Emt Test Review 21-16

Q26- You have been called for a young male patient who has been withdrawn. The patient appears depressed and when you ask him if he is thinking about hurting himself, he answers “yes.” The next question asked by the EMT should be:
“Do you have a plan?”

Q26- You are responding to a patient with a behavior problem. While en route, dispatch contacts you and states that there is a mental health delegate at the scene and you will be transporting the patient to the local psych hospital for treatment of her bipolar disorder. On scene which one of the following patient behaviors should help confirm that the patient is suffering from bipolar disorder?
Happy, excessive cheerful, and elated behavior.

Q26- During transport, a female patient who is restrained begins to cry and states that she is sorry for becoming violent and will not behave in that manner anymore. She requests that the restrains be removed because they are hurting her arms and legs. Which one of the following would be appropriate?
Leave the restraints in place until patient care is transferred to the hospital.

Q26- You have been dispatched to transfer a patient with schizophrenia from a hospital emergency department to a psych department at another hospital. While en route, your partner states that he cannot remember what schizophrenia is. You should tell him that schizophrenia is a behavioral disorder commonly characterized by:
delusions and hallucinations.

Q26- Which one of the following patient descriptions would the EMT classify assessing a behavioral emergency?
36 year old male with no known history who is hearing voices.

Q26- An alert and oriented 18 year-old female has threatened to hurt herself, but is refusing transport to the hospital. She is calm and states that she knows her rights and taking her would constitute false imprisonment. Her family is present and wants her to go to the hospital for help. Given the situation and the patient’s threat, what is your best course of action?
Contact law enformcement for assistance.

Q26- You arrive on scene to find that the police have subdued a violent man with a history of behavioral problems. They state they will put the patient on the stretcher. Which one of the following should cause the EMT to take immediate and corrective action?
Patient is placed and restrained in a prone position on the stretcher.

Q26- You have been called to the post office to assist police with a disorderly male. On scene you find a middle-aged man pat stating that he needs to be protected because the CIA is out to get him for something he did not do. Assessing a knowledgeable EMT, you should recognize that the patient’s behavior as:
paranoia.

Q26- You arrive on the scene of a male patient who threatened to take pills to end his life. In talking with the patient, he informs you that he just got a new job that requires more of his time and his wife has been giving him a hard time about it. Tonight, he had enough and just made the comment because he was mad at her. He says that although he is still upset, he doesn’t plan to do anything drastic. Before talking further action, which one of the following facts about the patient should raise the EMT’s suspicion that he is indeed at a higher risk for suicide?
Unsuccessful attempt three years ago.

Q26- While transporting a patient with schizophrenia, he suddenly screams, “Do you see that snake? It is right next to you! Kill it!” How should you respond to this patient?
“I do not see a snake; I see a stethoscope. I do not doubt that you see a snake.”

Q26- You arrive on scene with a patient who up until a few seconds ago was calm and compliant. Now he is brandishing a knife and threatening to kill you and your partner if you do not immediately leave. The man is intoxicated and police have been notified but have not yet arrived. Which one of the following is your best course of action?
Remove yourself, your partner, and family from the house.

Q26- Which one of the following patients is the EMT justified in restraining?
Patient threatening to kill his wife and trying to leave the scene.

Q26- You are assessing a patient with schizophrenia. Friends called 911 because he was experiencing hallucinations this morning. He is prescribed Thorazine and Resperidone for his illness. Which one of the following questions is most pertinent to the current situation and must be asked first?
“Have you been taking yoru medications as prescribed?

Q26- You have had to restrain a patient who is being involuntarily committed to a psychiatric institution. During the restraint process, the patient vomited. How should you position him on the stretcher?
Left lateral recumbant.

Q26- You have been called to a nursing home for a 48 -year-old male with a history of schizophrenia. On scene you find the patient to be highly agitated and clutching his left hand while complaining that there are bugs in it. After performing the primary assessment and finding no life threats, you should:
physically and thoroughly assess his left hand.

