441 – Airway obstruction can be caused by:
a- lateral extension
b- dorsal flexion
c- ventral flexion
d- ventral extension
442 – What is the action of insulin?
a- stimulates alpha receptors
b- produces glucagon
c- transfers glucose into cell
d- produces hemolysis of RBCs
443 – Which drug is contraindicated in asthma patients?
a- diaitalis
b- CaCl
c- inderal
d- ephinephrine
444 – Hetastarch, dextran, and salt-pooralbumin are examples of the group of solutions known as:
a- hypotonics
b- isotonics
c- crystalloids
d- colloids
445 – Which of the following factors does not affect the heart's stroke volume?
a- preload
b- contractile
c- afterload
d- heart rate
446 – The cation that play a major role in muscle contraction is:
a- sodium
b-calcium
c- bicarbonate
d- potassium
447 – How many times a day should a patient take a medicine prescribed as t.i.d?
a- once
b- twice
c- three times
d- four times
448 – Peripheral vascular resistance is dependent on which three factors?
a- preload, afterload, contractile force
b- stroke volume, contractile force, cardiac output.
c- arterial constriction, capillary sphincters, venous capacitance
d- vessel diameter, vessel length, fluid viscosity
449 – The universal recipient is ***** type:
a- A
b- B
c- AB
d- O
450 – shock is best defined as:
a- an abnormal internal or external discharge of *****
b- the inability of the tissue to live without oxygen
c- loss of ***** due to hemorrhage
d- a state of inadequate tissue perfusion
451 – Pulse pressure is best defined as:
a- the top number
b- the pressure exerted on the ***** vessel walls during systole
c- the difference between the systolic and diastolic ***** pressure
d- the bottom number
452 – Orthostatic hypotension is best defined as:
a- decreases in ***** pressure due a pelvic or other large bone fracture
b- decrease in ***** pressure when m***ng from a supine to standing position
c- decrease in ***** pressure secondary to hypertension
d- decrease in ***** pressure secondary to hematochezia
453 – The arterial pulse point located on the posterior aspect of the patella, between the lateral ****eolus and the distal femur is called the:
a- popliteal
b- pedis dorsalis
c- posterior tibialis
d- nota sureum due to lack of stadium
454 – A 20 year old male fractured his leg one weak ago. He has taken aspirin for pain. He gets up and becomes short of breath . He probably suffered a(n)
a- pulmonary embolism
b- thrombosis
c- angina attack
d- acute MI
455 – A drug with beta effects will cause:
a- vasoconstriction
b- bronchoconstriction
c- increased heart rate
d- none of the above
456 – Which area reflects the central venous pressure?
a- radial artery
b- pulmonary artery
c- right atrium
d- aorta
457 – When section of bone are crushed and fragmented it is called:
a- a transverse fracture
b- a comminuted fracture
c- an impacted fracture
d- a greenstick fracture
458 – Paralysis of one side of the body is called:
a- hemiplegia
b- paraplegia
c- paresis
d- quadriplegia
459 – The top of the heart is known as the:
a- base
b- pericardium
c- apex
d- arch
460 – ***** is pumped to the systemic circulation from which chamber?
a- left atria
b- left ventricle
c- right ventricle
d- right atria
461 – Which of the following is the dominant pacemaker of the heart?
a- SA node
b- AV node
c- purkinje system
d- AV junction
462 – The P wave of the normal EKG corresponds to which of the following phenomenon?
a- atrial depolarization
b- s-A node firing
c- atrial repolarization
d- ventricular depolarization
463 – Which of the following is the origin of the drug lidocaine?
a- plant
b- synthetic
c- animal
d- mineral
464 – What is the study of drug action upon the body called?
a- pharmacokinetics
b- synergism
c- pharmacology
d- pharmacodynamics
465 – Drug removal from the vascular system is done by the ………………
a- ******s
b- liver
c- lungs and intestinal tract
d- all of the above
466 - …………….. is the combined action of two *****. It is much stronger than the effects of either one .
a- synergism
b- hypersensitivity
c- untoward reaction
d- idiosyncrasy
467 – Place the following metric prefixes in order from s****est to largest. 1 . deci2 . mili3. Micro,4. Kilo5 . centi
a- 5,3,4,2,1
b- 3,2,5,1,4
c- 2,5,3,4,1
d-2,3,5,,1,4
468 – What drug blocks the action of the sympathetic nervous system ?
a- dopaminerolytic
b- vagalytic
c- sympatholytic
d- parasympathomimrtic
469 – The name Narcan is an example of which of the following?
a- official name
b- chemical name
c- beneric name
d- trade name
470 – the second stage of labor begins when the:
a- amniotic sac rupture
b- placenta
c- baby moves into the birth canal
d- cervix starts to dilate
471 – The muscular organ that protects this fetus is called the :
a- uterus
b- funds
c- umbilicus
d- placenta
472 – A premature baby is one that is less than 5.5 lbs or born before the …………..month.
