Emergency Care 13th Edition

Emergency Care, 13e (Limmer et al.) Chapter 1 Introduction to Emergency Medical Care Chapter 1 Introduction to Emergency Medical Care Chapter 1 Introduction to Emergency Medical Care 1) Which of the following refers to a program or process for evaluating and improving the effectiveness of an EMS system? A) Quality improvement B) System effectiveness management C)

21) Which of the following is a physical trait necessary for performing the duties of an EMT? A) Nonjudgmental and fair B) Ability to lift and carry 200 pounds C) Ability to speak clearly D) Ability to remain calm in stressful situations Answer: CExplanation: A) INCORRECT. Being nonjudgmental and fair are important personal attributes for

33) Who assumes the ultimate responsibility for patient care rendered by the EMT? A) EMS supervisor B) EMT C) Director of quality assurance D) Medical Director Answer: DExplanation: A) INCORRECT. Although an EMS supervisor can be involved, the EMS service'sMedical Director assumes ultimate responsibility for the care provided by an EMT.B) INCORRECT. Since every EMT

Emergency Care, 13e (Limmer et al.) Chapter 10 Respiration and Artificial Ventilation 1) For life to be maintained, a balance of oxygen and carbon dioxide is needed. The condition when oxygen levels are low is called: A) hypotension. B) hypercarbia. C) hyperventilation. D) hypoxia. Answer: DExplanation: A) INCORRECT. The term hypotension refers to low blood pressure;

22) What device is used to perform mouth-to-mask ventilation? A) Pocket face mask B) Bag-valve mask C) Stoma D) Automatic transport ventilator Answer: AExplanation: A) CORRECT. A pocket face mask is used to perform mouth-to-mask ventilation. B) INCORRECT. A bag-valve mask is used during bag-valve mask ventilation, not mouth-to-mask ventilation. C) INCORRECT. A stoma

36) Venturi masks are designed to mix oxygen with: A) nitrogen. B) inhaled air. C) humidified air. D) carbon monoxide. Answer: BExplanation: A) INCORRECT. Venturi masks are not specifically used to combine nitrogen withoxygen.B) CORRECT. Most commonly used for COPD patients, Venturi masks deliver specific concentrations of oxygen by mixing oxygen with inhaled air.C) INCORRECT.

Emergency Care, 13e (Limmer et al.) Chapter 11 Scene Size-Up 1) Which of the following is NOT determined in a scene size-up? A) Chief complaint B) Mechanism of injury C) Potential hazards to the EMS crew D) Need for additional resources Answer: AExplanation: A) CORRECT. The scene size-up process does not include determining the patient's chief

19) Which of the following will deliver a medium velocity impact? A) Bullet from a handgun B) Ice pick C) Butcher knife D) Bullet from an assault rifle Answer: AExplanation: A) CORRECT. A handgun or shotgun will produce a medium velocity impact.B) INCORRECT. An ice pick will produce a low velocity impact.C) INCORRECT. Any weapon

Emergency Care, 13e (Limmer et al.) Chapter 12 The Primary Assessment 1) What BEST defines the immediate sense of the patient's degree of distress, formulated from the patient's immediate environment, appearance, and chief complaint? A) General impression B) Primary assessment C) Scene size-up D) Secondary assessment Answer: AExplanation: A) CORRECT. Forming a general impression helps you

22) Which of the following is NOT assessed during the "Breathing" phase of the primary assessment? A) Determining the depth of respiration B) Counting the respiratory rate C) Determining the presence of respirations D) Obtaining a pulse oximetry reading Answer: DExplanation: A) INCORRECT. Depth of the patient's breathing should be assessed during the "Breathing" phase

35) Your patient is a 33-year-old man who has been ejected from his vehicle during a high-speed collision. During your primary assessment it is discovered that he is not moving, does not appear to have adequate respirations, and has suffered moderate external bleeding. Which of the following should be done

Emergency Care, 13e (Limmer et al.) Chapter 13 Vital Signs and Monitoring Devices 1) When the heart contracts and forces blood into the arteries, the pressure created is known as the: A) pulse pressure. B) systolic blood pressure. C) diastolic blood pressure. D) central venous pressure. Answer: BExplanation: A) INCORRECT. Although when the heart contracts it

