Module 2 chapter 16 17 18 exam

Your patient answers your questions appropriately, although her eyes remain closed the entire time. She moves each extremity on command, although her left side is weaker than the right. You should assign a GSC score of

12

Muscle control and body coordination are controlled by the

Cerebellum

You are dispatched to a residence for a 67 year old female who was awakened by shortness of breath and sharp chest pain. her husband tells you she was recently discharged from the hospital after having hip surgery. Your assessment reveals dried blood around her mouth, facial cyanosis, and an O2 sat of 88%. You should expect

acute pulmonary embolism

Cardiogenic shock following AMI is caused by

decreased pumping force of the heart muscle

Which of the following statements regarding the hypoxic drive is correct

The hypocis drive astimulates a person to breathe on a basis of low O2 levels

The respiratory distress that accompanies emphysema is caused by

chronic stretching of the alveolar walls

You arrive at the residence of a 33 year old woman who is experiencing a generalized (tonic-clonic) seizure. She has a small amount of vomitus draining from the side of her mouth. After protecting her from further injury, you should:

maintain her airway with manual head positioning, suction her airway to remove the vomitus, insert a NPA, and administer high flow O2

Interruption of cerebral blood flow may result from all of the following EXCEPT

cerebral vasodilation

The head and brain receives their supply of O2 blood from the

carotid arteries

A young female is unconscious after intentionally ingesting a large amount of asprin. You will MOST likely find her respirations

deep and rapid

When the level of arterial carbon dioxide rises above normal

respirations increase in rate and depth

You are dispatched to a residence for a 56 year old man with an altered mental status. Upon arrival at the scene, the patient’s wife tells you that he complained of chest pain the day before, but would not allow her to call EMS. The patient is semiconscious, has rapid, shallow respirations, and has a thready pulse.

begin ventilatory assistance

When obtaining a 12-lead ECG, the patient should be

in a supine position with legs uncrossed

Which of the following is a metabolic cause of a seizure

poisoning

You and your partner have achieved return of spontaneous circulation (ROSC) in a patient who was in cardiac arrest. An ALS unit will arrive in less than 2 minutes. The patient remains unresponsive and has slow, irregular breathing. Further treatment for this patient include:

bag-mask ventilation at 10 breaths/min and assessment of oxygen saturation

Prior to assisting a patient with his or her prescribed nitroglycerin, the EMT must

obtain authorization from medical control

Which of the following is the MOST reliable method of estimating a patient’ cardiac output?

Assess the heart rate and strength of the pulse

You are dispatched to a residence for a 66 year old male, who , according to family members, has suffered a massive stroke. Your primary assessment reveals that teh patient is unresponsive, apneic, and pulseless. You should:

initiate CPR and attach an AED as soon as possible

You are assessing a 49 year old man who, according to his wife, experienced a sudden severe headache, and then passed out. He is unresponsive and has slow, irregular breathing. His blood pressure is 190/94 mmHg, and his pulse rate is 50 beats/min. His wife tells you that he has hypertension and diabetes. He has MOST likely experienced

a ruptured cerebral artery

Hyperventilation could be associated with all of the following EXCEPT

a narcotic overdose

A dissecting aortic aneurysm occurs when

the inner layers of the aorta become seperated

A 40 year old patient without a history of seizures experiences a generalized (tonic-clonic) seizure. The LEAST likely cause of this seizure is

epilepsy

Treatment with CPAP would MOST likely be contraindicated in which of the following situations

shortness of breath and a blood pressure of 76/56 mmHG

While auscultating an elderly woman’s breath sounds, you hear low pitched “rattling” sounds at the bases of both of her lungs. The finding is MOST consistent with which of the following conditions

aspiration pneumonia

You are dispatched to an apartment complex where a 21 year old female has apparently overdosed on several narcotic medications. She is semiconscious and has slow, shallow respirations. You should:

insert an NPA and begin assisted ventilation

A 60 year old male present with acute respiratory distress. He is conscious and alert, has pink and dry skin, and has respirations of 22 breaths/min with adequate depth. Which of the following treatments is MOST appropriate for this patient

oxygen via nonrebreathing mask and a focused secondary assessment

An area of swelling or enlargement in a weakened arterial wall is called

an aneurysm

Which of the following conditions would be LEAST likely to mimic the signs and symptoms of a stroke

hypovolemia

Sudden death following AMI is MOST often caused by

ventricular fibirilation

Ventricular tachycardia causes hypotension because

the left ventricle does not adequately fill with blood

Your patient opens his eyes, moans, and pulls away from you when you pinch his trapezius muscle. You should assign a GCS score of

8

You are assessing the arm drift component of the Cincinnati Prehospital Stroke Scale on a 60 year old woman. When she holds both of her arms out in front of her and closes her eyes, both of her arms immediately fall to her sides. You should

repeat the arm drift test, but move the patient’s arms into position yourself

The right coronary artery supplies blood to the

right ventricle and inferior wall of the left ventricle

Which of the following patient would MOST likely demonstrate typical signs of infection, such as a fever

a 17 year old male with anxiety

Which of the following MOST likely describes a focal-onset aware seizure

a seizure that begins in one extremity

which of the following signs or symptoms would you NOT expect to encounter in a patient with CHF

hypotension and flat jugular veins

A 66 year old woman present with a stabbing pain in the middle of her chest that radiates to her back. She tells you that the pain suddenly began about 30 minutes ago and has been severe since the onset…..

dissecting aortic aneurysm

A 29 year old male complains of a severe headache and nausea that has gradually worsened over the past 12 hours. He is conscious, alert, and oriented and tells you that his physician diagnosed him with migraine headaches. He further tells you that he has taken several medications…..

dimming the lights in the back of the ambulance and transporting without lights and sirens

A patient with an altered mental status is

not thinking clearly or is incapable of being aroused

Which of the following statements regarding nitroglycerin is correct

Nitroglycerin usually relieves anginal chest pain within 5 minutes

A conscious and alert 29 year old female with a history of asthma complains of difficult breathing that began after her morning jog. The temperature outside is 40. On exam, you hear bilateral expiratory wheezing. After providing supplemental oxygen, you should

determine is she has been prescribed a beta-agonist inhaler

A patient is cardiac arrest is wearing an external debrillator vest, which is interfering with effective chest compressions. The EMT should

remove the battery from the monitor and then remove the vest

The ability of cardiac muscle cells to contract spontaneously without a stimulus from a nerve source is called

automaticity

Albuterol is a generic name for

ventolin

The respiratory distress that accompanies emphysema is caused by

chronic stretching of the alveolar walls

The AED is MOST advantageous to the EMT because

it delivers prompt defribillation to patient with ventricular fibrilation

After assisting your patient with prescribed nitroglycerin, you should

reassess his or her blood pressure within 5 minutes to detect hypotension

Which of the following MOST accurately describes what the patient will experience during the postictal state that follows a seizure

confusion and fatigue

Defibrillator pads are placed on the patient’s chest

with one pad to the right of the upper sternum and the other pad to the left lower chest below the armpit

Individuals with chronic alcoholism are predisposed to intracranial bleeding and hypoglycemia secondary to abnormalities in the

liver

Acute coronary syndrome (ACS) is a term used to describe

a group of symptoms that are caused by myocardial ischemia