Operations (Paramedic) Study Center > Diagnostic Tests > Paramedic Diagnostic Tests > Operations (Paramedic) Step 1 of 39 2% Which of the following would be considered a high risk with regard to hollow organs damaged during blast trauma?* Ischemia Spalling Peritonitis Obstruction In the power lift position, your back should be* arched backward. relaxed in a comfortable position. locked straight. bent at the waist. When a person is vaccinated against influenza, the goal is to produce _________ that aid in the future fight against the disease.* antibodies mast cells phagocytes antigens Another paramedic on your squad has been placed on a performance improvement plan after placing an unrecognized esophageal intubation. He has been tasked with four clinical rotations through the local operating room. This performance improvement plan likely stems from* a rules-based failure. a skills-based failure. a knowledge-based failure. an integrity-based failure. Your team is about to terminate resuscitative efforts on a 60 year old male and you have been tasked with informing the patient’s distraught wife. You should* express that the team did everything possible. prevent the patient’s wife from seeing the patient following termination. avoid using terms like “dead” or “deceased.” use the phrase, “I know what you are going through.” A large barrel of chemicals has spilled at a local manufacturing plant. A 55 year old male was splashed by the chemicals and severely burned on his chest, abdomen, and thighs. His coworkers note he is lying in the center of the spill, unable to move. You should first* contact the hazardous materials team to extricate the patient. ask the patient’s coworkers to pull the patient out of the spill area. quickly drag the patient from the area of the spill. don shoe coverings and a gown and enter the contaminated area. A 35 year old woman is experiencing an asthma attack and complains of difficulty breathing. You note that she is accompanied by a service dog to help her with “anxiety related issues.” While preparing for transport you should* ask the patient how best to transport the service dog in the ambulance. cease treating the asthma symptoms as they are likely related to anxiety. explain to the patient that the dog may be exacerbating her asthma symptoms. tell the patient that the service dog cannot be transported in the ambulance. An 81 year old male complains of chest pain. His daughter contacted EMS but the patient is refusing transport. The patient appears capable of making decisions and is unimpaired by alcohol. After explaining the risks and benefits of treatment, the patient still refuses. You should next* contact law enforcement to place the patient in protective custody. forcibly transport the patient with the daughter’s permission. allow the patient to refuse. contact local mental health resources for an intervention. A 69 year old male is in obvious respiratory distress. Unfortunately, the patient speaks only Spanish and neither you nor your partner are able to understand this language. There is no family available. You should* utilize a language line over the phone to translate. delay transport until a translator is made available. ask him questions in a slow and louder tone. withhold treatment until you arrive at the hospital. A 41 year old male has intentionally overdosed on his antidepressant, Niamid. Poison control confirms this drug to be a monoamine oxidase inhibitor. The patient is severely agitated, sweating and you note he is shaking. His vital signs are P 120, R 30, BP 220/110. You should administer* fentanyl. midazolam. atropine. glucagon. A prolapsed mitral valve would result in the incomplete emptying of the* left ventricle. right ventricle. left atrium. right atrium. A 29 year old female tells you that she has been raped. She complains of pain from bruises on her face, but notes no further physical injury. The patient is very upset and has a hard time concentrating on your questions. When obtaining further history you should be patient and allow the woman time to formulate her answers. stop asking questions as the history is likely unimportant. use a firm and stern voice to improve her focus. move closer to the patient and use therapeutic touching. A 19 year old male soccer player collided with a teammate and fell to the ground. He describes that the other player landed on his straightened knee and “bent it in the opposite direction.” This type of mechanism would suggest a* hyperextension injury. torsion injury. flexion injury. compression injury. Which of the following would be the primary cause of hypotension in anaphylactic shock?* Obstruction Vasodilation Fluid shifting Pump failure A 30 year old male complains of difficulty breathing and chest pain. He notes he has had this problem for the last few hours and it has quickly gotten worse. He states he has sickle cell disease. You note the patient has a low-grade fever, wheezes and he is hypoxic. This pattern of findings most likely indicates* acute myocardial infarction. acute pulmonary edema. acute chest syndrome. an exacerbation of COPD. An end stage liver failure patient presents with systemic swelling. This typically occurs because the liver fails to produce* basophils. albumin. prothrombin. fibrinogen. A 14 year old male has been rescued from the river after a prolonged submersion. You find the patient cold, blue and apneic. First responders state that they cannot find a pulse. You should first* decompress the stomach. attach a monitor/defibrillator. deliver immediate rescue breaths. begin chest compressions. A window washer was injured when his scaffolding failed. You find the patient suspended by his safety harness 25 feet from the ground. The patient is not responding. You have requested high angle rescue resources, but they are 25 minutes away. You partner suggests initiating a retrieval. You should* await high angle rescue. climb down the safety ropes to assess the patient. attempt to lower the scaffolding to the ground. winch the suspended patient back to the roof. A 52 year old female fell from a standing position while leaving the grocery store. She is conscious and has an obvious angulated tibia/fibula fracture. She is in significant pain. Distal circulatory, motor, and sensory function are intact and no additional injuries are obvious. You should* transport routinely to the trauma center. initiate rapid transport to the trauma center. initiate spinal precautions. splint the injury while en route to the hospital. Which of the following functions would typically be lost in a patient with end stage kidney disease?