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98 Cards in this Set
- Front
- Back
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Which of the following is NOT considered a principle of proper radio usage in EMS? A: Use plain english B: Make sure the radio is on before speaking C: Speak with your lips 2-3 inches from the microphone D: Speak as quickly as possible |
D: Speak as quickly as possible |
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When taking blood pressure, the cuff should be inflated to what point? A: 30mmHg beyond the point where the pulse dissapears B: Until the gauge reads 200mmHg C: Until the velcro starts to crackle D: Until the patient says it hurts |
A: 30mmHg beyond the point where the pulse dissapears
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You are attempting to assess the blood pressure of a 35 year old male at the scene of a multiple vehicle collision. The scene is very noisy and you are unable to clearly hear the patient's heartbeat. You should: A: Obtain the blood pressure by palpation B: Try using the patients other arm C: have your partner try auscultating the blood pressure D: Use an automatic blood pressure machine |
A: Obtain the blood pressure by palpation |
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Which of the following BEST describes a base station? A: A device used to receive and then amplify transmissions that must be carried over long distances B: A two-way radio mounted in a vehicle C: A two-way radio that can be carried on a belt clip D: A two-way radio at a fixed site |
D: A two-way radio at a fixed site
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Which of the following BEST describes a repeater? A: A two-way radio that is mounted in a vehicle B: A device that receives and amplifies a signal that must be carried over long distances C: A two-way radio that can carried on a belt clip D: A two-way radio at a fixed site |
B: A device that receives and amplifies a signal that must be carried over long distances
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You are unable to find a radial pulse on a patient from a MVA. You should: A: attempt to find the carotid pulse B: apply the pulse oximeter C: begin chest compressions D: listen for heart sounds |
A: attempt to find the carotid pulse
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Mr hughes is a 49 year old man complaining of chest pain. To find out about the quality of his pain which of the following questions is the most appropriate? A: "On a scale of 1-10 with 10 being the worst, how would you rate your level of pain?" B: "Does anything make the pain worse?" C: "Are you having pain anywhere besides your chest?" D: "Can you describe how the pain in your chest feels?" |
D: "Can you describe how the pain in your chest feels?"
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You are performing a rapid trauma assessment on an unresponsive 30 year old male. As you evaluate his head which of the following should you check for? A: Whether the patient can follow your finger with his eyes B: Unequal facial muscles C: Function of the cranial nerves D: Crepitation |
D: Crepitation
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Your patient is a 15 year old female complaining of shortness of breath. Which of the following is NOT appropriate during the focused exam? A: Listening to her breath sounds B: Checking her pupils for re-activity to light C: Looking at the use of her neck muscles D: Looking at her nail beds |
B: Checking her pupils for re-activity to light
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Which of the following is NOT a cause of unequal pupils? A: Stroke B: Fright C: Artificial Eye D: Eye injury |
B: Fright
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Your patient is a 24 year old female who swallowed a handfull of pills of unknown type. Although she was initially alert with no complaints you note that she is now beginning to slur her words and is becoming progressively lethargic. What is the highest priority in dealing with this patient? A: Finding out exactly what she took B: Checking the patient's pupil size and reactivity to light C: Maintaining an open airway D: Notifying the receiving facility of the change in mental status |
C: Maintaining an open airway
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A patient being transported by ambulance to the hospital can have his blood pressure measured by which of the following methods? A: palpation B: auscultation C: blood pressure monitor D: any of the above |
D: any of the above
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What is the normal response of the pupils when exposed to bright lights? A: Fluttering B: Dilation C: Constriction D: No effect |
C: Constriction
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The mnemonic AVPU is used to evaluate which of the following? A: Patient's chief complaint B: EMT's general impression of the patient's condition C: Patient's transport priority D: Patient's level of responsiveness |
D: Patient's level of responsiveness
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Mrs. Butler is a 66 year old woman who is complaining of chest pain. Which of the following questions would be best in helping you determine if the pain is radiating? A: Are you having pain anywhere besides your chest? B: Does anything make the pain better or worse? C: Are you having pain in your arm? D: Are you experiencing any other symptoms? |
A: Are you having pain anywhere besides your chest?
