On arrival to a parking lot tailgate, you observe a crowd around a young man who is seizing. As you get equipment from the ambulance and make your way to the patient, his friends tell you that the patient has been up all night "partying" by drinking alcoh
Open the airway, provide oxygen, and give rapid transport to the hospital.
A 53-year-old female has intentionally taken a large amount of Valium. The EMT would recognize that the medication is being absorbed into the body through what structure?
Small intestine
You have been called to a residence for a cognitively challenged 32-year-old female who drank a bottle of floor cleaner. She is conscious, but having a difficult time breathing due to swelling from burns in her mouth, with mild stridor on inspiration. Whi
Insert a nasal airway
Which of the following correctly identifies the routes by which a poison can enter the human body?
Ingestion, Inhalation, Injection, Absorption
An 18-year-old female has eaten a poisonous mushroom. Medical direction has ordered you to administer activated charcoal. Immediately following administration, the patient vomits the medication. She remains alert and oriented with no current life threats
re-administer the activated charcoal.
Following a large wedding, health authorities announce that some of the food was contaminated with salmonella. Consequently, your EMS service receives notice that there may be a significant number of calls involving food poisoning. A new EMT asks you how
You should treat the patient based on his or her signs and symptoms, just like any other ingested poison.
A drug addict informs you that he has been taking Oxycontin and now requires more and more of the drug to take his chronic back pain away. The EMT would recognize this patient as experiencing:
tolerance.
For which of the following patients would you be most concerned about exposure to cyanide?
Firefighter battling a smoky structure fire
You are responding to a drug-related emergency. While en route, the dispatcher informs you that the patient has overdosed on an unspecified narcotic. Which of the following statements made to your partner indicates an understanding of overdoses with narco
When performing the primary assessment, we need to be alert for respiratory depression.
A patient has overdosed on an unknown amount of unspecified drugs. On scene, you find her to be conscious but confused and extremely nauseated and she vomits twice. Examination of the vomitus reveals the fragments of different pills. Her past medical hist
position her on her side
A patient informs you that he smoked marijuana all night and now he has great anxiety and tremors to both hands. The EMT would recognize marijuana as a(n):
cannabis product
You have arrived at a home where the parents found their 13-year-old son in the garage inhaling propane from the family grill. Your assessment reveals him to be alert, oriented, and have an open airway. His breathing is labored, and his pulse is rapid for
Wheezing localized to the left lung
Which of the following is the greatest risk related to ingestion of cyanide?
Widespread hypoxia
You have been called to a residence for a 14-year-old male who states that he intentionally took some medication to kill himself. Assessment indicates that he is alert, oriented, and has an open airway and adequate breathing. Given the situation, it is im
check the radial pulse and skin
An alert and oriented 5-year-old child drank some ammonia that was placed in a cup. He is very scared and complaining of abdominal pain, and he states that he has not vomited. Assessment shows ammonia around and in his mouth as well as on his breath. He h
rinsing his face and mouth with water
A patient who has ingested a toxic substance is to receive activated charcoal. The EMT knows that the charcoal will benefit the patient by:
adsorbing the poisonous substance in the stomach
You have been called for a 28-year-old male with a history of behavioral problems. He responds to painful stimuli with garbled speech. His airway is patent, but breathing is inadequate. His radial pulse is rapid and skin cool and moist. He has crackles at
start positive pressure ventilation
A female patient in her forties has overdosed and is lying at the bottom of some stairs. As you arrive, her husband informs you that she is addicted to pain medications and was chewing a Fentanyl (narcotic pain reliever) this evening. He states that she w
take manual in-line spinal stabilization
Firefighters have pulled a 62-year-old male from a bedroom that was on fire. According to the firefighters, he was smoking in bed and fell asleep. They found him supine on the floor. Assessment reveals him to be responsive to painful stimuli with soot in
How long was he trapped in the room?
This is the third day that a patient is in withdrawal from alcohol. If called to care for this patient, the EMT would recognize the need for
seizure precautions
The family of a 31-year-old female reports that she has taken an overdose of her father's diabetes medication. Assessment reveals her to be supine on the floor and unresponsive with snoring respirations. Her pulse is rapid and her skin is cool to the touc
perform a jaw-thrust maneuver.
A patient who is agitated and hyperactive with dilated pupils and tachypnea has most likely ingested:
crack cocaine.
The grandfather of an alert and oriented 2-year-old girl found her on the floor playing with the pills from his open bottle of Digoxin (heart medication that slows the rate). He cannot remember how many pills were in the bottle, but he thinks that some ar
The Digoxin has yet to absorb into the body
A 16-year-old male has been inhaling paint fumes to "feel good." His grandmother called 911 when she found him doing this in the basement and he told her he was having a hard time breathing. He is alert and oriented, with a patent airway and adequate brea
high flow oxygen through a nonrebreather mask
Which of the following complaints would the EMT expect from a person who has just used crack cocaine?
