You are treating a patient who is unconscious for an unknown reason. The clues that a patient is a diabetic include all of the following except:
A. a medical identification bracelet
B. the presence of insulin in the refrigerator
C. low fat food in the freezer
D. information provided by family members
The hypoglycemia that EMT's see in the field has many causes. Which of the following is not a cause of hypoglycemia?
A. the patient may have taken too much insulin by mistake
B. the patient ate a box of candy too fast
C. the patient has been vomiting
D. the patient has been fasting
You are treating a diabetic patient who seems to have overdone his exercise routine today. He is a little confused about where he is and the day of the week. The most likely medical condition he has developed is called:
A. hypoglycemia
B. hyperglycemia
C. diabetes mellitus
D. acute pulmonary edema
Your patient has a history of diabetes. You were called to her home because her family noticed her mental status was altered. The most common medical emergency for the diabetic patient is called:
A. diabetes mellitus
B. hypotension
C. hypoglycemia
D. stroke
You are treating a 27 year old female who has a condition that you suspect has been brought about by a decrease in insulin production. This condition is known as:
A. diabetes mellitus
B. hypotension
C. hypoglycemia
D. stroke
If a 55 year old patient who has a cardiac pacemaker need to be defibrillated, the EMT should:
A. perform the procedure as he or she would for other cardiac patients
B. remove the pacemaker before defibrillation
C. place the pad several inches away from the pacemaker battery
D. double the power setting on the AED
Of the cardiac arrest patients listed below, which one can be defibrillated immediately?
A. soaking wet patient lying in the rain
B. trauma patient with severe blood loss
C. patient on a metal deck being cradled by another person
D. patient with an implanted defibrillator -
Which of the following is not a general principle of AED use?
A. hook up oxygen before beginning defibrillation
B. avoid contact with the patient during rhythm analysis
C. be sure everyone is "clear" before delivering each shock
D. avoid defibrillation in a moving ambulance
After three shocks, the EMT should ____ unless local protocol says otherwise:
A. give two more shocks but this time, administer them in a row
B. begin to transport the patient with high quality CPR
C. terminate the arrest because the patient will not survive
D. increase the rate and volume of the ventilations
After the first shock, the patient seems to move and you assess a strong carotid pulse. The patient is also breathing adequately. You should then _____ and transport.
A. give highconcentration oxygen via bag-valve mask
B. provide artificial ventilations with high-concentration oxygen
C. give high-concentration oxygen via nonrebreather mask
D. administer two more shocks
To manage a patient in cardiac arrest, the EMT should provide high quality CPR as well as do all of the following except:
A. use a bag-valve-mask device with oxygen
B. use an automated external defibrillator
C. request advanced life support backup (when available)
D. administer epinephrine via IV
When treating a cardiac arrest patient and there is no ALS unit in the community, the EMT should:
A. discontinue resuscitative efforts and pronounce the patient dead
B. package quickly, provide high quality CPR and transport to the closest hospital
C. call for ACLS from another town and wait for its arrival
D. continue to provide CPR at the scene until the patient regains a pulse
If the response time from the moment a call is received to arrival of the defibrillator is longer than ____ minutes, virtually no one survives a cardiac arrest.
You just treated a 17 year old male who was struck in the chest with a baseball and went into sudden cardiac arrest. you medical director says that you did a good job on the call but this was not the typical cardiac arrest victim. Who is the typical cardiac arrest victim?
A. a male in his sixties
B. a female in her forties
C. a male in his seventies
D. there is no pattern to cardiac arrest
You are treating a 59 year old male patient whose wife called EMS because he had difficulty breathing and was acting anxious and confused. He is diaphoretic and cyanotic, and his vitals are rapid respirations, tachycardia, and hypertension. He has swollen ankles and is coughing up pink sputum. What do you suspect is wrong with the patient?
A. he is having an asthma attack
B. he is having an acute myocardial infarction
C. he has CHF as well as right heart failure
D. he is in the end stages of his emphysema
You are treating a 55 year old male patient who has a history of three past MIs and angina. Due to his difficulty breathing and normally sedentary lifestyle, you suspect he may be experiencing congestive heart failure. CHF is a(n):
A. clotting of the coronary artery
B. condition in which excessive fluids build up in the lungs and/or other organs
C. infection in the heart that makes it difficult to oxygenate the blood
D. chronic lung condition that requires a low concentration of oxygen administration
Your 70 year old female patient has a cardiovascular disorder that stems from weakened sections in the arterial walls. These weak spots begin to dilate to form a condition that is known as a(n):
A. thrombosis
B. aneurysm
C. inflammation
D. infarction
Unfortunately, nearly ____ of the patients who experience a cardiac arrest within 2 hours of the onset of symptoms have no previous history of cardiac problems.
