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A comprehensive guide on various emergency medical procedures, focusing on airway management, cpr, and trauma assessment. It covers a range of scenarios, including near drowning, choking, cardiac events, and more. The document offers step-by-step instructions for ems professionals, detailing the correct actions to take in each situation.
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1258 - An intoxicated 33 y/o female was fighting with police. You note some minor scrapes on the pt's leg and face. The pt is being verbally abusive to you. The police want your approval to take the pt to jail. You should A. Ask the officer to transport her to the hospital in a squad car for safety B. Request that the officers arrest the patient prior to transport C. If vital signs are within normal limits, release the pt to the police D. Restrain and transport the pt with police escort ------CORRECT ANSWER---------------D. Restrain and transport the pt with police escort 1291 - Your unresponsive pt is slumped over the kitchen table. A friend tells you that she was fine one minute and started acting abnormally the next. She moans in response to painful stimuli and her skin is pale, cool, and clammy. Her medical alert bracelet denotes diabetes. You should suspect A. Hypoglycemia B. Hyperglycemia C. Stroke D. Diabetic ketoacidosis ------CORRECT ANSWER---------------A. Hypoglycemia 1292 - Of the following communicable diseases, which one is MOST likely to be transmitted through airborne droplets A. Salmonella B. HIV/AIDS
C. Hepatitis D. German measles (rubella) ------CORRECT ANSWER---------------D. German measles (rubella) 1293 - A the local homeless shelter, a 50 y/o male complains of fever. He is drowsy, weak and is coughing up blood. He states that he has had this persistent cough and fever for the past two days. You should suspect A. HIV/AIDS B. Hepatitis C. Tuberculosis D. German measles ------CORRECT ANSWER---------------C. Tuberculosis 1294 - Which of the following symptoms would indicate a significant localized cold injury? A. Skin appears blue and is diaphoretic B. Tissue below the surface is soft C. Mottled or blotchy skin D. Skin appears white and is hard ------CORRECT ANSWER---------------D. Skin appears white and is hard 1295 - You are called to a local beach for a 10 y/o possible drowning pt. The pt's parents have pulled him from the water and he is sitting on a blanket coughing up small amounts of water. The parents state they do not want him to go to the hospital and thinks he only swallowed a small amount of water. His vitals are BP 100/50 P 72 R 20. What should you do? A. Ignore the parents' concerns, load the patient, and rapidly transport o the nearest emergency department B. Agree with the parents, because your assessment indicates that the child is fine C. Explain the complications of near drowning and the necessity of transport via ambulance D. Request that the parents transport the victim to the nearest emergency department ------CORRECT ANSWER---------------C. Explain the
complications of near drowning and the necessity of transport via ambulance 1442 - Which of the following best describes a bipolar pt? A. They do not generally function normally in society B. They do not have a history of manic-depressive disorder C. They appear psychotic during manic phases D. They often have hallucinations ------CORRECT ANSWER---------------C. They appear psychotic during manic phases 1443 - Which of the following pt is MOST at risk for hypovolemic shock? A. A hemophilia pt with a nosebleed B. A leukemia pt with a fracture left arm C. A TB pt with fractured tibia D. An HIV pt with a UTI ------CORRECT ANSWER---------------A. A hemophilia pt with a nosebleed 1766 - You are called to an elderly patient who had a syncopal episode. The patient has had blood-tinged vomiting and general fatigue for the last few days. You suspect A. An abdominal aneurysm B. Gastrointestinal bleed C. CHF D. Cerebrovascular accident ------CORRECT ANSWER---------------B. Gastrointestinal bleed 1769 - You are dispatched to a pt who has intentionally OD on pain beds. The patient is refusing transport. You should A. Convince the pt that they should be transported and can return home after seeing doctor B. Give the pt a few minutes to change their mind