Q26- According to family, a 24 -year-old female suddenly began to act in a hostile manner. After assessing her, you determine that she cannot remember her name or present location and is drooling. Based on these findings, you should suspect:
behavioral emergency resulting from a physical condition.

Q26- A group of EMT’s is preparing to restrain a large and violent patient. Which one of the following instructions given by the team leader is most appropriate?
“You distract him by coming at him from the front and the rest of us will come at him from different directions, each taking a separate limb.”

Q26- You are responding to a home for a injuries resulting from a domestic altercation. In preparation for patient contact, what would you tell your partner?
“Do not let the patient get between you and the door.”

Q26- How can the EMT best keep a behavioral patient calm and avoid provoking a violent outburst?
Inform the patient of all that is going on and use a calm voice throughout care.

Q26- You are by the side of a young male patient with a history of behavior problems. Friends called 911 after the patient experienced several violent outbursts this evening. Which one of the following findings would cause the EMT to suspect a physical cause for this behavior, as opposed to a behavioral one?
Dilated pupils that are sluggish to react.

Q25 – The EMT is correctly using a rope with a throw bag when he:
tosses the throw bag using an underhand motion toward the patient.

Q25 – The EMT shows she understands the basic concept of the mammalian diving reflex when she states:
“It may provide benefit to the patient by diverting oxygen-rich blood tothe brain and heart.”

Q25 – When one of the following statements about drowing is true?
Acutal drownings are responsible for only a small number of water related deaths.

Q25 – A young male has been pulled from a lake by his friends after being submerged for several minutes. Assessment reveals his airway to be patent, respirations absent, and a weak carotid pulse of 12 beats per minute. At this time, you should:
start positive pressure ventialtion, place on a long board and transport to the hospital.

Q25 – Torrential rains have been falling over the past few days and your service area is experiencing major flooding. While returning to the disaster command post, you are flagged down by a group of people who inform you that a woman is clinging to a tree in the middle of a rapidly moving and swollen stream. She is screaming for help and states that she does not know how much longer she can hang on. Which one of the following should you do immediately?
Call for a water rescue team and boat.

Q25 – Which one of the following rescures would be the most appropriate choice to rescue an injured man clinging to an overturned boat in a shallow lake?
A firefighter wearing personal flotation devices with no medical training but who is a good swimmer and trained in water rescue.

Q25 – A patient who has found a face down in a pond is unresponsive, apneic, and pulseless. Friends state that the patient was hot and wanted to take a summer’s swim in the pond. Which one of the following should be included in your care of this patient?
Positive pressure ventialtions at 10-12 per minute with oxygen.

Q25 – A teenage female has been removed from a pool. Your assessment reveals her to be responsive to painful stimuli with decorticate posturing. Her airway has water in it and she appears to be vomiting water. Breathing is agonal at eight breaths per minute. Her pulse is weak and slow. Which one of the following should you do immediately?
Suction water from the airway.

Q25 – Which statement by the EMT indicates proper application of the term drowning?
“A drowning occurs any time a person is submerged in liquid and suffers from some sort of respiratory impairment.”

Q25 – You are called for a male patient with a diving-related injury. On scene the 32 year old informs you that he thinks he pulled a muscle in his shoulder, which hurts more as the day goes on. When questioned, he admits to having a headache and blurred vision. You are suspicious of decompression sickness. Which one of the following statements made by the patient would be significant given the situation?
“I saw a shark and came up as fast as I could.”

Q25 – A child has been pulled from the pool after being submerged for less than 30 seconds. The child is crying and hyperventilating, as well as coughing up water and vomitus. The EMT should:
place the child on his side and perform a primary assessment.

Q25 – A patient has been pulled from a pool in which he was submerged for several minutes. He is pulseless and apneic. An Emergency Medical Responder asks you if you want to press on the man’s abdoment to remove the water form his stomach. Which one of the following is the most appropriate reply?
“Let’s hold off on that until we see how well we can ventilate the patient.”