a- 8th
b- 7th
c- 9th
d- 6th
473 – An APGAR score of 0 to 3 represents ……………distress
a- moderate
b- mild
c- no
d- severe
474 – If after cutting the umbilical cord fetal bleeding continues, you should:
a- transport immediately
b- reclamp the cord
c- apply another tie or clamp
d- untie the cord
475 – When the placenta separates from the uterine wall before delivery is called:
a- abruptio placenta
b- endometriosis
c- post partum hemorrhage
d- placenta previa
476 – In an ectopic pregnancy, the:
a- egg is not implanted at all
b- uterus does not expand adequately to hold the detus
c- uterus does not have sufficient nutrient to sustain pregnancy
d- egg is implanted outside the uterus
477 – Normal headfirst birth is called …………….delivery.
a- ectopic
b- prolapsed
c- cephalic
d- breech
478 – To assist in delivering the baby's upper shoulder, you should
a- support the baby's head
b- pull on baby's head
c- guide the baby's head upward
d- guide the baby's head downward
479 – The first clamp placed on the umbilical cord should be ………….inches from the baby.
a- 12
b- 5
c- 10
d- 2
480 – Uncontrolled diabetes may lead to:
a- metabolic shock
b- neurogenic shock
c- anaphylactic shock
d- psychogenic shock
481 – An example of psychogenic shock is:
a- stroke
b- simple fainting
c- paranoia
d- spinal cord
482 – Respiratory shock is associated with all of the following except :
a- severe ***** loss
b- chest trauma
c- spinal injury
d- airway obstruction
483 – An early indicator of shock may be:
a- dry skin
b- constricted pupils
c- decrease in pulse
d- restlessness and anxiety
484 – Hypovolemic shock in an adult may result from a loss of :
a- 2 cups of *****
b- I pint of *****
c- 2 units of *****
d- 500 cc of *****
485 – The vital signs of a patient in shock should ideally by checked:
a- every 20 minutes
b- every 15 minutes
c- every 5 minutes
d- every 10 minutes
486 – Which of the following fractures would be expected to account for the greatest ***** loss?
a- humerus
b- pelvis
c- facial
d- femur
487 – Which of the following steps in emergency care should be taken first:
a- treat for shock
b- open and maintain
c- control severe bleeding
d- re-establish
488 – Treatment for shock would *******:
a- administering low concentration oxygen
b- giving the patient water to drink
c- letting the patient walk to improve circulation
d- none of the above
489 – A fracture producing deforming of a limb would be considered:
a- nondisplaced
b- complicated
c- displaced
d- rotated
490 – A grating sound or sensation noted when broken ends of bones rub together is known as:
a- deformity
b- costal grating
c- crepitus
d- epiphyses
491 – signs of an underlying fracture may *******:
a- deformity
b- swelling and dis********
c- lose of use
d- all of the above
492 – Paralysis of the diaphragm may result from spinal injuries at the level of:
a- lumber vertebrate 1-3
b- cervical vertebrate 3-5
c- cervical vertebrate 6-7
d- thoracic vertebrate2-5
493 – Using the rule of Nines, estimate the BSA burned a 2 year old pulled a pan of boiling liquid off from the stove and burned his entire head (front and back ) and the anterior portion of the chest :
a- 36%
b- 42%
c- 18%
d- 27%
494 – an infant with one leg burned on both sides has what percent of body burned ?
a- 12%
b- 13.5%
c- 18 %
d-9%
495 – Theophylline and theo-dur are both :
a- ipecac liquid
b- atropine
c- ipecac syrup
d- activated charcoal
496 – In tension pneumothorax the patient has :
a- over inflation of the lung
b- tracheal deviation toward affected side
c- tracheal deviation away from affected side
d- rupture spleen
497 – Ischemia is defined as :
a- lack of oxygen
b- deficient ***** supply
c- lack of Co2 to the cells
d- deficient iron supply
498 – A patient with history of seizures is most likely to take which medications:
a- theo-dur and lanoxin
b- lasix and lanoxin
c- inderal and digitalis
d- dilantin and phenobarbitol
499 – The most common causes of airway obstruction in the unconscious victim of an unwitnessed collapse:
a- mucous
b- food
c- dentures
d- tongue
500 – The term that which describes normal respiration is:
a- eupnea
b- dyspnea
c- bradypnea
d- orthopnea
501 – The death which occurs at the moment the heart stops is:
a- biological death
b- clinical death
c- irreversible death
d- DRT
502 – What is the name for alveolar collapse?
a- pulmonary edema
b- tension pneumothorax
c- atelectasis
d- pneumonia
503 – Insulin is secreted by the :
a- gall bladder
b- adrenal gland
c- islets of Langerhans
d- superior testiness
504 – What is the primary drug given to correct ventricular fibrillation?
