Medic quiz

You are dispatched to a residence for a 29 year old woman with difficulty beathing. The patient was recently diagnosed with leukemia and has just completed her first round of chemotherapy and radiation therapy. Upon arriving at the scene, you find the patient sitting in a recliner. Her level of breathing is shallow. Her husband, obviously frightened, pleads with you to do something. You should -

As multiple myeloma progresses, the patient would MOST likely experience -

The hematocrit is the

Indolent non-Hodgkin lymphoma

Which of the following is NOT a major component of the hematologic system?

In contrast to chronic leukemia, acute leukemia occurs when -

During the second stage of disseminated intravascular coagulopathy

Red blood cell production is stimulated by erythropoietin, which is secreted by the

In which of the following situations would a transfusion reaction MOST likely occur?

You receive a call to a residence for a patient who is "sick". Upon arriving at the scene, you find the patient, a 39 year old woman, lying on the couch with a wet washcloth on her forehead. She is conscious and alert, and tells you that she has had several episondes of diarrhea and noticed bright red blood in her stool. Her pulse rate is rapid and weak, her skin is cool and clammy, and her blood pressure is 98/58 mm hg. Her medical history is significant for hemophilia, for which she is receiving factor VIII therapy. As you pull out a nonrebreathing mask, she tells you that her husband will be home in a few hours and that he will take her to the hospital. You should -

Patients with type A hemophilia -

The primary component of the immune system is the -

You are transporting a 55 year old woman to the hospital. The patient has lymphoma and complains of generalized, severe pain. She is receiving supplemental oxygen and has an IV line of normal saline established. Her blood pressure is 110/64 mm hg, pulse rate is 104 beats/min and regular, and respirations are 22 breaths/min and adaquate. You should -

Abdominal pain that is associated with polycthemia is usually associated with

The primary site for cell productionin the human body is the

Which of the following statements regarding leukemia is correct?

Anemia would result from all of the following conditions EXCEPT -

Formed elements of the blood account for approximately __% of the total blood volume.

A patient who presents with petechiae is MOST likely -

In contrast to acquired immunity, natural immunity occurs when -

During the secondary assessment of a patient experiencing a severe allergic reaction, you should -

Histamine release causes all of the following effects EXCEPT

The correct dose, concentration and route of epinephrine for a 40 pound child with an allergic reaction and no signs of cardiovascular collapse are -

An unresponsive patient with signs of anaphylactic shock -

The three MOST significant indicators of anaphylactiv shock are

The primary treatment for hypotension secondary to anaphylaxis is -

Which of the following clinical signs or symptoms are MOST indicative of upper airway swelling in a patient experiencing a sever allergic reaction?

Patients with ______ are at an invreased risk for anaphylaxis

Transport of a patient in anaphylactic shock may be delayed for all of the following reasons, EXCEPT

Which of the following medications causes the MOST lge-mediated drug reactions in the United States?

The MOST ominous respiratory sign in a patient with anaphylactic shock is -

An antigen is MOST accurately defined as a -

Physiologic effects of histamine include all of the following EXCEPT -

___ antibodies respond in allergic reactions and are located ____

Systemic lupus erythematosus is a disease caused by -

Which of the following immunoglobulins is thought to stimulate antibody producing cells to make antibodies?

When a person is vaccinated against a disease -

A 31 year old man presents with diffuse hives, intense itching and watery eyes that began acutely about an hour ago. He is conscious and alert, is breathing without difficulty and tells you that he does not have any allergies or significant medical problems. His blood pressure is 123/76 mm hg. Pulse is 110 beats/min and strong, and respirations are 16 breaths/min and unlabored. The MOST appropriate drug, dose and route for this patient are -

Which of the following medications has the SLOWEST onset of action when given to a patient with a severe allergic reation?

Common central nervous system manifestations of anaphylactic shock include all of the following EXCEPT

Following the primary response to a foreign substance in the body -

In the absence of IV or IO access, the ____ route is the preferred route for the administration of epinephrine to a patient in anaphylactic shock

You have treated the same patient several times for a severe allerfic reation. While educating him about the preventionof future reactions, you should advise him to -

An abnormal immune response that the body develps when it is reexposed to an allergen is called -

Adults in anaphylactic shock should receive the ___ concentration of epinephrine via the ____ route in a dose of ____ mg.

Which of the following general statements regarding anaphylactic shock is correct?

