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EMT 12
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Questions in this quiz (45)
1A 33-year-old female presents with lower abdominal quadrant pain. She is conscious and alert, but in moderate pain. While your partner is asking her questions about her medical history, you take her vital signs. When you assess her radial pulse, you are unable to locate it. You should:
- Aassess the rate, regularity, and quality of her carotid pulse.
- Badvise your partner that the patient's blood pressure is low.
- Cimmediately take her blood pressure to see if she is hypotensive.
- Dconclude that she is perfusing adequately since she is conscious.
2A 58-year-old man complains of chest discomfort and nausea. He is conscious and alert; his blood pressure is 140/90 mm Hg, his pulse is 104 beats/min, and his respirations are 16 breaths/min. Your partner has applied supplemental oxygen. Prior to assisting the patient with one of his prescribed nitroglycerin tablets, you ask him if he takes medication to treat erectile dysfunction and he tells you that he does. You should:
- Aavoid giving him nitroglycerin and transport him at once.
- Bask him what he takes, how much, and when he last took it.
- Crecall that erectile dysfunction drugs can cause hypertension if given with nitroglycerin.
- Dadminister his nitroglycerin and then reassess his blood pressure.
3A patient who presents with a headache, fever, confusion, and red blotches on his or her skin should be suspected of having:
- Ahepatitis.
- Bmeningitis.
- Chantavirus.
- Dtuberculosis.
4A patient who was bitten by a mosquito and presents with signs and symptoms of illness should be suspected of having:
- A. avian flu
- Bhantavirus.
- CWest Nile virus
- Dlyme disease.
5After sizing up the scene of a patient with a possible infectious disease, your next priority should be to:
- Acontact medical control.
- Btake standard precautions.
- Cquickly access the patient.
- Dnotify law enforcement.
6An index of suspicion is MOST accurately defined as:
- Athe EMT's prediction of the type of illness a patient has based on how the call is dispatched.
- Byour awareness and concern for potentially serious underlying and unseen injuries or illness.
- Cruling out specific medical conditions based on the absence of certain signs and symptoms.
- Ddetermining the underlying cause of a patient's medical condition based on signs and symptoms.
7An infectious disease is MOST accurately defined as:
- Aany disease that enters the body via the bloodstream and renders the immune system nonfunctional.
- Bthe invasion of the human body by a bacterium that cannot be destroyed by antibiotics or other drugs.
- Ca disease that can be spread from one person or species to another through a number of mechanisms.
- Da medical condition caused by the growth and spread of small harmful organisms within the body.
8Early signs and symptoms of viral hepatitis include all of the following, EXCEPT:
- Aloss of appetite and a cough.
- Bvomiting, fever, and fatigue.
- Cpain in the muscles and joints.
- Djaundice and abdominal pain.
9End-tidal carbon dioxide (ETCO2) monitoring is clearly indicated for patients who present with:
- Arespiratory distress.
- Bhigh blood pressure.
- Cabdominal pain.
- Da headache.
10Factors that increase the risk for developing methicillin-resistant Staphylococcus aureus (MRSA) include:
- Aprior exposure to Mycobacterium tuberculosis.
- Bfailure to be vaccinated against any strain of hepatitis.
- Ca history of a respiratory illness within the past 6 to 8 weeks.
- Dprolonged hospitalization, especially in an intensive care unit.
11Hepatitis B is more virulent than hepatitis C, which means that it:
- Ahas a greater ability to produce disease.
- Bis less resistant to treatment.
- Cis a more contagious type of disease.
- Dleads to chronic infection after exposure.
12In addition to looking for severe bleeding, assessment of circulation in the conscious patient should involve:
- Apalpating the carotid pulse to determine the approximate rate and checking capillary refill time.
- Btaking a blood pressure and determining if the patient is alert and oriented or confused.
- Capplying a pulse oximeter probe to the finger to determine if peripheral perfusion is adequate.
- Dchecking the radial pulse and noting the color, temperature, and condition of his or her skin.
13In addition to obtaining a SAMPLE history and asking questions related to the chief complaint, what else should you inquire about when assessing a patient with a potentially infectious disease?
- Arecent travel
- BHIV status
- Csexual practices
- Ddrug allergies
14In contrast to the assessment of a trauma patient, assessment of a medical patient:
- Ais focused on the nature of illness, the patient's chief complaint, and his or her symptoms.
- Balmost exclusively focuses on physical signs that indicate the patient is experiencing a problem.
- Crequires a thorough head-to-toe exam that involves a detailed assessment of all body systems.
- Dis not as complex for the EMT because most patients typically present with classic symptoms.
15In contrast to viral hepatitis, toxin-induced hepatitis:
- Ais not a communicable disease.
- Btypically does not cause yellow skin.
- Cis a far more transmittable disease.
- Dcan be prevented with a vaccination.
16In which of the following situations would it be MOST appropriate to utilize an air medical transportation service?