24) You are called to care for a child who has fallen out of a third-story window. You arrive to find the child in his mother's arms. As you approach, you notice the child's skin is pale with dark spots of cyanosis. You would report this uncommon condition of blotchy

41) You are assessing an 82-year-old female that has been lost in the woods behind her nursing home for several hours on a crisp fall evening. Your pulse oximeter shows her oxygen saturation to be 82% even though she appears to be breathing adequately. In order to ensure an accurate

Emergency Care, 13e (Limmer et al.) Chapter 14 The Secondary Assessment 1) The patient was a driver in a lateral impact motor vehicle collision. During the assessment of his chest, the EMT notes a segment of the chest wall moving in the opposite direction from the rest of the chest. Which

22) For which of the following patients is a focused physical examination appropriate? A) A 30-year-old male with a history of diabetes and who is found unresponsive by his son B) A 25-year-old female with a history of asthma and who is complaining of difficulty breathing C) A 19-year-old female with a history

43) Immediately following a rapid physical exam on an unresponsive medical patient, which of the following should you do next? A) Obtain baseline vital signs. B) Check the scene for medications. C) Find out who the patient's doctor is. D) Perform a focused physical exam. Answer: AExplanation: A) CORRECT. When caring for an unresponsive medical

65) You are called for a 58-year-old male who is concerned that his blood pressure is too high. He tells you that he has had a headache and is feeling a little dizzy. You notice that his skin is flushed and feels warm to the touch. As you finish taking

85) You and another EMT are discussing a call he previously ran. The EMT said the patient had classic chest pain symptoms and he treated it as a possible heart attack, but he later found out the patient just had indigestion and was discharged 2 hours later. The EMT was

Emergency Care, 13e (Limmer et al.) Chapter 15 Communication and Documentation 1) Which of the following BEST describes a base station? A) A two-way radio at a fixed site B) A device used to receive and then amplify transmissions that must be carried over long distances C) A two-way radio mounted in a vehicle D)

21) You have received an order from medical direction that you feel would be detrimental to your patient. Which of the following should you do? A) Politely question the physician. B) Carry out the order but document that you disagreed with it. C) Contact your supervisor for advice. D) Call a different hospital for

42) Which of the following is NOT appropriate to document on your patient care report? A) Patient's attitude B) Patient's mental status C) Patient's race D) All should be documented Answer: AExplanation: A) CORRECT. A description of the patient's attitude serves no purpose in a patient care report.B) INCORRECT. It is important to document the

53) Which of the following is NOT an appropriate use of patient care report (PCR) information? A) To conduct research B) To provide EMS personnel with education and quality assurance C) For billing and insurance purposes D) For referral to Alcoholics Anonymous or similar social services Answer: DExplanation: A) INCORRECT. PCR information is commonly used

Emergency Care, 13e (Limmer et al.) Chapter 16 General Pharmacology 1) The symptoms or circumstances for which a medication is given are called: A) contraindications. B) indications. C) side effects. D) untoward effects. Answer: BExplanation: A) INCORRECT. The term contraindication refers to situations where the medication is not recommended.B) CORRECT. Indications are specific signs, symptoms, or

22) How does aspirin actually reduce the chances that a patient suffering a heart attack will die? A) It reduces the amount of pain in the heart. B) It prevents a deadly fever from developing. C) It reduces the inflammation in the heart. D) It reduces the ability of the blood to form clots. Answer:

35) Which of the following BEST describes the five rights? A) In date, right medication, right order, right dose, right time B) Right patient, right medication, in date, right dose, right route C) Right decision, right medication, right order, right dose, right place D) Right patient, right medication, right time, right dose, right route Answer:

Emergency Care, 13e (Limmer et al.) Chapter 17 Respiratory Emergencies 1) Which of the following does NOT occur during inspiration? A) Intercostal muscles contract B) Chest cavity increases in size C) Diaphragm lowers D) Diaphragm relaxes Answer: DExplanation: A) INCORRECT. During the process of inspiration, the intercostal muscles contract.B) INCORRECT. During inhalation, the ribs move upward

21) Your patient is a 30-year-old female who may have overdosed on antidepressant medications. On your arrival, she is lying supine on her bed with her head on a pillow. She is unresponsive to painful stimuli and is snoring. She appears to be pale and her skin is cool and clammy.

