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Page 1 of 462
,National guidelines for EMS care are intended to __________.
-provide more consistent delivery of EMS care across the United States
-unify EMS providers under a single medical director
-facilitate a national EMS labor group
-reduce expenses at the local and state levels
Provide more consistent delivery of EMS care across the United States
The EMT is legally obligated to protect a patient's privacy according to _____.
-HIPAA
-CQI
-APGAR
-DCAP
HIPAA
A 58-year-old man complains of chest discomfort and nausea. He is conscious
and alert; his blood pressure is 140/90 mm Hg, his pulse is 104 beats/min, and his
respirations are 16 breaths/min. Your partner has applied supplemental oxygen.
Prior to assisting the patient with one of his prescribed nitroglycerin tablets, you
ask him if he takes medication to treat erectile dysfunction (ED) and he tells you
that he does. You should:
- ask him what he takes, how much, and when he last took it.
Page 2 of 462
,- administer his nitroglycerin and then reassess his blood pressure.
- recall that erectile ED drugs can cause significant hypertension.
- avoid giving him nitroglycerin and transport him at once.
ask him what he takes, how much, and when he last took it.
A 60-year-old man complains of chest pain. He is conscious and alert and denies
shortness of breath. Which of the following questions would be the MOST
appropriate to ask him?
- "Does the pain in your chest move to either of your arms?"
- "Were you exerting yourself when the chest pain began?"
- "Do you have any heart problems or take any medications?"
- "Does the pain in your chest feel like a stabbing sensation?"
"Do you have any heart problems or take any medications?"
A 70-year-old female was recently discharged from the hospital following a total
hip replacement. Today, she presents with restlessness, tachycardia, and a blood
pressure of 100/64 mm Hg. Her skin is hot and moist. You should be MOST
suspicious that she is experiencing:
- septic shock.
- a local infection.
- decompensated shock.
- pump failure.
septic shock.
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, A 71-year-old male is semiconscious following a sudden, severe headache. There
is vomitus on his face and his respirations are slow and shallow. The EMT must
immediately:
- perform oropharyngeal suctioning.
- insert a nasopharyngeal airway.
- apply oxygen via a nonrebreathing mask.
- begin assisting the patient's ventilations.
perform oropharyngeal suctioning.
A 73-year-old man presents with a generalized rash, which he thinks may have
been caused by an antibiotic that he recently began taking. He has a history of
coronary artery disease, hypertension, and emphysema. He is conscious and
alert, his blood pressure is 144/94 mm Hg, and his pulse is 64 beats/min and
regular. You auscultate his breath sounds and hear scattered wheezing, although
he is not experiencing respiratory distress. You should:
- begin transport and request to administer epinephrine if his systolic blood
pressure falls below 110 mm Hg.
- administer oxygen if needed, transport the patient, and monitor him for signs of
deterioration.
- avoid the use of epinephrine because of his cardiac history, even if his
symptoms become severe.
- ask him if he has epinephrine and request approval from medical control to
administer it to the patient.
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