- A29-year-old woman who is 18 weeks pregnant, has light vaginal bleeding, and stable vital signs
- B43-year-old man experiencing a heart attack, and the closest appropriate hospital is 15 minutes away
- C50-year-old conscious woman with severe nausea and vomiting, fever, and chills of 3 days' duration
- D61-year-old man with signs and symptoms of a stroke and your ground transport time is 50 minutes
17It is especially important to assess pulse, sensation, and movement in all extremities as well as pupillary reactions in patients with a suspected ___________ problem.
- Acardiac
- Bendocrine
- Crespiratory
- Dneurologic
18Patients with tuberculosis pose the greatest risk for transmitting the disease when they:
- Acough
- Bvomit.
- Care bleeding.
- Dhave a fever.
19Reassessment of a patient with a medical complaint should begin by:
- Areassessing the nature of illness.
- Btaking another set of vital signs.
- Crepeating the primary assessment.
- Dreviewing all treatment performed.
20Syphilis is a:
- Ahigh-risk disease to the EMT, especially through a needlestick.
- Bbloodborne disease that can successfully be treated with penicillin.
- Cbacterial infection that is typically resistant to antibiotic medications.
- Dsexually transmitted disease that is only found in vaginal secretions.
21Ten days after treating a 34-year-old patient with tuberculosis, you are given a tuberculin skin test, which yields a positive result. This MOST likely indicates that:
- Ayou were exposed to another infected person prior to treating the 34-year-old patient.
- Byou contracted the disease by casual contact instead of exposure to secretions.
- Cthe disease is dormant in your body, but will probably never cause symptoms.
- Dyou are actively infected with tuberculosis and should be treated immediately.
22The determination of whether a medical patient is a high-priority or low-priority transport is typically made:
- Aonce the patient's baseline vital signs are known.
- Bafter the primary assessment has been completed.
- Cupon completion of a detailed secondary assessment.
- Das soon as the patient voices his or her chief complaint.
23The greatest danger in displaying a personal bias or “labeling” a patient who frequently calls EMS is:
- Aoverlooking a potentially serious medical condition.
- Bmaking the entire EMS system look unprofessional.
- Cdemeaning or humiliating the patient and his family.
- Ddiscouraging the patient from calling EMS in the future.
24The primary prehospital treatment for most medical emergencies:
- Aaddresses the patient's symptoms more than the actual disease process.
- Btypically does not require the EMT to contact medical control.
- Cfocuses on definitive care because a diagnosis can usually be made.
- Dinvolves transport only until treatment can be performed at the hospital.
25The secondary assessment of a medical patient:
- Ashould routinely include a comprehensive examination from head to toe.
- Bshould be performed at the scene, especially if the patient is critically ill.
- Cis not practical if the patient is critically ill or your transport time is short.
- Dis typically limited to a focused exam for patients who are unconscious.
26Typical chief complaints in patients with an infectious disease include:
- Afever, rash, nausea, and difficulty breathing.
- Bcrushing chest pain, vomiting, and weakness.
- Cheadache, low back pain, and arm numbness.
- Djoint pain, muscle aches, and blurred vision.
27Upon initial contact with a patient who appears to be unconscious, you should:
- Aassess breathing depth and determine the respiratory rate.
- Bsqueeze the trapezius muscle to see if the patient responds.
- Cattempt to elicit a verbal response by talking to the patient.
- Ddirect your partner to apply oxygen via nonrebreathing mask.
28When assessing a patient with a medical complaint, which of the following would MOST likely reveal the cause of his or her problem?
- Ahistory taking
- Brapid body scan
- Cbaseline vital signs
- Dprimary assessment
29When caring for a patient who takes numerous medications, it is best to:
- Adocument the medications on your patient care report, but leave them at home so they do not get misplaced.
- Btake all of the patient's medications with you to the hospital and document them on your patient care report.
- Csend the patient's medications to the hospital with a family member or other person who will safeguard them.
- Dlet the hospital staff retrieve the patient's medical records, which should show a list of his or her current medications.
30When caring for a patient with an altered mental status and signs of circulatory compromise, you should:
- Alimit your time at the scene to 10 minutes or less, if possible.
- Bperform a detailed secondary assessment prior to transporting the patient.
- Ctransport immediately and begin all emergency treatment en route to the hospital.
- Dhave a paramedic unit respond to the scene if it is less than 15 minutes away.
31When forming your general impression of a patient with a medical complaint, it is important to remember that:
- Athe majority of medical patients you encounter are also injured.
- Bit is during the general impression that assessment of the ABCs occurs.
- Cmost serious medical conditions do not present with obvious symptoms.
- Dthe conditions of many medical patients may not appear serious at first.
32When performing a secondary assessment on a conscious patient with nontraumatic abdominal pain and stable vital signs, you should:
- Afocus on his or her chief complaint.
- Bexamine him or her from head to toe.
