Airway Management and Emergency Care Protocols, Exams of Health sciences

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EMT Final Exam

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 - 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 - 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 - 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 - 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 - 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 - 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 - 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 - 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 - 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 - 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 - 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 - 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 - C. From the corner of the pt's mouth to the earlobe 1141 - How should you ventilate an apneic adult pt? 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 - 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 - 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 - 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% - 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- - 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 - 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 - C. You should insert the suction catheter only as far as you can visualize

1352. You are called to an elderly male who is having trouble breathing. Respirations are at a rate of 24 and labored and the pt is cyanotic. Your pt is conscious but unable to speak in full sentences. Enroute to the hospital your pt goes into respiratory arrest. You should. A. use a pocket mask and begin chest compressions B. Assist ventilations with BVM and room air. C. Assist ventilations with BVM and 100% O D. Start oxygen at 15 LPM via NRB - 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 - 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 - 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. - 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. - 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 - 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 - 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 - 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 - 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 - 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 - 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 - 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 - 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 - 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 - 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 - D. The pt's systolic BP is less than 90 1157 - A 60 y/o female has chest pain. She has not taken her prescribed nitro you should A> Determine what type of cardiac problem the pt has, and assist her with taking the nitro B> Immediately attached the AED and begin transport to hospital C> Administer aspirin only and withhold the nitro D> Consult medical direction with regard to assisting the pt in taking the nitro - 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 - 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 - 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 - C. Ventricular fibrillation 1273 - One of the most problematic side effects of nitro is A. Hypotension B. Bradycardia C. Angina D. Dyspnea - 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 - 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 - 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 - 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 - 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 - 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. - 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 - 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 - 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 - 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 - 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. - 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 - A. Start CPR and apply the AED 1816 - Albuterol is an example of a (an) A. Vasodilator B. Vasoconstrictor C. Antihypertensive D. Beta-agonist - D. Beta-agonist 1818 -Administer prescribed nitro A. Place the pt on O 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 - 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 O 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 - 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 - D. Resume CPR and transport 1830 - A patient complains of left sided chest discomfort. The vital signs are BP 108/ 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 - D. Administer O2 via NRB @ 15 LPM 1867 - A 45 y/o female pt complaining of left sided chest discomfort. Her vital signs are BP 108/68, P 104, R 20, and her fingers are blue. You should A. Administer oxygen by NRB 15 LPM B. Use flow restricted PPV C. Administer O2 via NC @ 4 LPM D. Ventilate using BVM @ 15 LPM - 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 - 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 O B. Transport the pt in supine position C. Insert an OPA D. Administer oral glucose - A. Note the time and apply O 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 - 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 - 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 - 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 - 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 - 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 - 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 - 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 - 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 - A. Hold injector in place at least 10 seconds 1149 - you are treating an unconscious 50 y/o diabetic pt, you should A. Transport the pt as soon as possible B. Immediately administer oral glucose C. Assist a family member in administering insulin D. Insert a dual lumen airway adjunct - A. Transport the pt as soon as possible 1150 - A 23 y/o patient is lethargic. The patient just finished mowing the lawn. He is drooling and sweating profusely. You should suspect A. Hyperglycemia B. Hypoglycemia C. Heat stroke D. Intoxication - B. Hypoglycemia 1248 - A 10-year-old male complains of a stiff neck and a fever. He is very confused and complains of extreme fatigue and headache. You should suspect A. Febrile seizure B. Epilepsy C. Meningitis D. Diabetic reaction - C. Meningitis 1255 - Your pt is allergic to bee stings. She suddenly began having water eyes and itching in her arms. She does not remember being stung. Vital signs are BP 130/80, P 110, R 16. You should A. Apply O2 and transport to the hospital B. Assist the pt in self-administering her epi-pen C. Monitor airway, encourage the patients family to transport D. Attempt to find the stinger and remove immediately - A. Apply O2 and transport to the hospital

