1. Which of the following statements regarding psychosocial development in the adolescent age group is correct?

    B. Antisocial behavior and peer pressure peak around 14 to  16 years of age
  2. Shortly after loading your patient,  a 50 year old man withe  abdominal pain, into the ambulance, he tells you that he changed his mind and does not want to go to the hospital.  He is conscious and alert and has no signs of mental incapacitation.  You are suspicious that the man has significant underlying condition and feel strongly that he should go the the hospital.  Which of the following statements regarding this situations is correct?

    A. A mentally competent adult can withdraw his or her consent to treat at any time.
    B. Any patient who refuses EMS treatment must legally sign a patient refusal form.
    C. Because of your suspicions, the best approach is to transport him to the hospital.
    D. Once a patient is in the ambulance, he or she cannot legally refuse EMS treatment
    consent to treat at any time.
  3. While evaluating a patient with chest pain, your partner tells you that the patient's blood pressure is 140/90.  The lower number represents the pressure from the"

    B. Ventricles relaxing
  4. In addition to looking for severe bleeding, assessment of circulation in the conscious patient should include:

    C. checking radial pulse and noting the color, temperature, and condition of his or her skin
  5. The pulse rate of a child from ages 6 to 12 years is approximately:

    D. 70 to 120
  6. You responded to a movie theater for a 70 year old male who is confused.  His wife tells you he has type 2 diabetes but refuses to take his pills.  Your assessment reveals that the patient is diaphoretic, tachycardia, and tachypneic.  Initial management for this patient should include:

    B. applying a nonrebreathing mask at 15 L/min
  7. In relation to the wrist, the elbow is:

    A. proximal
  8. Pain that radiates to the right lower quadrant from the umbilical area, nausea, and vomiting, and anorexia are MOST indicative of:

    C. appendicitis
  9. Which of the following statements regarding communication with a child is most correct?

    B. standing over a child often increases his or her level of anxiety
  10. what medication form does oral glucose come in?

    D. gel
  11. which of the following conditions would MOST likely affect the entire brain?

    C. respiratory failure or cardiopulmonary arrest
  12. pain that may be perceived at a distant point on the surface of the body, such as the back or shoulder, is called:

    A. referred pain
  13. what type of medical condition do standing orders and protocols describle?

    C. off-line
  14. shortly after assisting a 65 year old female with her prescribed nitro, she begins complaining of dizziness and experiences a drop of 30mm Hg in her systolic blood pressure.  the patient remains conscious and her breathing is adequate.  you should:

    C. place her supine and elevate her legs
  15. neurogenic shock occurs when:

    B. failure of nervous system causes widespread vasodilation
  16. a patient whose speech is slurred and difficult to understand is experiencing:

    B. dysarthria
  17. a 39 year old male sustained a stab wound to the groin during an altercation at a bar.  as you approach the patient you note that he is conscious is screaming in pain and is attempting to control the bleeding which is bright red and spurting from his groin area.  you should:

    A. apply direct pressure to the wound
  18. common signs and symptoms of diabetic coma include all the following except:

    A. cool clamy skin
  19. injury to a hollow abdominal organ would most likely result in:

    B. leakage of contents into the abdominal cavity
  20. dyspnea is most accurately defined as?

    D. shortness of breath or difficulty breathing
  21. which of the following would the emt most likely not perform on a responsive pt with a headache and no apparent life threatening conditions?

    C. systemic head to toe examination
  22. if you are exposed to a patients blood or other bodily fluid your first action should be to:

    B. transfer care of your pt to another EMS provider
  23. which of the following conditions is the diabetic pt at an increased risk of developing?

    D. blindness
  24. while en route to the scene of a shooting the dispatcher advises u that the caller states the perpetrator has fled the scene.  you should:

    C. confirm this information with law enforcement personnell at the scene
  25. the respiratory distress that accompanies emphysema is caused by:

    A. chronic stretching of the alveolar walls
  26. basic life support is defined as:

    C. noninvasive emergency care that is used to treat conditions such as airway obstruction, respiratory arrest, and cardiac arrest
  27. a patient should be placed in the recovery position when he or she:

    C. is unconscious uninjured and breathing adequately
  28. you are dispatched to the reseidence of an asian family for a child with a high fever.  when you assess the child, you note that he has numerous red marks on his back.  the child's parents explain that these marks represent coining - a traditional aisan healing practice in which hot coins are rubbed on the back.  you should:

