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Emergency Medical Scenarios, Exams of Nursing

A series of emergency medical scenarios involving patients of various ages and conditions. The scenarios cover a wide range of medical emergencies, including respiratory distress, cardiac issues, trauma, poisoning, and neurological conditions. Details about the patient's symptoms, vital signs, and other relevant information, and prompts the reader to identify the appropriate course of action or diagnosis. By analyzing these scenarios, healthcare professionals and students can develop their critical thinking skills, enhance their knowledge of emergency medical procedures, and prepare for real-world situations they may encounter in their practice.

Typology: Exams

2024/2025

Available from 09/20/2024

john-wachira
john-wachira 🇺🇸

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EMT FISDAP READINESS EXAM #2 – AND FISDAP

EMT Medical Exam Questions from Top-Tier

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from Top Universities

Are administering oral glucose to a known diabetic. What should you be most concerned about? - - correct ans- - The smell of acetone on breath 45 year old is 34 weeks pregnant.she complains of a severe headache, sensitivity to light, and swollen feet. Vitals signs are BP 130/88, P104, R 24 what should you suspect? - - correct ans- - Preeclampsia A 10 month old is choking, what should you do? - - correct ans- - Back blows First step with a sexually assaulted patient? - - correct ans- - Reassure patient 2 year old has been vomiting for 12 hours and has decreased oral intake. She does not track your movements. What type of shock should you suspect? P150 R 24. Cool skin w/ mottling. - - correct ans- - Hypovolemic 50 year old female states she has "the worst headache of her life". The onest was 20 minutes ago and it was abrupt. Vitals BP 180/90 P56 and R 20. You should suspect? - - correct ans- - Subarachnoid hemorrhage 32 y/o female. 18 weeks pregnant. Lower ab pain w/vaginal bleeding. You should suspect? -

  • correct ans- - Spontaneous abortion

70 y/o with SOB "I woke up and felt like i was drowning". He has been recently sleeping with extra pillows under his head. Bp 160/80 P 98 and irregular. R 24. Spo2 86%. - - correct ans- - Left heart failure Request additional resources for which victim? (couldnt find all the options - - correct ans- - Foot wedged in pedal 56 yo M with severe pain after eating greasy food - - correct ans- - Cholecystitis Newborn is apneic immediately after delivery - - correct ans- - Stimulate baby 3 yo F sitting on dads lap, drooling and won't eat or drink - - correct ans- - Epiglottis 56 yo F complains of chest pain that is unrelieved after 3 NTG's. Troubled breathing speaking in 2-3 word sentences. You should? - - correct ans- - Provide 02 EMS displays a "Free BP Check" sign on the window. This is a sign of? - - correct ans- - Community relations Which the following will only occur in the 1st trimester of pregnancy? - - correct ans- - Ectopic pregnancy 36 yo M complains of nausea, vomiting and ab pain. Homeless and admits to chronic alcohol use. VS Bp 92/54 P122 R8. You suspect? - - correct ans- - Pancreatitis 62 yo M with history of COPD ran out of Home O2. SOB and dry lung nonproductive cough, clear lung sounds. You suspect? - - correct ans- - Emphysema

28 yo F has severe pain after slipping in the shower. 31 wks pregnant has bright red vaginal bleeding. Suspect? - - correct ans- - Abruption placenta Previous ambulance crew failed to clean backboard properly. Dried blood under the edges.

    • correct ans- - Wash board with disinfectant 24 yo F complains of right lower ab pain that radiates to the back with slight vaginal bleeding. Last period was 2 weeks prior. Suspect? - - correct ans- - Ruptured ovarian cyst When lifting a stretcher into the ambulance using power grip, you should? - - correct ans- - Position hands 10 apart Complications with precipitous delivery - - correct ans- - Perineum tearing 54 yo F tells you she drank bleach to kill herself. You should? - - correct ans- - Contact poison control 19 yr F is posticial following 10 mins seizures has snoring respirations. You should? - - correct ans- - Insert OPA You have been asked to audit prehospital care reports. Which requires review? - - correct ans- - pt sitting on supine with chest pain on a stretcher right 82 yo F mumbling and throwing clothes, nurse says she's diabetic. You should? - - correct ans- - Give oral glucose Unresponsive 3yo lying supine in a ditch. VS 60/40 P60 R8. you should? - - correct ans- - Assist ventilations

