JB Learning Final Exam Questions And Answers
Verified 100% Correct
In which of the following circumstances would external bleeding be the LEAST difficult to
control?
A) Lacerated brachial artery; BP of 140/90 mm Hg
B) Lacerated jugular vein; BP of 100/60 mm Hg
C) Lacerated carotid artery; BP of 90/50 mm Hg
D) Lacerated femoral vein; BP of 70/40 mm Hg - ANSWER- D
A 29-year-old man with abdominal pain tells the EMT that he has hemophilia A. This means
that:
A) his red blood cells break down rapidly.
B) he will lose blood at a much faster rate.
C) his risk for a pulmonary embolism is high.
D) he will bleed for a longer period of time. - ANSWER- D
The chest pain associated with an acute coronary syndrome is often described as:
A) sharp.
B) stabbing.
C) pressure.
D) cramping. - ANSWER- C
A young woman reports significant weight loss over the last month, persistent fever, and night
sweats. When you assess her, you note the presence of dark purple lesions covering her trunk
and upper extremities. You should suspect: A) HIV infection.
B) tuberculosis.
C) rheumatic fever.
D) end-stage cancer. - ANSWER- A
A 7-year-old child has an altered mental status, high fever, and a generalized rash. You perform
your assessment and administer supplemental oxygen. En route to the hospital, you should be
MOST alert for:
A) hypotension.
B) convulsions.
C) combativeness.
D) respiratory distress. - ANSWER- B
Which of the following statements regarding the high-efficiency particulate air (HEPA)
respirator is correct?
,A) HEPA respirator should be placed on any patient with tuberculosis.
B) Long sideburns or a beard will prevent the proper fit of a HEPA respirator.
C) A surgical mask provides better protection against tuberculosis than a HEPA respirator.
D) A HEPA respirator is necessary only if the patient with suspected tuberculosis is coughing. -
ANSWER- B
To ensure you deliver the highest concentration of oxygen with a nonrebreathing mask, you
should:
A) set the flow rate to at least 10 to 12 L/min.
B) securely fasten the mask to the patient's face.
C) make sure that the reservoir bag is preinflated.
D) cover the one-way valves on the oxygen mask. - ANSWER- C
A 30-year-old man sustained partial-thickness burns to the anterior chest and both anterior arms.
Based on the Rule of Nines, what percentage of his body surface area has been burned?
A) 9%
B) 18%
C) 27%
D) 36% - ANSWER- B
A 44-year-old male complains of dizziness and lightheadedness. His BP is 88/62 mm Hg; his
heart rate is 190 beats/min and weak; and his skin is cool, clammy, and pale. Which of the
following would BEST explain why his BP is low?
A) Widespread systemic vasoconstriction
B) Decreased ventricular filling time
C) Increased ventricular stroke volume
D) Decreased myocardial oxygen demand - ANSWER- B
Which of the following signs or symptoms would you MOST likely encounter in a patient with
an inflamed gallbladder?
A) Vomiting dark red blood
B) Pain in the right shoulder
C) Bruising around the umbilicus
D) Pain to the right lower quadrant - ANSWER- B
Assessment of a 40-year-old patient reveals respiratory distress, tachycardia, audible
expiratory wheezing, and an oxygen saturation of 88%. The EMT should suspect: A) fluid in
the lower airways.
B) diffuse bronchoconstriction.
C) swelling in the laryngeal area.
D) infection of the lower airway. - ANSWER- B
The bite of a brown recluse spider is characterized by:
,A) immediate pain, swelling at the site, and painful muscle spasms.
B) delayed onset of pain, swelling, and blister formation at the site.
C) two small puncture marks, swelling, and delayed onset of pain.
D) rapid swelling within 30 minutes and a decline in mental status. - ANSWER- B
With regard to the ECG, what is artifact?
A) significant abnormality discovered by the paramedic
B) The complete absence of electrical activity on the ECG
C) Electrical interference that can make diagnosis difficult
D) Improper lead placement, resulting in misdiagnosis - ANSWER- C
A 50-year-old man with a history of hypertension began experiencing chest pressure while
mowing his lawn. After taking a baby aspirin and resting for approximately 10 minutes, the
pressure in his chest completely resolved. Which of the following would BEST explain this?
A) The patient's blood pressure increased after he ceased exertion, causing his chest
pressure to resolve
B) The cessation of exertion decreased the workload of the heart and blood flow around a
coronary clot improved
C) The aspirin dissolved a small clot in a coronary artery and reestablished blood flow to
that part of the heart
D) Blood flow to a part of the myocardium was restored because of constriction of a
diseased coronary artery - ANSWER- B
A 42-year-old man has a large knife impaled in the center of his chest. He is unresponsive,
pulseless, and apneic. You should:
A) carefully remove the knife, control the bleeding, and begin CPR.
B) carefully remove the knife, control the bleeding, and apply the AED.
C) secure the knife in place with a bulky dressing and transport immediately.
