Alaska-EMT 1 Test

You arrive on scene of an unresponsive female who is barely breathing. Witnesses state she just stopped seizing before you arrived. Which information will be MOST useful to the providers if available?
C. Locating a medic alert bracelet on the patient

When a patient is having a generalized seizure, the phase where the muscle tension is continuous is called:
A. Tonic

You are assessing an 82-year-old female patient with a minor complaint. which of the following is appropriate?
A. Use additional physical contact to make up for any hearing and/or vision deficiencies present.

The reason we provide spinal stabilization to the patient who has been struck by lightning is:
D. The patient may have been thrown a distance by the strike.

What is a common issue that may interfere with a geriatric patient’s response to an illness?
C. They are taking multiple medications

Identify the signs and symptoms of a narcotic overdose.
B. Respiratory depression, paranoia, and hypotension.

Which of the following is a phase of generalized seizures?
C. Clonic

Which of the following would be a method to calm a patient with a behavioral emergency?
A. Take your time and listen to him

How many rescuers is the preferred number to take down a combative patient?
B. 5

What is the medical term used for plateletes?
A. Leukocytes

Which of the following procedures MUST be performed when dealing with a patient found unresponsive and face down in a pool?
B. Heimlich maneuver

A series of two or more seizures with out intervening period of consciousness defines which of the following?
B. Status epilepticus

You have a patient with carbon monoxide poisoning. Which of the following is your MOST important treatment after removing the patient from the source?
C. High flow oxygen

You are caring for an elderly lady who is obviously malnourished. She called EMS because she was too weak to walk to the bathroom. She claims she hasn’t eaten in days because she has no money to buy food. You provide supportive care and:
D. Suggest transport to the hospital and set up a referral to social services

You have been called to a patient who has had a poisonous powder cover his body. Which of the following should you do?
D. Remove the clothes, brush the chemical off and then shower him.

The major concern for the patient with end-stage renal disease is that the kidneys are:
A. Unable to remove wastes from the blood

The purpose of administering the drug epinephrine is to:
C. Vasoconstrict the blood vessels

Which of the following terms is the general term used to refer to diving injuries as a result of changes in pressure?
B. Barotrauma

Identify the signs and symptoms connected to carbon monoxide poisonings.
C. Headache, nausea, vertigo, and weakness

During assesment of a 15-year-old male with abdominal pain, he refuses to let the rescuers check his stomach because he is in too much pain. What is the BEST response to the situation?
Tell him how important it is that you palpate his abdomen and explain the consequences if he refuses.

Which of the following would be an abnormal sign associated with a heat emergency?
D. Elevated blood pressure

Which condition is the most likely and gives. the greatest concern as a result of a lightning strike injury?
C. Cardiac involvement

Which of the following type of abuse is the most common for both the elderly and children?
A. Neglect

You are transporting a patient with classic heat stroke. It is a hot day with low humidity and high winds. In what condition would you suspect to find the skin of this patient?
D. Hot and dry

During treatment of a cardiac patient, you must remember which of these principles?
C. A fully automatic machine will shock after verbal warning on its own

During transport of a cardiac arrest victim whom you have revived, his heart stops beating again. After confirming he is pulseless, you should IMMEDIATELY:
B. Start compressions and direct your partner to stop the vehicle.

What one error will most likely lead to a failed resusitation attempt with a patient in cardiac arrest?
B. Improper CPR

Why is airway maintenance so important during CPR?
D. To improve ventilation and reduce gastric distention.

You are assessing an unresponsive adult who is breathing. How should you assess the presence of a pulse?
D. Carefully press down on the carotid pulse.

Which of the following is considered a symptom of a heart attack?
C. Dizziness

Choose the MOST valuable reason for having paramedics assist you with a cardiac call.
B. ALS may be able to provide some procedures to prevent cardiac arrest.

You are dispatched to the local dialysis office and the nearest ALS unit is unavailable. The charge nurse says the dialysis patient had some chest pain and suddenly became disoriented. She discontinued dialysis and wants the patient transported to the hospital. What are your interventions for this patient?
C. Assess the patient, avoid taking a blood pressure on the arm with the shunt, and provide high flow oxygen.

How should you position an unconscious patient who is paralyzed on the right side as a result of a stroke?
D. Right lateral recumbent

Company policy requires AED practice every 90 days. Why does an employer mandate this in-service?
B. Cardiac arrest calls are not a daily occurrence but require quick treatment.

