Module 2 Exam.db

Front 1

Adminstration of medication into the gluteal muscle must be injected into which quadrant

Back 1

upper, outer

Front 2

By which of the following routes will medication have the quickest onset of action

Back 2

Intramuscular

Front 3

injuries are the ______ leading cause of death in all age groups combined in the U.S.

Back 3

Third

Front 4

Which of the following laws is designed to allow the paramedic who has potentially been exposed to an infectious disease access to the medical records of the patient.

Back 4

The Ryan White CARE act

Front 5

Rehabilitation after injury or illness that helps prevents futher problems from occuring is called.

Back 5

Secondary

Front 6

Which of the following certification levels is currently NOT recognized by the National Regisrty of EMTs

Back 6

Emergency Medical Responders (EMR)

Front 7

Which of the following best describes the purpose of the KKK specifications

Back 7

Improve the design of ambulances

Front 8

The patient with COPD may benefit from oxygen delivery through a Venturi mask because

Back 8

Oxygen concentration is controlled more carefully

Front 9

The tip of the ET tube for the pediactric patient should be incerted ___ cm below the vocal cords

Back 9

2-3 cm

Front 10

A ____ is an example of a dual lumen airway

Back 10

Combi tube

Front 11

A properly placed ___ effectively isolates the trachea for ventilations and protection from aspiration

Back 11

ET tube

Front 12

drop in blood pressure greater than 10 torr during inspiration is called

Back 12

Pulsus Paradoxis

Front 13

Modedrate hypoxia is indicated with a pulse oximeter reading of____ %

Back 13

86-91

Front 14

Progressively deeper, faster breathing alternating gradually with shallow, slower breathing is called

Back 14

Cheyne-Stokes respirations

Front 15

Which of the following is the most common cause of airway obstruction

Back 15

The tongue

Front 16

In which of the following situations would you expect end tidal carbon dioxide levels to be vary low, despite a patent airway

Back 16

The patient in cardiac arrest

Front 17

Applying posteriorly directed pressure on the cricoid cartilage to facilitate ET intubation is called

Back 17

Sellick's maneuver

Front 18

During a respiratory assessment the absence of breath sounds may indicate a

Back 18

pneumothorax

Front 19

A peak flow meter measures

Back 19

the maximumrate of airflow during forced expiration

Front 20

The most common indication for a surgical cricothyrotmy is

Back 20

Massive facial or neck trauma

Front 21

A portable suction device should generate a flow rate of ___ liters per minute when the tube is open

Back 21

30

Front 22

what is , in liter per minute, the highest flow rate on a demand valve device

Back 22

40

Front 23

when intubating an adult patient,the onset of bradycardia is most likely due to

Back 23

stimulation of the vagus nerve

Front 24

Which of the following is an advantage of the two-person method of bag-valve-mask ventilations

Back 24

Easier to maintain a seal between the patients face and mask

Front 25

high pitched inspiratory noise caused by a partial upper airway obstruction is called

Back 25

Stridor

Front 26

The aspiration of vomitus into the lungs may result in

Back 26

tissue damage, pulmonary edema, and pneumonia

Front 27

A musical squeeking or whistling sound that may be heard on inspiration or exporation while alscultating lung fields is known as

Back 27

Wheezing

Front 28

The automatic transport vent is contraindicated for all inubated patients EXCEPT

Back 28

17 y/o gunshot victim

Front 29

Which of the following increases the risk of foreign body airway obstruction

Back 29

Dentures, age, and alcohol consumption

Front 30

Which of the following indicates an esophageal intubation

Back 30

Not seeing the ET tube pass through the vocal cords

Front 31

When using the end-tidal carbon dioxide detector, the absence of carbon dioxide in exhaled air after 6 breaths indicates the ET tube has been placed

Back 31

In the esophagus

Front 32

An attempt at endotracheal intubation must not interupt ventilations for more than

Back 32

30 Seconds

Front 33

Which of the following patients, assuming each is in critical need of an IV and that you have made multiple unsuccessful attempts to start an IV, would be a candidate for IO infusion.

Back 33

A 35 y/o female, 9 month old male infant, and an 81 y/o male

Front 34

Which of the following IV solutions would remain in the vascular system the longest

Back 34

Plasmanate

Front 35

Which of the following solutions is appropriate for the patient needing vascular volume replacement in the prehospital setting

Back 35

0.9% sodium chloride solution

Front 36

Which of the following is considered a site of central venous access

Back 36

Femoral vien

Front 37

Ventilations of _____ is the likley consequence of inserting an ET tube too far

Back 37

The right lung

Front 38

Which of the following interferes with ventilation in the presence of a flail segment

Back 38

The ability to generate negative intrathoracic pressure

Front 39

The reading obtained by the use of a pulse oximeter reflects the

Back 39

ratio of unsaturated hemoglobin to saturated hemoglobin

Front 40

In an adult the narrowest part of the airway is the

Back 40

larynx

Front 41

A _____ may be used to facilitate nasotracheal intubation

Back 41

Endotrol tube

Front 42

when intubating a stoma site, how far beyound the distal cuff (in cm) should you insert the ET tube

