Final Review Round 5 and final round OB THE LITTLE ONES THE OLD ONES ICS/Hasmat SPECIAL PATIENTS AND TRANSPORT EXTRICATION AND RESUCE 200 200 200 200 200 200 400 400 400 400 400 400 600 600 600 600 600 600 800 800 800 800 800 800 1000 1000 1000 1000 1000 1000 The vagina and the neck of the uterus comprise the: A. womb. B. cervix. C. fundus. D. birth canal. WHAT IS: D. birth canal. Which of the following is a normal physiologic change that occurs in the mother’s respiratory system during pregnancy? A. decreased respiratory rate and increased minute volume B. increased respiratory rate and decreased respiratory reserve C. increased respiratory reserve and decreased oxygen demand D. increased respiratory depth and decreased respiratory rate WHAT IS: B. increased respiratory rate and decreased respiratory reserve The onset of labor begins with: A. thinning of the uterus. B. full dilation of the cervix. C. increased fetal movement. D. contractions of the uterus. WHAT IS: D. contractions of the uterus. The third stage of labor begins when the: A. placenta is fully delivered. B. cervix is completely dilated. C. umbilical cord has been clamped. D. baby is expelled from the vagina. WHAT IS: D. baby is expelled from the vagina. Eclampsia is MOST accurately defined as: A. high levels of protein in the patient’s urine. B. hypertension in the 20th week of pregnancy. C. seizures that result from severe hypertension. D. a blood pressure greater than 140/90 mm Hg. WHAT IS: C. seizures that result from severe hypertension. The first month of life after birth is referred to as the: A. neonatal period. B. toddler period. C. start of infancy. D. premature phase. WHAT IS: A. neonatal period. Which of the following statements regarding a pediatric patient’s anatomy is correct? A. The tracheal rings of a child are more rigid than an adult’s. B. A child’s tongue is proportionately smaller than an adult’s. C. Children have a larger, rounder occiput compared to adults. D. The child’s epiglottis is less floppy and smaller than an adult’s. WHAT IS: C. Children have a larger, rounder occiput compared to adults. The suture of the anterior fontanelle is typically closed by _____ months of age, and the suture of the posterior fontanelle is typically closed by _____ months of age. A. 2, 4 B. 6, 12 C. 12, 4 D. 18, 6 WHAT IS: D. 18, 6 The components of the PAT are: A. appearance, work of breathing, and skin circulation. B. mental status, heart rate, and systolic blood pressure. C. skin condition, respiratory rate, and level of alertness. D. activity, respiratory quality, and level of consciousness. WHAT IS: A. appearance, work of breathing, and skin circulation. Which of the following is the LEAST reliable assessment parameter to evaluate when determining the presence of shock in infants and children? A. heart rate B. blood pressure C. skin condition D. capillary refill WHAT IS: B. blood pressure Because of the complexity of the older patient and the vagueness of his or her complaint, you should: A. limit your physical examination to the area of pain or injury. B. rely exclusively on family members for the medical history. C. attempt to differentiate between chronic and acute problems. D. perform a rapid assessment on all geriatric patients you treat. WHAT IS C. attempt to differentiate between chronic and acute problems. Upon entering the residence of a geriatric patient with a medical or trauma complaint, the EMT should: A. immediately seek out a family member or other caregiver. B. observe for conditions that may make the residence unsafe. C. begin his or her assessment after gathering any medication bottles. D. talk to the patient after performing his or her primary assessment. WHAT IS: B. observe for conditions that may make the residence unsafe. During the natural process of aging, the number of functional cilia in the respiratory system decreases, resulting in: A. a decreased ability to cough. B. baseline respiratory distress. C. an increased risk of COPD. D. air-trapping within the alveoli. WHAT IS: A. a decreased ability to cough. The EMT should suspect left-sided heart failure in the geriatric patient who presents with: A. fever and a cough that produces green sputum. B. tachypnea and paroxysmal nocturnal dyspnea. C. jugular venous distention and peripheral edema. D. swelling of the lower extremities and weakness. WHAT IS: B. tachypnea and paroxysmal nocturnal dyspnea. Clouding of the lenses of the eyes is called: A. retinitis. B. cataracts. C. glaucoma. D. conjunctivitis. WHAT IS: B. cataracts. Autism is MOST accurately defined as a: A. psychiatric condition related to an imbalance of serotonin in the