You are treating a patient who started he almost passed out and he felt the room is spinning. Which of the following BEST describes the condition the patient described?
D. Near-syncope

Which of the following Best describes the term aphasia?
A. The patient cannot speak

A 60-year-old female complains of nausea and back/jaw pain. She has been prescribed nitroglycerin in the past. Select the assessment finding that would be a contraindication for assisting with administration of nitro.
C. Blood pressure of 88/42

You have arrived on the scene of a suspected heart attack patient and you have just completed your scene size-up. Select the BEST reason for completing a primary assessment right away.
D. It quickly identifies life-threatening problems that require immediate attention and cannot be over looked.

During an EMS run you have attached an AED. Determine the action that could easily cause an AED to shock a patient even when a shock would be CONTRAINDICATED.
B. Transporting in an ambulance.

Choose the medication the EMT can assist a patient in administering.
A. Nitroglycerin

You are called to a patient complaining of chest pain and having trouble breathing. Which of the following would be the BEST reason an EMT should assist a patient with nitroglycerin?
D. The patient is prescribed nitroglycerin

Which of the following assessment findings would be the MOST consistent with a patient suffering from a transient ischemic attack?
B. Neurological deficits that have completely resolved.

Choose the AED technology that allows for less energy to be used and measures the amount of power needed to reverse a lethal rhythm.
A. Biphasic

Which of the following BEST explains why we push hard, push fast and minimize interruptions when performing chest compressions?
D. To maintain an adequate blood pressure

Which of the following BEST describes angina pectoris?
D. Best pain that results when the heart’s demand for oxygen exceeds the blood supply available.

Which of the following is the primary reason we give nitro to patients we think are having a heart attack?
C. For its potent vasodilator properties

What is the principle reason you should wear gloves when placing a nitro tablet under a patient’s tongue?
C. You may absorb some of the nitro through your skin.

You are treating an unwitnessed cardiac arrest victim. If indicated, how can rescuers increase the effectiveness of defibrillation?
C. Immediately perform CPR and deliver a shock within 120 seconds

What one treatment has proven to be the most effective treatment of cardiac arrest?
D. Effectiveness of compressions

A 45-year-old construction worker’s thigh is impaled on a piece of debris at his worksite. He is unable to move because the material is part of a concrete slab. What is the BEST treatment for this patient if he is conscious and stable?
D. Leave the object in place and contact the fire department to assist with extricating him.

While treating a 38-year-old female with a suspected head injury, you reassess her pupils and find that the pupils have changed from equal to different sizes. You also observe that the pupils are unresponsive to light. How would you verbally relay this information?
C. Pupils are unequal and non-reactive.

What is a major concern. with the patient who has sustained s traumatic head or facial injury?
C. Rarely has a spinal could injury, but it should always be suspected.

Which of the following injuries is considered a closed soft tissue injury?
B. Contusion

During splinting, a patient is expressing fear that he will be unable to work for several months because of a broken leg. How should you respond to this anxiety?
C. Acknowledge his anxiety snd ask him why he thinks he will be unable to work.

On an inter-facility transfers, you are caring for a patient who experienced second degree burns over 50% of his body 12 hours ago. The burns excluded the face or respiratory system, What primary complication will you focus upon treating at this time interval of his care?
C. Hypovolemic shock

You are assessing a patient who has just been removed from a burning building. Aside from burns, which of the complications should you Most likely anticipate?
D. Carbon monoxide poisoning

You are responsible to care for a patient that has a scalp wound that is bleeding profusely. He was hit with a golf club. How do you treat this type of bleeding?
C. Direct, but gentle pressure on the wound.

Which of the following would pertain to the law of inertia?
C. There are at least three collisions with every motor vehicle crash.

How long should you spend on scene of a patient who is bleeding and showing signs of shock?
A. Less than 10 minutes.

A carpenter is bleeding from a lower arm laceration. he tells you he cut his are while sharpening his equipment. 6 minutes after cutting himself he has been unable to control the bleeding with direct pressure alone. Which treatment should you attempt NEXT to control the bleeding?
D. Apply a tourniquet.

A cild has fallen on the sidewalk. There is an open knee wound that is “oozing” fluid and blood. this injury is most likely:
A, An abrasion

You have a patient with helmet and shoulder pads on. Which off the following is true regarding the management of this patient?
A. Hold the skull and do not let the head drop.

