Question 1

The term elderly applies to a person beginning at age:

Accepted Answer

The term elderly typically applies to individuals who are 65 years of age and older.

Question 2

Elderly people who live alone are more likely to be:

Accepted Answer

According to multiple studies and surveys, elderly people who live alone are more likely to be female and over the age of 85. Women, on average, tend to live longer than men and also make up a larger percentage of the elderly population. Additionally, as people age, they are more likely to experience health issues and require assistance with daily tasks, making it more difficult to live alone. Therefore, elderly women over the age of 85 are at a higher risk of living alone.

Question 3

Which of the following is NOT a factor in altered pharmacokinetics in the elderly?

Accepted Answer

Increased total body water is not a factor in altered pharmacokinetics in the elderly. The other options, including decreased hepatic function, slowed drug absorption, and decreased renal function, are all commonly observed changes in pharmacokinetics in older adults.

Question 4

Which of the following is an appropriate question to ask of an elderly patient who lives alone?

Accepted Answer

This question shows concern for the patient's well-being while also acknowledging their independence. It also offers a practical solution if they were to have any trouble with medications. The other options are either judgmental or not helpful.

Question 5

While you are off-duty, a friend, who knows you are a paramedic, expresses concern about her elderly parents. She knows that their health needs are changing, but does not know what to do to help. Which of the following would NOT be an appropriate resource for her to use?

Accepted Answer

OSHA (Occupational Safety and Health Administration) is not a resource for information on elderly health care needs. It is a federal agency that ensures safe and healthy working conditions for employees. The other options, AARP (American Association of Retired Persons), Department of Health and Human Services, and the local community senior center, all provide resources and information on elderly health care needs.

Question 6

A nine-year-old weighing 28 kg is in supraventricular tachycardia. Which of the following is the appropriate dose of adenosine for this patient?

Accepted Answer

The answer of A nine-year-old weighing 28 kg is in...

Question 7

A woman has called 911 after not being able to wake her eight-year-old son. Upon arrival, the mother tells you that her son is a diabetic, and that his diabetic alert dog awoke her in the night indicating the child's blood sugar was low. You perform a blood glucose check and find that your glucometer reads 28 mg/dL. You should:

Accepted Answer

The answer of A woman has called 911 after not...

Question 8

Your 78-year-old patient gives a history of congestive heart failure, renal insufficiency, and type 2 diabetes. Together, these conditions are called:

Accepted Answer

Comorbid conditions refer to the presence of multiple chronic conditions in an individual. In this case, the patient has congestive heart failure, renal insufficiency, and type 2 diabetes, thus satisfying the criteria for comorbid conditions. Confounding conditions refer to factors that may affect the study outcome or assessment of the patient's status, functional impairments refer to limitations in performing activities of daily living, and polypathophysiology is not a recognized term in healthcare.

Question 9

Which of the following statements regarding EMS consideration of psychosocial issues in elderly patients is TRUE?

Accepted Answer

Successful medical treatment of elderly patients involves an understanding of the broader social situation in which they live. While loneliness and isolation, financial limitations, and inadequate care in nursing facilities may be concerns for some elderly patients, they are not universally true and should not be assumed. However, considering the psychosocial aspects of an elderly patient's life is important for overall healthcare management.

Question 10

You are delayed getting to a residence where a 16-month-old boy is actively seizing. The mother reports that he has had a fever for the past two days. A firefighter on scene informs you that the child has been seizing since their arrival approximately 15 minutes ago. You should:

Accepted Answer

The child's active seizure and history of fever suggest that he may be experiencing febrile seizures. The treatment for febrile seizures is to administer a benzodiazepine such as midazolam to stop the seizure. Oxygen should also be administered and transport should be initiated quickly for further evaluation and management of the underlying fever. Fluids may be necessary but not the primary intervention at this time. Active cooling or warming of the child is not indicated in this scenario.

Question 11

The study of the effects of aging and age-related diseases in human beings is called:

Accepted Answer

The answer of The study of the effects of aging...

