Emergency Medical Responders /EMT Practice: Systems, Safety and Care Part 2

EMT Practice: Systems, Safety and Care Part 2

Emergency Medical Responders100 CardsCreated about 1 month ago

Quick-reference flashcards summarizing foundational EMT knowledge—from HIPAA and NREMT to patient advocacy and field safety. Great for students, new EMTs, or certification review.

You and your partner arrive at the scene of a middle-aged female in cardiac arrest. Because of the remote geographic location, you are unable to contact medical control. What should you do?

-ask the husband if he wants to continue resuscitation

-make continuous attempts to contact medical control

-follow locally established protocols or standing orders

-perform CPR only and initiate immediate transport

follow locally established protocols or standing orders

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Key Terms

Term
Definition

You and your partner arrive at the scene of a middle-aged female in cardiac arrest. Because of the remote geographic location, you are unable to contact medical control. What should you do?

-ask the husband if he wants to continue resuscitation

-make continuous attempts to contact medical control

-follow locally established protocols or standing orders

-perform CPR only and initiate immediate transport

follow locally established protocols or standing orders

During your assessment of a 20-year-old man with a severe headache and nausea, you ask him when his headache began, but he does not answer your question immediately. You should:

-ask him if he frequently experiences severe headaches and nausea

-allow him time to think about the question and respond to it

-tell him that you cannot help him unless he answers your questions

-repeat your question because he probably did not hear you

allow him time to think about the question and respond to it

Hover to peek or log in to view all

Which of the following incidents does NOT require a report to be filed with local authorities?

-gunshot wounds

-animal bites

-cardiac arrest

-spousal abuse

cardiac arrest

After receiving online orders from medical control to perform a patient care interventiom, you should:

-perform the intervention as ordered

-confirm the order in your own words

-repeat the order to medical control word for word

-ask the physician to repeat the order

repeat the order to medical control word for word

Hover to peek or log in to view all

Which of the following statements regarding a "dedicated line" is correct?

-it is a frequency that is used exclusively by EMTs to communicate with one another in the field

-it is a constantly open line of communication that cannot be accessed by outside users

-it is a designed frequency on a portable radio that provides direct access to medical control

-it is a constantly open line of communication that is under exclusive control of a single user

it is a constantly open line of communication that cannot be accessed by outside users

Hover to peek or log in to view all

A 4-year-old boy had an apparent seizure. He is conscious and calm and is sitting on his mother's lap. His father is sitting in a nearby chair. The child's mother suddenly begins crying uncontrollably, which causes the child to start crying. You should:

-reassure the child's mother that seizures in children are very common and that there is nothing to worry about

-give the child a favorite toy or blanket to hold onto and perform your assessment to the best of your ability

-attempt to calm the child's mother, but avoid separating her from the child because this will increase her anxiety

-ask the father to hold the child so you can assess him while your partner tries to calm the mother

ask the father to hold the child so you can assess him while your partner tries to calm the mother

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TermDefinition

You and your partner arrive at the scene of a middle-aged female in cardiac arrest. Because of the remote geographic location, you are unable to contact medical control. What should you do?

-ask the husband if he wants to continue resuscitation

-make continuous attempts to contact medical control

-follow locally established protocols or standing orders

-perform CPR only and initiate immediate transport

follow locally established protocols or standing orders

During your assessment of a 20-year-old man with a severe headache and nausea, you ask him when his headache began, but he does not answer your question immediately. You should:

-ask him if he frequently experiences severe headaches and nausea

-allow him time to think about the question and respond to it

-tell him that you cannot help him unless he answers your questions

-repeat your question because he probably did not hear you

allow him time to think about the question and respond to it

Which of the following incidents does NOT require a report to be filed with local authorities?

-gunshot wounds

-animal bites

-cardiac arrest

-spousal abuse

cardiac arrest

After receiving online orders from medical control to perform a patient care interventiom, you should:

-perform the intervention as ordered

-confirm the order in your own words

-repeat the order to medical control word for word

-ask the physician to repeat the order

repeat the order to medical control word for word

Which of the following statements regarding a "dedicated line" is correct?

