TMCC EMS108 NB01 Test 3 Flashcards

For which of the following would you immediately initiate ventilatory assistance in the newborn?

A newborn with bowel sounds present in the chest and respiratory fatigue.
A newborn with particulate meconium in the oropharynx.
A newborn who does not respond to warming, stimulation, and blow-by oxygen.
A newborn not taking its first breath until 12 seconds immediately after delivery.

A newborn who does not respond to warming, stimulation, and blow-by oxygen.

Which of the following is a major function of the neurological system?

Shape.
Balance.
Protection.
Digestion.

Balance.

What is the term used to describe the female reproductive system?

Entero.
Gyne.
Gastro.
Utero.

Gyne.

Inflammation of the gallbladder is known as which of the following?

Appendicitis.
Peptic ulcer disease.
Gastroenteritis.
Cholecystitis.

Cholecystitis.

Which of the following is typically used to represent the term blood?

Erythro.
Hemo.
Lympho.
Leuko.

Hemo.

The medical name for the jaw bone is the:

Mandible.
Maxilla.
Orbit.
Zygoma.

Mandible.

Pain that originates in a region of the body other than where it is felt BEST defines which of the following?

Somatic pain.
Visceral pain.
Referred pain.
Phantom pain.

Referred pain.

You are treating a patient who states he almost passed out and he felt the room spinning. Which of the following BEST describes the condition the patient described?

Aphagia.
Aphasia.
Syncope.
Near-syncope.

Near-syncope.

In the case of a behavioral emergency, which of the following would be a physiological cause?

Aspirin overdose.
Low blood sugar.
Reaction to stress.
Loss of a loved one.

Low blood sugar.

You are preparing for a field delivery of a newborn. After preparing the area for delivery, you note the umbilical cord is protruding through the vaginal opening, yet you see no evidence of crowning. Which of the following is the BEST way to manage this patient?

Clamp and cut the cord immediately.
Insert gloved fingers into the vagina and raise the fetus off the cord.
Have the mother bear down and push aggressively.
Administer magnesium sulfate to promote tocolysis.

Insert gloved fingers into the vagina and raise the fetus off the cord.

How should you transport a patient who has just had a syncopal episode and is now alert but weak?

Fowler’s.
Semi Fowler’s.
Right lateral recumbent.
Supine with legs elevated.

Supine with legs elevated.

You are called to the residence of a 36-year-old female who is alert, is oriented to person only, and whose speech is slurred. Which of the following should be the FIRST on your list for a differential diagnosis?

Drug reaction.
Hypoglycemia.
Alcohol overdose.
Cerebrovascular accident.

Hypoglycemia.

An inflammation of the pancreas is referred to by which of the following terms?

Hepatitis.
Pancolitis.
Pancreatitis.
Cholecystitis.

Pancreatitis.

Which of the following would have the greatest risk for carrying HIV or HBV during the childbirth process?

Amniotic fluid.
Sweat from the mother.
Vomit from the mother.
Blood from the cord and birth canal.

Blood from the cord and birth canal.

In which part of the nervous system would the spinal cord be included?

Central.
Peripheral.
Sympathetic.
Parasympathetic.

Central.

What actions should you take to prepare for an imminent delivery? This pregnant female is full term and this is her third child.

Create an area that is sterile and free of any germs.
Instruct her to lie on her side when she has an urge to push.
Tell the patient to use the bathroom while you are setting up.
Have the patient remove her pants and cover her legs with a sheet.

Have the patient remove her pants and cover her legs with a sheet.

Which bones of the spine are typically fused?

Cervical.
Lumbar.
Thoracic.
Sacral.

Sacral.

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?

5.
6.
8.
10.

8.

Which of the following would be the BEST definition of a seizure?

A loss of consciousness from idiopathic causes.
The alternating contraction and relaxation of muscles.
A temporary alteration in behavior due to a massive electrical discharge in the brain.
A change in behavior due to an electrolyte imbalance within a group of neurons in the brain.

A temporary alteration in behavior due to a massive electrical discharge in the brain.

What is the term used to describe a body part that is farthest from the trunk of the body?

Distal.
Lateral.
Medial.
Proximal.

Distal.

What would lead you to suspect that a patient’s behavior could erupt into violence?

Flat affect.
Appears withdrawn.
Relaxed and in control.
Rapid speech and physical movement.

