Aurora Health Care
EMS Continuing Education
4th Quarter 2013 Quiz
Name ___________________________________
Department ______________________________
E-mail address ____________________________
Please highlight or bold your answers and e-mail to mailto:david.fladten@aurora.org
1.
The leading cause of prescription drug overdose-related deaths are:
a.
b.
c.
d.
2.
Females between the ages of 12 – 17 abuse more prescription drugs than males of
the same age.
a.
b.
3.
True.
False.
Benzodiazepines, such as Valium, Ativan or Versed are:
a.
b.
c.
d.
4.
opioid analgesics.
benzodiazepines.
stimulants.
none of the above.
stimulants.
pain killers.
sedatives/depressants.
none of the above.
Signs and symptoms of drug misuse or abuse include:
a.
b.
c.
d.
filled prescriptions from multiple sources.
mood swings.
sleep pattern changes.
all of the above.
5.
Signs and symptoms of opioid withdrawal include:
a.
b.
c.
d.
6.
Signs and symptoms of an acute effect of stimulant ingestion include:
a.
b.
c.
d.
7.
true.
false.
Many drugs can cause respiratory depression. Aggressive airway management
must be a priority in these patients. The goal is to maintain a patent airway while
preventing aspiration in the event the patient vomits. A caregiver can accomplish
this by:
a.
b.
c.
d.
9.
chest pain.
hypertensive crisis.
seizure.
all of the above.
Caregiver safety must be at the forefront of patient care as patients abusing drugs
have the ability to demonstrate physically aggressive behavior. Some drugs may
cause very aggressive behavior by the abuser.
a.
b.
8.
tremors/twitching.
nausea/vomiting.
depression/suicidal ideations.
all of the above.
OPA/NPA insertion.
supporting ventilations with BVM, if necessary.
considering advanced airway, such as Combitube, King or intubation, if
necessary.
all of the above.
Certain drugs of abuse can have an effect on the cardiovascular system. Effects
can include cardiac dysrhythmias including both bradycardic and tachycardic
rhythms. Because of this possibility, patients suspected of drug ingestion should
have ECG monitoring done, including a 12-lead.
a.
b.
true.
false.
10.
Normal thermo regulation can be affected by certain drugs. Some drugs may
cause a patient to become hyperthermic. Because of that, a patient’s temperature
should be considered a standard vital sign that an EMT acquires during patient
care for these patients.
a.
b.
11.
Narcan is used for:
a.
b.
c.
d.
12.
provide oxygen to obtain saturation 94% or greater.
establish a large bore IV.
do not induce vomiting.
all of the above.
Certain drug overdoses result in a patient who is hypotensive. IV fluid boluses are
appropriate for those patients. Per our protocol, fluid boluses of __________ are
appropriate.
a.
b.
c.
d.
15.
give just enough medication to achieve the desired effect.
give the medication as quickly as possible.
give all of the medication at once without waiting for any effect.
none of the above.
Our protocols indicate initial care for a drug overdose include:
a.
b.
c.
d.
14.
stimulant overdose.
benzodiazepine overdose.
opioid overdose.
all of the above.
Although our Narcan protocol calls simply for 2.0 mg to be administered, the
generally accepted practice is to “titrate to effect”. What does that mean?
a.
b.
c.
d.
13.
true.
false.
50 ml – 100 ml
100 ml – 250 ml
250 ml – 500 ml
500 ml – 1000 ml
Certain stimulants, such as cocaine may cause cardiac dysrhythmias. Because of
that possibility, ECG monitoring and 12-lead acquisition and transmission to the
ED is appropriate care. ALS should also be considered appropriate to manage the
dysrhythmias.
a.
b.
true.
false.