Paramedic Quiz Chapter 18-19

50 Questions | Total Attempts: 439

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Paramedic Quizzes & Trivia

Based off chaper 18-19 of Nancy Caroline's emergency medical care in the streets


Questions and Answers
  • 1. 
    Failure of the body's compensatory mechanisms to preserve perfusion results in all of the following except
    • A. 

      Hypotension

    • B. 

      Low cardiac output

    • C. 

      An increase in preload

    • D. 

      Decreased coronary perfusion

  • 2. 
    Cardiogenic shock would most likely develop following 
    • A. 

      Localized myocardial ischemia

    • B. 

      Any condition that causes increased preload

    • C. 

      Decompensated congestive heart failure

    • D. 

      Damage to more than 10% of the left ventricle

  • 3. 
    The most common cause of exogenous hypovolemic shock is
    • A. 

      Dehydration

    • B. 

      External bleeding

    • C. 

      Diabetic ketoacidosis

    • D. 

      Plasma loss from burns

  • 4. 
    Which of the following clinical signs or symptoms would you not expect to see in a patient with significant dehydration
    • A. 

      Postural syncope when standing up

    • B. 

      A furrowed tongue or shrunken eyes

    • C. 

      Tenting of the skin when it is pinched

    • D. 

      A decreased pulse rate upon standing

  • 5. 
    Hypovolemia secondary to severe sepsis is the result of 
    • A. 

      Profound vomiting and diarrhea cause by bacterium

    • B. 

      Increased microvascular permeability and capillary leakage

    • C. 

      Widespread vasoconstriction and preferential blood shunting

    • D. 

      Persistent fever that results in internal loss of body fluids

  • 6. 
    A characteristic sign of neurogenic shock is
    • A. 

      An absence of sweating

    • B. 

      A rapid, bounding pulse rate

    • C. 

      Cool, clammy, and pale skin

    • D. 

      Hemiplegia or hemiparalysis

  • 7. 
    Anaphylaxis occurs when a person
    • A. 

      Experiences urticaria and rhinorrhea after exposure to an allergen

    • B. 

      Reacts violently to a substance to which he or she has been sensitized

    • C. 

      Experiences a mild allergic reaction after initial exposure to an allergen

    • D. 

      Develops a heightened reaction to a substance deemed foreign by the body

  • 8. 
    In shock, the capillaries become engorged with fluid because
    • A. 

      The precapillary sphincters remain constricted

    • B. 

      Oxygen cannot diffuse across the cellular membrane

    • C. 

      The postcapillary sphincters remain constricted

    • D. 

      Of aerobic metabolism and carbon dioxide production

  • 9. 
    An acidic condition in the blood
    • A. 

      Inhibits hemoglobin in the red blood cells from binding with and carrying oxygen

    • B. 

      Results in potent vasoconstriction and constriction of the postcapillary sphincters

    • C. 

      Immediately depresses respiratory system function, resulting in severe hypoxemia

    • D. 

      Causes a decrease in hydrogen ion production and an increase in the pH of the blood

  • 10. 
    Which of the following does not occur during multiple organ dysfunction syndrome ( MODS)
    • A. 

      Noncardiogenic pulmonary edema

    • B. 

      Increased lactate metabolism by the liver

    • C. 

      Marked decrease in cardiac ejection fraction

    • D. 

      Decreased surfactant production by the alveoli

  • 11. 
    During compensated shock
    • A. 

      The patient's level of consciousness is a poor indicator of perfusion, because he or she is generally restless

    • B. 

      An increase in respiratory rate and depth creates a compensatory respiratory alkalosis to offset metabolic acidosis

    • C. 

      Chemical mediators released by the autonomic nervous system result in significant increase in blood pressure

    • D. 

      Pulse pressure widens as the sympathetic nervous system releases catecholamines in response to poor perfusion

  • 12. 
    Which of the following signs would you most likely observe in a patient with compensated shock
    • A. 

      Anxiety or agitation

    • B. 

      Dilation of the pupils

    • C. 

      Absent peripheral pulses

    • D. 

      Response to painful stimuli

  • 13. 
    A weak radial pulse in a patient with shock indicates
    • A. 

      A marked increase in cardiac afterload

    • B. 

      A systolic BP that is less than 90 mm Hg

    • C. 

      Vascular dilation and decreased blood flow

    • D. 

      Sympathetic nervous system compensation

  • 14. 
    Your initial assessment of a shock patient begins by
    • A. 

      Establishing a patient airway

    • B. 

      Forming a general impression

    • C. 

      Vascular dilation and decreased blood flow

    • D. 

      Sympathetic nervous system compensation

  • 15. 
    The most reliable indicator that a patient is no longer able to compensate for shock is 
    • A. 

      Pale, cool, clammy skin

    • B. 

      Sluggishly reactive pupils

    • C. 

      An altered mental status

    • D. 

      An increased diastolic blood pressure

  • 16. 
    Care for a patient with profound shock begins by 
    • A. 

      Applying warm blankets

    • B. 

      Controlling major bleeding

    • C. 

      Establishing a patent airyway

    • D. 

      Following BSI precautions

  • 17. 
    A patient in shock with respiratory distress should be positioned
    • A. 

      In a semi-sitting position

    • B. 

      Supine with the legs elevated

    • C. 

      In the trendelenburg position

    • D. 

      On the left side with the legs elevated

  • 18. 
    When noncolloid solutions are used in the treatment of shock
    • A. 

      They remain in the vascular compartment for up to 4 hours

    • B. 

      You should give 2-3 times the volume of blood lost

    • C. 

      They improve tissue perfusion by carrying oxygen to the cells

    • D. 

      20% of the solution quickly diffuses out of the intravascular space

  • 19. 
    Which of the following statements regarding prehospital treatment of cardiogenic shock is most correct
    • A. 

      Administer a 1000 mL crystalloid bolus if the patient's lungs are clear

    • B. 

      Dopaine infusions greater than 10 mcg/kg/min often cause bradycardia

    • C. 

      Norepinephrine is the vasopressor of choice for prehospital blood pressure support

    • D. 

      Prolonged efforts to stabilize the patient in the field are not recommended

  • 20. 
    Which of the following medications impedes the further release of chemical mediators in anaphylactic shock
    • A. 

      Diphendydramine

    • B. 

      Epinephrine

    • C. 

      Ipratropium

    • D. 

      Albuterol

  • 21. 
    A patient taking________ would most likely experience a delay in the healing of a would
    • A. 

      Antidepressants

    • B. 

      Acetaminophen

    • C. 

      Antihypertensives

    • D. 

      Corticosteroids

  • 22. 
    Which of the following patients is at highest risk for a pressure injury
    • A. 

      An obese patient

    • B. 

      A bedridden patient

    • C. 

      A hypertensive patient

    • D. 

      A patient with diabetes

  • 23. 
    In general, most open wounds should be sutured or otherwise closed no longer than ___ hours
    • A. 

      8

    • B. 

      10

    • C. 

      12

    • D. 

      18

  • 24. 
    Necrosis of tissue caused by an anaerobic, toxin-producing bacterium is called
    • A. 

      Tetanus

    • B. 

      Gangrene

    • C. 

      Fasciitis

    • D. 

      Lymphedema

  • 25. 
    The swelling that occurs in conjunction with a contusion is caused by.
    • A. 

      Inflammation of the injured blood vessels

    • B. 

      Ruptured of large blood vessels in the dermis

    • C. 

      Aggregation of platelets to the injured site

    • D. 

      Leakage of fluid into spaces between the cells

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