C. Ask a family member for assistance in convincing the pt to accept transport D. Request law enforcement assistance with this pt ------CORRECT ANSWER---------------D. Request law enforcement assistance with this pt 1770 - Your 23 y/o male pt is acting erratically. Which of the following would be the most important to relay to the ER? A. Allergies B. Last doctor visit C. Last oral intake D. Medications ------CORRECT ANSWER---------------D. Medications 1772 - A 40-year-old his just been struck by lightning. There are no visible wounds. You should suspect A. Spinal fracture B. Significant internal bleeding C. Permanent memory loss D. Deep tissue damage ------CORRECT ANSWER---------------D. Deep tissue damage 1815 - Your pt was exposed to an unknown chemical that has soaked their clothing. You should immediately A. Have the pt remove all clothing B. Administer O2 via NRB C. Flush pt's body with large amount of water D. Contact the poison control center. ------CORRECT ANSWER--------------- A. Have the pt remove all clothing 1824 - A seventeen y/o pt has ingested sleeping pills and alcohol. They are responsive only to painful stimuli. Vitals are BP 100/60, P 58, R 8. You should A. Administered activated charcoal
B. Contact the parents for consent to transport C. Place in recovery position D. Ventilate with BVM ------CORRECT ANSWER---------------D. Ventilate with BVM 1835 - you respond to a 22 y/o male with altered mental status. His skin is warm and diaphoretic and has a known seizure history. It is likely your pt is A. Postictal B. Clonic C. Hypovolemic D. hypothermic ------CORRECT ANSWER---------------A. Postictal 1852 - A diabetic patient was reported missing last evening. He is found unresponsive, lying in a ditch along the road in approximately two inches of water. Vital signs are BP 96/40, P 38, R 6. You should A. Place heat packs on pt's groin, neck and armpits B. Place glucose between the patients cheek and gum. C. Place the pt in Trendelenburg position D. Wrap the patient in blankets and transport. ------CORRECT ANSWER---- -----------D. Wrap the patient in blankets and transport. 1904 - Your pt is unresponsive and is wearing a medic alert bracelet stating he is a diabetic. You should A. Establish and maintain an airway B. Check for a regular carotid pulse C. Administer one tube of oral glucose D. Ventilate with a BVM ------CORRECT ANSWER---------------A. Establish and maintain an airway 1905 - A patient is experiencing seizure activity and a bystander has placed a spoon in the patient's mouth to help control the airway. You should A. Tape the spoon in place to protect airway
B. Hold the spoon in place and grab patient's tongue C. Remove the spoon and establish airway D. Restrain the patient's movements ------CORRECT ANSWER--------------- C. Remove the spoon and establish airway 1906 - According to family members, your patient has been seizing for 10 minutes, You should A. Hold the pt's arms and legs securely B. Administer one tube of oral glucose C. Place the pt in the shock position D. Open the airway and provide O2 ------CORRECT ANSWER--------------- D. Open the airway and provide O 1908 - A 45 y/o diabetic pt is experiencing left arm pain and is sweating profusely. You should A. Administer oral glucose B. Administer sublingual nitro C. Administer O2 via BVM D. Administer O2 via NC ------CORRECT ANSWER---------------... 1910 - Your pt is short of breath, is wheezing, and is cyanotic after eating shrimp. He has a known allergy to shellfish. You should first A. Perform a SAMPLE history and focused physical exam B. Administer O2 via NRB @ 15 LPM C. Administer pt's prescribed autoinjector D. Ventilate with BVM at 15LPM ------CORRECT ANSWER---------------B. Administer O2 via NRB @ 15 LPM 1927 - Your pt complains of itching and difficulty breathing after a bee sting. He reports no known allergies. His vitals are BP 136/88 P 118 R 20. You should A. Administer epinephrine given to you by a relative with same condition
B. Administer O2 via NRB and transport immediately. C. Administer O2 via NC and transport immediately D. Recommend the pt take an oral antihistamine and contact his physician ------CORRECT ANSWER---------------B. Administer O2 via NRB and transport immediately. 1928 - A 2 y/o conscious and alert pt has ingested an unknown quantity of aspirin. You all medical control and may be advised to A. Perform several abdominal thrusts B. Assist with pt's prescribe epinephrine C. Administer syrup of ipecac by mouth D. Administer activated charcoal by mouth ------CORRECT ANSWER-------- -------D. Administer activated charcoal by mouth 1931 - Your patient has spilled a dilute alkali solution into his eyes. You should first A. Irrigate with clean water B. Cover the affected eye and transport C. Irrigate with dilute ammonia D. Cover both eyes and transport ------CORRECT ANSWER---------------A. Irrigate with clean water 833 - Your 36 y/o pt is unresponsive upon attempting to insert an OPA, the patient gags, You should A. Insert a nasal airway B. Suction the oropharynx C. Reattempt using a smaller oral adjunct D. Insert a dual lumen airway ------CORRECT ANSWER---------------A. Insert a nasal airway 903 - After air passes through the vocal cords during inhalation, which structure does it reach next?
