EME 100 Midterm

1. How does activated charcoal work

Binds with the poison and causes vomiting

Starts a fire

Causes release of current symptoms for several hours

Makes the victims kidneys work harder

2. Angina pectoris occurs when

Chest pain and a lack of O2 to the heart

Seizures

Altered mental status

Diabetes

3. What is the purpose of the good samaritan law

Protects citizens from liability for errors in giving good faith emergency care (no real purpose)

To prevent being sued

To make sure that all emergency victims are helped

To keep good ethics

4. Standard protection against infection diseases are

Gloves and masks

Face shield and immunity

Full body suit

Long sleeve shirt and pants

5. What is heatstroke?

When the body is subjected to more heat than it can handle and mechanisms such as sweating are overwhelmed

When a person is exposed to high temperatures and humidity causing a person to sweat more than usual

Cause by exercising too much in hot weather

6. Advance directive is best defined as

A document specifying what to do if he or she becomes unable to make their own medical decision

DNR

Guardianship

Non of the above

7. Bones in the leg are

Femur, tibia, fibula

Humorous, femur, fibula

Leg, foot

Brachial, cuboidal, falangis

8. ........occurs when the normal mechanisms for getting rid of heat, such as sweating, are overwhelmed

Heat cramps

Heatstroke

Heat exhaustion

Sunstroke

9. What does DNR mean?

Permission for medical personnel to not attempt rescue resusitation

Person is dead at the scene

Take precautions to the scene

Permission for medical personnel to attempt to rescue without consent

10. In lightning injuries

Burns can be internal

Victim is set on fire

The CNS is most likely damaged

None of the above

11. When dispatched to the scene of a car accident you have to help the victim, why?

Duty to act

Statutory responsibilities

Ethics

To prevent a law suit

12. Of the following situations you do initiate CPR if there are signs of

Rigor mortis

Decomposition

Decapitation

Blue skin

13. Frost bite can occur in a short period of time depending on what factors

Temperature and wind

Location and altitude

Time of day and if sun is out

If its snowing or not

14. In domestic violence the most important factor to consider is

Yours and the patients safety

Reporting the crime

Calming the patient down

None of the above

15. In a hypothermic patient when do you stop CPR?

After they are warmed in the ER even if presumed dead

If they are presumed dead

At signs of death

16. As an EMR when you are working alone in a high crime area you are at a high risk for

Violence

Stress

Excitement

Disorder

17. How does carbon monoxide negatively affect the human body?

Sticks to red blood cells 100 times more than oxygen canceling out gas exchange

Creates an acid in the lungs

Constricts the airway

SLUDGE

18. The central nervous system is composed of

Brain and spine

All nerves used for automatic functions

Balls

Spine, medulla and brain

19. HIPAA (health insurance portability and accountability act) cannot give out information unless there is signed release:

True

False

20. High humidity may cause:

Dehydration, Fatigue, Muscle cramps, Heat exhaustion, Fainting, Heat stroke

Sweating, vomiting, headaches, red face, coma

Dehydration, exhaustion, dizziness, bleeding

Nausea, odd behavior, forgetfulness, airway blockage

21. A means of focusing the patients attention on the immediate situation or crisis is called

Restatement

Redirection

Empathy

All of the above

22. Insulin shock occurs.... and diabetic coma happens...

Rapidly, slowly

Slowly, rapidly

23. What is a sign and what is a symptom

A sign is discoloration and a symptom is vomiting

A sign is a pieces and a symptom is astrology

A sign is something the patient tells you and a symptom is what you can see or feel