1256 - a 66 y/o male is confused. He has a history of substance abuse and falls. His breath smells of alcoholic beverage. He is alert and refusing service. You should A. Obtain consent from his family and transport B. Document his refusal and recommend that he see his doctor C. Speak calmly to him and convince him to accept transport D. Have the police transport the pt to detox unit - C. Speak calmly to him and convince him to accept transport 1257 - An 18 y/o soccer player is feeling disoriented. He has been playing soccer in 90degree heat. You should A. Direct the pt to drink at least 8 ox of orange juice B. Remove the pt's clothes and pour ice water on him C. Move the pt somewhere cool and assess vitals D. Direct the pt to rest on the bench until he feels better. - C. Move the pt somewhere cool and assess vitals 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 - 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 - 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) - 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 - 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 - 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 - 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 - 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 - 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 - 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 - 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 - 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 - 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. - 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 - 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 - 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. - 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 - 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 - 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 - 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 - ... 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 - 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 - 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 - 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 - A. Irrigate with clean water 1932 - A conscious 7 y/o pt has chemical burns around her mouth from ingesting drain cleaner. Her breathing is adequate. You should A. Evaluate patient airway B. Administer activated charcoal C. Contact medical control D. Flush burns with water - C. Contact medical control 1933 - Your pt is unresponsive 44 y/o found indoors after working in the garden on a hot day. Her vitals are R 32, P 128, 88/56 with hot, dry skin. You should A. Cover the pt with ice and transport to a trauma center B. Administer O2 via NC C. Place a wet sheet over her and fan vigorously (I think this is a mistake) D. Administer O2 via simple face mask - C. Place a wet sheet over her and fan vigorously (I think this is a mistake) 2022 - an 18 y/o hiker has been bitten by a rattle snake. Vitals BP 140/90 P 130 R 24. You should A. Make an incision on the site and suction the venom out B. Calm the pt and coach him not to move C. Apply a tourniquet to the limb above the bite D. Vigorously scrub the area with soap and water - B. Calm the pt and coach him not to move 913 - You are responding to a 23 y/o pedestrian who is 7 months pregnant and was struck by a motor vehicle. She is complaining of abdominal pain, skin is pale and cool, heart rate is 110, respirations 20 you should A. Position the pt on left side, administer O2 and transport emergently B. Place the pt on her back administer O2 and transport routine C. Position the pt in Trendelenburg, administer O2 and transport routine

D. Place the pt on her right side, elevate the bottom of the cot, apply O2 and transport emergently - A. Position the pt on left side, administer O2 and transport emergently 955 - How should you open the airway of an infant? A. Place head in the sniffing position B. Pad underneath the head C. Place the head in a neutral position D. Lift the neck and elevate the head - A. Place head in the sniffing position 956 - a 2 y/o pt who has been sick all day, now has a barking cough. You should suspect A. Epiglottitis B. Asthma C. Croup D. Chronic laryngospasm - C. Croup 1140 - During a birth the baby's head has delivered. You should A. Suction the nose and mouth with a bulb syringe B. Suction the mouth only with bulb syringe C. Suction for 15 seconds with pediatric suction device D. Insert a delee suction catheter in the mouth - A. Suction the nose and mouth with a bulb syringe 1170 - You are evaluating a disoriented 27 y/o female who is 32 weeks pregnant. Her husband states "her arms and legs just got stiff and she had a blank stare" she has no prior medical history you should suspect A. Eclampsia B. Ectopic pregnancy C. Epilepsy D. Placental abruption - A. Eclampsia 1172 - Your pt is nine months pregnant with her first child. Her contractions are 10 minutes apart, lasting for 20 seconds. She tells you that she is "having this baby now". You should A. Coach her to calm down and have her husband transport B. Prepare for an imminent on scene delivery C. Transport the patient on her left side and monitor D. Transport pt in supine position and monitor ~ C. Transport the patient on her left side and monitor 1173 - which of the following is an anatomical difference between an adult and an infant airway? A. The infants trachea is more rigid B. The infants trachea is softer C. The adults tongue is proportionally larger D. The adults mouth is proportionally smaller - B. The infants trachea is softer