Leading cause of bradycardia in pediatrics - - correct ans- - Hypoxia Delivery of newborn has central cyanosis covered in thick greenish fluid. You should? - - correct ans- - Inspect oropharynx 46 yo F. fever & lower ab pain that moves to lower back when she walks. Abnormal vaginal discharge for 2 days. VS 144/88 P98 R16. you should suspect? - - correct ans- - Pelvic inflammatory disease 12 yo M bleeding uncontrollably from deep laceration to palm. He is a hemophiliac - - correct ans- - Hemostatic agent Which body is responsible for protection, temp, excretion? - - correct ans- - Integumentary An unconscious male is cyanotic and actively vomiting you have been suctioning him for at least a minute. - - correct ans- - Open airway, check pulse 32 yo F was involved in a car crash and complains of a tearing pain in her back. Her left radial pulse is stronger than her right radial pulse. - - correct ans- - Aortic dissection 48 year old male in vehicle responsive to verbal only. You see smoke in the vehicle. - - correct ans- - Rapid extrication You are delivering a baby and the amniotic sac is still in place. You should? - - correct ans- - Tear amniotic sac 54 year old female tells you that she drank bleach to kill herself/. You should? - - correct ans- - Contact poison control

Newborn infant with pink torso and blue extremities, you should? - - correct ans- - Dry him off 36 year old ventilator dependent, called 911 because the ventilator warning. What should you do? - - correct ans- - Look for rise and fall 22 year old fem is choking.She is in her 3rd trimester of pregnancy she is standing up leaning over a chair drooling unable to speak or cough. You should? - - correct ans- - Perform chest thrust 8 year old with ecchymosis to ULQ. you should suspect? - - correct ans- - Splenic injury 22 year old pregnant choking what do you do? - - correct ans- - Chest thrust 21 year old female alert and complains of weakness / dizziness following a syncopal episode. She tells you she has been working outside all day. What's the most likely cause? -

  • correct ans- - Dehydration 55 year old female fell and struck her head. She now complains of a headache. Which statement is most concerning? - - correct ans- - Im on blood thinners 36 year old female complains of left leg pain after car wreck, when you place her on long spine board, you see her left leg is shortened and rotated outward? - - correct ans- - Femur fracture You arrive at the factory and see lots of people coughing as they evaluate the building you should? - - correct ans- - Triage upwind 32 y/o complains of rapid heart. You should? - - correct ans- - Obtain Vitals

58 year old male complains of general weakness and tells you that he had severe chest pain/ SOB the day before. You head rales at both lungs. Cool, pale, clammy skin signs. BP 70/40 p110, and R28. suspect? - - correct ans- - Cardiogenic shock Unconscious 28 year old male has a puncture wound in his left forearm. You also see multiple scars on the backs of both his hands. What type of overdose should you suspect?

    • correct ans- - Narcotic 48yo M involved in a car crash is slumped over the steering wheel & unresponsive to loud stimuli. You smoke inside the vehicle & airbag deployed. You should? - - correct ans- - Perform emergency extrication Which vessels carries oxygenated blood back to the heart? - - correct ans- - Pulmonary veins Which part of the heart is responsible for causing pulmonary edema. - - correct ans- - Left ventricle A 59 year old male complains of distress and crushing chest. He is diaphoretic, pale cool. You should - - correct ans- - Assist with self administering his nitro immediately after the delivery of vigorous newborn, you should. - - correct ans- - Suction oropharynx with bulb 19 year old fem is found by her friend staring blankly at the wall. She is awake but slow to answer questions. What is most likely the cause? - - correct ans- - Seizure

23 year is 30 weeks pregnant and complains of abdominal cramps. She tells you that she has had normal prenatal health care and no vaginal discharge. Vitals signs are Bp 102/74, P 112, R22 and labored. You should? - - correct ans- - Administer oxygen You have just delivered an infant with a pink torso and blue extremities. He is crying and moving his arms and legs. You should. - - correct ans- - Vigorous dry off with towel Where in your PCR should you document that you placed the patient on o2 at 15lm by nrb?

