Exam 3
 

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Exam 3  THIS EXAM CONTAINS 60 QUESTIONS - MUST RETAKE UNTIL YOU MISS 9 OR LESS. Some answers may be keyed wrong. Please bring this to our attention to change.

 

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3. The opening to the trachea is guarded by a leaf-shaped structure called the:
 
A. bronchus.
 
B. epiglottis.
 
C. cricoid cartilage.
 
D. thyroid cartilage.
 



 

4. Which of the following structures is NOT found in the upper airway?
 
A. pharynx.
 
B. epiglottis.
 
C. bronchus.
 
D. nasopharynx.
 



 

5. Which of the following structures is NOT found in the lower airway?
 
A. alveoli.
 
B. bronchi.
 
C. trachea.
 
D. epiglottis.
 


 

7. What structure lies at the base of the thorax?
 
A. heart.
 
B. diaphragm muscle.
 
C. intercostal muscle.
 
D. sternocleidomastoid muscle.
 



 

8. The contraction of the diaphragm and intercostal muscles is called:
 
A. atelectasis.
 
B. exhalation.
 
C. inhalation.
 
D. paradoxical movement.
 



 

9. What is the passive cycle of respiration called?
 
A. exhalation.
 
B. inspiration.
 
C. inspiratory recoil.
 
D. expiratory contraction.
 



 

10. Inhalation occurs when the:
 
A. ribs move inward.
 
B. ribs move downward.
 
C. diaphragm moves upward.
 
D. diaphragm moves downward.
 


 

12. How many breaths per minute are considered adequate breathing for an adult?
 
A. 6 to 12.
 
B. 8 to 12.
 
C. 12 to 20.
 
D. 16 to 24.
 



 

13. How many breaths per minute are considered adequate breathing for a child?
 
A. 10 to 20.
 
B. 12 to 24.
 
C. 15 to 30.
 
D. 24 to 40.
 



 

14. How many breaths per minute are considered adequate breathing for an infant?
 
A. 12 to 20.
 
B. 15 to 30.
 
C. 20 to 30.
 
D. 25 to 50.
 



 

15. Inadequate breathing in an adult exists when the rate is less than:
 
A. 8 or more than 28 breaths per minute.
 
B. 10 or more than 30 breaths per minute.
 
C. 12 or more than 35 breaths per minute.
 
D. 12 or more than 40 breaths per minute.
 



 

16. You are assessing a patient's need for supplemental oxygen. You know that room air contains approximately what percentage of oxygen?
 
A. 16%.
 
B. 21%.
 
C. 28%.
 
D. 78%.
 



 

17. Which of the following statements about the exchange of oxygen and carbon dioxide is true?
 
A. The arterioles remove carbon dioxide before the blood reaches the capillaries.
 
B. Waste products and carbon dioxide enter the lungs through the pulmonary vein.
 
C. Carbon dioxide is passed from the alveoli to the blood through the pulmonary capillaries.
 
D. Oxygen exchange takes place at the pulmonary capillaries and at each living cell.
 



 

18. In a healthy individual, what gas exchange in arterial blood most rapidly stimulates an increase in the respiratory rate?
 
A. a rise in the level of oxygen.
 
B. a fall in the level of oxygen.
 
C. a rise in the level of carbon dioxide.
 
D. a fall in the level of carbon dioxide.
 


 

20. If the brain is deprived of oxygen, cells in the brain may die within how many minutes?
 
A. 1 minute.
 
B. 4 to 6 minutes.
 
C. 6 to 10 minutes.
 
D. 10 to 15 minutes.
 



 

21. Living cells begin to die when they are deprived of:
 
A. water.
 
B. oxygen.
 
C. sunlight.
 
D. carbon dioxide.
 


 

23. Which of the following is a sign of adequate ventilation?
 
A. Skin color does not improve with oxygen.
 
B. The chest does not rise and fall with each ventilation.
 
C. You hear and feel air escape as the patient exhales.
 
D. The patient's stomach is rising and falling.
 



 

24. Which of the following methods is used to open the airway in a non-trauma patient?
 
A. head-tilt/neck-lift.
 
B. head tilt-chin lift.
 
C. simple hyperextension.
 
D. hyperextension/jaw-thrust.
 



 

25. Which of the following methods is used to open the airway in a patient with a possible spinal cord injury?
 
A. jaw-thrust.
 
B. jaw-thrust/neck-lift.
 
C. jaw-thrust/head-tilt.
 
D. head tilt-chin lift.
 



 

26. Suctioning of the oral cavity in an adult patient should be accomplished within how many seconds?
 
A. 5 seconds.
 
B. 10 seconds.
 
C. 15 seconds.
 
D. 20 seconds.
 



 