24. What does anterior mean

Front

Back

Sides

Bottom

25. Another name for red skin is

Flushed

Blemish

Hyper

Rash

26. What is not a role and responsibily of an EMR

Transport patients to the ER

Provide care for injuries

Assist the EMTs or Paramedics

Spinting injuries to stabilize extremities

27. Dyspnea means

Shortness of breath

Passing out

Brain injury

Vomiting

28. When determining a treatment you should consider

Signs and symptoms

Injury and problem

Crisis and hazards

None of the above

29. A person experiencing.......... sweats profusely and becomes light headed, dizzy and nauseated

Heat cramps

Heat exhaustion

Heatstroke

Sunstroke

30. In the grieving process of these reactions which are NOT considered normal?

Violence

Bargaining

Denial

Acceptance

31. Primary assessment is used for

Identify life threats to the patient (airway, breathing, circulation)

Identify behavioral oddities in the patient and report them

Form a general overview of the incident

None of the above

32. Parts of the body involved in breathing are

Oropharynx and nasopharynx

Lungs and diaphragm

Trachea

All the above

33. A behavoral emergency is when

Abnormal or unacceptable behavior is present

The person is angry

The person is depressed

Distressed or unresponsive behavior is present

34. Which part of the body is least suceptable to frost bite

Chest

Thighs

Hands

Feet

35. Nasal airways should be used when

Conscious or unconscious patients cannot maintain an open airway

Only when unconscious patients cannot maintain an open airway

When the patient is vomiting to much

None of the above

36. Which of the following is not considered an advance directive?

Living will

Guardianship

Durable power of attorney for healthcare

Do not resuscitate (DNR) order

37. You cant survive for days or weeks without

Oxygen

Food

Water

Nutrients

38. You should always begin CPR and use an AED on a hypothermic patient you believe to be dead?

True

False

39. After opening the airway of an unconsious person you:

Check for objects of obstruction

Begin CPR

Chest compression

Get the AED

40. What is NOT considered a symptom or sign or extreme stress

Depression, weight changes

Inability to sleep, increased alcohol consumption

Inability to get along with family and co workers, lack of interest in food or sex

Anger towards others, self mutilation

41. What is responsible for clotting in blood

Platelets

Plasma

Blood cells

White blood cells

42. In two person CPR a patient begins to vomit what do you do?

Put them in the recovery position

Suction the vomit

Help by sweeping mouth of objects

Let them finish and then continue CPR

43. Skeletal muscles are

Voluntary

Non voluntary

44. In one minute of compressions how many have you done

100

50

60

200

45. Drugs that stimulate the nervous system

Include amphetamines and cocaine

Are called uppers

Cause restlessness, irritability and talkativeness

All the above

46. An EMR's skills include:

Use of medical all equipment, splinting, controlling airway and circulation

Limited use of medical equipment, CPR skills, treating wounds

ALS

CPR, treating wounds, spinting injuries, and diagnosis

47. What occurs in AAA (abdominal aortic aneurysm)?

Layers of the aorta are weakened and separating

The heart can no longer pump blood to the body

The aorta is cut off from the heart

None of the above

48. Emphysema is caused by

Damage to the alveoli in the lungs thus decreasing working capacity = shortness of breath

A one way valve leaking air into the plueral cavity of the lungs

A build up of mucous in the airways

Dead space

49. The jaw thrust maneuver should be used to open the airway of all nonbreathing patients

True

False

50. The posterior part of the mouth is called the:

Oropharynx

Nasopharynx

Trachea

None of the above

51. Syrup of ipecac:

Will produce vomiting

Requires a prescription

Can be administered safely for any type of poisoning

All the above

52. Activated charcoal should not be given to a patient who has ingested

Acid

Plants

Shellfish

Medication

53. US Department of transportation is responsible for...

Setting EMR skills and performance standards

Making sure all first responders are certified

Setting the standards for ambulances

Giving credentials to schools teaching EMR skills

54. Plasma constitues what portion of patients total blood volume

55%

50%

75%

100%

55. Which part of the heart is the largest?

Left ventricle

Left atrium

Right atrium

Right ventricle

56. What do you do after an AED advises not to shock

Start compression

1-2 breaths

Try again

CPR

57. Scene size up consists of:

Assess the airway, breathing and circulation then update responding EMS units

Primary assesment, history taking, secondary assessment and reassessment

Identify life threats, asses vital functions, block area from civilians, visual survey