A. Trachea B. Epiglottis C. Alveolus D. Bronchus ------CORRECT ANSWER---------------A. Trachea 906 - You are ventilating an apneic asthmatic pt with a BVM. The patient has inadequate chest rise. You should A. Decrease the rate of ventilations to 10/min B. Use an O2 powered ventilation device C. Increase the forcefulness of ventilations D. Increase the rate of ventilations to 20/min ------CORRECT ANSWER----- ----------A. Decrease the rate of ventilations to 10/min 909 - A 72 y/o female pt is unresponsive following an ejection from a MVC, she has an open jaw fracture and a dialated right pupil. What is the best way to open this pt's airway A. Insert an OPA B. Perform a modified head tilt chin lift C. Insert a NPA D. Perform jaw thrust ------CORRECT ANSWER---------------C. Insert a NPA 910 - A 4-Year-old female tracheostomy pt has pulled out her tracheostomy tube. The opening is partially obstructed with skin. You should A. Use a soft tip catheter and suction until clear B. Insert a nasal airway into stoma C. Wipe the area clean and perform mouth to stoma ventilation D. Cut the skin away from the stoma ------CORRECT ANSWER--------------- A. Use a soft tip catheter and suction until clear 908 - You are using a BVM and an OPA on an apneic pt. Suddenly it becomes difficult to ventilate. You should first suspect that A. The patients diaphragm has contracted
B. The pt has an airway obstruction C. The Pt is becoming more responsive D. The pt's lungs have collapsed ------CORRECT ANSWER---------------B. The pt has an airway obstruction 946 - A 60-year-old pt with stoma is apneic. You have been suctioning pink frothy sputum for 10 seconds and you continue to get more material. You should A. continue suctioning and have a partner ventilate through the pt's mouth B. suction until airway is clear C. stop suctioning and give a breath D. use a saline solution to moisten secretions and continue suctioning ------ CORRECT ANSWER---------------C. stop suctioning and give a breath 947 - victim of smoke inhalation has developed difficulty breathing. He does not like the smell of the mask you are using to deliver O2. You should A. Switch to a NC set to deliver O2 @ 6 LPM B. Restrain the pt and continue administering O2 via NRB C. Explain that the mask is very important and continue its use D. Administer blow-by O2 via Simple mask ------CORRECT ANSWER------- --------C. Explain that the mask is very important and continue its use 948 - An unresponsive 82 y/o pt is lying supine. Their airway is most likely to be obstructed by A. loose dentures B. Secretions C. The tongue D. Swelling of the epiglottis ------CORRECT ANSWER---------------C. The tongue 949 - You are inserting an OPA into a 4 y/o pt you should A. Use a tongue depressor to keep tongue out of the way
B. Use a head tilt chin lift C. Insert the tip pointing toward the roof of the mouth D. Use an airway that measures one size too small and rotate ------ CORRECT ANSWER---------------A. Use a tongue depressor to keep tongue out of the way 951 - Initial assessment reveals an alert adult pt who is SOB. He is seated in a tripod position using accessory muscles to breathe. Vital signs are BP 140/80 P 110, R 22 with crackles, SpO2 95%. You should A. Administer O2 via NRB B. Ventilate the pt with a BVM to slow respirations C. Administer O2 via NC D. Monitor pulse oximetry ------CORRECT ANSWER---------------A. Administer O2 via NRB 952 When suctioning a patient, you should A. Suction on the way in for no more than 5 seconds B. Suction on the way out for no more than 15 seconds C. Suction on the way in for no more than 15 seconds D. Suction on the way out for no more than 5 seconds ------CORRECT ANSWER---------------B. Suction on the way out for no more than 15 seconds 1139 - Which of the following is the most appropriate way to measure for an OPA? A. From the patient's earlobe to angle of the jaw B. From the center of pt's mouth to earlobe C. From the corner of the pt's mouth to the earlobe D. From the tip of pt's nose to earlobe ------CORRECT ANSWER--------------
