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
Objective: 35.1
2) What is the purpose of a tracheostomy in an ill patient?
A) To assist the patient with sleeping
B) To assist the patient with waste removal
C) To assist the patient with breathing
D) To assist the patient with feedings
Objective: 35.1
3) Which of the following is true in regards to touching a patient who is being shocked with an
automatic implanted cardiac defibrillator (AICD)?
A) The EMT will always feel the shock, and it is very dangerous to the EMT as well.
B) The EMT cannot feel the shock of an AICD when delivered to the patient.
C) The EMT will always feel the shock, but it is not very painful.
D) It depends on the AICD model as to whether or not the EMT can feel the shock.
Objective: 35.1
1
4) Which of the following is NOT a role of dialysis in a renal failure patient?
A) Remove fluid from the body
B) Filter and detoxify the blood
C) Remove waste from the body
D) Stimulate blood cell production
Objective: 35.1
5) Bariatrics is defined as the branch of medicine that deals with the cause, prevention, and
treatment of which of the following diseases?
A) Diabetes
B) Sleep apnea
C) Blindness
D) Obesity
Objective: 35.1
6) Which of the following refers to a condition that interferes significantly with a person’s ability
to engage in activities of daily living?
A) Handicapped
B) Disabled
C) Terminal
D) Disability
Objective: 35.1
2
7) Obesity is defined as a body mass index greater than:
A) 35.
B) 25.
C) 30.
D) 40.
Objective: 35.1
8) Which of the following BEST describes a disease such as deafness?
A) Acquired disease
B) Congenital disease
C) Either a congenital or acquired disease
D) Neither a congenital nor acquired disease
Objective: 35.2
9) Which of the following BEST describes the origins of chronic obstructive pulmonary disease
(COPD)?
A) Acquired disease
B) Congenital disease
C) Either a congenital or acquired disease
D) Neither a congenital nor acquired disease
Objective: 35.2
3
10) Which of the following is the easiest way for an EMT to communicate with a patient with
drastic hearing loss?
A) Slow down your speech so that the patient can read your lips.
B) Write your questions using paper and pen.
C) Use a TDD/TYY telephone.
D) Speak loudly and directly into the patient’s ear.
Objective: 35.2
11) Obesity increases the risk for which of the following health problems?
A) Liver disease
B) Type 2 diabetes
C) Respiratory problems
D) All of the above
Objective: 35.2
12) Which of the following serious health problems is related to homelessness?
A) Liver disease
B) Heart disease
C) Tuberculosis
D) Hypertension
Objective: 35.2
4
13) Jarl is a male who is 5 foot 7 inches tall and weighs 250 pounds. What is Jarl’s body mass
index (rounded to the nearest tenth)?
A) 35.2
B) 36.5
C) 38.4
D) 39.1
Objective: 35.2
14) A body mass index (BMI) above ________ is considered obese.
A) 25
B) 30
C) 35
D) 40
Objective: 35.2
5
15) When transporting a patient who is morbidly obese to the hospital, it is important to monitor
which of the following vital signs?
A) Pulse rate
B) Oxygen saturation
C) Blood pressure
D) Blood glucose level
Objective: 35.2
16) Which of the following groups of people makes up the largest portion of the homeless
population?
A) Females
B) Veterans
C) Children
D) Families
Objective: 35.2
6
17) At which of the following locations is an EMT likely to encounter a patient using an
advanced medical device?
A) Nursing home
B) Specialty care center
C) Private residence
D) All of the above
Objective: 35.3
18) While on the scene of an emergency call involving a patient who is dependent upon a
medical device for survival, the EMT can ask which of the following individuals about the
specifics of the device?
A) Patient’s family
B) Patient
C) Patient’s home health aide or nurse
D) All of the above
Objective: 35.3
7
19) When preparing to move a patient that is using a specialty medical device from his house to
the ambulance, which of the following questions would be appropriate to ask the family?
A) What worked best for moving the patient the last time he was transported by ambulance?
B) How do you normally move the patient?
C) Can you carry the patient to the ambulance since you know the best way to move the patient?
D) Both A and B are correct.
Objective: 35.3
20) You are on the scene of a pediatric patient who is on a specialized home monitoring system.
This situation was not specifically addressed in your EMT class and your EMT partner has not
encountered this situation, either. What is an advisable course of action?
A) Ask the parent or caregiver what has been done in the past to correct the situation.
B) Load the patient and rapidly transport the patient to the closest hospital for evaluation.
C) Contact medical control and ask to speak to a specialist for advice.
D) Request an advanced life support ambulance crew to respond for assistance.
Objective: 35.3
8
21) Which of the following situations are frequently problematic for patients who have
tracheostomy tubes?
A) Tracheal tears
B) Mucus buildup
C) Air embolism
D) Tube malplacement
Objective: 35.4
22) While transporting a patient who has an indwelling Foley catheter, it is important to keep the
collection bag:
A) higher than the level of the patient.
B) level with the patient.
C) lower than the level of the patient.
D) with the patient’s caregiver.
Objective: 35.4
9