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EMT 7

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EMT-B EMT Quiz on EMT 7, created by Seth Weaver on 04/06/2018.
Seth Weaver
Quiz by Seth Weaver, updated more than 1 year ago
Seth Weaver
Created by Seth Weaver over 7 years ago
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Resource summary

Question 1

Question
A 31-year-old female is experiencing an acute asthma attack. She is conscious and alert, but in obvious respiratory distress. After assisting her with her prescribed MDI, you should:
Answer
  • administer another treatment in 30 seconds if she is still in distress.
  • reassess the patient and document her response to the medication.
  • contact medical control and apprise him or her of what you did.
  • check the drug's expiration date to ensure that it is still current.

Question 2

Question
A 37-year-old male is found unconscious in his car. His airway is patent and his respirations are rapid and labored. As you and your partner are assessing and treating the patient, a police officer hands you a medication named Alupent, which he found in the backseat of the patient's car. This medication suggests that the patient has a history of:
Answer
  • allergic reactions.
  • hypertension.
  • heart disease.
  • asthma.

Question 3

Question
A 49-year-old male with an extensive cardiac history presents with 2 hours of crushing chest pain and shortness of breath. He is pale and diaphoretic and tells you that he feels like he is going to die. His medications include nitroglycerin, sildenafil (Viagra), and enalapril (Vasotec). His blood pressure is 140/90 mm Hg and his heart rate is 110 beats/min. In addition to administering 100% oxygen, you should:
Answer
  • ask him if he took his Viagra within the past 24 hours.
  • administer one nitroglycerin and call medical control.
  • place him in a supine position and transport at once.
  • obtain physician approval to give the nitroglycerin.

Question 4

Question
A 62-year-old male presents with crushing chest pain, which he describes as being the same kind of pain that he had with a previous heart attack. He has prescribed nitroglycerin but states that he has not taken any. After administering 100% oxygen and contacting medical control, you should:
Answer
  • administer the nitroglycerin unless he has taken Viagra within the past 72 hours.
  • administer up to three doses of nitroglycerin before assessing his blood pressure.
  • assist him with his nitroglycerin unless his systolic blood pressure is less than 100 mm Hg.
  • begin immediate transport and request a rendezvous with a paramedic unit.

Question 5

Question
A 74-year-old woman complains of heaviness in her chest, nausea, and sweating that suddenly began about an hour ago. She is conscious and alert, but anxious. Her blood pressure is 144/84 mm Hg and her heart rate is 110 beats/min. She took two of her prescribed nitroglycerin (0.4-mg tablets) before your arrival but still feels heaviness in her chest. You should:
Answer
  • recall that geriatric patients often have slower absorption and elimination times, which may necessitate modification of the dosing of certain drugs.
  • transport her at once and wait at least 20 minutes before you consider assisting her with a third dose of her prescribed nitroglycerin.
  • assist her in taking one more of her nitroglycerin tablets, reassess her blood pressure, and contact medical control for further instructions.
  • give her high-flow oxygen, avoid giving her any more nitroglycerin because it may cause a drop in her blood pressure, and transport.

Question 6

Question
A drug is contraindicated for a patient when it:
Answer
  • is used to treat a specific medical condition.
  • produces actions other than the desired ones.
  • may cause harm or have no positive effect.
  • is used to treat a multitude of conditions.

Question 7

Question
A medication with antagonistic properties is one that:
Answer
  • produces a cumulative effect when mixed with the same type of medication.
  • blocks receptor sites and prevents other chemicals from attaching to them.
  • enhances the effects of another medication when given in a higher dose.
  • stimulates receptor sites and allows other chemicals to attach to them.

Question 8

Question
A mucosal atomizer device (MAD) is used to deliver certain medications via the:
Answer
  • transdermal route.
  • sublingual route.
  • inhalation route.
  • intranasal route.

Question 9

Question
Activated charcoal is an example of a(n):
Answer
  • gel.
  • elixir.
  • solution.
  • suspension.

Question 10

Question
Activated charcoal is frequently suspended in sorbitol, a complex sugar that:
Answer
  • disguises the unpleasant taste of the activated charcoal.
  • facilitates movement through the digestive system.
  • binds to any chemicals that are in the stomach.
  • significantly slows the process of digestion.

Question 11

Question
Advil, Nuprin, and Motrin are brand (trade) names for the generic medication:
Answer
  • acetaminophen.
  • ibuprofen.
  • nitrostat.
  • aspirin.

Question 12

Question
After taking diphendydramine (Benadryl) for an allergic reaction, a person begins experiencing drowsiness and a dry mouth. These findings are an example of a(n):
Answer
  • unpredictable effect.
  • therapeutic effect.
  • untoward effect.
  • side effect.