A. Perform mouth to mask ventilation 12 breath per minute B. Ventilate with a flow restricted PPV at 12-20 breaths per minute C. Ventilate once every 5-6 seconds with a bag valve mask D. Ventilate once every 3 seconds with a BVM ------CORRECT ANSWER--- ------------C. Ventilate once every 5-6 seconds with a bag valve mask 1142 - Your pt was involved in a MVC he is unresponsive and you hear snoring respirations when he breathes. You should perform a A. Head tilt neck lift with c-spine stabilization B. Jaw thrust with c-spine stabilization C. Tongue jaw lift with c-spine stabilization D. Head tilt lift with c-spine stabilization ------CORRECT ANSWER------------ ---B. Jaw thrust with c-spine stabilization 1145 - A 67-year-old female is short of breath and sitting in a tripod position. She is on home oxygen and has had a productive cough over the last few days. During your exam, you note that she is wheezing and breathing with pursed lips. SPO2 is 93%. You should suspect A. Anaphylactic reaction B. Obstructive pulmonary disease C. AMI D. Pulmonary embolism ------CORRECT ANSWER---------------B. Obstructive pulmonary disease 1338 - Which of the following indicates the correct flow range and delivery percentage for NC? A. 1-6 LPM / 44% B. 10-15 LPM / 95% C. 2-8 LPM / 28% D. 2-4 LPM / 35% ------CORRECT ANSWER---------------A. 1-6 LPM / 44%
1348 - Allowing for appropriate exhalation when assisting ventilations can reduce/alleviate A. The amount of air required to ventilate B. Secretions when suctioning the pt's airway C. Airway obstructions D. Gastric distention- ------CORRECT ANSWER---------------D. Gastric distention 1350 - Which of the following is TRUE about the insertion of an OPA? A. If properly inserted the OPA will keep the tongue out of the airway B. The OPA should be inserted until the flange rests below the patient's teeth C. The OPA is always rotated 360 degrees as it is inserted D. The OPA is measured between the patient earlobe and nose ------ CORRECT ANSWER---------------A. If properly inserted the OPA will keep the tongue out of the airway 1351 - Which of the following statements regarding suctioning of an adult is TRUE? A. You should start ventilations if suction cannot clear the airway B. You should only suction for a max of 30 seconds C. You should insert the suction catheter only as far as you can visualize D. You should remove the suction catheter with the suction machine turned off ------CORRECT ANSWER---------------C. You should insert the suction catheter only as far as you can visualize
D. Start oxygen at 15 LPM via NRB ------CORRECT ANSWER--------------- C. Assist ventilations with BVM and 100% O 1353 - What are two manual methods of opening a patient's airway? A. Head tilt-chin lift and NPA B. Head tilt chin lift and OPA C. Jaw thrust and finger sweep D. Head tilt and jaw thrust ------CORRECT ANSWER---------------D. Head tilt and jaw thrust 1358 - What is the amount of air moved with one normal breath called? A. Dead air space B. Minute volume C. Alveolar air D. Tidal volume ------CORRECT ANSWER---------------D. Tidal volume 1360 - What does pulse oximetry measure? A. Percent of carbon dioxide in the cells B. Percent of tissue that is saturated with oxygen C. The amount of plasma that is saturated D. The amount of hemoglobin that is saturated usually with oxygen. ------ CORRECT ANSWER---------------D. The amount of hemoglobin that is saturated usually with oxygen. 1804 - When opening the airway of an unconscious pt found lying in bed you should A. Place one hand on the forehead with fingertips of the other hand pinching the nose B. Place one hand on the forehead with the other hand on the angle of the jaw C. Place the right hand on the base of the neck and left hand under the angle of the jaw and tip head backward
D. Place both hands at base of neck and tip head backward to fully extend the neck. ------CORRECT ANSWER---------------B. Place one hand on the forehead with the other hand on the angle of the jaw 1807 - Your pt is pale and seems anxious but is speaking in full sentences. You should administer O2 using a A. flow restricted O2 powered ventilation device B. NRB @ 15 LPM C. NC @ 4 LPM D. BVM @ 15 LPM ------CORRECT ANSWER---------------B. NRB @ 15 LPM 1819 - Your 92 y/o pt is SOB, unable to speak, and cyanotic. You should first A. Assure the patient has an open airway B. Ventilate the pt with BVM C. Administer O2 via NRB D. Administer the prescribed bronchodilator ------CORRECT ANSWER------ ---------A. Assure the patient has an open airway 1820 - Your 73 y/o pt is sitting in the tripod position. As you approach they motion for assistance in using their inhaler. You should immediately A. Administer their prescribed inhaler B. Administer O2 via NRB C. Assess the pt's airway status D. Ventilate with a BVM ------CORRECT ANSWER---------------C. Assess the pt's airway status 1934 - While ventilating a near drowning pt, you suddenly feel increased resistance in the airway. You should A. Perform abdominal thrust B. Place pt in lateral recovery position
