in 500 mls of D5W, how much dopamine is there per ml?

Your answer:
800 mcg
1.25 mg
1250 mcg
1600 mcg

What is described as the movement of a substance across the cell membrane against the osmotic gradient using energy?

Your answer:
facilitated transport
osmosis
active transport
diffusion

Procainamide administed too rapidly may cause:

Your answer:
narrowing of the QRS complex
V-tach
hypertension
hypotension

Theophylline and Theo-dur are both:

Your answer:
bronchodilators
sympathomimetics
cardiac glycocides
cholinergic

Which of the following is an emetic?

Your answer:
ipecac liquid
atropine
ipecac syrup
activated charcoal

100 mls of 2% lidocaine contains how much lidocaine?

Your answer:
2000mcg
2000 mg
20 gm
200 mg

A 30 year old female has just taken 100 tablets of Tylenol. What should you administer?

Your answer:
30 mls ipecac syrup
50 gms activated charcoal
30 mls ipecac water
60 mls ipecac syrup

A widened QRS complex is a sign of:

Your answer:
atropine overdose
conduction defect of the ventricles
slowed impulses through the atria
wandering pacemaker

You have put restraints on a patient who shows signs of violence. How do you explain this to him?

Your answer:
the law says we must restain all OBS patients
We put these on everyone
These are to keep you from hurting yourself and others
We like doing this!

To secure the airway in a trauma patient, you should:

Your answer:
place an ET tube putting the head in a sniffing position
use only an oropharyngeal airway
place an ET tube while your partner maintains in-line immobilization
place an EOA and hyperextend the neck

What is usually true in GI bleeding?

Your answer:
never bright red in color
peptic ulcer is most common cause
duodenal ulcer is most common cause
never dark red in color

A 20 year old male fractured his leg one week ago. He has taken aspirin for pain. He gets up and becomes short of breath. He probably suffered a(n)

Your answer:
pulmonary embolism
thrombosis
angina attack
acute MI

A 27 year old male involved in a MVA is complaining of chest pain. You would treat this patient as having a(n):

Your answer:
pulmonary embolism
MI
thrombosis
angina attack

You suspect a patient is having an MI. You base this on:

Your answer:
vital signs
appearance
Hx of the acute illness
opinion of base hospital physician

Tension pneumothorax causes:

Your answer:
cardiac tamponade effect
thrombosis
lact of blood return to the atria
pulmonary embolism

In tension pneumothorax the patient has:

Your answer:
over inflation of the lung
tracheal deviation toward affected side
tracheal deviation away from affected side
ruptured spleen

Ischemia is defined as:

Your answer:
lack of oxygen to the cells
deficient blood supply
lack of CO2 to the cells
deficient iron supply

You started an IV in the extgernal jugular. As you attach the tubing you note blood pulse back up into the tubing. You will:

Your answer:
D/C the IV, withdraw the catheter and apply pressure for 5 minutes
slow the IV to KVO rate
attach a blood filter
tape the IV in place, clamp the tubing and start another

Principles of restraining patients include all of the following EXCEPT:

Your answer:
restrain all extremities
have adequate numbers of people
restrain as a last resort
free the restraints after the patient displays rational behavior

You put 1 gm of lidocaine in 250 mls of D%W. You are told to administer 2mg/min. How many gtts/min is this?

Your answer:
15 gtts
30 gtts
45 gtts
60 gtts

By what process does a solute move through a semi-permiable membrane?

Your answer:
osmosis
diffusion
magic
activity

What do you call acoarse rub or bark on expiration?

Your answer:
croup
rales
rhonchi
wheezes

The effective action of acetylcholine is:

Your answer:
parasympathetic
antagonistic
adrenegic
sympathetic

A drug with beta effects will cause:

Your answer:
vasoconstriction
bronchoconstriction
increased heart rate
none of the above

Which area reflects the central venous pressure?

Your answer:
radial artery
pulmonary artery
right atrium
aorta

Hypovolemic shock produces:

Your answer:
increased afterload
increased CVP
decreased preload
increased preload

How do you know your treatment for shock is effective?

Your answer:
return to spontaneous ventilation
2 liters of fluid has been given
cyanosis is gone
blood pressure rises

What would you not use in neonatal resuscitation?

Your answer:
high flow O2 by demand valve
endotracheal intubation
epinephrine
CPR

Initial therapy for a child with a high fever, drooling, and anxiety is:

Your answer:
humidified O2 by mask
administer racemic epinephrine
direct laryngoscopy
prepare for intubation

You are treating a 35 year old male who was the driver in a MVA. He is complaining of chest pain and shows steering wheel imprints on the chest. Lung sounds are equal bilaterally. Patient is hypertensive but has bilateral decreased fermoral pulses. Which is the most likely diagnosis?

Your answer:
tension pneumothorax
dissected aorta
fractured sternum
rib fractures

A person who acts in a less developed form of behavior is demonstrating:

Your answer:
paranoia
regression
Dan Laws
agoraphobia

You rspond to find an unconscious 69 year old male on the bathroom floor. During your exam the patient awakens and tells you he was attempting to move his bowels. His most likely difficulty is:

Your answer:
postural syncope
vasovagal response
vertigo
cardiac syncope

You have an unconscious patient who was complaining of chest pain prior to collapse. BP is 88.45, pulse 46, and respirations 12. The patient is likely suffering from:

Your answer:
CVA
AMI
anaphylaxsis
cardiogenic shock

Which is a common reason in having to treat a diabetic:

Your answer:
hidrosis
hirsutism
medication noncompliance
lack of knowledge about insulin

The difficulty in tranmission of radio waves is related to the fact that radio waves:

Your answer:
are absorbed by the ground
are reflected by metal objects
are scattered by irregular metal objects
go through dense foliage

Which of the following is the best definition to "phobia":

Your answer:
great fear of wide open spaces
tortured as a child
a normal fear
an unrealistic fear

You rspond to a 27 year old male complaining of sudden onset of stabbing chest pain on inspiration. Vital signs are stable and the lung sounds are clear and equal bilaterally. Which is the most likely diagnosis?

Your answer:
hemothorax
pleurisy
pneumonia
spontaneous pneumothorax

The amount of blood pumped by the heart in one minute is referred to as:

Your answer:
cardiac output
PVR
stroke volume
afterload

Acetylcholine is usually associated with:

Your answer:
parasympathetic system
alpha sympathetic system
beta synmpathetic system
adrenegic system

You respond to an elderly female found in the snow. The outside temperature is -2 degrees Farenheight. The vital signs are depressed. Important to know in treatment is:

Your answer:
apply hot packs in axilla and wrap in blankets
CPR may be ineffective until the patient is rewarmed
rewarm the patient quickly
support the patients BP

A patient is unconscious and you suspect a neck injury. Which assessment is NOT done?

Your answer:
observe respiratory effort
check for "dools eyes" phenomenon
observe trachea for mid-line position
palpate the neck for deformities

An abnormal, high pitched, musical inspiratory sound caused by obstruction in the trachea or larynx is called:

Your answer:
rales
rhonchi
wheezing
stridor

The best definition of extrication from a vehicle?

Your answer:
removification
dismemberment
disentaglement
removal

How many milligrams of lidocaine are contained in 1 ml of a 2% solution?

Your answer:
2 mg
20 gm
20 mg
200 mg

A patient who is suicidal usually:

Your answer:
doesn't really mean it
is also homicidal
does not transmit their intentions
tends to feel isolated