35) You are responding to a 54-year-old female patient in respiratory distress. The patient is on home oxygen by nasal cannula at 1 lpm. The patient has diminished lung sounds bilaterally with wheezes. She appears malnourished and has a barrel chest. What condition do you suspect? A) Bronchitis B) Asthma C) Chronic obstructive

Emergency Care, 13e (Limmer et al.) Chapter 18 Cardiac Emergencies 1) Which of the following is the general term used to refer to a problem with the heart? A) Myocardial infarction B) Cardiac dysrhythmia C) Cardiac compromise D) Congestive heart failure Answer: CExplanation: A) INCORRECT. A myocardial infarction is a specific heart problem.B) INCORRECT. The term

24) Which of the following is the name given to the condition in which fluid accumulates in the lungs? A) Chronic obstructive pulmonary disease (COPD) B) Pulmonary edema C) Pedal edema D) Dyspnea Answer: BExplanation: A) INCORRECT. COPD is the term used to describe one of several chronic respiratory diseases; not specifically for a fluid

40) Which of the following BEST describes an appropriate shock sequence for the patient in pulseless VT? A) Shock, 2 minutes of CPR, analyze, shock again B) Shock, shock, shock, pulse check, 2 minutes of CPR, shock, shock, shock C) Shock, pulse check, shock, pulse check, shock, pulse check D) Shock, shock, shock, shock Answer:

Emergency Care, 13e (Limmer et al.) Chapter 19 Diabetic Emergencies and Altered Mental Status 1) The medical term for fainting is: A) syncope. B) altered RAS status. C) dehydration. D) vertigo. Answer: AExplanation: A) CORRECT. Dizziness and syncope (another term for fainting) are common reasons EMS is called.B) INCORRECT. Fainting is not commonly called an altered

26) Your patient is an unresponsive 30-year-old male wearing a Medic-Alert bracelet indicating that he is a diabetic. The patient's coworkers came by his house to check on him when he did not show up for work and did not call in sick. Your assessment does not clearly indicate to

44) Which of the following is the most critical piece of equipment to have immediately available for the seizure patient who has just stopped convulsing? A) Suction B) Cervical collar C) Glucometer D) Bite block Answer: AExplanation: A) CORRECT. A patient who has just had a generalized seizure will sometimes drool and will usually be

Emergency Care, 13e (Limmer et al.) Chapter 2 The Well-being of the EMT 1) Which of the following descriptions BEST defines the term pathogen? A) An immunity developed after an exposure B) A study of the origins of infection and disease C) A medication with a harmful effect D) An organism that causes infection and

21) When covering a patient's mouth and nose with a mask of any kind, which of the following is the primary risk? A) Causing or exasperating respiratory illnesses B) Interfering with patient communication C) Upsetting the patient because of the social stigma D) Obstructing the ability to visualize and protect the airway Answer: DExplanation: A) INCORRECT.

44) Critical Incident Stress Debriefings (CISDs): A) are always recommended. B) are now less common than they once were. C) must be held from 2 to 4 hours following an incident to be effective. D) have been replaced with "defusings." Answer: BExplanation: A) INCORRECT. Critical Incident Stress Debriefings are no longer standard in the EMS

Emergency Care, 13e (Limmer et al.) Chapter 20 Allergic Reaction 1) What is another name for a severe allergic reaction? A) Dermatitis B) Asthma C) Anaphylaxis D) Psychosomatic reaction Answer: CExplanation: A) INCORRECT. An inflammation of the skin is called dermatitis.B) INCORRECT. Asthma is a respiratory disease which can be triggered by allergens, but it is

21) Your patient has eaten a casserole that may have contained seafood. The patient is worried because he has a seafood allergy. Upon assessment, you find no signs or symptoms of anaphylaxis. The patient's vital signs are stable and he has an epinephrine auto-injector prescribed to him. Which of the

33) Which of the following is NOT a side effect of epinephrine? A) Pallor B) Vomiting C) Bradycardia D) Chest pain Answer: CExplanation: A) INCORRECT. A pale appearance can be a side-effect of epinephrine.B) INCORRECT. Some patients will vomit after receiving epinephrine.C) CORRECT. It would be unusual for a patient's heart rate to slow following

Emergency Care, 13e (Limmer et al.) Chapter 21 Poisoning and Overdose Emergencies 1) The term poison is BEST described as any substance that can do which of the following? A) Increase cellular activity B) Deactivate nerve transmission C) Depress the body's respirations D) Harm the body Answer: DExplanation: A) INCORRECT. Poisons will decrease the body's cellular

