EMT Refresher Final Posted bynorcalemsjmDecember 28, 2022Posted inUncategorized EMT Refresher Final The number of attempts remaining is 2 1 / 93 Unlawful physical contact with a patient is called: negligence battery harassment 2 / 93 Standard precautions are specific steps taken to prevent exposure to: Bodily fluids potentially infectious patients. heat or chemical burns 3 / 93 Body substance isolation (BSI) precautions include: Hepatitis A and B vaccinations. special plastic tents for infectious patients. wearing personal protective equipment. 4 / 93 Which body cavity houses the heart and lungs? Cranial Thoracic Pelvic 5 / 93 The body maintains ________ in every cell of the body by the regular delivery of oxygen and nutrients and removal of waste products. perfusion homeostasis aerobic metabolism 6 / 93 The most common cause of cardiac arrest in adults is: "weekend warrior" exercise. choking. myocardial infarction. 7 / 93 Which of the following is NOT a common indication for oxygen administration? Abdominal pain Altered mental status Abnormal vital signs 8 / 93 A patient who will not tolerate oxygen by mask or cannula might benefit from: no supplemental oxygen. blow-by oxygen. positive pressure ventilation. 9 / 93 Your patient has been thrown from a vehicle during an accident. You need to ensure a patent airway but are concerned that the patient may have a spine injury. Which method do you use? Head-tilt/chin-lift maneuver Jaw-thrust maneuver Positive pressure ventilation 10 / 93 Firefighters have pulled a woman out of a burning building. She is not burned but she has been exposed to a lot of smoke, which means she is at risk for: angina cardiac arrest. respiratory compromise. 11 / 93 All the information you gather about the patient’s current and previous medical conditions is referred to as the patient’s: chief complaint. state of health. medical history 12 / 93 Which of the following would be considered a symptom? Blood pressure Pupil reaction Headache 13 / 93 The term ________ refers to actions taken to correct or stabilize a patient’s illness or injury. secondary assessment interventions mechanism of injury 14 / 93 Which of the following is characteristic of normal breathing? 10-30 breaths per minute Irregular rhythm 40-80 shallow breaths per minute 15 / 93 An altered mental state can be brought on by any of the following EXCEPT: head injury shock baseline status 16 / 93 Your patient was injured when his airbag deployed during a head-on collision. To begin your assessment, you first: palpate for signs of deformity. pay attention to any soft or spongy areas. remove or cut away clothing to expose the chest. 17 / 93 All unresponsive trauma patients should be assumed to have which of the following? Intoxication High blood sugar Spinal injury 18 / 93 A patient has swelling and deformity in her right upper thigh after a motor vehicle crash. You are concerned about an injury to which bone? clavicle femur patella 19 / 93 A patient has bright red blood spurting from a laceration on his leg. This bleeding is best described as: arterial bleeding capillary bleeding aortic bleeding 20 / 93 Common causes of multiple casualty incidents include: house fires flu season mass shootings 21 / 93 You are responding to a construction site on a hot day where a person has become dizzy. On your arrival, you find a patient lying on the ground being fanned by his friends. He is sweating heavily. This patient most likely has: become exhausted. anaphylaxis. hyperthermia. 22 / 93 ________ is a method of sorting patients for care and transport based on the severity of their injuries or illnesses. Emergency response Treatment Triage 23 / 93 Common causes of multiple casualty incidents include: house fires flu season mass shootings 24 / 93 Unintentional medication errors are common among elderly patients because: doctors prescribe the wrong medications. elder abuse is common. they often have multiple prescriptions. 25 / 93 Which of the following is a sign of imminent delivery? Onset of regular contractions Gestation Crowning 26 / 93 You must save the placenta, all attached membranes, and all soiled sheets and towels so that a physician can examine them to ensure the entire organ and its membranes were expelled from the uterus. If you don’t have a basin or container to collect these items, allow the afterbirth to deliver directly: on the ground in a towel into a biohazard bag 27 / 93 When working on the scene of a call that is located on a highway responding personnel should wear: a helmet. PPE and a reflective vest. leather gloves. 28 / 93 Your patient is bleeding profusely from a wound to her wrist. There are no dressings immediately available. What should you do first? Apply a tourniquet Apply direct pressure with your gloved hand Call for the ambulance to bring dressings 29 / 93 The start triage tag color for immediate transport is: black red yellow 30 / 93 In addition to your regular scene size-up, with an elderly patient you should check for: the size of the home. conditions that suggest abuse or neglect. a working vehicle and valid license. 31 / 93 For older adults, loss of elasticity in the blood vessels can result in: difficulty remembering recent events. decreased reaction time. high blood pressure. 32 / 93 An acute respiratory condition found in infants and children and characterized by a barking type of cough is known as: bronchiolitis. croup. asthma. 