-it is a frequency that is used exclusively by EMTs to communicate with one another in the field

-it is a constantly open line of communication that cannot be accessed by outside users

-it is a designed frequency on a portable radio that provides direct access to medical control

-it is a constantly open line of communication that is under exclusive control of a single user

it is a constantly open line of communication that cannot be accessed by outside users

A 4-year-old boy had an apparent seizure. He is conscious and calm and is sitting on his mother's lap. His father is sitting in a nearby chair. The child's mother suddenly begins crying uncontrollably, which causes the child to start crying. You should:

-reassure the child's mother that seizures in children are very common and that there is nothing to worry about

-give the child a favorite toy or blanket to hold onto and perform your assessment to the best of your ability

-attempt to calm the child's mother, but avoid separating her from the child because this will increase her anxiety

-ask the father to hold the child so you can assess him while your partner tries to calm the mother

ask the father to hold the child so you can assess him while your partner tries to calm the mother

You are transporting a 54-year-old male in respiratory arrest. An EMR is driving the ambulance as you and your partner are caring for the patient. Which of the following is the MOST logical way of notifying the hospital?

-call the receiving hospital with your cel phone while providing patient care

-wait until you arrive at the hospital and then quickly apprise the staff of the situation

-have the driver contact dispatch and relay the patient information to the hospital

-request that a police officer respond to the hospital to apprise the staff of your arrival

have the driver contact dispatch and relay the patient information to the hospital

You could be sued for ___________ if your radio report to the hospital describes the patient in a manner that injures his or her reputation.

-libel

-negligence

-assault

-slander

slander

You are dispatched to the residence of an Asian family for a child with a high fever. When you assess the child, you note that he has numerous red marks on his back. The child's parents explain that these marks represent coining—a traditional Asain healing practice in which hot coins are rubbed on the back. You should:

-advise the child's parents that this is a harmful practice and is considered a form of child abuse in the United States

-acknowledge and respect this practice as a cultural belief, but advuse the child's parents that it has no healing power

-advise the emergency department physician that you feel as though the child was intentionally abused by his parents

-document this finding on your patient care report and advise the emergency department staff of what the child's parents told you

document this finding on your patient care report and advise the emergency department staff of what the child's parents told you

Which of the following has the weakest transmission signal and, as a result, is LEAST likely to be heard by the party being called?

-mobile repeater station

-land-base repeater station

-hand-held portable radio

-multiplex base station

hand-held portable radio

As you radio the hospital to give a report on your patient, which of the following should you do?

-speak as quickly as possible

-provide as much detail as possible

-remain objective and impartial

-use code words to protect the patient's identity

remain objective and impartial

After you submit the electronic PCR for a call, you realize that you accidentally documented the wrong vital signs. What should you do?

-say nothing and hope that the error goes unnoticed

-leave the record as it is and seek legal advice

-notify your agency's information technology department

-follow your agency's directions for making an amendment

follow your agency's directions for making an amendment

What is therapeutic communication?

-anything that dampens or obscures the true meaning of a message

-verbal and nonverbal communication techniques that encourage patients to express their feelings and to achieve a positive relationship

-a means by which a patient can efficiently relate levels of pain

-the recorded portion of an EMT's patient interaction, either written or electronic, that becomes part of the patient's permanent medical record

verbal and nonverbal communication techniques that encourage patients to express their feelings and to achieve a positive relationship

Radio hardware containing a transmitter and receiver that is located in a fixed location is known as what?

-cell phone

-interoperable communications system

-mobile data terminal (MDT)

-base station

base station

When a person considers his or her own cultural values as more important when interacting with people of a different culture, what is this referred to?

-ethnicentrism

-stereotyping

-rapport

-cultural imposition

ethnicentrism

Encouraging this patient to provide more information about his injury is an example of which therapeutic communication technique?

-clarification

-facilitation

-reflection

-interpretation

facilitation

Which of the following is included in the narrative section in a PCR?

-time the EMS unit was notified

-supportable personal opinions

-refusal of care

-patient name and address

refusal of care

If you discover an error as you are writing your PCR, what should you do?

