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Intermediate EMT Test - Medical Assessment

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1. A postictal state can be accompanied by deep rapid breathing that is meant to burn off the excess C02 in the body. This state prior to the elimination of the CO2 could be referred to as?   Metabolic alkalosis   Respiratory alkalosis   Metabolic acidosis   Respiratory acidosis

2. You are dispatched to the call of a woman with a severe stomach ache. When you arrive on scene you find her doubled over in pain lying on the floor of the bathroom. There is vomit in the toilet and your patient is complaining that she is going to vomit again. She denies falling or having any pain anywhere but her stomach. Assessing her abdomen you find it to be very tender to the touch and she pulls away when you palpate only 1/2 inch deep. What other signs and symptoms might you find with this patient?   Tachycardia - hypotension - fever   Bottle of poison - cyanosis and crepitus   Broken ribs - hypertension and deep rapid breathing   Rebound tenderness - metabolic acidosis

3. You arrive on scene with your partner Elvis to find a woman who is complaining of general weakness. She has a fruity odor on her breath and states that she has been constantly thirsty. Her LOC is getting worse and you suspect some sort of diabetic reaction. What would be the best course of treatment for this patient?   A blood glucose test and 40 gm of D50   A blood glucose test and fluid bolus   A tube of oral glucose administered orally   High flow O2 and rapid transportation

4. What area of the body is the pancreas and kidneys located?   Peritoneal space   Retroperitoneal space   Pericardial space   Subriatal space

5. The central nervous system consists of what?   The peripheral autonomic system and alveoli   The brain and the spinal cord   The brain and the heart   The brain and lungs

6. The GCS scale used in assessing consciousness measures what three things?   Motor response, eye opening, and arm drift   Facial droop, verbal response, and motor coordination   Motor response, eye opening, patient movement, and patient's speech   Eye opening, verbal response, and motor response

7. Compensated shock is the ___________ stage of shock and occurs when the body recognizes the events as dangerous and enacts mechanisms to sustain ______________________.   First / lung pressure   Second / lactic acid production   Third / vascular pressure   First /cardiac output

8. You and your partner Wynona arrive on scene to find 2 patients in the back of a car. The car rolled backwards down a 40 foot embankment and came to rest on the road. The man is complaining of neck pain, but is alert and oriented. The woman is responding confused and looking out the windows of the car. When you ask her to wiggle her fingers or blink her eyes, you get no response. This woman has a GCS of what?   6   7   8   9

9. Red or flushed skin is associated with?   Vasoconstriction of the epidermal vessels   Cold temperatures   Hyperperfusion   Vasodilation of peripheral vessels

10. You and your partner Rob are assessing a 79 year old male patient who is complaining of intense stomach pain and his abdomen is distended. Upon palpation you notice a large pulsing mass. This is likely a/an?   Lower bowel volatility   Atrial distention   Ruptured pancreas   Aortic aneurysm

11. Which of the following choices of organs would be the most sensitive to hypoperfusion?   Heart and lungs   Pancreas and gall bladder   Urinary bladder and heart   Lungs and spleen

12. A mental patient whom you are treating by the authority of law enforcement is under what type of consent?   Involuntary   Implied   Informed   Expressed

13. You are called to the scene of a cardiac arrest and are met at the door to the home by the patient's son. He presents you with a valid looking DNR for his mother and you enter the home to find the victim's daughter performing CPR. She says that the DNR is not valid and that her mother had it cancelled. What is your best choice of action?   Checking the DNR for a cancellation stamp   Initiating CPR   Calling medical control for advice   Loading the patient into the ambulance and transporting

14. You are dispatched to a residence of a 59 y/o male patient who is complaining of substernal chest pain. Upon assessment of this patient, he is conscious, alert, and oriented. His skin is pale and diaphoretic. He is complaining of 9/10 chest pressure, in which he notes that it radiates to his jaw and left arm. He states that it started roughly one hour ago while watching television. Your initial treatment of this patient should include?   ABC's, obtain vitals,12 lead EKG, and an IV   ABC's, administer Nitro   Administer Nitro, load patient into ambulance, and transport to the nearest receiving facility   Obtain a patient refusal because the patient has no idea what he is talking about

15. You and your partner Gustof arrive on scene to a reported fall. You find a woman in her 70's in the bathtub. Her caretaker says she found her like this after phoning for 2 days and not getting an answer. Your patient is alert and lucid. She tells you that she did not fall, but instead was just unable to get out of the bathtub unassisted. There is no water in the bathtub, but there is feces. Her left side shows some bruising and her left shoulder is notably tender to touch. She has good PMS in her limbs and reports no pain in her back and neck as she sits up. She says, she has only been in the bathtub for a couple of hours. The caretaker, suggests it has been considerably longer. Which of the following would be the most appropriate concerns?   Hyperglycemia, Spinal injury   Hypothermia, Dehydration   Alzheimer's, heart conditions   Spinal immobilization, Blood sugar levels

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