33 / 93 The components of the Pediatric Assessment Triangle are: airway, breathing, and circulation. appearance, work of breathing, circulation. circulation, sensation, and motor function. 34 / 93 If the baby is stressed during delivery, she may eliminate fecal material called meconium. If this material mixes with the amniotic fluid, there is a danger that: the mother will develop sepsis. premature delivery may result. the baby may inhale it, which can lead to aspiration pneumonia. 35 / 93 The fetus grows inside a special sac called the: amniotic sac placenta cervix 36 / 93 Paradoxical movement indicates a: flail chest. pneumothorax. cardiac tamponade 37 / 93 Which of the following best describes the mediastinum? The space between the inner and outer lining of the lungs The space that houses the heart, aorta, and esophagus The fibrous sac surrounding the heart 38 / 93 When caring for an injury to the face, it is important to watch out for ________ and ensure that nothing is accidentally forced into the patient’s airway. broken teeth or dental appliances supplemental oxygen penetrating trauma to the back 39 / 93 The central nervous system is made up of: the cranium and vertebrae. the peripheral nerves. the brain and spinal column. 40 / 93 Your patient has an open fracture of the ulna. Which of the following is the first thing you should do? Immobilize the joints above and below the injury with a sling Secure the injured extremity to the body with a swathe Cut away clothing to expose the injury site, then control bleeding. 41 / 93 A patient presents with an angulated upper arm after a gymnastics accident. This patient likely has an injury to which of the following bones? Humerus Ulna Scapula 42 / 93 Which of the following are components of the musculoskeletal system? Brain, heart, lungs Tongue, trachea, stomach Muscles, bones, joints 43 / 93 In your opinion, your geriatric patient’s fall was due to syncope rather than any underlying condition. Which of the following would be the correct treatment? Check him for injuries and advise him to see a health care professional as soon as possible. Keep the patient cool and ask him to eat something, in case he is having a diabetic emergency. Tell him to sit on the porch with his feet on the steps, then lean over and put his head between his knees. 44 / 93 The term ________ describes the failure of the body’s circulatory system to provide an adequate supply of well-oxygenated blood and nutrients to all vital organs. hypotension shock sepsis 45 / 93 The patient is increasingly anxious and begins to thrash around. What should you do? Ask medical direction for permission to sedate the patient. Ask medical direction for permission to restrain the patient until law enforcement arrives. Reassure the patient, help him to keep still, and initiate transport as soon as possible. 46 / 93 A 4-year-old male has fallen off a play structure at the park. He presents with an abrasion to his right shoulder, which is oozing a small amount of dark blood. This type of bleeding is best classified as: capillary bleeding. arterial bleeding. potentially life threatening. 47 / 93 You have rescued a 22-year-old man who fell through the ice into a pond. You suspect he is severely hypothermic, therefore you should: get him to a warm environment, remove wet clothing, and cover him with blankets. begin rewarming procedures immediately immerse him in a hot bath until the ambulance arrives. 48 / 93 Body heat is lost by ________ when surrounding warmer air rises and is replaced by cooler air. radiation circulation convection 49 / 93 A situation in which the patient exhibits abnormal behavior that is unacceptable or intolerable to the patient, family, or community is considered: showing off. grounds for immediate arrest. a behavioral emergency. 50 / 93 One of the most common complaints to which an Emergency Medical Responder is called is that of ________, in which the patient’s alertness and responsiveness to his or her surroundings is decreased. altered mental status suicidal ideation abnormal vital signs 51 / 93 Your patient is in respiratory failure. His breathing is too slow and too shallow, and he is no longer alert. You should: break an ammonia capsule under his nose to bring him around. administer supplemental oxygen through a nonrebreather mask. use an appropriate bag-mask device to provide manual ventilations. 52 / 93 People experiencing dyspnea will sit or stand with their hands on their knees, shoulders arched upward, and their head forward. This position is known as the: comfort position. recovery position. tripod position. 53 / 93 Nitroglycerine is a medication commonly prescribed to patients with angina pectoris. Nitroglycerine helps relieve cardiac chest pain because it: dilates the blood vessels and increases the workload of the heart. dilates the blood vessels and reduces the workload of the heart. constricts the blood vessels, reducing the workload of the 54 / 93 Which of the following questions would be MOST helpful when evaluating a patient with chest pain? "Have you fallen today?" "Do you have a history of asthma?" "What were you doing when the pain started?" 55 / 93 The specific personal protective equipment used to minimize contact with blood and body fluids from a patient is called: antifluid protective garments (APG). body substance isolation (BSI). patient isolation unit (PIU). 