a- lasix
b- inderal
c- atropine
d- lidocaine
505 – The fluid portion of the ***** is the :
a- leukocyte
b- albumin
c- plasma
d- erythrocyte
506 – Which of the following is a result of a serious insulin deficit?
a- respiratory acidosis
b- respiratory alkalosis
c- metabolic acidosis
d- metabolic alkalosis
507 – Stimulation of the beta receptors causes:
a- decreased cardiac oxygen consumption
b- increased heart rate and force of contraction
c- bronchial construction and tachycardia
d- increased vascular resistance and vasoconstriction
508 – A hypotonic solution is defined as a solution having :
a- a concentration the same as that in the cells
b- a concentration higher than that in the cells
c- a concentration lower than that in the cells
d- none of the above adequately defines the term
509 – Which of the following is primarily an extracellular electrolyte ?
a- potassium
b- calcium
c- nitrogen
d- sodium
510 – Injuries that result in partial tearing of a ligment are called :
a- strains
b- fractures
c- dis********
d- sprains
511 – the most common cause of seizures in the child is:
a- elevate temperature
b- bronchitis
c- inadequate tissue perfusion
d- ventricular fibrillation
512 – 23 year old male has a history of seizures . You find him having recurrent seizures without return to consciousness. His color is poor and he is suffering arrhythmias . The patient is suffering from:
a- status epilepticus
b- focal motor seizures
c- petit mal seizures
d- marital distress
513 – which is the correct order of division in the respiratory tree, m***ng from the mouth towards the lungs?
a- trachea, larynx, carina, bronchioles, bronchi
b- bronchia, larynx, carina, trachea, bronchioles
c- larynx, trachea, carina, bronchi, bronchioles
d- bronchi, larynx, carina, bronchioles, trachea
514 – The lungs are covered by the:
a- visceral pleura
b- parenchyma
c- parietal pleura
d- none of the above
515 – The exchange of gases between red ***** cells and body tissue is called:
a-pulmonary respiration
b- cellular respiration
c- aceration
d- ventilation
516 – In normal respiration, the size of the thoracic cavity can be made larger by contraction the diaphragm and the:
a- celtoid muscles
b- intercostal muscles
c- strap muscles
d- abdominal muscles
517 – The average volume of gas inhaled in one respiratory cycle is called the:
a- aveolar volume
b- minute volume
c- functional reserve capacity
d- tidal volume
518 - Abdominal breathing is a sign of inadequate breathing in adult.
a- true
b- false
519 - Head, neck, or spinal injury should be suspected in any unconscious trauma patient.
a- true
b- false
520 – The head- tilt, chain-lift maneuver should be used to open the airway of a patient with a suspected neck injury.
a- true
b- false
521 – When using the head –tilt , chain-lift maneuver to open patient's airway, place your fingertips on the bony part of the chin, not the soft tissues under the lower jaw.
a- true
b- false
522 – Non breathing adult patients should be ventilated at a rate of 12 times per minute.
a- true
b- false
523 – Cyanosis is the term used to describe a blue or gray skin color.
a- true
b- false
524 – The cause of a trauma patient's problem is called the:
a- mechanism of injury
b- pathology
c- nature of illness
d- diagnosis
525 – The normal respiratory rate, or breaths per minute, for adult at rest is:
a- 5-10
b- 18-28
c- 12-20
d- 25-30
526 – Gravity m***ng the tongue into the posterior pharynx of an unresponsive patient may cause:
a- snoring
b- stridor
c- groaning
d- crowing
527 – The "U" in AVPU stands for
a- unresponsive
b- unconscious
c- unobtainable
d- uncoherent
528 – The normal number of heartbeats per minute in an adult is:
a-100-120
b-40-60
c-80-100
d- 60-100
529 – A condition sometimes caused by sympathetic nervous system stimulation due to pain or shock is:
a- bradycardia
b- hemothorax
c- stridor
d- tachycardia
530 – A yellowish coloration of the skin is called:
a- pallor
b- jaundice
c- ecchymosis
d- erythema
531 – The accumulation of fluid within the abdominal cavity often associated with right heart failure or cirrhosis of the liver is called:
a- ascites
b- edema
c- distention
d- swelling
532 – The different between systolic and diastolic ***** pressure readings is referred to as the:
a- hematocrit
b- pulse pressure
c- pleural effusion
d- Biot's response
533 – The "L" in the AMPLE mnemonic stands for:
a- last eaten
b- latent problem
c- leading symptom
d- length of duration of the problems
534 – Signs and symptoms of asthma typically *******:
a- aphasia
b- decreased pulse rate
c- chest pain
d- wheezing sounds
535 – The skin of a hypoglycemic patient is often:
a- cold and clammy
b- cyanotic
c- warm and dry
d- red
536 – The pancrease produces a hormone called:
a- glucose
b- progesterone
c- insulin
d- pancreatitits