Q25 – You have been asked to present information on water safety and drowning to a community civil group. In regards to prevention, which one of the following points would you emphasize?
A signficant number of drownings are preventable due to the involvement of alcohol.

Q25 – You have been called to a hotel swimming pool for a confused adult male. Patrons state that the man has been drinking most of the afternoon and has been in and out of the pool. The man is very confused and noncompliant with your requests. His airway is open and his breathing is adequate. His radial pulse is strong, and his skin is wet with water from the pool. While conducting the secondary assessment, you note a large hematoma to the back of his head. Which one of the following should you do next?
Take in-line spinal stabilization and apply a cervical collar.

Q25 – A 22 year old male was fishing when he was submerged approximately 30 seconds after he moved into deeper water to untangle his fishing line. He states that he did take some water into his lungs but feels better now and does not see the need to be transported to the hospital. Which one of the following responses is most appropriate?
“You seem okay now, but it may take a day or two for complications to become apparent. You really should be checked out in the hospital.”

You suspect a patient with right lower quadrant pain may have appendicitis. The patient states that he has no health insurance and wants to refuse care and transport. He asks you what can happen if it is appendicitis and he does not go to the hospital. You would reply:
c. “Your appendix could rupture, causing a major infection and shock.”

You have completed the initial assessment on a 62-year-old male complaining of the sudden onset of epigastric pain. His airway is patent, his breathing is fast but adequate, and his radial pulse is weak and thready. His skin is cool to the touch. Your next action would be to:
a. apply oxygen at 15 lpm via a nonrebreather mask.

A patient with a history of upper gastrointestinal bleeding is complaining of weakness and abdominal pain. He informs you that he vomited 5 minutes before you arrived. Which of the following questions is it most important that the EMT ask first regarding the vomit?
c. “Was the vomit red or did it look like coffee grounds?”

When assessing a patient with abdominal pain, you note that his abdomen feels rigid. Which of the following would the EMT do next?
b. Ask the patient to take a deep breath and re-palpate the rigid area.

You are transporting a visibly upset female that was raped after she let a male stranger into her house. When questioning the patient, which of the following would be appropriate for the EMT to ask?
d. “Please tell me exactly where you are hurting.”

When you are obtaining information for the medical history, which of the following items would be significant for a patient with suspected cholecystitis?
b. Fried chicken and potato salad for dinner.

When he enters the room or a 62-year-old female with unknonw medical complaint, which of the following clues observed during the scene size-up would most increase the EMT’s suspicion that the patient is suffering from an acute abdominal condition?
c. The patient is lying on her side with her knees drawn to her chest.

A 56-year-old male informs you that he has gastric ulcers. He states that he has had them for several months, but just recently the pain has been steadily increasing. If the cause of the abdominal pain is the gastric ulcers, how would you expect him to describe the pain?
a. Burning pain located in the left upper quadrant.

While assessing a patient with acute abdominal pain, you note that his abdomen is very rigid. When asked to relax his stomach muscles, he does. The EMT would recognize:
b. voluntary guarding.

On scene, you have a 57-year-old female with profuse hemorrhage coming from her dialysis graft located on her left arm. To control the bleeding you would immediately:
c. apply direct pressure to the graft.

A 38-year-old female was violently raped. The patient is conscious, upset, and actively bleeding from her vaginal canal. As an EMT, your best care would involve:
a. applying a bulky dressing and gental pressure to the external genitalia.

An alert, but confused patient called 911 with the complaint of abdominal pain. Assessment reveals her to be nauseated with pain that she localizes to the right lower quadrant of the abdomen. She states that she was not able to take her blood pressure medication this morning and wants to take it now with a small glass of juice. You would:
b. tell her that she should not take her medication or drink juice.

The EMT would recognize which of the following patients as suffering from an acute abdomen?
d. 62-year-old male with no medical history with suddent pain to the lower abdomen.

You have been dispatched for a male patient who is “sick”. While enroute, Emergency Medical Responders inform you that the patient has espophageal varices, which appear to have ruptured. You would inform your partner to prepare what materials or piece of equipment?
d. Suction machine.