D) stabilize the knife with bulky dressings, begin CPR, and transport at once. - ANSWER- A
Which of the following statements regarding the AED is correct?
A) The AED should be applied to patients at risk for cardiac arrest.
B) AEDs will analyze the patient's rhythm while CPR is in progress.
C) The AED should not be used in patients with an implanted defibrillator.
D) AEDs can safely be used in infants and children less than 8 years of age. - ANSWER- D
A 9-month-old infant presents with a cough, runny nose, and respiratory distress. A whoop
sound is heard during inhalation. What should you suspect?
A) Croup
B) Pertussis
C) Bronchiolitis
D) Pneumonia - ANSWER- B
, You should suspect that your patient has pulmonary edema if he or she:
A) has swollen feet and ankles.
B) cannot breathe while lying down.
C) is hypertensive and tachycardic.
D) has a dry, nonproductive cough. - ANSWER- B
Which of the following signs is LEAST suggestive of a diabetic emergency?
A) Bradycardia
B) Tachycardia
C) Combativeness
D) Fruity breath odor - ANSWER- A
A 72-year-old female complains of dyspnea that woke her from her sleep. Her feet and ankles
are swollen, and auscultation of her lungs reveals crackles to both lung bases. She has a history
of hypertension, type II diabetes, and a heart attack 2 years ago. Her BP is 170/94 mm Hg, her
pulse is 110 beats/min and irregular, her respirations are 24 breaths/min and labored, and her
oxygen saturation is 85% on room air. What should you suspect?
A) Acute asthma attack
B) Congestive heart failure
C) Acute hypertensive crisis
D) Emphysema exacerbation - ANSWER- B
If a vehicle strikes a tree at 60 mph, the unrestrained driver would likely experience the MOST
severe injuries during the:
A) first collision.
B) second collision.
C) third collision.
D) fourth collision. - ANSWER- C
The MOST obvious way to reduce heat loss from radiation and convection is to:
A) move away from a cold object.
B) wear a thick wind-proof jacket.
C) move to a warmer environment.
D) increase metabolism by shivering. - ANSWER- C
A 40-year-old man is conscious, but has an increased rate of breathing. You should:
A) apply 100% oxygen via nonrebreathing mask.
B) immediately insert a nasopharyngeal airway.
C) assess the regularity and quality of breathing.
D) ventilate him with a bag-mask device. - ANSWER- C
Which of the following would MOST likely occur in conjunction with a breech presentation?
A) Vertex presentation
Verified 100% Correct
In which of the following circumstances would external bleeding be the LEAST difficult to
control?
A) Lacerated brachial artery; BP of 140/90 mm Hg
B) Lacerated jugular vein; BP of 100/60 mm Hg
C) Lacerated carotid artery; BP of 90/50 mm Hg
D) Lacerated femoral vein; BP of 70/40 mm Hg - ANSWER- D
A 29-year-old man with abdominal pain tells the EMT that he has hemophilia A. This means
that:
A) his red blood cells break down rapidly.
B) he will lose blood at a much faster rate.
C) his risk for a pulmonary embolism is high.
D) he will bleed for a longer period of time. - ANSWER- D
The chest pain associated with an acute coronary syndrome is often described as:
A) sharp.
B) stabbing.
C) pressure.
D) cramping. - ANSWER- C
A young woman reports significant weight loss over the last month, persistent fever, and night
sweats. When you assess her, you note the presence of dark purple lesions covering her trunk
and upper extremities. You should suspect: A) HIV infection.
B) tuberculosis.
C) rheumatic fever.
D) end-stage cancer. - ANSWER- A
A 7-year-old child has an altered mental status, high fever, and a generalized rash. You perform
your assessment and administer supplemental oxygen. En route to the hospital, you should be
MOST alert for:
A) hypotension.
B) convulsions.
C) combativeness.
D) respiratory distress. - ANSWER- B
Which of the following statements regarding the high-efficiency particulate air (HEPA)
respirator is correct?
,A) HEPA respirator should be placed on any patient with tuberculosis.
B) Long sideburns or a beard will prevent the proper fit of a HEPA respirator.
C) A surgical mask provides better protection against tuberculosis than a HEPA respirator.
D) A HEPA respirator is necessary only if the patient with suspected tuberculosis is coughing. -
ANSWER- B
To ensure you deliver the highest concentration of oxygen with a nonrebreathing mask, you
should:
A) set the flow rate to at least 10 to 12 L/min.
B) securely fasten the mask to the patient's face.
C) make sure that the reservoir bag is preinflated.
D) cover the one-way valves on the oxygen mask. - ANSWER- C
A 30-year-old man sustained partial-thickness burns to the anterior chest and both anterior arms.
Based on the Rule of Nines, what percentage of his body surface area has been burned?
