Paramedic Final Exam Review JBLearning Emergency Care
In The Streets 8th Edition. All Chapters and vocabulary. NO
EKG Study.
2mL x % x kg = amount to be infused in 24 hours. First 8 hours
will be 1/2 of the amount to be infused in 24 hours. Correct
Answer 100
2YO child has experienced a proximal humerus fracture
involving the growth plate The plate is also called Correct
Answer epiphyseal plate
32755432: Once in the body, approximately 90% of inorganic
lead accumulates in: Correct Answer bone.
50-year-old man is experiencing an acute myocardial infarction.
He has no prior history of cardiac problems, takes no
medications, and has no drug allergies. His oxygen saturation is
96%. He should first receive: Correct Answer Aspirin
55-year-old man complains of severe pain between his shoulder
blades, which he describes as "ripping" in nature. He tells you
that the pain began suddenly and has been intense and
unrelenting since its onset. His medical history includes
hypertension, and he admits to being noncompliant with his
antihypertensive medication. Which of the following assessment
findings would MOST likely reinforce your suspicion regarding
the cause of his pain? Correct Answer Difference in blood
pressure between the two arms
,A [Substance] can donate or absorb hydrogen ions Correct
Answer Buffer
A 100-pound violent young woman who requires four large
paramedics to subdue and contain her is MOST likely under the
influence of: Correct Answer PCP
A 12-year-old child with a history of hemophilia presents with a
headache and slurred speech. What should you suspect? Correct
Answer Intracranial bleeding
A 16-year-old boy collapsed after being struck in the center of
the chest by a line drive during a high school baseball game.
Your assessment reveals that he is pulseless and apneic. As your
partner initiates one-rescuer CPR, your MOST important action
should be to: Correct Answer attach the ECG leads and be
prepared to defibrillate.
A 19-year-old diabetic woman who is 22 weeks pregnant
presents with an occipital headache, blurred vision, and edema
to her hands and feet. Her blood pressure is 152/94 mm Hg,
pulse rate is 108 beats/min, and respirations are 20 breaths/min.
The patient is conscious and alert, and states that she is
"retaining a lot of water." Your MOST immediate concern
should be: Correct Answer the possibility of a seizure.
A 19-year-old man presents with hot, moist skin; confusion;
tachycardia; and tachypnea shortly after completing a marathon.
According to his marathon registration form, he has no
significant medical problems and takes no medications.
,Treatment for this patient may include all of the following,
EXCEPT: Correct Answer Prostoglandin inhibitors
A 20-year-old female presents with severe lower abdominal
pain. She does not believe that she is pregnant, but states that her
breasts have been unusually tender and that she has been
nauseated. What is the pathophysiology of this patient's
suspected condition? Correct Answer A fertilized ovum is
implanted somewhere other than the uterus.
A 20-year-old male presents with an acute onset of severe
testicular pain. He denies any trauma to the genital region. He is
conscious and alert, his blood pressure is 144/84 mm Hg, his
heart rate is 120 beats/min, and his respirations are 24
breaths/min with adequate depth. The MOST important aspect
in the care of this patient involves: Correct Answer prompt
transport.
A 21-year-old man was removed from the water after being
submerged for approximately 5 minutes. The patient's friend,
who was with him at the time of submersion, states that there
was no trauma involved. Your assessment reveals that the
patient is apneic; however, he has a slow, weak carotid pulse.
After preoxygenating the patient, you insert an endotracheal
tube. During auscultation of the lungs, you hear coarse crackles
in all fields; the epigastrium is quiet. As you ventilate the
patient, you note decreased compliance. The MOST effective
way to treat this situation is to: Correct Answer attach a
portable ventilator that provides positive end-expiratory
pressure.
, A 22-year-old male with sickle cell disease presents with severe
abdominal pain. On assessment, his abdomen appears bloated
and is rigid to the touch. What should you suspect? Correct
Answer splenic sequestrian syndrome
A 22-year-old woman experienced an acid chemical burn to her
left forearm. She complains of intense pain and tingling in her
fingers. She is conscious and alert, and denies any other
symptoms. You should: Correct Answer begin immediate
irrigation with water.
A 24-year-old woman was struck by lightning. Bystanders
moved the patient to an area of safety but did not provide any
other care before your arrival. Your primary assessment reveals
that the patient is pulseless and apneic. You begin CPR and
apply the cardiac monitor, which reveals asystole. After
requesting a backup paramedic unit, the MOST appropriate
treatment for this patient involves: Correct Answer continuing
CPR, protecting her spine while ventilating, reassessing her
cardiac rhythm after 2 minutes of CPR, and defibrillating if
necessary.
A 25-year-old woman was involved in a motor vehicle accident
in which she struck the rear end of another car at a low speed.
When you arrive at the scene and exit the ambulance, you
immediately hear the patient screaming, "My baby, my baby!"
After calming the patient down, she tells you that she is 10
weeks pregnant and that she is afraid that the car accident
injured her child. She confirms that she was properly restrained
at the time of impact. She is conscious and alert, denies
abdominal pain, and has stable vital signs. She refuses spinal
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