Chapter 14 EMT Quiz
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Questions and Answers

Which of the following patients is at greatest risk for complications caused by the influenza virus? Select one:

  • 39-year-old man with mild hypertension
  • 12-year-old child with a fractured arm
  • 50-year-old woman with moderate obesity
  • 68-year-old woman with type 2 diabetes (correct)
  • You and your EMT partner arrive at the residence of a 50-year-old man who complains of weakness. Your primary assessment reveals that he is critically ill and will require aggressive treatment. The closest hospital is 25 miles away. You should:

  • Administer oxygen via nonrebreathing mask and obtain as much of his medical history as possible.
  • Perform a detailed secondary assessment, assess his vital signs, and then transport rapidly.
  • Load him into the ambulance, begin transport, and perform all treatment en route to the hospital.
  • Manage all threats to airway, breathing, and circulation and consider requesting an ALS unit. (correct)
  • In which of the following situations would it be MOST appropriate to utilize an air medical transportation service? Select one:

  • 29-year-old woman who is 18 weeks pregnant, has light vaginal bleeding, and stable vital signs
  • 43-year-old man experiencing a heart attack, and the closest appropriate hospital is 15 minutes away
  • 61-year-old man with signs and symptoms of a stroke and a ground transport time of 50 minutes (correct)
  • 50-year-old conscious woman with severe nausea and vomiting, fever, and chills of 3 days' duration
  • Most treatments provided in the prehospital setting are intended to _________. Select one:

    <p>Address the patient's symptoms</p> Signup and view all the answers

    It is especially important to assess pulse, sensation, and movement in all extremities as well as pupillary reactions in patients with a suspected ___________ problem.

    <p>neurologic</p> Signup and view all the answers

    Which of the following conditions is NOT categorized as a psychiatric condition? Select one:

    <p>Substance abuse</p> Signup and view all the answers

    You are attending to a 27-year-old male driver of a car. According to his passenger, the patient had been acting strangely while driving, then slumped forward against the steering wheel, apparently unconscious. The car drove off the road and struck a telephone pole. Your patient is a diabetic who had been under a lot of stress lately and may have missed meals. This is an example of a:

    <p>Combination of a medical and trauma emergency</p> Signup and view all the answers

    The _____ is your awareness and concern for potentially serious underlying and unseen injuries or illnesses. Select one:

    <p>index of suspicion</p> Signup and view all the answers

    When assessing a patient with a medical complaint, which of the following would MOST likely reveal the cause of the problem? Select one:

    <p>Primary assessment</p> Signup and view all the answers

    In 2009, the H1N1 virus accounted for over 200,000 deaths worldwide in the form of the swine flu. In 1919, a similar outbreak of the H1N1 occurred in the form of the Spanish flu. These are both examples of:

    <p>Pandemics</p> Signup and view all the answers

    Which of the following is a bacterium resistant to most antibiotics and causes skin abscesses? Select one:

    <p>MRSA</p> Signup and view all the answers

    When caring for a patient with an altered mental status and signs of circulatory compromise, you should:

    <p>Limit your time at the scene before transport to 10 minutes or less, if possible.</p> Signup and view all the answers

    The BEST way to prevent infection from whooping cough is to:

    <p>Get vaccinated against diphtheria, tetanus, and pertussis.</p> Signup and view all the answers

    Most patients with an infectious disease will have _________. Select one:

    <p>A fever</p> Signup and view all the answers

    After sizing up the scene of a patient with a possible infectious disease, your next priority should be to:

    <p>Take standard precautions.</p> Signup and view all the answers

    An infectious disease is MOST accurately defined as:

    <p>A medical condition caused by the growth and spread of small, harmful organisms within the body.</p> Signup and view all the answers

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

    <p>You were exposed to another infected person before treating the 34-year-old patient.</p> Signup and view all the answers

    It is especially important to assess pulse, sensation, and movement in all extremities as well as pupillary reactions in patients with a suspected ___________ problem.

