Emergency Medical Procedures and Techniques, Exams of Health sciences

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EMT Final Practice Fisdap

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 Use a soft tip catheter and suction until clear To protect yourself from injury when lifting a stretcher you should A. keep the weight as close to your body as possible B. use two additional ppl for the lift C. lean forward toward the stretcher keep the weight as close to your body as possible An unresponsive 10 year old male was hit by a car and is bleeding heavily from an open leg fracture. After securing his airway and manually stabilizing c-spine, you should: A. place the patient in Tredelenburg position B. perform a rapid trauma assessment C. control bleeding from the leg wound D. immobilize the extremity using a ladder splint **control bleeding from the leg wound *** 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 Left ventricle A 46 y/o female was involved in a bar fight and has an obvious open neck wound. You should dress this wound with a/ an A. Occlusive dressing B. Sterile gauze dressing C. Pressure dressing D. Moist gauze dressing **Occlusive dressing *** When assessing a pulse, you are feeling the: A. relaxation of the atria B. contraction of the left ventricle

C. contraction of the left atrium D. relaxation of both ventricles contraction of the left ventricle* 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 Determine what type of cardiac problem the pt has, and assist her with taking the nitro Which of the following is the best definition of hypoperfusion? A. Less blood reaching capillary beds B. Inadequate oxygen delivery to cells C. Lowered heart rate and BP D. Blood vessel dilation causing distal pooling Inadequate oxygen delivery to cells You are ventilating an apneic asthmatic patient with a BVM, but notice there is inadequate chest rise. What should you do? A. reassess the airway for an obstruction B. increase the ventilation pressure C. switch to an O2 powered ventilation device D. increase the rate of the ventilations **reassess the airway for an obstruction *** 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 Unresponsive 25 y/o with a suspected spinal injury 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 Cardiogenic shock 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 Speak calmly to him and convince him to accept transport Your 12 yr old patient has a penetrating wound to the abdomen. You may provide care based on A. informed consent B. expressed consent C. implied consent implied consent A 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 Explain that the mask is very important and continue its use A 23 y/o construction worker twisted his foot climbing up a ladder. He has an obvious deformity on the right leg just below the knee. The lower leg and foot are cyanotic and pulseless. You should A. Apply an air splint and transport B. Apply spinal immobilization and elevate the leg C. Pull gentle traction and apply a splint D. Apply a traction splint and transport Pull gentle traction and apply a splint Which of the following is TRUE about the insertion of an OPA? A. the OPA is always rotated 360 degrees as it is inserted B. if properly inserted, the OPA will keep the tongue out of the way C. the OPA should be inserted until the flange rests below the patient's teeth the OPA should be inserted until the flange rests below the patient's teeth* 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 Attempt to reposition the head 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 Splint using board splints and cravats and transport sitting A 20 yr old female complains of severe abdominal pain. She is in the fetal position. After your primary assessment, you should A. transport immediately to hospital B. palpate all 4 quadrants of abdomen C. obtain baseline vital signs obtain baseline vital signs* 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 Restrain and transport the pt with police escort 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 Dry, stimulate and apply oxygen A patient has been kicked in the chest. One section of ribs is moving separately during respirations. You should A. Transport emergently B. Listen for lung sounds C. Initiate PPV D. Place a sandbag on the injury Initiate PPV 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 Assure an open airway and continue gathering history You're transporting a 62 yr old patient complaining of chest pain. Vital signs are: BP 88/40, P 90, R 12. Online medical control orders you to assist the patient in taking his prescribed

nitro. You should A. check the expiration date then administer the nitro B. assist the patient w/administering his nitro C. repeat the vital signs and confirm the order repeat the vital signs and confirm the order *** 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 Atherosclerosis 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 stop suctioning and give a breath A pulseless and apneic 68 year old male has an implanted pacemaker in his right shoulder Without delaying defibrillation, where should you apply the AED pads? A. anterior chest and back (between shoulder blades) B. nipple line under the left and right armpits C. left shoulder (to avoid pacemaker) and lower right chest D. right shoulder (directly over the pacemaker) and the left lower chest anterior chest and back (between shoulder blades) 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 restraints. You should: A. place padding between the restraint and the patient's skin B. loosen the restraints C. assess the patient's distal circulation frequently D. remove the restraints assess the patient's distal circulation frequently During a birth the baby's head was delivered. You should: A. suction the mouth and nose with a bulb syringe B. insert a Delee suction catheter in the mouth C. suction the mouth only with a bulb syringe D. suction for 15 seconds with a pediatric suction device suction the mouth and nose with a bulb syringe

