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1. A patient with a history of arteriosclerosis has: - ANSWER ✓ Stiffened
arteries
2. Dementia is typically observed as: - ANSWER ✓ A chronic and irreversible
condition
3. A patient with postural hypotension would most likely make which
statement? - ANSWER ✓ "I get so dizzy when I get up off of the couch."
4. Your partner believes the 90-year-old male you are caring for is dehydrated.
Which finding best reinforces his suspicion? - ANSWER ✓ Dry mouth and
tongue
5. Which statement demonstrates an accurate understanding of vital signs in
relation to the geriatric patient? - ANSWER ✓ "The resting respiratory rate
is typically higher in elderly patients."
6. A hearing-impaired patient with a hearing aid is having a difficult time
understanding your questions. Your initial action would be to: - ANSWER
✓ Ensure that the patient's hearing aid is properly placed and turned on
7. Which complication from a pulmonary embolism is of greatest concern to
the EMT? - ANSWER ✓ Hypoxia from poor lung perfusion
,8. Ageism would occur when the EMT: - ANSWER ✓ Does not attempt to
assess combative elderly patients with dementia because they "always act
that way."
9. You have been called to the side of a confused geriatric female who
complains of abdominal pain. Before palpating the patient's abdomen, you
would first: - ANSWER ✓ Inform the patient that you will be pressing on
her abdomen
10.You are preparing to transport an 86-year-old female with an altered mental
status who complains of nausea and vomiting. During transport, the
occurrence of aspiration pneumonia would be best prevented by: -
ANSWER ✓ Transporting the patient in a semi-Fowler's position
11.A patient with a history of cataracts would most likely complain of: -
ANSWER ✓ Inability to see clearly
12.An 89-year-old female is short of breath and has a fever. Her SpO2 is low,
and she has crackles and coarse breath sounds to both lungs. When getting
the patient's history from her family caregivers, which statement would
make you suspicious that the patient has aspirated something? - ANSWER
✓ "She was fine until just after eating lunch."
13.You have been called for a 91-year-old female who fell. Since your
assessment reveals bruises to her body in various stages of healing and
inconsistencies in information provided by her family, you are suspicious of
geriatric abuse. What would your best action be? - ANSWER ✓ Quietly
transport the patient and inform the emergency department physician
14.Family members tell you that 3 hours ago, their 76-year-old mother
suddenly became confused and had great difficulty speaking. However,
within 15 minutes she returned to normal. Based on this description, the
EMT should be suspicious of: - ANSWER ✓ Transient ischemic attack
15.A heavy dresser fell onto a 76-year-old male's foot as he attempted to move
it across his bedroom floor. His right foot and ankle are bruised, but the
patient is refusing treatment or transport since it does not hurt. Which
statement made by the patient during your assessment would be most
, concerning and warrant contact with medical command for further
advisement? - ANSWER ✓ "I have been told I have peripheral neuropathy."
16.A new EMT asks you why the elderly are at a higher risk for developing
pneumonia, as compared to younger individuals. You inform him that one
reason the elderly are more susceptible to respiratory infections because of
a(n): - ANSWER ✓ Decreased cough reflex
17.You have been called for an unknown medical emergency at a residence. On
scene, you are presented with an 84-year-old patient who is confused and
does not obey commands. The best means of determining the patient's
normal mental status would be to: - ANSWER ✓ Question family members
18.You have been called for a geriatric patient with advanced dementia. The
staff at the geriatric extended care facility believes that the patient has a
urinary tract infection. At bedside, you find the patient to be confused and
aggressive. She is on constant oxygen at 3 lpm for COPD. During transport,
she repeatedly yells at you and strikes out at you. You would respond by: -
ANSWER ✓ Moving away from the patient so she cannot strike you
19.Which statement indicates an accurate understanding of administering
positive pressure ventilation (PPV) to a geriatric patient? - ANSWER ✓
"Gentle ventilations that make the chest rise are adequate to provide proper
airflow to the lungs."
20.While providing a continuing education seminar for your EMS system about
geriatric patients, which point about geriatric trauma would you make? -
ANSWER ✓ Injuries in elderly patients are most commonly caused by falls
21.You have been called to a geriatric extended care facility for a 91-year-old
female with pneumonia. The patient is to be transported to a local hospital
for further treatment. When asked, the staff confirms and then produces the
patient's Do Not Resuscitate (DNR) order. The patient's airway is patent,
respirations labored, and skin warm, with an intact radial pulse. The vital
signs are pulse, 124 beats/min; respirations, 20 breaths/min; blood pressure,
104/58 mmHg; SpO2, 91%; and temperature, 101.2 degrees F. The patient
also complains of chest discomfort and has a cough. Given this situation, the
focus of your care should be: - ANSWER ✓ Ensuring adequate oxygenation