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EMS 202 Midterm Exam | 100% Correct
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Of the following, Which intervention will most likley contribute the most to the survival of you trauma patient? - ✔✔Apply supplemental oxygen Control any significant external hemorrhage Initiate intravenous therapy Rapidly transport the patient to the emergency department Control any significant external hemorrhage which specialty service is important for the ongoing treatment of carbon monoxide poisioning or problems related to scuba diving? - ✔✔Pediatric trauma center Neurocenter Burn center Hyperbaric oxygenation chamber Hyperbaric oxygenation chamber When will you begin considering the mechanism of injury for a trauma patient? - ✔✔During reassessment During the rapid trauma assessment During the focused trauma assessment During the scene size up During the scene size up The objective time frame describing the period from the incident to the patient's arrival at surgery is known in EMS as the____ - ✔✔Trauma Transport Time
Golden Period Platinum 10 minutes Trauma Hour Golden Period After arriving on scene for a multisystems trauma that has no need for extrication, within how many minutes is it recommended for you to assess, stabilize, and initiate transport of the patient? - ✔✔less than 10 minutes less than 15 minutes less than 25 minutes less than 20 minutes less than 10 minutes Regarding the mechanism of injury, when speeding of an object that is about to strike a boubled, its ability to cause trauma is______ - ✔✔tripled doubled reduced by one-half quadrupled quadrupled In determining the potential for trauma caused by an object, you need to examine_____ - ✔✔the object's shape all of the above the object's speed the object's weight all of the above
down-and-under - ✔✔ejection When a(n)________impact occures, the index of suspicion for serious and life-threatening internal inernal injuries must be higher than vehicle damage alone suggests. lateral frontal oblique rear-end - ✔✔lateral During an explosion, the pressure wave of the blast will likely casue injury to what structures of the body? solid organs bones muscles hollow organs - ✔✔hollow organs In significant crush injuries, toxins released into the central circulation after pressure is released can lead to what additional complication? increased liver function increased kidney output severe alkalosis cardiac arrhythmias - ✔✔cardiac arrythmias In a patient with no suspected trauma, and signs and symptoms of shock, you can perform the tilt test. This test is performed to determine whether which finding is present? Orthostatic hyertension
septic shock cardiogenic shock Orthostatic hypotension - ✔✔orthostatic hypotension Your agency's Fentanyl is packaged 250 mcg in 5 ml vials. Your protocols call for 1 mcg/ kg. If you are treating a 30 year old, 165 pound patient for a broken bone, you should administer_____mcg of fentanyl. - ✔✔ 75 This requires you to administer_____cc's of fentanyl. - ✔✔1. You should have_____cc's of Fentanyl left to waste. - ✔✔3. What is the name of the sensory structures located in the aortic arch and carotid bodies that are resposible for monitoring blood pressure? Chemoreceptors Baroreceptors Cardioinhibitory centers Cardioacceleratory centers - ✔✔Baroreceptors The relese of which hormone(s) from the body results in the most immediate response to the effecs of hypoperfusion? Catecholamines Antidiuretic hormone Glucocorticoids Angiotensin 11 - ✔✔Catecholamines Rapid transport to a trauma facility is most indicated in which of the following patients?
Genaric Intrinsic Inherent Extrinsic - ✔✔Intrinsic What is found on the alveolar surface that helps to decrease the surface tension of the alveoli? Surfactant Histamine Tryptosin Macrophage - ✔✔Surfactant What term is used to describe the overall volume of air in the lungs after a full, complete inhalation? total lung capacity minute respiratory volume minute alveolar volume forced expiratory volume - ✔✔total lung capacity Cellular repiration occures in the peripheral_____ veins arterioles arteries capillaries - ✔✔capillaries Which term is used to describe a graphic recording or display of the capnometry reading over time?
