Question 1

substance abuse is MOST accurately defined as

Accepted Answer

knowingly misusing substances to produce a desired effect

Question 2

the EMTs primary responsibility to the patient who has been poisoned is to

Accepted Answer

recognize that a poisoning has occurred

Question 3

heroin is an example of an

Accepted Answer

opioid

Question 4

hypotension,hypoventilation, and pinpoint pupils would be expected following an overdose of

Accepted Answer

oxycodone(Percocet)

Question 5

signs and symptoms of a sympathomimetic drug overdose includes

Accepted Answer

tachycardia

Question 6

which of the following drugs is NOT a sedative-hypnotic

Accepted Answer

cocaine

Question 7

your paramedic partner administers atropine to a 49 year old male with bradycardia which of the following side effects would you expect the patient to experience

Accepted Answer

dry mucous membranes

Question 8

which of the following questions would be LEAST pertinence during the initial questioning of a patient who ingested a substance

Accepted Answer

why was the substance ingested

Question 9

a poison that enters the body by ______ is the MOST difficult to treat.

Accepted Answer

injection

Question 10

the poison control center will be able to provide you with the most information regarding the appropriate treatment for a patient with a drug overdose if the center

Accepted Answer

is aware of the substance that is involved

Question 11

which of the following statements regarding inhaled poisons is correct

Accepted Answer

lung damage may progress after the patient is removed from the environment

Question 12

your priority in caring for a patient with a surface contact poisoning is to

Accepted Answer

avoid contaminating yourself

Question 13

phosphorus or elemental sodium should be brushed off the skin instead of irrigated with water because

Accepted Answer

these chemicals may ignite upon contact with water

Question 14

most poisonings occur via the ________ route

Accepted Answer

ingestion

Question 15

syrup of ipecac is no longer recommended to treat patients who have ingested a poisonous substance because it

Accepted Answer

may result in aspiration of vomitus

Question 16

activated charcoal is given to patients who have ingested certain substance because because it

Accepted Answer

binds to the substance and prevents absorption.

Question 17

in general, injected poisons are impossible to dilute or remove because they

Accepted Answer

are usually absorbed quickly into the body.

Question 18

as you enter the residence of a patient who has possibly overdosed, you should

Accepted Answer

be alert for personal hazards

Question 19

your unit is dispatched to the county jail for an intoxicated inmate. upon arrival, you find the patient, a 33 year old male. lying supine in a jail cell. he is responsive to painful stimuli only and has slow, shallow respirations. you should be MOST concerned that this patient

Accepted Answer

may vomit and aspirate

Question 20

you receive a call to a residence where a man found his wife unconscious on the couch. the patient is unresponsive, her respiratory rate is 8 breaths/min, her breathing is shallow, her heart rate is 40 beats per minutes, and her pulse is weak. the husband hands you an empty bottle of hydrocodone(vicodin) which was refilled the day before. you should:

Accepted Answer

initiate ventilator assistance

Question 21

it is MOST important to determine a patients weight when asking questions pertaining to a toxic ingestion because

Accepted Answer

activated charcoal is given based on a patients weight

Question 22

airborne substances are diluted with

Accepted Answer

oxygen

Question 23

activated charcoal administration in contraindicated in patients who have ingested

Accepted Answer

acids or alkalis

Question 24

common names for activated charcoal include all of the following except

Accepted Answer

fructose

Question 25

the usual dose for activated charcoal is up to ____ for a pediatric patient and up to ____ for an adult patient.