    • correct ans- - Plan Which conditions will only occur during the 1st trimester of pregnancy? - - correct ans- - Ectopic pregnancy A newborn head has just been delivered. You should? - - correct ans- - Inspect for meconium A 66 year old female has regained a pulse after shock with an AED? She is moving her extremities and has a R 8. You should? - - correct ans- - Assis her ventilations An 8 year old male was hit by a car and is unresponsive. He has ecchymosis to his left upper quadrant. You should suspect. - - correct ans- - Splenic injury What should you do to prevent the spread of this infection. - - correct ans- - Clean your stethoscope with a germicide 67 yo female is unconscious and her family members are performing poor CPR. You should
    • correct ans- - 2 min CPR

While performing a primary assessment on a Suicidal 35 year old M he becomes verbally abusive. You should - - correct ans- - Calmly attempt to de escalate him 62 Year old complains of chest pain & shortness of breath with a long history of Angina. Vital signs are BP 90/50 P 100 R22 SPO2 90% what should you do? - - correct ans- - Administer 02 Securing pregnant patient to long spine board, you should tilt the board to the left to prevent - - correct ans- - Hypotension 78 yo male tells you "I feel sick & can't walk" bed is dirty w/ urine and feces. He request transport, but daughter does not want him to be transported to the hospital. What should you do? - - correct ans- - Transport him to hospital 42 year old is apneic. Suddenly grabbed throat while eating and collapsed - - correct ans- - Start compressions A 10 month old F withdraws to painful stimuli. She had an ear infection and fever the passed three days, and she has a bulging fontanelle. - - correct ans- - Meningitis Which of the following patients have a right to refuse transport. - - correct ans- - A 52 year old man with tightness in the chest and wheezing Family members poor cpr. You should - - correct ans- - Perform 2 minutes of CPR Bleeding from dialysis shunt you should - - correct ans- - Apply direct pressure to the shunt A 12 year old male was kicked in the chest by a horse. He has distended neck veins and tracheal deviations. What should you suspect? - - correct ans- - Tension pneumothorax

58 Year old with fever and chills. Lung sounds reveals rales and rhonchi in lower right lung -

  • correct ans- - Pneumonia 24 y F is 23 weeks pregnant and she tells you that she feels weak and been vomiting for the passed 3 days she also tells you that she is scared to go to the hospital in the ambulance. V/S 84/52 P 110 R SPO2 98% on room air temp. You should. - - correct ans- - Monitor her vitals signs and transport A 72-year-old female's family member tells you she had a brief period of slurred speech and left sided arm weakness prior to EMS arrival. What is the most likely cause - - correct ans- - Transient ischemic attack 18 yo M OD'd on unknown medication. RR is 8. Insert OPA, has gag reflex you should? - - correct ans- - Insert NPA Circumferential burn from elbow to wrist is what % - - correct ans- - 4. 28 year old is in active labor. You see umbilical cord protruding from her vagina. Which position should you place her in? - - correct ans- - Knee-chest A 35 year old male spilled corrosive chemicals on his legs while cleaning an indoor swimming pool. He is dyspneic and has thickness burns to his legs you should? - - correct ans- - Remove him from pool area Which of the following is an audible, high pitched sound usually results from a blockage of the smaller air passages - - correct ans- - Stidor Left ankle fracture with tingling sensation in foot. Foot is cool swollen with a faint pulse. You should - - correct ans- - Splint in position of comfort

45 year old is 34 weeks prego. Severe headache and severity to light, swollen feet - - correct ans- - Pre-eclampsia Daughter of 82yo M called 911 because she thought her father was acting strangely. He has no complaints and refusing to go to the hospital. Daughter has proof of Medical Power of Attorney. She tells you to take him to the hospital. You should? - - correct ans- - Tell her daughter that she is only legally allowed to make decisions when her father is incapacitated What is the leading cause of bradycardia for pediatric patients - - correct ans- - Hypoxia A 36-year-old female complains of fever and lower abdominal pain that moves to the lower back when she walks. She also mentions that she has had a domino vaginal discharge for the past two days. Vitals signs are blood pressure 144/88 pulse 98 respirations 16 you should suspect? - - correct ans- - Pelvic inflammatory disease/ 53 year old male with a history of coronary artery disease had a sudden onset of tearing abdominal pain that radiates to back he is ashen and diaphoretic states that he needs to use the bathroom vs bp 110/76 p 100 R20 you should - - correct ans- - Explain the need for immediate transport 92 year old female complains of a headache and trouble breathing. She is on home O2. What is the most important question you should ask - - correct ans- - When did SOB Start A 16 y/o male tripped and landed on his elbow. It is swollen with obvious deformities and he is screaming in pain. You should: - - correct ans- - Splint in position found A 58 year old male complains of general weakness and tells you that he had severe chest pain and shortness of breath the day before. You hear rales at the base of both lungs. His