Your patient is a 65 year old male complaining of chest pain. Which of the following would be a contraindication for assisting with the administration of sublingual nitroglycerin? A. Heart rate > B. Heart rate < C. SBP > D. SBP < SBP < What are the two manual methods of opening a patient's airway? A. head tilt-chin lift and jaw thrust B. head tilt-chin lift and nasopharyngeal airway C. jaw thrust and finger sweep D. head tilt-chin lift and oropharyngeal airway head tilt-chin lift and jaw thrust Your patient is in labor. As the baby's head delivers, you notice the amniotic sac has not broken. You should: A. use your gloved finger to puncture the membrane B. place mom on her knees to take the pressure off the sac C. place mom on O2 to prevent fetal distress D. have mom pant use your gloved finger to puncture the membrane A conscious 7 year old patient has chemical burns around her mouth from ingesting drain cleaner. Her breathing is adequate. You should: A. evaluate the patient's airway B. flush burns with water C. contact medical control D. administer activated charcoal Contact medical control Your patient is allergic to bee stings. She suddenly began having watery eyes and itching in her arms. She does not remember being stung. Vital signs: BP 130/80, P 110, R 16. You should: A. apply O2 and transport B. monitor airway, encourage family to transport C. attempt to find the stinger and remove it immediately D. assist the patient in self-administering her Epi-pen apply O2 and transport* A 45 year old male farmer has been working with dry lime. The patient has large amounts of this powder on both legs. You should: A. gently brush off excess powder and transport B. use vinegar to dilute and transport C. wash off the powder with water and transport D. use milk to dilute

gently brush off excess powder and transport An unbelted driver struck a tree with his vehicle. Upon examination of the chest you see bruising to the right side. Your initial vitals are BP 88/76, P 128, R 20. You should suspect: A. liver laceration B. cardiac tamponade C. neurogenic shock D. multiple rib fractures cardiac tamponade Five minutes after delivery of a newborn, your patient is moving all extremities, has pink sin, a weak cry, is grimacing and has a pulse of 96. The APGAR score is A. 10 B. 6 C. 8 D. 4 ... When responding to an incident involving an unidentified hazardous material, the most appropriate place to position the ambulance is: A. downwind and uphill B. downwind and downhill C. upwind and uphill D. upwind and at the level of the incident upwind and uphill A 30 year old male has been struck by a car. You note a contusion and pain to his left hip. There is no crepitous on exam. Vital signs are: BP 110/60, P 72, R 12; You should suspect: A. ecchymosis B. fractured pelvis C. neurogenic shock D. long bone contusion fractured pelvis A patient with chest discomfort becomes unresponsive during transportation to the 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. stop vehicle, confirm pulselessness and apnea, apply an AED, and shock if necessary C. confirm pulselessness, apply an AED, and advise partner to drive vehicle emergently D. confirm pulselessness, initiate CPR, stop the vehicle and apply an AED **confirm pulselessness, initiate CPR, stop the vehicle and apply an AED**** Which of the following statements regarding suctioning of an adult is true? A. you should insert the suction catheter only as far as you can visualize B. you should start ventilations if suction cannot clear the airway

C. you should only suction for a maximum of 30 seconds D. you should remove the suction catheter with the suction machine turned off You should insert the suction catheter only as far as you can visualize When driving an ambulance, operators must drive with the safety of others in mind. This is known as driving: A. defensively B. with privileges C. with due regard D. offensively with due regard 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 Anaphylaxis 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 hypoglycemia 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 rapidly transport and monitor vital signs After delivering a shock with an AED the patient begins to move and speak. You should A. begin BVM ventilations B. immediately remove AED pads to avoid accidental shock C. perform a sternal rub to assess LOC D. assess vital signs and begin transport assess vital signs and begin transport

