Gtcc Emt

Which of the following refers to a program or process for evaluating and improving the effectiveness of an EMS System?

Which of the following agencies is responsible for establishing EMS System assessment programs?

Upon arrival at the hospital, the EMT advises hospital personnel of the patient's condition, observations from the scene, treatment rendered, and other pertinent data to assure continuity of care. This procress is known as which of the following

Which of the following BEST describes a person who speaks up on behalf of the patient and supports his cause?

Which of the following best describes training that supplements the EMTs original training and that is usually taken in regular intervals?

Which of the following is a personal trait an EMT should demonstrate?

The National Registry of Emergency Medical Technicians (NREMT) was founded to establish which of the following?

Who assumes the ultimate responsibility for patient care rendered by the EMT?

The application of oxygen for a patient who is short of breath without having to contact the physician in the emergency department is an example of which of the following?

A fellow EMT is talking with the Medical Director at a staff meeting. The EMT states that the neighboring ambulance service is carrying special clotting bandages for serious bleeding wounds. The special bandages cost five times as much as the regular bandages, but the EMT claims they work ten times better. The EMT wants the Medical Director to approve the bandages for use in their ambulances. The Medical Director responds to the EMT by saying he will not approve the bandages until he can prove they are worth the additional cost. How can the EMT best prove the worth of the special bandages?

Which of the following descriptions BEST defines the term Pathogen?

During which of these situations would the EMT be least likely to experience a body substance exposure?

Which of the following statements about HIV/AIDs is true?

You are treating a patient who has a productive cough and who reports weight loss, loss of appetite, weakness, sweats, and a fever. Which of the following diseases is most likely the cause of these signs and symptoms?

When covering a patient's mouth and nose with a mask of any kind, which of the following is the primary risk?

Which of the following terms is best defined as "a state of physical and/or psychological arousal to a stimulus"?

For the last few days, your regular EMT partner has been having trouble sleeping, has been on edge and is having trouble concentrating during EMS calls. Luckly, your clal volume has been low. You ask if anything is bothering him and he states he is fine in every way. He states that he has been going to the bars lately to relax and insistes you come along for some drinks after work. Choose the best answer for this situation

What is a positive, healthy way to help deal with stress?

A family member who keeps pleading with a deceased loved one to "wake up" is experiencing which reaction to death and dying?

You are on the scene of an "unknown medical call". The patient is a 26 year old 250 pound male who suddenly becomes violently anger. Everything you say to the patient only makes him angry, he is offended by your questions he states he is going to "cut your tounge out" and hurries into the kitchen. What should you do?

Which of the following best defines body mechanics?

Where should you position the weight of the object being lifted?

You respond to a call at a park where you find a 550-pound patient who has fallen down a slope near the creek. As you and your partner discuss the situation, you decide to call a second unit for lifting assistance. Once the patient is on the stretcher, how would the additional two personnel help in this lift?

What is the preferred number of rescuers when using a stair chair?

How many pounds are most battery-powered hydraulic systems rated to safely lift?

During an emergency move, which of the following techniques should be used, whenever possible, to minimize the possibility of further aggravating a possible spinal injury

Urgent moves are required when

You are treating an unconscious patient who does not have a possibility of spinal injury and who is breathing adequately. Which of the following is the BEST position for transporting the patient?

Which of the following is used to immobilize a patient with a suspected spinal injury

You are moving an elderly patient down the stairs using a stair chair. The patient is alert and very anxious. What should you do prior to moving the patient to prevent her from grabbing the railing and causing you to fall?

Which of the following refers to the set of regulations that defines the legal actions expected and limitations placed on the EMT

You arrive on the scene of a 55-yr old male patient. The Patient's wife called 911 because he is having chest pains. The patient is very angry with his wife for calling 911 because he states he only has heartburn and admantly refuses any treatment or transport. After signing the paient refusal form, the patient collapses and goes into sudden cardiac arrest. The wife is crying uncontrollably and begging you to do something. What should you do?

The EMT's obligation to provide care to a patient either as a formal or ethical responsibility is known as which of the following

Which of the following situations BEST illustrates the act of abandonment by an EMT?

