EMT Final Exam JBL Questions With Accurate Answers.
According to the USDOT, minimum staffing for BLS ambulance includes: -
accurate answers-At least one EMT in the patient compartment. The driver
does not need to be an EMT
Which of the following statements regarding heatstroke is correct? - accurate
answers-Heartsrtoke occurs when the body is exposed to more heat than it
can eliminate and normal mechanisms such as sweating are overwhelmed.
The temp can rise to appoint where tissues are destroyed. It can develop
during prolonged vigorous physical activity or in closed, poorly ventilated, hot
and humid space. High humidity impairs heat elimination via sweating.
Patients will have hot, dry, flushed skin, become agitated, and LOC will
decrease
If a vehicle strikes a tree at 60 mph, the unrestrained driver would likely
experience the MOST severe injuries during the: - accurate answers-Motor-
vehicle crashes typically consist of three separate collisions. Understanding
the events that occur during each collision will help you remain alert for
certain types of injury patterns. During the first collision, the vehicle strikes
another object. Damage to the car is perhaps the most dramatic part of the
collision, but it does not directly affect patient care. It does, however, provide
information about the severity of the collision; thus, it has an indirect effect on
patient care. During the second collision, the passenger collides with the
interior of the vehicle. Just like the obvious damage to the exterior of the car,
the injuries that result are often dramatic and usually apparent during your
primary assessment. During the third collision, the occupant's internal organs
collide with the solid structures of the body. Although the injuries that occur
during the third collision may not be as obvious as those that occur during the
second collision, they are often the most life-threatening.
A 22-year-old man had a strong acid chemical splashed into both of his eyes.
He is conscious and alert, is experiencing intense pain, and states that he is
,wearing contact lenses. Treatment should include: - accurate answers-As a
general rule, contact lenses should be left in place. Chemical eye burns are an
exception to this rule. If left in place, the chemical could get behind the contact
lens and continue to cause injury. Therefore, you should remove the contact
lenses and immediately irrigate the eyes with sterile saline or water. If
needed, continue to irrigate the eyes throughout transport.
A 22-year-old male has a shard of glass impaled in his cheek. You look inside
his mouth and see minor bleeding. The patient is conscious and alert with
adequate breathing. You should: - accurate answers-It remains true that you
should remove an impaled object if it compromises the airway or impedes
your ability to manage the airway. However, neither is the case with this
patient because he has an adequate airway. He is conscious and alert and has
only minor bleeding in his mouth. The safest approach, and most practical
given the situation, would be to carefully stabilize the shard of glass in place;
consider wrapping the exposed glass with gauze to protect yourself from
getting cut. Since the patient is conscious and alert and has only minor oral
bleeding, it would not be unreasonable to hand him the suction catheter and
allow him to use it as needed. Be sure to instruct the patient to use the suction
and not to swallow any blood. Keep in mind that if you attempt to remove the
shard of glass, you risk cutting yourself and causing further injury to the
patient.
When an error occurs while using the AED, it is MOST often the result of: -
accurate answers-AEDs are highly sensitive and specific in recognizing
shockable rhythms (eg, V-Fib, pulseless V-Tach); this means that they are
highly reliable. It would be extremely rare for the AED to recommend a shock
when one is not indicated or fail to recommend a shock when one is indicated.
When an error does occur, it is usually the operator's fault. The most common
error is not having a charged battery. To avoid this problem, many AEDs are
equipped with an alarm that warns the operator if the battery is not fully
charged. Some of the older AEDs, however, are not equipped with this feature.
Therefore, it is important to check the AED daily, exercise the battery as often
, as the manufacturer recommends, and always have a spare, fully charged
battery on hand.
Prior to your arrival, a woman experiencing an asthma attack took two puffs
from her prescribed inhaler without relief. After administering supplemental
oxygen, you should: - accurate answers-Before assisting a patient with any
medication other than oxygen, the EMT must ensure that the medication is
prescribed to the patient and then obtain authorization from medical control.
In this case, the physician probably will allow you to help the patient take one
more puff from her inhaler. Generally, up to three puffs from an inhaler are
delivered in the field. It is important for you to ask the patient how many puffs
were taken from the inhaler before you arrived. The EMT must correct any
airway and/or breathing problems as quickly as possible. After doing so, a
secondary assessment can be performed.
Upon discovering an open chest wound, you should: - accurate answers-Upon
discovering an open chest wound (ie, sucking chest wound), you must take
immediate action to prevent air from entering the wound. This is most
effectively accomplished by applying an occlusive dressing or similar material
to the wound. A porous (non-occlusive) trauma dressing will not prevent air
from entering the wound. Tape three sides of the occlusive dressing and
closely monitor the patient. If worsened respiratory distress and signs of
shock are noted, a tension pneumothorax is probably developing, and you
must release pressure from the pleural space by lifting up the unsecured
portion of the occlusive dressing.
Which of the following signs and symptoms are MOST characteristic of
hyperglycemic ketoacidosis? - accurate answers-Hyperglycemic ketoacidosis
(diabetic coma) is characterized by a dangerously high blood glucose level
(hyperglycemia); slow onset; warm, dry skin (from dehydration); Kussmaul's
respirations, which are deep and rapid; and breath with a fruity or acetone
odor. Insulin shock results from a low blood glucose level (hypoglycemia) and
According to the USDOT, minimum staffing for BLS ambulance includes: -
accurate answers-At least one EMT in the patient compartment. The driver
does not need to be an EMT
Which of the following statements regarding heatstroke is correct? - accurate
answers-Heartsrtoke occurs when the body is exposed to more heat than it
can eliminate and normal mechanisms such as sweating are overwhelmed.
