EMSP 444
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Q1           Score:  1
 Unexplained shock
 Bowel sounds in the chest cavity
 Referred pain in one or both shoulder blades
 Abdominal distention
Q2           Score:  1
 Upon arrival to the scene
 At first patient contact
 When the first unit arrives on scene
 Once the call is received
Q3           Score:  1
 Important reflex arc
 Safeguard to ensure continued blood supply to the brain
 Large grouping of neurons attached to the medulla
 Sensory nerve that transmits directly to the brain
Q4           Score:  1
 Ice
 Warm water soaks
 Heat first, then ice once the muscles are warmed
 Heat and ice, alternating every 3 to 4 hours
Q5           Score:  1
 Detailed head-to-toe examination
 Focused physical examination
 Immediate exam by medical control
 Rapid head-to-toe examination
Q6           Score:  1
 Steering wheel deformity
 Broken hand
 Airbag deployment
 Broken glass
Q7           Score:  1
 This event is not related to her heart because she feels no chest pain.
 This may be a cardiovascular problem.
 If this is a cardiovascular event, she will develop chest pain or shortness of breath.
 Treatment for diabetes is more appropriate than treatment for cardiovascular problems.
Q8           Score:  1
 Decreases to promote hemostasis
 Increases, causing further damage to already injured tissue
 Increases to meet the increased metabolic demands of injured tissue
 Decreases, causing hypoxic damage to the injured tissue
Q9           Score:  1
 Alkalosis
 Hypercarbia
 Bradycardia
 Hyperglycemia
Q10           Score:  1
 Retreat from scene.
 Stay and call police.
 Call for a supervisor.
 Request more units.
Q11           Score:  1
 Use TCP (transcutaneous pacemaker) immediately.
 Synchronize cardioversion at 100 joules initially.
 Deliver an initial unsynchronized shock of 200 joules.
 Electrical therapy is not indicated in Asystole.
Q12           Score:  1
 Rapid access to the patient or patients
 The safety of the rescuers and patients
 Rapid extrication for ALS and surgical intervention
 Needs assessment for equipment and manpower requests
Q13           Score:  1
 Capillary leakage
 Vasoconstriction
 Increased preload pressure
 Cellular/vascular shunting
Q14           Score:  1
 Hormonal imbalance leading to disturbed thinking patterns
 Metabolic emergency that jeopardizes the patient’s health and welfare
 Chemical imbalance in the brain that affects a person’s medical well-being
 Change in mood or behavior that cannot be tolerated by the involved person or others
Q15           Score:  1
 Decreased production of lactate and hydrogen ions
 Anaerobic metabolism to replace aerobic metabolism
 Capillaries to retain large molecular structures
 Aerobic metabolism to produce an increase in hydrogen ions
Q16           Score:  1
 Industrial settings
 Manufacturing businesses
 Shipping and transportation vehicles
 Virtually every home, work, and transportation environment
Q17           Score:  1
 Cooking foods thoroughly to kill bacteria
 Drinking water that has been boiled for at least 10 minutes
 Handwashing and following universal precautions
 Asking patients to wear a mask
Q18           Score:  1
 Absorption of the poison
 Inducing vomiting
 Adsorption (binding)
 Peristalsis
Q19           Score:  1
 Pulse pressure
 Vascular resistance
 Mean arterial pressure
 Hemostasis
Q20           Score:  1
 Ethics
 Duty to act
 Obligation
 Systematic appraisal
Q21           Score:  1
 APGAR
 AVPU
 GCS
 RTS
Q22           Score:  1
 Increased vascular resistance except in the hyperemic zone
 A euphoric psychological presentation in response to increased serotonin release
 Decreased susceptibility to infection resulting from increased erythrocyte production
 Decreased circulating epinephrine from a parasympathetic response to the pain associated with burn trauma
Q23           Score:  1
 Traumatic asphyxia
 Flail segment
 Open chest wound
 Diaphragmatic rupture
Q24           Score:  1
 A proportionally larger head
 A large face
 A small occiput
 Weak and fragile skull bones
Q25           Score:  1
 Nonmaleficence
 Integrity
 Beneficence
 Autonomy
Q26           Score:  1
 Hepatitis A is a rare viral disease in Saudi Arabia.
 Hepatitis A is transmitted by blood and body fluids.
 Once infected, a person is immune to hepatitis A for life.
 Acquiring hepatitis A generally leads to chronic liver disease, requiring liver transplant.
Q27           Score:  1
 Push the tongue into the oropharynx.
 Prevent the tongue from obstructing the glottis.
 Allow for better visualization during endotracheal intubation.
 Provide a guide for suction catheters.
Q28           Score:  1
 Inhaled or exhaled during a normal breath
 Left in the lungs after a forceful exhalation
 One can inhale after a maximal inhalation
 Always present in the alveoli
Q29           Score:  1
 Hypovolemic
 Neurogenic
 Cardiogenic
 Septic
Q30           Score:  1
 Syncope
 Cramps
 Exhaustion
 Stroke
Q31           Score:  1
 Hypovolemic
 Anaphylactic
 Cardiogenic
 Septic
Q32           Score:  1
 At the general impression
 During the scene size-up
 After the airway is secured
 When exposing the patient
Q33           Score:  1
 “What can be justified?”