22) Which of the following is NOT part of the treatment for a 15-year-old female who has swallowed drain cleaner? A) Call medical control. B) Administer milk or water. C) Maintain the airway. D) Administer activated charcoal. Answer: DExplanation: A) INCORRECT. Medical control should be contacted in this situation.B) INCORRECT. Administration of milk or water

41) Which of the following is the BEST initial intervention for a patient who has inhaled a poison? A) Provide plenty of fresh air and monitor pulse oximetry readings. B) Perform abdominal thrusts to clear the airway, followed by high-concentration oxygen. C) Transport in a position of comfort and provide oxygen for patients

58) Which of the following is a sign or symptom of withdrawal from alcohol? A) Seizures B) Sweating C) Hallucinations D) All of the above Answer: DExplanation: A) INCORRECT. Seizures are a sign of alcohol withdrawal, but so are sweating and hallucinations.B) INCORRECT. Profuse sweating is a sign of alcohol withdrawal, but so are seizures

Emergency Care, 13e (Limmer et al.) Chapter 22 Abdominal Emergencies 1) Pain that originates in an organ, such as the intestines, is called ________ pain. A) visceral B) referred C) acute D) parietal Answer: AExplanation: A) CORRECT. Visceral pain originates from the organs (the viscera) within the abdomen. The organs themselves do not have a large

22) You arrive on the scene to find an approximately 60-year-old male patient writhing on the floor. He is complaining of a tearing pain radiating to his lower back. He has absent femoral pulses and has a pulsatile mass just superior to his umbilicus. You suspect which of the following conditions? A)

38) Your patient is a 17-year-old with a history of asthma. She is complaining of pain in her lower abdomen. Assessment reveals that her breath sounds are clear and equal, she has a respiratory rate of 28 breaths per minute, a heart rate of 96 beats per minute, and a

Emergency Care, 13e (Limmer et al.) Chapter 23 Behavioral and Psychiatric Emergencies and Suicide 1) When a person acts in a manner that is unacceptable to himself or those around him, this would be considered which of the following? A) Mental illness B) Psychotic episode C) Behavioral emergency D) Psychosomatic reaction Answer: CExplanation: A) INCORRECT. The

20) There are general rules when dealing with psychiatric emergencies. Which of the following is NOT one of those rules and would be considered inappropriate? A) Identify yourself and your role. B) Speak slowly and clearly, using a calm and reassuring tone. C) Never make eye contact with the patient, as it will

40) You have responded to a call about a "psychiatric patient" to find a 24-year-old woman talking to herself in her home. She is rocking back and forth and you can see from a distance that she is perspiring profusely. You also see an empty medication bottle on the floor. She

Emergency Care, 13e (Limmer et al.) Chapter 24 Hematologic and Renal Emergencies 1) The correct terminology used for patients whose kidneys are damaged to the point where they require dialysis to survive is: A) acute renal failure. B) end-stage renal disease. C) hepatic failure. D) terminal kidney disease. Answer: BExplanation: A) INCORRECT. Acute renal failure is

22) You are dispatched to a sick call. The patient was just extricated from a bathtub where he was trapped under the shower door for 2 weeks. This 72-year-old male had limited access to water from the bathtub faucet. The patient is complaining of disorientation, nausea, and vomiting. What do you

35) Dialysis patients who have missed an appointment may present with signs of ________, which is a similar presentation to ________. A) pulmonary edema; congestive heart failure B) shortness of breath; pneumonia C) chest pain; acute myocardial infarction D) neurological disturbances; stroke Answer: AExplanation: A) CORRECT. Because dialysis patients lack the ability to rid the

Emergency Care, 13e (Limmer et al.) Chapter 25 Bleeding and Shock 1) Shock is the circulatory system's failure to provide sufficient blood and oxygen to all the body's tissues. Which of the answers is NOT a major type of shock? A) Hypovolemic B) Hemorrhagic C) Hypervolemic D) Cardiogenic Answer: CExplanation: A) INCORRECT. Hypovolemic shock is one

26) Your patient is a 28-year-old male who cut his thigh with a chain saw. It appears that he has lost about 600 cc of blood. Which of the following is NOT part of the proper management of this patient? A) Use of a tourniquet B) Replacement of fluid level by giving the