C. Attempt to reposition the head D. Apply firm pressure to the abdomen ------CORRECT ANSWER------------- --C. Attempt to reposition the head 8050 - For which of the following patients would an OPA be most appropriate? A. A 19 y/o with a mandible fracture who is only responsive to pain B. Unresponsive 25 y/o with a suspected spinal injury C. Unresponsive five-year-old with a suspected airway obstruction D. Semiconscious 76 y.o old who is gasping for air ------CORRECT ANSWER---------------C. Attempt to reposition the head 16349 - A 24 y/o male with a history of asthma has stopped breathing. Which ventilation rate would be most appropriate? A. 30 breaths per minute B. 20 breaths per minute C. 10 breaths per minute D. 24 breaths per minute ------CORRECT ANSWER---------------C. 10 breaths per minute 16350 - A 75 y/o pt is complaining of SOB vital signs are 160/88, P 130, R 22 with crackles in the bases of the lungs. You should A. Administer O2 via mask B. Perform detailed chest assessment C. Assist the pt with prescribed inhaler D. Obtain a complete SAMPLE history ------CORRECT ANSWER------------- --A. Administer O2 via mask 16361 - A 62 y/o female pt is clutching her chest inside a local restaurant. She is unable to breathe. You should A. Begin cardiopulmonary resuscitation B. Perform a blind finger sweep
C. Perform a series of abdominal thrust D. Apply O2 and assess her pulse ------CORRECT ANSWER---------------C. Perform a series of abdominal thrust 16364 - When ventilating with a mouth to mask you notice the presence of increasing gastric distention. You should A. Manually reposition the airway B. Immediately suction oropharynx C. Increase the depth of ventilations D. Decompress the stomach manually ------CORRECT ANSWER------------- --A. Manually reposition the airway 1155 - A malfunction of the heart's electrical system may result in A. Atherosclerosis B. Pericarditis C. Aneurysm D. Arrhythmia ------CORRECT ANSWER---------------D. Arrhythmia 1156 - All of the following are indications for the use of nitro EXCEPT A. Patient has a history of cardiac problems B. The patient's physician has prescribed nitro C. Pt complains of CP D. The pt's systolic BP is less than 90 ------CORRECT ANSWER--------------
D> Consult medical direction with regard to assisting the pt in taking the nitro ------CORRECT ANSWER---------------A> Determine what type of cardiac problem the pt has, and assist her with taking the nitro 1268 - You have assisted a 56 y/o pt in taking 1 nitro he continues to complain of CP. Vital signs are: BP 94/64, P 120, R 14, SaO2 98%. You should A. Reassess his BP B. Assist him with a 2nd nitro C. Transport D. Assess lung sounds and have pt self-administer their inhaler ------ CORRECT ANSWER---------------C. Transport 1269 - You are transporting a pt with CP, when suddenly she becomes unresponsive you should A. Start CPR and transport more rapidly B. Stop the ambulance and confirm absence of pulse C. Immediately apply an AED and analyze D. Insert an OPA and ventilate twice ------CORRECT ANSWER--------------- B. Stop the ambulance and confirm absence of pulse 1271 - __________________ is a cardiac arrhythmia characterized by a complete disorganization of electrical activity A. Ventricular tachycardia B. Pulseless electrical activity C. Ventricular fibrillation D. Atrial fibrillation ------CORRECT ANSWER---------------C. Ventricular fibrillation 1273 - One of the most problematic side effects of nitro is A. Hypotension B. Bradycardia
C. Angina D. Dyspnea ------CORRECT ANSWER---------------A. Hypotension 1278 - The strongest portion of the heart that is responsible for circulating blood to the entire body is the A. Left atrium B. Right atrium C. Left ventricle D. Right ventricle ------CORRECT ANSWER---------------C. Left ventricle 1279 - You are dispatched to a 68 y/o female complaining of discomfort in her upper back. She is nauseous and appears to be sweaty. Based on these symptoms, which of the possible causes is most life-threatening. A. Stroke B. Diabetic reaction C. Cardiac compromise D. Indigestion ------CORRECT ANSWER---------------C. Cardiac compromise 1281 - A 62 y/o female who has been drinking alcoholic beverages is feeling dizzy. She cannot walk and she complains of severe headache. You should suspect A. Delirium tremens B. Severe migraine C. Hemorrhagic stroke D. Acute alcohol intoxication ~ C. Hemorrhagic stroke 1282 - When you assess a pulse you are feeling the A. Contraction of the left atrium B. Relaxation of both ventricles C. Relaxation of the atria D. Contraction of the left ventricle ------CORRECT ANSWER---------------D. Contraction of the left ventricle
