MULTIPLE CHOICE. Choose the one alternative that best completes the statement or answers the question.

Transcription

1 Exam Review 4 Name MULTIPLE CHOICE. Choose the one alternative that best completes the statement or answers the question. 1) The level of EMS training that emphasizes activation of the EMS system and providing immediate care for life-threatening problems is: A) EMT-Basic B) First responder C) First aid D) Cardiac care responder 2) Which of the following actions would NOT be considered acting as the patient's advocate? A) Complying with a request not to report abuse as a cause of injuries B) Arranging for a neighbor to watch the patient's home C) Reporting drugs found in the patient's home to hospital staff D) Getting an extra blanket for a patient who feels cold 3) Prehospital and emergency in-hospital care together are collectively called the: A) Health care system B) Community wellness program C) Emergency medical services system D) Public health system 4) Which of the following is NOT considered a personality trait needed by an EMT? A) Ability to listen to others B) In control of personal habits C) Ability to dominate the patient D) Able to communicate with others 5) When an EMT-Basic turns over his patient to hospital personnel, this is called: A) Transfer of care B) Definitive care C) End of tour D) Breach of duty 6) Which of the following is NOT a role of the EMT-Basic in the quality improvement process? A) Critiquing one's performance after each call B) Writing complete patient care reports C) Responsibility for the actions of one's partner D) Maintaining patient care equipment 7) Which of the following serves as a gateway for hospital services? A) Emergency medical services system B) Emergency medical dispatch center C) Emergency department D) Surgical services department 8) Learning about changes in EMS practices, new research, or gaining more advanced knowledge are examples of: A) Refresher education B) Employee orientation C) Continuing education D) Requalification requirements 1) 2) 3) 4) 5) 6) 7) 8) 1

2 9) Pain felt in the epigastric region of the abdomen is of concern because of the possibility of which of the following? A) Appendicitis B) Influenza C) Myocardial infarction D) Extreme diarrhea with dehydration 10) Which of the following is the main focus of the EMT-B's assessment and history taking of the patient with abdominal pain? A) Determining the cause of the pain B) Determining the presence of shock C) Determining if the patient meets criteria to refuse treatment and transport D) Determining the possible need for immediate surgery 11) At which of the following stages of assessment should the EMT-B be alert to the possibility of shock in the patient with abdominal pain? A) Scene size up B) SAMPLE history C) Initial assessment D) All of the above 12) Which of the following is NOT true concerning abdominal pain in geriatric patients? A) The elderly person may not be able to give a specific description of the pain B) The causes of abdominal pain in the elderly are rarely serious C) Medications may mask signs of shock associated with an abdominal complaint D) The elderly have a decreased ability to perceive pain 13) Your patient is a 17-year-old with a history of asthma. She is complaining of pain in her lower abdomen. Assessment reveals that her breath sounds are clear and equal, she has a respiratory rate of 28, a heart rate of 96, and a blood pressure of 112/74. Which of the following is appropriate? A) Have the patient breathe into a paper bag to rebreathe some of her carbon dioxide B) Provide high flow oxygen C) Assist the patient in the administration of her metered-dose inhaler D) All of the above 14) Which of the following is within the scope of practice of the EMT-B for the treatment of the diabetic patient? A) Assisting the patient with the administration of his insulin B) Administration of oral glucose C) Rectal administration of glucose D) Both A & B 15) The condition in which there is an insufficient amount of sugar in the blood is called: A) Hyperglycemia B) Hyperinsulinemia C) Hypoinsulinemia D) Hypoglycemia 9) 10) 11) 12) 13) 14) 15) 2

3 16) Your patient is a 19-year-old female who is 7 months pregnant. She has just experienced a seizure, although she has no previous history of seizures. Which of the following could be the cause of the seizures? A) Trauma B) Hypoglycemia C) Eclampsia D) Any of the above 17) Which of the following is NOT an important question in obtaining the history of a seizure patient in the prehospital setting? A) How did the patient behave during the seizure? B) What was the patient doing before the seizure? C) Does the patient have a family history of seizures? D) Did the patient lose control of his bladder? 18) Which of the following may be used to mean "a program for evaluating and improving the effectiveness of an EMS system"? A) Quality improvement B) Quality assurance C) Total quality management D) System effectiveness management 19) An EMT-B's authority to provide medical care is granted by which of the following? A) An extension of the medical director's license to practice medicine B) State EMS certification board or agency C) The US Department of Transportation D) The National Registry of EMTs 20) Pain that originates in an organ, such as the intestines, is called pain A) visceral B) parietal C) referred D) acute 21) Which of the following questions may help the EMT-B in the assessment of the patient with abdominal pain? A) Do you have any medical problems, such as diabetes or heart problems? B) Do you have any allergies to foods or medicines? C) What medications are you taking? D) All of the above 22) The signs and symptoms of a transient ischemic attack may last up to: A) 30 minutes B) 6 hours C) 1 hour D) 24 hours 23) Centralized coordination of emergency medical access, transportation and care is called: A) Resource management B) A trauma system C) Central deployment D) An emergency preparedness plan 24) Which of the following is NOT a cause of abdominal pain? A) Heart attack B) Stroke C) Food poisoning D) Diabetes 16) 17) 18) 19) 20) 21) 22) 23) 24) 3

4 25) Which of the following is characteristic of the patient with hyperglycemia? A) Cool, moist skin, agitated behavior, and increased heart rate B) Sudden onset of altered mental status C) Use of excessive amounts of insulin or lack of adequate food intake D) Flushed, hot, dry skin and a "fruity" odor of the breath 25) 4

5 Answer Key Testname: REVIEW 4 1) B 2) A 3) C 4) C 5) A 6) C 7) C 8) C 9) C 10) B 11) D 12) B 13) B 14) B 15) D 16) D 17) C 18) A 19) A 20) A 21) D 22) D 23) A 24) B 25) D 5