You are responding to a patient with a complication related to her chronic ambulatory peritoneal dialysis (CAPD). Based on this description, the paramedic would anticipate which of the following?
c. Catheter placed in the abdomen.

You are treating a woman with heavy vaginal bleeding. When estimated the blood loss, which of the following will be most useful to the EMT?
b. Total number of sanitary napkins used.

Which statement indicates that the EMT correctly understands the goal of assessing a patient wih abdominal pain?
c. “It is more important to recognize the possible abdominal emergency as opposed to determining the exact cause.”

You are providing continuing education for a group of EMTs. The topic is acute abdominal pain. What point would you stress when discussing the EMT’s treatment of the patient with acute abdominal pain?
b. Definitive care for patients with abdominal pain is hospital evaluation and possible surgical intervention.

Assessment of a confused and lethargic paitent with diabetes and renal failure reveals her to be lying in bed with notable significant edema to the face, torso, and extremities. Her respirations are labored associated with a “grunting” sound. Her airway is patent, radial pulse weak, and skin cool and diaphoretic with cyanosis noted to the fingers. Oxygen has been applied by Emergency Medical Responders (EMR’s). Your next action would be to:
b. sit the patient upright.

Which of the following assessment findings on a patient complaining of abdominal pain and back pain would the EMT be most concerned about?
c. Pulsating mass above the umbilicus.

The EMT has an accurate understanding of the solid organs contained within the abdomen when she states:
b. “Solid organs are very vascular and may bleed excessively when injured.”

Which of the following best describes the structure and function of the stomach?
b. A hollow organ that secretes digestive enzymes and fluids.

You have been dispatched for a patient with severe abdominal pain. On scene, a 57-year-old male informs you that he has a past medical history of chronic pancreatitis, which has “flared up.” Which of the following precipitationg factors would the EMT identify as the most likely cause of hte exacerbation?
b. Consumption of 8 beers this afternoon.

Which of the following statements is true concerning the functions of the vagina?
d. The vagina serves as a passage for the fetus during delivery as well as an outlet for blood during menstruation.

When obtaining a medical history from a female patient with abdominal pain, she tells you that she suffers from endometriosis. As an EMT, you know that this condition describes:
a. endometrial tissue located outside the uterus.

A patient complains of severe and sharp pain to the right lower abdominal quadrant. Based on location, what organ or structure is most likely involved?
d. Appendix.

You have been called to transfer a male patient from an out-patient clinic to the hospital. The patient has been diagnosed with peritonitis and requires transport to the hospital for definiive care. As a knowledgeable EMT, you would recognize which of the following as true?
a. The lining of the patient’s abdominal cavity is inflamed.

The pancreas would be best described as a __________ organ.
c. solid.

For a normal pregnancy, within what structure must the sperm and egg come together for fertilization?
c. Fallopian tube.

Which of the following conditions would the EMT recognize as an acute abdominal emergency?
c. Rupture of the bladder.

Q24 – You have been called by a family for their mother, who is “not acting right”. On scene you find the 69 year old woman to be confused and seemingly slow in talking. her airway is open and respirations are 12 per minute. Her pulse rate is 58 beats per minute and her skin is cool to the touch, despite the thermostat keeping the house at normal room temperature. Family also states that she has been this way for about three days before then seemed to do doing just fine. Your partner obtains a blood pressure that is 104/52 mmHg. When getting a medical history from the family, which piece of information would make sense, given the presentation of the patient?
“Mom suffers from a low thyroid”.

Q24 – You are assessing a conscious but confused hunter who became lost in the woods on a cold day. Your assessment shows him to have an open airway, adequate breathing, and a weak radial pulse. His skin is cold to the thouch and he is shivering. The EMT should recognize that the:
shivering is a protective means by which the body is attemping to warm itself.