1283 - A common symptom of cardiac compromise is CP or discomfort known as A. Fibrillation B. Ischemia C. Myocardial infarction D. Angina ------CORRECT ANSWER---------------D. Angina 1284 - Your pt is a 65 y/o male CC CP, which of the following would be a contraindication for assisting with the administration of sublingual nitro? A. Heart rate < B. SBP > C. SBP < D. HR >100 ------CORRECT ANSWER---------------C. SBP < 1286 - You are alone when you witness a 57 y/o woman suddenly collapse and become unresponsive. She is not breathing. After calling for help you find that she has no pulse. You should A. Begin chest compressions B. Leave the pt and obtain an AED C. Continue rescue breathing D. Perform blind finger sweep. ------CORRECT ANSWER---------------A. Begin chest compressions 1285 - Which of the following is the build-up of fatty deposits on the inner walls of an artery? A. Coronary artery disease B. Thrombus C. Aneurysm D. Atherosclerosis ------CORRECT ANSWER---------------D. Atherosclerosis
1287 - Your pt is a 56 y/o male who collapses while mowing the lawn. He is apneic and pulseless immediately following collapse. What is the patient most likely experiencing? A. Heart attack B. Cardiac Arrest C. Angina D. Stroke ------CORRECT ANSWER---------------B. Cardiac Arrest 1288 - A 62 y/o female is complaining of crushing CP that radiates to between her shoulder blades. She is very pale, diaphoretic, and feels nauseous. You should suspect a/an A. Cardiac event B. Cerebrovascular event C. Hypoglycemic reactions D. Asthma attack ------CORRECT ANSWER---------------A. Cardiac event 1440 - A 67 y/o female just had a syncopal episode while using the toilet. Vitals are BP 100/6-. P 110 irregular, R 12. She is weak and dizzy. You should suspect a A. gastrointestinal obstruction B. vertebral vascular accident C. cardiac rhythm disturbance D. acute myocardial infarction ------CORRECT ANSWER---------------C. cardiac rhythm disturbance 1763 - A pulseless and apneic 68 y/o male has an implanted pacemaker in his right shoulder. Without delaying defibrillation where should you apply the AED pads. A. Left shoulder (to avoid pacemaker) and right lower chest B. Nipple line under the left and right armpits C. Anterior chest and back (between shoulder blades)
D. Right shoulder (directly over the pacemaker) and lower left chest. ------ CORRECT ANSWER---------------C. Anterior chest and back (between shoulder blade 1764 - A pt becomes unresponsive. You find she is apneic and pulseless. You should A. Start CPR and apply the AED B. Apply O2 via BVM and apply the AED C. Apply AED and analyze D. Request ALS and begin CPR ------CORRECT ANSWER---------------A. Start CPR and apply the AED 1816 - Albuterol is an example of a (an) A. Vasodilator B. Vasoconstrictor C. Antihypertensive D. Beta-agonist ------CORRECT ANSWER---------------D. Beta-agonist 1818 - Administer prescribed nitro A. Place the pt on O2 B. Perform head to toe assessment- 1826 - After delivering a shock with an AED, the patient begins to move and speak. You should A. Assess vitals and begin transport B. Immediately remove the AED to avoid accidental shock C. Begin BVM ventilations D. Perform a sternal rub to assess LOC ------CORRECT ANSWER------------ ---A. Assess vitals and begin transport
1827 - A 56 y/o male is complaining of severe CP. He took Viagra two hours ago and has been physically active. You should A. Assist the pt in taking his nitro and apply O2 B. Administer O2 and request an ALS intercept C. Monitor vitals, if BP is above 100 systolic, administer nitro and apply oxygen D. Assure an open airway and continue gathering history ------CORRECT ANSWER---------------D. Assure an open airway and continue gathering history 1829 - You have administered six shocks to your cardiac arrest patient. She remains pulseless and is not breathing. You should next A. Deliver two more shocks B. Continue your assessment C. Reanalyze the rhythm and deliver as many shocks as indicated D. Resume CPR and transport ------CORRECT ANSWER---------------D. Resume CPR and transport 1830 - A patient complains of left sided chest discomfort. The vital signs are BP 108/68 P 104 R 24 SpO2 90% and her hands are cyanotic. You should A. Vent using BVM @ 15 LPM B. Use flow restricted PPV C. Administer O2 via NC @ 4 LPM D. Administer O2 via NRB @ 15 LPM ------CORRECT ANSWER--------------