39) Although many of the signs and symptoms of shock are the same no matter what the cause, the symptoms follow a logical progression as shock develops and worsens. Arrange the following signs and symptoms in the likely order that they will appear. 1. Altered mental status 2. Dropping blood pressure 3. Nausea

Emergency Care, 13e (Limmer et al.) Chapter 26 Soft-Tissue Trauma 1) Which of the following is the outermost layer of the skin? A) Dermis B) Epidermis C) Adipose tissue D) Fascia Answer: BExplanation: A) INCORRECT. The layer of skin below the outermost layer (epidermis) is the dermis layer.B) CORRECT. The outermost layer of the skin is

24) You are dispatched to an auto repair shop for an "accident." You arrive and are told by the owner that one of the workers apparently got his hand in the way while using a high-pressure grease gun and injected the grease into his hand. You find the patient seated

42) According to the rule of nines for infants and young children, the patient's head and neck account for what percentage of the total body surface area? A) 13.5% B) 14% C) 9% D) 18% Answer: DExplanation: A) INCORRECT. 13.5% would be the percentage of one entire infant leg burned.B) INCORRECT. 14% would be the

Emergency Care, 13e (Limmer et al.) Chapter 27 Chest and Abdominal Trauma 1) Which of the following BEST describes an evisceration? A) Open wound of the abdomen from which organs protrude B) Flap of skin that is partially or completely torn away from the underlying tissue C) Accumulation of blood beneath the skin, resulting

21) You are on an EMS standby for a boxing tournament. During one of the matches, one of the female boxers delivers a forcible uppercut to the chest of her opponent, who falls to the ground. The match is declared over on the basis of a TKO. However, the opponent

35) Your patient has an open abdominal wound with intestines protruding. You should: A) leave them alone and transport rapidly. B) attempt to place the organs back into the abdomen. C) cover the entire abdomen with a blanket. D) cover the organs with moist sterile dressings. Answer: DExplanation: A) INCORRECT. Abdominal organs that are protruding

Emergency Care, 13e (Limmer et al.) Chapter 28 Musculoskeletal Trauma 1) Which of the following structures connect bone ends, making joints more stable? A) Ligaments B) Cartilage C) Tendons D) Periosteum Answer: AExplanation: A) CORRECT. Ligaments attach bone to bone at the ends, making the joint more stable.B) INCORRECT. Cartilage serves as an area for articulation

24) One of the more serious conditions that EMTs are confronted with would occur as follows: A fracture or crush injury causes bleeding and swelling within the extremity. Pressure and swelling caused by the bleeding within the muscle compartment become so great that the body can no longer perfuse the tissues

35) Your patient is an 11-year-old male who has a swollen, painful, and angulated right lower arm after falling from his bicycle onto his hands. Which of the following should be considered in the immobilization of his injured extremity? A) Check pulse, movement, and sensation distal to the injury before and after

Emergency Care, 13e (Limmer et al.) Chapter 29 Trauma to the Head, Neck, and Spine 1) The maxillae form which of the following structures? A) Lower jaw B) Upper jaw C) Cheek bones D) Forehead Answer: BExplanation: A) INCORRECT. The lower jaw is the mandible.B) CORRECT. The upper jaw is referred to as the maxillae.C) INCORRECT.

24) Which of the following is a potential complication of hyperventilating a patient with a brain injury? A) Increasing the amount of carbon dioxide in the blood B) Increasing blood flow to the brain C) Decreasing blood flow to the brain D) Decreasing the patient's blood pressure Answer: CExplanation: A) INCORRECT. Hyperventilation will decrease the

47) When a patient has a serious open wound to the neck, you are concerned about the possibility of an air embolism. The reason an air embolism can occur is because of: A) the higher pressure in the vessels of the neck. B) the negative pressure in the chest. C) vessel pressure that is

62) Your patient is a 30-year-old female involved in a motorcycle crash. She was not wearing a helmet and struck her head on the pavement. She is unresponsive and has a blood pressure of 152/110 mmHg. Her pulse is 60 beats per minute and respirations are 8 breaths per minute

Emergency Care, 13e (Limmer et al.) Chapter 3 Lifting and Moving Patients 1) Which of the methods listed below is best described as moving a patient from the floor to a stretcher by having two or more rescuers kneel, curl the patient to their chests, stand, and then reverse the process

