EMT 35 Quiz Test

35 Questions

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EMT Quizzes & Trivia

The quiz below is for all the emergency medical technicians out there. EMT 35 basically tests your medical knowledge on dealing with infants and children. It is a good idea to try it out. All the best.


Questions and Answers
  • 1. 
    1. A 4-year-old chi ld is general ly categorized as a(n):
    • A. 

      A) preschooler.

    • B. 

      B) toddler.

    • C. 

      C) school-age chi ld.

    • D. 

      D) adolescent.

  • 2. 
    2. In general, a chi ld is considered an adolescent when he reaches the age of ________ years.
    • A. 

      C) 12

    • B. 

      9

    • C. 

      7

    • D. 

      4

  • 3. 
    3. The anterior fontanelle should be closed between the ages of ________ and ________.
    • A. 

      D) 12 months; 18 months

    • B. 

      C) 6 months; 10 months

    • C. 

      B) 24 months; 36 months

    • D. 

      A) 3 months; 6 months

  • 4. 
    4. A bulging fontanel le in a quietly resting chi ld may be an indication of which of the following?
    • A. 

      D) Increased intracranial pressure

    • B. 

      C) Normal development

    • C. 

      B) Dehydration

    • D. 

      A) Fever

  • 5. 
    5. Which of the fol lowing should be considered by the EMT as a result of the proportional ly larger size of a smal lchi ld's head?
    • A. 

      D) All of the above

    • B. 

      C) Differences in positioning to maintain an open airway

    • C. 

      A) Adaptations in positioning for cervical spine immobil ization

    • D. 

      B) Different injury patterns than in adults

  • 6. 
    6. Which of the fol lowing is a consideration in airway management in the pediatric patient?
    • A. 

      A) Keeping the nose clear of secretions

    • B. 

      B) The need to hyperextend the head to achieve an open airway

    • C. 

      C) Using blind finger sweeps to clear a foreign body from the airway

    • D. 

      D) All of the above

  • 7. 
    7. Because infants and smal l chi ldren rely more heavi ly on the diaphragm for breathing, respiratory distress can bedetected by observing which one of the following signs that is not prominent in adults?
    • A. 

      C) Movement of the abdomen with respiratory effort

    • B. 

      A) Bulging of the intercostal spaces

    • C. 

      B) Use of the sternocleidomastoid muscles of the neck

    • D. 

      D) None of the above

  • 8. 
    8. What is the tendency for a frightened chi ld to act younger than his age?
    • A. 

      B) Regression

    • B. 

      A) Repression

    • C. 

      C) Retreat

    • D. 

      D) Retraction

  • 9. 
    9. Which of the fol lowing would be an appropriate statement in gaining the cooperation of a 7-year-old pediatricpatient during your assessment?
    • A. 

      D) "Katie, this is my stethoscope. I can use it to hear what your breathing sounds like. Would you like to look at it for a minute?"

    • B. 

      C) "I'm sorry Nick, but you can't see Mommy and Daddy unti l you let me take your blood pressure."

    • C. 

      B) "Big girls don't cry, Emily. You're a big girl, aren't you?"

    • D. 

      A) "Joey, this is a spl int that wi l l help your arm feel better. I promise it won't hurt when I put your arm in it."

  • 10. 
    10. Which of the fol lowing is a concern when deal ing with an adolescent patient?
    • A. 

      C) The adolescent patient fears permanent disfigurement from injuries.

    • B. 

      A) The adolescent patient wil l general ly be more truthful about what happened in front of his parents than in front of his peers.

    • C. 

      B) Physiological ly, adolescents are very different from adults.

    • D. 

      D) Adolescents usually lack the sophistication to understand explanations of what you are doing and why.

  • 11. 
    11. All of the fol lowing are normal parental reactions to a chi ld suffering from a sudden life-threatening il lness orinjury EXCEPT:
    • A. 

      C) indifference.

    • B. 

      A) anger.

    • C. 

      B) denial.

    • D. 

      D) guilt.

  • 12. 
    12. Careful assessment and ongoing evaluation of the pediatric patient is critical for which of the fol lowing reasons?
    • A. 

      D) Al l of the above

    • B. 

      A) Childhood injuries and il lnesses as a result of abuse or neglect may be missed if the EMT is not thorough.

    • C. 