Q24 – Which one of the following idicates the most significant mechanism by which the body can lose heat?
Radiation

Q24 – The primary assessment on a teenage male patient who is unresponsive with skin that is hot, moist and flushed reveals his airway to be open, breathing shallow, and radial pulse weak. You are providing positive pressure ventlation. Which one of the following should you do next?
Transfer him into the ambulance.

Q24 – A hypothermic patient is in cardiac arrest. The AED is applied and delivers one shock. Which one of the following actions would the EMT perform next
Start CPR.

Q24 – The EMTshould recognize heat cramps as the probably cause of a patient’s problem when the patient states:
“I have pain in my belly and legs.”

Q24 – You have been in charge of creating a protocol that will direct care provided by EMS. In regards to a drowning patient who is severely hypothermic and in cardiac arrest, what would you propose?
Apply the AED and shock only once if indicated.

Q24 – Which one of the following best describes a patient suffering an environmental emergency?
Male patient who is intoxicated, has collapsed in the snow, and is complaining that he feels cold.

Q24 – You have been called to a residence for a patient who is sick. On scene the family tells you that the patient is being treated for the “stomach flu” and has had a fever of 102F for the past two days. She has been taking all of the medications prescribed by her doctor but this evening became very “sweaty.” Assessment shows her to be stable with a pulse of 88, respirations 18, adequate blood pressure of 128/68 mmHg, and an oral temperature of 100.2F. Based on this, the EMT should recognize the:
patient’s body is cooling itself by transferring heat into the sweat, which is then evaporated into the air.

Q24 – A patient at a mountain ski resort presents to you with notable shortness of breath. She denies any past medical history and takes no medications. Your assessment reveals crackles to the bases of both lungs. After applying oxygen, you realize that the key to helping this patient improve is to:
remove to a lower attitude.

Q24 – The EMT shows that he understands the danger of heat stroke when he states:
“In heat stroke, the body loses its ability to rid itself of excess heat, causing the core temperature to rise.”

Q24 – You are transporting a patient who was bitten on her hand by a spider about 20 minutes ago. On scene the primary assessment revealed no life threats and vital signs were stable. While conducting your ongoing assessment, which one of the following would be of most concern to the EMT?
Hives to the chest and abdomen.

Q24 – Medical direction has ordered you to begin rewarming an unresponsive patient with a core temperature of 93F Which one of the following measures would best benefit this patient?
Wrap the patient in several warm blankets.

Q24 – A young male who was angry with friends wandered away from a party and spent the night outside uncovered in 40 to 50 degree temperatures. He is confused, has decreased, but adequate breathing, and a weak radial pulse. His skin is cool and capillary refill delayed. When looking to see if he is shivering, you note that he is not. Based on this presentation, which one of the following can the EMT safely conclude?
The patient’s body temperature is most likely dangerously low.

Q24 – When moving a patient with severe generalized hypothermia, which one of the following instructions is most appropriate?
“I want everyone to take extra care in moving her very gently to the stretcher. We do not want her to go into cardiac arrest.”

Q24 – A patient has been bitten by an unidentified snake. Which one of the following statements made by the patient would lead the EMT to believe that the snake was poisonous?
“Its head was triangular.”

Q24 – You are transporting a 44 year old male who was stung multiple times by fire ants. Which one of the following patient statements should concern you most?
“I am beginning to feel itchy all over.”

Q24 – When cooling a patient with possible heat stroke, which one of the following would be of most concern to the EMT?
Determining that the patient is shivering after having cold packs applied to the neck.

Q24 – An intoxicated 24 year old female was struck by lightning and is conscious, but confused. Which one of the following assessment findings should the EMT investigate first?
Irregular heart beat.

When obtaining a history of a five year old boy with generalized hypothermia, which one of the following questions should be asked first?
“How long was he out in the cold?”

Q24 – A person is in a hot environment and his body is successfully compensating to off-load the excess heat. Which one of the following assessment findings best illustrates this process?
Warm and diaphoretic skin, elevated heart rate, increaseed respirations.

