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You observe your partner correctly obtaining a patient's blood pressure when he:


A) inflates the cuff maximally prior to slowly deflating and listening for a pulse.
B) deflates the cuff 2 mmHg per second while listening with a stethoscope.
C) stops inflation and starts deflation as soon as the radial pulse disappears.
D) places the stethoscope under the cuff and deflates it.

Correct Answer

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When obtaining blood pressure on a patient in a standing position, the patient states that he suddenly feels weak and is going to pass out. Your immediate action should be to:


A) place the patient back into bed.
B) determine the blood pressure by palpation.
C) ask the patient if he is having chest pain.
D) hold the patient upright until the blood pressure is obtained.

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Your partner states that he wants to palpate the blood pressure. What equipment would you hand him?


A) Blood pressure cuff
B) Stethoscope
C) Blood pressure cuff and stethoscope
D) Stethoscope and pulse oximeter

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When using the SAMPLE mnemonic, which of the following statements made by the patient would be categorized under the letter "M"?


A) "I was diagnosed and treated for breast cancer."
B) "I take Zocor, but I am not sure why."
C) "I have never had a surgical procedure."
D) "My doctor's name is Dr. Hansen."

Correct Answer

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An EMT has an accurate understanding of the systolic blood pressure when he tells you that the systolic blood pressure is:


A) represented by the bottom number.
B) produced when the heart contracts.
C) the pressure in the veins.
D) caused by constriction of the arteries.

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B

When obtaining a blood pressure, the EMT listens for a pulse over what blood vessel?


A) Radial artery
B) Antecubital vein
C) Carotid vessels
D) Brachial artery

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An obese female has called you with the complaint of abdominal pain. The regular adult cuff will not fit around her arm, so you retrieve the large adult cuff from your supplies. Embarrassed, the woman says, "My arm is so fat. Do you really need to roll up my sleeve to get my blood pressure?" Your best response would be:


A) "If you do not want me to take your blood pressure, I do not have to."
B) "I have seen plenty of big arms, and yours is nothing compared to some of them."
C) "I am getting your blood pressure, not measuring your arm, but you really need to lose some weight."
D) "I am not concerned with the size of your arm. I am interested in your blood pressure."

Correct Answer

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An EMT is correctly assessing a patient's radial pulse when he:


A) uses the palm of his hand to feel the pulse on the upper arm.
B) simultaneously checks for a heart rate on both sides of the neck.
C) uses his thumb to feel for the pulse on the patient's lower arm.
D) uses his fingertips to feel for a pulse at the patient's wrist.

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As you enter the scene of a medical emergency, the Emergency Medical Responder informs you that the patient is not breathing and has pupils that are fixed and dilated. Based on this description, which one of the following are you expecting to see when you reach the patient's side?


A) Both pupils are large and change shape to light.
B) The patient must wear corrective lenses.
C) The patient has a past medical history of blindness.
D) Neither pupil will react when light is directed into the eyes.

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For which patient would a capillary refill time of 3 seconds be most indicative of poor perfusion?


A) 4-year-old male
B) 24-year-old female
C) 67-year-old female
D) 81-year-old male

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The EMT understands the primary reason to obtain a medical history using the SAMPLE mnemonic when he states:


A) "The SAMPLE mnemonic helps EMTs to diagnose a patient's medical problem."
B) "It is important to use the SAMPLE mnemonic because the emergency department will need the information."
C) "After performing the primary assessment, the SAMPLE mnemonic helps guide the EMT in further assessment and care."
D) "The SAMPLE mnemonic is important because it will give the EMT the patient's exact chief complaint."

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C

You determine a radial pulse is readily palpable, but has uneven intervals between beats. This would best be documented on the prehospital care report as:


A) bounding and regular.
B) prominent and bounding.
C) strong and irregular.
D) thready and regular.

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Which one of the following descriptions would be obtained when asking about the "A" component of the SAMPLE history?


A) Abdomen soft
B) History of asthma
C) Allergy to penicillin
D) Airway open

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C

Which one of the following characteristics is a quality of a patient's pulse?


A) Strength
B) Rate
C) Regularity
D) Tone

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Which one of the following statements made by an EMT indicates an accurate understanding of checking a patient's skin temperature?


A) "Checking the skin temperature is not precise, but a good estimate of abnormally high or low body temperatures."
B) "To properly evaluate a patient's skin temperature during the primary assessment, the EMT needs a thermometer."
C) "It is important to remember that flushed skin always indicates a high body temperature."
D) "With experience, the EMT can precisely determine a patient's body temperature by feeling the skin."

Correct Answer

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You are assessing a female patient with a complaint of shortness of breath. When assessing her skin, which one of the following should be recognized as abnormal?


A) Dry
B) Pink
C) Moist
D) Warm

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You are called to a long-term care facility to assess and transport a patient with a high fever. You do not have a thermometer on your unit. Which one of the following signs should you use to confirm the patient's increased body temperature?


A) Cyanotic skin around the mouth
B) Decreased heart rate and flushed skin
C) Fingertips that are cool and blue
D) Skin on the abdomen that is hot and flushed

Correct Answer

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Which one of the following patients should the EMT recognize as having a normal skin temperature?


A) 25-year-old female who is dizzy with cool skin
B) 36-year-old male complaining of nausea with warm skin
C) 47-year-old female with chest pain and warm-to-hot skin
D) 88-year-old male who is weak with skin that is cool and dry

Correct Answer

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When evaluating a patient's skin color, the EMT should:


A) observe the nail beds and/or mucous membranes inside the eyelids.
B) examine the change in skin color when applying then releasing pressure to the nail beds.
C) look at the skin on the upper chest and feel it for warmth.
D) examine the skin color of the face and compare it with the color of the arms.

Correct Answer

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A 41-year-old male patient reacts to painful stimuli by moaning. You shine a light at his right pupil. Which one of the following reactions would be normal?


A) Dilation of the right pupil
B) Constriction of the left pupil
C) Dilation of the left pupil
D) Closure of both eyelids

Correct Answer

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