    <p>neurologic</p> Signup and view all the answers

    The incubation period for hepatitis B is typically:

    <p>4 to 12 weeks.</p> Signup and view all the answers

    The determination of whether a medical patient is a high-priority or low-priority transport is typically made:

    <p>After the primary assessment has been completed.</p> Signup and view all the answers

    Assessment of the medical patient is usually focused on the _________. Select one:

    <p>Nature of illness</p> Signup and view all the answers

    Hepatitis B is more virulent than hepatitis C, which means that it:

    <p>Has a greater ability to produce disease.</p> Signup and view all the answers

    ________ is a bacterium that causes infections and is resistant to most antibiotics. Select one:

    <p>MRSA</p> Signup and view all the answers

    When forming your general impression of a patient with a medical complaint, it is important to remember that:

    <p>Most serious medical conditions do not present with obvious symptoms.</p> Signup and view all the answers

    Study Notes

    Influenza Complications and Risk Factors

    • Patient populations at higher risk for influenza complications include elderly individuals and those with chronic conditions.
    • Example: A 68-year-old woman with type 2 diabetes faces greater risks compared to younger patients.

    Emergency Response in Critical Situations

    • Prioritize assessing and ensuring airway, breathing, and circulation when a patient is critically ill.
    • In emergencies far from hospital facilities, it may be vital to request assistance from an Advanced Life Support (ALS) unit.

    Air Medical Transportation

    • Air medical services are most appropriate for patients with high-risk conditions, such as a stroke, where prolonged ground transport would delay critical care.

    Prehospital Treatment Focus

    • Prehospital treatments primarily aim to address patient symptoms rather than diagnose or resolve underlying issues.

    Neurological Assessment

    • For patients suspected to have neurological problems, thorough assessment of pulse, sensation, and movement in extremities is crucial.

    Psychiatric Conditions

    • Substance abuse is not classified strictly as a psychiatric condition when compared to others like depression and schizophrenia.

    Medical and Trauma Emergencies

    • Instances of altered mental status alongside trauma (e.g., a car accident) may indicate a combination of medical and trauma emergencies.

    Index of Suspicion

    • The term refers to a healthcare provider's awareness of possible serious injuries or illnesses that may not be immediately apparent during assessments.

    Medical Complaint Assessment

    • Primary assessment can often reveal the cause of a medical complaint, hence it is essential in patient evaluation.

    Historical Pandemics

    • The H1N1 virus has historically caused significant death tolls, such as during the 2009 outbreak and the 1919 Spanish flu, highlighting the nature of pandemics.

    Antibiotic Resistance

    • MRSA (Methicillin-resistant Staphylococcus aureus) is a common bacterium that exhibits resistance to many antibiotics, causing skin infections.

    Transport Priorities for Altered Mental Status

    • Quick transport (within 10 minutes) is vital in cases of altered mental status and circulatory compromise to minimize risks.

    Infection Prevention

    • Vaccination against diphtheria, tetanus, and pertussis is the most effective way to prevent whooping cough transmission.

    Infectious Disease Indicators

    • Fever is a common sign among patients with infectious diseases, indicating the body's response to infection.

    Standard Precautions

    • Following standard precautions is essential after assessing the scene for potential infectious disease exposure.

    Definition of Infectious Disease

    • Infectious diseases are defined as conditions caused by the invasion and growth of harmful microorganisms within the body.

    Tuberculosis Exposure Testing

    • A positive tuberculin skin test after exposure suggests previous contact with an infected person rather than ongoing infection.

    Hepatitis B Characteristics

    • Hepatitis B has a longer incubation period (4 to 12 weeks) compared to other types, presenting a higher risk of becoming a chronic infection.

    Priority Transport Decisions

    • The patient's transport priority is usually determined after the primary assessment is completed.

    Understanding Hepatitis B Virulence

    • Hepatitis B is considered more virulent than hepatitis C, meaning it is more capable of producing disease and leading to chronic infection.

    General Impression Importance

    • Assessing a patient’s general impression is crucial as serious medical conditions may not show obvious symptoms initially, influencing treatment decisions.

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    Test your knowledge on Chapter 14 of EMT training, focusing on patient assessment and risk factors associated with influenza complications. Evaluate your understanding through multiple choice questions designed for EMT learners.

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