Q24 – You have been called to a park for a teenage boy who is “sick”. On scene you find a 16 year old male who knows his name but is confused about place and time. Friends state that they have been playing basketball most of the morning and afternoon. The temperature is in the 90s and the humidity is high. His airway is patent and his breathing is fast but adequate. His pulse is weak and rapid. Observation of his skin reveals it to be pale, cool, and moist. Oxygen is being administered via nonrebreather face mask. Which one of the following would be approprate care for this patient?
Place him supine on the stretcher in ambulance with air conditioning set on “high”.

Q24 – Which statement made by an EMT shows that he understands the care of a patient with a localized cold injury to the foot?
“While it is best to remove wet clothing from the patient, it is best to leave clothing that is frozen to the skin in place.”

Q24 – A patient who is conscious and breathing has been pulled from a stream of cold water. To decrease her loss of heat via the mechanism of conduction, the EMT should immediately:
remove her wet clothing.

Q24 – You are called to a construction site on a hot and humid day for a male patient suffering a heat emergency. On scene you find a 49 year old man who is responsive to verbal stimuli. Coworkers state that the patient has been moving concrete blocks all day in the hot weather and has not rested, eaten, or had anything to drink in the past two hours. After conducting the primary assessment, you note his airway to be open and breathing rapid but adequate. His radial pulse is rapid and bounding, and his skin is hot and dry. Which one of the following signs makes this patient a priority for immediate and rapid transport?
C. Hot and dry skin.

An 18 year old female has eaten a poisonous mushroom. Medical direction has ordered you to administer activated charcoal. Immediately following administration, the patient vomits the medication. She remains alert and oriented with no current life threats to the airway, breathing, or circulation. Your next action would be to:
contact medical control for orders to re-administer the activated charcoal.

You have been called to a residence for a 14 year old male who states that he intentionally took some medication to kill himself. Assessment findings so far show that he is alert, oriented, and has an open airway adequate breathing. Your next action should be to:
check the radial pulse and skin.

When managing a patient that has been exposed to a poisonous substance, the first priority of the EMT is to:
perform a primary assessment.

You are assessing a young male patient who was found in an alley by sanitation workers. Assessment reveals the patient to respond to painful stimuli by opening his eyes, but then close them once you stop pinching the muscles on his neck. His airway is open and his breathing is shallow. His skin is cool and diaphorectic and his pupils are constricted and do not react to light. Based on these assessment findings, the EMT would be suspicious of:
narcotic overdose.

You have been summoned to a residence for a child who ingested a liquid pesticide. On scene, worried parents inform you that their 4 year old son and some friends were playing in the garage and apparently found some pesticide, which their son says he tasted. Assessment indicates that he is alert, oriented and crying and has some white powder around his mouth. After performing the initial assessment and finding no life threatening conditions, which of the following questions or statemtents is it imperative that the EMT make?
I need to see the other children.

The EMT is transporting a patient with the diagnosis of Wernicke-Korsakoff syndrome. As such, the EMT would recognize that the patient has a past medical history of:
alcoholism.

Medical commands has ordered you to adminster activated charcoal to a patient who ingested a large amount of poison. When looking in your medical kit, which of the following medications would you prepare and administer?
Actidose.

A 31 year old female was stung by a hornet while golfing. Your assessment reveals her to be confused with stridorous respirations. Her skin is warm and flushed and covered with hives. A stinger is located on the back of her neck. Based on this information, the EMT would recognize that the route of poisoning suffered by this patient would be:
injection.

You have been called to a railroad yard for an unknown emergency. As you arrive on scene, you find a tanker car with two men lying on the ground next to it. The only other person around is a security guard who saw the collapsed man on a video camera and called 911 immediately. He has an automated external defibrillator (ADE) at his side. Your initial action would be to:
remain at a safe distance and call for rescue assistance.

Which of the following is characteristic of carbon monoxide?
it is an odorless gass that can kill a person by causing severe hypoxia.