D. Ventilate using BVM @ 15 LPM ------CORRECT ANSWER---------------A. Administer oxygen by NRB 15 LPM 1869 - Your pt's pulse returns after the use of the AED. You should first A. Reanalyze the rhythm B. Continue performing compressions if BP is too low C. Turn off the AED and remove the defibrillator pads D. Continue ventilations ------CORRECT ANSWER---------------D. Continue ventilations 1883 - A 72 y/o pt is suddenly unable to speak and begins staring off towards the right. You should first A. Note the time and apply O2 B. Transport the pt in supine position C. Insert an OPA D. Administer oral glucose ------CORRECT ANSWER---------------A. Note the time and apply O2 1884 - an AED has advised no shock to be delivered to a 60 y/o pulseless and apneic pt. You should A. Leave the AED pads in place and begin CPR B. Reposition the airway and perform a finger sweep C. Turn off the AED and begin CPR immediately D. Reposition the AED pads and attempt to defibrillate ------CORRECT ANSWER---------------A. Leave the AED pads in place and begin CPR 1935 - Your pt has been submerged underwater for an unknown period and is in cardiac arrest. After taking c-spine precautions you should A. Dry the pt off B. Ventilate the pt C. Apply pressure to abdomen
D. Begin CPR immediately ------CORRECT ANSWER---------------D. Begin CPR immediately 2118 - Your patient is pale, diaphoretic, and complains of chest pressure. Her vitals are R 18 P 58, and BP 88/50. You should suspect A. Unstable angina B. A thoracic aneurysm C. Cardiogenic shock D. Pulmonary embolism ------CORRECT ANSWER---------------C. Cardiogenic shock 16345 - An 18 y/o male has become increasingly shaky several minutes after administration of a prescribed bronchodilator. You should A. assist the pt with another dose of the medication B. contact medical control to report the pt's response C. document the pt's response to the medication D. continue to reassess the pt every 5 minutes ------CORRECT ANSWER-- -------------C. document the pt's response to the medication 16353 - A alert and oriented male is complaining of severe CP, but he refuses transportation against medical advice. You should A. Accept his right to refuse care and leave the scene B. Ask family to help convince him to be transported C. Contact law enforcement for assistance D. Insist that he be transported by ambulance ------CORRECT ANSWER---- -----------B. Ask family to help convince him to be transported 16354 - A pt with chest discomfort becomes unresponsive during transport to hospital. What is the most appropriate action? A. Start CPR while you assess for pulselessness and apnea, then apply AED and shock if necessary
B. Confirm pulselessness, apnea, apply AED, and advise partner to drive vehicle emergently C. Conform pulselessness, initiate CPR, stop vehicle and apply AED D. Stop vehicle, confirm pulselessness and apnea, apply AED, and shock if necessary ------CORRECT ANSWER---------------D. Stop vehicle, confirm pulselessness and apnea, apply AED, and shock if necessary 16355 - A 84-year-old female is anxious and complaining of SOB. She has been a smoke for most of her life. Upon examination, you find she has pedal edema. She is coughing up pink frothy sputum. You should suspect A. Complication of emphysema B. Congestive heart failure C. Chronic bronchitis D. Acute myocardial infarction ------CORRECT ANSWER---------------B. Congestive heart failure 957 - A patient is in respiratory distress after eating soup brought by her neighbor. Her neighbor states "she was eating and suddenly her throat got tight" she is sitting bolt upright in a tripod position. You should suspect A. Anaphylaxis B. Choking C. Emphysema D. Asthma - -----CORRECT ANSWER---------------A. Anaphylaxis 1148 - You are helping a 21 y/o pt to self-administer her epinephrine via auto-injector. She has been stung by a bee. You should A. Hold injector in place at least 10 seconds B. Immediately inject and release C. Inject it into the antecubital fossa D. Check the patient's BP ------CORRECT ANSWER---------------A. Hold injector in place at least 10 seconds