nremt 2022-2023 study guide part 2 with complete solution

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As an EMT you can be involved with dead patients. Which of the following methods is inappropriate in helping families cope with grief? - ANSWER. Reassuring the families of the outcome of the patient. ... Which of the following is not a stage in the process of grief? - ANSWER Regret Which of the following is false about critical stress incident management? - ANSWER Meetings are supervised by a psychologist you and your partner respond to a call from a woman with anaphylaxis from bee stings you both decide she needs an immediate epinephrine Injection and decided to call medical control through a radio transmitter which of the following is not a principle of reporting the patient's case over the radio? - ANSWER Mention only the patients first name Which of the following actions is not a component of pre-assignment operations? - ANSWER Using seatbelts when driving Which of the following is unlikely to increase the risk of your ambulance crashing en route to the incident location - ANSWER Using headlights You are the driver in an ambulance headed to an incident location at an intersection that traffic light changes from green to yellow which of the following responses is most appropriate? - ANSWER Slow down and stop if the light turns red In which of the following cases is the use of escorts and multiple ambulances acceptable? - ANSWER Unfamiliar routes To reduce the risk of crashes of escorts and multiple ambulances which of the following guidelines is unnecessary? - ANSWER Using sirens Which of the following is false about albuterol? - ANSWER It should be given as oral tablets You have just given 0.3 MG of IM epinephrine to a patient with anaphylaxis which of the following symptoms in epinephrine is used for - ANSWER Wheezing You have just administered nitroglycerin to a patient with shortness of breath and crushing chest pain from mild cardial infraction you must monitor the patient for all except which of the following side effects? - ANSWER Blurred vision An EMT is permitted to administer all except which of the following drugs? - ANSWER HEPARIN Activated charcoal is useful in treating all except which of the following types of poisoning? - ANSWER Iron You are attending to a man trapped in the driver seat of a car as firefighters attempt to extricate him from the vehicle you notice that the patient's respiratory rate is 10 CPM pulse rate is 120 BPM fast and thready which the following interventions is most appropriate? - ANSWER Given oxygen through a non rebreather mask You respond to a 32 year old male with bleeding scalp injury following a physical assault by undefined men what is the least likely feature you will find on examination? - ANSWER Decrease skull pressure Which of the following is not a common sign of a skull fracture? New one all except which of the following are signs of Cushing reflex? - ANSWER Absent carotid pulse In the intensive care unit you were briefed about a patient who is said to be unconscious and unresponsive which dilated as metric pupils the quarter tape posturing and Cushing reflex what might be the likely cause? - ANSWER Tachycardia Spinal cord injury is commonly caused by which of the following? - ANSWER Cerebral herniation Which of the following is false about the autonomic nervous system? - ANSWER Motor vehicle collision You have the urge to urinate while driving home from work as you drive you almost hit a toddler who strayed into the road after a sudden swerve away from the child you bring the car to a halt your heart is racing you are sweating and You know longer feel the urge to urinate what is most likely nervous system involved? - ANSWER Sympathetic nervous system A victim of a motor vehicle collision is rushed to the ER after a thorough assessment is determined that the victim spinal cord was spurred which of the following is not a protective skeletal component for the spinal cord? - ANSWER Pia matter Following a motorcycle crash a patient was brought in with paralysis of the left lower limb and extricated reflects activities of upper limbs a spinal injury is suspected what is the least likely mechanism of injury? - ANSWER Fall on an outstretched arm if Conscious the above patient may demonstrate all except which of the following signs and symptoms? - ANSWER Paralysis above the suspected level of injury After stabilizing the above patient which of the following questions is not necessary for assessing responsiveness - ANSWER Do you have any blurry vision? The above patient is severely injured your response as a EMT should include all except which of the following steps? - ANSWER Avoiding artificial ventilation with inline stabilization Another patient who was a passenger in the above motorcycle crash was later brought to the ER he still has a helmet on under what conditions should you remove the helmet - ANSWER You are unable to perform proper spinal immobilization Which of the following is not a correct way to protect a 7 year old child after suspected spinal injury? - ANSWER Add the shoulders down to the heels to maintain neutral immobilization A 6 year old male has severe facial lacerations After a hit on collision with a automobile in your primary assessment of this patient all except which of the following features are important to consider before triaging him as a high priority patient? - ANSWER Slow heart rate Concerning secondary assessment of the above patient which of the following is incorrect? - ANSWER Repeat assessment every 30 minutes for stable patients You're responding to a four year old male with a form body in his left eye which of the following interventions is inappropriate? - ANSWER Patch the eye reduce irritation You're responding to a male 36 year old driver who sustained a facial trauma injury in a motor vehicle crash which of the following emergency responses is incorrect? - ANSWER Administer oxygen via positive pressure ventilation in retrospect of respiratory condition You are responding to a 12 year old male with a bleeding nose following a fall on his face which of the following management protocols is unsuitable for this child? - ANSWER Positioned him supine on the bed A 65 year old male slipped and fell with his occupant first on a staircase he feels severe neck pain and headache all except which of the following are basic interventions for this patient with a neck injury? - ANSWER Attempting a direct laryngoscopy You are attending to a 26 year old female with profuse bleeding from a neck knife slit which the following interventions is inappropriate managing a severed neck blood vessel injury? New one which the following is least likely form of eye injury? - ANSWER Quickly apply pressure on the carotid pulse Concerning allergic reactions which of the following is false? - ANSWER Antigens are proteins that are formed in the body Pathways through which the body may be exposed to allergens include all except which of the following? - ANSWER Transformation Which of the following is correct concerning