Paramedic Quiz For Maes Students Chapter 7

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Paramedic Quizzes & Trivia

Based on chapter 7 of Nancy Carolines emergency medicine on the streets. Chapter 7


Questions and Answers
  • 1. 
    Pharmacology is MOST accurately defined as the:
    • A. 

      Process by which a medication moves throughout the body

    • B. 

      Study of medications and their effects or actions throughout the body.

    • C. 

      Transfer of medications to specific organs in the human body

    • D. 

      Study of the metabolism and action of medications in the body

  • 2. 
    Prescription-only medications (POM) can be given OTC status only if they
    • A. 

      Are considered safe enough that most people will not hurt themselves accidentally by taking the medicine as instructed

    • B. 

      Have been available as prescription-only medications for at least 5 years and have undergone extensive clinical research.

    • C. 

      Possess no more than half the strength of the prescription form and do not cause harm if they are taken in excessive amounts.

    • D. 

      Have been approved by the FDA and have been shown to possess a physiologic effect equivalent to the prescription form.

  • 3. 
    The_____ name of a medication is sometimes mistaken for the generic name
    • A. 

      Trade

    • B. 

      Official

    • C. 

      Chemical

    • D. 

      Legal

  • 4. 
    Which of the following represents the official name for amiodarone?
    • A. 

      Cordarone

    • B. 

      Amiodarone usp

    • C. 

      Amiodaron

    • D. 

      2-butyl-3-benzofuranyl 4-{2-diethylamino}-ethoxoy-3,5-diiodophenyl ketone hydrochloride

  • 5. 
    For a medication to carry the USP label
    • A. 

      It must be made available to the public in both its trade and generic forms

    • B. 

      Its active ingredients must be within 95% to 105% of that stated on the label

    • C. 

      It must be on the market in its generic form for a period of at least 36 months.

    • D. 

      The manufacturer of the medication must prove that it does not cause any side effects

  • 6. 
    As a paramedic, you are responsible for ensuring that medication administration in the field
    • A. 

      Follows national standards

    • B. 

      Is done in an expedient manner

    • C. 

      Will not result in side effects

    • D. 

      Is safe, therapeutic, and effective

  • 7. 
    Functionally, the nervous system is divided into the 
    • A. 

      Brain and spinal cord

    • B. 

      Somatic and autonomic nervous system

    • C. 

      Central and peripheral nervous system

    • D. 

      Sympathetic and parasympathetic nervous system

  • 8. 
    Emergency medications that affect the heart and blood vessels do so via the
    • A. 

      Autonomic nervous system

    • B. 

      Somatic nervous system

    • C. 

      Involuntary nervous system

    • D. 

      Parasympathetic nervous system

  • 9. 
    Adrenergic nerve fibers release
    • A. 

      Acetycholine

    • B. 

      Acetylcholinesterase

    • C. 

      Glycogen

    • D. 

      Epinephrine and norepinephrine

  • 10. 
    When administered, epinephrine produces a/an____effect
    • A. 

      Anticholineric

    • B. 

      Sympathomimetic

    • C. 

      Sympatholytic

    • D. 

      Parasympatholytic

  • 11. 
    The process of chemical signalling between cells is called
    • A. 

      Antagonism

    • B. 

      Neurotransmission

    • C. 

      Chemotransmission

    • D. 

      Nerve innervation

  • 12. 
    Overstimulation of muscarinic receptors results in
    • A. 

      Excessive lacrimation, bradycardia, diarrhea, and miosis

    • B. 

      Tachycardia, hypertension, dilated pupils, and nervousness

    • C. 

      Dehydration, decreased urine production, and double vision

    • D. 

      Muscle fasciculations, generalized weakness, and bradycardia

  • 13. 
    A medication that stimulates a response in a receptor site is said to be
    • A. 

      Synergistic

    • B. 

      An agonist

    • C. 

      An antagonist

    • D. 

      A competitive binder

  • 14. 
    The onset of a medication's therapeutic effect is MOSTLY determined by the
    • A. 

      Patients gender

    • B. 

      Type of medication

    • C. 

      Route of administration

    • D. 

      Weight of medication

  • 15. 
    In general, the sublingual route of medication administration is slower than the ______ route, but faster than the _______ route.
    • A. 

      Rectal, intramuscular

    • B. 

      Intravenous,oral

    • C. 

      Inhalation,topical

    • D. 

      Rectal,subcutaneous

  • 16. 
    With the exception of aspirin for patients with a suspected acute coronary syndrome (ACS)
    • A. 

      The patient may aspirate the medication

    • B. 

      The medication may cause damage to the liver

    • C. 

      The medication is metabolized too rapidly

    • D. 

      Absorption is slow and unpredictable

  • 17. 
    The rate of absorption of medications given via the IO route
    • A. 

      Is identical to that of the IV route because the medication enters a noncollapsible channel with rapid flow into the central circulation

    • B. 

      Is relatively unpredictable compared to that of the IV route because the intraosseous space is a low-pressure space

    • C. 

      Is just as fast as that of the IV route, but only if the patient has adequate circulation and a systolic BP of at least 90 mm Hg

    • D. 

      Is somewhat slower than that of the IV route because the medication must first pass through the microvasculature before entering the central circulation

  • 18. 
    Medication administration via the subcutaneous or intramuscular route is LEAST effective in patients who
    • A. 

      Are hypertensive and tachycardic

    • B. 

      Have decreased liver or renal function

    • C. 

      Require less than 5 mL of medication

    • D. 

      Have inadequate peripheral perfusion

  • 19. 
    Most of the biotransformation process of a medication takes place in the
    • A. 

      Liver

    • B. 

      Spleen

    • C. 

      Kidneys

    • D. 

      Small intestine

  • 20. 
    If a medication is administered to a patient with renal insufficiency 
    • A. 

      It make take hours before the medication is absorbed and exerts its effect

    • B. 

      The process of biotransformation will be completely unpredictable

    • C. 

      The dose should be doubled in order to achieve a therapeutic effect

    • D. 

      It may not be excreted efficiently and may be accumulated to toxic levels

  • 21. 
    A decreasing response to the same amount of medicationthat requires progressively higher doses is called
    • A. 

      Addiction

    • B. 

      Dependence

    • C. 

      Tolerance

    • D. 

      An idiosyncrasy

  • 22. 
    In general, medications should be
    • A. 

      Diluted with sterile saline

    • B. 

      Kept out of direct sunlight

    • C. 

      Stored in a cold environment

    • D. 

      Replaces every 30 to 60 days

  • 23. 
    Which of the following is NOT a required component of a medication profile?
    • A. 

      Storage requirements

    • B. 

      Mechanism of action

    • C. 

      Side and adverse effects

    • D. 

      Indications and proper dosage

  • 24. 
    Which of the following medications is an opioid analgesic
    • A. 

      Ibuprofen (motrin)

    • B. 

      Naloxone (Narcan)

    • C. 

      Acetylsalicylic acid (asa/aspirin)

    • D. 

      Fentanyl (sublimaze)

  • 25. 
    Most psychotherapeutic medications work by blocking _____ receptors in the brain
    • A. 

      Melatonin

    • B. 

      Dopamine

    • C. 

      Epinephrine

    • D. 

      Norepinephrine

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