A) 9%
B) 18%
C) 27%
D) 36% - ANSWER- B
A 44-year-old male complains of dizziness and lightheadedness. His BP is 88/62 mm Hg; his
heart rate is 190 beats/min and weak; and his skin is cool, clammy, and pale. Which of the
following would BEST explain why his BP is low?
A) Widespread systemic vasoconstriction
B) Decreased ventricular filling time
C) Increased ventricular stroke volume
D) Decreased myocardial oxygen demand - ANSWER- B
Which of the following signs or symptoms would you MOST likely encounter in a patient with
an inflamed gallbladder?
A) Vomiting dark red blood
B) Pain in the right shoulder
C) Bruising around the umbilicus
D) Pain to the right lower quadrant - ANSWER- B
Assessment of a 40-year-old patient reveals respiratory distress, tachycardia, audible
expiratory wheezing, and an oxygen saturation of 88%. The EMT should suspect: A) fluid in
the lower airways.
B) diffuse bronchoconstriction.
C) swelling in the laryngeal area.
D) infection of the lower airway. - ANSWER- B
The bite of a brown recluse spider is characterized by:
,A) immediate pain, swelling at the site, and painful muscle spasms.
B) delayed onset of pain, swelling, and blister formation at the site.
C) two small puncture marks, swelling, and delayed onset of pain.
D) rapid swelling within 30 minutes and a decline in mental status. - ANSWER- B
With regard to the ECG, what is artifact?
A) significant abnormality discovered by the paramedic
B) The complete absence of electrical activity on the ECG
C) Electrical interference that can make diagnosis difficult
D) Improper lead placement, resulting in misdiagnosis - ANSWER- C
A 50-year-old man with a history of hypertension began experiencing chest pressure while
mowing his lawn. After taking a baby aspirin and resting for approximately 10 minutes, the
pressure in his chest completely resolved. Which of the following would BEST explain this?
A) The patient's blood pressure increased after he ceased exertion, causing his chest
pressure to resolve
B) The cessation of exertion decreased the workload of the heart and blood flow around a
coronary clot improved
C) The aspirin dissolved a small clot in a coronary artery and reestablished blood flow to
that part of the heart
D) Blood flow to a part of the myocardium was restored because of constriction of a
diseased coronary artery - ANSWER- B
A 42-year-old man has a large knife impaled in the center of his chest. He is unresponsive,
pulseless, and apneic. You should:
A) carefully remove the knife, control the bleeding, and begin CPR.
B) carefully remove the knife, control the bleeding, and apply the AED.
C) secure the knife in place with a bulky dressing and transport immediately.
D) stabilize the knife with bulky dressings, begin CPR, and transport at once. - ANSWER- A
Which of the following statements regarding the AED is correct?
A) The AED should be applied to patients at risk for cardiac arrest.
B) AEDs will analyze the patient's rhythm while CPR is in progress.
C) The AED should not be used in patients with an implanted defibrillator.
D) AEDs can safely be used in infants and children less than 8 years of age. - ANSWER- D
A 9-month-old infant presents with a cough, runny nose, and respiratory distress. A whoop
sound is heard during inhalation. What should you suspect?
A) Croup
B) Pertussis
C) Bronchiolitis
D) Pneumonia - ANSWER- B
, You should suspect that your patient has pulmonary edema if he or she:
A) has swollen feet and ankles.
B) cannot breathe while lying down.
C) is hypertensive and tachycardic.
D) has a dry, nonproductive cough. - ANSWER- B
Which of the following signs is LEAST suggestive of a diabetic emergency?
A) Bradycardia
B) Tachycardia
C) Combativeness
D) Fruity breath odor - ANSWER- A
A 72-year-old female complains of dyspnea that woke her from her sleep. Her feet and ankles
are swollen, and auscultation of her lungs reveals crackles to both lung bases. She has a history
of hypertension, type II diabetes, and a heart attack 2 years ago. Her BP is 170/94 mm Hg, her
pulse is 110 beats/min and irregular, her respirations are 24 breaths/min and labored, and her
oxygen saturation is 85% on room air. What should you suspect?
A) Acute asthma attack
B) Congestive heart failure
C) Acute hypertensive crisis
D) Emphysema exacerbation - ANSWER- B
If a vehicle strikes a tree at 60 mph, the unrestrained driver would likely experience the MOST
severe injuries during the:
A) first collision.
B) second collision.
C) third collision.
D) fourth collision. - ANSWER- C
The MOST obvious way to reduce heat loss from radiation and convection is to:
A) move away from a cold object.
B) wear a thick wind-proof jacket.
C) move to a warmer environment.
D) increase metabolism by shivering. - ANSWER- C
A 40-year-old man is conscious, but has an increased rate of breathing. You should:
A) apply 100% oxygen via nonrebreathing mask.
B) immediately insert a nasopharyngeal airway.
C) assess the regularity and quality of breathing.
D) ventilate him with a bag-mask device. - ANSWER- C
Which of the following would MOST likely occur in conjunction with a breech presentation?
A) Vertex presentation