You should ventilate a newborn once every: A. 4 seconds B. 2 seconds C. 3 seconds D. 5 seconds 3 seconds What is the amount of air moved with one normal breath called? A. minute volume B. tidal volume tidal volume Which of the following is the most appropriate way to measure for an oropharyngeal airway adjunct? 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 From the corner of the pt's mouth to the earlobe Your patient has spilled a dilute alkali solution into his eyes. You should first A. irrigate with clean water B. cover both eyes and transport C. cover the affected eye and transport D. irrigate with dilute ammonia **irrigate with clean water *** Your patient has a fork impaled into his cheek. He is having trouble breathing. You should A. carefully remove the fork from his cheek B. insert a nasal airway and apply oxygen C. stabilize the fork with bulky dressings **carefully remove the fork from his cheek *** Which of the following BEST describes a bipolar patient? A. They often have hallucinations B. They do not have a history of manic-depressive disorder C. They appear psychotic during manic phases They appear psychotic during manic phases A 2 year old conscious and alert patient has ingested an unknown quantity of aspirin. You call medical control and may be advised to A. administer activated charcoal by mouth B. administer syrup of ipecac by mouth C. perform several abdominal thrusts **administer activated charcoal by mouth ***

Your 23 year old male patient is acting erratically. Which of the following would be most important to relay to the ER? A. medications B. last doctor visit C. allergies **medications *** Your patient complains of itching and difficulty breathing after a bee sting. He reports no known allergies. His vitals are: BP 136/86, P 118, R 20. You should A. administer O2 via nasal cannula and transport immediately B. administer O2 via NRM and transport immediately C. recommend the patient take an oral antihistamine and contact his physician **administer O2 via NRM and transport immediately *** 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 The infants trachea is softer 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 Insert a nasal airway An alert and oriented patient is complaining of severe chest pain, but he refuses transportation against medical advice. You should A. insist that he be transported by ambulance B. accept his right to refuse care and leave the scene C. contact law enforcement for assistance D. contact law enforcement for assistance *accept his right to refuse care and leave the scene *** You respond to car accident on a busy city street. You are the first emergency vehicle on scene. Which of the following best describes where you should park the ambulance? A. directly in front of the wreckage to have quick access to medical supplies B. downhill or downwind from the wreckage so you can smell any hazards C. in front of the wreckage to warn oncoming vehicles in front of the wreckage to warn oncoming vehicles Your 90 year old nursing home patient is pulseless and apneic. The nurse shows you a note in the patient's chart stating "Do not resuscitate". The note is signed by a doctor. You

should A. call the patient' doctor to confirm the order B. call on-line medical control C. consult with the family call on-line medical control* Your patient has been submerged underwater for an unknown period and is in cardiac arrest. After taking c-spine precautions, you should A. begin CPR immediately B. apply pressure to the abdomen C. dry the patient off D. ventilate the patient begin CPR How should you ventilate an apneic adult patient? A. ventilate with a flow restricted positive pressure ventilator at 12-20 breaths per minute B. ventilate once every 3 seconds with a BVM C. ventilate once every 5-6 seconds with a BVM ventilate once every 5-6 seconds with a BVM You are inserting an oropharyngeal airway into a 4 year old patient. You should A. insert with the tip pointing toward the roof of the mouth B. use a tongue depressor to keep the tongue out of the way C. use a head tilt chin lift use a tongue depressor to keep the tongue out of the way While transporting a bleeding patient you followed good infection control procedures, including wearing gloves, a mask, protective clothing and eye protection. Further precautions include A. Washing your hands with soap and water B. Place a mask on your patient's face C. Inspecting your face mask for dried blood before discarding Washing your hands with soap and water Allowing for appropriate time on exhalation when assisting ventilations can reduce/alleviate A. airway obstructions B. gastric distension C. the amount of air required to ventilate **gastric distension**** 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. wrap the patient in blankets and transport B. place the patient in Trendelenburg position

