Emergency Medical Technician Quiz 4

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  1. A patient who is listless, slovenly, unkempt, is most likely suffering from:

    2. Your answer:
    mania
    anorexia
    depression
    paranoia

  2. For every unit of blood lost in trauma, how much crystalloid must be infused?

    3. Your answer:
    equal amount
    twice as much
    three times the amount
    half as much

  3. A 30 year old female is in a MVA and is complaining of chest pain, should be treated as a patient with:

    4. Your answer:
    TIA
    CVA
    COPD
    an MI

  4. A patient complaining of chest pain who is showing multifocal PVCs on the monitor should be treated with:

    5. Your answer:
    1 mg/kg lidocaine bolus
    1 mg/kg bretylium bolus
    5 mg/kg bretylium infusion
    2-4 mcg/kg lidocaine infusion

  5. Vasopressors may be indicated in which type of shock?

    6. Your answer:
    metabolic
    hypovolemic
    neurogenic
    respiratory

  6. Treatment of neurogenic shock should include:

    7. Your answer:
    oxygen, IV, valium
    oxygen, IV, PASG, consider vasopressors
    oxygen, IV aramine, Trendelenberg position
    IV, aramine, lidocaine infusion

  7. A patient with a history of seizures is most likely to take which medications:

    8. Your answer:
    theo-dur and lanoxin
    lasix and lanoxin
    inderal and digitalis
    dilantin and phenobarbitol

  8. A patient presents with vomiting, headache, and yellow vision. The monitor show rapid atrial fib with frequent PVCs. The patient states that she takes a heart pill. She is most likely suffering from:

    9. Your answer:
    lasix overdose
    influenza
    lidocaine toxicity
    lanoxin toxicity

  9. The preferred site for intraosseous needle placement in the field is:

    10. Your answer:
    proximal tibia
    distal tibia
    distal femur
    midshaft femur

  10. The most common cause of airway obstruction in the unconscious victim of an unwitnessed collapse is:

    11. Your answer:
    mucous
    food
    dentures
    tongue

  11. A pregnant patient suffering from edema, hypertension and increased muscle tone is likely suffering from:

    12. Your answer:
    preeclampsia
    eccpampsia
    postural hypotension
    PMS

  12. The problem with communication of the elderly is most often due to:

    13. Your answer:
    senility
    organic brain syndrome
    confusion
    hearing loss

  13. The term that which describes normal respirations is:

    14. Your answer:
    eupnea
    dyspnea
    bradypnea
    orthopnea

  14. The rate of adult compressions in CPR is:

    15. Your answer:
    5-2
    100 plus per minute
    80-100
    15-1

  15. The death which occurs at the moment the heart stops is:

    16. Your answer:
    biological death
    clinical death
    irreversible death
    DRT

  16. The proper rate for rescue breathing for an adult is:

    17. Your answer:
    8 breaths/minute
    20 breaths/minute
    5 breaths/minute
    12 breaths/minute

  17. The rescuer's initial ventilation of a person requiring CPR should be:

    18. Your answer:
    five full breaths
    four quick breaths
    two full breaths
    one quick breath

  18. Your 27 year old female patient is complaining of vaginal discharge and abdominal pain which increases with intercourse. The patient relates that she may have been exposed to gonorrhea. The patient is most likely suffering from:

    19. Your answer:
    ectopic pregnancy
    AIDS
    PID
    uterine rupture

  19. What is the name for alveolar collapse?

    20. Your answer:
    pulmonary edema
    tension pneumothorax
    atelectasis
    pneumonia

  20. A 31 year old female is involved in a MVA. Vital signs are 90/68, 100, and 40. Trachea is deviated to the right, breath sounds are absent on the left, hyperresonance is noted on the left side on percussion. What is most likely the problem?

    21. Your answer:
    pericardial tamponade
    tension pneumothorax
    simple pneumothorax
    hemothorax

  21. The first priority in management of an open pneumothorax is to:

    22. Your answer:
    insert an oral airway
    cover and seal the wound
    deliver high flow O2
    check both lung fields

  22. Uncompensated shock is evidenced by:

    23. Your answer:
    falling blood pressure
    rising pulse rate
    cold, clammy skin
    rising temperature

  23. In some people, congenitally weakened areas of the lungs may rupture causing:

    24. Your answer:
    spontaneous pneumothorax
    alveolar pneumonia
    hemothorax
    pulmonary edema

  24. Which is the most important in evaluating a patient with an illness causing abdominal pain?

    25. Your answer:
    patient history
    appearance of the patient
    palpitation
    vital signs

  25. Insulin is secreted by the:

    26. Your answer:
    gall bladder
    adrenal glands
    islets of Langerhans
    superior testines

  26. What is the primary drug given to correct ventricular fibrillation?

    27. Your answer:
    lasix
    inderal
    atropine
    lidocaine

  27. The usual dose of isuprell when given as a drip is:

    28. Your answer:
    20 mg in 500 ml of D5W
    1 mg in 1000 ml of D5W
    0.2 mg in 500 ml of D5W
    2 mg in 500 ml D5W

