Multiple Choice

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Chapter 16

Multiple Choice

This activity contains 20 questions.

Inspiration occurs when:

	the intercostal muscles and the diaphragm contract.
	the intercostal muscles and the diaphragm relax.
	the diaphragm rises and the ribs move upward and outward.
	the diaphragm rises and the ribs move downward and inward.

A pulse oximeter reading of 86%-90% indicates that the patient is suffering from _______ hypoxia.

	significant
	mild
	severe
	possible

All of the following are steps the EMT-Basic takes when assisting a patient to use his prescribed inhaler, EXCEPT:

	have the patient exhale deeply first.
	have the patient inhale deeply as he presses the inhaler to activate the spray.
	hold the inhaler in the patient's mouth and activate the spray for him.
	make sure the patient is alert enough to use the inhaler properly.

Cardiac arrest in infants and children usually is due to:

	heart attacks.
	congenital defects.
	respiratory problems.
	high blood pressure.

The normal breathing rate for an adult patient is:

	15-30 per minute.
	25-50 per minute.
	8-12 per minute.
	12-20 per minute.

A sign of inadequate respiration that is normally only seen in pediatric patients is:

	accessory muscle use.
	decreased chest expansion.
	seesaw breathing.
	Cyanosis.

The preferred means of providing artificial ventilation to a non-breathing patient is:

	two-person bag-valve-mask with oxygen.
	flow-restricted, oxygen-powered ventilator.
	pocket mask with oxygen.
	one-person bag-valve-mask with oxygen.

When an asthma attack occurs:

	wheezing is heard only during inspiration.
	there is a reduction in the amount of mucus produced, causing the lungs to dry out.
	stale air becomes trapped in the lungs.
	airflow is restricted during both inhalation and exhalation.

When ventilating a patient, you should see:

	the chest rise and fall with each ventilation.
	a return of the pulse to a normal rate.
	a return of normal skin color.
	all of the above.

A respiratory rate of 45 breaths per minute in an infant patient is:

	tachycardic.
	normal.
	an indicator of the need for artificial ventilation.
	too rapid.

Signs of breathing difficulty include all of the following EXCEPT:

	inability to speak in full sentences.
	increased pulse rate in children.
	use of accessory muscles to breathe.
	the patient's sitting with feet dangling.

An infant or child patient who exhibits wheezing, increased breathing effort on exhalation, or rapid breathing without stridor probably has:

	an upper-airway obstruction.
	a lower-airway disease.
	an upper-airway disease.
	an esophageal disease.

An asthma attack is often triggered by:

	an allergic reaction.
	emotional stress.
	strenuous exercise.
	all of the above.

Remembering the difference between a sign and a symptom, which of the following is a symptom of breathing difficulty?

	Increased pulse in an adult patient
	Changes in breathing rhythm
	Restlessness or anxiety
	Patient in the tripod position

Providing supplemental oxygen to individuals with lung diseases, such as emphysema or chronic bronchitis, can in rare occasions cause a condition known as:

	hypoxic drive.
	bronchoperfusion.
	instigated hypoxia.
	respiratory dysrhythmia.

You are treating a patient with signs and symptoms of respiratory distress but an oxygen saturation reading of 100%. You should immediately:

	administer oxygen.
	run a self-test on the pulse oximeter.
	provide assisted ventilations.
	tell the patient to stop faking.

To remember which questions to ask about a patient's respiratory difficulty, use the letters:

	AVPU.
	DCAP-BTLS.
	OPQRST.
	AEIOU-TIPS.

Emphysema, chronic bronchitis, and many undetermined respiratory illnesses are classified as:

	ARDS, adult respiratory distress syndrome.
	COPD, chronic obstructive pulmonary disease.
	PID, pulmonary insufficiency disease.
	AMI, acute medical illness.

Lung sounds that resemble low-pitched snoring or rattling are called:

	stridor.
	rancor.
	crackles.
	rhonchi.

Agonal respirations are:

	deep and full.
	rapid and irregular.
	slow, shallow, and gasping.
	regular, but rapid.

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