-erase the erroneous information and insert the correct information

-tell your supervisor about the error

-cover the error with correction fluid and initial it

-draw a single horizontal line through the error, initial it, and write the correct information next to it

draw a single horizontal line through the error, initial it, and write the correct information next to it

What type of mode does an interoperable communications system use?

-voice-over-Internet-protocol

-duplex

-simplex

-trunking

voice-over-Internet-protocol

What should you do if a patient refuses treatment or transport?

-immediately stop patient care

-contact medical control

-find another person to continue medical care

-ask law enforcement to take him into custody

contact medical control

Which of the following suffixes mean "two"?

-"bi-" and "null-"

-"dipl-" and "bi-"

-"primi-" and "dipl-"

-"primi-" and "bi-"

"dipl-" and "bi-"

The topographic term used to describe the location of body parts that are closer toward the midline of the body is:

-medial

-midaxillary

-midclavicular

-lateral

medial

The term "pericardiocentesis" means:

-the removal of fluid from around the heart

- a surgical opening made in the heart

-narrowing of the arteries supplying the heart

-surgical repair of the sac around the heart

the removal of fluid from around the heart

You are transporting a 67-year-old female patient to the hospital for investigation of abdominal pain. The patient care record indicates that the patient has a history of AAA. Based on this information, the patient care record includes an abbreviation for:

-abdominal aortic aneurysm.

-acute abdominal assessment.

-acute abdominal aneurysm .

-against ambulance advice.

abdominal aortic aneurysm

After applying a tourniquet, the injury from a patient's leg stops bleeding. This is called:

-hematemesis.
-hemolysis.
-hemiplegia.
-hemostasis.

hemostasis

Which of the following suffixes mean "pertaining to"?

- "-ic" and "-ology"
- "-al" and "-ic"
- "-al" and "-ology"
- "-ology" and "-oma"


"-al" and "-ic"

"Gastro" in the word "gastroenteritis" means:

- tongue.
- bowel.
- stomach.
- intestine.

stomach

An intoxicated 40-year-old male is found lying face down. How would you document his body's position?

- Prone
- Supine
- Dorsal
- Recumbent

prone

A patient has fractured both femurs. Anatomically, these injuries would be described as being:

- bilateral.
- medial.
- proximal.
- unilateral

bilateral

The meaning "around" can have which of the following prefixes?

- "peri-" and "circum-"
- "infra-" and "peri-"
- "epi-" and "sub-"
- "sub-" and "infra-"

"peri-" and "circum-"

You are dispatched to a motor vehicle crash involving a motorcycle. Upon your arrival, you find a 17-year-old male patient lying face down on the ground. What is the term for the position in which you found the patient?

- supine

- fowler

- prone

- recumbent

prone

What is the root word for pain?

- asthen

- angi

- alges

- centesis

alges

What term describes when only one lung is expanding with inhalation?

- unilateral chest expansion

- bilateral chest expansion

- hemilateral chest expansion

- lateral chest expansion

unilateral chest expansion

Your partner makes the following symbol in a PCR:
Δ
What does this mean?

- change

- less than

- greater than

- per

change

How would you identify a patient who does not have any apparent allergies?

- NA

- amb

- AK

- NKA

NKA

What is the medical term for coughing up blood?

- hematemesis

- hematuria

- hemogastritis

- hemoptysis

hemoptysis

What should you do when trying to define the term dysuria?

- begin with the prefix and work forward

- begin with the root word, move to the suffix, then to the prefix

- begin with the suffix, move the the prefix, then to the root word

- begin with the suffix and work backward

begin with the suffix, move the the prefix, then to the root word

In general, which of the following does a prefix describe?

- location and intensity

- condition

- movement

- anatomic position

location and intensity

What is adduction?

- a directional term describing something farther from the trunk

- something closer to or on the skin

- motion of a limb toward the midline

- motion of a limb away from the midline

motion of a limb toward the midline

motion of a limb toward the midline

weakness

Capillary sphincter closure during internal or external bleeding is detrimental because:

- high levels of oxygen remain in the cells and can cause significant damage.

- waste products are not removed and nutrients are not delivered to the cells.

- carbon dioxide and other waste can enter the cells, but oxygen cannot.

- available blood is shunted off to another venule while still carrying oxygen.

waste products are not removed and nutrients are not delivered to the cells

What is the function of platelets?

