WEST COAST EMT FINAL EXAM

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WEST COAST EMT FINAL EXAM

Questions & Answers 1.You have an AMA patient who is refusing transport. What should you be doing Answer When a patient is AMA, they first must be A/O 4x to show that they are alert and oriented and able to make their own decisions. You must inform them of all the possible risks that come with not being transported (such as death).During documentation, make sure the patient signs the AMA to prove they do not need transport (and to not get sued). DOCUMENT EVERYTHING 2.All information in a PCR needs to be confidential. Why Answer Patient confidentiality due to HIPAA (Health Insurance Portability and Accountability) 3.What is supra ventricular tachycardia (SVT) Answer irregularly fast or erratic heart- beat (arrhythmia) that affects the upper heart chambers 4.The physical act of moving air into and out of the lungs is called 1 / 3

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Answer ventilation 5.Which of the following is the MOST common cause of airway obstruction in the unresponsive patient Answer the tongue 6.What should a normal patient's capillary refill be Answer less than 2 seconds 7.After you determine a patient is unconscious, what is the next step Answer Begin CPR and begin respiratory support (ie maintain their ABCs) After compressions, ventilate and repeat cycle until ALS arrives 8.When a patient has signs of poor perfusion, what do you do next Answer Provide high-flow O2 via BVM Keep patient warm Rapid transport 9.A 67-year-old female with severe chest pain becomes unresponsive, pulse- less, and apneic during transport. You should Answer stop the ambulance, begin CPR, and attach the AED as soon as possible. 2 / 3

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10.What is an aneurysm Answer Defined as a swelling within a brain artery due to weakening of the artery wall 11.What is HYPERglycemia? What are the signs and symptoms and the treatment of it Answer High blood sugar

S/S:

Altered mental status (intoxicated like behavior) Lowered level of consciousness Polyuria, dark urine, excessive thirst Kussmaul respirations (smells fruity) Rapid, weak pulse Symptoms will prevent themselves gradually 12.You just administered an EpiPen to your patient. The patient is improved but is now complaining of chest pain. should Answer Notify medical control 13.It is most important to determine the patients weight when asking ques- tions pertaining to a toxic ingestion because Answer Activated Charcoal is given based on a patients weight.

14.Keep in mind scene safety and know when to call law enforcement:

Answer Re- member to always do BSI, PPE scene safety as well as

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