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Breathing sounds that should concern the EMT are: A: Tachycardia, retractions and diaphragmatic breathing B: retractions and diaphragmatic breathing C: snoring, gurgling, wheezing, crowing and crowning D: snoring, gurgling, wheezing and crowing |
D: snoring, gurgling, wheezing and crowing
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The abbreviation mmHg indicates that the blood pressure is measured by which of the following comparisons? A: millimeters of mercury B: minimum heart rate C: millimeters of water D: atmospheric pressure |
A: millimeters of mercury
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Your patient is a middle aged man who appears to be in distress and is clutching his chest. These observations lead you to suspect which type of problem? A: Anaphylaxis B: Cardiac C: Digestive D: Choking |
B: Cardiac
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In EMS, what does mental status refer to? A: any history of mental illness that the patient may have B: Patient's general level of intelligence C: Patient's level of awareness of his surroundings D: none of the above |
C: Patient's level of awareness of his surroundings
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What is the pressure remaining in the arteries after the pulse wave has passed through? A: Venous pressure B: Diastolic blood pressure C: resting blood pressure D: systolic blood pressure |
B: Diastolic blood pressure
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Which of the following questions will most likely elicit your patient's chief complaint? A: What made you call 911 this evening? B: How have you been feeling lately? C: Have you been drinking today? D: Do you have any medical problems? |
A: What made you call 911 this evening?
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Which of the following is true concerning scene size-up? A: The need for additional resources must be determined on both medical and trauma calls B: Scene size-up does not play a role in determining the nature of the illness C: Information from bystanders is not important on trauma calls D: Determining the number of patients is not important on a medical call |
A: The need for additional resources must be determined on both medical and trauma calls
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During the primary assessment of a responsive adult patient, where should the pulse be checked? A: at the radial artery B: At the femoral artery C: at the brachial artery D: at the carotid arter |
A: at the radial artery
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Which of the following information does NOT need to be provided to the dispatcher? A: When you depart from the hospital B: Estimated time of arrival at the hospital C: which hospital you are transporting to D: When you arrive at the hospital |
B: Estimated time of arrival at the hospital
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In a blood pressure reading of 120/80, the 120 is measuring what body process? A: Systolic blood pressure, when the right ventricles contract and the blood is forces into the veins B: Systolic blood pressure; when the left ventricles contract and the blood is forces into the veins C: Diastolic blood pressure; when the left ventricles contract and the blood is forced into the arteries D: Systolic blood pressure; when the left ventricles contract and the blood is forced into the arteries |
D: Systolic blood pressure; when the left ventricles contract and the blood is forced into the arteries
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When using the memory aid OPQRST, which of the following questions would help you find out about P? A: do you have any past medical history? B: Does anything make the pain better or worse? C: What is your primary complaint? D: Are you having any pain? |
B: Does anything make the pain better or worse?
