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EMT FISDAP readiness exam 4
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- In contrast to the assessment of a trauma patient, assessment of a
medical patient
almost exclusively focuses on physical signs that indicate the patient is
experiencing a problem.
is focused on the nature of illness, the patient’s chief complaint, and his or
her symptoms.
requires a thorough head-to-toe exam that involves a detailed
assessment of all body systems.
is not as complex for the EMT because most patients typically present
with classic symptoms.(Answer) b - Which of the following statements regarding medical emergencies is
cor- rect?
Medical emergencies always take priority over traumatic
injuries. Medical emergencies can appear to be trauma in nature.
Medical emergencies and traumatic injuries always have distinctive
presen- tations.
Medical emergencies rarely precipitate traumatic injuries.(Answer) b - 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(Answer)
perform a detailed secondary assessment, assess his vital signs, and then
transport rapidly.
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manage all threats to airway, breathing, and circulation and consider
request- ing an ALS unit.
administer oxygen via nonrebreathing mask and obtain as much of
his medical history as possible.
load him into the ambulance, begin transport, and perform all treatment en
route to the hospital.(Answer) b
- ou have just completed your primary assessment of a 48-year-old man
with crushing chest pain. The patient has been given 324 mg of aspirin and
is receiving high-flow oxygen via nonrebreathing mask. As you begin your
secondary assessment, you note that his mental status has deteriorated
and he is now bradycardic. You should(Answer)
continue with your secondary assessment.
prepare the patient for immediate transport.
insert a nasal airway and assist his breathing.
request an ALS unit to respond to the scene.
(Answer) b - A 33-year-old female presents with lower abdominal quadrant pain.
She is conscious and alert, but in moderate pain. While your partner is
asking her questions about her medical history, you take her vital signs.
When you assess her radial pulse, you are unable to locate it. You
should(Answer)
assess the rate, regularity, and quality of her carotid pulse.
advise your partner that the patient’s blood pressure is low.
immediately take her blood pressure to see if she is hypotensive.
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conclude that she is perfusing adequately since she is conscious.(Answer)
a
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- 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(Answer)
you are actively infected with tuberculosis and should be treated
immediate- ly.
the disease is dormant in your body, but will probably never cause
symp- toms.
you contracted the disease by casual contact instead of exposure to
secre- tions.
you were exposed to another infected person prior to treating the 34-yearold patient.(Answer) d - Which of the following statements regarding the human
immunodeficiency virus (HIV) is correct?
HIV is far more contagious than hepatitis B and is easily transmitted in
the health care setting.
The risk of HIV infection is high, even if an infected person’s blood comes
in contact with your intact skin.
The risk of HIV infection is greatest when deposited on a mucous
membrane or directly into the bloodstream.
Most patients who are infected with HIV experience chronic symptoms that
vary in duration and severity.(Answer) c - A 58-year-old man complains of chest discomfort and nausea. He
is conscious and alert. His blood pressure is 140/90 mm Hg, his pulse
is 104 beats/min, and his respirations are 16 breaths/min. Your partner
has
applied supplemental oxygen. Prior to assisting the patient with one of his
prescribed nitroglycerin tablets, you ask him if he takes medication to
treat erectile dysfunction and he tells you that he does. You
should(Answer)