EMT Medical Practice Test 1

Question 1

You arrive on scene to find a patient with an altered mental status.
You quickly scan the scene.
Which of the following items will help to point you in the right direction in finding a cause of the altered mental status?

Accepted Answer

Medications including high blood pressure, anxiety and depression

Answer

Unkempt house with animal fur and dirt on the floor

Answer

A smell of dirty clothes and cat feces

Answer

Over the counter (OCT) pain relievers

Question 2

Your patient is not responding to your loud verbal stimuli. You find the following medications: Glucophage and Lipitor. What is the likely cause of the patient’s problem?

Accepted Answer

Diabetic reaction

Answer

High cholesterol

Answer

High blood pressure

Answer

Coronary Artery Disease

Question 3

Your neuro assessment of an unresponsive patient reveals pin point pupils. What is your primary field diagnosis?

Accepted Answer

Narcotic

Answer

Beta blocker overdose

Answer

Insulin overdose

Answer

Aspirin

Question 4

Your patient is a known diabetic who takes up to four insulin injections a day.  Today he is found unresponsive, diaphoretic, and tachycardic. He is also only breathing 18 times a minute.  What is likely the patient’s chief medical issue?

Accepted Answer

Hypoglycemia

Answer

Hyperglycemia

Answer

CVA

Answer

Hypertensive crisis

Question 5

You find that your diabetic patient is hypoglycemic. You have oral glucose to give to the patient. You will give 15 grams of instant glucose to the patient except if they are ___________?

Accepted Answer

Semi conscious without the ability to swallow

Answer

Conscious with blood sugar

Answer

Semi conscious with gag reflex and the ability to swallow

Answer

Conscious with an altered mental status and blood sugar of 80mg/dl

Question 6

Which of the following is an often fatal complication of diabetes and is also the first indication of diabetes in many young patients?

Accepted Answer

Diabetic Ketoacidosis (DKA)

Answer

Hypoglycemia

Answer

Hypertension

Answer

Cardiovascular disease

Question 7

Diabetic Ketoacidosis (DKA) has the following signs and symptoms; Acetone on breath, dry skin, poor skin turgor, altered mental status, confusion, thirst, and frequent urination.  What other symptoms are associated with DKA?

Accepted Answer

Appearance of intoxication

Answer

Normal mental status

Answer

Tremors

Answer

Diaphoresis

Question 8

There are two types of cerebral vascular accidents (i.e., strokes). The most common is an ischemic stroke. What is the other type?

Accepted Answer

Hemorrhagic

Answer

Transient ischemic attack

Answer

Thrombotic

Answer

Embolic

Question 9

For a condition to be diagnosed as a transient ischemic attack (TIA), the symptoms must be resolved in 24 hours ______________?

Accepted Answer

With out any permanent effects

Answer

With some minor deficits

Answer

With some major long lasting effects

Answer

With out any memory effects

Question 10

To assess a patient with a stroke, there are two major assessment tools: the Cincinnati Stroke Scale and the Los Angeles Prehospital Stroke Screen.  Which one of these two tools uses arm drift as a diagnostic tool?

Accepted Answer

Cincinnati Stroke Scale

Answer

Neither

Answer

Los Angeles Prehospital Stroke Screen

Answer

Both