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If capillary refill is assessed in a child patient, how long should it take the normal pink color to return to the nail bed? A: 5 seconds B: 3 seconds C: 2 seconds D: 4 seconds |
C: 2 seconds
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During the primary assessment of an unresponsive two month old infant, which pulse should be palpated? A: Carotid B: Radial C: Brachial D: Umbilical |
C: Brachial
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What BEST defines the immediate sense of the patient's degree of distress, formulated from the patient's immediate environment appearance, and chief complaint? A: Secondary assessment B: Scene size-up C: Primary assessment D: General impression |
D: General impression
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Which of the following is a good indication of an occluded airway? A: The patient is speaking clearly B: The patient is crying loudly C: The patient is alert D: The patient has snoring respirations |
D: The patient has snoring respirations
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Which of the following is completed first during the primary assessment? A: Opening the airway B: Determining transport priority C: Assessing mental status D: Forming a general impression |
D: Forming a general impression
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At which of the following points should you begin your scene size up? A: When the pt or family member opens the door to the residence B: As you approach the scene in the ambulance C: After exiting the ambulance, but before making patient contact D: When you arrive on the scene but before exiting the ambulance |
B: As you approach the scene in the ambulance
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Which of the following is the BEST way to assess a patient's skin temperature? A: Place your cheek against the pt's abdomen B: Place your cheek against the pt's forehead C: Place the back of your hand against the pt's forehead D: Place the back of your hand against the pt's abdomen |
C: Place the back of your hand against the pt's forehead
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The patient was a driver in a lateral impact MVA. During the assessment of his chest, the EMT notes a segment of the chest wall moving in the opposite direction from the rest of the chest. Which of the following BEST describes this finding? A: Tension pneumothorax B: Flutter segment C: Intercostal retractions D: Paradoxical movement |
D: Paradoxical movement
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What are the three ways to take BP? A: sphygomomanometer, blood pressure monitior, and heart monitor B: Palpation, auscultation and blood pressure monitor C: Spygomamanometer, auscultation and blood pressure monitor D: Auscultation, palpation and osculation |
B: Palpation, auscultation and blood pressure monitor
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Your patient is a 14 year old male who was run over by a tractor and is now unresponsive. During the rapid assessment, you should look for clear drainage coming from the patient's ____ indicating a serious injury A: Mouth B: eyes C: ears D: rectum |
C: ears
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A patient with a pulse rate of 120 beats per minute is considered which of the following? A: Normocardiac B: Tachycardic C: Dyscardic D: Bradycardic |
B: Tachycardic
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You are about to apply a BP cuff to an unconscious patient when you notice that she appears to have a tube underneath the skin of her arm. The tube feels like it has fluid going through it. You should: A: continue to take her BP in the arm B: use an automatic BP cuff instead C: find another site to measure her BP D: Move the cuff down to the forearm and inflate |
C: find another site to measure her BP
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When the heart contracts and forces blood into the arteries, the pressure created is known as the: A: systolic BP B: central venous pressure C: Pulse pressure D: diastolic BP |
A: systolic BP
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In a conscious adult patient, which of the following pulses should be assessed initially? A: Brachial B: Carotid C: Pedal D: Radial |
D: Radial
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In which of the following patients should you check for the possibility of a spinal injury? A: A responsive patient with no history of injury who is complaining of a headache and neck pain B: An unresponsive diabetic who appears to have fallen down C: An unresponsive patient found in her bed with no obvious injury D: All of the above |
B: An unresponsive diabetic who appears to have fallen down
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Which of the following is NOT part of the general impression? A: patient's facial impression B: patient's age and race C: position in which the pt is found D: Patient's past medical history |
D: Patient's past medical history
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When a patient describes how he feels, he is telling you which of the following? A: His signs B: his syndrome C: his symptoms D: his diagnosis |
C: his symptoms
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Which of the following indicates a possible circulatory problem? A: slow pulse B: rapid pulse C: weak, thready pulse that is normal in rate D: All of the above |
D: All of the above
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Which of the following represents the correct order of assessment for the EMT during the primary assessment from start to end? A: Patient priority, general impression, mental status, airway, breathing, circulation B: Mental status, general impression, airway, breathing, circulation, patient priority C: General impression, mental status, airway, breathing, circulation, patient priority D: none of the above |
C: General impression, mental status, airway, breathing, circulation, patient priority
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When pupils are dilated they are: A: larger than normal B: Irregularly shaped C: elliptical or elongated in shape D: smaller than normal |
A: larger than normal
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You are assessing a 48 year old male who is unconscious. The scene is safe and you hear the patient gurgling. What is your next action? A: quickly check the pulse B: open the airway with a head tilt C: suction the airway D: insert an airway adjunct |
C: suction the airway
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You are approaching a 16 year old male with bright red spurting blood coming from his leg. He is screaming, and he begs you to help him. You should: A: assess his airway B: apply oxygen C: ask him to calm down D: control the bleeding |
D: control the bleeding
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You are transporting a patient to the hospital from a MVA. Your patient's initital blood pressure was 88/52. You should reassess blood pressure: A: at least every 5 minutes B: Only if the pulse rate changes C: At least every 15 minutes D: only if the pt gets worse |
A: at least every 5 minutes
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Which of the following will deliver a medium velocity impact? A: bullet from a handgun B: bullet from an assault rifle C: ice pick D: butcher knife |
A: bullet from a handgun
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The method of taking blood pressure by using a stethoscope to listen to the characteristic sounds produced is called: A: pulsation B: palpation C: auscultation D: articulation |
C: auscultation
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When using the memory aid SAMPLE, which of the following would you do to determine L? A: Ask "When was the last time you took your meds" B: Listen to the pt's lung sounds C: Ask "When was the last time you had anything to eat or drink?" D: Look at your patients pupils |
C: Ask "When was the last time you had anything to eat or drink?"