1174 - A 2-year-old boy has a circumferential burn to his hand up to the wrist. The mother tells you a pot of boiling water spilled onto the boy. You should A. Reassure the mother and treat the burn with moist dressing B. Transport and inform the ER that you suspect abuse C. Talk to the boy separately and ask if he is being abused D. Confront the boy's mother about possible abuse - B. Transport and inform the ER that you suspect abuse 1175 - a father has dialed 911 because his 5-year-old daughter is choking. She is coughing vigorously. You should A. Perform abdominal thrusts until the object clears B. Suction with a bulb syringe C. Encourage the pt to keep coughing D. Sweep the mouth with gloved fingers - C. Encourage the pt to keep coughing 1249 - Bystanders are doing CPR on a 3-month-old infant. You should A. Evaluate effectiveness of CPR while gathering info B. Stop CPR and call medical control for instructions C. Attach an AED and prepare to defibrillate D. Put the infant on a backboard and transport emergently - A. Evaluate effectiveness of CPR while gathering info 1250 - a 7 y/o female fell out of a tree and was unconscious for 2 minutes the pt is very scared and combative. You should A. Apply four point restraints and transport rapidly B. Obtain parental consent prior to transport C. Apply a c-collar and backboard D. Place pt on stretcher - C. Apply a c-collar and backboard 1251 - First responder has delivered a baby. The infant is blue and lethargic - the pulse is 90 you should A. Transport after placenta is delivered B. Dry, stimulate and apply oxygen C. Transport and administer CPR enroute D. Transport to closest hospital - B. Dry, stimulate and apply oxygen 1296 - you are called to the scene of a motor vehicle crash, where you find a three- year-old female sitting in an unsecured car seat. She has abrasions to her forehead and right arm. She is alert to voice, her skin is pink and dry, and she appears to breathing normally. You should A. Rapidly extricate the child and place her in a supine positon B. Place a short back board behind the child and gently extricate her from the car seat. C. Remove the child from the car seat and place her on a long spine

D. Secure the child in the car seat using towels and tape to immobilize her head and chest. - D. Secure the child in the car seat using towels and tape to immobilize her head and chest. 1297 - Your 18-mo. old pt has pale cool skin, decreased mental status, and delayed cap refill. The mother tells you that the child's diaper has been dry for most of the day. First responders have applied oxygen. You should A. position the child on his side and transport B. rapidly transport and monitor vital signs C. ventilate with BVM and transport rapidly D. transport rapidly and apply wet towels enroute - B. rapidly transport and monitor vital signs 1298 - A 30-year-old female is experiencing vaginal bleeding and abdominal pain. She is drowsy. Her skin is pale, cool, clammy. Vitals are BP 90/60 P 120 R 20. You estimate that she may have lost 500cc of blood. Which of the following should concern you MOST? A. Hypovolemic shock due to blood loss B. Cardiogenic shock due to lack of perfusion C. Septic shock due to a serious infection D. Neurogenic shock due to blood vessel dilation - A. Hypovolemic shock due to blood loss 1438 - Your pregnant patient has a history of asthma. She started having difficulty breathing 15 minutes prior to calling 911. She has used her inhaler three times with no relief. You should A. Encourage her to use her inhaler until she feels relief B. Start O2 therapy at high flow, transport and contact medical control for orders to administer a nebulizer C. Start O2 therapy at high flow and transport D. Start O2 therapy at high flow, administer a nebulizer, reassess to determine if transport is required - B. Start O2 therapy at high flow, transport and contact medical control for orders to administer a nebulizer 1439 - Your 26-year-old female pt was involved in 30 MPH head-on collision. She complains of slight stiffness in her neck. She is 36 weeks pregnant. What action should you take? A. Perform a complete physical exam, obtain hx to ensure lack of other injuries and advise pt to consult with primary doctor. B. Provide c-spine stabilization, O2 c-collar, long spine board and transport with pt in right lateral recumbent position. C. Provide c-spine stabilization, O2 c-collar, long spine board and transport with pt in left lateral recumbent position. D. Evaluate the patient, c-collar assist onto stretcher and transport in left lateral recumbent position - C. Provide c-spine stabilization, O2 c-collar, long spine board and transport with pt in left lateral recumbent position.