56 / 93 In the OPQRST secondary assessment tool, the letter S stands for severity, which is measured by the patient on a scale of: 1-10 1-100 0-15 57 / 93 In the OPQRST secondary assessment tool, the letter P stands for: perfusion. provocation palpation 58 / 93 Automated external defibrillators (AEDs) can assess a heart’s rhythm, determine if defibrillation is necessary, and deliver a(n) ________ when needed. chest compression rescue breath electrical shock 59 / 93 When working with oxygen cylinders, be sure to avoid letting oxygen and oil come into contact with each other. This could cause: a loss of pressure. an explosion. lowered oxygen percentage. 60 / 93 Your patient is unresponsive. To assess his breathing, you listen and feel for signs of breathing to assess whether he has adequate: tidal volume. dyspnea. cyanosis. 61 / 93 Normal air is approximately ________ oxygen and ________ nitrogen. 21%/78% 50%/50% 95%/5% 62 / 93 The narrative portion of the patient care report is where you tell the story of the patient, the chief complaint, and the care provided up to the point of transfer. Because this section is in narrative format, it is important to: include subjective observations omitted elsewhere. describe the patient's symptoms in his/her own words. be clear, concise, and objective. 63 / 93 All patient information is private and confidential and may not be shared with anyone except the chain of direct patient care. What is the one exception to this rule? Adult children requesting information on geriatric parents Request from a witness who is concerned about the patient Request from law enforcement in certain circumstances 64 / 93 You are interviewing a 98-year-old female with chest pain. All of the following are strategies for communicating with a geriatric patient EXCEPT: speaking slowly and clearly asking a family member for information if the patient seems confused. calling the patient's physician for information. 65 / 93 The term ________ refers to communication using the movements and attitudes of the body. sign language body language verbal communication 66 / 93 After getting the angina patient downstairs and to the cot, the best position for the patient to be transported to the emergency department is the ________ position. prone recovery semi-Fowler's 67 / 93 To minimize the chance of injury, it is important to avoid ________ when you lift your patient. twisting your body bending your knees lifting with your knees 68 / 93 The body process in which an adequate supply of oxygen converts glucose into energy is called: anaerobic metabolism. aerobic metabolism. metabolic acidosis. 69 / 93 Which of the following medical terms is a root word meaning “of the brain”? col encephal pneum 70 / 93 Which vaccine is required by OSHA for any employee who has a reasonable risk of being exposed to blood or other infectious materials? TB HIV Hep B 71 / 93 You have a patient who has stopped breathing and has no signs of circulation. You notice a medical alert bracelet indicating the patient is a registered organ donor. This patient will be able to provide ________ consent. informed implied competent 72 / 93 How many nationally recognized levels of EMS training are covered by the National EMS Education Standards? 8 2 4 73 / 93 You are teaching an EMT class about the role of the EMS response to a terror attack involving weapons of mass destruction (WMD). A student asks you what constitutes a WMD. How would define a WMD? Any agent used to cause indiscriminate death and destruction Any weapon used to create fear and panic among the general population Any agent that is intended to kill a specific segment of the population 74 / 93 A woman strikes her forehead against the dashboard of her car as it strikes a tree. Immediately following the impact, her brain shifts back and forth within her skull. Based on the anatomy and physiology of the skull, which statement is true? The ridges of the basilar skull can damage the brain as it moves back and forth The frontal bone is the thinnest portion of the skull and will most likely be fractured The patient's brain will most likely not be damaged because the skull's flexibility is designed to absorb the force of the impact 75 / 93 A patient has been stabbed in the right upper quadrant of the abdomen. Which solid organ should the EMT be most concerned with being injured? Liver stomach Kidney 76 / 93 A 49-year-old male has summoned EMS because of a problem with his tracheostomy tube. At the patient’s side, you note the tracheostomy tube to be protruding abnormally from the stoma in his neck. Your first action in caring for this patient would be to: Gently attempt to reinsert the tracheostomy tube Quickly establish a baseline SpO2 level Evaluate the adequacy of the patient's airway and breathing 77 / 93 You are assessing an unresponsive patient who overdosed on a narcotic pain medication. Given the situation, what is the greatest concern regarding potential airway occlusion? Spasm of the epiglottis Swelling of the carina Relaxation of the tongue 78 / 93 A patient’s brain cells are undergoing anaerobic metabolism. As a result, those cells: Are becoming dysfunctional in an environment that is increasingly acidic Have too much adenosine triphosphate to function properly Are producing elevated quantities of carbon dioxide (CO2) as a result of