- Transport of oxygen and nutrients

- Transport of cellular waste materials

- Defense against invading organisms

- Initial formation of a blood clot

Initial formation of a blood clot

Which part of the central nervous system is responsible for coordinating bodily movements such as writing or sewing?

- Hypothalamus

- Cerebrum

- Cerebellum

- Brain stem

cerebellum

Which of the following is NOT a function of the skin?

- Sensory reception

- Metabolic coordination

- Pressure and pain perception

- Temperature regulation

metabolic coordination

Urine is transported from the kidneys to the urinary bladder via the:

- urethra.

- ureters.

- renal duct.

- prostate

ureters

Bile is produced by the liver and concentrated and stored in the:

- stomach.
- gallbladder.
- kidneys.
- pancreas.

gallbladder

A patient has a blood pressure of 130/70 mm Hg. The "130" in this measurement represents:

- atrial contraction.

- ventricular filling.

- ventricular contraction.

- ventricular relaxation.

ventricular contraction

What happens when blood volume is lost from the body?

- The arteries contract to increase the blood pressure.

- Widespread vasodilation causes blood pressure to decrease.

- The veins dilate to increase systemic perfusion.

- Arterial blood is diverted to the skin and muscles.

The arteries contract to increase the blood pressure.

Trauma to the __________ lobe of the brain would likely result in visual disturbances.

- parietal

- frontal

- temporal

- occipital

occipital

A by-product of involuntary muscle contraction and relaxation is:

- nitrogen.

- oxygen.

- lactic acid.

- heat.

heat

A patient has a large accumulation of blood in the sac surrounding the heart. Which type of shock would this condition cause?

- Hypovolemic

- Cardiogenic

- Neurogenic
- Obstructive

obstructive

If a patient's chest barely moves during inhalation, even if the patient's respiratory rate is normal, you should suspect that:

- expiratory reserve volume is decreased.

- inspiratory reserve is increased.

- minute volume is decreased.

- overall tidal volume is increased.

minute volume is decreased

The waste products of aerobic metabolism include:

- ATP and glucose.

- carbon dioxide and water.

- uric acid and nitrogen.

- glucose and lactic acid.

carbon dioxide and water

The most superior section of the sternum is called the:

- angle of Louis.

- costal arch.

- manubrium.

- xiphoid process.

manubrium

Large amounts of adenosine triphosphate (ATP) are generated when:

- the cells function without oxygen.

- carbon dioxide levels in the blood are high.

- the cells function with adequate oxygen.

- circulating blood glucose levels fall.

the cells function with adequate oxygen.

At rest, the normal adult heart rate should not exceed:

- 100 beats/min.

- 90 beats/min.

- 70 beats/min.

- 80 beats/min.

100 beats/min

Stimulation of the parasympathetic nervous system would result in:

- a strong pulse.

- a slower heart rate.

- tachycardia.

- vasoconstriction.

a slower heart rate

The vocal cords are located in the:

- oropharynx.

- nasopharynx.

- larynx.

- pharynx.

larynx

Pathophysiology is the study of the functional changes that occur when the body reacts to a particular:

- assessment.

- protocol.

- disease.

- medication.

disease

The brain connects to the spinal cord through a large opening at the base of the skull called the:

- vertebral foramen.

- foramen ovale.

- foramen magnum.

- spinous foramen.

foramen magnum

The distal aspect of the tibia forms the:

- lateral condyle.

- Achilles tendon.

- lateral malleolus.

- medial malleolus.

medial malleolus

What is the function of the fallopian tubes?

- To connect the ovaries

- To transport a mature egg to the uterus

- To supply blood to the uterine lining

- To produce progesterone and estrogen

To transport a mature egg to the uterus

Which of the following systems is responsible for releasing hormones that regulate body activities?

- Skeletal

- Reproductive

- Endocrine

- Nervous

endocrine

The ____________ is a muscular dome that forms the inferior boundary of the thorax, separating the thorax from the abdomen.

- costovertebral angle

- costal arch

- mediastinum

- diaphragm

diaphragm

Which organ lies in the lateral and posterior portion of the left upper quadrant of the abdomen?

