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EMT Respiratory Emergencies Quiz

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gelliebeen's version from 2012-04-09 03:48

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Question Answer
You are assisting an asthma patient with his prescribed inhaler. After the patient takes a deep breath and depresses the hand-held inhaler, you shouldinstruct him to hold his breath for as long as he comfortably can
A 59-year-old male with a history of emphysema complains of an acute worsening of his dyspnea and pleuritic chest pain following a forceful cough. Your assessment reveals that he has a barrel-shaped chest, unilaterally diminished breath sounds, and tachycardia. What is the MOST likely cause of this patient's condition?Spontaneous pneumothorax
At the onset of an acute asthma attack, patients commonly experience difficulty breathing andexpiratory wheezing
Which of the following conditions would MOST likely prevent effective exchange of oxygen and carbon dioxide in the lungs? a) Dilation of the bronchioles b) 22 respirations/min and deep respirations c) Rigid upper airway walls d) Pulmonary arterial occlusiond) Pulmonary arterial occlusion
A 22-year-old female patient is complaining of dyspnea, numbness, and tingling in her hands and feet after an argument with her fiancé. Her respirations are 40 breaths/min. You should?provide reassurance and give oxygen as needed
When auscultating the lungs of a patient with respiratory distress, you hear adventitious sounds. This means that the patient hasabnormal breath sounds
You receive a call for a 70-year-old female with respiratory distress. Her husband tells you that she has congestive heart failure; however, he does not think that she has been taking her medications as prescribed. The patient is laboring to breathe, appears tired, and has cyanosis around her lips. You shouldbegin assisting her ventilations with a BVM.
You are dispatched to an apartment complex where a 21-year-old female has apparently overdosed on several narcotic medications. She is semiconscious and has slow, shallow respirations. You shouldinsert a nasopharyngeal airway and begin assisted ventilation.
Which of the following conditions would be the LEAST likely to result in hypoxia? a) Pulmonary edema b) Lower airway infection c) Pleural effusion d) Abdominal paind) Abdominal pain
A 60-year-old male presents with acute respiratory distress. He is conscious and alert, has pink and dry skin, and respirations of 24 breaths/min with adequate depth. Which of the following treatment modalities is MOST appropriate for this patient? a) Oxygen via a nasal cannula, vital signs, and prompt transport to the hospital b) Oxygen via a nonrebreathing mask and a focused history and physical exam c) Assisted ventilation with a BVM device and a rapid medical assessment d) Positive-pressure ventilations and immediate transport to the closest hospitalb) Oxygen via a nonrebreathing mask and a focused history and physical exam
Which of the following is LEAST characteristic of inadequate breathing? (needs options)Pink, warm and dry skin
An alert patient presents with a regular pattern of inhalation and exhalation and breath sounds that are bilaterally clear and equal. These findings are MOST consistent withadequate air exchange
Albuterol is a generic name for (needs options)proventil
You are dispatched to a residence for a 67-year-old female that was awakened by shortness of breath and sharp chest pain. Her husband tells you that she was recently discharged from the hospital after having hip surgery. Your assessment reveals dried blood around her mouth, facial cyanosis, and an oxygen saturation of 88%. This patient's presentation is MOST consistent withacute pulmonary embolism
A conscious and alert 29-year-old female with a history of asthma complains of difficulty breathing that began her morning jog. The temperature outside is 40°F. On exam, you hear bilateral expiratory wheezing. After providing 100% oxygen, you shoulddetermine if she has been prescribed a beta-agonist inhaler
The two processes that occur during respiration areinspiration and expiration
The respiratory distress that accompanies emphysema is caused bychronic stretching of the alveolar walls.
Which of the following statements regarding the hypoxic drive is MOST correct?The hypoxic drive stimulates a person to breathe on the basis of low oxygen levels
Which of the following statements regarding anaphylaxis is MOST correct? a) The signs of anaphylaxis are caused by widespread vasoconstriction b) Anaphylaxis is characterized by airway swelling and hypotension c) Most anaphylactic reactions occur within 60 minutes after exposure d) Patients with asthma are at lower risk of developing anaphylaxisb) Anaphylaxis is characterized by airway swelling and hypotension.
Weakening of the airway in patients with chronic bronchitis is the result ofdestruction of protective mechanisms that remove foreign particles.
Which of the following statements regarding Severe Acute Respiratory Syndrome (SARS) is correct? a) SARS is a viral infection that often begins with flu-like symptoms b) SARS is most commonly transmitted by direct contact with blood c) The onset of SARS is typically marked by acute, severe pneumonia d) Multiple bacteria have been identified as being the cause of SARSa) SARS is a viral infection that often begins with flu-like symptoms.
Common signs and symptoms of acute hyperventilation syndrome includetachypnea and tingling in the extremities
A 30-year-old male presents with acute shortness of breath, widespread hives, and facial swelling. He denies any past medical history and takes no medications. During your assessment, you hear wheezing over all lung fields. His blood pressure is 90/50 mm Hg and his heart rate is 110 beats/min. In addition to giving him 100% oxygen, the MOST important treatment for this patient isepinephrine
Dyspnea is MOST accurately defined asshortness of breath or difficulty breathing
Harsh, high-pitched inspiratory sounds are MOST characteristic ofstridor
In a healthy individual, the brain stem stimulates breathing on the basis ofincreased carbon dioxide levels
Which of the following is MOST characteristic of adequate breathing? a) 22 breaths/min with an irregular pattern of breathing and cyanosis b) 24 breaths/min with bilaterally equal breath sounds and pink skin c) 20 breaths/min with shallow movement of the chest wall and pallor d) 30 breaths/min with supraclavicular retractions and clammy skinb) 24 breaths/min with bilaterally equal breath sounds and pink skin
Hyperventilation could be associated with all of the following, EXCEPT (needs options)a narcotic overdose
Your patient is a 55-year-old female with a history of emphysema and congestive heart failure. As you assess her, you notice that she is cyanotic and has severely labored respirations. In between her broken sentences, she states that she has a prescribed inhaler. You shouldbegin ventilatory assistance and contact medical control
Asthma is caused by a response of theimmune system
When the level of arterial carbon dioxide increasesrespirations increase in rate and depth
In what area of the lungs does respiration occur?Alveoli
A pleural effusion is MOST accurately defined asfluid accumulation outside the lung.
In order for efficient pulmonary gas exchange to occur:oxygen and carbon dioxide must be able to freely diffuse across the alveolar-capillary membrane.
Acute pulmonary edema would MOST likely develop as the result of:toxic chemical inhalation.
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