A. 10 percent
B. 25 percent
C. 60 percent
D. 80 percent
Why is nitroglycerin administered to the patient with chest pain?
A. it increases blood flow to the brain
B. it dilates the blood vessels and decreases the work of the heart
C. it constricts the blood vessels and raises the blood pressure
D. It is easy to administer in unconscious patients
The patient you are assessing who has been complaining of chest pain asks you what causes most cardiovascular emergencies. You explain that these conditions are caused, directly or indirectly, by all of the following except:
A. changes in the inner walls of arteries
B. problems with the heart's electrical function
C. problems with the heart's mechanical function
D. complications resulting from cardiovascular surgery
You have administered aspirin to the patient with chest pain per your protocols. The patient has his own prescribed nitro and a stable BP, so you decide to assist him in administering one of his nitro pills. After administering the nitroglycerin, it is important for you to:
A. immediately administer the next dose
B. discontinue the oxygen therapy
C. reassess the vital signs
D. lay the patient down
You are treating a 62 year old male patient who has a chief complaint of chest pain. You are considering administering aspirin to the patient. Of the following considerations, which would not be pertinent to administering this medicine?
A. the patient has allergies
B. there is a history of asthma
C. the patient has taken Viagra
D. the patient is on anti-clotting meds
Nitroglycerin is contraindicated for the patient who has:
A. an obvious head injury and altered mental status
B. a systolic blood pressure of 110
C. not yet taken the maximum dose
D. been complaining of pain for at least 20 minutes
The maximum number of doses of nitroglycerin routinely given by the EMT with medical control permission, or taken by the patient at the advice of his physician, is:
A patient is complaining of chest pain. In order for the EMT to administer nitroglycerin, all the following conditions must be met except:
A. medical direction should authorize its administration
B. the patient's physician should have prescribed the medication
C. the patient's blood pressure is lower than 100 systolic
D. the patient's blood pressure is greater than 100 systolic
Which of the following is the best description of the role of medical direction in the treatment of a 55 year old male who you suspect is having an acute coronary syndrome?
A. authorizing the EMT to administer oxygen via nonrebreather mask
B. prescribing nitroglycerin that the EMT can then assist the patient in taking
C. authorizing the EMT to assist the patient in taking his prescribed nitroglycerin
D. contacting the patient's physician to ensure that the patient's nitroglycerin prescription is not out of date
You should consider using nitroglycerin when the 65 year old female patient:
A. is hypertensive and has a headache
B. has her own nitroglycerin and has crushing chest pain
C. loses consciousness after feeling dizzy
D. has chest pain for over 5 minutes and is hypotensive
All of the following potential acute coronary syndrome patients are candidates for immediate transport except a patient with:
A. no history of cardiac problems
B. a history of cardiac problems, who does not have nitroglycerin
C. prescribed nitroglycerin
D. a systolic blood pressure of less than 90
What is the typical position of comfort that you should consider using for a 62 year old male patient who is complaining of crushing substernal chest pain and shortness of breath. His pulse is fast, BP is high, and pulse oxygen is in the low 90's.