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Which of the following describe the chief complaint? A: Reason why the patient summoned EMS B: Overall impression of the pt's condition C: Events immediately preceding the call for EMS D: All of the above |
A: Reason why the patient summoned EMS
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In EMS, which of the following BEST describes the term intervention? A: Decreasing the EMT's liability for negligence B: Taking steps to control a problem C: Determining there is a problem D: Creating a permanent record of pt care |
B: Taking steps to control a problem
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Your patient is a 29 year old female, was the front seat passenger in a vehicle that was struck in the passenger's side door by another vehicle that ran a red light. Which of the following is most likley to have occured? A: The patient's body was pushed forcefully out from under her head, causing injury to the cervial spine B: The patient took the "down and under" pathway, causing trauma to her lower extremities C: The patient impacted the steering wheel with her chest, causing a fracture of the sternum D: The patient took the "up and over" pathway, striking her head on the windshield |
A: The patient's body was pushed forcefully out from under her head, causing injury to the cervial spine
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An unconscious trauma patient should always be assumed to have which of the following types of injury? A: skull B: spine C: Abdominal D: Cardiac |
B: spine
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You are called to a 72 year old patient with weakness and headache with an initital blood pressure of 140/92. Her repeat blood pressure at 5 minutes is unchanged. Her condition is called: A: hypotension B: prehypertension C: stroke D: hypertension |
D: hypertension
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For which of the following patients would capillary refill be a reliable sign of circulatory status? A: A 92 year old man complaining of weakness of his right side B: 3 year old child with a fever and cough C: 50 year old woman complaining of chest pain D: 24 year old homeless man who has spent the night outside in the rain |
B: 3 year old child with a fever and cough
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The device that some EMS services use as a light wave device to measure oxygen saturation (SPO2) is called a: A: capnography B: pulse oximeter C: Sphygomanometer D: end tidal CO2 meter |
B: pulse oximeter
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You are responding to an unresponsive 65 year old male patient. The patient has snoring respirations, a scalp laceration and an obvious fracture of the left ankle. What is the best initial course of action? A: place an oral airway in the patient B: bandage the scalp wound C: splint the ankle to avoid lacerating any nerves or arteries D: perform a complete primary and secondary assessment to make sure you know exactly what is wrong before treating the patient |
A: place an oral airway in the patient
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The range of normal blood glucose level is from a low of 60 to 80 mg/dL to a high of: A: 100 to 120 B: 110 to 130 C: 120 to 140 D: 90 to 100 |
C: 120 to 140
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The term cyanosis is used when the patient's skin color is noted to be which of the following characteristics? A: very pale B: blue-gray C: flushed D: yellow |
B: blue-gray
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Which of the following BEST describes a mobile radio? A: a two-way radio that can be carried on a belt clip B: a two-way radio at a fixed site C: A device that receives and amplifies signals that must be sent over a long distance D: A two-way radio that is mounted in a vehicle |
D: A two-way radio that is mounted in a vehicle
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What does distension refer to when describing your patient's abdomen? A: softer than normal B: having a sunken-in appearance C: harder than normal D: larger than normal |
D: larger than normal
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Which of the following methods should be used to have a patient rate the amount of pain he is having? A: ask the pt to state whether the pain is mild, moderate, severe or unbearable B: use the memory aid AVPU C: Have the pt rate the pain on a scale of 1-10 D: use the memory aid DCAP |
C: Have the pt rate the pain on a scale of 1-10
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You find a teenage male lying supine in his bedroom. You hear gurgling sounds from the pt's mouth and see vomit with pill fragments on the floor. You should: A: Ventilate with oxygen B: Suction the airway C: identify the pills D: perform chest thrusts |
B: Suction the airway
