Deck 36: Emergency Preparedness and Assisting With Medical Emergencies

Question 1

A blind oral finger sweep should be performed to remove a foreign airway obstruction in a choking victim of any age.

Answer 1

False

Question 2

A patient undergoing anticoagulant therapy should be seen immediately for any bleeding wound.

Answer 2

True

Question 3

Applying a match or nail polish to the site of a tick bite is an effective method of preventing Lyme disease.

Answer 3

False

Question 4

A patient with burns must receive a tetanus shot if more than 6 years have passed since the last immunization.

Question 5

To dislodge a foreign object from an infant's airway, chest thrusts are applied in the same position as those used for infant CPR.

Question 6

A patient with a CVA caused by a blood clot may be given thrombolytic drugs to treat the condition.

Question 7

The physician must write a prescription for home oxygen use.

Question 8

Excessive loss of blood causes cardiogenic shock.

Question 9

If a patient calls the physician's office with a life-threatening emergency, you should place the person on hold while you activate EMS.

Question 10

Mild frostbite may be treated by rubbing the affected extremity gently.

Question 11

If a patient reports an animal bite without a break in the skin, the patient can be instructed to wash the area well and observe for signs of infection.

Question 12

A patient with abdominal pain accompanied by tarry stools should be seen immediately.

Question 13

An emergency phone call from a patient that does not result in a visit to the physician's office need not be documented in the patient's medical record.

Question 14

A patient with diabetes may go into shock with an overdose of insulin.

Question 15

Symptoms of a heart attack in female patients include dizziness and syncopal episodes.

Question 16

To clear an obstructed airway in a conscious adult victim, the medical assistant should administer a series of five abdominal thrusts.

Question 17

If a patient is bleeding profusely from a laceration on the arm, direct pressure should be applied to the radial artery.

Question 18

Asystole is the recording of an irregular heart beat.

Question 19

If a patient calls for an appointment after a head injury and reports clear drainage from the nose, the patient should be seen by the physician first thing the next morning.

Question 20

Septic shock may be seen with severe congestive heart failure.

Question 21

A patient having an acute asthma attack will report dyspnea.

Question 22

A patient faints in the reception room and falls to the floor.The medical assistant should:

A)place a pillow under the patient's head and shoulders, keeping the feet and legs flat
B)place a pillow under the patient's head and shoulders
C)roll the patient onto his or her right side
D)check for a pulse
E)keep the patient's head and shoulders flat and raise the legs

Question 23

A patient with cyanosis of the distal fingers has a bluish discoloration of the nail beds.

Question 24

The first step in rendering first aid to a patient who appears to have stopped breathing is to:

A)check for a pulse
B)check for a medical alert bracelet
C)begin chest compressions
D)get the crash cart
E)administer 2 rescue breaths

Question 25

A patient who reports polydipsia has a problem with kidney function.

Question 26

An idiopathic condition is one that is highly infectious and caused by bacteria.

Question 27

Before CPR is initiated on an infant, the presence of circulation usually is determined by palpating which pulse?

A)Brachial
B)Carotid
C)Femoral
D)Popliteal
E)Radial

Question 28

Which of the following should be done immediately when administering first aid to a patient with a partial-thickness chemical burn?

A)Apply a burn ointment.
B)Break the blisters.
C)Cover the burn with dry gauze.
D)Flood the affected area with water.
E)Give pain medication.

Question 29

A patient with ecchymosis shows evidence of bruising and discoloration of the skin.

Question 30

____________ is used to control hemorrhage and shock.

A)Lanoxin
B)Epinephrine
C)Lidocaine
D)Syrup of ipecac
E)Valium

Question 31

What would the physician order if a patient is in insulin shock?

A)Insulin
B)Furosemide (Lasix)
C)Glucose
D)Normal saline
E)Lactated Ringer's solution

Question 32

A patient diagnosed with photophobia will complain of extreme pain and vertigo.

Question 33

On discovering an unresponsive person, the medical assistant first should assess the:

A)airway
B)blood pressure
C)heart sounds
D)pulse
E)skin color

Question 34

____________ is used for congestive heart failure.

A)Lanoxin
B)Epinephrine
C)Lidocaine
D)Syrup of ipecac
E)Valium

Question 35

If the facility must be evacuated, all staff members and patients should leave immediately without worrying about combustible supplies such as oxygen.

Question 36

If you smell smoke, immediately evacuate patients with special needs using the closest elevator.

Question 37

An ABC fire extinguisher is effective against electrical fires.

Question 38

Before CPR is initiated on an adult, the presence of circulation usually is determined by palpating which pulse?