A. fowler
B. supine
C. prone
D. lying down with knees bent
You are treating a 62 year old male patient who is complaining of crushing substernal chest pain and shortness of breath. His pulse is fast, BP is high, and pulse oxygen is in the low 90's. The EMT management of the patient with a suspected acute coronary syndrome should include all of the following except:
A. placing the patient in the position of comfort
B. administering high concentration oxygen by non-rebreather mask
C. administering high-flow oxygen by a nasal cannula
D. assisting the patient with nitroglycerin administration if medical direction authorizes
You are evaluating a 59 year old female patient who you suspect may be exhibiting the signs and symptoms of an acute coronary syndrome. Her signs and symptoms may include any of the following except:
A. difficulty breathing and abnormal pulse rate
B. sudden onset of sweating with nausea or vomiting
C. sharp lower abdominal pain and a fever
D. pain in the chest of upper abdomen
Early in your assessment of the 56 year old male who presents with chest pain, you take his radial pulse. This is a very important vital sign because, if the heart is beating too fast or too slow, the patient with cardiac compromise may also:
A. have stomach pain
B. lose consciousness
C. have a seizure or convulsion
D. have right sided weakness
Your 55 year old male patient states that his pain seems to radiate from the chest. This sensation, when it is due to a hear problem, commonly radiates to the:
A. arms and jaw
B. feet and head
C. stomach and lower abdomen
D. right arm and lower abdomen
You are treating a patient who is a diabetic with an altered mental status. He has a gag reflex, so oral glucose is your treatment. This is given between the patient's cheek and gum using a tongue depressor because:
A. this method allows slow swallowing and absorption into the bloodstream
B. it will not be aspirated if the patient suddenly becomes unconscious
C. this area will cause the patient to regurgitate the stomach's content
D. it will assist in dilating the coronary vessels as much as possible.
The EMT's 32-year-old patient was in a motor-vehicle collision. Which assessment finding should the EMT recognize as potentially life threatening?
A) Dislocation of two fingers on the left hand
B) Open fracture to the right forearm
C) Deformity of the left femur
D) Crepitus palpated to the right humerus
A 51-year-old male was burned in the face after a steam valve was accidentally opened. His face is red and swollen, and he is screaming in pain. He also states that he is having a hard time seeing. Which one of the following is the EMT's priority priority concern in caring for this patient?
A. Airway compromise
B. Loss of vision
C. Facial disfigurement
D. Pain management
Another crew has called for your assistance in extricating an obese male with a nosebleed from a third floor bedroom. As you enter the room, which one of the following shows proper management of the patient's condition?
A. The patient is supine, head turned to the side, blood draining from the nose and mouth, cold pack to bridge of nose
B. The patient is lying on his side, a loose dressing has been applied below his nose, and a cold pack is on the bridge of his nose
C. The patient is sitting upright, leaning forward, with nostrils pinched shut
D. The patient is sitting upright, head tilted back, sterile gauze packed in each nostril
Which of the following statements concerning trauma is true?
A. A "spider web" or "starring" pattern of cracks on the windshield means the patient impacted the windshield with his head
B. Falls are the leading cause of trauma deaths
C. Multi-system trauma has a higher mortality rate than single-system injuries
D. Mechanism of injury is the best predictor of patient outcome
Which of the following best describes the goal of a trauma system?
A. Providing all trauma patients with a complete battery of diagnostic tests and access to specialists
B. Providing the highest level of care possible within a 10-minute transport time for all patients
C. Transporting as many patients as possible by air medical transportation
D. Getting the right patient to the right facility in the right amount of time
Which one of the following statements made by an EMT shows that he has an accurate understanding of hepatitis C?
A. "It is important to get the hepatitis C vaccine to decrease your chance of contracting the disease if exposed
B. "Wearing gloves and washing hands are the best means by which to prevent the transmission of hepatitis C to healthcare workers"
C. "Since hepatitis C is primarily transmitted in the spring and summer, more precautions are needed during this time"
D. "Respiratory droplets are the primary means by which hepatitis C is transmitted, making a mask necessary"
An EMT is correct when he describes an infectious disease as:
A. Any of a number of diseases that are deadly once contracted
B. A disease that can be spread from one person to another
C. Any of a number of diseases that is caused and spread by a virus
D. A disease for which no immunization or treatment exists
You have been called to assist a pediatric physician, a pediatric nurse, and a respiratory therapist in the transfer of a two week old baby who is very sick. The baby will be taken from a community hospital and transferred in an isolette to a large metropolitan teaching hospital in a nearby city. The isolette is secured to the stretcher, and the stretcher is loaded into the ambulance. The physician, nurse, and respiratory therapist will provide all patient care. Prior to departing the hospital, it is essential that you:
A. Advise the family of the baby's critical condition
B. Make sure that the stretcher is secured to the ambulance
C. Mix and prepare medications needed for transport
D. Disinfect the outside of the isolette.
A paramedic tells you that a patient with a probable spinal injury still retains his plantar reflexes. As a knowledgeable EMT, you should understand that the patient has reflex activity in what part of the body?