Rapid speech and physical movement.

When transporting a patient with a severe headache, what comfort measures should be provided?

Increasing the heat in the ambulance.
Offering the patient warm water to drink.
Turning the lights down low in the patient area.
Decreasing the temperature in the patient compartment.

Turning the lights down low in the patient area.

During delivery of a newborn, the umbilical cord becomes wrapped around the neck. Which of the following is the best way to manage this?

Clamp and cut the cord immediately.
Gently lift the cord over the baby’s head.
Transport the infant to the nearest obstetric facility.
Request medical control permission for a caesarean section.

Gently lift the cord over the baby’s head.

Besides assisting in the breakdown of glucose for use by the cells, insulin also helps to:

Raise the blood glucose.
Breaks down fats into glucose.
Converts glucose into fats for storage.
Converts glucose into glycogen for storage.

Converts glucose into glycogen for storage.

When a patient experiences paresthesia or paralysis, what system is most likely the cause?

Circulatory.
Nervous.
Respiratory.
Renal.

Nervous.

The visible indication of a patient’s mood is termed:

Mood.
Affect.
Mental status.
Psychosocial status.

Affect.

During assessment of a patient with an altered mental status, which treatment or assessment must be your HIGHEST priority?

Administrating of instant glucose.
Maintaining an open, patent airway.
Assessing for any traumatic injuries.
Contacting medical control authority.

Maintaining an open, patent airway.

You are transporting a 27-year-old female who has experienced a generalized seizure. Which of the following is the most important reason this patient should be evaluated every 3-5 minutes?

The patient may bite her lip.
She may wake up and be frightened.
She may wake up and refuse transportation.
A decreased level of consciousness may follow.

A decreased level of consciousness may follow.

What letters are used regarding the assessment of a patient’s mental status?

ABC.
AVPU.
OPQRST.
DCAP-BTLS.

AVPU.

Where does the pain associated with appendicitis typically begin?

Right lower quadrant.
Periumbilical.
Left lower quadrant.
Around the epigastrum.

Periumbilical.

You have arrived on the scene of a patient who has just regained consciousness following a syncopal episode. The patient is surrounded by EMS providers and there are no family members or friends around. Which of the following feelings would you MOST likely expect this patient to experience?

Anger.
Denial.
Frustration.
Disorientation.

Disorientation.

You have assisted in a home delivery. You are waiting for the placenta to deliver before transport. The mother is bleeding but uterine contraction has yet to occur. What is the next action?

Pack the vagina with sterile gauze.
Place the mother in a left lateral recumbent.
Place the mother in the Trendelenburg position.
Massage the uterus until you feel the uterus contract.

Massage the uterus until you feel the uterus contract.

What is the percentage of oxygen in inspired room air?

4%.
16%.
21%.
79%.

21%.

Regarding the passage of air into the lungs, what is the name of the structure immediately below the vocal cords?

Bronchi.
Larynx.
Pharynx.
Trachea.

Trachea.

You are called to assess a conscious patient having a behavioral emergency. Which of the following is a correct technique regarding physical assessment of this patient?

Obtaining vital signs should be done immediately.
Assessing the mental status of the patient should be done first.
You should stand above the patient to gain a position of authority.
Rapid assessment and treatment are critical in this patient population.

Assessing the mental status of the patient should be done first.

You are treating a patient complaining of right upper quadrant abdominal pain. The patient is also complaining of pain in her right shoulder. She has vomited twice prior to your arrival and states she had very spicy food for dinner. Which of the following would you suspect based on the above information?

Appendicitis.
Cholecystitis.
Pancreatitis.
Hepatitis.

Cholecystitis.

Which of the following would be the BEST description of homeostasis?

The ability of the body to adapt to varying environments.
The ability of the body to maintain a normal blood pressure.
The tendency of the body to maintain a net constant composition.
A decrease in bodily function due to a loss of circulating blood volume.

The tendency of the body to maintain a net constant composition.

A patient has severe abdominal pain. What is typically the most comfortable position for this patient?

Prone.
Supine.
Fetal position.
Semi Fowler’s with legs extended.

Fetal position.

The circulatory system has no role in which of the following functions?

Digesting nutrients.
Transporting oxygen.
Maintaining blood pressure.
Transporting carbon dioxide.

Digesting nutrients.

Which of the following is the BEST indicator of an imminent delivery?