  28. The fluid portion of blood is the:

    29. Your answer:
    leukocyte
    albumin
    plasma
    erythrocyte

  29. Which of the following is a result of a serious insulin deficit?

    30. Your answer:
    respiratory acidosis
    respiratory alkalosis
    metabolic acidosis
    metabolic acidosis

  30. The purkinge system has an intrinsic firing rate of:

    31. Your answer:
    20-40 min
    60-70 min
    10-20 min
    40-60 min

  31. You have been ordered to give a patient 7 mcg/min of isuprell. Mix 1 mg in 250 ml of D5W and use a microdrip. What drip rate is needed?

    32. Your answer:
    90 gtts/min
    105 gtts/min
    210 gtts/min
    28 gtts/min

  32. The proper dose of pediatric epinephrine 1:1000 for an asthma attack would be:

    33. Your answer:
    .001 mg/kg
    10 mg/kg
    0.1 mg/kg
    .01 mg/kg

  33. Stimulation of the beta receptors causes:

    34. Your answer:
    decreased cardiac oxygen consumption
    increased heart rate and force of contraction
    bronchial constriction and tachycardia
    increased vascular resistance and vasoconstriction

  34. You are attempting to intubate a pediatric patient. Your best guide in choosing the correct size tube is:

    35. Your answer:
    the patient's general appearance
    the patient's little finger
    the patient's ring finger
    the patient's weight

  35. Which factor is common to all forms of shock?

    36. Your answer:
    hypovolemia
    tachycardia
    tachypnea
    inadequate tissue perfusion

  36. When a myocardial fiber is at rest the charge within the cell is:

    37. Your answer:
    negative
    polarized
    depolarized
    positive

  37. A hypotonic solution is defined as a solution having:

    38. Your answer:
    a concentration the same as that in the cells
    a concentration higher than that in the cells
    a concentration lower than that in the cells
    none of the above adequately defines the term

  38. Which of the following is primarily an extracellular electrolyte?

    39. Your answer:
    potassium
    calcium
    nitrogen
    sodium

  39. Injuries that result in partial tearing of a ligment are called:

    40. Your answer:
    strains
    fractures
    dislocations
    sprains

  40. In a posterior dislocation of the hip, the leg will appear:

    41. Your answer:
    shortened and rotated inward
    lengthened and rotated outward
    abducted and slightly flexed
    flexed to about 90 degrees

  41. Lactated Ringer's solution is a(n):

    42. Your answer:
    isotonic balanced buffered electrolyte solution
    hypotonic solution
    isotonic solution
    hypertonic solution

  42. Sudden infant death syndrome (SIDS) is usually caused by:

    43. Your answer:
    underfeeding the infant
    overheating the infant
    suffocation
    the cause is unknown

  43. The most common cause of seizures in the child is:

    44. Your answer:
    elevated temperature
    bronchitis
    inadequate tissue perfusion
    ventricular fibrillation

  44. What is the first step in the secondard survey?

    45. Your answer:
    check for open fractures
    check for hemorrhage
    obtain a set of vital signs
    head to toe survey

  45. Your patient is unconscious and in apparent respiratory distress. The permission to treat her is given by the concept of:

    46. Your answer:
    replied consent
    applied consent
    implied consent
    actual consent

  46. 23 year old male has a history of seizures. You find him having recurrent seizures without return to consciousness. His color is poor and he is suffeing arrythmias. The patient is suffering from:

    47. Your answer:
    status epilepticus
    focal motor seizures
    petit mal seizures
    marital distress

  47. Which of the following is one of the earliest signs of hypoxia:

    48. Your answer:
    weak and rapid pulse
    cyanosis
    thirst
    restlessness

  48. Your patient is a conscious and rational adult. Failure to get consent to treat and transport could lead to what type of liability?

    49. Your answer:
    assault
    battery
    false imprisonment
    all of the above

  49. Aminophyline may be given in a dosage of range of ____ and it's main action is ___________?

    50. Your answer:
    500 mg rapidly; decreased urinary output
    250-500 mg slowly; bronchial dilation
    300 mg slowly; increased cardiac output
    250-500 mg rapidly; bronchial dilation

  50. What is the most common adverse side effect of IV push valium?

    51. Your answer:
    hypertension
    seizures
    respiratory depression
    hypotension

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