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EMT FISDAP FINAL EXAM ALL QUESTIONS
AND CORRECT ANSWERS WITH
EXPLANATION
...

B
...

C
...

D
...
- CorreCt Answers -An EMT
administers the wrong drug to a patient because she did not know the
pertinent information about the drug
...

B
...

C
...

D
...
CorreCt Answers -it will not protect the EMT in cases of gross negligence
...


A
...
a response to a motor vehicle crash while off duty
C
...

D
...


When faced with a situation in which a patient is in cardiac arrest, and a
valid living will or DNR order cannot be located, you should: - CorreCt
Answers -begin resuscitation at once
...
When documenting the patient's last blood pressure reading, you
inadvertently write 120/60 instead of 130/70
...


What section of the Health Insurance Portability and Accountability Act
(HIPAA) MOST affects EMS personnel? - CorreCt Answers -protecting
patient privacy

Typical components of an oral patient report include all of the following,
EXCEPT:

important medical history not previously given
...
the set of baseline vital signs taken at the scene
...
the chief complaint or mechanism of injury
...
the patient's response to treatment you provided
...


Calming and reassuring an anxious patient can be facilitated by:
A
...

B
...

C
...

D
...
CorreCt Answers -maintaining eye contact with the patient whenever
possible
...

A
...

B
...

C
...

D
...
- CorreCt Answers -C
...


Why are prehospital emergency care guidelines updated on a regular basis?
Choose one answer
...
Statistical data indicate that an increasing number of people are being
diagnosed with a particular illness
...
The federal government requires that changes be made to existing
emergency care protocols at least every 5 years
...
EMS providers should be encouraged to actively participate in research
and become familiar with data analysis
...
Additional information and evidence indicate that the effectiveness of
certain interventions has changed
...
Additional
information and evidence indicate that the effectiveness of certain
interventions has changed
...
The family members may view this as:
Choose one answer
...
your partner's attempt to diminish their grief
...
a show of respect for the person who has died
...
your partner's caring and supportive attitude
...
coaching them through the grieving process
...
your
partner's attempt to diminish their grief
...

A
...

B
...


C
...

D
...
- CorreCt Answers -C
...
Correct

CPAP is indicated for patients who: - CorreCt Answers -have pulmonary
edema and can follow verbal commands
...

A
...
30 breaths/min with supraclavicular retractions and clammy skin
C
...
22 breaths/min with an irregular pattern of breathing and cyanosis CorreCt Answers -24 breaths/min with bilaterally equal breath sounds and
pink skin Correct

Which of the following will MOST reliably allow you to determine the
nature of a patient's illness?
Choose one answer
...
asking questions related to the chief complaint

B
...
focusing solely on how the call is dispatched
D
...

asking questions related to the chief complaint

The diaphragm functions as an involuntary muscle when a person: CorreCt Answers -sleeps

the leaf-shaped structure located superior to the larynx is called the: CorreCt Answers -epiglottis
...


An index of suspicion is MOST accurately defined as: - CorreCt Answers your awareness and concern for potentially serious underlying and unseen
injuries or illness
...

A
...

B
...

C
...

D
...
- CorreCt Answers -C
...


The jaw-thrust maneuver is used to open the airway of patients with
suspected: - CorreCt Answers -cervical spine injuries

Without adequate oxygen, the body's cells: - CorreCt Answers -incompletely
convert glucose into energy, and lactic acid accumulates in the blood
...
Your primary
assessment reveals that her breathing is inadequate
...
You should: - CorreCt
Answers -remove the airway and be prepared to suction her oropharynx
...


Dyspnea is MOST accurately defined as: - CorreCt Answers -shortness of
breath or difficulty breathing
...

A
...

B
...

C
...

D
...
- CorreCt Answers -a narcotic overdose

You are dispatched to a residence where a middle-aged man was found
unconscious in his front yard
...
You find him in a prone position; his eyes are closed and he is

not moving
...


In what area of the lungs does respiration occur? - CorreCt Answers -alveoli

Harsh, high-pitched inspiratory sounds are characteristic of: - CorreCt
Answers -stridor

Which of the following structures is NOT found in the upper airway?
A
...
pharynx
C
...
oropharynx - CorreCt Answers -C
...
- CorreCt
Answers -2

Ten days after treating a 34-year-old patient with tuberculosis, you are
given a tuberculin skin test, which yields a positive result
...


Distributive shock occurs when: - CorreCt Answers -widespread dilation of
the blood vessels causes blood to pool in the vascular beds
...