27. Which of the following steps should NOT be taken while oral suctioning a patient?
 
A. Suction for less than 15 seconds.
 
B. Suction while entering a patient's mouth.
 
C. Suction while exiting a patient's mouth.
 
D. Turn the patient's head to the side if the possibility of injury does not exist.
 



 

28. How much vacuum should a properly functioning suction unit with a gauge generate?
 
A. 100 mm Hg.
 
B. 300 mm Hg.
 
C. 500 mm Hg.
 
D. 700 mm Hg.
 


 

30. What percentage of oxygen do mouth-to-mouth ventilations provide?
 
A. 12%.
 
B. 16%.
 
C. 20%.
 
D. 24%.
 



 

31. You are performing mouth-to-mask ventilations with high-flow oxygen connected and running at a flow rate of 15 liters per minute. What percentage of oxygen does your patient receive?
 
A. 35%.
 
B. 45%.
 
C. 55%.
 
D. 65%.
 


 

33. Which of the following statements about the use of bag-valve-mask devices is FALSE?
 
A. They are difficult for one EMT to use.
 
B. They are available in pediatric and adult sizes.
 
C. They provide more oxygen than mouth-to-mask systems.
 
D. They provide more volume than mouth-to-mask systems.
 


 

36. What is the most common problem you may encounter when using a bag-valve-mask device?
 
A. environmental conditions.
 
B. maintaining an airtight seal.
 
C. positioning the patient's head.
 
D. volume of the bag-valve-mask device.
 



 

37. When using the one-person bag-valve-mask technique, you should maintain a seal using the:
 
A. C-clamp technique.
 
B. jaw-thrust technique.
 
C. double-hand technique.
 
D. head tilt-chin lift maneuver.
 


 

41. What is the most common cause of airway obstruction in an unconscious patient?
 
A. vomitus.
 
B. the tongue.
 
C. blood clots.
 
D. aspirated food.
 


 

43. The recovery position for an unconscious patient without a spinal injury reduces the chance for:
 
A. shock.
 
B. snoring.
 
C. drooling.
 
D. vomiting and aspiration.
 



 

44. How should an unresponsive patient without traumatic injuries be positioned to maintain spontaneous breathing?
 
A. supine.
 
B. face down.
 
C. in the recovery position.
 
D. in a position of comfort.
 



 

45. You should NOT use an oral airway in:
 
A. infants and children.
 
B. cardiac arrest patients.
 
C. patients with a gag reflex.
 
D. patients with a suspected neck injury.
 



 

46. To select the proper size of nasal airway, you should measure:
 
A. only the diameter of the nostril.
 
B. from the tip of the nose to the chin.
 
C. from the tip of the nose to the earlobe.
 
D. from the tip of the nose to the corner of the mouth.
 



 

47. A full tank of oxygen contains how many pounds per square inch (psi)?
 
A. 1,000 psi.
 
B. 2,000 psi.
 
C. 3,000 psi.
 
D. varies with different sizes of tanks.
 



 

48. Up to what percentage of oxygen does a nonrebreathing facemask system deliver?
 
A. 100%.
 
B. 90%.
 
C. 80%.
 
D. 70%.
 



 

49. What percentage of oxygen does a nasal cannula with a flow rate of 6 liters per minute deliver?
 
A. 24% to 28%.
 
B. 30% to 34%.
 
C. 40% to 44%.
 
D. 55% to 60%.
 


 

51. A safe residual amount in an oxygen cylinder is:
 
A. 200 psi.
 
B. 2,000 psi.
 
C. 500 liters.
 
D. 2,000 liters.
 


 

54. You arrive at the scene of an electrocution and find an unconscious man who has shallow respirations. To maintain his airway, you should:
 
A. insert an oropharyngeal airway by placing it upside down in the mouth, and rotating it 180°.
 
B. lubricate the tip of an oropharyngeal airway before inserting it.
 
C. insert an oropharyngeal airway until the flange rests inside the teeth.
 
D. hyperextend the neck, insert an oropharyngeal airway, and deliver breaths with positive pressure.
 



 

57. To select the proper size oropharyngeal airway, measure the distance between the:
 
A. chin and nostril.
 
B. chin and earlobe.
 
C. nose and earlobe.
 
D. corner of the mouth and earlobe.
 


 

61. Which of the following conditions is NOT likely to produce hypoxia?
 
A. an acute narcotic overdose.
 
B. high blood sugars.
 
C. substantial blood loss.
 
D. an asthma attack.
 



 

62. Hypoxia is defined as:
 
A. decreased oxygen in body tissues.
 
B. increased oxygen saturations.
 
C. reduced ventilations.
 
D. oxygen and carbon dioxide mismatch.
 


 