C. place glucose between the patient's cheek and gum D. place heat packs on the patient's groin, neck, and armpits **wrap the patient in blankets and transport *** When infants or children experience breathing difficulties, their pulse may A. decrease early, then increase significantly B. increase significantly, then return to normal C. Increase early, then decrease significantly **Increase early, then decrease significantly**** A four year old patient has hot, dry skin after being inside a car with the windows rolled up on a hot day. You should A. Rapidly cool the patient with ice packs everywhere B. Pour water on the patient and fan vigorously C. Cover with wet blankets to prevent rapid cooling Rapidly cool the patient with ice packs everywhere An unresponsive 82 year old patient is lying supine. Their airway is most likely to be obstructed by A. The tongue B. Swelling of the epiglottis C. Secretions D. Loose dentures The tongue Which patient would benefit the MOST from helicopter transport? A. 30 y/o male pulseless and apneic with a history of asthma B. 38 y/o male burn patient with 1st degree burns to 55% of his body C. 15 y/o female motor vehicle crash victim still trapped BP 78/ **38 y/o male burn patient with 1st degree burns to 55% of his body *** An infant is choking on a piece of candy. You are unable to see chest rise after numerous attempts to ventilate. You should A. perform abdominal thrusts B. insert an oral airway and reattempt C. administer chest compressions **administer chest compressions *** Your patient was on a third floor balcony which collapsed. The patient is semi-conscious, has an impaled piece of wood in the lower right quadrant of the abdomen, an obvious femur fracture and multiple cuts. You should A. Establish c-spine protection, open the airway and assess breathing B. Apply O2 and prepare pt for rapid transport to a trauma center C. Stabilize impaled object with bulky dressing and establish c-spine protection D. Assist ventilations with BVM, and splint femur fracture Establish c-spine protection, open the airway and assess breathing

A 72 year old patient is suddenly unable to speak and begins staring off towards the right. You should first A. administer oral glucose B. note the time and apply oxygen C. transport the patient in the supine position note the time and apply oxygen* a 11 year old male has crashed his bicycle. The patient's 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. "I cannot tell you, this would be a violation of patient privacy and confidentiality" C. "His leg appears to be broken, do you have a phone number for his parents?" **"You will have to wait and talk with his parents" **** An 18 year old male has become increasingly shaky several minutes after administration of a prescribed bronchodilator. You should A. document the patient's response to the medication B. continue to reassess the patient every 5 minutes C. contact medical control to report the patient's response *continue to reassess the patient every 5 minutes **** You are conducting a physical exam on a responsive female toddler. You should A. examine the girl upright as her parents hold her B. use a head-to-toe approach C. use a toes-to-head approach use a toes-to-head approach 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 Cardiac compromise You are completing a patient care report for a patient 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 is to A. indicate that the patient was under the influence of alcohol B. describe the smell of alcohol and empty beer cans which were noted at the scene C. discount these findings because your patient may not have been the driver describe the smell of alcohol and empty beer cans which were noted at the scene

At 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 Tuberculosis A 24-year-old male has been stabbed in the right chest. Which of the following signs should you expect? A. Increased respiratory effort B. Spontaneous pneumothorax C. Paradoxical chest movement D. Decreased heart rate Increased respiratory effort 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 Cardiac event Which of the following is an essential component of your oral report? A. the EMT assessment of the chief complaint B. history related to the current illness history related to the current illness 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 Have the pt remove all clothing 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 hemorrhagic stroke

