978-0134024554 Chapter 2 Part 1

subject Type Homework Help
subject Pages 9
subject Words 2828
subject Authors Bob Murray, Daniel J. Limmer EMT-P, Edward T. Dickinson Medical Editor, Harvey Grant, J. David Bergeron, Michael F. O'Keefe

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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 disease
Objective: 2.1
2) What is a common term used to describe the items needed for Standard Precautions or body
substance isolation precautions?
A) Harm-reduction strategy
B) Exposure-control plan
C) Personal protective equipment
D) Infection-control plan
Objective: 2.1
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3) All of the following are ways that an EMT can increase both physical and mental well-being,
except:
A) drinking caffeine instead of alcohol.
B) following a regular walking regimen.
C) spending more time relaxing with friends and family.
D) eating more carbohydrates.
Objective: 2.2
4) What would be the primary reason for an EMT to change gloves between contact with
different patients?
A) To protect the EMT from becoming infected
B) To minimize the amount of time the EMT's hands are spent in gloves
C) To ensure soiled gloves are changed as soon as possible
D) To prevent spreading infection to the next patient
Objective: 2.3
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5) An EMT should consider wearing protective eyewear when caring for which of these patients?
A) A patient with a difficult-to-visualize scalp laceration
B) A trauma patient who is covered in dirt, rocks, and other foreign debris
C) A patient who is actively coughing
D) A patient who was sprayed with mace by police during arrest
Objective: 2.3
6) During which of these situations would the EMT be least likely to experience a body
substance exposure?
A) Bandaging a laceration
B) Childbirth
C) Splinting a sprained ankle
D) Glucometry
Objective: 2.3
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7) Due to the high risk of an unstable work environment, EMTs responding to a motor vehicle
crash may consider using ________ in addition to standard PPE.
A) N-95 masks
B) heavy-duty gloves
C) face shields
D) Level B hazmat suits
Objective: 2.3
8) You are called to an assault on a homeless male. Dried blood from the trauma is visible around
the patient's mouth and nose. During assessment, you note the patient has a productive cough.
The patient says, "Don't worry, I'm not contagious. I've had this cough for a year." Describe the
best approach regarding respiratory isolation.
A) Isolate the patient with a nonrebreather mask.
B) Mask yourself and the patient.
C) Mask yourself only.
D) Use gloves for PPE, as that's all that's needed.
Objective: 2.3
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9) Which of the following is true regarding proper hand cleaning?
A) Soap and water should be used following any patient contact if the EMT does not wear
gloves.
B) If the EMT's hands are visibly dirty, an alcohol-based hand cleaner is not sufficient.
C) In cases where soap and water and alcohol-based hand cleaners are not immediately available,
bleach wipes should be used.
D) Following patient contact, the EMT should soak his hands in warm soapy water for at least 30
seconds and then shake them vigorously.
Objective: 2.4
10) What mode of transmission most accurately describes the route of spreading hepatitis A?
A) Respiratory droplet
B) Unprotected sex
C) Fecal-oral
D) Bloodborne
Objective: 2.5
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11) Which of the following pathogens can live in dried blood for days and should be a major
concern for EMS providers even while cleaning contaminated equipment?
A) Tuberculosis
B) Hepatitis B
C) Hepatitis A
D) AIDS
Objective: 2.5
12) Healthcare employers are required by law to provide a hepatitis B ________ available to
employees free of charge.
A) prophylaxis
B) vaccine
C) cure
D) immunity
Objective: 2.5
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13) Which of the following is an accurate statement regarding tuberculosis (TB)?
A) The incubation period of TB is from 1 to 7 days.
B) TB is not spread through surface contamination.
C) The TB pathogen only affects lung tissue.
D) A tuberculin skin test can detect TB exposure.
Objective: 2.5
14) Which of the following statements about HIV/AIDS is true?
A) HIV positive needlesticks have a 30 percent infection rate.
B) The HIV virus lives longer outside the body than hepatitis B.
C) HIV positive needlesticks have less than a 0.05 percent infection rate.
D) Drugs are not available that slow HIV from progressing into AIDS.
Objective: 2.5
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15) Which one of these groups is at greatest risk of contracting and transmitting tuberculosis?
A) Current and former smokers
B) Immunosuppressed patients
C) Uranium mine workers
D) Healthcare practitioners
Objective: 2.5
16) You are treating a patient who has a productive cough and who reports weight loss, loss of
appetite, weakness, night sweats, and fever. Which of the following diseases is most likely the
cause of these signs and symptoms?
A) Hepatitis B
B) Pneumonia
C) AIDS
D) Tuberculosis
Objective: 2.5
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17) The CDC recommends using an alcohol-based hand sanitizer in all except which of the
following situation(s)?
A) The patient has a bloodborne communicable disease.
B) The patient has a respiratory illness.
C) The provider is not vaccinated against hepatitis B.
D) The provider's hands come into contact with fecal matter.
Objective: 2.6
18) What is the name of the federal act that mandates a procedure by which emergency
healthcare providers can find out if they have been exposed to potentially life-threatening
diseases while on the job?
A) Communicable Disease Notification Act
B) EMS Personnel Health Protection Act of 1991
C) Occupational Exposure to Bloodborne Pathogens Act
D) Ryan White CARE Act
Objective: 2.7
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19) You respond to a laceration call. When you arrive on-scene, you walk into the house and find
a person suffering from a severe wrist laceration from a broken window. Without thinking, you
immediately grab the wrist and apply direct pressure to the wound. You then realize that, in your
hurry to save a life, you forgot to put on your gloves. You look down to see your hand is covered
in blood. When practical, you immediately wash your hands thoroughly. What is your next best
action?
A) Report the exposure incident because it is the law and you could be fined a large sum of
money for failing to report the exposure.
B) Report the exposure so you can protect yourself from any accidental infection.
C) Report the exposure. Failure to report the exposure may result in you not receiving financial
compensation for a potential line-of-duty injury.
D) If your hands had no open wounds, it is not required to report the exposure as there is no risk
of infection, and you could get in trouble at work for failure to follow policy.
Objective: 2.7
20) What are the minimum Standard Precautions an EMT should take when transporting a
patient infected with Middle East Respiratory Syndrome (MERS)?
A) Gloves, N-95 mask, and goggles
B) Gloves
C) Gloves and N-95 mask
D) Gloves, N-95 mask, goggles, and gown
Objective: 2.8
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