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Comprehensive information on various emergency medical procedures, focusing on airway management. It covers topics such as ventilation techniques, oxygen flow rates, and the use of different types of airway devices. It also discusses scene safety, patient assessment, and communication skills.
Typology: Exams
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What is the structure that carries air downward from the larynx to the lungs? - ANSWER--Trachea
When can the oropharyngeal airways not be used? - ANSWER--Gag reflex present
What is will not be caused by vigorous suctioning the back of the patients throat? - ANSWER--convulsions
What is the oxygen flow rate when ventilating with a BVM? - ANSWER--15 LPM with oxygen reservoir
What percentage of oxygen in the atmosphere? - ANSWER--21% at al altitudes
What should the oxygen flow be at when using a non rebreather mask? - ANSWER--10-15 LPM
What is an advantage of an Yankaeur over a "french" catheter? - ANSWER--better at removing large particulate matter
What is the best method for opening the airway if a 24 year old female patient has fallen from the roof of her house? - ANSWER--convulsions
What is the rate of ventilation when ventilating a patient with a BVM? - ANSWER--10-12 BPM
What is the best method of ventilation to ventilate the patient? - ANSWER--mouth to mask
What is an an insufficiency of oxygen to the body's tissues? - ANSWER--hypoxemia
How much volume should you deliver with each breath when ventilating with a BVM? - ANSWER-- enough to see chest rise
What is the correct sequence of passage of oxygen from room air to the lungs? - ANSWER--pharynx to larynx to trachea to bronchi to alveoli
What percentage is achieved when adding oxygen and a reservoir to a BVM? - ANSWER--100%
What should a patient be before suctioning? - ANSWER--oxygenated
What is the correct sequence to operate an oxygen tank? - ANSWER-- briefly open and close the valve, attach the regulator, open the valve, set the flow rate
What is true regarding suctioning a patients airway? - ANSWER--never suction airway for longer than 15 seconds
When is the nasopharyngeal airway utilized? - ANSWER--usually does not stimulate the patients gag reflex
What should the flow rate and what percentage of oxygen when a nasal cannula is used? - ANSWER-- to 6 LPM: 24-44%
What should your initial management of a unresponsive patient experiencing respiratory difficulty be? - ANSWER--establish an open airway
what is a sign that appears only with severe hypoxia? - ANSWER-- cyanosis
What should you do when when manual ventilation with a BVM is not effective? - ANSWER--reposition the airway and attempt to ventilate again
What do you do when your patient that has an oropharyngeal installed and starts to vomit? - ANSWER--rapidly remove the airway, turn your patient to the side and suction the patient
What do you do first when you are called to a "man down" by the police: upon your arrival, you find a 56 yo male lying supine: he has a knife protruding from his upper leg with NO bleeding. He has snoring respirations at a rate of 10 with adequate chest rise. You have your BSI and the scene is safe. - ANSWER- -open his airway using head tilt/chin lift
How should the nasopharyngeal airways be lubricated? - ANSWER-- any water-soluable based lubricant
What should you do if approach a scene of a truck roll over and you notice a white mist coming from the bed of the truck? - ANSWER--Stop uphill and upwind and call haz-mat assistance
What will at least help determine general injury patterns if you do not know the injuries that a patient has sustained? - ANSWER--mechanism of injury
What circumstances at a motor vehicle collision would make you suspect that there might be severe injuries - ANSWER--1. ejection from vehicle
Who assumes control of the scene, once the scene has been declared safe? - ANSWER--EMT's
What would you assume that the nature of the problem is if you are called to the scene of a woman who has been found unconscious on the floor of the bathroom?
How would you approach the scene if you are called to the scene of a possible gunshot wound and dispatch tells you that police are on scene?
