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Jeffrey Lindsey, Ph.D., PM, EFO, is a leading figure in emergency services with over 40 years of experience spanning all areas of EMS and fire rescue. A former firefighter, fire chief, and paramedic, Dr. Lindsey is currently Fire and Emergency Services Coordinator/Lecturer at the University of Florida in Gainesville.. A nationally recognized figure in the emergency services industry, he also has serves as the education coordinator for 24-7 EMS Videos.
Dr. Lindsey holds a doctorate and master’s degree in Curriculum and Instruction, a bachelor’s degree in Fire and Safety Engineering, and an associate’s degree in Paramedic. He also achieved the Chief Fire Officer designation and completed the Executive Fire Officer program at the National Fire Academy. He was the 2011 recipient of the James O. Page EMS award, which recognizes individuals who have had a positive national impact on fire-service EMS management and leadership.
Question
Q–1
You arrive to find a 48-year-old male complaining that his chest feels heavy. The patient is awake and talking to you. During your assessment you note that his skin is pale, cool, and clammy. Your first step is to
(A) apply your AED.
(B) administer supplemental oxygen.
(C) obtain a medical history.
(D) assist the patient in taking his neighbor's nitroglycerin.
Your Answer ______________________________________
Q–2
Which of the following is the correct flow of blood through the heart and lungs?
(A) inferior/superior vena cavae, lungs, right atrium, left atrium, right ventricle, left ventricle, aorta
(B) inferior/superior vena cavae, left atrium, left ventricle, lungs, right atrium, left ventricle, aorta
(C) inferior/superior vena cavae, lungs, aorta, left atrium, left ventricle, right atrium, left ventricle
(D) inferior/superior vena cavae, right atrium, right ventricle, lungs, left atrium, left ventricle, aorta
Your Answer ______________________________________
Answer
A–1
(B) Your first step is to administer supplemental oxygen. When treating chest pain it is important to get oxygen to the patient as soon as possible to help alleviate damage to the heart muscle.
A–2
(D) The blood returns from the body to the heart through the inferior/superior vena cavae, to the right atrium, to the right ventricle. It then goes through the pulmonary artery to the lungs and is oxygenated. From there it returns to the left atrium through the pulmonary vein. From the left atrium it goes to the left ventricle and back out to the body through the aorta.
Question
Q–3
The mitral or bicuspid valve
(A) prevents the blood from backflowing into the left atrium.
(B) prevents the blood from backflowing into the right atrium.
(C) prevents the blood from backflowing into the lungs.
(D) is located between the left atrium and the right ventricle.
Your Answer ______________________________________
Q–4
The electrical impulse generated in the right atrium is called the
(A) atrioventricular node.
(B) purkinje fibers.
(C) sinoatrial node.
(D) bundle of His.
Your Answer ______________________________________
Answer
A–3
(A) The mitral or bicuspid valve is located between the left atrium and the left ventricle. It prevents the blood from backflowing into the left atrium.
A–4
(C) The electrical impulse generated at the right atrium is the sinoatrial node (SA node). It travels through both atria, causing both to contract simultaneously, which propels the blood to the ventricles.
Question
Q–5
Which component of blood provides an immune system for the body, defending against infections?
(A) red blood cells
(B) white blood cells
(C) plasma
(D) platelets
Your Answer ______________________________________
Q–6
When differentiating between angina pectoris and a myocardial infarction, you know that
(A) there is no difference between the two.
(B) angina pectoris is caused by physical or emotional stress.
(C) rest will relieve symptoms of a myocardial infarction.
(D) the pain from angina pectoris is continual and will not go away.
Your Answer ______________________________________
Answer
A–5
(B) White blood cells provide part of the body's immune system, or defense against infections. Red blood cells give blood its color and transport the oxygen to the body's cells and carbon dioxide away from the body's cells. Plasma is the serum, or fluid, that carries blood cells and nutrients to the body's cells. Platelets are important in the formation of blood clots.
A–6
(B) Angina pectoris is usually caused by a physical or emotional state of stress. It usually only lasts from 3 to 8 minutes, but no longer than 10 minutes. It is usually relieved by rest, unlike a myocardial infarction.
Question
Q–7
You arrive on the scene to discover an unconscious patient. Upon completing your primary assessment, you find the patient to be pulseless and apneic. Your next step would be to
(A) begin CPR.
(B) give two ventilations.
(C) apply the AED.
(D) check the pulse for another 60 seconds.
Your Answer ______________________________________
Q–8
The AED is used to treat patients in
(A) asystole.
(B) ventricular tachycardia with a pulse.
(C) ventricular fibrillation.
(D) pulseless electrical activity.
Your Answer ______________________________________
Answer
A–7
(A) Begin CPR immediately. Then apply the AED. It is important to deliver a counter-shock with the AED if the patient is in v-fib or pulseless v-tach.
A–8
(C) The AED is designed to treat patients in v-fib or pulseless v-tach. The AED should only be connected to patients who are pulseless and apneic. The AED is designed to shock those electrical rhythms that are disorganized or very fast and do not have pulses associated with them.
Question
Q–9
Which of the following is the first line of defense in fighting against infectious disease?
(A) vaccinations
(B) handwashing
(C) using BSI
(D) using 10% bleach
Your Answer ______________________________________
Q–10
911
You arrive on the scene to discover a 65-year-old female lying on the floor of her living room. Your first step in the care of this patient is to
(A) begin chest compressions.
(B) apply the AED.
(C) maintain an open airway.
(D) assess level of consciousness.
Your Answer ______________________________________
Answer
A–9
(B) The most fundamental process and the first line of protection against infectious disease is handwashing. Vaccinations and BSI are important components of preventing infectious diseases, but handwashing is the most fundamental and is the first line of protection.
A–10
911
(D) The first step when arriving at the patient's side is to establish the patient's level of responsiveness.
Question
Q–11
You are on the scene with a patient dying from a terminal illness. The spouse of the patient begins to verbally attack you. Which emotional stage is this individual exhibiting?
(A) denial
(B) anger
(C) bargaining
(D) depression
Your Answer ______________________________________
Q–12
You arrive on the scene to find a patient who had a productive cough for the past two weeks. The patient is complaining of a fever and night sweats. Your next step would be to
(A) obtain a better medical history.
(B) obtain vital signs.
(C) immediately transport the patient to the hospital.
(D) put your HEPA mask on.
Your Answer...
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