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Your 76 year old female patient is having trouble breathing. When you auscultate her lungs, you hear crackles and you are concerned that she may have pulmonary edema. Her oxygen sat is 92% so you place her on 100% oxygen via a NRB mask. Her breahting gets a little easier with the oxygen. You decide to expedite transport since she is anxious about her condition. Later, as you are completing your reassessment, you see that her respirations have slowed to 8 times per minute and she is barely staying awake. What should you do next? A: ask your partner to pull over and wait for ALS backup B: assist her with using her metered dose inhaler C: begin ventilating her with a BVM D: shake her to keep her awake |
C: begin ventilating her with a BVM
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Which of the following is NOT determined during scene size up? A: MOI B: Need for additional resources C: Potential hazards to EMS crew D: Chief complaint |
D: Chief complaint
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You are at the scene where a 19 year old female college student has been drinking large quantities of alcohol throughout the evening. On your arrival, the patient is lying on her back with no signs of trauma, has vomited, and has slow wet sounding respirations. Which of the following should you do next? A: check for carotid and radial pulses B: open the pt's airway using a head-tilt, chin-lift manuever C: assist respirations with a BVM device D: Determine the respiratory rate |
B: open the pt's airway using a head-tilt, chin-lift manuever
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A patient whose mental status can be described as "verbal" is able to: A: Tell you his or her name, his or her location, and what day it is B: respond only to a stimulus such as the EMT rubbing his sternum with his knuckles C: talk spontaneously and respond to EMT's questions D: respond to speaking or shouting by opening the eyes |
D: respond to speaking or shouting by opening the eyes
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At the scene of a vehicle collision in which there are no apparent hazards, which of the following guidelines should be followed for establishing a danger zone? A: the danger zone should be 50 feet in all directions B: there is no need to establish a danger zone when there are no apparent hazards C: The danger zone should be 15 feet in all directions D: the danger zone should be 150 feet in all directions |
A: the danger zone should be 50 feet in all directions
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You are approaching a young adult male lying supine on the ground with his eyes closed. You should: A: feel for a pulse B: ask him if he is okay C: open his airway D: expose his chest |
B: ask him if he is okay
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Which of the following is NOT part of a medical radio report? A: Unit ID B: address at which the pt was located C: estimated time of arrival D: pt's response to medical care provided |
B: address at which the pt was located
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Your pt has a heart rate of 82, an RR of 16 and a BP of 120/80 and does not appear to be in any distress. You should repeat vital signs at least every: A: 5 minutes B: 15 minutes C: 10 minutes D: 20 minutes |
B: 15 minutes
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Which of the following is NOT assessed during the "breathing" phase of the primary assessment? A: determining the presence of respirations B: Obtaining a pulse oximetry reading C: determining the depth of respiration D: Counting the respiratory rate |
B: Obtaining a pulse oximetry reading
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You enter a room to find a 16 year old female sitting upright in a chair with her back straight, leaning forward and her arms supporting her. She is having a hard time talking to you. You should suspect: A: allergic reaction B: respiratory distress C: abdominal pain D: chest discomfort |
B: respiratory distress
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Which of the following is a normal respiratory rate for an adult at rest? A: 12 breaths per minute B: 10 breaths per minute C: 24 breaths per minute D: 22 breaths per minute |
A: 12 breaths per minute
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The first set of vital signs obtained are often referred to as which of the following? A: standard vital signs B: normal vital signs C: baseline vital signs D: none of the above |
C: baseline vital signs
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An oxygen saturation of 97% is considered which of the following? A: normal B: significant hypoxia C: hypoxia D: severe hypoxia |
A: normal
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How often should a patient's vital signs be reassessed during transport to the hospital after he has had his pulse restored with CPR and the use of an AED? A: every 5 minutes B: every 2 minutes C: every 10 minutes D: every 15 minutes |
A: every 5 minutes
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Your patient is in late stages of liver failure and has requested to be transported to the emergency department. You take your BSI and move him to your cot and notice his skin is warm and dry with a yellow color. Your radio report to the hospital should state your patient is: A: flushed B: mottled C: cyanotic D: jaundiced |
D: jaundiced