A 75 y/o female pt has partial thickness, thermal burn on her right forearm. You should A. Place a dry sterile dressing or sheet over the burn B. Pour water over the burn to cool site C. Place the pt on O2 NC 2 LPM D. Place a moist dressing over the burn Place a moist dressing over the burn You are treating an unconscious 50 year old diabetic patient. 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 Transport the pt as soon as possible 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 Cardiac Arrest You are ventilating an apneic infant. His pulse is 54. You are currently ventilating with a BVM with supplemental oxygen. You should A. obtain a complete set of vital signs B. begin chest compressions C. continue ventilations and transport **begin chest compressions *** A 72-year-old with heart problems fell out of bed. He is confused and has pale and sweaty skin. You should A. Perform a detailed physical examination B. Check vitals and apply an AED C. Interview the neighbors to get a detailed history D. Take spinal precautions and rapidly transport Take spinal precautions and rapidly transport You have an unconscious pt with blood in the airway. You should A. use a suction unit to immediately clear the airway B. place the pt in recovery position C. use artificial ventilations in an attempt to clear the airway D. perform a finger sweep to remove the blockage use a suction unit to immediately clear the airway A 5 year old female with asthma is having intercostal retractions. She cannot hold her head up to talk. You should

A. contact medical control before assisting her with prescribed inhaler B. administer O2 via NRM at 15 lpm C. administer O2 via blow-by at 6 lpm D. ventilate via BVM at 15 lpm *ventilate via BVM at 15 lpm *** Your pt was struck on the right side of the head by a baseball. Which sign or symptom would indicate a significant head injury? A. Bleeding from the mouth B. Decreasing mental status C. Right-sided weakness D. Increasing heart rate Decreasing mental status How should you open the airway of an infant? A. pad underneath the head B. lift the neck and elevate the head C. place the head in a neutral position D. place the head in the sniffing position place the head in a neutral position 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 Administer oral glucose 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 Hypoglycemia Your 55 year old patient complains of chest pain radiating to the left arm. You should first A. perform a head-to-toe assessment B. administer the prescribed nitroglycerin C. place the patient on O D. complete a SAMPLE history complete a SAMPLE history

One of the most problematic side effects of nitroglycerin is A. bradycardia B. dyspnea C. hypotension hypotension 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 Congestive heart failure Which strap should you place first when securing a patient onto a long spine board? A. Chest strap B. Abdominal strap C. Head straps D. Leg straps chest strap Early signs and symptoms of hypoperfusion can include A. Unresponsiveness B. Anxiousness C. Bradycardia D. Decreased BP Anxiousness You are transporting a 68- year old female from a nursing home to a hospital. She has a valid DNR. During transportation, she begins to have trouble breathing. You should: A. return the patient to the nursing home B. ventilate the patient with a BVM C. provide O2 and position the patient for comfort D. provide supportive reassurance only provide O2 and position the patient for comfort provide supportive reassurance only ** second time You have assisted a 56 y/o patient in taking 1 nitroglycerin tablet. He continues to complain of chest pain. 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 tablet C. Transport him to the hospital D. Assess lung sounds and have pt self-administer his inhaler Transport him to the hospital

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 Secure the child in the car seat using towels and tape to immobilize her head and chest A patient becomes unresponsive. You find she is apneic and pulseless. You should A. apply the AED and analyze B. apply O2 via BVM and apply AED C. start CPR and apply the AED D. request advanced life support and begin CPR start CPR and apply the AED 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 Deep tissue damage 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 Transport the patient on her left side and monitor Albuterol is an example of a (an) A. Vasodilator medication B. Vasoconstrictor medication C. Antihypertensive medication D. Beta-agonist medication Beta-agonist medication 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 Establish and maintain an airway 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 Leave the AED pads in place and begin CPR 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 Transport and inform the ER that you suspect abuse 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 Provide c-spine stabilization, O2 c-collar, long spine board and transport with pt in left lateral recumbent position Your 25-year-old male pt has sustained a painful, deformed shoulder, injured while playing baseball. This has happened to him before and he wants to "pop it back in" you should A. Assist the pt in realigning his shoulder B. Apply an ice pack and check vitals C. Pull steady traction of the arm towards the pt's leg and splint in place D. Splint the shoulder as you find it Splint the shoulder as you find it An unresponsive pt is bleeding severely from an open wound to her head. Initial efforts to stop the bleeding have failed. Vitals BP 660/40 P 122 R 16. You should A. Begin PPV B. Apply an occlusive dressing to the wound