While you are working at an outdoor concert, a patient presents with a superficial burn from a cigarette lighter. Which option BEST describes the appearance of the injury?
B. Red an painful to stimuli

You are called to attend to an injured football player at a major sporting event. Which of the following people would be the MOST knowledgeable about safely removing the patients helmet?
C. The sport’s trainer

Which of the following is the preferred method for removing a helmet?
D. The person at the head holds manual c-spine, the person at the torso stabilizees the head, and the person at the head then removes the helmet.

Burn damage to the skin that is full thickness is also called:
B. Third degree.

You have a patient with a fractured right femur and possible cervical spine injury. How should you transfer the patient to a long board?
C. Log roll the patient onto his left side.

Which of the following closed fracture sites will most likely result in the largest amount of blood loss?
B. Pelvic ring fracture.

Why do we immobilize the spine of a trauma patient complaining of back pain?
C. To minimize damage to the spinal cord.

Which of the following best defines decompensated shock?
C. When the blood pressure begins to fall.

Which of the following would be the BEST method of immobilizing a pelvic ring fracture with associated signs of shock?
B. Pneumatic anti-shock garment.

A patient has received a low-velocity knife injury to the left flank and you suspect damage to his kidney. Which of the following assessment findings would you MOST likely expect to observe with this patient if the kidney has been injured?
A. Blood in the urine.

Which of the following thoracic injuries is associated with paradoxical movement?
A. Flail chest.

You are treating a 2-year-old with a fever. The child is responsive only to painful stimuli. Which of the following is the MOST appropriate?
D. Cool the child with tepid sponge bath

You observe a 4-year-old patient who is dyspneic and who has a loud, harsh voice and a a raspy cough. As you continue your assessment, the child has an increased effort to breath and intercostal muscle retractions. What condition do you suspect?
D. Croup.

You just delivered an infant and thick meconium was present. Which of the following describes the appropriate procedure for this situation?
B. Suction before stimulating the infant

You are called to a private residence to care for a pregnant female that is bleeding vaginally. You estimate that she has lost about 750ml of blood from what you see at the scene. She claims she has no pain. Based on this information, you believe the cause to be:
C. Placenta previa

You have already placed oxygen by non-rebreather on your pregnant patient that is at the end of her second trimester. During transport she begins tonic-clonic seizures. Referring to the above scenario, what would you expect the patients blood pressure to be?
C. 180/120

Which of the following interventions are contraindicated in in infants?
D. Using flow-restricted, oxygen-powered ventilatory devices.

A neonate has just been expulsed and appears unresponsive. responders also find the newly born baby with a clear airway, apnea, and grey. Which of the following treatments would you administer FIRST to reverse the apnea?
C. Flick the soles of both of the infant’s feet.

You are assessing a pregnant female who is about to give birth and you observe a prolapsed cord. Which of the following is the correct procedure for the situation?
D. Place your gloved hand into the vagina and lift the head up until the cord begins pulsating.

Infants found in cardiac arrest are usually in arrest as a result of:
C. Complications from breathing problems

The head of the baby has just delivered. Which of the following should you do NEXT?
B. Suction the mouth and nose, if secretions are present.

Which of the following is the term used to describe a patient with a bleeding disorder?
B. Hemophilia

ALS providers are reassessing a newborn patient after 30 seconds of bag-valve-mask ventilations. A crew member suggests that BVM ventilations be stopped. What do you suspect he has witnessed to suggest ventilations can be discontinued?
C. The newborn begins screaming and crying vigorously.

Dispatch asks you to respond to the local school playground for a child with a nosebleed. On arrival you find a 5-year-old with a profuse nosebleed. You should manage this by:
C. Having the child sit upright and pinching his nostrils just below the bridge of the nose.

Which of the following is TRUE regarding child abuse?
C. Most abused children are less than 5 years old.

You are called to a private home for a baby that is unresponsive. The 6-month-old infant was found by the mother who report,”She went to wake the baby up from her nap at the usual time.” The child is breathing, but unresponsive. What is your MOST important action in this case?
D. Maintain the airway, provide oxygen, and prepare the child for transport.

Which of the following is true regarding ventilation of a pediatric patient?
C. A properly sized mask that fits on the bridge of the nose and cleft of the chin is critical.

You are assessing a 6-year-old choking victim and determine he is apneic. Your partner has completed 5 abdominal thrusts, the child has become unresponsive, and your partner is unclear on what to do next. What should you suggest?
C. Begin compressions and remember to look in the mouth before ventilating

In caring for a child who you suspect has been abused, your primary concern is to:
C. Perform assessment and treatment as you would for any child.

