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Prehospital Emergency Care Practice Test: Basics of Geriatrics
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Avg score: 40% • Most missed: “Ageism would occur when the EMT:”
Here are some tips for EMTs to handle geriatric patients: Be patient: Geriatric patients often experience changes in their anatomy, physiology, and emotions. Be aware of these changes and be patient. Communicate: Speak slowly, clearly, and loudly, and use short, simple words and sentences. Sit face to face with the patient, and minimize visual and auditory distractions. Consider complications: Geriatric patients may have unique complications, such as: Less neck flexibility Rigidity of the chest Dental hardware, including dentures, bridges, and false teeth Absence of teeth Inability to... Show more
Prehospital Emergency Care Practice Test: Basics of Geriatrics
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25 Questions

1. You have been asked to deliver a talk about EMS and its interaction with the geriatric population. Which point would you emphasize in your presentation?
2. A 76-year-old female fell while walking to her bathroom. She is now on the floor and reports severe pain to her right hip. Her airway is patent and her breathing adequate. Family members tell you that she takes medication for high blood pressure, high cholesterol, and depression. When assessing the patient, which assessment finding is most concerning?
3. An 89-year-old female is short of breath and has a fever. Her SpO2 is low, and she has crackles and coarse breath sounds to both lungs. When getting the patient's history from her family caregivers, which statement would make you suspicious that the patient has aspirated something?
4. You have been called for a conscious and alert 83-year-old male complaining of a fever for three days. He has a history of peripheral vascular disease. When assessing the patient's circulation, you have a difficult time feeling his radial pulse. What would your next action be?
5. Pathologic narrowing of the valves within the heart is referred to as:
6. Your partner believes the 90-year-old male you are caring for is dehydrated. Which finding best reinforces his suspicion?
7. Which description best explains the term 'silent heart attack'?
8. While providing a continuing education seminar for your EMS system about geriatric patients, which point about geriatric trauma would you make?
9. A heavy dresser fell onto a 76-year-old male's foot as he attempted to move it across his bedroom floor. His right foot and ankle are bruised, but the patient is refusing treatment or transport since it does not hurt. Which statement made by the patient during your assessment would be most concerning and warrant contact with medical command for further advisement?
10. Alzheimer's disease is diagnosed by:
11. You have been called for a 79-year-old female complaining of shortness of breath. Due to the patient's increased respiratory rate, cough, and production of discolored sputum, you are suspicious of pneumonia. A family member asks you how she can have pneumonia, when her temperature is only 97.9°F. Your best response is:
12. An 83-year-old male fell down five stairs to the floor below. He hit his head and now complains of a headache. When getting a history from this patient, which question should be asked before all others?
13. You have been called for an unknown medical emergency at a residence. On scene, you are presented with an 84-year-old patient who is confused and does not obey commands. The best means of determining the patient's normal mental status would be to:
14. You have just arrived by the side of an elderly patient who accidentally overdosed with his daily medications after becoming confused about what to take and when. Given this scenario, what would be a priority in caring for this patient?
15. The family of an 87-year-old female has called 911. The patient is confused and exhibiting improper and out-of-character behavior. The family informs you that the patient has diabetes, but takes pills and not insulin. They also state that she has been complaining of dizziness and has been drinking water nonstop as well as urinating. Assessment reveals adequate breathing, skin that is cool, and a radial pulse that is rapid and weak. The glucometer is malfunctioning and not providing a glucose reading. Based on her history, you should be suspicious of and treat the patient for:
16. You have been called for an 84-year-old female who fell and hit her head. The patient is confused and has a laceration on her forehead. When getting the history from family members, which statement suggests that the patient is suffering from delirium?
17. Which complication from a pulmonary embolism is of greatest concern to the EMT?
18. A patient with a history of arteriosclerosis has:
19. To best communicate with a geriatric patient with diminished eyesight, the EMT should:
20. Dementia is typically observed as:
21. You have been called for a 77-year-old female with altered mental status. On scene, you note the patient's inability to speak and vomitus in her airway. Her breathing is labored and inadequate, and radial pulse rapid and weak. She is not moving her right arm or right leg. What should be your first priority?
22. You have been called to an assisted living facility to transport a patient who has been vomiting continuously for 6 hours. She is responsive to verbal stimuli. The patient has both arthritis and severe kyphosis. How should you transport this patient on the stretcher?
23. A 92-year-old male states that he 'passed out' and fell. He regained consciousness a few moments later, but had shortness of breath and sharp chest discomfort. Which element of the patient's history is of greatest concern?
24. When assessing a patient, which finding should raise the EMT's suspicion that the patient may have a pulmonary embolism?
25. You have been called for a geriatric patient with advanced dementia. The staff at the geriatric extended care facility believes that the patient has a urinary tract infection. At bedside, you find the patient to be confused and aggressive. She is on constant oxygen at 3 lpm for COPD. During transport, she repeatedly yells at you and strikes out at you. You would respond by:

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