anaphylaxis? - ANSWER The response depends on individual sensitivity rate and dose of administration You are call to attend to a 15 year old female who was sitting with her friends and they parked she reports she was stung by wasp earlier and she self administered her prescribed epinephrine injection which the following is not a side effect of epinephrine use? - ANSWER Bradycardia Which is false concerning anaphylactoid reactions? - ANSWER They require prior sensitization Which of the following is not a criterion For administering a epinephrine injection? - ANSWER The vial is usually packaged with a separate syringe and needle Concerning epinephrine auto injection which of the following is false? - ANSWER It should be administered based on a patient request retrospective of prior prescription Concerning the management of allergic reactions all except which of the following may be useful? - ANSWER H1 receptors agonist All except which of the following are properties of carbon dioxide? - ANSWER Less Affinity to hemoglobin than oxygen You were called to the scene of a burning building where a 34 year old female who has been rescued on examination she has increased pulse and respiratory rate she also complains of headaches weakness vomiting and blurred vision all except which of the following are appropriate interventions? - ANSWER Administer antimotility agents Which of the following is not necessary for the Emergency Management of poisoning? - ANSWER Collect a detailed history including secondary assessment before administering any intervention Activated charcoal is useful in the management of poisoning which of the following is an indication for administering this medication? - ANSWER Vomiting You are the emergency responder to a four year old female who was reported to have swallowed several tablets of Tylenol you have received clearance from the medical direction to administer activated charcoal which of the following information is false? - ANSWER All brands of this medication are similar in efficiency Serotonin syndrome can occur as a side effect of several medications which the following combinations are not signed symptoms of this syndrome? - ANSWER Brady cardia Bradypnea dry mouth A 16 year old male was out at a party last night where inhalant recreational drugs were used which of these side effects will not be seen in the immediate. After the party? - ANSWER Liver damage You are the emergency responder attending to a 24 year old male who is disoriented confused and agitated his roommates reports that he is a heavy drinker and suddenly stopped drinking alcohol three days ago he has also been having visual hallucinations on examination the man's blood pressure is elevated what is your most likely diagnosis? - ANSWER Delirium Which of the following is false concerning cocaine? - ANSWER It is a strong CNS depressant You recall to attend to an 18 year old drug user who had a seizure he is extremely diaphoretic on examination with people there dilation he has a temperature of 37.7 a heart rate of 110 BPM and a blood pressure of 144 / 92 what is the most likely drug use the young man abused? - ANSWER Ecstasy Which of the following does not constitute as a hazmat scene? - ANSWER A violent male in a public park Concerning hazmat incidents which of the following is false? - ANSWER EMS personnel are allowed to operate within hazmat scenes at any point Concerning crime scenes all except which of the following should be observed? - ANSWER Under no circumstances should the crime scene be Disturbed Diseases of concern for prehospital personnel include all except which the following? - ANSWER rotavirus hepatitis C virus All except which of the following diseases are spread through air droplets? - ANSWER Hepatitis C Concerning PPE's which of the following is false? - ANSWER Gloves are optional depending on the care providers discretion Which of the following is a route of spread of communicable disease? - ANSWER All the above Which of the following is not part of the EMS shift checklist for automated defibrillators? - ANSWER To confirm that ventilators are working and all have clean tubing Which of the following is true about sickle cell disease? - ANSWER Dyspnea and chest pain are signs of sickle cell crisis Your team is called to a house party where a 23 year old male has suddenly become breathless with facial puffiness and slurred speech on arrival you find the patient lying outside on the lawn with a crowd around him his pulse is 122 BPM with the blood pressure of 8456 respiratory rate is 12 CPM with wheezing and oxygen saturation is 92% a friend says the man has a nut allergy and one of the cakes at the party had peanut butter in it what is the most appropriate intervention? - ANSWER Immediately administer I am at the nephren to the inter lateral aspect of the patients thigh Which of the following is true about nitroglycerin? - ANSWER It could be given sublingual as a tablet or a spray Your unit arrives at a farmers market where a 66 year old female is having shortness of breath that started previous day but suddenly got worse than that afternoon she has been coughing for awhile now and it affects her sleep she recently noticed that she was easily fatigued from her regular activities like climbing stairs the woman tells you she is hypertensive but has reduced the dosage of anti hypertensives because they have become expensive for BP is 170 / 100 pulse rate is 100 respiratory rate is 40 CP/M S PO2 is 90% the woman's ankles are swollen and her feet are cold which of the following steps is most appropriate? - ANSWER Given the woman cough syrup for immediate relief then move her to the vehicle for transportation 57 year old female complaints of chest campaign for two hours she also says her heartbeat is faster it is more pronounced and skips her breathing is labored she says she is not hypertensive while you are getting in history the woman suddenly slumps over with no palpable pulse what should you do? - ANSWER Commence CPR that apply AED pads when available Which of the following will not be present during septic shock? - ANSWER Elevated blood pressure A 28 year old female collapses after being told his wife just gave birth to quadruplets his BP is 90 / 70 his pulse is 74 and his respiratory rate is 16 the man's loss of consciousness is most likely due to which of the following? New one your administering CPR to a 35 year old female who lost consciousness while using the up electoral machine at the gym which of the following are signs of effective CPR? - ANSWER Psychogenic shock you are called to a Pilates class where the 50 year old receptionist started complaining of difficulty in breathing and chest pain her pulse rate is 60 her blood pressure is 110 / 60 in a respiratory rate is 30 with an spo 2 of 90% the woman says that she has in China and her prescribed nitroglycerin is in a bag in her locker what should you do? - ANSWER Keep the woman in a comfortable position start her on supplemental O2 then administer her prescribed nitroglycerin [Show More]

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