EMT-JBL Mid Term Questions and Answers 2024

[blank] pressure is the pressure exerted by a - correct answer--Hydrostatic A 15-year-old boy was killed when he was struck by a car while riding his bicycle. He has numerous disfiguring injuries and has been placed in the back of the ambulance to shield him from curious bystanders. When the child's parents arrive at the scene, they demand to see him. You should: - correct answer--advise the that their son had severly disfiguring injuries and ask them if there is anyone they would like you to contact first. A 19-year-old male was stung multiple times by fire ants. He is experencing obvious signs and symptoms of anaphylactic shock. You administer high-flow oxygen and give him epinephrine via intramuscular injection. Upon reassessment, you determine that his condition has not improved. You should: - correct answer--repeat the epinephrine injection after consulting with medical control A 22-year-old female patient is complaing of dyspnea and numbness and tingling in her hands and feet after an arguement with her fiance. Her respirations are 40 breaths/min. You should: - correct answer--provide reassurance and give oxygen as needed A 23-year-old male experienced severe head trauma after his motorcycle collided with an oncoming truck. He is unconscious, has rapid and shallow breathing, and has copious bloody secretions in his mouth. How should you manage his airway? - correct answer--Alternating 15 seconds of oral suctioning with 2 minutes of assisted ventilation A 29-year-old male with a head injury opens his eyes when you speak to him, is confused as to the time and date, and is able to move all of his extremeties on command, His Glasgow Coma Scale (GCS) score is: - correct answer--13 A 37-year-old is found unresponsive in his car. His airway is patent and his repirations are rapid and labored. As you and your partner are assessing and treating the patient, a police officer hands you a medication suggests that the patient has a history of: - correct answer--asthma A 40 yr old man is in cardiac arrest. Your partner is performing CPR. You are attaching the AED when the patients wife tells you that he has an automatic implanted cardiac defibrillator (AICD). The AED advises that shock is indicated. What should you do? - correct answer--Deliever the shock followed by the immediate resumption of CPR A 50-year-old male presents with altered mental status. His wife tells you that he had a "small stroke" three years ago but has otherwise been in good health. The patient is responsive but unable to follow commands. After administering oxygen if needed, you should: - correct answer--prepare for immediate transport A 51-year-old female presents with a sudden onset of difficulty breathing. She is conscious and alert and able to speak in complete sentences. Her respirations are 22 breaths/min and regular. You should: - correct answer--administer oxygen via a nonrebreathing mask. A 56-year-old male is found unresponsive by his wife. Your assessment reveals that his respirations are rapid and shallow, his pulse is rapid and irregular, and his blood pressure is low. The patient's wife states that he complained of left arm pain and nausea the day before, but would not allow her to call 9-1-1. The MOST likely cause of the patient's present condition is: - correct answer--cardiogenic hypoperfusion A 62-year-old man with a history of congestive heart failure presents with severe respiratory distress and with an oxygen saturation of 82%. When you ausculate his lungs, you hear widespread rales. He is conscious and alert, is able to follow simple commands, and can only speak in two-to- three word sentences at a time. You should: - correct answer--apply a CPAP device, monitor his blood pressure, and observe him for signs of improvement or deterioration A 67-year-old female presents with difficulty breathing in chest discomfort that awaken her from her sleep. She states that she has congestive heart failure, has had two previoud heart attacks, and has been prescribed nitroglycerin. She is conscious and alert with adequate breathing. Her blood pressure is 94/64 mm Hg and her heart rate is 120 beats/min. Treatment for this patient includes: - correct answer--placing her in an uprght position A 71-year-old female slipped on a rug and fell. She is conscious and alert and complains of severe pelvic pain. Her respirations are 22 breaths/min with adewuate depth and her heart rate is 120 beats/min. Which od the following is NOT indicated for this patient? - correct answer--Gentle palpatation of the pelvis A 74-year-old woman complains of heaviness in her chest, nausea, and sweating that suddenly began about an hour ago. She is conscious and alert, but anxious. Her blood pressure is 144/84 mm Hg and her heart rate is 110 beats/min. She took two of her prescribed nitroglycerin (0.4-mg tablets) before your arrival but still feels heaviness in her chest. You should: - correct answer--recall that geriatric patients often have a slower absorption and elimination time, which may necessitate modification of the dosing of certain drugs A 75-year old male with a terminal illness has died at home. As you and your partner wnter the residence, a family member becomes verbally abusive, pushes you, and states that you took too long to get there. You should: - correct answer--retreat and notify law enforcemnet personnel A blood pressure cuff that is too small for a patient's arm will give a: - correct answer-- falsely high systolic and diastolic reading