EMS 108 EXAM 2 EXAM QUESTIONS AND ANSWERS
WITH COMPLETE SOLUTIONS
EMT's respond to a known heroin abuser who is unresponsive. If they give
Naloxone (Narcan) to this pateint, the EMT's should recall what?
Naloxone administration could cause seizures in the patient
How is Nitroglycerin usually given by the EMT?
Sublingually
Nitroglycerin, when given to patients with cardiac-related chest pain, does what?
Relaxes the walls of the coronary arteries - relieves pain
Shortly after assisting a 65-year-old female with her prescribed Nitroglycerin, she
begins complaining of dizziness and experiences a drop of 30 mm Hg in her
systolic blood pressure. The patient remains conscious and her breathing is
adequate. You should?
Place her in a supine position
The medical term for an extremely low blood glucose level is?
Hypoglycemia
What medication form does oral glucose come in?
Gel
What is an example of a generic drug?
- Aspirin (created to be the same as an already marketed brand name drug in dosage
form, strength, safety, route of administration, quality, performance, characteristics and
,intended use)
- Ibuprofen
What is NOT a characteristic of epinephrine?
Decreased heart rate and blood pressure
Which of the following medication routes delivers a drug through the skin over an
extended period of time, such as Nitroglycerin or Nicotine patch?
Transcutaneous
Which of the following medication routes would be the MOST appropriate to use
in an unresponsive patient when intravenous access cannot be obtained?
Intraosseous
A 19-year-old male was stung multiple times by fire ants. He is experiencing
obvious signs and symptoms of anaphylactic shock. You administer high-flow
oxygen and give him epinephrine via intramuscular (IM) injection. Upon
reassessment, you determine that his condition has not improved. You should?
Repeat epinephrine injection after consulting with medical control
A 56-year old male is found semiconscious 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 he would not allow her to call 911. The MOST
likely cause of this patient's present condition is?
Cardiogenic Hypoperfusion
Clinical signs of compensated shock include?
, - agitation
- anxiety
- restlessness
- feeling of impending doom
- altered mental status
- weak, rapid, thready or absent pulse
- clammy (cool, pale, moist) skin
- pallor w/ cyanosis about the lips
- shallow, rapid breathing
- air hunger (shortness of breath)
- nausea or vomiting
- capillary refill longer than 2 seconds in infants and children
- marked thirst
- narrowing pulse pressure
Neurogenic shock occurs when?
Failure of the nervous system causes widespread vasodilation
What describes septic shock?
Bacterial damage to the vessel wall, leaking blood vessels and vasodilation
You are dispatched to a residence for a 40-year-old female who fainted. Upon
your arrival, the patient is conscious and alert, and states that she is fine. Her
husband tells you that she fainted after receiving news that her sister was killed
in a car crash. You offer oxygen to the patient, but she refuses to accept it. At this
point, your primary concern should be to?
WITH COMPLETE SOLUTIONS
EMT's respond to a known heroin abuser who is unresponsive. If they give
Naloxone (Narcan) to this pateint, the EMT's should recall what?
Naloxone administration could cause seizures in the patient
How is Nitroglycerin usually given by the EMT?
Sublingually
Nitroglycerin, when given to patients with cardiac-related chest pain, does what?
Relaxes the walls of the coronary arteries - relieves pain
Shortly after assisting a 65-year-old female with her prescribed Nitroglycerin, she
begins complaining of dizziness and experiences a drop of 30 mm Hg in her
systolic blood pressure. The patient remains conscious and her breathing is
adequate. You should?
Place her in a supine position
The medical term for an extremely low blood glucose level is?
Hypoglycemia
What medication form does oral glucose come in?
Gel
What is an example of a generic drug?
- Aspirin (created to be the same as an already marketed brand name drug in dosage
form, strength, safety, route of administration, quality, performance, characteristics and
,intended use)
- Ibuprofen
What is NOT a characteristic of epinephrine?
Decreased heart rate and blood pressure
Which of the following medication routes delivers a drug through the skin over an
extended period of time, such as Nitroglycerin or Nicotine patch?
Transcutaneous
Which of the following medication routes would be the MOST appropriate to use
in an unresponsive patient when intravenous access cannot be obtained?
Intraosseous
A 19-year-old male was stung multiple times by fire ants. He is experiencing
obvious signs and symptoms of anaphylactic shock. You administer high-flow
oxygen and give him epinephrine via intramuscular (IM) injection. Upon
reassessment, you determine that his condition has not improved. You should?
Repeat epinephrine injection after consulting with medical control
A 56-year old male is found semiconscious 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 he would not allow her to call 911. The MOST
likely cause of this patient's present condition is?
Cardiogenic Hypoperfusion
Clinical signs of compensated shock include?
, - agitation
- anxiety
- restlessness
- feeling of impending doom
- altered mental status
- weak, rapid, thready or absent pulse
- clammy (cool, pale, moist) skin
- pallor w/ cyanosis about the lips
- shallow, rapid breathing
- air hunger (shortness of breath)
- nausea or vomiting
- capillary refill longer than 2 seconds in infants and children
- marked thirst
- narrowing pulse pressure
Neurogenic shock occurs when?
Failure of the nervous system causes widespread vasodilation
What describes septic shock?
Bacterial damage to the vessel wall, leaking blood vessels and vasodilation
You are dispatched to a residence for a 40-year-old female who fainted. Upon
your arrival, the patient is conscious and alert, and states that she is fine. Her
husband tells you that she fainted after receiving news that her sister was killed
in a car crash. You offer oxygen to the patient, but she refuses to accept it. At this
point, your primary concern should be to?