A)Brachial
B)Carotid
C)Femoral
D)Popliteal
E)Radial

Question 39

A patient is having a grand mal seizure.Which of the following is the most appropriate step for the medical assistant to take to protect the patient?

A)Administer small amounts of liquid.
B)Apply wrist restraints.
C)Hold the patient's head in an upright position.
D)Loosen clothing around the patient's neck.
E)Place a padded tongue blade in the patient's mouth.

Question 40

Which of the following emergency situations should be managed first?

A)Hemorrhage
B)Shock
C)Occluded airway
D)Severe chest pain
E)Fractured bone

Question 41

____________ is used as a topical anesthetic.

A)Lanoxin
B)Epinephrine
C)Lidocaine
D)Syrup of ipecac
E)Valium

Question 42

Syncope is the medical term for:

A)heart attack
B)stroke
C)seizure
D)fainting

Question 43

Systemic spread of a bacterial infection may result in which type of shock?

A)Septic
B)Hypovolemic
C)Neurogenic
D)Psychogenic

Question 44

The mother of a 10-year-old boy with diabetes type 1 calls, very concerned about her son.He has been sick for 2 days with a fever and loss of appetite, and he now is very lethargic, vomiting, and his breath smells fruity.What health emergency may be developing?

A)Insulin shock
B)Hyperglycemia
C)Diabetic coma
D)Septicemia

Question 45

A family that lives near a neighborhood lake calls to report that their child fell into the water and now has a temperature below 95° F.What type of problem is this?

A)Frostbite
B)Hyperthermia
C)Cold stroke
D)Hypothermia

Question 46

With the physician's approval, which agent can be used to induce vomiting?

A)Lanoxin
B)Epinephrine
C)Lidocaine
D)Syrup of ipecac
E)Valium

Question 47

Paco Garcia calls in a panic.One of his workers cut his arm on a saw, and the wound is bleeding profusely.Which artery should Cheryl tell him to squeeze to try to stop the bleeding until EMS arrives?

A)Radial
B)Subclavian
C)Brachial
D)Femoral

Question 48

A closed wound caused by blunt force trauma that results is swelling, ecchymosis, and pain is called a(n):

A)abrasion
B)avulsion
C)laceration
D)contusion

Question 49

The medical term for a heart attack is:

A)CAD
B)myocardial infarction
C)congestive heart failure
D)pulmonary edema

Question 50

A sprain is a(n):

A)fracture
B)ligament injury
C)injury that is not treated
D)muscle injury

Question 51

A patient with a deep, jagged wound that is bleeding profusely is diagnosed with a(n):

A)avulsion
B)laceration
C)traumatic injury
D)hematoma

Question 52

______________ is used to control seizures.

A)Lanoxin
B)Epinephrine
C)Lidocaine
D)Syrup of ipecac
E)Valium

Question 53

Eddie Thompson, age 16, is allergic to penicillin.If he is given an injection of penicillin G, which of the following shock emergencies might occur?

A)Neurogenic
B)Anaphylactic
C)Cardiogenic
D)Traumatic

Question 54

A strain is a(n):

A)fracture
B)ligament injury
C)injury that is not treated
D)muscle injury

Question 55

Helen Conrad, an 82-year-old patient, calls to report that she spilled cleaning fluid on herself and it burned her skin.What should Cheryl tell her to do immediately?

A)Call an ambulance.
B)Come to the office to be seen.
C)Wipe the chemical off her skin with a damp cloth.
D)Remove all her clothing and get into the shower for a few minutes.

Question 56

An AED is used for:

A)CVA
B)shock
C)seizures
D)an abnormal heart rhythm

Question 57

You receive an urgent call from a parent, who reports that his child cut her arm with a knife and "There is blood all over the place." What is the first step in controlling the hemorrhage?

A)Place a tourniquet above the wound.
B)Apply direct pressure to the wound.
C)Lower the arm below the level of the heart.
D)Apply ice.

