Medic General Review I

25 Questions | Total Attempts: 63

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Medical Quizzes & Trivia

Twenty-five mixed knowledge questions that are perfect for NREMT test studying.


Questions and Answers
  • 1. 
    An unwanted side effect of dopamine administration is:
    • A. 

      Increased myocardial oxygen demand

    • B. 

      Respiratory depression

    • C. 

      Ventricular dysrhythmias

    • D. 

      Dilation of renal vessels at high doses

  • 2. 
    Which of the following assessment findings would indicate a pediatric patient is progressing from respiratory distress to respiratory failure?
    • A. 

      Nasal flaring

    • B. 

      Respiratory rate over 32

    • C. 

      Poor muscle tone

    • D. 

      Grunting/head bobbing

  • 3. 
    In a patient experiencing chest pain, the presence of jugular venous distention while sitting at a 45-degree angle:
    • A. 

      Is not clinically significant

    • B. 

      Requires CPAP for treatment

    • C. 

      Suggests left side heart failure

    • D. 

      Indicates right heart compromise

  • 4. 
    Signs and symptoms of a pregnant patient with preeclampsia include:
    • A. 

      Elevated BP, increased weight gain, facial edema, and seizures

    • B. 

      Elevated BP, abdominal rigidity, and bright red vaginal bleeding

    • C. 

      Elevated BP, normal respirations, and normal pulse rate

    • D. 

      Elevated BP, visual disturbance, headache, edema

  • 5. 
    You respond to a patient with shortness of breath.  The patient said he was awakened from his sleep with shortness of breath.  Assessment reveals vtials: BP 188/94, pulse 116, respiration 36, and pulse oximeter reading of 88%.  Lung sound assessment reveals crackles in the posterior bases.  You suspect this patient to be suffering from:
    • A. 

      A myocardial infarction

    • B. 

      Angina

    • C. 

      Congestive heart failure

    • D. 

      A respiratory disorder

  • 6. 
    You find a victim screaming for your assistance.  You notice immediately that he has clammy skin and a dusky appearance.  He has a respiratory rate of 40 and shallow.  He tells you that he has been hit multiple times in the chest, abdomen, and back with a pool stick.  While assessing his chest you notice multiple contusions to the right side with diminished respirations on the right.  What would you suspect?
    • A. 

      Cardiac tamponade

    • B. 

      Hemothorax

    • C. 

      Ruptured diaphragm

    • D. 

      Pneumothorax

  • 7. 
    Legislation that governs the practice of medicine and may prescribe a physician's ability to delegate authority to perform medical acts by the paramedic is:
    • A. 

      Licensure

    • B. 

      Medical direction

    • C. 

      Standard of care

    • D. 

      Medical practice act

  • 8. 
    Legislation that governs the practice of medicine and may prescribe a physician's ability to delegate authority to perform medical acts by the paramedic is:
    • A. 

      Licensure

    • B. 

      Medical direction

    • C. 

      Standard of care

    • D. 

      Medical practice act

  • 9. 
    You respond to a local physician's office.  You are instructed to assist the physician in performing rapid sequence intubation.  You should administer _________ of succinylcholine.
    • A. 

      0.5-1.0 mg/kg

    • B. 

      1.5-2.0 mg/kg

    • C. 

      25 mg

    • D. 

      100 mg

  • 10. 
    You respond to a 25-year-old male involved in an industrial accident.  Upon arrival, you see that your patient is trapped in a machine.  He has suffered a partial amputation of the right leg just above the knee that is bleeding profusely.  Your first action is to:
    • A. 

      Control bleeding

    • B. 

      Stabilize the machinery

    • C. 

      Do a rapid trauma assessment

    • D. 

      Establish two large-bore IVs

  • 11. 
    You are called to the scene of an assault on a 75-year-old woman.  She is unresponsive, with blood coming from the back of her head and multiple contusions and skin tears to her knees and arms.  After completing your rapid trauma assessment on the patient, you find a blood pressure of 96/54, heart rate of 50, and respiratory rate of 14 and regular.  What is your priority of care?
    • A. 

      Hyperventilate at a rate of 30 with 100% O2

    • B. 

      Establish two large-bore IVs at a wide open rate

    • C. 

      Provide careful fluid resuscitation

    • D. 

      Give atropine 0.5 mg IVP

  • 12. 
    Advanced directives are documents that express the patient's wishes in the event they are unconscious or otherwise unable to express their choice for care.  These include living wills, Do Not Resuscitate orders, and:
    • A. 

      Show code requests

    • B. 

      Durable power of attorney for health care

    • C. 