- Cprepare the patient for transport first.
- Donly palpate tender areas of the abdomen.
33Which of the following assessment findings is MOST indicative of a cardiovascular problem?
- Aunequal breath sounds
- Bjugular venous distention
- Cuse of the accessory muscles
- Dpalpable pain to the epigastrium
34Which of the following conditions is NOT categorized as a psychiatric condition?
- Adepression
- Bschizophrenia
- Csubstance abuse
- DAlzheimer's disease
35Which of the following conditions often requires transport to a hospital with specialized capabilities that may not be available at the closest hospital?
- Aseizures and infection
- Bcardiac arrest and shock
- Cstroke and heart attack
- Ddiabetes and migraines
36Which of the following medications would the EMT LEAST likely administer to a patient with a medical complaint?
- Analoxone (Narcan)
- Baspirin
- Calbuterol
- Doral glucose
37Which of the following statements regarding hepatitis A is correct?
- AHepatitis A can only be transmitted by a patient who has an acute infection.
- BInfection with hepatitis A causes chronic illness with a high mortality rate.
- CHepatitis A is primarily transmitted via contact with blood or other body fluids.
- DAlthough there is no vaccine against hepatitis A, treatment is usually successful.
38Which of the following statements regarding methicillin-resistant Staphylococcus aureus (MRSA) is correct?
- AMost cases of MRSA transmission occur following an accidental needlestick.
- BMRSA is a bacterium that causes infections and is resistant to most antibiotics.
- CThe communicable period for MRSA is 10 days to 2 weeks after being infected.
- DStudies have shown that less than 1% of health care providers are MRSA carriers.
39Which of the following statements regarding severe acute respiratory syndrome (SARS) is correct?
- ASARS is caused by a virus and usually starts with flulike symptoms that deteriorate to pneumonia and respiratory failure.
- BMost cases of SARS are caused by a bacterium that is spread from person to person via direct contact with infected blood.
- CSARS is caused by a virus that occurs naturally in the bird population, although it usually does not cause illness in humans.
- DAlthough SARS can cause pneumonia and other respiratory infections, it rarely causes death, even in immunocompromised patients.
40Which of the following statements regarding the H1N1 virus is correct?
- AUnlike other strains of the influenza virus, H1N1 is primarily transmitted via the fecal-oral route.
- BH1N1 has caused more deaths worldwide than all of the other strains of influenza combined.
- CIt is only one type of influenza among the many other strains of influenza that exist and infect humans.
- DH1N1, also known as the “swine flu,” is a newly discovered strain of influenza for which no vaccine exists.
41Which of the following statements regarding the human immunodeficiency virus (HIV) is correct?
- AHIV is far more contagious than hepatitis B and is easily transmitted in the health care setting.
- BThe risk of HIV infection is high, even if an infected person's blood comes in contact with your intact skin.
- CThe risk of HIV infection is greatest when deposited on a mucous membrane or directly into the bloodstream.
- DMost patients who are infected with HIV experience chronic symptoms that vary in duration and severity.
42Which of the following will MOST reliably allow you to determine the nature of a patient's illness?
- Atrending of the patient's vital signs over time
- Basking questions related to the chief complaint
- Crefraining from asking open-ended questions
- Dfocusing solely on how the call is dispatched
43You and your EMT partner arrive at the residence of a 50-year-old man who complains of weakness. Your primary assessment reveals that he is critically ill and will require aggressive treatment. The closest hospital is 25 miles away. You should:
- Aperform a detailed secondary assessment, assess his vital signs, and then transport rapidly.
- Bmanage all threats to airway, breathing, and circulation and consider requesting an ALS unit.
- Cadminister oxygen via nonrebreathing mask and obtain as much of his medical history as possible.
- Dload him into the ambulance, begin transport, and perform all treatment en route to the hospital.
44You have just completed your primary assessment of a 48-year-old man with crushing chest pain. The patient has been given 324 mg of aspirin and is receiving high-flow oxygen via nonrebreathing mask. As you begin your secondary assessment, you note that his mental status has deteriorated and he is now bradycardic. You should:
- Acontinue with your secondary assessment.
- Bprepare the patient for immediate transport.
- Cinsert a nasal airway and assist his breathing.
- Drequest an ALS unit to respond to the scene.
45Your primary assessment of an elderly woman reveals that she is conscious and alert, but is experiencing difficulty breathing. She has a history of emphysema, hypertension, and congestive heart failure. As you assess the patient's circulatory status, you should direct your partner to:
- Aperform a head-to-toe secondary assessment.
- Bassess her oxygen saturation and blood pressure.
- Cretrieve the stretcher and prepare for transport.
- Dadminister oxygen with the appropriate device.
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- EMT-B EMT Quiz on EMT 12, created by Seth Weaver on 08/06/2018.
- Author
- Seth Weaver
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- English
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- Created on 8 Jun 2018 · updated on 19 Jun 2018
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