Chapter 12 -- Online Workbook Questions

A seizure patient is having what kind of medical emergency?:

a) respiratory

b) cardiovascular

c) neurologic

d) immunologic

c) neurologic

If an injury distracts an EMT from assessing a more serious underlying illness, he has suffered from:

a) tunnel vision

b) index of suspicion

c) virulence

d) a trauma emergency

a) tunnel vision

T/F: You are obligated as a medical professional to refrain from labeling patients and displaying personal biases.

True

T/F: In an unconscious adult patient, you should asses for a pulse in the carotid artery.

True

T/F: If it is unclear if the patient needs oxygen, you should avoid giving it until clearer indications arise.

False

T/F: History-taking may be the only way to determine what the problem is or what may be causing the problem.

True

T/F: Conscious medical patients will always need a full-body, or head-to-toe, examination.

False

T/F: A patient should be transported with lights and sirens activated when there is a life-threatening condition.

True

T/F: Exposure to the virus that causes AIDS is the most feared infection risk for EMTs.

True

T/F: EMTs can receive a vaccination against HIV to protect them from expose.

False

T/F: Chancres from a syphilis infection are commonly located on the face.

False

T/F: Hepatitis A can only be transmitted from a patient who has an acute infection.

True

T/F: HIV is far more contagious than Hepatitis B.

False

T/F: If you are exposed to a patient with pulmonary tuberculosis, you should be tested with a tuberculin skin test to see if you have been infected.

True

T/F: MRSA is believed to be transmitted from patient to patient via the unwashed hands of health care providers.

True

T/F: Whooping cough is an airborne disease caused by a virus.

False

T/F: SARS is a serious, potentially life-threatening viral infection caused by a recently discovered family of viruses.

True

T/F: The transmission risk for humans with Avian flu is very high.

False

T/F: When examining the neck, you should assess for JVD and tracheal deviation.

True

T/F: You should ask family members for information regarding patient allergies and medication.

False

T/F: Cardiac arrest patients should be transported to the closest appropriate facility.

True

T/F: Differentiating a high-priority transport from a low-priority transport is often a skill developed with experience.

True

The most important aspect of the scene size-up is:

a) determining the number of patients

b) calling for additional resources

c) ensuring scene safety

d) determining the nature of the illness

c) ensuring scene safety

The ___________ is your awareness and concern for potentially serious underlying and unseen injuries or illnesses:

a) nature of illness

b) index of suspicion

c) general impression

d) clinical impression

b) index of suspicion

If your patient is alone and unresponsive, in order to obtain some form of medical history, you should:

a) ask people in the neighborhood

b) go through the patient's wallet

c) search the scene for medication containers or medical devices

d) search through the patient's bedroom drawers for hidden illegal drugs.

c) search the scene for medication containers or medical devices

"Why did you call for EMS today?" helps to determine the:

a) chief complaint

b) past medical history

c) medications

d) provocation of pain

a) chief complaint

You should assess pulse, motor, and sensation in all of the extremities and check for pupillary reactions if you suspect a ________ problem:

a) cardiovascular

b) endocrine

c) neurological

d) psychological

c) neurological

When palpating the chest and abdomen, you are attempting to identify areas of:

a) bruising

b) tenderness

c) crepitus

d) nausea

b) tenderness

Patients with altered mental status should be considered ____ when determining transport options:

a) nonemergency

b) low priority

c) moderate priority

d) high priority

d) high priority

A patient suffering from a heart attack should be transported to:

a) a local clinic, 5 minutes away

b) a community hospital with no catheterization lab, 10 minutes away

c) a university hospital with catheterization lab, 15 minutes away

d) a trauma center, 20 minutes away

c) a university hospital with catheterization lab, 15 minutes away

Which statement regarding HIV is FALSE?:

a) it is not easily transmitted in your work environment

b) it is not considered a hazard when deposited on mucous membranes

c) you should always wear gloves when treating a patient with HIV

d) many patients with HIV do not show symptoms

b) it is not considered a hazard when deposited on mucous membranes

If you have been exposed to an HIV-positive patient's blood, you should:

a) not worry about it, because transmission rates are low.

b) seek medical advice as soon as possible

c) wait until your next doctor to seek evaluation

d) wash the area thoroughly and get an updated tetanus shot

b) seek medical advice as soon as possible

Patients who are being treated with penicillin for a syphilis infection are considered:

a) communicable for the rest of their life.

b) noncommunicable in about 4 weeks,

c) noncommunicable within 24 to 48 hours.

d) noncommunicable right from the initial infection.

c) noncommunicable within 24 to 48 hours.

The incubation period for hepatitis B is typically:

a) 1 to 2 weeks

b) 5 to 10 weeks

c) 4 to 12 weeks

d) 1 to 2 weeks

c) 4 to 12 weeks

Vaccinations are NOT available for which form of hepatitis?:

a) hepatitis a

b) hepatitis b

c) hepatitis c

d) none of the above

c) hepatitis c

Which of the following about tuberculosis is FALSE?:

a) it is found in open, uncrowded living spaces

b) it can be found in crowded environments with poor ventilation.

c) it is spread through the air via droplets

d) the primary infection is typically not serious

a) it is found in open, uncrowded living spaces

__________________ is a bacterium that causes infections and is resistant to most antibiotics.

MRSA

The secondary assessment of a medical patient:

a) should routinely include a comprehensive examination from head to toe

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

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

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

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

You and your EMT partner arrive at the residence of a 50-year-old man who complains of weakness. Your primary assessment reveals that he is critically ill and will require aggressive treatment. The closest hospital is 25 miles away. You should:

a) perform a detailed secondary assessment, assess his vital signs, and then transport rapidly.

b) manage all threats to airway, breathing, and circulation and consider requesting an ALS unit.

c) administer oxygen via nonrebreathing mask and obtain as much of his medical history as possible.

d) load him into the ambulance, begin transport, and perform all treatment en route to the hospital.

b) manage all threats to airway, breathing, and circulation and consider requesting an ALS unit.

In contrast to viral hepatitis, toxin-induced hepatitis:

a) is not a communicable disease

b) typically does not cause yellow skin

c) is a far more transmittable disease

d) can be prevented with a vaccination

a) is not a communicable disease

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

a) trending of the patient's vital signs over time

b) asking questions related to the chief complaint

c) refraining from asking open-ended questions

d) focusing solely on how the call is dispatched

b) asking questions related to the chief complaint

In which of the following situations would it be MOST appropriate to utilize an air medical transportation service?:

a) 29 y/o woman who is 18 weeks pregnant, has light vaginal bleeding, and stable vital signs

b) 43 y/o man experiencing a heart attack, and the closest appropriate hospital is 15 minutes away

c) 50 y/o conscious women with severe nausea and vomiting, fever, and chills of 3 days' duration

d) 61 y/o man with signs and symptoms of a stroke and your ground transport time is 50 minutes.

d) 61 y/o man with signs and symptoms of a stroke and your ground transport time is 50 minutes.

When forming your general impression of a patient with a medical complaint, it is important to remember that:

a) the majority of medical patients you encounter are also injured

b) it is during the general impression that assessment of the ABCs occurs

c) most serious medical conditions do not present with obvious symptoms

d) the conditions of many medical patients may not appear serious at first

d) the conditions of many medical patients may not appear serious at first