64. Gastric distention may be prevented by:
 
A. ventilating quickly, one second per breath.
 
B. slow and complete emptying of the BVM device and reservoir.
 
C. using the Sellick maneuver.
 
D. stacking ventilations one after the other.
 



 

65. The most common complication of using a flow-restricted oxygen powered ventilation device is:
 
A. rapid ventilation rates.
 
B. gastric distention.
 
C. drying of the respiratory system.
 
D. nasal bleeding.
 


 

71. Which of the following statements about pushing and pulling is FALSE?
 
A. Keep your back locked, straight, and untwisted.
 
B. Position the cot just below your waist.
 
C. Keep the weight close to your body.
 
D. Keep elbows bent with arms close to your sides.
 



 

73. What is your most important consideration during an emergency move?
 
A. Use a long backboard.
 
B. Protect the patient's spine.
 
C. Keep the patient's airway open.
 
D. Perform the move as quickly as possible.
 


 

75. Rapid extrication of a patient who is sitting in a vehicle should NOT be considered when there is:
 
A. cardiac arrest.
 
B. fire or danger of fire.
 
C. moderate external bleeding from an extremity.
 
D. a presence of explosives or other hazardous materials.
 


 

77. In carrying a wheeled stretcher with four rescuers, where should the rescuers be placed?
 
A. two at each side.
 
B. one at each corner.
 
C. one at each end and one at each side.
 
D. the shorter rescuers at the patient's head.
 


 

79. Which of the following statements regarding the use of the scoop stretcher is FALSE?
 
A. It is easy to get under the patient.
 
B. It can be used to carry a patient in a narrow space.
 
C. It can be easily removed from under the patient.
 
D. It provides adequate support for patients with spinal injuries.
 



 

80. Which of the following is a good device to use to immobilize a patient with a suspected spinal injury?
 
A. long backboard.
 
B. scoop stretcher.
 
C. portable stretcher.
 
D. wheeled stretcher.
 



 

81. Patients showing signs of impending hypovolemic shock should lie with:
 
A. their knees bent.
 
B. their legs elevated.
 
C. their heads elevated.
 
D. a long backboard under them.
 



 

82. A patient complaining of weakness should be carried down stairs on a:
 
A. stair chair.
 
B. portable cot.
 
C. long backboard.
 
D. wheeled stretcher.
 



 

83. A patient is sitting in a car after an automobile crash. He was not wearing his seat belt. He is complaining of pain in his arm and neck. The most appropriate device for this patient is a:
 
A. long backboard.
 
B. short backboard.
 
C. scoop stretcher.
 
D. wheeled stretcher.
 



 

84. A 28-year-old woman has fallen 12 feet from a tree. The most appropriate device to transport her would be a:
 
A. long backboard.
 
B. short backboard.
 
C. scoop stretcher.
 
D. portable stretcher.
 



 

85. A 72-year-old woman is in bed and complaining of fullness in her chest. She states she has had two previous heart attacks. She has a blood pressure of 146/102 mm Hg, a pulse of 108 beats/min, and respirations of 28 breaths/min. Which device would be best for transporting her?
 
A. long backboard.
 
B. scoop stretcher.
 
C. portable stretcher.
 
D. wheeled stretcher.
 


 

87. What should you use to transfer a patient from a wheeled stretcher to a hospital bed?
 
A. bed sheet.
 
B. direct carry.
 
C. extremity carry.
 
D. fore and aft carry.
 


 

89. A 42-year-old woman is complaining of abdominal pain. She states that it feels like a gallbladder attack she had last year. You should transport this patient:
 
A. in a position of comfort.
 
B. on her side in case she vomits.
 
C. on her right side to reduce her pain.
 
D. with her legs elevated to prevent shock.
 



 

90. A 48-year-old construction worker has fallen into a 28-inch-wide tunnel. He is complaining of pain in his left thigh. Which device should you use to move him?
 
A. portable cot.
 
B. long backboard.
 
C. scoop stretcher.
 
D. Stokes stretcher.
 


 

92. When lifting a patient, you should:
 
A. flex at the waist.
 
B. hyperextend your back.
 
C. lean back from the waist.
 
D. keep your back in a locked-in position.
 


 

95. Short backboards are used:
 
A. when it is easier for you.
 
B. when weakness or paralysis is present.
 
C. for patients with possible spinal injuries.
 
D. for patients in a sitting position who need spinal immobilization.
 


 

97. The proper technique for using the power grip is to:
 
A. rotate the palms down.
 
B. position the hands about 8 inches apart.
 
C. lift with the palms up.
 
D. hold the handle with your fingers.
 


 

102. After entering a house filled with smoke you notice an elderly couple unresponsive on the living room floor. The emergent technique appropriate for moving this couple would be:
 
A. rapid extrication.
 
B. walking assist.
 
C. clothes drag.
 
D. quick take down.
 



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