24) What is the main benefit of using a stair chair with a track-like system over a traditional stair chair? A) A stair chair with a track-like system can be manipulated to lift into an ambulance using a hydraulic system. B) A stair chair with a track-like system prevents the patient from

Emergency Care, 13e (Limmer et al.) Chapter 30 Multisystem Trauma 1) What is the definition of multiple trauma? A) A trauma in which the patient has more than one serious injury. B) A trauma in which there are multiple casualties. C) A trauma that requires the response of multiple agencies. D) Multiple injuries that affect

19) What type of trauma triage criteria regarding transport would a finger amputation receive? A) Any hospital, as long as on-line medical direction approves the facility's capabilities B) Any hospital with surgical facilities C) Trauma center D) Patient's choice of destination Answer: BExplanation: A) INCORRECT. Any hospital may not have surgical capabilities and would not

Emergency Care, 13e (Limmer et al.) Chapter 31 Environmental Emergencies 1) In which of the following situations would a person lose heat by conduction? A) Sitting on cold metal bleachers at a football game B) Wearing wet clothing in windy weather C) Breathing D) Going outside without a coat during a cold but calm day Answer:

26) You respond to the scene of a 14-year-old patient. He is unresponsive and hypothermic. Emergency Medical Responders have moved the patient inside and secured the airway prior to your arrival. What is your next action? A) Vigorously rub the patient to increase the body temperature. B) Actively rewarm the patient. C) Passively

49) You have responded to a local pool for a drowning patient. Lifeguards have pulled the patient out of the pool prior to your arrival. You find a 22-year-old male patient unresponsive with agonal respirations and a weak carotid pulse. Bystanders state the patient was not using the diving board and

Emergency Care, 13e (Limmer et al.) Chapter 32 Obstetric and Gynecologic Emergencies 1) Which of the following BEST describes the term crowning? A) Complete dilation of the cervix B) Presenting part of the baby being visible at the vaginal opening C) Delivery of the head during a breech birth, completing delivery D) Discharge of

23) Your pregnant patient is in active labor. She has been lying on her back throughout her labor and is experiencing signs and symptoms of shock. Her vital signs are pulse rate 118, respirations 22, blood pressure 96/62, and skin cool and diaphoretic. The BEST way to treat her is

44) Traditionally an APGAR score is taken at what time intervals after birth? A) 5 and 10 minutes B) 2 and 7 minutes C) 1 and 5 minutes D) 1 and 6 minutes Answer: CExplanation: A) INCORRECT. APGAR scores are at 1 minute not 10 minutes.B) INCORRECT. APGAR scores are taken at 1 and 5

60) Your patient is a 26-year-old female with a history of ectopic pregnancies. She has called 911 for extreme abdominal pain and she is concerned that she has another ectopic pregnancy. Her vital signs are pulse 118, respirations 20, and blood pressure 100/76. Which of the following is true regarding ectopic

Emergency Care, 13e (Limmer et al.) Chapter 33 Pediatric Emergencies 1) The anterior fontanelle should be closed between the ages of ________ and ________. A) 3 months; 6 months B) 24 months; 36 months C) 6 months; 10 months D) 12 months; 18 months Answer: DExplanation: A) INCORRECT. The posterior fontanelle would be closed by the

24) You are assessing a 2-year-old child whose mother states she has had a fever for several hours. Which of the following signs is cause for concern? A) Crying B) Absence of nasal flaring with inhalation C) Grunting at the end of expiration D) Respiratory rate of 28 breaths per minute Answer: CExplanation: A) INCORRECT.

47) Your patient is a 3-year-old child who is in severe respiratory distress. She is cyanotic and responds only to painful stimuli. According to the patient's mother, the child had complained of a sore throat earlier and has had a fever since early in the morning. Which of the following is

Emergency Care, 13e (Limmer et al.) Chapter 34 Geriatric Emergencies 1) Which of the following is meant by the "1 percent rule" of aging? A) Our organ systems lose about 1 percent of function per year beginning at age 30. B) We lose about 1 percent of our memory capacity every year beginning

21) During your assessment of an unconscious, unresponsive 80-year-old female patient, you notice that she has dentures. Your assessment reveals she has an open airway, is breathing on her own at a rate of 12 per minute, is slightly pale, and has a bounding radial pulse. In managing this patient's