I have chest pain.
Which of the following actions indicate that the EMT is correctly administering activated charcoal to a patient who has ingested a toxic substance?
The patient drinks it through a straw
A 44-year-old patient was found unresponsive at home. Based on his clinical presentation and fact that he was burning a kerosene heater in an enclosed room, you determine that he is suffering from carbon monoxide poisoning. Based on this information, whic
Inhalation
You have been called to a dilapidated residence for a 26-year-old female complaining of generalized weakness. After applying gloves, you enter the home and find the patient on a couch in minimal distress. Your assessment reveals no life threats, but you d
continue care with gloves.
Which of the following statements made by an EMT regarding antidotes indicates proper understanding?
An antidote will neutralize or counteract the effects of a poison or toxic substance.
You have assessed a 25-year-old female who states that she has taken a large amount of anti-depressants and other medications in an effort to end her life. The primary assessment reveals no life-threatening conditions. Why is it important to get the histo
The patient may become confused and be unable to provide information.
The Poison Control Center has advised that you administer milk to a patient who has overdosed on a medication. Given this information you would:
contact medical command
Which of the following is characteristic of carbon monoxide?
It is an odorless gas that can kill a person by causing severe hypoxia.
Medical command has ordered you to administer activated charcoal to a patient who ingested a large amount of poison. When looking in your medical kit, which of the following medications would you prepare and administer?
Actidose
You have been called for an unresponsive patient. On scene, hysterical family members direct you to an unresponsive 32-year-old woman who is lying on the bedroom floor. Her husband says that she left a note saying that she wanted to kill herself and took
open the airway and suction
You are called to an alcoholic crisis center to transport a patient experiencing delirium tremens. When assessing the patient, which signs or symptoms would the EMT associate with this condition?
Loss of memory, hallucinations, fever, dilated pupils
Which of the following instructions given to another EMT would be most appropriate when managing a patient who ingested numerous household cleaners in an attempt to kill himself?
Let's gather up all of the containers of the chemicals he may have taken and take them with us.
You have been called for a 41-year-old female who is confused. Her husband states that she is an alcoholic who has been in and out of rehab for the past five years. Assessment reveals her airway to be open and breathing adequate. Her pulse is regular and
Complaint of nausea with a temperature of 101.6�F
A teenage male patient was stung by an unidentified insect. On scene, the sting site to his right forearm showed some redness and mild swelling. During the reassessment, which statement made by the patient would indicate that venom from the sting is absor
I feel sick to my stomach and dizzy.
The EMT is transporting a patient with the diagnosis of Wernicke-Korsakoff syndrome. As such, the EMT would recognize that the patient has a past medical history of:
alcoholism
You are suspicious of food poisoning in a 51-year-old male with nausea, vomiting, diarrhea, and an elevated temperature. He is alert and oriented with no life threats to his airway, breathing, or circulation. His vital signs are: pulse 124, respirations 2
Oxygen at 2 lpm through a nasal cannula
You have been called to an alcoholic rehabilitation center. On scene, one of the counselors tells you that the patient is a 44-year-old woman who just came to the center this morning. He continues on by stating that she has not had any alcohol for 24 hour
physically dependent on alcohol.
You have been called for a 13-year-old boy who was caught sniffing glue by his parents. The boy is lethargic and confused and complaining of burning to the mouth and nose as well as nausea and vomiting. Based on the clinical presentation and mechanism of
Crossing from the lungs into the blood stream and then circulating to the brain
When performing a "talk down," which of the following statements would appropriately be included?
You are seeing rats because of the drug; this will not last forever.
A 42-year old patient weighs 154 pounds (70 kg). How much activated charcoal would you administer to him?
70 grams
You have been called for a "drunk" male patient at a halfway house known to provide living quarters to those with drug and alcohol problems. Residents tell you that the patient is a heavy drinker and must have had too much last night. This morning he was
Glucometer on the table
For which of the following patients would activated charcoal be indicated?
27-year-old who intentionally took a large amount of Tylenol 45 minutes ago
You are by the side of a young female college student who is unresponsive. Friends say that she is not a heavy drinker, but tonight she drank an excessive amount of alcohol. She responds to painful stimuli and has snoring respirations. Her respiratory rat
perform the head tilt-chin lift maneuver.
You have been called to a party by friends of a 14-year-old female with a decreased level of consciousness. On scene, the partygoers state that they were "huffing" when she suddenly complained of a headache and then passed out. In reference to the term "h
inhaling fumes or vapors
Which of the following statements made by an EMT indicates a safe and accurate understanding of inhalation poisonings?
The onset of signs and symptoms associated with an inhalation poisoning are typically rapid.
The most common route by which a poison enters the body is:
ingestion
The EMT would recognize which of the following as true regarding poisoning?