Accepted Answer

12.5, 25g

Question 26

a 4 year old male ingested an unknown quantity of acetaminophen (Tylenol). the child\'s mother states that the ingestion occurred approximately 20 minutes ago. the child is conscious and alert and in no apparent distress. after contacting medical control, you should

Accepted Answer

administer up to 25 g of activated charcoal

Question 27

before giving activated charcoal you should

Accepted Answer

obtain approval form medical control

Question 28

the major side effect associated with ingestion of activated charcoal is:

Accepted Answer

black stools

Question 29

after administering activated charcoal to a patient, it is MOST important to

Accepted Answer

be alter for vomiting

Question 30

a person who routinely misuses a substance and requires increasing amounts to achieve the same effect is experiencing an

Accepted Answer

tolernance

Question 31

the most commonly abused drug in the united states is

Accepted Answer

alcohol

Question 32

a hypnotic drug is one that:

Accepted Answer

induces sleep

Question 33

when caring for a know alcoholic patient with severe trauma to the chest and abdomen, you should be concerned that

Accepted Answer

internal bleeding may be profuse because prolonged alcohol use may impair the bloods ability to colt

Question 34

DTs is a syndrome associated with withdraw from

Accepted Answer

alcohol

Question 35

a 49 year old male presents with confusion, sweating, and visual hallucinations. the patients wife tells you that he is a heavy drinker and thinks he had a seizure shortly before your arrival. this patient is Most likely experiencing

Accepted Answer

DT\'s

Question 36

during your assessment of a 50 year old male who was found unconscious in an alley, you note that he has slow, shallow respirations, significant bradycardia, facial cyanosis, and pinpoint pupils. as your partner begins assisting the patients ventilations, he directs your attention to the patients arms, which have multiple needle tracks on them. this patients clinical presentation is MOST consistent with

Accepted Answer

a heroin overdose

Question 37

you and your paramedic partner are caring for a patient who ingested codeine, acetaminophen, and propoxyphene (daron). the patient is unresponsive , his breathing is slow and shallow, and his pulse is slow and weak. treatment for this patient with include

Accepted Answer

assisted ventilation, naloxone (narcan), and rapid transport

Question 38

you respond to a local motel for a young female who was sexually assaulted. the patient is conscious but confused, she tells you that the last thing she remembers was drinking beer at a club with her friends the night before, when she awoke, she was in the bed of the motel room. you should be most suspicious that this patient

Accepted Answer

was given flunitrazepam (Rohypnol)

Question 39

you respond to a college campus for a young male who is acting strangely. after law enforcement has secured the scene, you enter the patients dorm room and find him sitting on the edge of the bed, he appears agitated. as you approach him, you note that he has dried blood around both nostrils. he is breathing adequately, his pulse is rapid and irregular, and his blood pressure is 200/110. treatment for this patient includes

Accepted Answer

attempting to calm him and giving him oxygen is tolerated

Question 40

in an apparent suicide attempt, a 19 year old female ingested a full bottle of amitriptyline (Elavil) at present, she is conscious and alert and states that she swallowed the pills approximately 30 minutes earlier. her blood pressure is 90/50 her pulse is 140 and irregular , and her respirations are 22 breaths with adequate depth. when transporting this patient, you should be most alert for

Accepted Answer

seizures and cardiac arrhythmias

Question 41

you are dispatched to a local nursery for a 39 year old female who is sick. when you arrive, you find the patient lying on the floor. she is semiconscious, has copious amounts of saliva coming from her mouth, and is incontinent of urine. you quickly feel her pulse and note that it is very slow. initial management for this patient should include

Accepted Answer

assisted ventilation with bag mask device

Question 42

atropine sulfate and pralidoxime chloride are antidotes for

Accepted Answer

nerve gas agents

Question 43

a patient who presents with rapid breathing, nausea and vomiting, ringing in the ears, and a high fever should be suspected of ingesting a significant quantity of

Accepted Answer

aspirin

Question 44

an overdose on acetaminophen, the active ingredient in Tylenol, will most likely cause

Accepted Answer

liver failure

Question 45

which of the following statements regarding the salmonella bacterium is correct

Accepted Answer

the salmonella bacterium itself causes food poisoning

Question 46

a 3 year old female ingested several leaves from a plant in the living room. the childs mother is not sure what type of plant it is, stating that she bought it simply because it was pretty. after completing your initial assessment of the child, you should

Accepted Answer

administer 25g of activated charcoal

EMT chapter 19 Toxicology – Flashcards

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