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You respond to a medical call for a 59-year-old female complaining of tightness in her chest.You place her on a high concentration of oxygen and prepare for a short 5-minute transport to the hospital.The patient tells you she is on nitroglycerin,which she has not taken.Your partner tells you that you can give aspirin per protocol.Should you delay the patient transport to give the medication and why?


A) No, any delay will cause the patient more heart damage; each delay weakens the myocardium.
B) Yes, the nitroglycerin will cause the blood vessels to dilate and restore some blood flow, and the aspirin will slow the clotting process.
C) Yes, the nitroglycerin will cause the heart to beat stronger and restore some blood flow, and the aspirin will ease the pain.
D) No, any delay will cause the patient more stress; she needs to be in a definitive care facility.

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How does nitroglycerin decrease the level of chest pain that a patient experiences?


A) It constricts the blood vessels, forcing more blood into the heart muscle.
B) It dilates the blood vessels, allowing more blood to enter the heart muscle.
C) It constricts the blood vessels, forcing the toxic lactic acid out of the heart.
D) It dilates the blood vessels, allowing more blood flow to wash away the toxic lactic acid.

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You are on the scene of a 68-year-old patient with a history of COPD who is breathing 44 times per minute and has a diminished level of consciousness.His wife states he has an Albuterol inhaler and nitroglycerin tablets for angina.What is the most important drug you can administer to the patient?


A) Oxygen by bag-valve mask
B) Oxygen by nonrebreather mask
C) Albuterol
D) Nitroglycerin

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A

What are the names given to each medication listed in the U.S.Pharmacopoeia?


A) Official, chemical, and generic
B) Manufacturers, general, and governmental
C) Trade, chemical, and generic
D) Trade, brand, and generic

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Why should EMTs study pharmacology?


A) As an EMT, you will be trusted to administer medications in emergency situations; many of these may be lifesaving, but there is potential to do harm.
B) An EMT must know the manufacturer, sources, characteristics, and effects of every medication that has been prescribed to the patient.
C) As an EMT, you will be trusted to administer medications in emergency situations, although many of these may do nothing but give the patient false hope.
D) An EMT must know the sources, characteristics, and effects of each medication that the physician may prescribe.

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An EMT is on the scene of a 48-year-old male patient complaining of chest pain.He has nitroglycerin prescribed and available.After performing the primary and secondary assessments,the EMT contacts medical control and is ordered to assist the patient in taking his nitroglycerin.Carefully,the EMT performs the "five rights" and checks the expiration before administering the medication.The patient states the medicine is not helping his pain.The patient also states he does not have a headache.Reassessment of the patient's vital signs shows no change in blood pressure.The EMT suspects the nitro is not working because the:


A) medication is expired.
B) medication is not nitroglycerin.
C) EMT only gave one tablet instead of two.
D) medication was somehow rendered inert.

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What condition must be present before you give oral glucose?


A) The patient must not have a history of diabetes.
B) The patient, if conscious, must be able to swallow; if unconscious, you can apply the gel to a tongue depressor and place it between the cheek and gum or under the tongue.
C) The patient must be conscious and able to swallow with an altered mental status and history of diabetes.
D) The patient must be unconscious and have a history of diabetes.

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Which of the following is a potential side effect of nitroglycerin?


A) Decreased blood pressure
B) Sudden increase in heart rate
C) Difficulty breathing
D) All of the above

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What medication is given when a patient suffers from a medical or traumatic condition called hypoxia?


A) Oxygen
B) Oral glucose
C) Epinephrine
D) Aspirin

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Nitroglycerin (Nitro) is used for patients with recurrent chest pain or a history of heart attack.Nitro is most commonly supplied in what two forms?


A) Pills and injectable
B) Aerosol and spray
C) Pills and spray
D) Ointment and pills

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C

How does aspirin actually reduce the chances that a patient suffering a heart attack will die?


A) It reduces the amount of pain in the heart.
B) It prevents a deadly fever from developing.
C) It reduces the inflammation in the heart.
D) It reduces the ability of the blood to form clots.

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Epinephrine delivered by auto-injector may be indicated for patients with which of the following conditions?


A) Drug overdose
B) Severe allergies to peanut, shellfish, penicillin, or bee stings
C) Chest pain
D) Chronic pulmonary diseases

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B

Which of the following BEST describes the five rights?


A) In date, right medication, right order, right dose, right time
B) Right patient, right medication, in date, right dose, right route
C) Right decision, right medication, right order, right dose, right place
D) Right patient, right medication, right time, right dose, right route

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When you give patients nitroglycerin,they sometimes develop a headache.This would be called a(n) :


A) side effect.
B) contraindication.
C) untoward effect.
D) indication.

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A drug's form refers to which of the following?


A) Its physical state, such as powder, liquid, or gas
B) The mandatory paperwork that must be completed when giving any drug
C) The type of container it comes in
D) The way in which it is administered

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The study of the effects of medications on the body in relation to age and weight is called:


A) pharmacology.
B) pharmacodynamics.
C) measurement and documentation.
D) pharmacokinetics.

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What is the first medication that should be administered to a patient experiencing chest pain with difficulty breathing?


A) Oxygen
B) Aspirin
C) Nitroglycerin
D) Albuterol

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You are on the scene of a 48-year-old male patient complaining of chest pain.He has nitroglycerin prescribed and available.After performing your physical examination,you contact medical control and are ordered to assist the patient in taking his nitroglycerin.Five minutes after taking his nitroglycerin,the patient complains of being dizzy and having a headache.You lie the patient down on the stretcher and reassess his vital signs.He is now hypotensive.The patient is suffering from:


A) an allergic reaction to nitroglycerin.
B) an anaphylactic reaction to nitroglycerin.
C) an untoward reaction to nitroglycerin.
D) the side effects of nitroglycerin.

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You are called to an elementary school for an 8-year-old female patient who is experiencing respiratory distress.The school nurse states the patient has an epinephrine auto-injector for a possible anaphylactic reaction to bee stings.The patient also has an Albuterol inhaler for asthma.The patient is breathing 30 times a minute,is in the tripod position,and is speaking in two- to three-word sentences.The nurse states the patient was playing basketball in the gym when she started having difficulty breathing.The patient has wheezing in all lung fields.An ALS unit is en route but it is 10 minutes away.You are 20 minutes away from the nearest hospital.After placing the patient on oxygen,your next intervention should be to:


A) contact medical control and request to assist the patient with her epinephrine.
B) provide supportive care until the ALS unit arrives.
C) cancel the ALS unit and call medical control to assist with the Albuterol administration while en route to the hospital.
D) contact medical control and request to assist the patient with her Albuterol.

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The epinephrine auto-injector is given via the ________ route.


A) oral
B) enteral
C) digestive
D) parenteral

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