Question 1

Paramedics use all of the following interventions to treat congestive heart failure EXCEPT:

Accepted Answer

A)  sitting the patient upright. 
B)  decreasing patient anxiety. 
C)  administering oxygen 
D)  administering fluid bolus to treat hypotension.

Question 2

Blood pressure is defined as:

Accepted Answer

A)  stroke volume × heart rate × SVR. 
B)  stroke volume × diastolic pressure × SVE. 
C)  heart rate × preload × SVR. 
D)  afterload × preload × SVE.

Question 3

Mushrooms from the class ________ are responsible for over 90 percent of deaths from mushroom toxicity.

Accepted Answer

A)  Button 
B)  Amanita 
C)  Shiitake 
D)  Galerina

Question 4

The average adult tidal volume is:

Accepted Answer

A)  750 mL. 
B)  1200 mL. 
C)  2400 mL. 
D)  500 mL.

Question 5

You respond to a call of a patient experiencing back pain. Upon your arrival, the patient is curled into the fetal position and feels warm to the touch. You suspect:

Accepted Answer

A)  acute renal failure. 
B)  acute renal calculi. 
C)  acute pyelonephritis. 
D)  acute urinary tract infection.

Question 6

Hepatitis B is stable on surfaces with dried visible blood for:

Accepted Answer

A)  3 days. 
B)  3 hours. 
C)  8 hours. 
D)  8 days.

Question 7

A patient has a fever of 105°F, irritability, delirium, tachycardia, vomiting, and hypotension. These signs and symptoms are most consistent with:

Accepted Answer

A)  thyrotoxic crisis. 
B)  myxedema. 
C)  Graves' disease. 
D)  hypothyroidism.

Question 8

A 19-year-old female with difficulty breathing produces a peak expiratory flow rate of 425 lpm, indicating:

Accepted Answer

A)  moderate bronchoconstriction. 
B)  mild bronchoconstriction. 
C)  normal ventilatory state. 
D)  severe bronchoconstriction.

Question 9

Which of the following statements about mumps is TRUE?

Accepted Answer

A)  Mumps are of no concern to the adult patient. 
B)  There is no vaccine for the mumps virus. 
C)  Mumps are characterized by enlargement of the salivary glands. 
D)  Mumps are not highly communicable.

Question 10

Your patient is a 28-year-old male with a history of panic attacks. He states that symptoms began about 20 minutes ago and that he has been unable to get them under control. He complains of shortness of breath, chest pain, dizziness, and a feeling that he is going to die. His skin is warm and moist. HR = 132, BP = 138/98, RR = 26 and shallow. You spend 15 minutes on-scene with him attempting to "talk him down" without success. Which of the following is most appropriate?

Accepted Answer

A)  Oxygen, IV, nitroglycerin, aspirin, morphine 
B)  IV, diazepam 
C)  Oxygen 
D)  IV, haloperidol

Question 11

The external ear ends at the:

Accepted Answer

A)  auricle. 
B)  external auditory canal. 
C)  tympanic membrane. 
D)  tragus.

Question 12

Your patient is a 24-year-old male complaining of a headache for the past two days. He states he has taken aspirin but cannot get rid of the headache. The patient lives in a basement apartment, which you observe is very chilly. The patient states his furnace hasn't been working and he had to use the oven to help heat the apartment. Which other findings and complaints are most likely?

Accepted Answer

A)  Nausea, vomiting, decreased hemoglobin saturation 
B)  Rash, nausea, a metallic taste in the mouth 
C)  Pale skin, sluggish pupils, tachycardia 
D)  Nausea, vomiting, confusion, tachypnea

Question 13

Your patient, who has a history of cholecystitis, is experiencing pain in her right shoulder. She is most likely experiencing ________ pain.

Accepted Answer

A)  somatic 
B)  visceral 
C)  referred 
D)  peritoneal

Question 14

Which three mechanisms can produce visceral pain?

Accepted Answer

A)  Peritonitis, cholecystitis, and a ruptured abdominal aorta 
B)  Blunt trauma, penetrating trauma, and medical illness 
C)  Somatic, referred, and peritonitis 
D)  Distension, ischemia, and inflammation

Question 15

The ________ system is a complicated body system responsible for combating infection.

Accepted Answer

A)  immune 
B)  nervous 
C)  respiratory 
D)  cardiovascular

Question 16

Your patient was in the building when a fire started at a factory that manufactures plastics. He is complaining of a headache, palpitations, and a burning sensation in his throat. His airway, breathing, and circulation are intact. Heart rate = 128, respirations = 22, blood pressure = 148/84, SaO2 = 93%. You should immediately:

Accepted Answer

A)  administer amyl and sodium nitrate. 
B)  initiate supportive measures. 
C)  apply the cardiac monitor. 
D)  prepare to intubate.

Question 17

What are the three tiny bones located in the middle ear?

Accepted Answer

A)  Pinnas 
B)  Cerumen 
C)  Cochleae 
D)  Ossicles

Question 18

A tonic-clonic seizure is characterized by:

Accepted Answer

A)  flaccidity. 
B)  movement of one area of the body. 
C)  a period of apnea. 
D)  increased muscle tone and rhythmic jerking.

Question 19

Which of the following is a form of arthritis that occurs from uric acid crystals being deposited in a joint?

Accepted Answer

A)  Bursitis 
B)  Gout 
C)  Osteopenia 
D)  Rickets

Question 20

Your diabetic patient asks you why he "passes out" when his blood sugar gets too low. Which of the following responses is most accurate?

Accepted Answer

A)  "When the blood sugar is low, the brain does not get enough oxygen." 
B)  "Brain cells need a constant supply of glucose, or sugar, to function. Without sugar the brain cells cannot work to maintain consciousness." 
C)  "When the blood sugar is low, the blood vessels relax and the blood pressure drops, causing you to faint." 
D)  "The cells of the heart can only use glucose, or sugar, for energy. Without sugar the heart cannot effectively pump blood to the brain."

Exam 3: Pulmonology