The pediatric airway differs from adult airways in that:
A. The child's tongue takes up proportionally more space in the mouth
B. The trachea is highly rigid and less flexible to movement
C. All respiratory structures are proportionally smaller and more easily obstructed
D. The epiglottis is smaller and located behind the esophagus
You are by the side of a patient you suspect to be suffering from severe acute respiratory disease (SARS). Which of the following is the most effective way to prevent transmission of the disease from the patient to you?
A. Use eye protection or a face shield
B. Use an alcohol based hand sanitizer frequently during transport
C. Place a surgical mask on the patient
D. Sterilize all equipment used in the care of the patient
Which of the following typically represents a problem that occurs when someone calls 911 with a cell phone?
A. Determining the Type of Emergency
B. Establishing the location of the caller
C. Background noise and interference
D. Verifying the type of emergency response needed
Before contracting medical direction for authorization to assist a shortness of breath patient with his or her meter-dose inhaler, protocols state that the EMT must first attempt to provide relief by administering oxygen. You recognize that the administration of oxygen is best described as a (n):
A. Standing Order
B. On-line Medical Direction
C. Direct Permission
D. Quality Improvement
A 12 year old is apneic, pulseless, cold, and cyanotic. Appropriate treatment would be:
A. Call for the coroner
B. Perform CPR and continue to slowly warm the patient until arrival at the hospital.
C. Warm the patient then begin CPR when the patient's body temp reaches 95 degrees Fahrenheit
D. Perform CPR and keep the patient cool until arrival at the ER to slow the child's metabolism
Which of the following regarding circulation in infants is true?
A. Cap refill provides accurate information regarding circulatory status
B. When assessing peripheral pulses, the correct location is the carotid artery
C. Assessment of blood pressure is vital to monitoring the progress of these patients
D. An early sign of circulatory compromise in these patients is a slow heart rate (less than 100).
To clear a complete airway obstruction to a foreign body in an unresponsive, the correct technique would be:
A. Continuous abdominal thrusts until the airway is cleared
B. A repeat series of back blows and abdominal thrusts until the airway is clear
C. A repeat of back blows, chest thrusts, and airway evaluation until the obstruction is cleared
D. A repeat series of back blows chest thrusts, and blind fingers until the airway is cleared.
The fontanels are areas of the skill that have not fused together. These fontanels provide a window to the brain when assessing children with a suspected head trauma. The anterior fontanel closes at what age?
When a baby's head has delivered, you should immediately:
A. Apply vaginal pads to the perineal area to reduce the blood loss.
B. Massage the mother's uterus by kneading it to speed up delivery of the baby's body.
C. Insert a sterile gloved hand into the vagina to relieve pressure around the baby's neck.
D. Check the location of the umbilical cord and suction the mouth and nose.
You have delivered an infant who is not breathing. After suctioning and physical stimulation, there are no respirations. You should:
A. Administer free-flow oxygen.
B. Clamp and cut the umbilical cord.
C. Provide ventilations at a rate of 40 to 60/min.
D. Start chest compressions at a rate of 60/min.
A 35 year old woman, 32 weeks' gestation, reports increased swelling in her hands and feet the last week and now complains of a sudden, intense headache. Her vital signs are as follows: pulse of 92/min; respirations of 24/min; and blood pressure of 144/92 mm Hg. You are concerned she has:
A. Hypertensive syndrome.
B. Pre-eclampsia.
C. Eclampsia.
D. Vitamin B12 deficiency
A. Occurs in the last trimester.
B. Usually presents with mild mid-menstrual-cycle back pain.
C. Is retroperitoneal and therefore does not cause acute abdomen.
D. Is a life-threatening emergency.
A known diabetic patient is found on the floor next to his bed. His speech is slurred, and he is unable to tell you his name. His wife states that she hasn't been able to get him to eat much for several days. What should your care include?
A. Give him oral glucose.
B. Insert an oropharyngeal airway.
C. Have him drink a glass of juice.
D. Assist him with taking his insulin.
A man tells you that he can't awaken his wife, who you find lying on the couch. He explains that she takes pills for diabetes. You find the patient to be unresponsive to painful stimulus. Your first action should be to:
A. Give oral glucose.
B. Start chest compressions.
C. Open and maintain her airway.
D. Assess sensory and motor function in her toes.
You find a 19-year-old man who tells you he "just doesn't feel right." His insulin and a syringe are on a table. The patient says he thinks he took his insulin but can't remember whether he ate. He is also unable to tell you the time or what day it is. What care does he need?