Question 58

Epistaxis is:

A)redness
B)a ligament injury
C)a nose bleed
D)a bruise

Question 59

A CVA is a:

A)heart attack
B)stroke
C)seizure
D)defibrillator

Question 60

Signs and symptoms of shock include all of the following except:

A)cyanosis
B)hypertension
C)extreme thirst
D)rapid respirations

Question 61

Good Samaritan laws provide medical assistants with legal protection as long as they:

A)administer first aid at the site within their scope of competence
B)act competently at work when helping patients with emergency injuries
C)do whatever they can to help someone who is injured
D)do nothing for the victim until EMS arrives

Question 62

A temporary loss of neurologic function that is caused by a problem with blood flow to the brain tissues is called a:

A)CVA
B)stroke
C)TIA
D)carotid occlusion

Question 63

An adult who suffers sudden cardiac arrest has the best chance of survival if CPR:

A)is started immediately
B)is started immediately and an AED is used within 4 minutes
C)is started immediately, along with transport to an ED
D)and use of an AED occur within 10 minutes

Question 64

A 26-year-old patient is being seen today for abdominal pain.Cheryl is trying to make the patient more comfortable until the physician can see her.Which of the following should Cheryl not do?

A)Apply a heating pad to the abdomen.
B)Have the patient lie on her back with her knees flexed.
C)Monitor the patient for signs of shock.
D)Take the patient's pulse.

Question 65

What percentage of the body is burned in an adult victim with burns of both arms?

A)9%
B)12%
C)18%
D)6%

Question 66

If you suspect a head or neck injury, what maneuver should you use to open the patient's airway?

A)Use the jaw thrust.
B)Use the head tilt-chin lift.
C)Apply a ventilator mask.
D)Insert an airway.

Question 67

A very agitated Madeline Tamarelli calls to report that her 18-year-old son and his friends were playing with knives, and a knife was thrown into his leg.Cheryl should instruct Mrs.Tamarelli to do all of the following except:

A)remove the knife immediately to prevent further damage
B)stay on the line while Cheryl activates EMS
C)calm down so that she can apply first aid
D)roll clean material around the knife to stabilize it

Question 68

Part of the recommended treatment for mild frostbite of the fingers is:

A)rubbing the fingers to warm them
B)wrapping the hands in hot towels
C)immersing the fingers in warm water
D)washing the fingers well with soap and water

Question 69

Cheryl discovers a 40-year-old patient collapsed in the office hallway.What is the best location for checking the patient's pulse?

A)Radial artery
B)Carotid artery
C)Brachial artery
D)Femoral artery

Question 70

Which of the following is one of the primary differences between administering CPR to an adult and administering it to a child?

A)Administer 3 rescue breaths if there is no breathing.
B)Perform compression/breath ratios at 15:2.
C)Compress the sternum with the heel of one hand.
D)Check the pulse more frequently.

Question 71

When CPR is administered, the ratio of compressions to breaths is:

A)15 to 1
B)10 to 2
C)30 to 2
D)15 to 2

Question 72

For an adult victim, the person giving CPR should perform about ____ compressions per minute.

A)30
B)60
C)100
D)110

Question 73

Under what circumstances should EMS be activated if a father calls to report that his child has suffered a head injury?

A)If the child is unconscious
B)If the child is vomiting and disoriented
C)If clear fluid is draining from the right ear
D)All of the above

Question 74

The Heimlich maneuver should be performed in which of the following scenarios?

A)The victim is choking but can still cough.
B)The victim tells you that he or she is choking.
C)The victim cannot make any sound or has a high, shrill wheeze.
D)You find the victim unconscious.

Question 75

What are some of the signs and symptoms of heat stroke?

A)Red, hot, dry skin and a rapid pulse
B)White, waxy skin color with a slow pulse
C)Profuse diaphoresis
D)Complaints of pain throughout the extremities

Question 76

The wife of a patient with diabetes calls to report that her husband exercised strenuously this morning, and he now feels dizzy and is sweating profusely.What might be the problem?

A)Hyperglycemia
B)Hypoglycemia
C)Diabetic coma
D)Polydipsia

Question 77

A patient tells you she feels dizzy and lightheaded.What is the first thing you should do?

A)Have her lie down on the floor with her feet elevated.
B)Take her BP.
C)Obtain an ECG.
D)Have the patient sit down and then help her lower her head to her knees.

Question 78

The wife of an elderly patient reports that her husband may be suffering from heat stroke.What recommendations should Cheryl make?

A)Have him take a nap and call later if any other problems develop.
B)Apply cool, damp cloths to all exposed skin and then fan the moist skin.
C)Even though he has difficulty swallowing, have him drink as much cold fluid as possible.
D)Bring him into the office tomorrow to be checked out.

Question 79

The best way to treat a suspected diabetic emergency in a conscious patient is to:

A)give orange juice with sugar
B)administer glucose tabs
C)give an injection of insulin as soon as possible
D)loosen the clothing and elevate the legs

Question 80

A child who falls while skating, scraping the skin off her knee, may have which type of wound?

A)Avulsion
B)Contusion
C)Abrasion
D)Laceration