C. Apply direct pressure to carotid pressure point D. Continue to apply pressure and transport rapidly Continue to apply pressure and transport rapidly 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 Suction on the way out for no more than 15 seconds What is the most effective way to control the spread of infectious disease? A. exercise good hand washing technique B. wear gloves with all patients C. avoid contact with all bodily fluids exercise good hand washing technique 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 Administer O2 via NRB @ 15 LPM 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. Place one hand on the forehead with the other hand on the angle of the jaw 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 Assist ventilations with BVM and 100% O A 22-year-old male was hit in the head with a shovel. He has the following signs and symptoms: altered mental status, increasing BP, decreased pulse and unequal pupils. What should you suspect? A. Increased intracranial pressure

B. Blowout orbital fracture C. Decompensated hemorrhagic shock D. Basilar skull fracture Increased intracranial pressure 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 hemophilia pt with a nosebleed A 72 y/o female pt is unresponsive following an ejection from a car accident. 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 head-tilt* 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 Start O2 therapy at high flow, transport and contact medical control for orders to administer a nebulizer 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 The amount of hemoglobin that is saturated usually with oxygen A 32 y/o female amputated her index finger in a table saw accident. How should you care for the amputated finger? A. Wrap an occlusive dressing around the finger and place it in a bag B. Soak the part in saline and place in a bag of ice C. Place the finger in a plastic bag and place the bag in icy water D. Wrap it with moist sterile gauze, place in a plastic bag and keep it cool Wrap it with moist sterile gauze, place in a plastic bag and keep it cool

Your patient is an alert and oriented adult who is speaking in a foreign language. You cannot communicate with the patient. You should A. determine whether to transport the patient B. look for a family member who can speak that language C. load the patient into the ambulance and transport load the patient into the ambulance and transport wrong i think* 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 Manually reposition the airway 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 10 breaths per minute 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 Hold injector in place at least 10 seconds 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 Assure the patient has an open airway 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

Resume CPR and transport Your pt has a 2-inch laceration at the corner of the mouth with profuse bleeding into the oropharynx. You should A. Apply high flow O2 B. Suction the airway C. Stabilize the c spine D. Control the bleeding Suction the airway 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 The pt's systolic BP is less than 90 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 Apply a c-collar and backboard 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 Administer O2 via mask 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 thrusts D. Apply O2 and assess her pulse Perform a series of abdominal thrusts 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

NRB @ 15 LPM

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 Obstructive pulmonary disease You are treating a 23 y/o pt in a car crash. He is complaining of neck, back and leg pain. He has a cut above his left eye. You should A. Remove the pt from the vehicle ASAP B. Immediately place O2 on the pt C. Apply a C-collar and perform rapid extrication D. Take manual stabilization of the spine Take manual stabilization of the spine 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 Assess the pt's airway status Your pt has a gunshot wound to anterior thigh. You should A. Take spinal precautions and search for exit wound B. Expose the wound, clean the area, and apply a sterile dressing C. Apply direct pressure and treat for shock D. Expose the wound, control bleeding and transport rapidly Expose the wound, control bleeding and transport rapidly Which of the following indicates the correct flow range and delivery percentage for NC? A. 1-6 LPM / 40% B. 10-15 LPM / 95% C. 2-8 LPM / 28% D. 2-4 LPM / 35% 1 - 6 LPM / 40% Consent to treat is implied in which of the following cases? A. 21 yr old unconscious male B. 88 yr old female with DNR order

C. 44 yr old male with chest pain D. 18 yr old female bleeding profusely 21 yr old unconscious male* __________________ 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 Ventricular fibrillation Your 54 year old patient is refusing to answer your interview questions. You should A. ask a family member to take over your interview B. make eye contact and try to gain his trust C. document his refusal and transport document his refusal and transport* 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 Position the pt on left side, administer O2 and transport emergently After air passes through the vocal cords during inhalation, which structure does it reach next? A. Trachea B. Epiglottis C. Alveolus D. Bronchus Trachea 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. ask law enforcement for assistance C. restrain the patient **ask law enforcement for assistance *** 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