You are dispatched to a child in cardiac arrest and you and your partner decide to initiate CPR. Which of the following is the appropriate compression to ventilation ratio?
B. 15:2

A 16-year-old female has collapsed on a city street. As you begin your assessment she tells you she is “bleeding down there” and the admits to getting an abortion earlier today. Your immediate response is:
D. Finish your assessment, lay the patient in a position of comfort, and apply oxygen.

EMS providers are transporting a semi-conscious 5-year-old male who is at risk of vomiting with very little warning. They suspect the child has ingested a poison that acts like an emetic. What advice would you recommend the rescuers follow during transport of this child if his vital signs are stable?
D. Position the patient left lateral recumbent on the stretcher and apply high-flow oxygen.

You have recently performed a field delivery. The newborn has a strong, active cry, active motion, a pulse of 96, and a pink body with dusky extremities, and normal, regular respirations. What would you calculate the newborn’s APGAR score to be?
C. 8.

To assist a mother in positioning herself for the delivery of her newborn, place her:
D. On the stretcher.

You have just delivered a newborn infant. The infant is limp and unresponsive. After cleaning the airway, what should you do next?
C. Dry and rub the infant in a warm blanked and transport.

Which of the following would BEST represent the definition of triage?
A. To sort.

What effect would a rainstorm have on a deployed chemical weapon scene?
B. Disperse the chemical over a larger area.

Which statement BEST describes thee precautions rescuers should follow when dealing with a severe cut on the neck that is spurting bright red blood?
D. Gloves, gown, and face and eye protections.

The greatest hazard associated with cave-ins during trench rescue is:
C. Asphyxiation.

Which of the following would be the MOST appropriate way for you to reduce or alleviate stress?
A. Begin and maintain an exercise program.

The safest assumption to make on the scene of a detonated explosive deice is:
A. There is a secondary device.

Which training level includes delivering medications via an intravenous line?
D. EMT Paramedic

A patient complains of a headache and other vague discomfort. How would EMS providers show a patient that genuinely care about him during a call?
B. Listen to the patient carefully

Which of the following settings should rescuers consider the MOST unsafe scene?
B. A suicidala patient with a small pocketknife in her hand.

Identify a common complaint from a family member of an EMS worker who works in a rural community.
C. “He is never home with the family around the holidays.”

Which of the following is an action you should avoid when treating a chemical agent victim?
A. Shelter in place to prevent further contamination.

What maneuver should be tried before attempting to lift any heavy object?
C. Push

You are approaching a hazardous materials scene and observe victims lying motionless on the ground. What is the appropriate action to take to rescue them?
A. Wait in a safe area until the Hazmat team has secured the scene

Which of the following best describes “Scope of Practice”? You are allowed to provide any treatment you are:
D. Licensed, authorized, and trained to do.

You have an incident where you have very limited access to the patient in a vehicle. Which of the following assessments should occur regardless how the patient is?
B. Primary assessment

Choose the MOST common feeling a patient may experience a patient may experience during a reassessment (ongoing exam).
A. Annoyance

At the beginning of your shift, your partner suggests that you are “burned out”. Which behavior would BEST exhibit the actions of a provider responding negatively to excessive stress?
A. Arrives late to work five days in a row.

During a two-person lift of a patient on a backboard, it is important to:
A. Lift with your legs

You indicated in your patient care report that the patient complained of left quadrant pain anterior and lateral to the umbilicus by 4 inches. You meant to indicate superior to the umbilicus. which of the following is the greatest reason this mistake is a problem?
D. It potentially threatens the patient’s care in the receiving facility.

You are on scene of a hazardous materials spill when a bystander that has wet clothing and an odd odor approaches you. The patient is having some dizziness and nausea. What should be your first course of action?
B.Make him report to the decontamination line for decontamination.

Which of the following is the MOST important reason for EMS providers to participate in research efforts?
D. To prove changes in procedures make a positive difference.

You are involved in a prolonged response to a multiple casualty incident during a winter storm. Which of following is a measure you should use to keep yourself healthy?
D. Increase fluid intake for hydration.

which of the following devices would be used to cut a vehicle’s B-post?
B. Hydraulic shears

Which of the following should be left out of a patient care report?
A. Your opinion.

The patient you are treating is coughing up bright red blood. Every time he yells or coughs, he spits up secretions. Which protection, other than a pair of vinyl gloves, would offer you the MOST protection?
C. Face shield

You are opening a partially-occluded airway with a jaw thrust technique. Which maneuver must be performed prior to dis placing the jaw forward?
C. Holding the head and neck in a neutral alignment.