Back 42

1-2

Front 43

When a bag-valve ventilation device is used without supplemental oxygen, it delivers an oxygen concentration of ____%

Back 43

21

Front 44

Which of the following statements about airway maneuvers is true

Back 44

They are often neglected by EMT's and paramedics

Front 45

All of the following drugs can be administered through an ET tube EXCEPT

Back 45

dextrose

Front 46

End-tidal colormetric capnography measures

Back 46

Carbon dioxide in exhaled air

Front 47

What % of oxygen is delivered by a simple face mask

Back 47

40 - 60

Front 48

With the following conditions should you NOT attempt ET intubation of the patient unless airway failure is imminent

Back 48

epiglottitis

Front 49

The hypoxic drive is stimulated by

Back 49

low PaO2

Front 50

you should be prepared to immediatly intubate any patient with respiratory distress who is exhibiting

Back 50

altered mentation

Front 51

immediate intubation should be considered for trauma patients with a GCS of ____ or less

Back 51

8

Front 52

Which of the following about the use of a dual lumen airway is true

Back 52

It requires no neck hyperextension

Front 53

Which of the following is an advantgae of subligual drug administration

Back 53

Rapid absorbtion due to subligual vasculature

Front 54

Administration of a medication to the right eye would be documented medically as administration to which of the following

Back 54

o.d.

Front 55

which of the following is a disadvantage of pulmonary drug administraton via nebulizer or metered dose inhaler

Back 55

It requires that the patient have adequate ventilation

Front 56

Which of the following is a parenteral route of drug administration

Back 56

Intramuscular

Front 57

Which of the following types of medication would be placed in a souffle cup for adminstration to a patient

Back 57

A tablet of ibuprofen

Front 58

Which of the following would NOT be appropriate for intradermal drug administration

Back 58

20 gauge, 3/4" needle

Front 59

Which of the following is a disadvantage to intravascular volume replacement with isotonic crystalliod

Back 59

Two-thirds of the volume enters the extravascular space within 1 hour of administration

Front 60

When preparing for venipuncture, a constricting band should be applied tight enough to restrict ____ flow and not left in place for more than ___ minutes

Back 60

venous but arterial; 2

Front 61

Just as you are arriving at the emergency department bay, your patient, on whom you started an IV at the scene, complainis of sudden chills, back pain, and nauseea, The patient appears flushed and his skin is hot and moist to the touch, Which of the folowing most likely accounts for your patient's presentation

Back 61

Pyrogenic reaction

Front 62

The maximum volume of medication to be delivered into the deltoid muscle is___ml

Back 62

5

Front 63

One teaspoon of medication equals___ml

Back 63

5

Front 64

Which of the following is the appropriate method for preparing a site for venipuncture or injection

Back 64

Use of an antiseptic

Front 65

Without adequate airway maintenance and ventilation, the patient can succumb to brain injury or death in how many minutes

Back 65

6-10

Front 66

In a lawsuit in which the paramedic has been charged with negligence, the paramedic is called the

Back 66

defendent

Front 67

Which of the following occurrences is LEAST likely to require mandatory legal reporting by the paramedic

Back 67

Public intoxication

Front 68

A paramedic may treat an unconcsious diabetic patient by relying on

Back 68

Implied consent

Front 69

A paramedic performs an intervention on a patient that is contrary to current practices. The patient suffers an injury as a result of that intervention. This is an example of

Back 69

malfeasance

Front 70

When responding to calls,paramedics can help patients and family members decrease the chances of future emergency calls by

Back 70

Recognizing and using teachable moments

Front 71

A supervisor senses that an EMS crew, which has just conducted a very darmatic but unsuccessful rescue of a drowned child, may be experiencing very intense emotions about the incident. what is an appropriate supervisory action

Back 71

Request a CISM-trained peer to conduct a defusing within 2 tp 4 hours

Front 72

Which of the following best describes who in a ambulance should use seat belts

Back 72

All crew members, front and back

Front 73

One of the principles of proper lifting is to

Back 73

position the load close to your body

Front 74

The tip a curved laryngoscope blade is placed correctly

Back 74

in the vellecula

Front 75

Which of the following manual airways maneuvers should be used when caring for a patient with a suspected cervical spine injury

Back 75

Jaw thrust

Front 76

Which of the following factors is related to an increased likelihood of airway burns

Back 76

Unresponsive in the burning enviorment, screaming or yelling in a burning enviroment, inhilation of hot steam

Front 77

The maximum flow rate to be used with a nasal cannula is ___ liters per minute

Back 77

6

Front 78

The simplest airway managment technique in a patient without suspected cervical spine injury is

Back 78

head-tilt chin lift

Front 79

Which of the following basic airway adjuncts prevents the tongue from falling back to occlude the airway

Back 79

Oropharyngeal airway

Front 80

In which of the following conditions is insertion of a nasogastric tude contraindicated

Back 80

facial fractures

Front 81

In which of the following patients would the use of a combi-tube dual lumen airway be contraindicated

Back 81

A 59 y/o male with a history fo chronic alcholism who was found in cardiac arresst at a homeless shelter