58. When does a diabetic coma occur

Days

Minutes

Hours

Months

59. Cincinnati stroke scale measures

Movement, speech and facial expression

Performance, routine, and damage

Eye site, motor skills, and senses

All of the above

60. Best definition of stroke is

Lack of O2 to the brain

Lack of blood to the brain

Heart failure induced

Cincinnati stroke

61. Seizures are caused by

Sudden uncontrolled electrical impulses in the brain

Unknown

Lack of O2 to the brain

Lack of blood to the brain

62. When confronted with a person with a gun

Back away from the scene

Reason with the person and explain your trying to help

Get help

Try to get the gun away from them

63. The recovery position helps from

Secretions entering the trachea

Fluid moving from the nasal cavity to the oro cavity

Vomiting and choking

None of the above

64. After a shooting has occured be aware of

Evidence

Victims

Where the car is parked

Who was at the scene

65. When you inject someone with a drug their reaction is...

Based of type and quantity

Often intense and stressful

Immediate

Intuitive

66. A weak pulse is called

Thready

Silent

Weak

Timid

67. What is the main cause for suicide?

Terminal disease

Drug abuse

Depression

Disorder

68. Which of the following is not a component of the quality improvement process identified by the institute of medicine?

Certification

Safety

Effectiveness

Efficiency

69. Situational crisis is

Normally sudden and unexpected causing no coping methods

Effectively manage the patients problems

Maintain safety for yourself and the patient

None of the above

70. Patients who have contracted with HIV show symptoms when

Later

Immediately

Spontaneously

Hard to tell

71. The muscles that carry out automatic functions of the body:

Propell food thru digestive tract

Called involuntary

Smooth muscles

All the above

72. When do you used AVPU

Primary assessment

Scene size up

History taking

Secondary assessment

73. You should give an adult patient....g and a pediatric patient....g of activated charcoal

25 to 50/ 12.5 to 25

12 to 20/ 5 to 10

50 to 75/ 30.2 to 40

100 / 50

74. In rescue breathing the rate should be 1 breath every... so in one minute ....

5-6 seconds, 10-12 breaths

2-4 seconds, 15-17 breaths

3-5 seconds, 20- 25 breaths

None of the above

75. Which of these most common Nerve agents is NOT a nerve agent?

Sarin (GB)

Tabun (GA)

V agent (VX)

Risin (GD)

76. Hollow structures examples are.... and solid structures are...

Small intestine, pancreas and liver

Stomach, lungs and heart

All of the above

Heart, brain and bones

77. When should an EMR get the AED?

Only after a bystander has gotten it after CPR has began

When circulation to the heart

On the on site signs of cardiac arrest

Cardiac arrest, CPR, defibrillation, advanced care, post arrest care

78. A patient who has just experienced a seizure will NOT

Be confused

Be anxious and hostile

Be embarrassed

Be transported to a hospital immediately

79. When dealing with a person with post traumatic stress disorder your priority is to

Releave them of traumatic experience

Keep them from talking

Take them away from the scene

Be empathic

80. What should you do if a venomous snake bites you?

Get bitten by a "anti venom" snake

Learn to be more aware of your surroundings

Pay for superpowers

Neosporin fixes everything

81. When some one has poisoning ingested you should

Give them large amounts of water to dilute the poison

Make them vomit

First find out what they have taken

All the above

82. The right atrium is responsible for

Moving de-oxygenated blood into the right ventricle thru the tricuspid valve to the lungs thru the pulmonary valve

Moving oxygenated blood into the right ventricle thru the tricuspid valve to the lungs thru the pulmonary valve

Bringing blood into the heart

Moving oxygenated blood thru the body

83. HIPAA (health insurance portability and accountability act) prevents EMRs from sharing a patients personal health information with anyone

True

False

84. It is most important for an EMR to be

Considerate

Caring

Ethical

Certified

85. Air enters the lungs when the diaphram moves.... and chest muscles

Downward, relax

Upward, relax

Upward, contract

Downward, contract

Eme 100 Midterm

1. How does activated charcoal work

2.

