Emergency Medicine Quiz

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Questions and Answers

Which medication is used to reverse opiate overdose?

Atropine

Naloxone (correct)

Calcium

Diphenhydramine

What is a potential symptom of beta blocker toxicity?

Hypertension

Tachycardia

Severe headache

Bradycardia (correct)

Which of the following is NOT considered a cause in the assessment of overdose symptoms?

Calcium channel blocker overdose

Data entry error (correct)

Organophosphate toxicity

Cyanide exposure

What immediate action should be considered in a patient with suspected poisoning?

Consider vascular access (B) Signup and view all the answers

In the assessment of a patient presenting with dystonic reaction, which medication might be administered?

Diphenhydramine (C) Signup and view all the answers

What should be monitored as a sign of potential environmental toxin exposure?

Head exam for any visible wounds (D) Signup and view all the answers

In cases of altered mental status, which condition is least likely to cause total unresponsiveness to pain?

Alcohol intoxication (A) Signup and view all the answers

When suspecting hypoglycemia, what is the recommended initial intervention?

Administer glucose (B) Signup and view all the answers

Which of the following factors could influence a patient's behavior during a behavioral emergency?

Electrolyte imbalance (B) Signup and view all the answers

What does the acronym SAFER stand for in the context of patient approach?

Scene safety, Assessment, First aid, Emergency, Recovery (A) Signup and view all the answers

What is a primary guideline regarding sedation in law enforcement situations?

Sedation should never be used to control behavior for law enforcement. (A) Signup and view all the answers

How should patients be transported in regards to restraint?

Never restrained in the prone position. (D) Signup and view all the answers

What monitoring should be continuously conducted during patient transport?

All available adjuncts including ECG and SpO2. (A) Signup and view all the answers

When can a patient expressing suicidal ideation refuse transport?

They cannot refuse transport if they are a danger to themselves. (B) Signup and view all the answers

What is the recommended treatment for a dystonic reaction typically caused by certain drugs?

Administer Diphenhydramine 50 mg IM/IV/IO. (C) Signup and view all the answers

What role does the S.A.F.E.R. approach play in emergency situations?

It outlines a method to stabilize and assess the crisis. (C) Signup and view all the answers

What should be done if a taser dart needs to be removed?

The responsibility lies with the deploying agency. (D) Signup and view all the answers

What is a critical aspect of transporting restrained patients?

Restraints should permit chest wall movement. (C) Signup and view all the answers

What is the primary requirement for establishing a patient's status as needing medical evaluation?

The patient must meet at least one specific criteria. (C) Signup and view all the answers

Which of the following is required for transporting patients with traumatic injuries?

Transporting in accordance with the Trauma Field Triage Criteria Protocol. (A) Signup and view all the answers

Which licensed attendant is allowed to perform the most advanced medical steps?

Paramedic Licensed Attendant. (A) Signup and view all the answers

In cases of respiratory distress, what is a critical action that must not be withheld?

Oxygen. (B) Signup and view all the answers

What is the correct protocol when a patient's condition exceeds available EMS resources?

Initiate an approved triage methodology. (A) Signup and view all the answers

For which type of patient is telemetry contact required?

Trauma Center patients. (A) Signup and view all the answers

What immediate action should be taken if a patient cannot be adequately ventilated?

Transport to the nearest emergency department. (C) Signup and view all the answers

What is a pediatric treatment consideration for patients under 12 years of age?

Lower dosage of pain medications. (D) Signup and view all the answers

What is the primary goal of the Emergency Medical Services Protocol Manual?

To standardize prehospital patient care in Clark County (B) Signup and view all the answers

What is indicated about the protocols outlined in the manual?

They serve as guidelines and do not expand the scope of practice beyond regulations (C) Signup and view all the answers

What should be prioritized if a prehospital provider receives direction from an on-line medical consultation?

To render care that may not be explicitly listed in the protocols if deemed necessary (B) Signup and view all the answers

What is essential for optimal prehospital care according to the manual?

Patient assessment and medical consultation are both crucial (B) Signup and view all the answers

What is the protocol for patient care during transport to a treatment facility?

Patient care should continue while en-route to a definitive facility (C) Signup and view all the answers

What does the General Assessment protocol require?

The sequence of assessments must follow specific guidelines (D) Signup and view all the answers

How should providers handle medications not included in the approved formulary?

Administration of such medications is allowed if authorized by a physician (A) Signup and view all the answers

What should not be delayed when managing emergency patients?

Immediate transport to a receiving facility (A) Signup and view all the answers

What does abdominal pain with neuro disorders or signs of hypoperfusion suggest?

An aneurysm (C) Signup and view all the answers

What is the recommended first action for a patient experiencing anaphylaxis?

Administer epinephrine (C) Signup and view all the answers

What should be documented prior to administering pain management in a patient with abdominal pain?

Mental status and vital signs (D) Signup and view all the answers

In patients aged 35 years or older with abdominal pain, what should be considered?

Cardiac origin (B) Signup and view all the answers

Which medication is administered to patients with allergic reactions and significant symptoms?

Epinephrine (D) Signup and view all the answers

What additional consideration should be made for women of childbearing age presenting with abdominal pain?

Pregnancy (D) Signup and view all the answers

What is the maximum dosage of diphenhydramine that may be given to a patient?

50 mg (B) Signup and view all the answers

What should be assessed every 5 minutes in a patient with an allergic reaction?

Patient condition (D) Signup and view all the answers

What is a mild immune response to an allergen characterized by?

Hives or local swelling/itching (C) Signup and view all the answers

After each fluid bolus in a patient, what action is recommended?

Repeat vital signs (C) Signup and view all the answers

Study Notes

Clark County EMS System Emergency Medical Care Protocols

Effective Date: January 6, 2025
This document replaces the July 1, 2024 version.
Address: PO BOX 3902 – LAS VEGAS, NV 89127

This section lists all topics and their corresponding page numbers within the document (adult treatment protocols, pediatric treatment protocols, operations protocols, procedures protocols, and formularies).

Adult Treatment Protocols

General Adult Assessment (page 11) detailed steps for evaluating patients on scene
General Adult Trauma Assessment (page 13) provides a step-by-step approach for assessing trauma patients
Abdominal Pain/Flank Pain, Nausea & Vomiting (page 15) describes protocols for patients with these issues
Allergic Reaction (page 17) outlines protocols for managing patients with allergic reactions
Altered Mental Status/Syncope (page 19) is a protocol for patients in altered mental status or syncopal episodes
And many others covering various medical conditions.

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Description

Test your knowledge on key emergency medicine concepts, including the management of drug overdoses, toxicity symptoms, and initial interventions in critical situations. This quiz covers essential pharmacology and assessment techniques relevant to patient care in emergencies.