PARAMEDIC FINAL EXAM 155 Questions with

PARAMEDIC FINAL EXAM 155 Questions with Complete Solutions 2024 A protocol that is a written document signed by the EMS system's medical director that outlines specific directions, permissions, and sometimes prohibitions regarding patient care that is rendered prior to contacting medical control. - Correct Answer Standing order If a paramedic transports a patient without the patient's consent or uses restraints in a wrongful manner

• Correct Answer False Imprisonment

A treatment plan developed for a specific illness or injury. - Correct Answer Protocol If you must deviate from your protocols because of unusual circumstances, you should FIRST: - Correct Answer Notify Medical Control HIPPA mandates that: - Correct Answer Patient information shall not be shared with entities or persons not involved in the care of the patient.HIPPA Defined: - Correct Answer a. The first standards established to protect the confidentiality of a patient's health information.

• Medical information can be disclosed only if it is necessary for a patient's treatment or for payment.
• Special situations such as dog bites, gunshot wounds, and abuse require the release of patient

information without the patient's consent.According to HIPAA, it is acceptable and permissible for hospitals to: - Correct Answer share information with the EMS providers about patient outcome for purposes of quality assurance and education.Wheezing that is resolved with administration of bronchodilator medication was probably caused by? - Correct Answer constriction of smooth muscles Wheezing is resolved with medications that? - Correct Answer Relax the smooth muscle of the bronchiole 1 / 3

Difficulty with exhalation is MOST characteristic of: - Correct Answer obstructive lung disease COPD: Emphysema: - Correct Answer Characterized by distention of the alveoli and destructive changes in the lungs.COPD: Chronic Bronchitis: - Correct Answer Defined as sputum production most days of month for 3 or more months out of year for more than 2 years. Will rarely have normal oxygen saturation; (maybe less than 90%). May have another condition, including respiratory conditions A 66-year-old man with chronic bronchitis presents with severe respiratory distress. The patient's wife tells you that he takes medications for high blood pressure and bronchitis, is on home oxygen therapy, and has recently been taking an over-the-counter antitussive. She further tells you that he has not been compliant with his oxygen therapy. Auscultation of his lungs reveals diffuse rhonchi. What is the MOST likely cause of this patient's respiratory distress? - Correct Answer Recent antitussive use A 76-year-old woman with emphysema presents with respiratory distress that has worsened progressively over the past 2 days. She is breathing through pursed lips and has a prolonged expiratory phase and an oxygen saturation of 76%. She is on home oxygen at 2 L/min. Your initial action should be to? - Correct Answer place her in a position that facilitates breathing.Common clinical findings in patients with obstructive lung disease include all of the following, EXCEPT: - Correct Answer a decreased expiratory phase Chronic obstructive pulmonary disease (COPD) is characterized by: - Correct Answer changes in pulmonary structure and function that are progressive and irreversible The hypoxic drive is a phenomenon in which - Correct Answer bicarbonate ions migrate into the cerebrospinal fluid of a chronically hypoventilating patient, making the brain think that acid and base are in balance Pulmonary Embolism Characteristics - Correct Answer Sudden dyspnea & cyanosis, and perhaps, a sharp pain in the chest. A hallmark of pulmonary embolism is that the cyanosis does not resolve with oxygen therapy. 2 / 3

You are dispatched to a residence for a young woman with difficulty breathing. When you arrive, you find the patient sitting in a tripod position, noticeably dyspneic and tachypneic. She tells you that she experienced a sudden sharp pain to the left side of her chest and then started having trouble breathing.She denies any past medical history and states that she only takes birth control pills. Based on this patient's clinical presentation, you should be MOST suspicious for: - Correct Answer acute pulmonary embolism One of the hallmarks of a pulmonary embolism is: - Correct Answer cyanosis that does not resolve with oxygen therapy.Paradoxial Respiratory Movement is - Correct Answer the inward movement of a segment of the chest during inhalation and a outward movement of the chest during exhalation, opposite normal chest movement and a indication of flail chest.Paradoxical respiratory movement is characterized by: - Correct Answer the epigastrium and thorax moving in opposite directions Cor pulmonale is defined as: - Correct Answer right heart failure secondary to chronic lung disease Right Side Heart Failure Characteristics: . - Correct Answer (pg. 1020)-Distention with external jugular veins, Serum forced out producing edema (feet and/or lower back), right upper quadrant swelling (hepatomegaly, eg. Liver), abdominal distention, (eg, Ascites),end enspiratory crackles, a progressive increase in dyspnea over several days, greater than usual fluid intake, and improper use of diuretics An elderly woman with COPD presents with peripheral edema. The patient is conscious but agitated. She is breathing with slight difficulty but has adequate tidal volume. During your assessment, you note that her jugular veins engorge when you apply pressure to her right upper abdominal quadrant. She tells you that she takes a "water pill" and Vasotec for high blood pressure. You should: - Correct Answer suspect acute right heart failure and administer oxygen.Hepatomegaly and jugular venous distention are MOST suggestive of: - Correct Answer right heart failure The movement of a solute from an area of higher concentration to an area of lower concentration is

called: - Correct Answer diffusion

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