      B) Signs of significant i l lness and injury may be subtle and easi ly overlooked.

    • D. 

      C) A sick or injured chi ld who initial ly appeared stable can deteriorate very rapidly.

  • 13. 
    13. Which of the fol lowing is NOT a component of the Pediatric Assessment Triangle?
    • A. 

      D) Abdomen

    • B. 

      C) Circulation

    • C. 

      B) Breathing

    • D. 

      A) Appearance

  • 14. 
    14. Which of the fol lowing is true regarding the EMT's approach to the pediatric patient?
    • A. 

      A) An EMT does not have to attempt to obtain a blood pressure on patients younger than 3 years old.

    • B. 

      B) It is not necessary to use Standard Precautions when deal ing with pediatric patients.

    • C. 

      C) Scene safety is not an important consideration in the care of pediatric patients.

    • D. 

      D) It is not possible to develop an initial impression of the pediatric patient without a detai led physical examination.

  • 15. 
    15. Which of the fol lowing is NOT a normal response of a small chi ld when approached by the EMT?
    • A. 

      B) Indifference

    • B. 

      A) Anxiety

    • C. 

      C) Fear

    • D. 

      D) None of the choices is a normal response.

  • 16. 
    16. You are assessing a 2-year-old chi ld whose mother states she has had a fever for several hours. Which of thefol lowing signs is cause for concern?
    • A. 

      C) Grunting at the end of expiration

    • B. 

      A) Crying

    • C. 

      B) Absence of nasal flaring with inhalation

    • D. 

      D) Respiratory rate of 28 breaths per minute

  • 17. 
    17. Capi l lary refi l l should be assessed in which of the following age groups?
    • A. 

      A) Younger than 6 years

    • B. 

      B) Younger than 1 year

    • C. 

      C) 2 years old and younger

    • D. 

      D) Younger than 12 years

  • 18. 
    18. Your patient is a 3-year-old male who developed sudden stridor whi le playing with some of his 5-year-old cousin'stoys. The patient is alert and anxious, producing stridor when he cries. His skin is pink and warm, and capi l lary refi l lis less than 2 seconds. Which of the fol lowing is appropriate in the management of this child?
    • A. 

      D) Transport the chi ld in a restrained car seat with his mother by his side.

    • B. 

      C) Attempt a finger sweep to remove the foreign body from the chi ld's airway.

    • C. 

      B) Perform back blows and chest thrusts.

    • D. 

      A) Perform abdominal thrusts.

  • 19. 
    19. Your patient is a 6-month-old male who began choking whi le his babysitter was feeding him some sliced peaches.The chi ld has retractions of his intercostal muscles, is drowsy, and is grayish in color. Which of the following is theBEST intervention for this patient?
    • A. 

      B) Back slaps and chest thrusts

    • B. 

      A) Use of a flow-restricted oxygen-powered venti lation device

    • C. 

      C) Abdominal thrusts

    • D. 

      D) Blow-by oxygen at 10 to 15 liters per minute

  • 20. 
    20. Artif icial venti lations for a 5-year-old chi ld should be provided at a rate of ________ per minute.
    • A. 

      C) 12/20

    • B. 

      A) 24/28

    • C. 

      B) 28/32

    • D. 

      22/26

  • 21. 
    21. Which of the fol lowing is NOT a common cause of shock in infants and chi ldren?
    • A. 

      A) Heart fai lure

    • B. 

      B) Blood loss

    • C. 

      C) Infection

    • D. 

      D) Dehydration

  • 22. 
    22. Which of the fol lowing is an indication of shock in an infant or smal l chi ld?
    • A. 

      D) All of the above

    • B. 

      C) Not producing wet diapers

    • C. 

      B) Absence of tears when crying

    • D. 

      A) Capi l lary refi l l greater than 2 seconds

  • 23. 
    23. Which of the fol lowing is the most common cause of cardiac arrest in the pediatric patient?
    • A. 

      D) Respiratory fai lure

    • B. 

      C) Ventricular fibril lation

    • C. 

      B) Congenital heart defects

    • D. 

      A) Hypoglycemia

  • 24. 
    24. Your patient is a 3-year-old chi ld who is in severe respiratory distress. She is cyanotic and responds only to painfulstimuli. According to the patient's mother, the chi ld had complained of a sore throat earl ier and has had a fever sinceearly in the morning. Which of the fol lowing is the BEST course of action?
    • A. 

