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EMT Intermediate Final Exam (Answered 2022)

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EMT Intermediate Final Exam (Answered 2022) You respond to a nursing home's call regarding an older patient who fell. During your assessment, you note injuries that are not consistent with the mechanism described. You should: transport the patient and report your suspicions When treating an an...

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  • September 9, 2022
  • 43
  • 2022/2023
  • Exam (elaborations)
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EMT Intermediate Final Exam (Answered 2022)

You respond to a nursing home's call regarding an older patient who fell. During
your assessment, you note injuries that are not consistent with the mechanism
described. You should:
transport the patient and report your suspicions
When treating an anxious and uncooperative patient with chest pain, you state, "If
you don't settle down, I am going to put a large IV in your arm." What is this an
example of?
Assault
You respond to a call for an 16-year-old boy who injured his arm. As you are
assessing the child, he tells you that he does not want you to touch him. His
mother tells you to begin treatment and transport the child to the hospital if
necessary. What should you do?
Continue your assessment and transport if necessary
The concept of standard precautions assumes that:
every patient is potentially infected or can spread an organism that could be transmitted
in the health care setting
After several years in EMS, you begin to experience chronic stress. An effective
way to deal with this is to:
sustain friends or activities outside of EMS
You respond to a call for an older woman who has fallen. Upon arrival at the
scene, you assess the patient, who is responsive and alert to person, place, time,
and event. She states that she does not want to go to the hospital; however, her
son requests that you take her. What should you do?
Ensure the patient is fully aware of the consequences of refusing treatment
A self-motivated AEMT should be able to:
discover problems and solve them without someone else's direction
Which of the following is NOT a typical warning sign of stress?
Increased appetite
Physical signs that indicate an emotionally disturbed patient may become violent
include all of the following, EXCEPT:
large physical stature
Which of the following statements regarding HIV is correct?
HIV cannot enter the bloodstream through intact skin
Which of the following foods provides the safest, most reliable source for long-
term energy production?
Pasta
Under which of the following situations would the AEMT NOT have a legal duty to
act?
You are off duty and encounter a man in cardiac arrest
Continuous quality improvement (CQI) involves all of the following components,
EXCEPT:
negative feedback to those who make mistakes while on a call
All of the following are roles and responsibilities of the AEMT, EXCEPT:

,providing definitive care for the patient's condition
You arrive at the scene of an overturned semi-trailer truck. There is an odd odor
in the air and you can see material leaking from the truck. After ensuring that fire
department and law enforcement personnel are notified, you should:
use binoculars to try to read the placard
The function of the National Registry of EMTs is to:
assess competence through a valid testing process
You have just established an IV on a critically injured patient. As you prepare to
dispose of the needle in the appropriate container, you get stuck with the needle.
You should:
report the incident to your supervisor as soon as possible
En route to the hospital, a diabetic patient regains partial consciousness. He tells
you that he feels fine and that he does not want to go to the hospital. Under these
circumstances, you should:
assess whether the patient's mental condition is impaired
For consent to be informed, the AEMT must:
explain the risks and benefits of treatment
An AEMT administers 1,000 mL of IV fluid to a patient with severe pulmonary
edema and a stable blood pressure. The patient then develops profound
respiratory distress and becomes apneic. What is this situation an example of?
Gross negligence
While triaging patients at a multiple-casualty incident, you encounter a 40-year-
old female with an obvious fracture of her right forearm and multiple abrasions to
her face and arms. She is responsive and alert and does not appear to have any
airway or breathing problems. You note that she is wearing an organ donor
bracelet. You should:
assign her an appropriate triage category and move to the next patient
Which of the following defines your scope of practice within your local response
area?
Local protocols and standing orders
A direct relationship between a patient's injury and the AEMT's actions or
inactions is called:
proximate cause
Which of the following patients has the legal right to refuse treatment?
Responsive and alert 45-year-old male with chest pressure
Molecules that bind to a cell's receptor and trigger a response by that cell are
called:
agonists
The olfactory nerve (cranial nerve I) is responsible for:
smell
The semilunar valves of the heart function by:
preventing backflow of blood into the ventricles
Which two pairs of cranial nerves do NOT exit from the brainstem?
Optic and olfactory
The __________ nerve innervates the muscles that cause motion of the eyeballs
and upper lid

,oculomotor
Which of the following is NOT a lymphatic organ?
Liver
The primary waste product of metabolism is:
carbon dioxide
To prevent the tissues from becoming edematous, the __________ system must
absorb excess fluid and return it to the central venous circulation
lymphatic
The myocardium is the only muscle that can generate its own electrical impulses.
This process is called:
automaticity
The chemical neurotransmitter of the parasympathetic nervous system is:
acetylcholine
In the pregnant patient, the secretion of oxytocin causes:
uterine smooth muscle contraction
The aorta divides into the two common iliac arteries at the level of the:
fifth lumbar vertebra
The most common solvent in the body, in which solutes or other substances will
dissolve, is:
water
How many milliliters per kilogram (mL/kg) of blood are contained within the
average adult male's body?
70
With regard to the heart, ejection fraction is defined as the:
percentage of blood ejected from the heart
Afterload is defined as the:
degree of pressure against which the left ventricle pumps
What part of the brain regulates a person's level of consciousness?
Reticular activating system
The movement of a substance against a concentration or gradient, such as the
cell membrane, is called:
active transport
Which layer of the heart would be penetrated during an emergent medical
procedure in order to remove fluid?
Pericardium
What is the cardiac output of a person with a stroke volume of 60 mL and a heart
rate of 90 beats/min?
5.4 L
The thick fibrous sac that surrounds the heart is called the:
pericardium
During an allergic reaction, basophils release histamines and heparin. What
respective roles do these chemicals play?
Increase tissue inflammation and inhibit blood clotting
The sebaceous glands of the skin secrete sebum, which:
keeps the skin soft and prevents cracking
Stimulation of alpha receptors of the sympathetic nervous system result in:

, peripheral vasoconstriction
During an infection, white blood cells consume bacteria and foreign particles.
This process is called:
phagocytosis
The point where the first cervical vertebra (C1) articulates with the base of the
skull is called the:
atlanto-occipital joint
After the aorta arises from the left ventricle, it first:
ascends and branches into the coronary arteries
Nonfunctional erythrocytes are destroyed in the spleen by cells called:
macrophages
A patient was struck in the right lower anterior chest with a baseball bat. In
addition to fractured ribs, you should be suspicious of injury to the:
liver
Which of the following is a function of the trigeminal nerve (cranial nerve V)?
Provides motor innervation to the muscles of chewing
The study of the body functions in a diseased state is called:
pathophysiology
If the concentration of H+ increases, the pH of the blood will:
decrease
The layer of tissue that lines the inside of the chest cavity is called the:
parietal pleura
The primary respiratory stimulus in a healthy adult is a/an:
increased arterial carbon dioxide level
All of the following are voluntary muscles, EXCEPT:
smooth muscle
Stimulation of beta receptors of the sympathetic nervous system results in:
increased myocardial contractility
The jugular notch is located:
at the superior border of the sternum
The second heart sound (S2) represents:
closure of the semilunar valves
Chemicals that become ionic conductors when dissolved in water are called:
electrolytes
As an electrical impulse travels down the electrical conduction system, it
transiently slows at the:
Av Node
Phagocytosis is the process by which:
monocytes digest microbes
If the body is sliced so that you have a left and right portion, a __________ plane
is formed.
sagittal
Tidal volume is defined as the volume of air that:
is moved into or out of the lungs during a single breath
The renin-angiotensin system in the kidneys helps to regulate:
blood pressure

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