capnowave capnography capnoscreen capnogram - ✔✔capnography What is the term for an excess of red blood cells, resulting in an abnormally high hematocrit? polycythemia thrombocytopenia anemia hypoxemia - ✔✔polycythemia what drug class is used for patients who have bronchoconstriction from asthma but are still able to maintain an acceptable minute ventilation? corticosteroids antibiotics methylxanthines bronchodilators - ✔✔bronchodolators Stimulatory impulses that travel from the spinal cord to the diaphragm do so down which nerve? Cranial Phrenic Hypoglossal Vagal - ✔✔Phrenic
What is the name of the outermost lining of the walls of arteries, described as a fibrouse tissue covering that gives the vessel strength to withstand the pressures generated by the heart's contractions? Tuunica Media Tunica adventitia Tunica Intima Vesceral Media - ✔✔Tunica adventitia Which law states that the more the myocardial muscle is streatched, the greater its force of contraction will be? Poiseuille's law Newton's law Cushing's law Starlings's law - ✔✔Starling's law Which term refers to the strength of a cardiac muscular contraction? Inotropy Atropy Dromotropy Chronotropy - ✔✔Inotropy Which cellular property possessed by a certain cell of the myocardium, allows the conductive system to depolarize without any impulse from an outside source? Excitability Conductivity Automaticity
Contractillity - ✔✔Automaticity The heart consists of three tissue layers, including the outermost elastic layer of the heart: myocardium epicardium andocarduim parathelium - ✔✔epicardium Which one of the following statements about the four chambers of the heart is correct? Ventricles receive incoming blood from the body The left ventricle has the thickest myocardium Atria are the inferior chambers of the heart Atria are the two largest chambers of the heart - ✔✔The left ventricle has the thickest myovcardium The pulmonic and aortic valves are open during: Diastole No answer text provided No answer text provided Systole - ✔✔Systole After the blood circulates through the lungs and becomes oxygenated, it returns to the heart by way of the: Vena cava Pulmonary arteries Pulmonary veins
Acetylcholine - ✔✔Acetylcholine The innermost layer of meninges direcly overlying the central nervous system is called the: cerebrospinal membrane dura mater arachnoid membrane pia mater - ✔✔pia mater Which clinical finding is the hallmark sign of central nervous system (CNS) injury or illness? Diminished blood pressure Elevated heart rate Altered mental status Elevated blood pressure - ✔✔Altered mental status What is the name for the respiratory pattern chaacterized by ineffective thoracic muscular coordination and inadequate air exchange? Cheyne-stokes respirations Apneustic respirations Ataxic respirations Kussmaul's respirations - ✔✔Ataxic respirations Which of the following is not included in the changes that characterize Cushing's triad? Increased blood pressure Decreased body temperature Decreased pulse
Irregular respirations - ✔✔Decreased body temperature In a child a seizure characterized by a 10-30 second loss of consciousness or awareness, eye or muscle fluttering and an occasional loss of muscle tone is known as what type of seizure? Grand mal simple partial Tonic-clonic Absence - ✔✔Absence A patient who is suspected of being an alcoholic has an altered mental status. For this patient, the first intravenous medication would most likely be: Oxygen Naloxone solumedrol thiamine - ✔✔thiamine What is the primary medication for stopping a seizure in an epileptic patient who has not taken his medications for several weeks? Thiamine Diazepam Midazoline Oxygen - ✔✔Diazepam If administering 5mg of Diazepam to a siezure patient, and the medication is stored as 10mg in a 5 mL vial, how many milliliters will you deliver?
Avulsions Abrasions Lacerations Incisions - ✔✔Abrasions Specialized white blood cells capable of engulfing bacteria are known as _______________ all answers are true macrophages phagocytes granulocytes - ✔✔all answers are true The anaerobic bacterium Clostridium Perfringens causes a deep space infection called___ tetanus cholera collagen gangrene - ✔✔gangrene You have been called to a construction scene where a patient has caught one of his legs between two pieces of machinery. As the leg is removed from the machinery, you see that there is no break in the continuity of the skin, but the leg is deformed and the patient has pain. You should suspect the injuries to be _____ extensive minimally significant absent unimportant - ✔✔extensive
Which type of dressing is designed to be placed over a wound as a barrier to leaking? Absorbent Adherent Non-adherent Non-absorbent - ✔✔Non-absorbent As you begin to bandage a soft tissue injury, you should continue to check distal pulses to ensure proper tissue perfusion. This is done primarily to detect development of shock Shrinking of the bandage toxins entering central circulation Swelling of the damaged tissue - ✔✔Swelling of the damaged tissue The ability of the body to stop bleeding on its own is known as: neovasularization inflammation hemostasis epitheliazation - ✔✔hemostasis You are treating a patient who was shot in the chest following an argument. During your assessment and treatment of this patient, what type of dressing will you apply initially to the open chest wound? occlusive Non-adherent Absorbent Porous - ✔✔occlusive
Pancuronium Vecuronium - ✔✔Succinylcholine In general, how should dry lime be removed from the skin? Brush dry lime away and then flush with cool water Apply leberal amounts of baking soda over the lime, followed by sterile dressing Cover the lime with a dressing, flush with water, and transport flush with vinegar, then with water - ✔✔Brush dry lime away then flush with cool water What should you do for the burn patient after any life threats are properly managed? cool the burn with water Remove restrictive jewelry Transport cautiously and slowly Administer high concentration oxygen - ✔✔Remove restrictive jewelry An eye injury involving hemorrhage into the anterior chamber pools is known as: erythema hyphema blepharospasm ecchymosis - ✔✔hyphema Your patient has been involved in serious trauma and has received an open wound to the neck, exposing and damaging blood vessels. Your concern should be directed toward the danger of exsanguination and_____ pulmonary edema
tension pneumothorax air embolism subcutaneous emphysema - ✔✔air embolism Generally, if a patient presents with a Glasgow Coma Scale score of less than________, the patient will likely need advanced airway management. 10 12 14 8 - ✔✔ 8 Which of the following vital signs would most likely indicate a potential spinal cord injury? Hypotension, bradycardia, and shallow respirations Hypertension, bradycardia, and shallow respirations Hypertension, tachycardia, and deep respirations Hypotension, tachycardia, and deep respirations - ✔✔Hypotension, bradycardia, and shallow respirations Which of the following drugs may cause fasciculations and raise ICP? Succinylcholine Mannitol Rocuronium Solu-medrol - ✔✔Succinylcholine Rate, depth, and rhythm of respirations are controlled by the__________
