Possible Test Questions PDF

1. A difference in pulse or blood pressure in each arm indicates possible: Abdominal aortic aneurysm 2. A 30-year-old women with a history of alcoholism presents with severe upper abdominal pain and is vomiting large amounts of bright red blood. Her skin is cool, pale. And clammy: her...

1. A difference in pulse or blood pressure in each arm indicates possible: Abdominal aortic aneurysm 2. A 30-year-old women with a history of alcoholism presents with severe upper abdominal pain and is vomiting large amounts of bright red blood. Her skin is cool, pale. And clammy: her heart rate is 120 beats/min and weak; and her blood pressure is 70/50 mm HG. Your most immediate action should be: protect her airway from aspiration. 3. A 47-year-old male presents with severe abdominal pain of 3 hours' duration. His abdomen is distended and guarded. Your MOST important consideration for this patient should be to: Be alert for signs and symptoms of shock. 4. The MOST significant risk factor for a hemorrhagic stroke is: hypertension 5. A transient ischemic attack (TIA) occurs when: The normal body processes destroy a clot in a cerebral artery 6. Which of the following MOST accurately describes what the patient will experience during the postictal state that follows a seizure? Confusion and fatigue 7. You are assessing the arm drift component of the Cincinnati Prehospital Stroke Scale on a 60-year-old women. When she holds both of her arms out in front of her and closes her eyes, both of her arms immediately fall to her sides. You should: repeat the arm drift test, but move the patient's arms into position yourself 8. You are assessing a 49-year-old man who, according to his wife, experienced a sudden, severe headache and then passed out. He is unresponsive and has slow, irregular breathing. His blood pressure is 190/94 mm Hg and his pulse rate is 50 beats/min. His wife tells you that he has hypertension and diabetes. He has MOST likely experienced: a ruptured cerebral artery 9. Classic signs and symptoms of hypoglycemia include: cool, clammy skin; weakness; tachycardia; and rapid respirations 10. Diabetes is MOST accurately defined as a(n): disorder of glucose metabolism 11. In contrast to hypoglycemia, hyperglycemia: can only be corrected in the hospital setting. 12. Diabetic ketoacidosis occurs when: insulin is not available in the body 13. Excessive eating caused by cellular "hunger" is called: polyphagia 14. Hemoglobin is: found within the red blood cells and is responsible for carrying oxygen. 15. When obtaining a SAMPLE history from a patient with diabetes who has an altered mental status, it would be MOST important to determine: if he or she has had any recent illnesses or excessive stress 16. Type 1 diabetes: is a condition in which no insulin is produce by the body. 17. Symptomatic hypoglycemia will MOST likely develop if a patient: takes too much of his or her prescribed insulin. 18. A 28-year-old female patient is found to be responsive to verbal stimuli only. Her roommate states that she was recently diagnosed with type 1 diabetes and has had difficulty controlling her blood sugar level. She further tells you that the patient has been urinating excessively and has progressively worsened over the last 24 to 36 hours. On the basis of patients clinical presentation, you should suspect that she: is significantly hyperglycemic 19. A 42-year-old male is found unresponsive on his couch by a neighbor. During your assessment, you find no signs of trauma, and the patient BG level is 75 mg/dL. His BP is 168/98 mm Hg, his HR is 45 beats/min and bounding, and his respirations are 8 breaths/min and irregular. The patient is wearing a medical alert bracelet that states he has hemophilia. You should: suspect that he has intracranial bleeding, assist his ventilations, and transport rapidly to an appropriate hospital. 20. Patients with thrombophilia are at an increased risk for: pulmonary embolism 21. During your assessment of a 70-year-old woman, she tells you that she takes blood-thinning medication and has to wear compression stockings around her legs. This information should make you suspect the she has: deep vein thrombosis 22. Ketone production is the result of: fat metabolization when glucose is unresponsive 23. A 60 year old female presents with a tearing sensation in her lower back. Her skin is sweaty, and she is tachycardic. The EMT should suspect: Aortic Aneurysm 24. A strangulated hernia is one that: Loses its blood supply due to compression by local tissues 25. Erosion of the protective layer of the stomach or duodenum secondary to overactivity of digestive juices result in: An ulcer 26. Esophageal varices MOST commonly occur in patients who: Consume a lot of alcohol 27. Solid abdominal organs include the: spleen, kidneys, and pancreas 28. The kidneys help to regulate blood pressure by: Removing sodium and water from the body 29. The most common and significant complications associated with an acute abdomen is: Peritonitis 30. The parietal peritoneum lines the: Walls of the abdominal cavity 31. Which of the following is characteristic of peptic ulcer disease (PUD)? Buring or gnawing stomach pain that subsides immediately after eating 32. Which of the following organs assist in the filtration of blood, serves as a blood reservoir, and produces antibodies? Spleen 33. Which of the following organs lies in the retroperitoneal space? Pancreas 34. Which of the following statements regarding the acute abdomen is correct? The initial pain associated with an acute abdomen tends to be vague and poorly localized. 35. Your patient's past medical history includes hypertension, congestive heart failure, diabetes, and seizures. Today, he presents with signs of acute renal failure. Which of his medical problems most likely caused this? Heart Failure 36. Peritonitis may result in shock because: Fluid shifts from the bloodstream into body tissues 37. Patient complaints of pain during intercourse, lower abdominal discomfort, and nausea may be indicative of which of the following? Pelvic inflammatory disease 38. Law enforcement personnel request your assistance to assess a 31-year-old female who was sexually assaulted. When you arrive at the scene, you find the patient sitting on a curb outside her apartment. She is conscious, alert, and crying. When you ask her what happened, she tells you that she does not want to be treated or transported to the hospital. She further tells you that all she wants to do is clean up. You should: Provide emotional support and visually assess her for obvious trauma. 39. The -- and 0 are folds of tissue that surround the urethral and vaginal openings. Labia majora; labia minora 40. Which of the following drugs is commonly referred to as "roofies"? Rohypnol 41. The -- connect(s) each ovary with the uterus. Fallopian tubes 42. Some women experience -- during ovulation. Slight cramping 43. A 26-year-old female presents with heavy vaginal bleeding. She is conscious, but restless. Her blood pressure is 84/54 mm Hg, her pulse is 120 beats/min and weak, and her respirations are 22 breaths/min with adequate depth. She tells you that she inserted a tampon about 2 hours ago. You should: administer high-flow oxygen, place a sterile pad over her vagina, keep her warm, elevate her lower extremities, and transport without delay. 44. While the ages can vary, women typically experience menstruation from approximately -- to -- years of age. 11; 50 45. In contrast to bleeding caused by external trauma to the vagina, bleeding caused by conditions such as polyps or cancer; may be relatively painless 46. The EMT should ensure that vaginal bleeding is: taken seriously and the patient is transported for gynecologic evaluation.