In which of the following situations is it legal to share information about treatment you provide to a patient?

Which of the following requires training, policies, and procedures related to storing, accessing, and sharing patient information

Which of the following is the EMTs primary responsibility at a secured crime scene?

Which of the following incidents is the EMT legally required to report to PD?

You respond to a bus accident with multiple patients. As you arrive at the scene, you are approached by a local politician who states that his wife has been involved. He tells you that if you will take care of her first, he will ensure that you get the promotion you are up for. This becomes what type of decision for you as an EMT?

You are treating an elderly male patient in the back of your ambulance. En Route, the patient becomes unresponsive. Upon arrival, the ED nurse asks you several questions about his condition. What should you do?

What is the distinction between anatomy and physiology?

With regard to medical terminology, a prefix is:

The Abdominal quadrants include all of the following except the:

Which of the following BEST describes the anatomic position

The wrist is ______ to the elbow

With regard to anatomical locations, which of the following is NOT true?

Which of the following BEST describes the location of the mid-axillary line?

To check the distal pulse of a patient with an injury to the forearm, the EMT would check which of the following pulses?

Which of the following describes Fowler's positions?

While transporting a patient with a traumatic wound to the back, you call in report to the receiving hospital over the radio. Due to radio static and background noise in the ED, the physician has had to ask you twice to repeat if the wound was superior or inferior. Why would this distinction be important?

Physiology is the study of

Which of the following terms describes the heat muscle's ability to generate its own electrical impulses?

What type of muscles control the size of the bronchioles in the lungs?

A clot cannot form without which of the following blood components?

In which of the following locations is the femoral pulse palpated

Failure of the liver would result in which of the following?

What is the largest bone of the lower leg?

What is the long bone of the upper portion of the arm?

Which of the following is the only movable bone of the face?

A child's _______ takes up proportionally more space in the pharynx than does an adult's

The study of how disease affects the functioning of the human body is called:

Certain blood vessels that contain specialized sensors that detect the level of internal pressure and transmit messages to the nervous system, which then triggers the smooth muscle in the vessel walls to make any needed size adjustments, are called:

Cells make up tissues, tissues make up organs, and organs make up:

The process by which glucose and other nutrients are converted into energy is called

_____ blood returns to the right side of the heart

The potential space between the lung and chest wall is called the:

Shock occurs as a result of which of the following

The human body is made up of ____ % water?

Major organs of the endocrine system

What is the most common digestive disorder?

When you place your finger in an infant's palm, she grasps it with her finger. This is an example of which reflex?

When you startle a 4-month-old, he throws his arms out, spreads his fingers, then grabs with his fingers and arms. The reaction is known as the:

Middle adulthood is the stage of life from ____ to _____ yrs

Patients in which age group tend to be very concerned with body image?

What is the stage of development where there are several physiological and psychosocial changes, second only to infancy or adolescence?

You are assessing a 12 yr old male patient who has been involved in a bicycle accident. This patient would be classified as being in which stage of life?

You have been dispatched to a shopping mail to assess a 1 month female patient that tumbled out of her stoller while her mother was shopping. Upon your arrival, the baby is awake, alert, and happily smiling and cooing at her mom. The mother reports that the child did not appear to suffer any injuries as a result of the fall. As you assess the patient and place your finger in her hand, she grasps it tightly. This is known as the:

Your 4-month-old patient is reported to be irritable and lethargic after feeding poorly for two days. One method for assessing the patient's level of hydration is to gently palpate the soft spots on the surface of the skull. These soft spots are also known as the:

Your 89 yr old male patient has called for help because he almost passed out after bringing his garbage cans from the curb. The patient lives alone and says that he became panicked when he started feeling so lightheaded and dizzy. Patients in this age group often undergo all of the following changes to their health except

You are caring for a 4 month male patient who is reported to have vomited five times today. His parents describe no other associated symptoms or complaints. The patient is lying on the couch with a pacifier in his mouth, smiling at you. Developmentally, you would expect a patient of this age to be able to

The high-pitched sound caused by an upper airway obstruction is known as

The trachea branches off at the ____ and forms two mainstrem bronchi

Which of the following structures is found in the lower airway

When suctioning the airway, suction should never be applied for longer than ___ seconds.