Emergency Care, 13e (Limmer et al.) Chapter 35 Emergencies for Patients with Special Challenges 1) Which of the following BEST describes when positive pressure is applied to the patient's airway using a CPAP machine? A) Between inhalation and exhalation B) During exhalation only C) During both inhalation and exhalation D) During inhalation only Answer: CExplanation: A)

23) Which of the following is the BEST course of action for the EMT to take when caring for a patient with an AICD who goes into cardiac arrest? A) The AED should be applied and used, but CPR should not be started while on-scene or transporting the patient. B) No action

Emergency Care, 13e (Limmer et al.) Chapter 36 EMS Operations 1) The U.S. Department of Transportation has issued specifications for all of the following types of ambulances except: A) Type III. B) Type I. C) Type IV. D) Type II. Answer: CExplanation: A) INCORRECT. The U.S. Department of Transportation has issued specifications for Type

25) Operators of emergency vehicles must drive with the safety of others in mind. This is known as driving: A) with due regard. B) defensively. C) as a public servant. D) with emergency privilege. Answer: AExplanation: A) CORRECT. Operators of emergency vehicles must drive with the safety of others in mind. This is known as

38) You have transported a stable patient with complaints of having abdominal pain for the last three weeks to the hospital. On arrival, you notice the emergency department is very busy and there are no empty beds to be found. You have attempted to get the attention of a hospital

Emergency Care, 13e (Limmer et al.) Chapter 37 Hazardous Materials, Multiple-Casualty Incidents, and Incident Management 1) You are in charge of your department's personnel at the scene of a mass-casualty incident. As the incident progresses, you request additional resources and a neighboring department assists you. As part of this department's

22) What source will provide first aid information about hazardous materials for employees at a work site? A) Safety Data Sheets B) Bill of lading C) Shipping manifest D) Placard Answer: AExplanation: A) CORRECT. The Safety Data Sheets (SDS), formally called Material Safety Data Sheet (MSDS), is required to be provided on hazardous materials by

42) You are an EMT on the scene of a mass-casualty incident in which there are 50 patients from a bus roll-over. Incident Command has been established and EMS, law enforcement, and rescue sectors are established. You have just discovered that one of the bus passengers was carrying a suspicious

54) Using START triage guidelines, a patient on the scene of a mass-causality incident who is not breathing initially, but begins breathing when the airway is open, is deemed a ________ patient. A) Priority 0 B) Priority 1 C) Priority 2 D) Priority 3 Answer: BExplanation: A) INCORRECT. If the patient did not breathe at

Emergency Care, 13e (Limmer et al.) Chapter 38 Highway Safety and Vehicle Extrication 1) Which of the following is the MOST common type of rescue across the United States? A) Farm rescue B) Water rescue C) Vehicle rescue D) Hazardous materials response Answer: CExplanation: A) INCORRECT. Farm rescue is not the most common type of rescue

25) You have arrived at the scene of a motor vehicle collision to find that there are several critically injured patients. Which of the following should you do first? A) Begin triage of all patients before deciding on additional resources. B) Call for additional rescue units and transporting ambulances. C) Begin extrication of

42) Which safety device prevents car doors from opening during a collision? A) Safety lock B) Nader jam C) Nader pin D) Safety pin Answer: CExplanation: A) INCORRECT. The safety lock is designed to keep children from opening the door from the inside but does not prevent opening in a collision.B) INCORRECT. The Nader jam

Emergency Care, 13e (Limmer et al.) Chapter 39 EMS Response to Terrorism 1) Which of the following BEST defines domestic terrorism? A) Interpersonal violence between family members B) Politically motivated act of violence that occurs within the United States C) Small group of people directing violent acts at the population or government without

21) The formula dose multiplied by time represents which of the following? A) Lethal dose B) Concentration C) Exposure D) Critical level Answer: CExplanation: A) INCORRECT. Lethal dose is the amount of agent that will kill a person.B) INCORRECT. Concentration is the amount of agent in a given solution or medium.C) CORRECT. "Dose" is how

Emergency Care, 13e (Limmer et al.) Chapter 4 Medical/Legal and Ethical Issues 1) Which type of consent must be used by the EMT when seeking to treat a mentally competent adult? A) Unconditional consent B) Expressed consent C) Conscious consent D) Implied consent Answer: BExplanation: A) INCORRECT. There is not a type of consent for medical