- Spleen

- Stomach

- Cecum

- Liver

spleen

Which of the following structures does NOT contain smooth muscle?

- Blood vessels

- Gastrointestinal tract

- Skeletal system

- Urinary system

skeletal system

The bones that constitute the fingers and toes are called:

- metatarsals

- metacarpals.

- carpals.

- phalanges.

phalanges

The ___________ is made up of the maxilla and zygoma, as well as the frontal bone of the cranium.

- orbit
- sphenoid
- mastoid
- occiput

orbit

Which of the following is NOT true of the lymphatic system?

- Its vessels closely parallel the major arteries in the body.

- It circulates oxygen, nutrients and hormones to the cells.

- It relies on muscle movement to circulate lymph.

- It circulates waste products of metabolism away from cells.

Its vessels closely parallel the major arteries in the body.

The central nervous system is composed of the:

- spinal cord and sensory nerves.

- brain and sensory nerves.

- brain and spinal cord.

- motor and sensory nerves.

brain and spinal cord

You arrive at the scene of an accident and observe the patient lying face-up on the ground. As you look at the front side of his body, which plane of the body are you observing?

- transverse

- midsagittal

- sadgittal

- coronal

coronal

You arrive at the scene of an accident and observe the patient lying face-up on the ground. As you look at the front side of his body, which plane of the body are you observing?

- transverse

- midsagittal

- sadgittal

- coronal

carotid

Which of the following substances is the main element that the bone cells use to create a hard and resilient structure?

- magnesium

- sodium

- potassium

- calcium

calcium

What is the proper name for the cheekbone?

- maxilla

- mandible

- zygoma

- sphenoid

zygoma

The elbow is an example of what type of joint?

- immovable

- ball-and-socket

-hinge

- saddle

hinge

What structure of the brain is responsible for the level of consciousness and maintenance of vital signs?

- brain stem

- frontal lobe

- occipital lobe

- limbic system

brain stem

Your patient's initial pulse rate was 89 beats/min and now it is 116 beats/min. What part of the nervous system is responsible for this increase?

- Somatic

- Sympathetic

- Parasympathetic

-Cerebellum

sympathetic

What type of muscle is involved when you hear your stomach growling?

- voluntary muscle

- skeletal muscle

- smooth muscle

- cardiac muscle

smooth muscle

What do you call the amount of air that is moved into or out of the lungs during a single breath?

- minute volume

- tidal volume

- inspiratory reserve volume

- residual volume

tidal volume

You are treating a patient who has lost a significant amount of blood. Which type of shock is this patient most likely to experience?


- septic

-hypovolemic

- cardiogenic

- anaphylactic

hypovolemic

At what age does separation anxiety typically peak in infants and small children?

- 6 to 8 months

- 24 to 36 months

- 18 to 24 months

- 10 to 18 months

10 to 18 months

The decline in cardiac function that commonly occurs in late adulthood is MOST often related to:

- atherosclerosis.

- hypotension.

- medication use.

- kidney failure.

atherosclerosis

Physical changes that typically occur in early adults include an:

- increase in fatty tissue, which leads to weight gain.

- increase in height because of spinal disc expansion.

- increase in muscle strength and reflexes.

- increase in respiratory rate due to increased metabolism.

increase in fatty tissue, which leads to weight gain.

Which of the following statements regarding an infant's vital signs is correct?

- An infant's normal heart rate increases by 10 beats/min each month.

- An infant's normal body temperature is typically higher than a preschooler's.

- An infant's heart rate generally ranges between 70 and 110 beats/min.

- By 6 months of age, an infant's normal tidal volume is 2 to 4 mL/kg.

An infant's normal body temperature is typically higher than a preschooler's.

Factors that contribute to a decline in the vital capacity of an elderly patient include all of the following, EXCEPT:

- increased stiffness of the thoracic cage.

- increased surface area available for air exchange.

- decreased residual volume.

- a loss of respiratory muscle mass.

increased surface area available for air exchange.

An infant or small child's airway can be occluded if it is overextended or overflexed because:

- he or she has a long neck, which makes the trachea prone to collapse.

- the back of the head is flat, which prevents a neutral position.