When inserting an OPA, how many degrees do you need to rotate the airway so the tip is pointing down the patient's pharynx

Which of the following should be kept in mind when assessing and managing the airway of a pediatric patient

You are ventilating a 85 year old male without difficulty. A nurse tells you that the patient has dentures. To ensure a good mask you should

Your patient is breathing 4 shallow breaths per minute due to overdosing on his pain medication but he has a palpable radial pulse. He vomited prior to your arrival and is choking. You should

Which of the following is a sign of an inadequate airway

Which of the following is a disadvantage of OPA?

For life to be maintained, a balance of oxygen and carbon dioxide is needed. The condition when oxygen levels are low is called:

The process of air moving in and out of the chest is called

Why does a patient involved in an auto crash who has major internal abdominal bleeding require oxygen to maintain internal respiration?

When does respiratory distress change to respiratory failure?

Which of the following patients does NOT require the administration of supplemental oxygen?

You are ventilating an adult patient with a BVM when you notice that his abdomen is getting bigger. You should:

A 21 year old patient presents with labored breathing and audible wheezes, heart rate of 124 respiration 36; he has significantly altered mentation. What is the treatment for this patient?

Before applying a non-rebreather masks, the EMT should take what action?

Which of the following colors identifies an oxygen cylinder?

The safe residual for an oxygen cylinder is ________ psi.

Which of the following is NOT determined in a scene size-up?

At which of the following points should you begin your scene size-up

Which of the following is NOT a consideration that should be used by the EMT in establishing the size of the danger zone?

You and your partner respond to a residence for a fall. You arrive to find a group of approximately 30 adults surrounding a middle-aged man who appears to be unconscious. A police car pulls in behind you. You should:

An injury caused by an object that passes through the skin or other body tissue is known as which of the following

You are on the scene of a tanker truck versus passenger vehicle collision on a rural highway. The vehicles are just beyond a curve in the roadway and there is a distinct odor of diesel fuel. It is dark and there is little traffic. Which of the following should be used to alert oncoming traffic to the situation?

Where should the EMT assess for injury when caring for a patient who had a two-story fall and landed square on his feet?

Which of following BEST describes blunt-force trauma?

In which of the following situations should the EMT consult the Emergency Response Guidebook

Which of the following is true concerning scene size-up

What BEST defines the immediate sense of the patient's degree of distress, formulated from the patient's immediate environment, appearance, and chief complaint

In EMS, what does Mental Status refer to?

Which of the following represents the correct order of assessment for the EMT during the primary assessment from start to end

You are at the scene where a 19 yr old female college student has been drinking large quantities of alcohol through the evening. On your arrival, the patient is lying on her back with no signs of trauma, has slow, sounding respiration

A patient whose mental status can be described a "verbal" is able to

For which of the following patients would capillary refill be a reliable sign of circulatory status?

During the primary assessment of a responsive adult patient, where should the pulse be checked?

Which of the following differences should be expected when assessing a pediatric patient, as compared to the adult patients

During the primary assessment of an unresponsive two -month infant, which pulse should be palpated

You are approaching an adult female lying supine on the ground with snoring respiration. you should

When the heart contracts and forces blood into the arteries, the pressure created is known as the:

A patient with a pulse rate of 120 beats / minute is considered which of the following

The first set of vital sign measurements obtained are often referred to as which of the following?

You are unable to find a radial pulse on a patient from a motor vehicle crash. You should: Listen for heart sounds Begin chest compressions. Attempt to find the carotid pulse Apply the pulse oximeter.

The increase in the work of breathing is reported as: Labored breathing. Troubled breathing. Nosey breathing. Obstructed breathing.

Which of the following is the BEST way to assess a patient's skin temp

When the EMT checks the pupils he or she is checking for what three things?

When taking B.P, the cuff should be inflated to what point?