The jaw-thrust maneuvers BEST utilized on which type of patient?
B. Trauma patients.

Two rescuers are assisting ventilations on an unconscious patient. If one rescuer compresses the bag-valve mask, the other rescuer should:
C. Hold the face mask in place.

Which of the following is an abnormal lower-airway sound associated with breathing?
D. Wheezing

What would be your priority if you found vomit I the mouth of a supine, unconscious trauma patient?
B. Logroll the patient on her side and clear the vomit.

Which of the following would be appropriate care for a patient with inadequate breathing?
D. Ventilate with supplemental oxygen.

When performing the head-told chin-lift maneuver a rescuer should:
C. Apply dental backwards pressure to the patients forehead.

Which of these would BEST indicate that a patient has a problem as a result of inadequate breathing?
D. A slow respiratory rate or very shallow breathing

What does the medical term “dyspnea” represent?
B. Difficulty breathing.

What are you listening for when you first assess breathing during the primary (initial) assessment?
D. Air leaving the airway and inappropriate noises.

For which of the following patients showing signs of severe respiratory distress should you limit the amount oxygen you provide?
D. You should initially provide oxygen for any patient in distress.

You have a patient who is having difficulty breathing as a result of an asthma attack. He has a prescribed inhaler. Which of the following should you do prior to assisting the patient with his inhaler?
D. Obtain authorization from medical control

Select the BEST way of obtaining the breathing rate on a conscious patient you suspects having a heart attack.
C. Casually rest your hand on the patient’s abdomen during your pulse evaluation to distract the patient and count.

What is the primary reason we administer an inhaler?
C. To provide immediate bronchodilator.

Which of the following is the proper way to open the airway?
D. Neutral head placement and chin-lift with an infant

one of the MOST important concepts to remember when dealing with a patient who has a stoma is:
C. The victim will likely need suctioning prior to ventilations.

When a patient has severe pneumonia, what is the principle problem for the body?
B. Oxygen cannot upload to the pulmonary circulation.

You are called to treat a patient with a history of emphysema. The patient is anxious, has cyanosis and complains of severe dyspnea.He is on home oxygen at 2 lpm with a nasal cannula. Which of the following would be appropriate intervention?
D. Switching the patient to a non-rebreather mask.

You are watching an esophageal tracheal dual lumen airway be placed in a patient. Which of the following feelings would you MOST likely expect to see demonstrated by the family?
B. Anxiety.

Rescuers are preparing to transfer a 52-year-old female with a mild pneumothorax to a larger hospital fir further treatment. According to the physician arranging the transfer, he suspects her lung was punctured during a central line insertion two days ago. During transport a patient becomes unresponsive to painful stimuli and cyanosis is observed. Rescuers rub her sternum with their knuckles and lightly brush her eyelashes with a finger tip.
What would you. suspect they are assessing?

You have a bag-valve-mask with a reservoir bag attached. Which of these provides the BEST description of oxygen volume to be delivered to the device?
D. Enough to keep the reservoir bag inflated.

You are called to treat a 6-year-old with severe abdominal pain and vomiting. Which of the following is MOST appropriate?
A. Place the child in in a left-lateral recumbent position.

You are treating a patient who is experiencing a stroke and is aphasic. He is unable to move his right arm and legs. After applying oxygen and assuring his airway is clear, which treatment will MOST likely benefit this patient?
B. Continue talking and reassuring the patient.

What is the primary goal of using the trauma patient assessment with every trauma patient?
A. Have a system you do not deviate from.

You are assisting ventilations of an unconscious adult patient with inadequate breathing. What is the preferred method of assisting the patient’s ventilations?
B. Pocket mask with supplemental oxygen.

Your partner is performing rescue ventilations. How often should he breathe for the adult patient?
D. Once every 5 seconds.

Choose the proper liter flow for a nasal cannula.
D. 1-6 liters per minute.

What care should you provide a patient who is adequately breathing, but unresponsive?
D. Provide high-concentration oxygen.

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An unresponsive 2-year-old child was found by his mother with a bottle labeled “Elavil 50 mg” by his side. Which piece of information is important to obtain from his mother? A. The size of the medication bottle. B. The expiration …

You are a member of the emergency response team for your hospital and are called to a code blue. You arrive to find one of your colleagues leading a resuscitation attempt to an elderly patient. You notice that the person …

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