A. Give him oral glucose.
B. Test him for a gag reflex.
C. No care is required. Just encourage him to eat.
D. Have the patient give himself an insulin injection.
Diabetic patients with and altered level of consciousness are in need of prompt care because:
A. Hypertension can lead to unconsciousness.
B. Hypoglycemia can lead to unconsciousness.
C. Insulin overdose can lead to heat exhaustion.
D. Cold skin temperatures can lead to hypothermia.
A 31-year-old groundskeeper has been stung by wasps three times in his right arm and left ankle. After performing the primary and secondary assessments, what should you do next?
A. Place a constricting band above the sting sites.
B. Apply ice packs to the sting site for pain relief.
C. Attempt removal of any embedded stingers.
D. Wash the sting sites with sterile water and soap.
A patient states that after dinner, she suddenly developed right upper quadrant abdominal pain that radiated to her shoulder. As a knowledgeable EMT, you would recognize this characteristic pain pattern as most suggestive of:
A. Intestinal obstruction
B. Urinary tract infection
C .Gall bladder inflammation
D. Gastric ulcer
A patient has a tumor that has compressed and obstructed her left ureter. Which of the following is true?
A. The kidneys are impaired in their ability to make urine.
B. The bladder cannot be completely emptied.
C. The patient is more prone to urinary tract infections.
D. The urine will back up into the left kidney.
You are by the side of a young female college student who is unresponsive. Friends say she is not a heavy drinker, but tonight she drank an excessive amount of alcohol. She responds to painful stimuli and has snoring respirations. Her respiratory rate is 8 breaths per minute and her radial pulse is weak. Your immediate action would be to:
A. Perform the head tilt-chin lift maneuver.
B. Apply oxygen via NRB.
C. Determine if drugs are also involved.
D. Administer positive pressure ventilation.
On arrival to a parking lot tailgate, you observe a crowd around a young man who is seizing. As you get equipment from the ambulance and make your way to the patient, his friends tell you that the patient has been up all night "partying" by drinking alcohol and snorting cocaine. At the patient's side, you note that he is no longer seizing, but he is unresponsive and has snoring respirations. His respirations are labored at 16 per minute and his radial pulse is strong. His skin is cool and diaphoretic. Friends also inform you that he is a diabetic and about an hour ago they heard him say that he thought his blood sugar was going low. Which of the following interventions would be included in your care?
A. Insert an oral airway, provide positive pressure ventilation, and administer oral glucose.
B. Open the airway, check the blood glucose level, and administer oral glucose.
C. Open the airway, provide oxygen, and administer oral glucose
D. Open the airway, provide, oxygen, and give rapid transport to the hospital
A panicked and anxious patient informs you that he is allergic to peanuts and think he might have accidentally eaten some. He states that the last time he ate the peanuts he had to have a tube put in his throat and almost died. When assessing the patient, which one of these signs and symptoms would show that he is having an allergic reaction?
A. Hives on his chest
B. Elevated blood pressure
C. Increased respiratory rate
D. Cool and clammy skin
In which situation must the EMT contact medical direction prior to administering epinephrine for someone who is having an allergic reaction?
A. Her heart rate is 144 bpm.
B. She is hypertensive and bradycardic.
C. The patient is not prescribed an EPI pen.
D. She has an allergy to chocolate or eggs.
The EMT shows he understands the use of an EPI pen for a treating a patient with an anaphylactic reaction when he makes which one of the following statements?
A. "The EPI pen should never be used if the patient has developed the allergic reaction after eating chocolate"
B. "It is critical that the EMT identify the cause of the allergic reaction prior to administering epinephrine through the auto-injector"
C. "Epinephrine administered through an auto-injector can be used for all severe allergic reactions, regardless of the cause"
D. "The epinephrine auto-injector is used only when a patient is stung by a bee or suffers an insect bite"
The label on your patient's prescribed metered-dose inhaler reads as follows: "Administer three puffs as needed for shortness of breath." Your protocol states that you can only assist with two puffs. The patient is extremely short of breath. You should:
a. Not administer the medication
b. Administer two puffs
c. Administer three puffs
d. Contact medical direction