- the tongue is proportionately small and can fall back into the throat.

- the occiput is proportionately large and the trachea is flexible.

the occiput is proportionately large and the trachea is flexible.

The areas of the infant's skull that have not yet fused together are called ________.

- cranial valleys

- fontanelles

- sutures

- ventricles

fontanelles

Children of which age group are considered toddlers?

- 1-3 years

- 3-6 years

- Over 6 years

- 1 month to 1 year

1-3 years

The respiratory rate of 30 breaths per minute in an infant is ________.

- too slow

- too fast

- too shallow

- normal

normal

Which of the following describes the Moro reflex?

- When the sole of the foot is stroked with a blunt object, the big toe lifts upward and the other toes fan outward.

- When something touches a neonate's cheek, he or she instinctively turns his or her head toward the touch.

- The neonate opens his or her arms wide, spreads his or her fingers, and seems to grasp at something after being startled.

- An infant's heart rate decreases secondary to hypoxia because he or she depends heavily on the heart rate to perfuse the body.

The neonate opens his or her arms wide, spreads his or her fingers, and seems to grasp at something after being startled.

You are assessing a 13-month-old female who is running a fever and has been vomiting. While you are performing your physical examination on this child, you will MOST likely find that she:

- will readily allow you to separate her from her mother.

- responds to her name but is fearful of your presence.

- is unable to track your movements with her eyes.

- has bulging fontanelles secondary to severe dehydration.

responds to her name but is fearful of your presence.

Age-related changes in the renal system result in:

- a significant increase in filtration, which causes the excretion of large amounts of water from the body.

- the formation of large amounts of urine secondary to an increase in kidney mass of up to 20%.

- a decreased ability to clear wastes from the body and a decreased ability to conserve fluids when needed.

- dilation of the blood vessels that supply the nephrons, which allows the kidneys to maintain their function.

a decreased ability to clear wastes from the body and a decreased ability to conserve fluids when needed.

Atherosclerosis is defined as ________.

- dilation of the arteries

- the blockage of a coronary artery

- constriction of the blood vessels

- the buildup of plaque inside blood vessels

the blockage of a coronary artery

Which of the following is NOT a common factor that would affect a 75-year-old patient's vital signs?

- Increased weight

- Overall health

- Medical conditions

- Medications

Increased weight

Why does the incidence of diabetes mellitus increase with age?

- Decreased physical activity, increased weight gain, and decreased insulin production

- Decreased food intake, decreased weight gain, and decreased blood sugar levels

- Increased physical activity, increased food intake, and increased insulin production

- Decreased physical activity, increased weight gain, and decreased blood sugar levels

Decreased physical activity, increased weight gain, and decreased insulin production

A 16-year-old female complains of vaginal bleeding and abdominal cramping that began several hours ago. During your assessment interview, you should:

- inquire about the possibility of pregnancy in private, if possible.

- avoid asking questions that she will feel uncomfortable answering.

- obtain the majority of your information from one of her parents.

- recall that patients in this age group prefer not to be treated as adults.

inquire about the possibility of pregnancy in private, if possible.

According to the terminal drop hypothesis:

- a person's physical health begins to decline after the age of 75 years.

- most late-stage adults retain high brain function until 1 month before death.

- most elderly patients experience depression after the death of a loved one.

- mental function is presumed to decline in the 5 years preceding death.

mental function is presumed to decline in the 5 years preceding death.

A normal systolic blood pressure for a 30-year-old is between:

- 70 and 140 mm Hg.

- 80 and 120 mm Hg.

- 90 and 140 mm Hg.

- 60 and 120 mm Hg.

90 and 140 mm Hg.

The risk of bleeding in the skull, which increases with age, is MOST directly related to:

- blood vessel dilation.

- a decrease in neurons.

- shrinkage of the brain.

- meningeal deterioration.

shrinkage of the brain.

Which of the following are noticeable characteristics of a 9-month-old infant?

- Places objects in the mouth, pulls himself or herself up

- Responds to his or her name, crawls around efficiently

- Walks without help, becomes frustrated with restrictions

- Knows his or her name, can walk without any assistance

Places objects in the mouth, pulls himself or herself up