When pupils are dilated they are

What category would include a patient with a b/p of 134/84 mmHg

The patient was a driver in a lateral impact motor vehicle collision. During the assessment of his chest, the EMT notes a segment of the chest wall moving in the opposite direction from the rest of the chest. Which of the following BEST describes this finding?

You are called for a patient who is complaining of being weak and dizzy. He reports that he does not have enough money to pay for his medications so he has not gotten them refilled. Your service has an automatic B/P machine and you use it to measure the patient's b/p while you count his respiration. The BP machine reports a BP of 280/140 what should you do next

Your 76-year-old female patient is having trouble breathing. When you auscultate her lungs, you hear crackles (rales) and you are concerned that she may have pulmonary edema. Her oxygen saturation is 92 percent, so you place her on 100 percent oxygen via a nonrebreather mask. Her breathing gets a little easier with the oxygen. You decide to expedite transport since she is anxious about her condition. Later, as you are completing your reassessment, you see that her respirations have slowed to 8 times per minute and she is barely staying awake. What should you do next?s

Your patient is a 22 year old college student complaining of abdominal pain. She is alert and oriented although somewhat uncomfortable. Which of the following should be your first action?

In medical terms, bruises are known as which of the following

You have responded for a patient with shortness of breath. He reports that his breathing problems began this morning and have gotten worse over the last few hours. You ask if he has taken anything to help his symptoms and he tells you that he has used his inhaler several times in the last hour. The information you have just gathered can be classified as

When using the memory aid SAMPLE, which of the following would you do to determine L

On which of the following patients should a reassessment be performed

The processed by which an EMT forms a field diagnosis is known as

A description of a patient's condition that assists a clinician in further evaluation and treatment is known as which of the following?

A major tornado has hit the neighboring town, knocking down power lines and injuring several people. What will provide the best chance to give your patient report to the receiving facility?

Which of the following is NOT appropriate for inclusion in the radio report to the receiving hospital?

You have received an order from medical direction that you feel would be detrimental to your patient. Which of the following should you do?

You are attempting to place a nonrebreather mask on a patient who is experiencing difficulty breathing. The patient is conscious and does not want the mask on his face. Which of the following is the BEST choice of action

Which of the following is NOT appropriate to document on your patient care report?

Which of the following pieces of legislation applies to use of information on a PCR

Which of the following BEST describes a mobile radio

Which of the following agencies assigns and licenses radio frequencies

Which of the following can be correctly noted as a chief complaint?

Which of the following is NOT appropriate to document on your PCR?

The symptoms or circumstances for which a medication is given are called

What conditions must be present before you give oral glucose

Which of the following statements is true concerning oxygen?

Nitroglycerin is indicated for which of the following chief complaint?

Epinephrine delivered by auto-injector may be indicated for patients with which of the following conditions? .

How does nitroglycerin decrease the level of chest paint that a patient experiences

Bronchodilator inhalers have several common side effects, which include:

Which of the following BEST describes the 5 rights

Nitroglycerin is given via the ____ route

The EMT, after administering any medication, must do which of the following?

Which of the following respiratory rates is considered an abnormal respiratory rate for an adult?

A patient who has shallow, slow, irregular gasping breaths is said to have _____ respirations

While caring for a 3 yr old child, you should be concerned if his respiratory rate exceeds ___ breaths / minute

What is the best way to determine that you are getting adequate ventilation with a BVM?

You are first on the scene of a 61-year-old female in need of assistance with her respirations. You have a pocket mask with supplemental oxygen. How can you determine that your artificial ventilation is effective?

You are called to the scene of a 45 yr old nonsmoker male with a history of asthma in respiratory distress. You find him lying supine on the couch. The patient is lethargic but can answer all your questions appropriately. He is diaphoretic, and complains of being cold, coughing, and having difficulty breathing for the past 3 days. His vital signs are blood pressure of 110/70, heart rate of 116, RR of 24, oxygen saturation of 93# and temp of 100.6, you hear rhonchi in the left lobes and he is coughing up yellow-tinged sputum. What condition do you suspect?