The temp can rise to appoint where tissues are destroyed. It can develop
during prolonged vigorous physical activity or in closed, poorly ventilated, hot
and humid space. High humidity impairs heat elimination via sweating.
Patients will have hot, dry, flushed skin, become agitated, and LOC will
decrease
If a vehicle strikes a tree at 60 mph, the unrestrained driver would likely
experience the MOST severe injuries during the: - accurate answers-Motor-
vehicle crashes typically consist of three separate collisions. Understanding
the events that occur during each collision will help you remain alert for
certain types of injury patterns. During the first collision, the vehicle strikes
another object. Damage to the car is perhaps the most dramatic part of the
collision, but it does not directly affect patient care. It does, however, provide
information about the severity of the collision; thus, it has an indirect effect on
patient care. During the second collision, the passenger collides with the
interior of the vehicle. Just like the obvious damage to the exterior of the car,
the injuries that result are often dramatic and usually apparent during your
primary assessment. During the third collision, the occupant's internal organs
collide with the solid structures of the body. Although the injuries that occur
during the third collision may not be as obvious as those that occur during the
second collision, they are often the most life-threatening.
A 22-year-old man had a strong acid chemical splashed into both of his eyes.
He is conscious and alert, is experiencing intense pain, and states that he is
,wearing contact lenses. Treatment should include: - accurate answers-As a
general rule, contact lenses should be left in place. Chemical eye burns are an
exception to this rule. If left in place, the chemical could get behind the contact
lens and continue to cause injury. Therefore, you should remove the contact
lenses and immediately irrigate the eyes with sterile saline or water. If
needed, continue to irrigate the eyes throughout transport.
A 22-year-old male has a shard of glass impaled in his cheek. You look inside
his mouth and see minor bleeding. The patient is conscious and alert with
adequate breathing. You should: - accurate answers-It remains true that you
should remove an impaled object if it compromises the airway or impedes
your ability to manage the airway. However, neither is the case with this
patient because he has an adequate airway. He is conscious and alert and has
only minor bleeding in his mouth. The safest approach, and most practical
given the situation, would be to carefully stabilize the shard of glass in place;
consider wrapping the exposed glass with gauze to protect yourself from
getting cut. Since the patient is conscious and alert and has only minor oral
bleeding, it would not be unreasonable to hand him the suction catheter and
allow him to use it as needed. Be sure to instruct the patient to use the suction
and not to swallow any blood. Keep in mind that if you attempt to remove the
shard of glass, you risk cutting yourself and causing further injury to the
patient.
When an error occurs while using the AED, it is MOST often the result of: -
accurate answers-AEDs are highly sensitive and specific in recognizing
shockable rhythms (eg, V-Fib, pulseless V-Tach); this means that they are
highly reliable. It would be extremely rare for the AED to recommend a shock
when one is not indicated or fail to recommend a shock when one is indicated.
When an error does occur, it is usually the operator's fault. The most common
error is not having a charged battery. To avoid this problem, many AEDs are
equipped with an alarm that warns the operator if the battery is not fully
charged. Some of the older AEDs, however, are not equipped with this feature.
Therefore, it is important to check the AED daily, exercise the battery as often
, as the manufacturer recommends, and always have a spare, fully charged
battery on hand.
Prior to your arrival, a woman experiencing an asthma attack took two puffs
from her prescribed inhaler without relief. After administering supplemental
oxygen, you should: - accurate answers-Before assisting a patient with any
medication other than oxygen, the EMT must ensure that the medication is
prescribed to the patient and then obtain authorization from medical control.
In this case, the physician probably will allow you to help the patient take one
more puff from her inhaler. Generally, up to three puffs from an inhaler are
delivered in the field. It is important for you to ask the patient how many puffs
were taken from the inhaler before you arrived. The EMT must correct any
airway and/or breathing problems as quickly as possible. After doing so, a
secondary assessment can be performed.
Upon discovering an open chest wound, you should: - accurate answers-Upon
discovering an open chest wound (ie, sucking chest wound), you must take
immediate action to prevent air from entering the wound. This is most
effectively accomplished by applying an occlusive dressing or similar material
to the wound. A porous (non-occlusive) trauma dressing will not prevent air
from entering the wound. Tape three sides of the occlusive dressing and
closely monitor the patient. If worsened respiratory distress and signs of
shock are noted, a tension pneumothorax is probably developing, and you
must release pressure from the pleural space by lifting up the unsecured
portion of the occlusive dressing.
Which of the following signs and symptoms are MOST characteristic of
hyperglycemic ketoacidosis? - accurate answers-Hyperglycemic ketoacidosis
(diabetic coma) is characterized by a dangerously high blood glucose level
(hyperglycemia); slow onset; warm, dry skin (from dehydration); Kussmaul's
respirations, which are deep and rapid; and breath with a fruity or acetone
odor. Insulin shock results from a low blood glucose level (hypoglycemia) and