      Artificial care order

    • D. 

      Healthcare denial form

  • 13. 
    It is generally considered unsafe to walk in fast-moving water ________ deep.
    • A. 

      Ankle

    • B. 

      Knee

    • C. 

      Waist

    • D. 

      Chest

  • 14. 
    Which of the following describes the most definitive treatment of a patient with a flail chest injury?
    • A. 

      Position of comfort with O2 per NRB mask

    • B. 

      Intubation and positive pressure ventilation

    • C. 

      Stabilization of the flail chest with a sandbag

    • D. 

      Needle decompression

  • 15. 
    Your crew is dispatched to the home of an obese woman who has fallen.  The general rules for lifting and moving this patient include all of the following EXCEPT:
    • A. 

      Anticipating a lengthy for backup units to arrive, so move this patient to the best of your ability.

    • B. 

      Positioning the load as close to your body as possible.

    • C. 

      Bending your knees, letting the large muscles of the legs do the work of lifting.

    • D. 

      Taking your time; do not hurry and maintain a wide base of support.

  • 16. 
    If the amniotic sac has not ruptured and the head emerges, you should:
    • A. 

      Use a sterile scalpel to carefully open the sac and provide suction before the baby takes a breath.

    • B. 

      Delay further delivery and transport immediately for an emergency cesarean section.

    • C. 

      Use your fingers to pinch and puncture the sac, then push the sac away from the nose and mouth.

    • D. 

      Continue with the delivery, the sac will break on its own when the baby is delivered.

  • 17. 
    Succinylcholine is contraindicated in patients with crush injuries because:
    • A. 

      Hypovolemia

    • B. 

      Risk of hyperkalemia

    • C. 

      Increased muscle tremors

    • D. 

      Risk of laryngeal edema

  • 18. 
    You are assessing a patient with acute right lower quadrant pain.  You suspect acute appendicitis.  The presence of rebound tenderness in this patient represents:
    • A. 

      Peritoneal irritation

    • B. 

      Guarding

    • C. 

      Rupture

    • D. 

      Strangulation

  • 19. 
    When a 12-lead ECG is obtained for patients with chest pain, it is important to consider that:
    • A. 

      It may take hours for changes to appear on the ECG

    • B. 

      An unremarkable 12-lead ECG rules out an acute MI

    • C. 

      The 12-lead alone should be used to guide your treatment

    • D. 

      The ECG's analysis of the rhythm is more accurate than yours

  • 20. 
    Before providing rescue breathing to an unresponsive victim, you must check for breathing.  You do this by:
    • A. 

      Opening the airway

    • B. 

      Shaking and shouting to stimulate the patient to breathe

    • C. 

      Looking, listening, and feeling airflow through the victim's nose or mouth

    • D. 

      Establishing unresponsiveness

  • 21. 
    Injury resulting from violent shaking might include:
    • A. 

      Contusions or abrasions visible on the knees of children three to five years old

    • B. 

      Intracranial hemorrhage resulting from torn veins between the brain and the skull in children under the age of 24 months

    • C. 

      A red rash visible on the child's chest and back

    • D. 

      A spinal fracture of the wrist

  • 22. 
    Complications from endotracheal intubation include all of the following EXCEPT:
    • A. 

      Trauma to the teeth

    • B. 

      Gastric distension

    • C. 

      Esophageal intubation

    • D. 

      Laryngospasm

  • 23. 
    Which statement is true regarding the force required to break a bone in a geriatric patient?
    • A. 

      The same force is required as in other patients.

    • B. 

      Less force is required than in other patients.

    • C. 

      Slightly greater force is required than in other patients.

    • D. 

      None of these statements are correct.

  • 24. 
    You have a patient with a long history of COPD who complains of worsening shortness of breath.  He is on continuous 2 lpm of home oxygen.  You are concerned that increasing the oxygen flow may eliminate hypoxic drive to breathe because the hypoxic drive is regulated by:
    • A. 

      High PaO2

    • B. 

      Low PaO2

    • C. 

      High oxygen saturation

    • D. 

      Low oxygen saturation

  • 25. 
    You are called to the scene of a 60-year-old woman who fell down a flight of stairs.  The patient is found to be alert and oriented, with warm, dry, pink skin.  She is complaining of a headache and upper back pain.  Her vital signs are 90/62, pulse 60, and respiratory rate 20.  Which of the following would be your initial impression?
    • A. 

      Neurogenic shock

    • B. 

      No significant injury

    • C. 

      The patient is taking beta blockers

    • D. 

      Mechanical shock

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