ch 15 review - medical overview

A patient who presents with a headache, fever, confusion, and red
blotches on his or her skin should be suspected of having:

A. meningitis.
B. hepatitis.
C. tuberculosis.
D. MERS-CoV.

A. meningitis.

After sizing up the scene of a patient with a possible infectious
disease, your next priority should be to:

A. notify law enforcement.

B. take standard precautions.

C. contact medical control.

D. quickly access the patient.

B. take standard precautions.

An index of suspicion is MOST accurately defined as:

A. the EMT's prediction of the type of illness a patient has based on how
the call is dispatched.

B. your awareness and concern for potentially serious underlying and unseen injuries or illness.

C. determining the underlying cause of a patient's medical condition based
on signs and symptoms
.
D. ruling out specific medical conditions based on the absence of certain
signs and symptoms.

B. your awareness and concern for potentially serious underlying and unseen injuries or illness.

An infectious disease is MOST accurately defined as:

A. any disease that enters the body via the bloodstream and renders the
immune system nonfunctional.

B. the invasion of the human body by a bacterium that cannot be destroyed
by antibiotics or other drugs.

C. a disease that can be spread from one person or species to another
through a number of mechanisms.

D. a medical condition caused by the growth and spread of small, harmful
organisms within the body.

D. a medical condition caused by the growth and spread of small, harmful
organisms within the body

Factors that increase the risk for developing methicillin-resistant
Staphylococcus aureus (MRSA) include:

A. a history of a respiratory illness within the past 6 to 8 weeks.

B. prior exposure to Mycobacterium tuberculosis.

C. prolonged hospitalization, especially in an intensive care unit.

D. failure to be vaccinated against any strain of hepatitis.

C. prolonged hospitalization, especially in an intensive care unit.

Hepatitis B is more virulent than hepatitis C, which means that it:

A. leads to chronic infection after exposure.

B. is a more contagious type of disease.

C. has a greater ability to produce disease.

D. is less resistant to treatment.

C. has a greater ability to produce disease.

In contrast to the assessment of a trauma patient, assessment of a
medical patient:

A. requires a thorough head-to-toe exam that involves a detailed assessment of all body systems.

B. is focused on the nature of illness, the patient's chief complaint, and
his or her symptoms.

C. almost exclusively focuses on physical signs that indicate the patient
is experiencing a problem.

D. is not as complex for the EMT because most patients typically present with classic symptoms.

B. is focused on the nature of illness, the patient's chief complaint, and
his or her symptoms.

In addition to obtaining a SAMPLE history and asking questions related
to the chief complaint, what else should you specifically inquire about
when assessing a patient with a potentially infectious disease?

A. Sexual practices

B. Recent travel

C. Drug allergies

D. HIV status

B. Recent travel

It is especially important to assess pulse, sensation, and movement in
all extremities as well as pupillary reactions in patients with a
suspected ___________ problem.

A. neurologic

B. cardiac

C. endocrine

D. respiratory

A. neurologic

Patients with tuberculosis pose the greatest risk for transmitting the
disease when they:

A. cough.

B. have a fever.

C. vomit.

D. are bleeding.

A. cough.

Reassessment of a patient with a medical complaint should begin by:

A. taking another set of vital signs.

B. reviewing all treatment performed.

C. reassessing the nature of illness.

D. repeating the primary assessment.

D. repeating the primary assessment.

The BEST way to prevent infection from whooping cough is to:

A. wear a HEPA mask when treating any respiratory patient.

B. ask all patients if they have recently traveled abroad.

C. routinely place a surgical mask on all respiratory patients.

D. get vaccinated against diphtheria, tetanus, and pertussis.

D. get vaccinated against diphtheria, tetanus, and pertussis.

The primary prehospital treatment for most medical emergencies:

A. typically does not require the EMT to contact medical control.

B. addresses the patient's symptoms more than the actual disease process.

C. involves transport only until treatment can be performed at the hospital.

D. focuses on definitive care because a diagnosis can usually be made.

B. addresses the patient's symptoms more than the actual disease process.

The secondary assessment of a medical patient:

A. should be performed at the scene, especially if the patient is
critically ill.

B. is typically limited to a focused exam for patients who are unconscious.

C. should routinely include a comprehensive examination from head to toe.

D. is not practical if the patient is critically ill or your transport time
is short.

D. is not practical if the patient is critically ill or your transport time
is short.

Typical chief complaints in patients with an infectious disease include:

A. headache, low back pain, and arm numbness.

B. fever, rash, nausea, and difficulty breathing.

C. joint pain, muscle aches, and blurred vision.

D. crushing chest pain, vomiting, and weakness.

B. fever, rash, nausea, and difficulty breathing.

Upon initial contact with a patient who appears to be unconscious, you
should:

A. squeeze the trapezius muscle to see if the patient responds.

B. direct your partner to apply oxygen via nonrebreathing mask.

C. attempt to elicit a verbal response by talking to the patient.

D. assess breathing depth and determine the respiratory rate.

C. attempt to elicit a verbal response by talking to the patient.

When assessing a patient with a medical complaint, which of the
following would MOST likely reveal the cause of the problem?

A. Medical history

B. Index of suspicion

C. Baseline vital signs

D. Primary assessment

A. Medical history

Which of the following medications would the EMT be LEAST likely to
administer to a patient with a medical complaint?

A. Ibuprofen

B. Oral glucose

C. Aspirin

D. Albuterol

A. Ibuprofen

Which of the following patients is at greatest risk for complications
caused by the influenza virus?

A. 50-year-old woman with moderate obesity

B. 12-year-old child with a fractured arm

C. 39-year-old man with mild hypertension

D. 68-year-old woman with type 2 diabetes

D. 68-year-old woman with type 2 diabetes

Which of the following will MOST reliably allow you to determine the
nature of a patient's illness?

A. Refraining from asking open-ended questions

B. Focusing solely on how the call is dispatched

C. Asking questions related to the chief complaint

D. Trending of the patient's vital signs over time

C. Asking questions related to the chief complaint