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A patient who has lost 1 liter of blood is conscious with a patent airway, but his extremities are pale and cold to the touch. Vital signs are pulse 130, respirations are 22 and adequate, blood pressure is 74/56, and SpO₂ is 95% on room air. Which one of the following is most needed by this patient to increase perfusion to the cells?


A) Increased blood pressure by giving IV fluids
B) Administration of oxygen
C) Increased number of red blood cells and plasma volume
D) Keeping the patient warm

E) A) and D)
F) C) and D)

Correct Answer

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C

The EMT would document an FDO₂ level when she is:


A) assisting breathing with a bag-valve-mask device.
B) inserting a nasopharyngeal airway.
C) providing oxygen at greater than 10 liters per minute.
D) using a nonrebreather face mask with high-concentration O₂.

E) B) and C)
F) A) and B)

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A

Which of the following statements about chemoreceptors in the human body is true?


A) The central chemoreceptors are located in the lungs and provide the primary stimulus to breathe.
B) The peripheral chemoreceptors are extremely sensitive to oxygen and are located in the brain.
C) The central chemoreceptors constantly monitor the oxygen levels in the body and increase the rate when more O₂ is needed.
D) The peripheral chemoreceptors are more sensitive to oxygen than carbon dioxide.

E) B) and C)
F) A) and D)

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When the cells undergo normal metabolism, which one of the following occurs?


A) Heat, carbon dioxide, and water are produced.
B) Lactic acid is produced and excreted by the kidneys.
C) Decreased amounts of oxygen are required.
D) Adenosine triphosphate (ATP) is produced and excreted by the lungs.

E) C) and D)
F) A) and C)

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Which of the following will affect the ventilation component of the ventilation/perfusion ratio?


A) Blood clot in the pulmonary blood vessels
B) Loss of blood plasma from dehydration
C) Infection and pus in the distal airways and alveoli
D) Decreased amount of hemoglobin in the blood

E) B) and C)
F) None of the above

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An unresponsive patient is breathing at a rate of 6 breaths per minute. What intervention would be most beneficial for the patient?


A) Positive pressure ventilation with O₂ a rate of 30 and tidal volume of 200 mL
B) Oxygen at 15 liters per minute delivered through a nonrebreather face mask
C) Positive pressure ventilation with a rate of 12 and tidal volume of 500 mL
D) Oral airway and positive pressure ventilation at 40 per minute, supplemental O₂, and volume of 100

E) A) and B)
F) A) and C)

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You are caring for a 66-year-old male who is severely dehydrated. Given this condition, you would recognize which of the following related to the cardiovascular system?


A) Difficulty of the hemoglobin in carrying oxygen
B) Decreased ability of oxygen to diffuse from the lungs to the blood
C) Decreased production of white blood cells
D) Decreased blood volume available for circulation

E) A) and D)
F) A) and C)

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Which one of the following measurements indicates a narrowed pulse pressure?


A) 120/76
B) 108/88
C) 210/138
D) 116/82

E) A) and B)
F) All of the above

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Which one of the following best describes minute ventilation?


A) Number of breaths a patient breathes in one minute
B) Amount of air moved into and out of the lungs in one minute
C) Total milliliters of air moving into and out of the lungs in one breath
D) Amount of oxygen needed by the body in one minute

E) C) and D)
F) B) and C)

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A chronically elevated afterload increases the patient's chance for developing which one of the following conditions?


A) Liver disease
B) Hypotension
C) Diabetes
D) Heart failure

E) None of the above
F) B) and C)

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For a patient breathing in room air, the EMT would estimate the FiO₂ to be:


A) 0.15.
B) 0.21.
C) 0.55.
D) 1.00.

E) All of the above
F) C) and D)

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A patient with asthma is extremely short of breath and hypoxic. Related to the ventilation/perfusion ratio (V/Q) , the EMT would recognize the problem lying in:


A) inadequate oxygen in the alveoli.
B) decreased cardiac output to circulate oxygen.
C) inadequate oxygen in the ambient air.
D) decreased blood volume to carry oxygen.

E) A) and C)
F) A) and B)

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What happens after a cell in anaerobic metabolism breaks down glucose and creates energy in the form of adenosine triphosphate (ATP) ?


A) Oxygen and water are created.
B) Lactic acid is formed.
C) Carbon dioxide and water are formed.
D) Electrolytes in the cell become balanced.

E) None of the above
F) B) and C)

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The best way to decrease a patient's afterload would be to:


A) slow the heart rate.
B) reduce the blood pressure.
C) administer intravenous fluids.
D) provide supplemental oxygen.

E) A) and D)
F) A) and C)

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The EMT is administering oxygen at 95% through a nonrebreathing face mask. He would document this as a FiO₂ of:


A) 0.21.
B) 0.50.
C) 0.95.
D) 1.00.

E) A) and B)
F) A) and C)

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C

Which one of the following would result from increasing a patient's preload?


A) Increased cardiac output
B) Increased oxygen delivery into the lungs
C) Decreased blood pressure
D) Decreased myocardial contraction

E) A) and D)
F) B) and C)

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Which one of the following conditions must be met for carbon dioxide to be moved from the cell to the bloodstream?


A) The blood must be low in carbon dioxide.
B) The sodium/potassium pump must be functional.
C) There must be a high amount of oxygen in the blood.
D) There must be a high number of red blood cells in the blood.

E) A) and B)
F) A) and C)

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Which one of the following conditions would most likely account for an elevated carbon dioxide level in a patient's body?


A) Renal failure
B) Lung disease
C) Liver injury
D) Endocrine stem dysfunction

E) A) and B)
F) A) and C)

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The EMT would best recognize normal cellular metabolism as:


A) oxygenated.
B) aerobic.
C) glycolytic.
D) anaerobic.

E) A) and B)
F) A) and C)

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For a patient who is bleeding, which of the following is the immediate response of the human body?


A) Vasoconstriction caused by the parasympathetic nervous system
B) Increased production of red blood cells and hemoglobin
C) Vasoconstriction caused by the sympathetic nervous system
D) Increased pulse pressure to promote better circulation of oxygen

E) A) and B)
F) A) and C)

Correct Answer

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