Crowning.
Braxton Hicks contractions.
Labor pains that are 10 minutes apart.
The mother indicates she has an urge to defecate.

Crowning.

The dermis and epidermis layers of the skin are responsible for:

Blood cell production.
Metabolism of insulin.
Organ protection.
Movement.

Organ protection.

Which of the following terms represents the root word that means breathing?

Cardio.
Oxia.
Pnea.
Pneumo.

Pnea.

An absence seizure is also known by which of the following?

Simple partial seizure.
Complex partial seizure.
Grand mal seizure.
Petit mal seizure.

Petit mal seizure.

What is the primary concern for a patient in the postictal phase of a seizure?

Assessing the patient.
Protecting the airway.
Preventing further injury.
Loosening restrictive clothing.

Protecting the airway.

Which of the following would be abnormal for a pregnant female in her last trimester of pregnancy?

An elevated blood pressure.
A blood loss of 30% with no signs of shock.
A respiratory rate that is greater than her normal rate.
A pulse rate that is 10-15 beats faster that her normal rate.

An elevated blood pressure.

A neonate has just been expulsed and appears unresponsive. Responders also find the newly born baby with a clear airway, apneic, and grey. Which of the following treatments would you administer FIRST to reverse the apnea?

Begin blow-by oxygen therapy.
Begin bag-valve-mask ventilations.
Flick the soles of both of the infant’s feet.
Begin chest compressions and ventilations.

Flick the soles of both of the infant’s feet.

What is the term used to describe the relation of the clavicle to the breast?

Inferior.
Lateral.
Proximal.
Superior.

Superior.

The sympathetic nervous system is responsible for:

Bradycardia, vasodilation, and increased peristalsis.
Tachycardia, vasoconstriction, and decreased peristalsis.
Bradycardia, vasodilation, and decreased peristalsis.
Tachycardia, vasoconstriction, and increased peristalsis.

Tachycardia, vasoconstriction, and decreased peristalsis.

In the pregnant female, what is the name of the organ that holds the fetus?

Uterus.
Cervix.
Placenta.
Amniotic sac.

Uterus.

Rescuers are deciding whether chest compressions should be continued or stopped during resuscitation of a newborn. Which finding would BEST suggest chest compressions should be continued if the baby remains unresponsive?

The newborn has a pulse less than 60.
The baby has brief periods of apnea.
The baby’s breathing is less than 24-28/min.
There is a lack of blood pressure by auscultation or palpation.

The newborn has a pulse less than 60.

Which of the systems listed below is responsible for increasing heart rate when we are scared or injured?

Nervous.
Endocrine.
Respiratory.
Musculoskeletal.

Nervous.

You have recently delivered a newborn who is now apneic and pulseless. As you start compressions, which of the following compression rates is correct?

80-100 per minute.
100 per minute.
120 per minute.
120-160 per minute.

120 per minute.

Which of the following would also refer to the recovery position?

Lateral recumbent.
High-Fowler’s.
Supine.
Prone.

Lateral recumbent.

Which of the following applies to the suffix term “itis”?

Redness.
Pain.
Inflammation.
Irritation.

Inflammation.

The coronary arteries fill with blood to deliver to the heart during:

Diastole.
Systole.
Right atrial contraction.
Right ventricular contraction.

Diastole.

Which of the following is considered a function of the skin?

Assistance with movement.
Elimination of magnesium.
Temperature regulation.
Control of hyponatremia.

Temperature regulation.

A patient has broken their lower leg with an open wound about four inches below the knee. Which of the following would be the best way to describe this to the receiving medical facility?

Pt w/lac 10 cm dist to pat and possible Fx to L leg.
The patient has a fractured tib/fib with an open wound 4 cm proximal to the patella.
The patient has a possible broken lower leg with an open wound about four inches below the knee.
The patient has a transverse fracture of the tibia and possibly fibula with a lac 10 cm distal to the patella.

The patient has a possible broken lower leg with an open wound about four inches below the knee.

Which of the following is a function of the vagina?

Protection for the cervix.
Part of renal function.
Protection for the pelvic structures.
A passageway for the fetus during childbirth.

A passageway for the fetus during childbirth.

Bradycardia in the neonate is MOST often a sign of which of the following?

Hypothermia.
Hypovolemia.
Hypoxia.
Meconium.

Hypoxia.