1441 - You are called to an elementary school for a 10 y/o who fell at the playground. When you arrive, you find the school nurse and a teacher's aide performing CPR. What is the most appropriate action for you to take A. Obtain a history from the school nurse B. Ask the nurse to stop CPR while you check for breathing and a pulse C. Place the pt on a long spine board with a Ccollar D. Perform a rapid head to toe trauma survey - B. Ask the nurse to stop CPR while you check for breathing and a pulse 1802 - immediately upon returning to the station form a scene where a child died, the crewmembers discuss the call. This is an example of A. support meeting B. defusing C. critical incident stress debriefing D. an informal debriefing - D. an informal debriefing 1805 - You should ventilate a newborn once every A. Three seconds B. Five seconds C. Four seconds D. Two seconds - A. Three seconds 1808 - five minutes after delivery of a newborn, your patient is moving all extremities, has pink skin, a weak cry, is grimacing and has a pulse of 96. The APGAR score is A. 6 B. 8 C. 10 D. 4 - B. 8 1811 - A four-year-old pt has hot dry skin after being inside a car with the windows rolled up on a hot day. You should A. Cover with wet blankets to prevent rapid cooling B. Rapidly cool pt with ice packs everywhere C. Pour water on pt and fan vigorously D. Call the PD to report suspected child abuse - ... 1812 - A four-year-old pt is experiencing breathing difficulty and is not tolerating an O2 mask. You should A. Have the mother hold the mask over the pt's face B. Place the pt on the stretcher and hold the mask on the face C. Ventilate using a BVM with supplemental O2 D. Have the mother hold the mask near the pt's face - D. Have the mother hold the mask near the pt's face 1817 - When infants or children experience breathing difficulties, their pulse may

A. Increase early, then decrease significantly B. Increase significantly, then return to normal C. Decrease significantly, then return to normal D. Decrease early, then increase significantly - A. Increase early, then decrease significantly 1831 - Your patient is in labor. As the baby's head delivers, you notice the amniotic sac hasn't broken. You should A. Place the mother on oxygen to prevent fetal distress B. Use your gloved finger to puncture the membrane C. Place mother on her knees to take pressure off the sac D. Have the mother pant to delay delivery - B. Use your gloved finger to puncture the membrane 1839 - You are ventilating an apneic infant. His pulse is 54. You are currently ventilating with a BVM with supplemental O2 You should. A. Obtain a complete set of vital signs B. Begin chest compressions C. Continue ventilations and transport D. Insert a pediatric combitube - B. Begin chest compressions 16347 - A five-year-old female with asthma is having intercostal retractions. She cannot hold her head up to talk. You should A. Administer oxygen via NRB @ 15 LPM B. Administer O2 via blowby @ 6 LPM C. Contact medical control before assisting pt with prescribe inhaler D. Ventilate via BVM at 15 LPM - D. Ventilate via BVM at 15 LPM 13651 - You are conducting a physical exam on a responsive female toddler. You should A. Place the girl on her back as her parents help hold her B. Use a toes to head approach for the exam C. Use head to toe approach for the exam D. Examine the girl upright as her parents hold her. - B. Use a toes to head approach for the exam 16352 - A 28 y/o female who is 12 weeks pregnant has twisted her left knee while walking. She states the pain is 10/10 in severity. You should A. Apply a traction splint and immobilize with a long spine board B. Transport on her left side and hold manual stabilization until she gets the hospital C. Splint with the stretcher and straps and transport her on her left side D. Splint using board splints and cravats and transport sitting. - D. Splint using board splints and cravats and transport sitting. 16362 - What should you initially do to open the airway of an 8-month-old? A. Pad under head of child

B. Turn pt onto their left side C. Place the head in an extended position D. Place the head in a neutral position - ... 16363 - an infant is choking on a piece of candy. You are unable to see chest rise after numerous attempts to ventilate. You should A. Apply an AED B. Insert an OPA and reattempt C. Administer chest compressions D. Perform abdominal thrust - C. Administer chest compressions 893 - The first step an ambulance crew should take when approaching the scene of an emergency is to A. Verify number of patients B. Note the MOI C. Determine the scene is safe D. Take BSI precautions - D. Take BSI precautions 894 - To protect yourself from injury when lifting a stretcher, you should A. Use two additional people for the lift B. Wear an orthopedic back brace C. Keep the weight close to your body D. Lean forward toward the stretcher - C. Keep the weight close to your body 896 - You are completing a pt. care report for a pt. injured in a car crash. You notice the smell of alcohol and empty beer cans in the vehicle. The best way to document your findings in the PCR is to A. Discount these findings because your patient may not have been the driver B. Describe the smell of alcohol and empty beer cans which were noted at the scene C. Omit any reference to alcohol because you are not certain if the patient was drinking D. Indicate that the pt was under the influence of alcohol - B. Describe the smell of alcohol and empty beer cans which were noted at the scene 898 - Your ambulance is the first to arrive at the scene of a three-car crash. After assessing potential hazards, you should A. Contact on-line medical control B. Designate a triage officer C. Determine the number of patients D. Set up immobilization equipment - C. Determine the number of patients 900 - A good EMS quality improvement program includes A. Response to media request for pt data B. Annual review of ambulance fees C. Education and feedback regarding pt care D. Discipline for agency policy infractions - C. Education and feedback regarding pt care