A poison is any substance that impairs a person's health by its chemical action
A 19-year-old diabetic female is unresponsive after drinking a large amount of alcohol and trying some "pills" that her friend provided. Her airway is patent, respirations adequate, and radial pulse intact. Emergency Medical Responders are maintaining her
apply oxygen by non-rebreather mask
After determining that a patient intentionally took an overdose of blood pressure medications, which of the following questions by the EMT would be most appropriate?
How many did you take?
You have been called to a home for a patient with behavioral problems who states that he drank some "chemicals." The patient is alert and oriented and shows no life-threatening conditions to the airway, breathing, or circulation. At this point, which of t
What exactly did you drink?
A 44-year-old male who works at a petroleum refining plant inhaled a significant amount of hydrocarbon fumes and now is complaining of a headache with associated dizziness and nausea, as well as mild shortness of breath. He is alert and oriented and there
Continuous SpO2 monitoring
Following a large wedding, health authorities announce that some of the food was contaminated with salmonella. Consequently, your EMS service receives notice that there may be a significant number of calls involving food poisoning. A new EMT asks you how
You should treat the patient based on his or her signs and symptoms, just like any other ingested poison.
Family members have called EMS after finding their brother in a highly agitated state. When assessing this patient, which of the following findings would raise your suspicion that the patient took a stimulant?
Blood pressure of 196/104
A worker at a chemical plant was working on a high-pressure tank containing chlorine gas when the valve broke, filling the room with chlorine gas and throwing the patient forcefully against the wall. He was unresponsive and trapped in the room for 10 minu
take in-line manual spinal stabilization
A confused and lethargic patient reports that she took a large number of anti-anxiety pills because she was angry with her husband. Her airway is patent and her breathing is adequate. Her pulse is normal and her skin is warm and dry. During your reassessm
place her in a lateral recumbent position
You are caring for a patient who intentionally drank a compound with a high percentage of methanol. He is confused and lethargic, but has no obvious deficits to his airway, breathing, or circulation. En-route to the hospital, he states that he is very nau
turn him on his side
A 31-year-old female was stung by a hornet while golfing. Your assessment reveals her to be confused with stridorous respirations. Her skin is warm and flushed and covered with hives. A stinger is located on the back of her neck. Based on this information
injection
When assessing a patient who has been exposed to a poisonous substance, the EMT must remember that:
the signs and symptoms will vary depending on the specific poison.
A 49-year-old alcoholic patient has fallen down a flight of stairs after consuming two-fifths of cheap whiskey. He presents with confused and slurred speech and the smell of alcohol on his breath. Family states that he is "hopeless" and has been drinking
bruise to the head.
Medical direction has ordered the administration of activated charcoal to a 3-year-old boy. What dose would be most appropriate?
1 gram/kilogram
You are transporting a patient who wants help to rid herself of an addiction to pain medications. She says she has not taken any pain medications since yesterday, and needs help. Which of the following would you recognize as a sign of withdrawal?
she starts to become agitated.
You have been called to a residence for a 31-year-old patient complaining of confusion, nausea, vomiting, and a headache. He states that this started this morning and has been getting worse all day. Despite lying in bed and resting all day, he is more fat
I just turned the furnace on last night.
Medical direction has ordered the administration of activated charcoal to an adult patient who has overdosed on several unspecified medications. Prior to administering the medication, the EMT must:
shake the medication thoroughly to mix it.
When treating a patient for an overdose, the highest priority of care is placed on:
managing the airway and breathing
A 44-year-old male was using an industrial drain cleaning solvent to clean the drains in his house. The solvent ate through the pipes on the second floor, spilling into the walls and filling the house with fumes. He was in the house for several minutes pr
Administer oxygen through a nonrebreather mask.
You have been summoned to a residence for a child who ingested a liquid pesticide. On scene, worried parents inform you that their 4-year-old son and some friends were playing in the garage and apparently found some pesticide, which their son says he tast
I need to see the other children.
A confused female patient states that she was intoxicated and was given a glass of household bleach to drink, which she did. When transporting this patient, which of the following complications would you continually assess for?
vomiting
A patient working at an ice plant was trapped in a room filled with sulfur dioxide. On arrival, you donned a self-contained breathing apparatus and entered the room, finding the patient unresponsive on the floor. The room remains filled with the gas. Your
remove him from the immediate environment.
following a large wedding, health authorities announce that some of the food was contaminated with salmonella. consequently, your EMS service receives notice that there may be a significant number of calls involving food poisoning. A new EMT asks you how
you should treat the patient based on his or her signs and symptoms, just like any other ingested poison.
a 53-year-old female has intentionally taken a large amount of Valium. the EMT would recognize the medication is being absorbed into the body through what structure?
small intestine
a 16-year-old male has been inhaling paint fumes to "feel good." his grandmother called 911 when she found him doing this in the basement and he told her he was having a hard time breathing. he is alert and oriented, with a patent airway and adequate brea
...
For which of the following patients is a "talk down" indicated?
26-year-old who took LSD and is panicked because spiders are after him