Which of the following indicates an immediate need for chest compressions in a newborn?

Heart rate less than 100.
Presence of meconium.
Heart rate less than 60.
Diaphragmatic hernia.

Heart rate less than 60.

You are called to a patient who is hallucinating and is thinking about killing himself. Which action should a rescuer consider cruel?

Applying restraints to immobilize the patient to a stretcher.
Telling the patient you hear voices too, when you do not.
Calling for transport to the hospital against the patient’s wishes.
Putting a disposable mask on the patient who is spitting and crying.

Telling the patient you hear voices too, when you do not.

Which of the following terms is used to describe body parts found the same on either side of the midline?

Bilateral.
Ipsilateral.
Lateral.
Medial.

Bilateral.

What does the first A in APGAR represent?

Airway.
Activity.
Alertness.
Appearance.

Appearance.

You are preparing for a field delivery of a newborn. After preparing the area for delivery, you note the umbilical cord is protruding through the vaginal opening, yet you see no evidence of crowning. The situation in the above scenario is known as which of the following?

Breech presentation.
Transverse presentation.
Prolapsed cord.
Nuchal cord.

Prolapsed cord.

What is the name of the organ in the endocrine system that secretes insulin?

Adrenal.
Liver.
Pancreas.
Pituitary.

Pancreas.

When is it appropriate to place a gloved hand into the birth canal during an abnormal delivery?

Nuchal cord.
Prolapsed cord.
Limb presentation.
Transverse presentation.

Prolapsed cord.

Which of these is the most likely cause of a syncopal episode in the patient who reports his heart was racing prior to his passing out?

Psychogenic.
Hypovolemia.
Cardiovascular.
Environmental.

Cardiovascular.

Which of the following are the MOST appropriate times for evaluation of the newborn utilizing the APGAR scale?

Immediately after birth and again after 24 hours.
At 1 and 5 minutes following delivery.
Immediately after the umbilical cord is cut and again at 10 minutes.
At 30 and 60 seconds following delivery.

At 1 and 5 minutes following delivery.

How would you term the removal of the stinger from a bee?

Stingeritis.
Stingerosis.
Stingerectium.
Stingerectomy.

Stingerectomy.

Which of the following would represent the name for the part of a word added to the end to modify its meaning?

Suffix.
Root.
Prefix.
Compound.

Suffix.

You are called to treat a male patient complaining of right upper quadrant pain and pain in his right shoulder. This pain came on shortly after eating a piece of pizza. Which of the following organs should you suspect?

Spleen.
Kidney.
Appendix.
Gall bladder.

Gall bladder.

Which of the following divides the body into a front and back portion?

Anterior plane.
Frontal plane.
Sagittal plane.
Transverse plane.

Frontal plane.

What other name could be used for involuntary muscles?

Striated.
Smooth.
Cardiac.
Skeletal.

Smooth.

Blood leaving the heart from the right side travels next to the:

Body through the aorta.
Lungs through the aorta.
Lungs through the pulmonary vein.
Lungs through the pulmonary artery.

Lungs through the pulmonary artery.

If you drew a line through the nose, the sternum and the umbilicus, what line would it describe?

Frontal.
Midaxillary.
Midline.
Transverse.

Midline.

As you are examining an expectant patient, you discover that the infant’s legs and buttocks are already delivered. What is the name for this type of presentation?

Limb.
Breech.
Cephalic.
Transverse.

Breech.

You are called to treat a patient with an initial complaint of double vision, dysphasia, hemiplegia, and aphagia. On the way to the hospital, the symptoms begin resolving. Which of the following is MOST likely occurring in this situation?

Embolic stroke.
Thrombotic stroke.
Transient ischemic attack.
Intracerebral hemorrhage.

Transient ischemic attack.

When restraining a patient, which of the following is MOST likely to harm a patient and should be avoided?

Cravats.
Handcuffs.
Roller gauze.
Spider straps.

Handcuffs.

In the pancreas, glucagon is secreted for the purpose of:

Releasing insulin.
Lowering blood sugar.
Stimulates glucose absorption.
Stimulates the breakdown of glycogen.

Stimulates the breakdown of glycogen.

What is the primary purpose of the muscles within the blood vessel walls?

To help maintain blood pressure.
To keep the blood in the vessels.
To maintain the shape of the vessels.
To provide heat through contraction.

To help maintain blood pressure.

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