* Production of epinephrine and norepinephrine Creation of glucagon Regulation of fluid volume Digestion of fats A patient has suffered nerve damage after severe facial trauma. His long term damage includes an inability to chew and loss of sensation in his face. Given these findings he has most likely injured his __________ cranial nerve.* optic trigeminal glossopharyngeal olfactory You witness your partner stealing cash from a patient’s wallet. At this point, you are the only one who saw this event. You should* report the event to your supervisor. discuss what you saw with your partner. not say anything. report the event to the patient immediately. An emergency medical journal you read recently published an article about an unusual occurrence of measles in a specific ER visit. This type of article would be referred to as a* comparative review. case report. randomized control. prospective trial. Which of the following cellular organelles is principally responsible for the creation of adenosine triphosphate?* The ribosomes The lysosomes The Golgi apparatus The mitochondria Your ambulance does not carry soft patient restraints and you have been forced to improvise to restrain a violent patient. You should use* a cravat and tie multiple knots. standard rope. handcuffs. sheets with a simple knot. When assessing the motor function component of a validated prehospital stroke scale, you should assess the capability of the patient to* shrug their shoulders equally. move their hand. walk and balance along a straight line. extend and maintain the extension of their arm. You arrive at the scene of a motor vehicle crash and find a tank truck on its side. No placards are visible, but you note white smoke surrounding the vehicle. The driver has been ejected and is visibly lying on the opposite side of the truck. You should* immediately leave the scene. rapidly evacuate the driver to a safe distance. stage the ambulance uphill and upwind from the scene. enter, as white smoke indicates steam from the vehicle not fire. A 90 year old woman complains of severe abdominal pain. As you approach, it is apparent that she is quite frightened and concerned with EMS entering her home. To best initiate therapeutic communication you should first* sit down beside her. introduce yourself. reach out for her hand. increase the volume of your voice. Oxygen is transferred from the pulmonary capillaries to the alveoli through the process of* diffusion. osmosis. active transport. filtration. Hypercapnia in the brain is most commonly associated with* decreased ICP. vasoconstriction. cerebral edema. vasodilation. Which of the following would best describe why aldosterone is released during hypovolemic shock?* To cause systemic vasoconstriction To convert angiotensin to angiotensin II To signal the kidneys to limit excretion of water To promote increased contractility and automaticity You are reassessing a hypovolemic shock patient and note a narrowing pulse pressure. This finding most likely represents* vasodilation due to decompensation. vasoconstriction due to compensation. falling diastolic blood pressure. an increase in systolic blood pressure. As you and your partner conduct an initial scene assessment of a car vs. minivan motor vehicle crash, you discover that there are five patients in the minivan and two patients in the car. Your partner tells you that the driver of the minivan is not breathing. You should first* initiate rescue breathing on the driver. check the driver’s pulse. begin initial triage and tag patients. contact dispatch and declare an MCI. Which of the following research participants would be unethical to utilize in a study?* Prisoners Pediatric patients Pregnant women Geriatric patients Which of the following is the outermost protective layer of the brain?* The pia mater The dura mater The subarachnoid layer The arachnoid layer A 22 year old male complains of nausea and fever after returning from a missionary trip to western Africa. Before making contact with the patient, you should* don droplet protection. don a self-contained, positive pressure respirator. contact the hazardous materials team. alert the local health department. A 7 year old female was found unconscious on the playground. The circumstances leading up to the unconsciousness are unclear. The patient is breathing rapidly, has a rapid radial pulse and is responsive only to pain. You should next* place the patient on a spine board. conduct a detailed physical assessment. administer an epinephrine auto-injector. initiate rapid transport. While administering an intramuscular injection of midazolam to a seizure patient, you accidently poked your own hand with the dirty needle. You should first* apply a restricting band to your wrist. apply suction to the accidental injection site on your hand. wash your hand. report the exposure to your supervisor. You and your partner are treating a complicated respiratory distress patient. You partner is the team leader and you are concerned that he is about to administer the incorrect medication. You should first* use a non-threatening phrase like “maybe we should…” hold your concern as perhaps she is seeing something you aren’t. offer an alternative solution out loud. call your partner by name to express your concern.