Question 13

Question
An EMT may administer aspirin to a patient if:
Answer
  • the patient is believed to be experiencing an acute stroke.
  • transport time to the hospital is greater than 30 minutes.
  • authorization from medical control has been obtained.
  • the patient is currently experiencing hypotension.

Question 14

Question
Aspirin is beneficial to patients suspected of having a heart attack because it:
Answer
  • prevents the aggregation of platelets.
  • causes direct coronary vasodilation.
  • dissolves the coronary artery clot.
  • reduces the associated chest pain.

Question 15

Question
How is nitroglycerin usually given by the EMT?
Answer
  • sublingually
  • injected
  • inhaled
  • orally

Question 16

Question
In ___________ administration, you are administering medication to yourself or your partner.
Answer
  • paramedic-administered
  • EMT-administered
  • patient-assisted
  • peer-assisted

Question 17

Question
Medications encased in a gelatin shell taken by mouth are called:
Answer
  • pills.
  • tablets.
  • caplets.
  • capsules.

Question 18

Question
Shortly after assisting a 65-year-old female with her prescribed nitroglycerin, she begins complaining of dizziness and experiences a drop of 30 mm Hg in her systolic blood pressure. The patient remains conscious and her breathing is adequate. You should:
Answer
  • assist ventilations with a bag-mask device.
  • place her supine and elevate her legs.
  • wait 5 minutes and reassess her blood pressure.
  • transport her in a sitting position.

Question 19

Question
Subcutaneous injections deliver the medication:
Answer
  • in the mucosa under the tongue.
  • below the first layer of muscle.
  • between the skin and the muscle.
  • directly into the muscle tissue.

Question 20

Question
The medical term for an extremely low blood glucose level is:
Answer
  • hypertension.
  • hypotension.
  • hyperglycemia.
  • hypoglycemia.

Question 21

Question
The process of binding or sticking to a surface is called:
Answer
  • digestion.
  • suspension.
  • absorption.
  • adsorption.

Question 22

Question
The term “pharmacology” is MOST accurately defined as:
Answer
  • the study of drug excretion from the human body.
  • the study of drugs and their actions on the body.
  • the study of how medications affect the brain.
  • the study of drugs that are produced illegally.

Question 23

Question
The __________ of a medication usually dictates the route by which it will be administered.
Answer
  • name
  • class
  • form
  • type

Question 24

Question
What medication form does oral glucose come in? Select one:
Answer
  • fine powder
  • suspension
  • liquid
  • gel

Question 25

Question
When assessing an elderly male who complains of nausea and generalized weakness, you find that he takes simvastatin (Vytorin) and clopidogrel (Plavix). This medication regimen suggests a history of:
Answer
  • non–insulin-dependent diabetes.
  • reactive airway disease.
  • cardiovascular disease.
  • bacterial infection.

Question 26

Question
When gathering a patient's medications, you find the following: Isordil, Lasix, Motrin, and Digoxin. Which of these medications can be obtained over-the-counter (OTC)?
Answer
  • Digoxin
  • Isordil
  • Motrin
  • Lasix

Question 27

Question
When given to patients with cardiac-related chest pain, nitroglycerin:
Answer
  • constricts the veins throughout the body.
  • increases blood return to the right atrium.
  • increases myocardial contraction force.
  • relaxes the walls of the coronary arteries.

Question 28

Question
Which of the following is an example of a brand (trade) name of a drug?
Answer
  • furosemide
  • nitroglycerin
  • ibuprofen
  • Tylenol

Question 29

Question
Which of the following is an example of a drug's generic name?
Answer
  • aspirin
  • Excedrin
  • Advil
  • Bayer

Question 30

Question
Which of the following is NOT a characteristic of epinephrine?
Answer
  • decreases heart rate and blood pressure
  • constricts blood vessels
  • dilates passages in the lungs
  • secreted naturally by the adrenal glands

Question 31

Question
Which of the following is the MOST rapidly acting medication administration route?
Answer
  • intramuscular (IM)
  • subcutaneous (SC)
  • intravenous (IV)
  • sublingual (SL)

Question 32

Question
Which of the following medication routes delivers a drug through the skin over an extended period of time, such as a nitroglycerin or nicotine patch?
Answer
  • transcutaneous
  • subcutaneous
  • intraosseous
  • sublingual

Question 33

Question
Which of the following medication routes has the slowest rate of absorption?
Answer
  • sublingual
  • inhalation
  • rectal
  • oral

Question 34

Question
Which of the following medication routes would be the MOST appropriate to use in an unconscious patient when intravenous access cannot be obtained?
Answer
  • intraosseous (IO)
  • intramuscular
  • subcutaneous
  • transcutaneous

Question 35

Question
Which of the following statements regarding glucose is correct?
Answer
  • Glucose is usually administered by the EMT via the intravenous route.
  • Glucose is given to patients who are suspected of being hyperglycemic.
  • Glucose is a simple sugar that is readily absorbed by the bloodstream.
  • Glucose is a complex sugar that rapidly absorbs into the bloodstream.