Which of the following statements regarding the hypoxic drive is MOST
correct?
Choose one answer
...
Chronic carbon dioxide elimination often results in activation of the
hypoxic drive
...
100% supplemental oxygen will always cause apnea in patients with a
hypoxic drive
...
The hypoxic drive serves as the primary stimulus for breathing in
healthy individuals
...
The hypoxic drive stimulates a person to breathe on the basis of low
oxygen levels
...


In order for efficient pulmonary gas exchange to occur: - CorreCt Answers
...


Which of the following statements regarding methicillin-resistant
Staphylococcus aureus (MRSA) is correct?
Choose one answer
...
MRSA is a bacterium that causes infections and is resistant to most
antibiotics
...
The communicable period for MRSA is 10 days to 2 weeks after being
infected
...
Studies have shown that less than 1% of health care providers are MRSA
carriers
...
Most cases of MRSA transmission occur following an accidental
needlestick
...


Hypoxia is MOST accurately defined as: - CorreCt Answers -inadequate
oxygen to the tissues and cells
...
pleural effusion
B
...
prolonged seizures
D
...
severe anxiety

Syphilis is a: - CorreCt Answers -bloodborne disease that can successfully
be treated with penicillin

Which of the following clinical signs is unique to anaphylactic shock?
Choose one answer
...
hypotension
B
...
pallor
D
...

A
...
schizophrenia
C
...
Alzheimer's disease - CorreCt Answers -A
...

A
...
repeated diarrhea
C
...
excessive sweating - CorreCt Answers -liver laceration

Temporary, widespread vasodilation and syncope caused by a sudden
nervous system reaction MOST accurately describes: - CorreCt Answers psychogenic shock
...

A
...

B
...

C
...

D
...
- CorreCt Answers -The risk of HIV
infection is greatest when deposited on a mucous membrane or directly
into the bloodstream
...


Which of the following is a late sign of hypoxia?
Choose one answer
...
tachycardia Incorrect
B
...
restlessness
D
...


A
...

B
...

C
...

D
...
- CorreCt Answers -C
...
Correct

Pulmonary edema and impaired ventilation occur during: - CorreCt
Answers -cardiogenic shock

Reassessment of a patient with a medical complaint should begin by CorreCt Answers -repeating the primary assessment

an organ or tissue may be better to resis damage from hypperfusion if the CorreCt Answers -body temperature is consistently less than 98
...
0)

the electrical impulse by the heart originates in the - CorreCt Answers sinoatrial node(sa)

what is true about blood clotting? - CorreCt Answers -a person taking
aspirin will expierence slower blood clotting

classic symptoms and signs of hypoglycemia include - CorreCt Answers cool, clammy, weak, tachycardia, rapid respirations

glucose is a trade name for - CorreCt Answers -oral glucose

What organs lie in the retroperitoneal space? - CorreCt Answers gallbladder

common causes of psychotic behavior include the following, except CorreCt Answers -Alzheimers dieses

significant vital signs changes will occur if the typical adult acutely loses
more than___of his or her blood - CorreCt Answers -20%

What is a fact of hemophilia's? - CorreCt Answers -may bleed
spontaneously

as red blood cells begin to clumb together to form a clot,____reinforces the
clumped red blood cells - CorreCt Answers -fibrinogen

when assessing arm movement of a suspected stroke, you should - CorreCt
Answers -expect to see one arm slowly drift down to the patients side

hypoperfusion is another name for - CorreCt Answers -shock

activated charcoal administration is contraindicated in patients who have
ingested - CorreCt Answers -acids or alkalies

anaphylaxis is mod accurately defines as an - CorreCt Answers -extreme
allergic reaction that may affect multiple body systems

what is not an assessment parameter included in the cincinati prehospital
stroke scale - CorreCt Answers -memory

what is not a function of the sympathetic nervous system? - CorreCt
Answers -constriction of blood vessels in the digestive system,

an absence seizure is also referred to as - CorreCt Answers -petit mal
seizure

which of the following is a metabolic cause of a seizure - CorreCt Answers poisoning

a raised swollen well defined area on the skin that is the result of an insect
bit or sting - CorreCt Answers -wheal

status epileptics is characterized by - CorreCt Answers -prolonged seizures
without return of consciousness

a transient ischemic attack (TIA) occurs when - CorreCt Answers -the
normal body process destroy a clot in a cerebral artery

as woman approaches menopause - CorreCt Answers -her menstrul periods
may become irregular and vary in severity