Which of the following inhalers would NOT be used to reverse an asthma attack

Which of the following is the primary cause of COPD

What is NOT one of the symptoms of a pulmonary embolus?

You are on the scene of a 3 yr old patient who is in respiratory distress. The mother states that the patient has been making a barking cough for the past 24 hrs. The child is very scared and upset. He is crying inconsolably. The patient has tachypnea, but his vital signs are normal otherwise. He is leaning forward in the tripod position and is drolling profusely. What condition do you suspect?

Which of the following is the general term used to refer to a problem with the heart?

Which of the following may be a symptom of a problem with the heart?

Which of the following statements concerning heart attacks and cardiac arrest is NOT true?

Which of the following is typical of angina pectoris

Which of the following is the result of a portion of the heart muscle dying due to a lack of oxygen

Which of the following terms refers to swelling of the lower extremities seen in many cardiac patients

You are on the scene of a 68 yr old male patient complaining of severe chest pain for the last 20 minutes. He has a previous history of myocardial infarction and states it feels " just like the last time" you have applied oxygen and assisted him in administering asprin and nitroglycerin with no reduction in the chest pain. Your nearest facility is 5 minutes away, a level III Trauma center is 10 minutes away, a hospital with cardiac catheterization capabilities is 20 minutes away. The patient is requesting to be transported to his cardiologist's hospital. Which is 30 minutes away. Which hospital is the best destination?

You are transporting a 50 yr old patient whom you successfully defibrillated at the scene. You are minutes away from the hospital when the patient goes back into cardiac arrest. Which of the following is the best course of action

Which of the following BEST describes the purpose of a continuous quality improvement program for AED?

Assuming your protocol allows the administration of nitroglycerin when certain conditions exist, what is the maximum number of tablets to be administered in the prehospital setting? Answer 2 3 4 1

The medical term for fainting is

Which of the following BEST describes status epilepticus

The death of brain tissue due to deprivation of oxygen because of a blocked or ruptured artery in the brain is known as which of the following

A hormone called insulin is secreted by the

Your patient is a 44 yr old male with a history of diabetes. He is lying on the living room floor, unresponsive to all stimuli. He has a respiratory rate of 2 breaths per minute, heart rate of 112 beats per minute, and is pale/sweaty. Which of the following should you do to treat this patient?

Which of the following is within the EMTs scope of practice for the treatment of the diabetic patient?

A seizure that occurs spontaneously from an unknown cause is called

What is epilepsy

Which of the following is the cause of most strokes?

Which of the following is one of the most common characteristics of a stroke?

What is another name for a severe allergic reaction

Which of the following occurs to blood vessels during an anaphylactic reaction

Which of the following changes commonly occurs in the cardiovascular system during anaphylaxis

Upon delivering a patient to the emergency department, you remove your gloves and find that your hands are red and itchy. Which of the following is most likely?

Your patient has eaten a casserole that may have contained seafood. The patient is worried because he has a seafood allergy. Upon assessment, you find no signs or symptoms of anaphylaxis. The patient's vital signs are stable and he has an epinephrine auto-injector prescribed to him. Which of the following actions is most appropraite

If a patient was having an myocardial infraction, not an allergic reaction, and received an epinephrine auto-injection, which of the following would most likely occur?

Which of the following is an action caused by epinephrine in anaphylaxis?

Most epinephrine auto-injectors, except the TwinJect, contain how many doses of epinephrine

Your patient has a history of severe anaphylaxis and carries several auto-injectors. You have administered one of the auto-injectors, but the patient's condition continues to worsen. Which of the following is the next best course of action?

After administering epinephrine per medical control via an auto-injector to an unresponsive anaphylactic adult patient, your partner re-assessess the lung sounds. He tells you that the patient is now wheezing loudly in all fields whereas before the injection they were diminished in the upper fields and absent in the lower. What is your suspicion regarding the patient's condition

Pain that originates in an organ, such as the intestines, is called ____ pain

Pain that the patient feels in a body part or area of the body that has nothing to do with a diseased organ is termed

Which of the following organs is located in the retroperitoneal space

Organs of the right upper quadrant includes

The detection of a bulging mass through the bell button that is not pulsating should make the EMT suspiscious that the patient may be suffering from which of the following

Pain felt in the epigastric region of the abdomen is of concern because of the possibility of which of the following?