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You are assessing a 55 year old male complaining of chest pain and have determined that his radial pulse is barely palpable. You also determine that there were 20 pulsations over a span of 30 seconds. Based on this, how would you report this patient's pulse? A: pulse 40 and weak B: pulse 40, weak and irregular C: pulse 20, weak, and regular D: pulse 20 and weak |
A: pulse 40 and weak
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Which of the following BEST describes a portable radio? A: a two-way radio at a fixed site B: a device that receives and amplifies signals that must be sent over long distances C: a two-way radio that can be carried on a belt clip D: a two-way radio that is mounted in a vehicle |
C: a two-way radio that can be carried on a belt clip
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An inaccurate oxygen saturation reading can result in all of the following except: A: a patient that smokes cigarrettes B: Carbon monoxide inhalation C: A patient wearing finger nail polish D: any of the above |
D: any of the above
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You have received an order from medical direction that you feel would be detrimental to your patient. Which of the following should you do? A: Contact your supervisor for advice B: Carry out the order but document that you disagreed with it C: call a different hospital for orders D: politely question the physician |
D: politely question the physician
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You have a 38 year old patient who has fainted. Following your local protocol you use a light wave device to determine the SPO2. As the EMT, you attach the device on the pt's finger, which gives you a reading of 91. What does that reading indicate? A: severe hypoxia B: normal results C: Significant hypoxia D: mild hypoxia |
D: mild hypoxia
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Which of the following BEST describes the proper placement of the blood pressure cuff? A: midway between the elbow and shoulder B: covering the pt's elbow C: covering 2/3 of the upper arm D: one inch below the armpit |
C: covering 2/3 of the upper arm
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Which of the following is the purpose of the primary assessment? A: to find all of the patient's signs and symptoms B: to discover trends of improvement or deterioration in the pt's condition C: To detect dangers to the patient or EMS crew D: to detect and treat immediately life-threatening problems |
D: to detect and treat immediately life-threatening problems
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Vital signs should be reassessed every ____ for a stable patient A: 10 B: 20 C: 15 S: 5 |
C: 15
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During your radio report to the hospital, which of the following pieces of info should NOT be relayed? A: patient's status B: patient's age C: patient's name D: baseline vital signs |
C: patient's name
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Which of the following agencies assigns and licenses radio frequencies? A: Federal Trade Comission B: Federal Communications Commission C: United States Department of Transportation D: Transportation Security Administration |
B: Federal Communications Commission
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Your patient is a 42 year old woman who fell two feet from a ladder and is complaining of pain in her ankle. Which of the following are you unable to determine from the info given? A: airway status B: chief complaint C: general impression D: transport priority |
D: transport priority
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An injury caused by an object that passes through the skin or other body tissue is known as which of the following? A: penetrating trauma B: puncturing trauma C: impaling trauma D: cavitating trauma |
A: penetrating trauma
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When the EMT checks the pupils he or she is checking for what three things? A: movement, gaze and equality B: color, equality and reactivity C: reactivity, gaze and equality D: size, equality and reactivity |
D: size, equality and reactivity
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You are assessing a pt that has been involved in an MVA. Which of the following questions would be the most important thing to ask him? A: how fast was the vehicle going? B: have you been in a crash before? C: how much fuel is in your car? D: why were you in such a hurry? |
A: how fast was the vehicle going?
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At what point is the scene size-up complete? A: when the crashed vehicles have been stabalized B: at the end of the call C: upon stabilization of the c-spine D: when the number of pt's has been determined |
B: at the end of the call
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What is the sound or feel of broken bone rubbing against each other called? A: crepitation B: decapitation C: emesis D: osteomyelitis |
A: crepitation
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Which of the following is NOT performed during the "airway" phase of the primary assessment? A: suctioning B: insertion of an OPA C: head-tilt, chin-lift manuever D: obtaining the respiratory rate |
D: obtaining the respiratory rate
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