a young male sustained a gunshot wound to the abdomen during an
altercation with a rival gang member
...
on arrival, you find
the patient a 33 year old male lying supine in a jail cell
...
you should be most
concerned that this patient - CorreCt Answers -may vomit and aspirate

air bags are designed to - CorreCt Answers -decrease the severity of
deceleration injuries

functions of the liver include - CorreCt Answers -production of substances
necessary for blood clotting

the normal blood glucose level as measured by a glucometer is between CorreCt Answers -80 and 120 mg/dl

epinephrine is indicated for patients with an allergic reaction when CorreCt Answers -wheezing and hypotension are present

sudden death following AMI is most often caused by - CorreCt Answers ventricular fibirillation

the head and brain receive their supply of oxygenated blood from the CorreCt Answers -carotid arteries

the purpose of defibrillation - CorreCt Answers -stop the
chaotic,disorganized contraction of the cardiac cells

your paramedic partne administers atropine to a 49 year old male with
bradycardia
...
the patient is
conscious and alert but has diffuse uticaria and the feeling that she has a
lump in her throat
...
you should - CorreCt
Answers -ask her if she has prescribed epi

esophageal varicose most commonly occur in patients - CorreCt Answers drink a lot of alcohol

urticaria is the medical term for - CorreCt Answers -hives

a patient with an altered mental status - CorreCt Answers -is not thinking
clearly or is incapable of being aroused

hypoglycemic crisis tends to develop more often and severely in children CorreCt Answers -they do not always eat correctly and on schedule

you arrive at the scene of a 33 year old woman who i experiencing a
generalized seizure
...
after protecting her from further injury
...
admin high flow o2

an important aspect in the treatment of a patient with severe abdominal
pain is to - CorreCt Answers -provide emotional support to the hospital

pain that is localized to the lower back and/or lower abdominal quadrants
is most suggestive of - CorreCt Answers -aortic aneurysm

gastrointestinal bleeding should be suspected if a patient presents with CorreCt Answers -hematemsis

the inferior vena cava returns deoxygenated blood to the right side of the
heart from all the following areas(kidney abdomen legs) except the CorreCt Answers -brain

approx 25% of severe injuries to the aorta occurring during - CorreCt
Answers -lateral collisions

in non trauma patients, an early indictor of internal bleeding is - CorreCt
Answers -dizziness upon standing

the systemic veins function by - CorreCt Answers -returning deoxygenated
blood back to the heart

injury to a hollow abdominal organ would most likely result in - CorreCt
Answers -a leakage of contents into the abdominal cavity

nitroglycerin is contraindicated in patients - CorreCt Answers -who have
experienced a head injury

the single most significant factor that contributes to suicide is - CorreCt
Answers -depression

which of the following met accurately describes the cause of an ischemic
stroke - CorreCt Answers -blockage of a cerebral artery

AED is the most advantageous to an EMT because - CorreCt Answers -it
delivers prompt defillbilartion to patients in V-Fib

you arrive at the home of a 50 year old female with severe epitaxis, as you
treat her it is most important to recall - CorreCt Answers -the patient is at
risk for vomitting and aspiration

two of the most common mechanisms of injury for blunt trauma are CorreCt Answers -falls and motor vehicle collisions

acute coronary syndrome is a term to describe - CorreCt Answers -a group
of symptoms that are cause myocardial ischemia

deoxygenated blood from the body returns to - CorreCt Answers -the right
atrium

what organ can tolerate inadequate profusion for up to 2 hours - CorreCt
Answers -skeletal muscle

if direct pressure with a sterile fails immediately to stop severe bleeding you
should apply - CorreCt Answers -a tourniquet proximal to injury

when assessing a patient who is displaying bizarre behavoir an emt should CorreCt Answers -consider acute medical illness may be causing the
patients behavior

what is the major difference between AMI and angina pectoris - CorreCt
Answers -anginal pain typically subsides with rest

patients with acute abdominal pain should not be given anything to drink
because - CorreCt Answers -substances in the stomach increase risk for
aspiration

most patients with the abdominal pain prefer to - CorreCt Answers -lie on
side with knees drawn in

after applying pressure dressing to a laceration on a patients arm, you
notice the blood is beginning to saturate, you should - CorreCt Answers place additional dressings

prior to assisting a patient with his or her prescribed nitrogen, the emt
must - CorreCt Answers -obtain authorization by medical control

assessment of a patient with hypoglycemia will most likely reveal - CorreCt
Answers -combativeness

when assessing a patient with a behavioral crisis, you should - CorreCt
Answers -be direct and clearly state your intentions

what sound indicated swelling of the upper airway - CorreCt Answers stridor

diabetes is most accurately defined as a - CorreCt Answers -disorder of
carbohydrate metabolism

hypovolemic shock occurs when - CorreCt Answers -the body can't
compensate for rapid blood loss

the effects of epinheprine are typically within___following administration CorreCt Answers -1 minute

what finding is the least suggestive of the presence of high energy trauma CorreCt Answers -deployment of airbag

chronic renal failure is a condition that - CorreCt Answers -often caused by
hypertension or diabetes

a generalized seizure is characterized by - CorreCt Answers -severe
twitching of all body muscles

