CH35 Emergencies for Patients w/Special Challenges

At which of the following locations is an EMT likely to encounter a patient using an advanced medical device?
a. Nursing home
b. Specialty care center
c. Private residence
d. All of the above

d. All of the above

While on the scene of an emergency call involving a patient who is dependent upon a medical device for survival, the EMT can ask which of the following individuals about the specifics of the device?
a. The patient's family
b. The patient
c. The patient's

d. All of the above

When preparing to move a patient that is using a specialty medical device from his house to the
ambulance, which of the following questions would be appropriate to ask the family?
a. What worked best for moving the patient the last time he was transported

d. Both A and B are correct.

Which of the following BEST describes a disease such as deafness?
a. Acquired disease
b. Congenital disease
c. Either a congenital or acquired disease
d. Neither a congenital nor acquired disease

c. Either a congenital or acquired disease

Which of the following BEST describes the origins of chronic obstructive pulmonary disease (COPD)?
a. Acquired disease
b. Congenital disease
c. Either a congenital or acquired disease
d. Neither a congenital nor acquired disease

a. Acquired disease

Which of the following BEST describes when positive pressure is applied to the patient's airway using a CPAP machine?
a. Between inhalation and exhalation
b. During exhalation only
c. During both inhalation and exhalation
d. During inhalation only

c. During both inhalation and exhalation

What is the purpose of a tracheostomy in an ill patient?
a. To assist the patient with sleeping
b. To assist the patient with waste removal
c. To assist the patient with breathing
d. To assist the patient with feedings

c. To assist the patient with breathing

Which of the following is the correct position to use when transporting a patient who has a tracheostomy tube?
a. Shock position
b. Prone
c. Head slightly elevated
d. Supine

c. Head slightly elevated

A patient uses a home ventilator connected to his tracheostomy tube to breathe. Which of the following is the correct procedure to use when moving this patient to the ambulance?
a. Ventilate the patient's tracheostomy tube via a connected bag-valve mask a

a. Ventilate the patient's tracheostomy tube via a connected bag-valve mask at a normal rate and volume
while the patient is disconnected from the ventilator.

While ventilating a conscious patient's tracheostomy tube with a connected bag-valve mask, the EMT should verify the patient's comfort level for which of the following?
a. The ventilation volume
b. The ventilation pressure
c. The ventilation rate
d. All o

d. All of the above

During a power failure, how should the EMT verify adequate ventilations are being administered to an unresponsive patient with a tracheostomy tube using a bag-valve mask?
a. Observe for improving skin color.
b. Ensure a good connection between the bag-val

d. All of the above

Compare the pain a patient experiences when receiving a shock from a pacemaker against the pain felt when receiving a shock from an automatic implanted cardiac defibrillator (AICD).
a. Pacemakers are painless and AICDs are painful.
b. Both are painful.
c.

a. Pacemakers are painless and AICDs are painful.

Which of the following is true with regards to touching a patient who is being shocked with an automatic implanted cardiac defibrillator (AICD)?
a. The EMT will always feel the shock and it is very dangerous to the EMT as well.
b. The EMT cannot feel the

b. The EMT cannot feel the shock of an AICD when delivered to the patient.

Which of the following is the BEST course of action for the EMT to take when caring for a patient with an AICD who goes into cardiac arrest?
a. The AED should be applied and used, but CPR should not be started while on-scene or transporting the
patient.
b

c. CPR and an AED should be used as indicated while on-scene and transporting the patient.

During transport, where should the catheter bag be after loading the patient and stretcher into the
ambulance if the patient has an indwelling urinary catheter?
a. In the patient's lap, but not higher than his heart
b. On the ambulance floor
c. Hanging fr

d. Lower than the patient, but not on the floor

Which of the following is NOT a role of dialysis in a renal failure patient?
a. Remove fluid from the body
b. Filter and detoxify the blood
c. Remove waste from the body
d. Stimulate blood cell production

d. Stimulate blood cell production

Which of the following is the main advantage of peritoneal dialysis over hemodialysis?
a. Peritoneal dialysis is much faster.
b. Peritoneal dialysis is more effective.
c. Peritoneal dialysis is likely to be done at the patient's home.
d. Peritoneal dialys

c. Peritoneal dialysis is likely to be done at the patient's home.