Your patient is a 34 yr old male complaining of pain in his right side. He is pale and diaphoretic with a heart rate of 90 bpm a rr of 28 and a b/p of 132/80mmHg The patient is very agitated and anxious. Which approach is most appropriate

In what position should the patient complaining of severe abdonimal pain be placed if there are no signs or symptions?

You are examining a 24 yr old female patient with lower quadrant abdominal pain. What is the MOST lethal possibility

Which of the following questions is inappropriate when taking the history of a female patient with abdominal pain?

The correct terminology used for patients whose kidneys are damaged to the point where they require dialysis to survive is

The sensation felt when palpating an arterial-venous fistula or shunt is known as a

How would you define anemia

Which of the following medications does NOT interfere with the blood-clotting process

The kidney's major function(s) include(s)

You are dispatched to a sick call. The patient was just extricated from a bathrub where he was trapped under the shower door for 2 weeks. This 72 yr old male had limited access to the water from the bathtub faucet. The patient is complain of disorientation, nausea, and vomiting. What do you think is the underlying cause for the illness

Hemodialysis is used to help the kidneys filter ____ and remove excess _____

A patient with renal disease who is currently on dialysis and missed an apt. may present with dangeriously high levels of electrolyes

Why might you consider contacting medical direction before applying a tourniquet in the case of uncontrollable bleeding from an AV fistula?

The medications that transplant patients need to take for the rest of their lives to prevent organ rejection also often leads to high susceptibility of

Which of the following vessels has the thickest muscular walls that allow constriction and dilation

Which of the following BEST describes the function of blood

Which of the following is a characteristic of arterial bleeding

Which of the following is a characteristic of venous bleeding

Your patient is a 33 yr old man who has a gunshot wound to his right leg and has active, steady, dark red bleeding. he is awake, pale, and diaphoretic. He has a strong radial pulse of 112 per minute, a respiratory rate of 24 breaths per minute, and a B/p 122/82 mmHg. He has no other injuries or complaints. Which of the following is the BEST sequence of steps in the management of this patient

Which of the following is recommended in situations in which a touriquet must be used

Which of the following is part of the body's compesatory response to blood loss?

Which of the following circumstances may result in hypoperfusion

Which of the following is distinguishes decompenstated shock from compensated stage of shock

Which of the following BEST explains the reasons for minizing scene-time for the trauma patient with significant hemorrhage or the potenital for significant hemorrhage

You are examining a 48 yr old patient who has been burned. You decide to use the rule of palm to measure the extent of the burn. What does this mean

Which of the following is NOT considered soft tissue

Which type of wound has a small opening into the skin, but may be quite deep, and is often caused by instrucment such as nails, ice icks, or pencils

Which of the following BEST defines an avulsion

In caring for a 27 yr old male who has a large laceration on his anterior forearm, you have noticed that your pressure dressing has become saturated with blood. Which of the following should you do next

Your patient is a 32 yr old man with a fish hook that has perforated his hand between the thumb and index finger. Which of the following is the best way to manage the situation in the prehospital setting

Burns pose a greater risk to infants and children for whihc of the following reasons

Which of the following BEST desrcibes a partial thickness burn

You are dispatched to a local industrial plant for an "electrical injury". You arrive on scene and find a 46 yr old male lying supine in front of an electrical panel. You are told he was attempting to make a repair and somwhoe recieved an electrical shcok and was through to the ground. The scene is safe and the electricity is off. your initial exam reveals a concious person, breathing adequately. Vital signs are normal and there are nmo obvious signs of burns. Coworkers state that he was unconscious until your arrival- what is the next step

Which of the following injuries require the use of occlusve dressing

The bony bumps you feel along the center of a person's back are known as which of the following

Which of the following is a function of the autonomic nervous system

To which of the following sections of the spine are the ribs attached

Of the following patient, which injury is highest priority to recieve the BVM