A 20 year old woman complains of difficulty breathing and the feeling of a lump in her throat approximately 10 minutes after being stung by a wasp. Your assessment reveals that she is anxious, in in obvious respiratory distress and has hives covering her arms and legs. Further assessment reveals diffuse wheezing, a blod pressure of 80/50 mm hg, and a heart rate of 120 beats/min. You should -

You are caring for a 40 year old man in obvious anaphylactic shock after being stung by a scorpion. The patient is responsice to pain only, has poor respiratory effort and is hypotensice and tachycardic. Which of the following represents the MOST appropriate treatment sequence for this patient?

A 34 year old woman states that she feels like she has a grain of sand in her eye. Assessment reveals that her eye and the surrounding area are red. Treatment for her should include -

A 55 year old woman complains of severe vertigo, tinnitus, nausea and a sense of fullness in her right ear. You should -

A patient with a dysconjugate gaze following an ocular injury -

A ruptured tympanic membrane -

A yeast infection that causes white patches in the mouth or on the tongue is called -

A young female patient presents with a headache, severe aching around her right ear, and difficulty chewing. Assessment and treatment for her should focus on -

Aqueous humor

Hyphema is defined as -

In contrast to the oculomotor nerve, the optic nerve -

Metal filings are particularly inflammatory becuase they cause a "rust ring" of the ____ after 24 hours

Patients with glaucoma often complain of -

Signs or symptoms of otitis media include -

The ____ decrease(s) the weight of the skull and provide(s) resonance for the voice

The bony sockets for the teeth that reside in the mandible and maxilla are called -

The large cartilaginous external portionof the ear is called the -

Which cranial nerve provides taste sensation to the posterior portions of the tongue and carries parasympathetic fibers to the salivary glands?

Which of the following statements regarding epiglottitis is correct?

Which of the following statements regarding the nasal septum is correct?

Which of the following structures receives light impulses and converts them to nerve signals that are conducted to the brain by the optic nerve and interpreted as vision?

Within the cochlea, at the ____, vibration stimulates hair movements that form nerve impulses that travel to the brain via the auditory nerve.

A rhythmic contraction and relaxation of muscle groups that is commonly observed during a seizure is called ___ activity

An adult who opens her eyes in response to verbal stimuli, is disoriented and pushes your hand away when you palpate a panful area has a Glasgow Coma Scale score of

For any patient with an increase in intracranial pressure, the paramedic must

Pupils that differ in size by less than 1 mm

A patient who is unable to use a common object is said to be

A person's level of consciousness is regulated by the

Hyperventilating a patient who has increast intracranial pressure (ICP) will

What portion of the brainstem regulates respiratory rate and depth?

A patient with a Glasgow Coma Scale score of 8 or less

Decerebrate posturing

_____ is a term used to describe changes in a person ability to perform coordinated motions such as walking

A staggering gait is MOST suggestive of damage to the

An idiopathic seizure is one in which

Which of the following causes of altered mental status is NOT an acute process?

A loss of balance and equilibrium suggests injury to the

A patient who is experiencing agnosia

A synapse is

You arrive at the scene shortly after a 7 year old girl experienced a seizure. According to the childs mother, she was sitting at the dinner table and then suddenly stopped speaking and started blinking her eyes very rapidly. The episode lasted less than 1 minute, after which the childs condition rapidly improved. The clinical presentation is consistent with _____ seizure

Among other functions the medulla oblongata

A 33 year old woman had an apparent syncopal episode. According to her husband, she complained of dizziness shortly before the episode. He further states that he caught her before she fell to the ground. Upon your arrival. The patient is conscious but confused and is sitting in a chair. Her blod pressure is 90/60 mm hg. Pulse rate is 110 beats/min and regular. Her blood glucose level is 74 mg/dl. The MOST likely cause of her syncopal episode is

When a patient with Parkinson disease is asked to turn, he or she takes small steps until the turn is complete. This is called

Patients with trismus often require

An elderly man who is a resident of a skilled nursing facility is found unresponsive by a staff nurse. When you and your partner arrive, you assess the patient and note that his respirations are slow and shallow, his heart rate is slow, weak and irregular, and his skin is cool and clammy. You should

A high level of oxygen to the brain of a patient with a hemorrhagic stroke and increased intracranial pressure

A 29 year old man who was recently prescribed an antipsychotic medication, presents with an acute onset of bizarre contortions of the face. Treatment should include

A paramedic would MOST likely be infected with TB if he or she

Signs and symptoms of HIV infection may include all of the following, EXCEPT

Hepatitis B is also referred to as

Common signs and symptoms of TB include all of the following, EXCEPT

Occupationally acquired hepatitis C virus infection

Acquired immunodeficiency syndrome

Virulence is defined as the

After an employee who believes he or she has been exposed to an infectious disease notifies the designated infection control officer (DICO) the DICO should

Common signs and symptoms of meningitis include

Hepatitis A is often described as a benign disease because

Unlike bacteria, viruses

A person with TB infection

If you do not receive a flu vaccine and are exposed to a person with the flu

The primary target of infection with the human immunodeficiency virus is the

Most infectious disease exposures in health care providers occur due to

Death in the prehospital setting following an acute myocardial infarction is MOST often the result of

A regular cardiac rhythem with a rate of 104 beats/min, upright P waves, a PR interval of 0.14 seconds, and QRS complexes that measure 0.10 seconds should be interpreted as

Which of the following medications is a calcium channel blocker?