Question 12

You have been called for a 1-week-old infant who is sick. Assessment reveals him to have a fever and rhonchi in the left lower lobe. Which of the following assessment findings would be most concerning to you, given the age of this patient?

Accepted Answer

The answer of You have been called for a 1-week-old...

Question 13

An 84-year-old man complains of generalized weakness and an ache in his left shoulder. He also reports mild shortness of breath and has clear lung sounds and an SpO₂ of 96%. When asked, he claims that the discomfort started after getting out of bed two hours ago. He denies any known injury to his shoulder or back. He has a history of coronary artery disease, hypertension, TIA, and dementia. Your differential diagnosis for this patient should include:

Accepted Answer

The answer of An 84-year-old man complains of generalized weakness...

Question 14

Which of these is not a typical condition to evaluate in assessment of the child's circulation?

Accepted Answer

The answer of Which of these is not a typical...

Question 15

Which of these is not a component of the airway examination in the primary assssment?

Accepted Answer

The primary assessment airway examination focuses on whether the airway is open and can be maintained through various interventions. Assessing whether the airway is a likely cause of cardiac arrest is a secondary assessment and not part of the primary assessment airway examination.

Question 16

A 16-year-old girl has been complaining of abdominal pain, nausea, polyuria, and polydipsia for the past 4 days. She has no significant medical history. You suspect she may be suffering from:

Accepted Answer

The constellation of symptoms described suggests diabetic ketoacidosis, which is a medical emergency seen in patients with uncontrolled diabetes. The symptoms mentioned - abdominal pain, nausea, polyuria, and polydipsia - are common in this condition. Ovarian cysts and ectopic pregnancy could cause abdominal pain, but they are less likely to cause the other symptoms mentioned. Meningitis typically presents with fever, headache, and neck stiffness, which are not mentioned in this case.

Question 17

A 97-year-old man became dizzy and fell onto the floor. You find him sitting on the floor with his wife next to him. His wife states that he did not lose consciousness and that this has happened several times over the past two days. Currently, the patient is alert and oriented and complaining of dizziness and a headache. He has a history of coronary artery disease, emphysema, and hypertension, and states that he saw his doctor two days ago. Which one of the following questions would be most helpful in identifying the cause of this patient's signs and symptoms?

Accepted Answer

Asking about new medications is important as the patient's symptoms could be a side effect of a new medication or an interaction between medications. The other options, while potentially useful, are less specific to the patient's current situation.

Question 18

Your 15-year-old male patient was kicked in the scrotum while playing with some friends. He is complaining of excruciating pain in his testicles. Which of the following guidelines applies to the examination of this patient?

Accepted Answer

In this situation, it is important to respect the patient's privacy and comfort. It is appropriate to have a paramedic of the same sex as the patient perform the exam to ensure the patient's comfort and dignity. However, if there is not a paramedic of the same sex available, it is still necessary to perform the exam promptly to assess for testicular torsion or other serious injuries.

Question 19

You have been asked to deliver a talk about the geriatric population. Which of the following points would you emphasize in your presentation?

Accepted Answer

Point B emphasizes the fact that the geriatric population often has multiple comorbidities, which can complicate assessment and treatment. This is a key point to focus on when discussing the unique needs of geriatric patients. Points A and D are incorrect and potentially harmful to perpetuate as they are not universally true and can lead to ageist attitudes and assumptions about older adults. Point C may be interesting to mention, but it is not as essential to understanding the needs of geriatric patients as point B.

Question 20

You are caring for a seven-year-old in ventricular fibrillation. The child weighs 19 kg. You have just delivered your first shock, and another paramedic reports that she has obtained IO access. You should direct the paramedic to administer what dose of epinephrine?

Accepted Answer

The dose of epinephrine for pediatric cardiac arrest is 0.01 mg/kg of 1:10,000 concentration. Therefore, for a 19 kg child, the dose would be 0.19 mg of 1:10,000. Option A is incorrect as it is too high of a dose for the child's weight. Option B is incorrect as it is the adult dose. Option D is incorrect as it is too low of a dose for the child's weight.

Quiz 5: Gynecology