 “What is in the patient’s best interest?”
 “What is the legally acceptable treatment?”
 “What does the patient want?”
Q34           Score:  1
 Hematochezia
 Melena
 Hematemesis
 Hemato vomitus
Q35           Score:  1
 Carpal and tarsal bones
 Humerus, radius, and femur
 Ribs, scapula, and some skull bones
 Vertebrae, coccyx, and mandible
Q36           Score:  1
 Stay at the scene with the patient.
 Be prepared to defend the patient.
 Retreat from the scene with the patient.
 Leave the patient with local law enforcement and leave the scene until it has been secured.
Q37           Score:  1
 The declaration phase
 The preplanning phase
 The post-disaster phase
 The scene management phase
Q38           Score:  1
 Magnesium sulfate
 Calcium gluconate
 Naloxone
 Morphine
Q39           Score:  1
 Connective
 Muscle
 Epithelial
 Nervous
Q40           Score:  1
 Adenosine rapid IV bolus
 Diltiazem IVP bolus
 Carotid sinus massage
 Synchronous cardioversion
Q41           Score:  1
 1 to 3
 3 to 5
 8 to 12
 12 to 24
Q42           Score:  1
 Hands
 Spine
 Lower leg
 Foot
Q43           Score:  1
 Vomiting
 Diarrhea
 Sepsis
 Hemorrhage
Q44           Score:  1
 The patient reports extreme pain.
 Circulation is impaired.
 The site is bleeding.
 The lower leg is involved.
Q45           Score:  1
 Head, torso, legs, arms
 Torso, head, legs, arms
 Torso, legs, arms, head
 Head, torso, arms, legs
Q46           Score:  1
 Severity
 Swelling
 Sensation
 Subluxation
Q47           Score:  1
 P
 Q
 S
 T
Q48           Score:  1
 Shorter
 Narrower
 More angled from the trachea
 Made of thicker membrane
Q49           Score:  1
 Perform a head-tilt chin-lift.
 Initiate chest compressions.
 Attach an automated external defibrillator.
 Administer bag-mask ventilations.
Q50           Score:  1
 Perform back blows
 Attempt a finger sweep
 Monitor the patient
 Give abdominal thrusts
Q51           Score:  1
 Epinephrine
 Diphenhydramine
 Albuterol
 Methylprednisolone
Q52           Score:  1
 Hypotension
 Jugular-vein distention
 Pale, clammy skin
 Tachycardia
Q53           Score:  1
 Standing
 Sitting upright
 Supine
 Left lateral
Q54           Score:  1
 Antidote therapy
 Gastric lavage
 Control of arrhythmias
 Supportive care
Q55           Score:  1
 Standard 3-lead
 10-lead
 12-lead
 Modified
Q56           Score:  1
 Inadequate tissue perfusion
 Low blood pressure
 Hypoxemia
 Internal or external blood loss
Q57           Score:  1
 Normal blood pressure
 Low blood pressure
 Decreased heart rate
 Decreased respiratory rate
Q58           Score:  1
 Serotonin
 Dopamine
 Acetylcholine
 Norepinephrine
Q59           Score:  1
 Endometriosis
 Ruptured ovarian cyst
 Ectopic pregnancy
 PID
Q60           Score:  1
 Accelerated heart rate
 Increased blood flow to vital organs
 Enhanced visual and auditory acuity with improved reflexes and muscle strength
 Shortened attention span
Q61           Score:  1
 Inherited traits
 Viral infections
 Parasitic infestations
 Congenital abnormalities
Q62           Score:  1
 Cholecystitis
 Pneumonia
 Brain abscess
 Bladder infection
Q63           Score:  1
 Allergies
 Inflammatory disease
 Pulmonary edema
 Pneumonia
Q64           Score:  1
 Adequate nutrition and minimal exercise
 Prevention of disease and taking vitamins
 Physical fitness and adequate nutrition
 Mental and emotional health
Q65           Score:  1
 Administer D50W 25 g IV.
 Administer naloxone 2 mg IV.
 Infuse a bolus of normal saline.
 Increase the ventilation rate.
Q66           Score:  1
 Skillful use of examination equipment
 Assessment of the airway and breathing
 Need to rapid transportation
 Level of consciousness
Q67           Score:  1
 A
 B
 AB
 O
Q68           Score:  1
 Aspirating to clear the occlusion
 Attempting to clear the occlusion via percussion
 Administering normal saline boluses
 Transporting the patient because this is an emergency requiring surgical intervention
Q69           Score:  1
 Gallbladder
 Liver
 Stomach
 Pancreas
Q70           Score:  1
 Inspection
 Palpation
 Percussion
 Auscultation
Q71           Score:  1
 Mechanism of injury
 Allergies and medications
 Past hedical history
 Nature of illness
Q72           Score:  1
 Psychogenic shock
 Antihistamine shock
 Septic shock
 Anaphylactic shock
Q73           Score:  1
 RUQ
 RLQ
 LUQ
 LLQ
Q74           Score:  1
 EMS system
 Health maintenance organization
 Advanced life support
 Medical transportation system
Q75           Score:  1
 Hypoxia
 Elevated carbon dioxide levels
 Changes in pH
 Increased bicarbonate ions


   



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