EMT-B Sustainment Quiz 6

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  1. Which of the following is NOT an indication for sodium bicarbonate?
  2. Your answer:
    metabolic alkalosis
    tricyclic antidepressant overdose
    known hyperkalemia
    phenobarbital overdose


  3. With an AED (automated external defibrillator) you will need to:
  4. Your answer:
    place the "quick look" paddles
    apply a conductive medium
    attach adnesive electrodes and cables
    identify a shockable rhythm


  5. The chief extracellular cation that regulates body fluid distribution is:
  6. Your answer:
    bicarbonate
    sodium
    potassium
    magnesium


  7. Which statment best illustrates the Frank-Starling mechanism?
  8. Your answer:
    The less the preload, the greater the afterload
    The greater the afterload, the greater the stroke volume
    The less the stroke volume, the less the afterload
    The greater the preload, the greater the stroke volume


  9. A condition characterized by a lowered pH level caused by abnormal retention of CO2 is:
  10. Your answer:
    respiratory acidosis
    respiratory alkalosis
    metabolic alkalosis
    metabolic acidosis


  11. An advantage of using an oropharyngeal airwya is that it:
  12. Your answer:
    allow air to pass around and through the device
    can be used in the presence of a gag reflex
    prevents gastric distention and regurgitation
    isolates the trachea


  13. A significant drop in blood pressure or increase in pulse rate when the patient is brought from a lying to a sitting position indicates hypovalemia (serious loss of blood or other fluids). This measurement of "orthostatic vital signs" is known as a:
  14. Your answer:
    vital signs test
    pulse pressure tst
    systolic test
    tilt test


  15. Your pateint is suffering congestive heart failure. To reduce the workload of the heart, you would:
  16. Your answer:
    start an infusion of lactated Ringer's or normal saline
    administer a vasodilator to increase venous capacitance
    administer a vasocontrictor to increase peripheral resistance
    administer epinephrine to increase contractile force


  17. Most blood glucose determination machines require that excess blood be wiped off the strip after a specified period of time, ususally ________.
  18. Your answer:
    10 seconds
    15 seconds
    30 seconds
    60 seconds


  19. Prehospital care providers should access the Hickman catheter when:
  20. Your answer:
    the patient's bladder is distended
    routine IV access is varranted
    stomach evacuation is indicated
    vascular access is required in a life-threatening situation


  21. The depression between the epiglottis and the base of the tongue is the:
  22. Your answer:
    arytenoid fold
    pyriform fossa
    vallecula
    hyoid


  23. Protocols are designed by off-line medical control to provide a standardized approach to prehosital care in the following areas: triage, treatment, transport, and:
  24. Your answer:
    transfer
    trauma
    transfusion
    transition


  25. Which of the following is NOT correct regarding the pathway of normal blood flow into and through the heart?
  26. Your answer:
    The right ventricle sends blood to the lunds via the pulmonary veins
    Blood passes from the left atrium to the left centricle through the mitral valve
    Blood is returned by the venae cavae to the right atrium of the heart
    The left ventricle sends oxygenated blood to the body via the aorta


  27. Which of the following is NOT a purpose for which use of the PASG is normally considered?
  28. Your answer:
    to control pulmonary edema
    to splint lower extremity fractures
    to help the body compensate for shock
    to control blood losee


  29. The name of a drug that is usually an abbreviated version of the chemical name is the:
  30. Your answer:
    generic name
    official name
    trade name
    brand name


  31. The lungs receive deoxygenated blood from the:
  32. Your answer:
    left heart
    right heart
    aortic arch
    pulmonary veins


  33. Which of the following is NOT true of colloid solutions
  34. Your answer:
    They tend to remain in the intravascular space for an extended time
    The attract water into the intravascular space
    They are sub-classified as isotonic, hypertonic, and hypotonic solutions
    They are rarely administered in the prehospital setting


  35. What is the FIRST pieve of information you need to obtain when taking a history from the patient?
  36. Your answer:
    where the pain is located
    the chief complaint
    past illnesses
    the quality of the pain


  37. Your medical patient suffers from gastric ulcers and admits to having been taking an unusually large quantity of antacids. As a result, she may also be suffering:
  38. Your answer:
    metabolic acidosis
    metabolic alkalosis
    respiratory alkalosis
    respiratory acidosis


  39. A standard format for transmission of patient assessment information to the hospital is usually used. All of the following are advantages of using a standard format EXCEPT:
  40. Your answer:
    it is efficient
    it assures that medical information provided is complete
    it helps the physician assimilate the information
    it ensures that all EMS systems follow the same protocols


  41. Medical control orders a lidocaine IV for your patient at 1.5 mg.kg. Your patient weights 210 pounds. Your initial dose of lidocaine will be:
  42. Your answer:
    143 mg
    69 mg
    14.3 mg
    693 mg


  43. The pulse oximeter measures the amount of oxygen:
  44. Your answer:
    present in the plasma
    dropped off in the capillary beds
    bound on hemoglobin
    in the alveoli


  45. When administered to a normally hydrated patient, a hypertonic solution will cause fluid to move in which direction?
  46. Your answer:
    A hypertonic solution will cause no significant fluid shift
    from the extracellular to the intracellular compartment
    from the extracellular to the intravascular compartment
    from the intracellular to the extracellular compartment


  47. An accurate blood glucose test reading requires:
  48. Your answer:
    capillary blood
    either arterial or venous blood
    arterial blood
    venous blood


  49. When sodium is transported out of a myocardial cell against the osmotic gradient, the process is caid to be a form of:
  50. Your answer:
    facilitated diffusion
    active diffusion
    active trainsport
    facilitated tramsport



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