Question 36

Question
Which of the following statements regarding parenteral medications is correct?
Answer
  • Parenteral medications are absorbed by the body through the digestive system.
  • Compared to enteral medications, parenteral medications have fewer side effects.
  • Parenteral medications are absorbed more quickly than enteral medications.
  • Tylenol is an example of a parenteral medication because it is taken orally.

Question 37

Question
Which of the following statements regarding the epinephrine auto-injector is correct?
Answer
  • EMTs do not need physician authorization to use the auto-injector.
  • The epinephrine auto-injector delivers a preset amount of the drug.
  • The auto-injector delivers epinephrine via the subcutaneous route.
  • The adult auto-injector delivers 0.5 to 1 mg of epinephrine.

Question 38

Question
Which of the following statements regarding the metered-dose inhaler (MDI) is correct?
Answer
  • Shaking an MDI prior to use will cause deactivation of the medication.
  • An MDI delivers the same amount of medication every time it is used.
  • MDIs are most commonly used by patients with cardiovascular disease.
  • MDIs are contraindicated for patients with asthma or emphysema.

Question 39

Question
While assisting a paramedic in the attempted resuscitation of a 55-year-old male in cardiac arrest, you should expect the paramedic to:
Answer
  • administer drugs via the IV route to achieve the fastest effect. Correct
  • give the patient nitroglycerin to increase his blood pressure.
  • give the patient activated charcoal to rule out a drug overdose.
  • withhold drug therapy until an intraosseous catheter is in place.

Question 40

Question
With the flowmeter set at 6 L/min, the nasal cannula will deliver up to _______ oxygen.
Answer
  • 44%
  • 34%
  • 24%
  • 14%

Question 41

Question
You are dispatched to a movie theater for a 39-year-old female with signs and symptoms of an allergic reaction. As you are assessing her, she pulls an epinephrine auto-injector out of her purse and hands it to you. After administering 100% oxygen, you should:
Answer
  • check the drug's expiration date.
  • verify the medication name.
  • contact medical control.
  • administer the drug.

Question 42

Question
You are dispatched to a state park for a young female experiencing an allergic reaction. Your assessment reveals that her breathing is severely labored and her blood pressure is very low. You carry epinephrine auto-injectors on your ambulance and have been trained and approved by your medical director to administer them. As your partner gives the patient high-flow oxygen, you attempt to contact medical control but do not have a signal from your cell phone. You should:
Answer
  • . notify dispatch and request that a paramedic unit respond to the scene so they can administer epinephrine to the patient.
  • . administer epinephrine to the patient, begin immediate transport, and attempt to contact medical control en route to the hospital
  • elevate the patient's legs 6″ to 12″, keep her warm, begin transport to the hospital, and request a paramedic intercept en route.
  • immediately load the patient into the ambulance, begin transport, and reattempt to contact medical control when you receive a cell signal.

Question 43

Question
You are treating a 45-year-old woman who was stung by a hornet and has a rash. She tells you that she is allergic to hornets and has her own epinephrine auto-injector. She also tells you that she takes medication for hypertension. Her breath sounds do not reveal any wheezing, her breathing is unlabored, and her blood pressure is 154/94 mm Hg. What should you do if you are not able to make contact with medical control? Select one:
Answer
  • Give her half the dose of her epinephrine in case her allergic reaction is delayed.
  • Give her oxygen, transport her to the hospital, and monitor her condition en route.
  • Begin immediate transport and request an intercept with a paramedic ambulance.
  • Administer her epinephrine, reassess her condition, and transport her promptly.

Question 44

Question
You are treating a middle-aged man with chest discomfort. He has a history of three previous heart attacks and takes nitroglycerin as needed for chest pain. You have standing orders to administer aspirin to patients with suspected cardiac-related chest pain or discomfort. While your partner is preparing to give oxygen to the patient, you should: Select one:
Answer
  • assist the patient in taking one of his prescribed nitroglycerin, assess his vital signs, and give him aspirin if he is still experiencing chest discomfort.
  • ensure that the patient's systolic blood pressure is at least 100 mm Hg since aspirin dilates the blood vessels and can cause a drop in blood pressure
  • contact medical control, apprise him or her of the patient's chief complaint and vital signs, and request permission to give him aspirin.
  • confirm that the patient is not allergic to aspirin, give him the appropriate dose of aspirin, and document the time and dose given.

Question 45

Question
You arrive at a residence approximately 20 minutes after a 7-year-old boy, who weighs 22 kg, ingested a bottle of Advil. He is conscious and alert and has stable vital signs. Medical control orders you to administer activated charcoal and oxygen and then transport the child at once. The appropriate maximum dose of activated charcoal for this child is:
Answer
  • 44 g.
  • 36 g.
  • 22 g.
  • 11 g.
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