901 - White transporting a bleeding pt. you followed good infection control procedures, including wearing gloves, a mask, protective clothing and eye protection. Further precautions include A. Place a mask on your patient's face B. Washing your hands with soap and water C. Open doors of ambulance to air out patient compartment D. Inspecting your face mask for dried blood before discarding. - B. Washing your hands with soap and water 935 - When lifting a pt on a stretcher you should A. Keep the weight away from your body B. Twist from the hips to better maneuver C. Coordinate your moves with your partner D. Bend at the waist - C. Coordinate your moves with your partner 937 - Consent to treat is implied in which of the following cases? A. 18 y/o female bleeding profusely B. 21 y/o unconscious male C. 44 y/o bus driver with CP D. 88 y/p female with DNR - B. 21 y/o unconscious male 938 - Which of the following is a positive method to reduce stress? A. Eating food rich in sugar B. Developing regular exercise habits C. Drinking alcoholic beverages D. Ignoring feelings of anxiety or stress - B. Developing regular exercise habits 939 - you are at the scene of a MVC which of the following situations would require rapid extrication? A. Your patient complains of arm tingling B. Your pt blocks access to critical pt C. There are multiple pt's at the scene D. Your pt complains of blurred vision - B. Your pt blocks access to critical pt 940 - You 90 y/o nursing home pt is pulseless and apneic. The nurse shows you a note in the patient's chart stating DNR. The note is signed by a physician. You should A. Call the pt's doctor and confirm order B. Consult with the family C. Call online medical control D. Request to see a copy of the living will - C. Call online medical control 942 - You are treating a 50 y/o male with CP. Your written protocol indicates that you should give nitro. This is known as A. License to practice B. An online medical directive C. Scope of practice

D. A standing order - D. A standing order 1252 - A 20 y/o female pt complains of severe abdominal pain. She is in the fetal position. After your primary assessment, you should A. Ask if she was assaulted B. Obtain baseline vitals C. Palpate all 4 quadrants of abdomen D. Transport immediately to hospital - B. Obtain baseline vitals 1253 - A 45 y/o male farmer has been working with dry lime. The pt has large amounts of powder on both legs. You should A. Use milk to dilute and cocoon pt B. Gently brush off excess powder and transport C. Wash of the powder with water and transport D. Use vinegar to dilute and transport - B. Gently brush off excess powder and transport 1259 - You are transporting a patient who has been restrained due to hostile behavior. He is complaining that he has no feeling in his hands, and is threatening to sue you if you don't remove the restrains. He has been very cooperative since the restrains were placed. You should A. Place padding between the restraint and the pt's skin B. Assess the pt's distal circulation frequently C. Remove the restraints D. Loosen the restraints - B. Assess the pt's distal circulation frequently 1260 - You respond to a scene where a mentally ill adult is threatening to kill himself. He is refusing transportation to a hospital. You should A. Document the patient's refusal and have him sign your form B. Restrain the patient C. Ask law enforcement for assistance D. Allow a family member to transport the patient, if they promise to follow through - C. Ask law enforcement for assistance 1261 - A 24 y/o female has been stabbed and police state she is deceased. You note blood all over her clothing. You should A. Get permission from the police to move the pt B. Assess the airway and check for a pulse. C. Remove her clothing and determine the extent of the wounds D. Do not disturb the crime scene - B. Assess the airway and check for a pulse. 1262 - a 11 y/o male has crashed his bicycle. The patients baby sitter is requesting to know the extent of his injuries. You should reply A. "you will have to wait and talk with his parents" B. "his leg appears to be broken, do you have a phone number for his parents" C. "please discuss this matter with the police when they arrive"