You have been called to a residence for a 31 year old complaining, nausea, vomiting,and a headache. He states that this started this morning and has been getting worse all day. Despite lying in bed and resting all day, he is more fatigued than before. Which of the following statements made by the patient would the EMT recognize as most important in relation to the patient’s complaint?
I just turned the furnace on last night.

When assessing a patient who has been exposed to a poisonous substance, the EMT must remember that:
the signs and symptoms will vary depending on the specific poison.

Which of the following instructions given to another EMT would be most appropriate when managing a patient who ingested numerous household cleaners in an attempt to kill himself?
Let’s gather up all of the containers of the chemicals he may have taken and take them with us.

When performing a “talk down”, which of the following statements would appropriately be included?
You are seeing rats because of the drug; this will not last forever.

You are transporting a patient who wants help to rid herself of an addiction to pain medications. She says she has not taken any pain medications since yesterday, and needs help. Which of the following would you recognize as a sign of wihdrawal?
She starts to become agitated.

You have been called for an alcoholic patient experiencing a medical emergency. On scene, a home health nurse informs you that the patient is experiencing delirium tremens. As an EMT, you recognize which of the following?
This is a life-threatening condition requiring rapid transport.

For which of the following patients would activated charcoal be indicated?
27 year old who intentionally took a large amount of Tylenol 45 minutes ago.

You have been called for a 3 year old boy who has possibly ingested the leaves of a household plants. His mother states that she found him eating the leaves, then immediately called 911. You note that the plant has been overturned and is missing a considerable number of leaves. Assessment reveals the boy to be lethargic and confused and complaining of abdominal pain, accompanied by nausea and vomiting. His airway is patent and his respirations are adequate. Which assessment finding would be most suggestive that the plant leaves have been absorbed into the body?
Confusion and lethargy.

A 44 year old patient was found unresponsive at home. Based on his clinical presentation and fact that he has a burning keroscene heater in an enclosed room, you determine that he is suffering from carbon monoixide poisoning. Based on this information, which route of exposure would the EMT recognize as responsible for the poisoning?
Inhalation.

You are transporting a patient who overdosed on medications from a community Emergency Department (ED) to a large medical center for continued care. In the ED, the patient received two doses of activated charcoal. When performing your reassessment of the patient, which of the following findings would be most concerning?
Red colored stool.

The EMT accurately understands alcoholism when he states:
Aside from the excessive amounts of alcohol, most of the health deterioration that accompanies alcoholism comes from malnutrition.

You have been called to a dilapidated residence for a 26 year old female complaining of generalized weakness. After applying glvoes and goggles, you enter the home and find the patient on a couch in minimal distress. Your assessment reveals no life threats, but you do note track marks to both hands and arms. When asked about this, she states that she is an IV drug user and has Hepatitis C. Given this information, you would:
continue care with gloves and eye protection.

A 42 year old patient weights 154 pounds (70 kg). How much activated charcoal would you administer to him?
70 grams

Which of the following correctly identifies the routes by which a poison can enter the human body?
ingestion, inhalation, injection, absorption.

The EMT would recognize which of the following as true regarding poisoning?
A poison is any substance that impairs a person’s health by its chemical action.

A patient who has ingested a toxic substance is to receive activated charcoal. The EMT knows that the charcoal will benefit the patient by:
adsorbing the poisonous substance in the stomach.

An alert and oriented 5 year old child drank some amonia that was placed in a cup. He is very scared and complaining of abdominal pain, and he states that he has not vomited. Assessment shows ammonia around and in his mouth as well as on his breath. He has an open airway and is breathing adequately. His pulse and skin show no abnormalities. Appropriate care for this patient would include:
rinsing his face and mouth with water.

A drug addict informs you that he has been taking Oxycontin and now requires more and more of the drug to take his chronic back pain away. The EMT would recognize this patient as experiencing:
tolerance.

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 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 diaphorectic. 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?
Open airway, provide oxygen and give rapid transport to the hospital.