17) An off-duty EMT is driving down the road when she sees a major vehicle accident. There are no Emergency Medical Responders on the scene yet. There are only Good Samaritans. The EMT is late for a doctor's appointment so she decides that she will not stop and help. The driver

Emergency Care, 13e (Limmer et al.) Chapter 5 Medical Terminology 1) What is the distinction between anatomy and physiology? A) Anatomy is the study of physical body structures, whereas physiology is the study of emotions and behavior. B) The terms are synonymous. C) Anatomy is the study of body components and systems, and physiology

13) Which of the following BEST describes the anatomic position? A) Supine with arms crossed over the chest and knees slightly bent B) Standing, facing forward, with arms raised above the head C) Standing, facing forward, with arms at the side, palms forward D) Standing in profile with the hands on the hips Answer: CExplanation:

Emergency Care, 13e (Limmer et al.) Chapter 6 Anatomy and Physiology 1) Physiology is the study of: A) body structures. B) muscles and movement. C) body systems. D) exercise and nutrition. Answer: CExplanation: A) INCORRECT. Anatomy is the study of body structures.B) INCORRECT. The study of muscles and movement is known as kinesiology.C) CORRECT. Physiology is

24) Which of the following structures allows food to move from the mouth to the stomach? A) Trachea B) Venae cavae C) Duodenum D) Esophagus Answer: DExplanation: A) INCORRECT. The trachea (also called the "windpipe") is the structure that connects the pharynx to the lungs.B) INCORRECT. The largest veins in the body are called the

45) You have been dispatched to a local shopping mall where a 63-year-old female patient has slipped and fallen in a department store. Upon your arrival, you find her supine on the ground, conscious and oriented with stable vital signs, complaining of severe pain to the upper portion of her

Emergency Care, 13e (Limmer et al.) Chapter 7 Ventilation, Perfusion, and Shock: Understanding Pathophysiology 1) The study of how disease affects the functioning of the human body is called: A) psychology. B) physiology. C) pathophysiology. D) anatomy. Answer: CExplanation: A) INCORRECT. The study of the human mind and its functions is called psychology.B) INCORRECT. Physiology is

23) The metabolism that creates large amounts of carbon dioxide and lactic acid but generates little energy is called: A) homeostatic. B) hyperoxic. C) aerobic. D) anaerobic. Answer: DExplanation: A) INCORRECT. Inefficient metabolism is not called homestatic.B) INCORRECT. The term hyperoxic refers to an excess of oxygen; it is not generally used to describe a

43) You respond to a patient who is choking. The victim is suffering from the most common of airway obstructions. This would indicate that the problem is in the ________ airway. A) upper B) bronchial C) lower D) alveoli Answer: AExplanation: A) CORRECT. An obstruction that causes choking would usually be found in the upper

55) Water that is found in the space between cells and blood vessels is called: A) intravascular. B) hydrostatic. C) intracellular. D) interstitial. Answer: DExplanation: A) INCORRECT. About 5% of the water in the human body is intravascular, in the blood stream.B) INCORRECT. The term hydrostatic refers to the pressure within vessels, not the fluid

Emergency Care, 13e (Limmer et al.) Chapter 8 Life Span Development 1) When you place your finger in an infant's palm, she grasps it with her fingers. This is an example of which reflex? A) Sucking B) Palmar C) Rooting D) Moro Answer: BExplanation: A) INCORRECT. The sucking reflex causes an infant to begin sucking when

18) You are assessing a 6-month-old female patient who, according to the parents, is not acting normally. At this stage of development, the patient should be able to do which of the following? A) Sit alone on the floor B) Sit upright in a high chair C) Sleep D) Respond to the word "no" Answer:

Emergency Care, 13e (Limmer et al.) Chapter 9 Airway Management 1) The high-pitched sound caused by an upper airway obstruction is known as: A) gurgling. B) stridor. C) rhonchi. D) rales. Answer: BExplanation: A) INCORRECT. Although it could be the result of an upper airway obstruction, a gurgling sound would not be described as high-pitched.B) CORRECT.

14) On which of the following types of calls should you bring your portable suction unit to the patient's side upon arrival on the scene? A) Motor vehicle collision B) Cardiac arrest C) Seizure D) All of the above Answer: DExplanation: A) INCORRECT. Although having a suction unit available for trauma patients is preferred, there