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Prehospital Emergency Care Practice Test: Basics of Geriatrics
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Avg score: 50% • 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. While providing a continuing education seminar for your EMS system about geriatric patients, which point about geriatric trauma would you make?
2. Alzheimer's disease is diagnosed by:
3. Which statement indicates an accurate understanding of administering positive pressure ventilation (PPV) to a geriatric patient?
4. You have been called to a geriatric extended care facility for a 91-year-old female with pneumonia. The patient is to be transported to a local hospital for further treatment. When asked, the staff confirms and then produces the patient's Do Not Resuscitate (DNR) order. The patient's airway is patent, respirations labored, and skin warm, with an intact radial pulse. The vital signs are pulse, 124 beats/min; respirations, 20 breaths/min; blood pressure, 104/58 mmHg; SpO2, 91%; and temperature, 101.2°F. The patient also complains of chest discomfort and has a cough. Given this situation, the focus of your care should be:
5. You have just arrived by the side of a nonverbal patient with snoring respirations. The caregiver states that they were eating lunch when the patient suddenly collapsed face first onto the table. She also states that the patient has a history of a stroke, high blood pressure, and colon cancer. Your priority in caring for this patient at this time would be:
6. In reviewing prehospital care reports, you note that more than 75 percent of the patients transported from a local geriatric extended care facility have been diagnosed with hypertension. As a knowledgeable EMT, you would recognize that:
7. You have been called for a 77-year-old male with chest discomfort. On scene, the patient denies ever having chest discomfort and requests to sign a refusal-of-care form. Before having the form signed, the EMT must consider that many geriatric patients may deny symptoms because of:
8. A 77-year-old male got out of bed, became dizzy, and fell onto the floor, hitting the right side of his face. You find the patient sitting on the floor with his wife next to him. His wife states that he did not lose consciousness and that this has happened several times over the past few days, ever since the doctor put him on a new blood pressure medication. Presently, the patient is alert and oriented and complains of dizziness, headache, and neck pain. He has a history of coronary artery disease, emphysema, and hypertension. Which action should the EMT perform first?
9. 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?
10. A patient with kyphosis has fallen and now complains of new-onset neck and back pain with numbness in both arms. Regarding spine motion restriction, you should:
11. An elderly female fell down three steps and now complains of back pain. After performing the primary assessment, which question would be most important to ask first?
12. 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?
13. You have been called to the side of a confused geriatric female who complains of abdominal pain. Before palpating the patient's abdomen, you would first:
14. 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?
15. You have been called for a 91-year-old female who fell. Since your assessment reveals bruises to her body in various stages of healing and inconsistencies in information provided by her family, you are suspicious of geriatric abuse. What would your best action be?
16. The EMT would recognize potential geriatric neglect when the patient makes which statement?
17. When assessing a geriatric patient for pneumonia, the EMT must remember that:
18. 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?
19. A patient with advanced dementia who is living with family members is unable to provide an accurate medical history. In this situation, what would the EMT's best course of action be?
20. Your partner believes the 90-year-old male you are caring for is dehydrated. Which finding best reinforces his suspicion?
21. You have been called by the caregiver of a 91-year-old female with dementia. The patient complains of pain and deformity to her upper left arm. As you assess the patient, you note various bruises to the patient's body, and become suspicious of elder abuse. Which action is most appropriate at this time?
22. You have been called to a geriatric extended care facility to transport a patient with fever and pneumonia to the hospital for further care and treatment. The primary focus of your care during this call will be:
23. A patient with a history of arteriosclerosis has:
24. When assessing a patient, which finding should raise the EMT's suspicion that the patient may have a pulmonary embolism?
25. A patient with a history of cataracts would most likely complain of:

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