    C. document this on your patient care report and advise the emergency department staff of what the parents told you
  29. gastic distention will most likely occur:

    D. if you ventilate a pt too fast
  30. you are dispatched to an apartment complex where a 21 year old female has apparently overdosed on several narcotic medications.  she is semiconscious and has slow shallow respirations.  you should:

    B. insert a nasopharyngeal airway and begin assisted ventilations
  31. the determination of whether a medical patient is a high priority or low priority transport is typically made:

    B. after primary assessment has been completed
  32. whch of the following anatomic terms is synonymous with the word "dorsal"

    C. posterior
  33. when ausculating the lungs of a pt with respiratory distress, you hear adventitious sounds.  this means that the pt has:

    C. abnormal breathing sounds
  34. you are dispatched to a residence where a middle aged man found unconscious in his front yard.  there are no witnesses who can tell you what happened.  you find him in a prone position; his eyes are closed and he is not moving.  your first action should be to:

    A. log roll him as a unit to a supine position
  35. trendelenburg's position is most accuratley defined as:

    B. supine position with legs elevated 6" to 12" higher than head
  36. which of the following statements regarding HIV is correct

    D. the risk of HIV infection is greatest when deposited on a mucous membrane or directly into the blood stream
  37. the most significant risk factor for a hemorrhagic stroke is:

    B. hypertension
  38. shock is the result of

    A. hypoperfusion to the cells of the body
  39. the simpest yet most effective method of preventing the spread of an infectious disease is to

    B. wash your hands in between pt contact
  40. when you begin an oral report you should state the pt's age, sex, and:

    A. chief complaint
    B. any known allergies
    C. past medical history
    D. the emergency care given
    chief complaint
  41. in contrast to the assessment of a trauma pt assessment of a medical pt

    B. is focused on the nature of the illness the pt chief complaint and his or her symptoms
  42. muscle control and body coordination are controlled by the:

    D. cerebellum
  43. which of the following is the most effective strategy for managing stress:

    A. frequently reflect on troublesome calls
    B. avoid friends and interests outside of EMT
    C. request overtime to increase income
    D. focus on delivering high quality patient care
    cus on delivering high quality patient care
  44. which of the following is an example of a primary prevention strategy:

    A. community awareness programs that emphasize the dangers of drinking and driving
    B. the construction of a guardrail on a dangerous curve following a fatal motor vehicle crash
    C. protecting a pts spine from further injury after a fall from a significant height
    D. teaching a group of new parents how to perform one and two rescuer infant CPR
    community awareness programs that emphasize the dangers of drinking and driving
  45. dead space is the portion of the repiratory system that

    A. includes the alveoli and capillaries surrounding the alveoli
    B. must be filled with air before gas exchange can take place
    C. recieves oxygen but is unable to release carbon dioxide
    D. contains no aveoli and does not participate in gas exchange
    contains no aveoli and does not participate in gas exchange
  46. an adult at rest should have a respiratory rate that ranges between:

    A. 8 - 15
    B. 10 - 18
    C. 12 - 20
    D. 16 - 24
    12 - 20
  47. distributive shock occurs when

    A. an injury causes restriction of the heart muscle and impairs its pumping function
    B. severe bleeding causes tachycardia in order to distribute blood to the organs faster
    C. temporary but severe vasodilation causes a decrease in blood supply to the brain
    D. widespread dilation of the blood vessels causes blood to pool in the vascular beds
    widespread dilation of the blood vessels causes blood to pool in the vascular beds
  48. your best protection against legal liability when a competent pt refuses EMS care and transport is to

    A. advise medical control of the situation
    B. err on the side of caution and transport
    C. ensure that the family is aware of the risks
    D. thoroughly document the entire event
    thoroughly document the entire event
  49. which of the following is a late sign of hypoxia

    A. anxiety
    B. cyanosis
    C. tachycardia
    D. restlessness
  50. while assisting a paramedic in the attempted resuscitation of a 55 year old male in cardiac arrest you should expect the paramedic to

    A. give the pt nitro to increase BP
    B. administer drugs via IV route to achieve the fastes effect
    C. give the pt activated charcoal to rule out a drug overdose
    D. withhold drug therapy until an intraosseous catheter is in place
    administer drugs via IV route to achieve the fastes effect
Card Set