The right atrium, right ventricle and part of the left ventricle are suplied by the

An unresponsive, pulseless, apneic patient presents with ventricular tachycardia on the cardiac monitor. After defibrillating the patient, you should

Jugular venous distention in a patient sitting at a 45 degree angle

Which of the following ECG waveforms represents ventricular depolarization?

Which of the following mechanisms causes hypertension?

Acute coronary syndrome is a term used to describe

Lead I views the _____ wall of the heart while lead aVF views the ___ wall of the heart

Repolarization begins when

Which of the following interventions should be performed en route to the hospital during a lengthy transport of a patient with a suspected myocardial infarction?

Patients experiencing a right ventricular infarction

Which of the following occurs at the AV node during a third degree heart block?

An electrical wave moving in the direction of a positive electrode will

After delivering a shock to a patient in pulseless ventricular tachycardia, you should

The MOST common cause of right-sided heart failure is

You and your partner arrive at the scene of an unresponsive male patient. Your assessment reveals that he is pulseless and apneic. The patients wife tells you that he collapsed about 10 minutes ago. You should

When viewing leads v3 and v4 you are looking at the ____ wall of the ___

Unlike the parasympathetic nervous system, the sympathetic nervous system

A beta adrenergic blocker would counteract all of the following medications, EXCEPT

Stimulation of the parasympathetic nervous system

Shortly after adminstering a second dose of 4 mg of morphine to a 49 year old woman who is experiencing chest pain, the patients level of consciousness markedly decreases. Further assessment reveals that she is hypotensive, bradycardic and hypoventilating. You should

Any electrical impulse that originates in the ventricles will produce

The inferior wall of the left ventricle is supplied by the

What is the MOST appropriate sequence of treatment for a patient with a suspected acute myocardial infarction?

The mitral valve

A prolonged PR interval

The treatment for sinus tachycardia should focus on

If the ECG leads are applied correctly the PQRST configuration should be inverted in lead

Which of the following differentiates an artrial rhythm from a sinus rhythm?

Untreated ventricular tachycardia would MOST likely deteriorate to

A key to interpreting a Mobitz type II second degree heart block is to remember that

Atherosclerosis is a process in which

A decreased cardiac output secondary to a heart rate greater than 150 beats/min is caused by

A pathologic Q wave

A 39 year old man in asystole has been unresponsive to high-quality CPR and two doses of epinephrine. The patient is intubated and an IO catheter is in place. You should focus on

) You are attempting to intubate a 5 year old girl when you note that her heart rate has fallen from 12- beets/min to 80 beats/min. A patent iv line has been established. The MOST appropriate action is to

Poor lung compliance during your initial attempt to ventilate an unconscious apneic adult should be treated by

In contrast to a curved laryngoscope blade, a straight laryngoscope blade is designed to

If you see a soft-tissue bulge on either side of the airway when performing nasotracheal intubation

When nasally intubating a patient, the ET tube is advanced

Capnography is a reliable method for confirming proper ET tube placement because

Pulse oximetry is used to measure the

The condition in which the body’s tissues and cells do not receive enough oxygen is called

Compared to orotracheal intubation, nasotracheal intubation is less likely to result in hypoxia because

The hypoxic drive stimulates breathing in patients with

Boit respirations are characterized by

The BEST way to be certain that the ET tube has passed through the vocal cords is to

When two paramedics are ventilating an apneic patient with a bag-mask device, the paramedic not squeezing the bag should

Physiologic effects of CPAP include

Asymmetric chest wall movement is characterized by

Nondepolarizing neuromuscular blocking agents include all of the following, EXCEPT

During sleep, the metabolic rate is ____ and the number of respirations ____

The main disadvantage of LMA is that it

The involuntary control of breathing originates in the

You have intubated a 70 year old man with chronic bronchitis and are en route to the hospital. During transport, you note that ventilations are becoming increasingly difficult and the digital capnometry reading is falling. Your partner tells you that she can still hear bilaterally equal breath sounds. But they are faint. She further tells you that there are no sounds over the epigastrium. What intervention is MOST likely indicated for this patient

The BURP maneuver usually involves applying backward, upward, and rightward pressure to the