What circumstances may require calling for additional resources at the scene? - ANSWER--1. motor vehicle collision with 2 patients
What is your best course of action if you are at the scene of an elderly medical patient with severe difficulty breathing. The police who responded with initially have left for another call. The patient's son arrives and yells at you, threatening violence if you don't leave his father alone. - ANSWER--leave the scene immediately and call for police
What should scene size up determine? - ANSWER--1. need to call for additional asistance
What should you look as you approach the scene of a traffic collision? - ANSWER--1. other emergency vehicles
What task should be dome first once you are called to a scene of motor vehicle roll over. The car on its side, there is an obvious gas leak and the patient can be seen dangling from his seat belt. He is unresponsive to your voice. Fire/extrication is on scene. - ANSWER--when the scene is safe, approach the patient
What scenes require vigilance for safety? - ANSWER- -1. crowd scene
What is the most important part of BSI? - ANSWER-- readily available
When does scene safety begin? - ANSWER--with dispatcher who receives the call
What types of fall would make you suspect that there would be severe injuries? - ANSWER--1. fall down a long flight of stairs
What does DCAP-BTLS stand for? - ANSWER--1. deformities
What is a general impression based on an immediate assessment of the environment and the patient's chief complaint? - ANSWER--appearance
What noise is commonly associated with the tongue partially obstructing the airway? - ANSWER--snoring
What exam should you perform when your 56 y/o male patient was found unresponsive in his back yard. His wife saw him pass out and there is no evidence of trauma. - ANSWER--rapid medical
What do you always check for when assessing extremities? - ANSWER- -PMS
What does designating a patient as priority mean? - ANSWER--he should be transported as soon as possible
What does a patient that is AAOX2/4 know? - ANSWER--1. who she is
Where on the AVPU scale if your patients eyes are closed, but he will open them and will mumble in response to your questions? - ANSWER- -v
What patient is a detailed exam most likely to be done? - ANSWER-- responsive medical patient, not requiring intensive therapy
What condition is the patient if the assessment reveals pale, cool, clammy skin in conjunction with a significant mechanism of injury, an altered mental status, severe bleeding? - ANSWER--shock
Your patient has fallen from a 2 story building. What mechanism and exam is required? - ANSWER-- significant, rapid
What do initial assessment include? - ANSWER--1. general impression
Which patient would be most in need of a head to toe rapid trauma assessment? - ANSWER--an awake, alert 19 y/o male with a small caliber gunshot wound to the abdomen
What are components of an ongoing exam? - ANSWER--1. initial assessment repeat
What should you do if upon your initial assessment you discover a severe leg wound with major bleeding. After assuring the adequacy of the airway and breathing status? - ANSWER--control the bleeding immediately
What is the problem with asking a patient involved in a vehicle crash, "Where are you" when checking their level of consciousness? - ANSWER--the patient really may not know where he is
Where would you inspect and palpate for tenderness, firmness and distention on a 63 y/o male patient complaining of general weakness, nausea and vomiting? - ANSWER--abdomen
What type of patient would receive a rapid head to toe exam? - ANSWER--unresponsive patient with family giving a history of chest pain
When evaluating the chest of an unresponsive 10 y/o female trauma patient, what should be checked? - ANSWER--1. paradoxical motion
The iliac crest of the pelvis are gently compressed posteriorly and
What certain information does the department of transportation require to be included in a PCR? - ANSWER--minimum data set
What does SOAP stand for? - ANSWER--1. subjective
Unlike a radio report, what does a PCR include? - ANSWER--name and address
SWhat is documentation produced by an EMT-B known informally as? - ANSWER--PCR
What should you do if mistakenly document that the patients pain was in his chest, when it was actually in the abdomen? - ANSWER--draw line through "chest", write "abdomen" next to it and initial it
What does the DOT not require all PCR's? - ANSWER--treatment given to patient
What can the PCR become? - ANSWER--report given to newspapers
What is the portion of the prehospital care report that includes your description of the patients assessment? - ANSWER--narrative
What are your documentation responsibilities when you are apart of a team responding to a 10 vehicle pile up on the highway. There are about 20 patients from this collision. - ANSWER--triage forms at the scene, full documentation per your protocol.
Wich of these commonly used medical terms are spelled incorrectly:
pnuemonia hypovolemia apnea musculoskeletal - ANSWER--pneumonia
What is the two-way radio located at a hospital or dispatch center? - ANSWER--base station
What should an EMT-Basic do if medical direction appears to be inappropriate? - ANSWER--question it
Which techniques will assist you in communicating with your patient? - ANSWER--1. translate medical terms into plain language
what techniques will help keep the patient calm and cooperative when you are assessing an intoxicated, hostile man with a stab wound to his arm? - ANSWER--explain what you are doing and why
Radio transmissions from mobile radios may not have the power necessary to reach other units. To overcome this, EMS radio systems use to boost the power of the mobile radio's signal. - ANSWER-- repeaters
What times is it not appropriate to contact dispatch? - ANSWER--after initial assessment
What should not be included in a medical medical report? - ANSWER-- name and address
What is the initial communication with EMT-Basic about an emergency call? - ANSWER--dispatch report
What federal agency assigns and licenses radio frequencies used by EMS units? - ANSWER--FCC
What should an EMT-Basic do if an on line order is given? - ANSWER- -repeat the order back word for word