      D) Begin gentle venti lations with a bag-valve mask and supplemental oxygen.

    • B. 

      C) Insert an oropharyngeal airway and begin bag-valve-mask venti lations with supplemental oxygen.

    • C. 

      B) Suction the airway.

    • D. 

      A) Perform abdominal thrusts and finger sweeps; attempt to venti late.

  • 25. 
    25. Which of the fol lowing is a sign of the most severe respiratory distress in a 1-year-old pediatric patient?
    • A. 

      B) Decreased muscle tone

    • B. 

      A) Wheezing

    • C. 

      C) Respiratory rate greater than 60

    • D. 

      D) All of the above

  • 26. 
    26. Your patient is a 2-year-old female who has suffered a seizure but does not have a previous history of seizures. Thepatient's father states that the chi ld has been pulling at her ear and has had a fever. They were getting ready toleave for a doctor's appointment when the child had a brief seizure. The patient is drowsy and has hot, flushed skin.Which of the following is recommended in the prehospital management of this patient?
    • A. 

      C) Remove the chi ld's clothing down to her underpants or diaper.

    • B. 

      A) Sponge the chi ld's back and arms with rubbing alcohol.

    • C. 

      B) Place ice packs in the armpits, groin, and around the head.

    • D. 

      D) Cover the chi ld with a towel soaked in ice water.

  • 27. 
    27. Which of the fol lowing is the MOST common cause of seizures in infants and chi ldren?
    • A. 

      C) Fever

    • B. 

      A) Hypoglycemia

    • C. 

      B) Hypoxia

    • D. 

      D) Poisoning

  • 28. 
    28. Which of the fol lowing is NOT a cause of altered mental status in the pediatric patient?
    • A. 

      C) Dementia

    • B. 

      A) Traumatic brain injury

    • C. 

      B) Diabetes

    • D. 

      D) Infection

  • 29. 
    29. Which of the fol lowing is the MOST common cause of death in chi ldren?
    • A. 

      C) Trauma

    • B. 

      A) Environmental emergencies

    • C. 

      B) Poisonings

    • D. 

      D) Infectious disease

  • 30. 
    30. Which of the fol lowing should increase your suspicion of chi ld abuse?
    • A. 

      D) All of the above

    • B. 

      C) Bruises on the back and/or buttocks in various stages of heal ing

    • C. 

      B) Improperly healed fractures, resulting in deformity of extremities

    • D. 

      A) Indications of alcohol and/or drug abuse in the home

  • 31. 
    31. For the EMT who has cared for a pediatric patient in tragic circumstances, which of the fol lowing would be anappropriate way of deal ing with stress accompanying the experience?
    • A. 

      B) Talk to a compassionate coworker who has had simi lar experiences in the past.

    • B. 

      A) Get together with others who participated in the care of the chi ld and unwind with some alcohol ic beverages.

    • C. 

      C) Vent your rage in a letter to the person responsible for the chi ld's circumstances.

    • D. 

      D) Put the incident out of your mind and don't talk about it.

  • 32. 
    32. Which of the fol lowing is characteristic of preschool-age chi ldren?
    • A. 

      A) They may believe their injury is a punishment for being bad.

    • B. 

      B) They do not mind being separated from their parents.

    • C. 

      C) They have few fears of anything.

    • D. 

      D) They are not especial ly embarrassed or modest about body exposure.

  • 33. 
    33. Which of the fol lowing is NOT likely to be a cause of respiratory distress in a 2-year-old chi ld?
    • A. 

      D) Emphysema

    • B. 

      C) Foreign body airway obstruction

    • C. 

      B) A cold

    • D. 

      A) Epiglotti tis

  • 34. 
    34. Which of the fol lowing is an early sign of respiratory distress in an 18-month-old patient?
    • A. 

      A) Wheezing

    • B. 

      B) Heart rate of 60 beats per minute

    • C. 

      D) Respiratory rate of 12 breaths per minute

    • D. 

      C) Drowsiness

  • 35. 
    35. Which of the fol lowing is LEAST common in a chi ld struck by a vehicle?
    • A. 

      C) Upper-extremity injuries

    • B. 

      D) Head injuries

    • C. 

      B) Abdominal injuries

    • D. 

      A) Spinal injuries