PID typically does not affect the - CorreCt Answers -urinary bladder

DTs is a syndrome associated with a withdraw from - CorreCt Answers alchol

common signs and symptoms of an allergic reaction include: dry cough,
flushing of the skin and abdominal cramps but not__ - CorreCt Answers drying of the eyes

a fractured femur can result in the loss of__or more of blood - CorreCt
Answers -1 L

an overdose on acetaminophen, the active ingredient tylenol,will most
likely cause - CorreCt Answers -liver failure

the ability of cardiac muscle to contract spontaneously without a stimulus
from a nerve source is called - CorreCt Answers -automaticity

heroin id an example of - CorreCt Answers -opiod

common side effects of nitro include headache, bradycardia, hypotension
except - CorreCt Answers -hypertension

what is the function of the left atrium - CorreCt Answers -receives
oxygenated blood from the lungs

perfusion is most accurately defined as - CorreCt Answers -circulation of
blood within an organ in adequate amounts to meet the bodes metabolic
needs

ventricular tachycardia causes hypotension because - CorreCt Answers -the
left ventricle does not adequately fill with blood

you and your partner arrive at the scene of a middle aged man who
collapsed 5 mins ago
...
Bystanders
are present but have not provided any care
...
albuterol(ventolin)
b
...
acetametaphen(tylenol)
d
...
he has
type 2 diabetes and refuses to take his pills
...
initial management should include - CorreCt Answers -applying
a nonrebreather mask at 15 L/m

what vein is located inferior to the trunk - CorreCt Answers -saphenous

the first indicator of non traumatic internal bleeding may be - CorreCt
Answers -weakness or dizziness

when evaluating the mechanism of injury of a car vs pedestrian you should
first - CorreCt Answers -approximate the speed of the vehicle that souk the
patient

when using an auto inject, the primary inject site is the - CorreCt Answers lateral portion of the thigh muscle control nd coordination are controlled by
the cerebellum

a dissecting aortic anerysm occurs when - CorreCt Answers -the inner layer
of th aorta become separated

when assessing an elderly patient who fell it is important to remember CorreCt Answers -osteoporosis van cause a fracture that may have resulted
from the fall

the physical exam of sexual assault should - CorreCt Answers -limited to
brief survey for life threatening events

what about gonorrehea is correct - CorreCt Answers -painful urination is
seen in both men and women

you are dispatched to a 56 year old with ams, the patients wife tells you that
he complained of chest pain the day before
...
is semi conscious and breathing
slowly and is receiving assisted ventilation from your partner
...
- CorreCt Answers -72

Which of the following skills or interventions is included at every level of
prehospital emergency training? - CorreCt Answers -AED

As an EMT, it is important to remember that the signs and symptoms of
cumulative stress: - CorreCt Answers -may not be present or obvious at all
times

The patient care report (PCR) ensures: - CorreCt Answers -continuity of
care

Which of the following scenarios does NOT involve the administration of
ALS?
A
...
a 64-year-old cardiac arrest patient who is defibrillated with an
automated external defibrillator (AED) Correct
C
...
a 61-year-old trauma patient whose chest is decompressed with a needle
Incorrect - CorreCt Answers -B
...
You should: - CorreCt Answers -report
the incident to your supervisor after the call

A positive TB skin test indicates that: - CorreCt Answers -
...


Communicating with hearing-impaired patients can be facilitated by doing
all of the following, EXCEPT: - CorreCt Answers -
...


When relaying patient information via radio, communications should be: CorreCt Answers -
...


f an action or procedure that was performed on a patient is not recorded on
the written report: - CorreCt Answers -it was not performed in the eyes of
the law
...


The person who is responsible for authorizing EMTs to perform emergency
medical care in the field is the: - CorreCt Answers -medical director
...
simplex

According to Occupational Safety and Health Administration (OSHA)
regulations, an employer must: - CorreCt Answers -offer a workplace
environment that reduces the risk for exposure

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