Which of the following is the easiest way for an EMT to communicate with a patient with drastic hearing loss?
a. Slow down your speech so that the patient can read your lips.
b. Write your questions using paper and pen.
c. Use a TDD/TYY telephone.
d. Spea

b. Write your questions using paper and pen.

Assessing blood pressure on a patient with an AV shunt, fistula, or graft could lead to which of the
following?
a. Inaccurate blood pressure readings
b. Uncontrollable hemorrhage in the extremity
c. Damage to the AV shunt, fistula, or graft, requiring sur

c. Damage to the AV shunt, fistula, or graft, requiring surgery

Obesity increases the risk for which of the following health problems?
a. Liver disease
b. Type 2 diabetes
c. Respiratory problems
d. All of the above

a. Liver disease

Bariatrics is defined as the branch of medicine that deals with the cause, prevention, and treatment
of which disease?
a. Diabetes
b. Sleep apnea
c. Blindness
d. Obesity

d. Obesity

Which of the following serious health problems is related to homelessness?
a. Liver disease
b. Heart disease
c. Tuberculosis
d. Hypertension

c. Tuberculosis

Which of the following refers to a condition that interferes significantly with a person's ability to engage in activities of daily living?
a. Handicapped
b. Disabled
c. Terminal
d. Disability

d. Disability

Obesity is defined as a body mass index greater than:
a. 35.
b. 25.
c. 30.
d. 40.

c. 30.

A condition that interferes significantly with a person's ability to engage in activities of daily living is referred to as a:
a. developmental disability.
b. physical handicap.
c. disability.
d. special need.

c. disability.

Jarl is a male who is 5 foot 7 inches tall and weighs 250 pounds. What is Jarl's body mass index (rounded to the nearest tenth)?
a. 35.2
b. 36.5
c. 38.4
d. 39.1

d. 39.1

A body mass index above ___ is considered obese.
a. 25
b. 30
c. 35
d. 40

b. 30

When transporting a patient who is morbidly obese to the hospital, it is important to monitor which of the following vital signs?
a. Pulse rate
b. Oxygen saturation
c. Blood pressure
d. Blood glucose level

b. Oxygen saturation

Which of the following groups of people makes up the largest portion of the homeless population?
a. Females
b. Veterans
c. Children
d. Families

b. Veterans

You are on the scene of a pediatric patient who is on a specialized home monitoring system. This situation was not specifically addressed in your EMT class and your EMT partner has not encountered this situation, either. What is an advisable course of act

a. Ask the parent or caregiver what has been done in the past to correct the situation.

Chloe was born with a cardiac problem that she will have to manage the rest of her life. This disease is considered to be:
a. acquired.
b. autoimmune.
c. congenital.
d. genetic.

c. congenital.

Which of the following situations are frequently problematic for patients who have tracheostomy
tubes?
a. Tracheal tears
b. Mucus buildup
c. Air embolism
d. Tube malplacement

b. Mucus buildup

To determine the appropriate depth an EMT should insert a catheter tip into a tracheostomy tube in order to clear a blocked airway, the EMT should:
a. measure from the stoma to the carina.
b. measure against the length of the obturator.
c. insert the cath

b. measure against the length of the obturator.

Where are automatic implanted cardiac defibrillators typically placed in patients who require one?
a. In the upper left chest
b. In the upper right chest
c. In the lower left chest
d. In the lower right chest

a. In the upper left chest

You are transporting a patient who is experiencing frequent discharges of her automatic implanted cardiac defibrillator. En route to the hospital you are caring for the patient in the back of the ambulance. To protect yourself from being shocked if the de

d. not worry, since the defibrillator does not pose a danger to others.

You are transporting a resident of a nursing home to the hospital for a complaint of abdominal pain for 3 days. During your assessment, you note a tube protruding from the patient's nose, which is connected to a bag of milky-white fluid. This tube is know

b. nasogastric tube.

While transporting a patient who has an indwelling Foley catheter, it is important to keep the collection bag:
a. higher than the level of the patient.
b. level with the patient.
c. lower than the level of the patient.
d. with the patient's caregiver.

c. lower than the level of the patient.

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