What first name or nickname would you like us to use?

2. Angina pectoris occurs when

3. What is the purpose of the good samaritan law

4. Standard protection against infection diseases are

5. What is heatstroke?

6. Advance directive is best defined as

7. Bones in the leg are

8. ........occurs when the normal mechanisms for getting rid of heat, such as sweating, are overwhelmed

9. What does DNR mean?

10. In lightning injuries

11. When dispatched to the scene of a car accident you have to help the victim, why?

12. Of the following situations you do initiate CPR if there are signs of

13. Frost bite can occur in a short period of time depending on what factors

14. In domestic violence the most important factor to consider is

15. In a hypothermic patient when do you stop CPR?

16. As an EMR when you are working alone in a high crime area you are at a high risk for

17. How does carbon monoxide negatively affect the human body?

18. The central nervous system is composed of

19. HIPAA (health insurance portability and accountability act) cannot give out information unless there is signed release:

20. High humidity may cause:

21. A means of focusing the patients attention on the immediate situation or crisis is called

22. Insulin shock occurs.... and diabetic coma happens...

23. What is a sign and what is a symptom

24. What does anterior mean

25. Another name for red skin is

26. What is not a role and responsibily of an EMR

27. Dyspnea means

28. When determining a treatment you should consider

29. A person experiencing.......... sweats profusely and becomes light headed, dizzy and nauseated

30. In the grieving process of these reactions which are NOT considered normal?

31. Primary assessment is used for

32. Parts of the body involved in breathing are

33. A behavoral emergency is when

34. Which part of the body is least suceptable to frost bite

35. Nasal airways should be used when

36. Which of the following is not considered an advance directive?

37. You cant survive for days or weeks without

38. You should always begin CPR and use an AED on a hypothermic patient you believe to be dead?

39. After opening the airway of an unconsious person you:

40. What is NOT considered a symptom or sign or extreme stress

41. What is responsible for clotting in blood

42. In two person CPR a patient begins to vomit what do you do?

43. Skeletal muscles are

44. In one minute of compressions how many have you done

45. Drugs that stimulate the nervous system

46. An EMR's skills include:

47. What occurs in AAA (abdominal aortic aneurysm)?

48. Emphysema is caused by

49. The jaw thrust maneuver should be used to open the airway of all nonbreathing patients

50. The posterior part of the mouth is called the:

51. Syrup of ipecac:

52. Activated charcoal should not be given to a patient who has ingested

53. US Department of transportation is responsible for...

54. Plasma constitues what portion of patients total blood volume

55. Which part of the heart is the largest?

56. What do you do after an AED advises not to shock

57. Scene size up consists of:

58. When does a diabetic coma occur

59. Cincinnati stroke scale measures

60. Best definition of stroke is

61. Seizures are caused by

62. When confronted with a person with a gun

63. The recovery position helps from

64. After a shooting has occured be aware of

65. When you inject someone with a drug their reaction is...

66. A weak pulse is called

67. What is the main cause for suicide?

68. Which of the following is not a component of the quality improvement process identified by the institute of medicine?

69. Situational crisis is

70. Patients who have contracted with HIV show symptoms when

71. The muscles that carry out automatic functions of the body:

72. When do you used AVPU

73. You should give an adult patient....g and a pediatric patient....g of activated charcoal

74. In rescue breathing the rate should be 1 breath every... so in one minute ....

75. Which of these most common Nerve agents is NOT a nerve agent?

76. Hollow structures examples are.... and solid structures are...

77. When should an EMR get the AED?