You have been called to a residence for a cognitively challenged 32 year old female who drank a bottle of floor cleaner. She is consious, but having a difficult time breathing due to swelling from burns in her mouth. You note she has mild stridor on inspiration. Her caretaker states the patient weighs 175 pounds. Which of the following would be your initial action in caring for this patient?
Insert a nasal and administer oxygen.

A panicked and anxious patient informs you that he is allergic to peanuts and thinks he may have accidentally eaten some. He states that the last time he ate peanuts he needed to have a “tube put in his throat” and almost died. When assessing the patient, which one of the following signs or symptoms would you provide the best evidence that the patient is having an allergic reaction?
Hives on his chest.

Which one of the following assessment findings would indiate that the patient is suffering from an anaphylactic reaction reaction and requires immediate intervention?
Swollen lips with a blood pressure if 84/50 mmHg.

A patient informs you that he found out he is allergic to certain molds and was prescribed an epinephrine auto-injector. He asks you how the epinephrine will help him the next time he is exposed to mold. which one of the following would be the most appropriate response?
It will cause the blood vessels to constrict and increase your blood pressure.

You have just assisted a patient with his epinephrine auto-injector. The patient states that he has never taken epinephrine before. You would inform him of which one of the following?
You may feel a little shaky, but that is normal and will pass.

The EMT shows he understands the use of an epinephrine auto-injector for treating a patient with an anaphylactic reaction when he makes which one of the following statements?
Epinephrine administered through an auto-injector can be used for all severe allergic reactions, regardless of the cause.

An alert but confused patient experiencing an allergic reaction begins to exhibit stridorous respirations. The EMT should recognize:
swelling to the upper airway.

Which one of the following explains why patients experiencing an allergic reaction have difficulty breathing?
The bronchioles constrict and spasm.

You have assisted an adult patient with his epinephrine auto-injector. When giving a report to the emergency department nurse, you should inform her that __________ mg of epinephrine was administered?
0.30

You are providing bag valve mask ventilations to a patient in anaphylactic shock. There is increasing resistance to ventilation, despite using proper techique. Which one of the following is the best way to address this situation?
Perform a Silick maneuver and occlude the pop-off valve on the bag-mask.

What is the most severe form of an allergic reaction called?
Anaphylaxix.

Why would the patient experiencing an allergic reaction tell you that it is easier to breathe following administration of epinephrine?
Dilation of the bronchioles.

Five minutes after assisting a patient with his epinephrine auto-injector, you determine the patient to be getting progressively worse. The patient has a second auto-injector available; however, written protocols do not address the administration of a second dose. Which one of the following should be your next best action?
Contact medical direction for further orders.

After assisting a patient with the use of an epinephrine auto-injector, you note that the patient’s blood pressure has improved. As a knowledgeable EMT, you realize that this has occurred due to epinephrine’s ability to:
constrict blood vessels.

Which one of the following patient statements best suggests that the patient may be in the early stages of an allergic reaction?
I suddenly feel like I have a lump in my throat.

A patient informs you that any time she is exposed to a particular soap, she experiences a mild allergic reaction. As a knowledgeable EMT, you should recognize that:
the soap contains an allergen.

Which one of the following statements indicates that the EMT understands airway management in a patient suffering a severe allergic reaction?
If we have to provide positive pressure ventilation, it may be difficult to pass air through the swollen tissues.

On scene you assisted a patient with his epinephrine auto-injector after he was stung multiple times by bees. You are now transporting the patient to the hospital. As you reassess the patient, which one of the following signs would best indicate that the epinephrine is benefiting the patient?
Decreased wheezing.

A patient has been stung by a bee. Which one of the following findings would be present in anaphylaxis, but not in a mild allergic reaction?
Hypotension.

For the EMT to achieve the best results when assisting the epinephrine, the medication should be placed into:
muscle.

A patient who is severely short of breath and covered with hives states that she is allergic to crab but tried some crab dip 10 minutes ago. Which one of the following questions should the EMT ask first?
Do you have an epinephrine auto-injector?

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