aerobic metabolism 79 / 93 A new EMT asks you why the elderly are at a higher risk for developing pneumonia, as compared to younger individuals. You inform him that one reason the elderly are more susceptible to respiratory infections because of a(n): Impaired swallowing of saliva Decreased alveolar gas exchange Decreased cough reflex 80 / 93 Pediatric patients are patients who range in age from: 1 year to 8 years birth to 12 years birth to 18 years 81 / 93 Why is the uterus essential to a healthy pregnancy and childbirth? It permits the excretion of waste from the baby to the mother It manufactures specific blood cells needed for fetal immunity It powerfully contracts to force the fetus from the mother's body following gestation 82 / 93 When faced with danger, which component of the nervous system is immediately activated for basic survival? Sympathetic involuntary Central 83 / 93 You are treating a patient with active tuberculosis. What will afford you the best protection from the disease while you care for the patient? Gloves, gown, and goggles High-efficiency particulate aspirator mask Purified protein derivative injection 84 / 93 While you are assessing a patient with abdominal pain, the patient informs you that he is a chronic carrier of hepatitis B. His skin is not jaundiced, nor does he have a fever. As an EMT, you realize: The patient has the disease but is not infectious The patient's blood and body fluids are infectious The hepatitis B vaccine will not protect you if you are exposed to the virus 85 / 93 You have moved to another state and wish to work as an EMT. In your previous state of employment, EMTs were allowed to administer a specific set of drugs. To determine whether EMTs can administer drugs in your new state of residence, you should review the: State Emergency Medical Technicians' Scope of Practice and your LEMSA National EMS Scope of Practice Model National EMS Education Standards 86 / 93 A patient with diabetes has an elevated blood sugar (545 mg/dL) and, based on your assessment of his condition, will require an injection of insulin. Your EMT partner also has diabetes and administers insulin injections to himself throughout the day as needed. Although the Scope of Practice lists nothing about EMTs giving insulin, your partner administers the insulin injection to the patient. The patient’s blood sugar comes down and her condition improves. Given this information, which statement is true? It was permissible for your partner to give the insulin since he has diabetes and knows how to give the injections Since the patient benefited from the insulin, your partner acted appropriately Your partner violated the Scope of Practice and may have his certification revoked 87 / 93 While moving a 67-year-old male who complains of dizziness from his residence on the stretcher, you stumble backward and knock a vase from a table, causing it to break. The patient and family are very upset with the damage. In the process, you hurt your ankle and are having a hard time walking. When completing the prehospital care report (PCR), what should be included? The fact that property damage occurred Allergies if any A factual account of your ankle injury 88 / 93 What would be considered an objective patient assessment finding? Blood pressure 114/68 mmHg Complaint of nausea Complaint of headache for past 12 hours 89 / 93 An 89-year-old female patient has fallen in her living room and has pain in her left hip. As you approach, you note that she is on her back with her left leg turned inward. When relaying this information to the receiving hospital, how would you describe her position? Supine with lateral rotation of the left lower extremity Lateral recumbent with dorsal rotation of the left leg Supine with medial rotation of the left lower extremity 90 / 93 A 23-year-old male patient has been shot with a rifle by an assailant standing in front of him. The bullet entered the victim’s chest just above the left nipple and exited his body laterally left of his fourth lumbar vertebrae. Proper documentation of this injury would include: Entry wound to the anterior thorax Exit wound to the posterior thorax Entry wound to the abdomen 91 / 93 When transferring a patient from a bed to a wheeled stretcher, an EMT uses proper body mechanics when he or she: Primarily uses the muscles of his back to move the patient Aligns his shoulder, hips, and feet when moving the patient Transfers the patient to the stretcher all at once, not in stages 92 / 93 You are returning from a call when you pass an apartment building with flames coming from several windows on the top story. You see several occupants trapped and hanging out of the windows, screaming for help. Which radio transmission is most appropriate when advising dispatch of the situation? "Central communications from Unit 118, how do you copy?" "Central communications be advised of a working structure fire on Third Street and Raven with occupants trapped." "Central communication, be advised there is a structure fire with people trapped." 93 / 93 What is a primary purpose of the modern-day EMS system? Provide a means of transport to and from the hospital Ensure that all members of society have equal access to hospitals Decrease the incidence of death and disability related to injury and illness Your score is 0% Restart quiz Share this:TwitterFacebookLike this:Like Loading...