brain. B. mental disability caused by insufficient cognitive development of the brain. C. congenital condition caused by factors such as malnutrition or birth complications. D. pervasive developmental disorder characterized by impairment of social interaction. WHAT IS: D. pervasive developmental disorder characterized by impairment of social interaction. Down syndrome is a genetic defect that occurs as the result of: A. an extra pair of chromosomes. B. a separation of chromosome 21. C. a triplication of chromosome 21. D. a sperm that contains 24 chromosomes. WHAT IS: C. a triplication of chromosome 21. A significant number of patients with cerebral palsy also have: A. paralysis. B. brain tumors. C. type 2 diabetes. D. a seizure disorder. WHAT IS: D. a seizure disorder. A portable oxygen cylinder should have a capacity of a minimum of ____ of oxygen. A. 250 L B. 500 L C. 750 L D. 1,000 L WHAT IS B. 500 L When parking your ambulance at the scene of a motor vehicle crash, you should position the ambulance: A. 50′ past the scene on the opposite side of the road. B. 100′ past the scene on the same side of the road. C. 50′ before the scene on the same side of the road. D. alongside the scene to rapidly access the patient(s). WHAT IS: B. 100′ past the scene on the same side of the road. Extrication is MOST accurately defined as: A. using heavy equipment to access a patient. B. dismantling an automobile to remove a victim. C. removal from a dangerous situation or position. D. immobilizing a patient before moving him or her. WHAT IS C. removal from a dangerous situation or position. _____________ is defined as the ability to reach the patient. A. Access B. Rescue C. Extrication D. Disentanglement WHAT IS: A. Access A unique consideration when dealing with a hybrid vehicle is that: A. you must locate the ignition switch and cut it to prevent a fire. B. cutting the battery cables often results in an explosion or fire. C. rescue teams should disconnect the positive battery cable first. D. the battery has higher amperes than a traditional vehicle battery. WHAT IS D. the battery has higher amperes than a traditional vehicle battery. Disentanglement involves: A. removing a patient from a dangerous position. B. the use of simple access tools such as a pry bar. C. extrication techniques that EMTs are trained in. D. gaining access to a patient in a crashed vehicle. WHAT IS: A. removing a patient from a dangerous position. Trench collapses usually involve large areas of falling dirt that weigh approximately _______ per cubic foot. A. 50 lb B. 100 lb C. 150 lb D. 200 lb WHAT IS: B. 100 lb The function of the National Incident Management System (NIMS) is to: A. prepare for, prevent, respond to, and recover from domestic incidents. B. facilitate a standard method of incident command for natural disasters. C. prepare for the potential of a nuclear attack against the United States. D. educate city and county governments regarding foreign terrorist attacks. WHAT IS: A. prepare for, prevent, respond to, and recover from domestic incidents. Command functions under the ICS include all of the following, EXCEPT: A. triage officer. B. safety officer. C. liaison officer. D. public information officer WHAT IS: A. triage officer. At a very large incident, the __________ section is responsible for managing the tactical operations usually handled by the IC on routine EMS calls. A. logistics B. operations C. planning D. finance WHAT IS B. operations A weapon of mass destruction (WMD) is MOST accurately defined as: A. a device or agent used to destroy a specific area or region within a given geographic location. B. any agent used to bring about mass death, casualties, or massive infrastructural damage. C. a nuclear or chemical weapon that can be launched from one country to another country. D. any device used for the express purpose of creating carnage in an effort to make a particular point. WHAT IS: B. any agent used to bring about mass death, casualties, or massive infrastructural damage. According to the Department of Homeland Security Security Advisory System, the color orange indicates a _______ risk of terrorist attacks. A. low B. high C. severe D. general WHAT IS B. high FINAL JEOPARDY Which of the following statements regarding plasma is correct? A. Plasma transports the blood cells and nutrients. B. Approximately 45% of the blood is composed of plasma. C. Plasma has no role in the body’s blood-clotting mechanism. D. Most of the body’s plasma is contained within the large veins. FINAL JEOPARDY WHAT IS A. Plasma transports the blood cells and nutrients.
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