skin is pale, cool, and clammy. Vital signs are BP 70/40, P 110, R 28. You should suspect: - - correct ans- - Cardiogenic SK 24 year old female complains of right lower quadrant abdominal pain that radiates to her back with slight vaginal bleeding - - correct ans- - Ruptured ovarian cyst Cough producing thick mucus in tripod w/barrel chest - - correct ans- - Chronic Bronchitis An alert 62 yo male complains of chest pain, short of breath and long history of angina. Vital signs are BP 90/50, P100, R22, SP02 90%. What should you do? - - correct ans- - Administer o A 450 lb patient has a 6 inch lacerating to the right upper arm & a fracture left ankles. He is on the 3rd floor. You should: - - correct ans- - Apply a pressure dressing to the arm A 22 fem was in a bicycle accident and struck her chest on the handlebar. She is short of breath and you notice small section of her chest move asymmetrically. You should suspect? - - correct ans- - Flail segment What organ is responsible for the exchange of oxygen, food, and waste between the mother and fetus? - - correct ans- - Placenta After delivering a shock with an AED to an unresponsive 49 year old male you should - - correct ans- - Resume chest compressions Periumbilical pain radiates to Right Lower Quadrant - - correct ans- - Appendicitis 2 year old male had a seizure following the onset of a high fever what should you recommend to the parent? - - correct ans- - Transport to hospital

Your EMS base displays a free blood pressure check sing on the door this is an example of?

    • correct ans- - Community relaxations In which zone would you triage patients during a hazardous materials emergency? - - correct ans- - Cold A 58 year old female has a fever with chills. Lung sounds reveal rales and rhonchi in the lower right lung field. What should you suspect - - correct ans- - Pneumonia A 45 year old female 34 weeks pregnant she complains of severe headache sensitive to light and swollen feet vs are blood pressure 130/88 pulse 104 and respirations 24 would you suspect? - - correct ans- - Preeclampsia 20 year old male has supraclavicular retractions and is slow to respond to questions. He has expiratory wheezes in all lung fields with minimal chest wall movement. You should - - correct ans- - Assist pt. In taking prescribed (MDI) meter dose inhaler 21 year old female has an open femur fracture after falling off horse, you should - - correct ans- - check distal pulse An unresponsive 19yo F is supine on the bed next to several empty beer cans, her 3yo son is running around the house. Vital signs are BP 80/40, P 110, R 6 & shallow. You should - - correct ans- - Transport. Her & her son to the hospital A 66 year old female complains of shortness of breath. You notice several tissues beside her that contain bloody sputum. You should - - correct ans- - Don an N95 mask and ask her if she has experienced night sweats or cough

An unresponsive 67 year old male is lying supine with a weak carotid pulse. He has emesis in his oropharynx and gasping respirations of 6 you should - - correct ans- - Suction Airway Baby/infant Grunting & Intercostal Retractions & Nasal Flaring - - correct ans- - Respiratory Distress A 52 year old female complains of severe abdominal pain, distention, and black stools. Vital signs are BP 92/40, P 115, R 20. What should you suspect? - - correct ans- - Upper intestinal bleed What is responsible for exchange of oxygen, food and waste between mother and fetus? - - correct ans- - Placenta 55 year old female tells you "It feels like something is stuck in my throat and my voice sounds different." She is hot to the touch. - - correct ans- - Inspect her throat for a foreign body A 24-year-old female is 32 weeks pregnant she tells you that she feels weak and has been vomiting for the past three days she also tells you that she is scared to go to the hospital in the ambulance. Vital signs are 84/82 pulse is 110 respirations 16 SPO2 98 you should - - correct ans- - Monitor her vital signs and transport A 23 year old male has a penetrating wound to his right upper chest with a small amount of bubbling blood. He is alert, plae, and diaphoretic. Vital signs are BP 122/82, P 112, R 24. You should? - - correct ans- - Apply an occlusive dressing Which patient has the right to refuse treatment and transport? - - correct ans- - 52 year old male with tightness in chest with wheezes

A 42 year old was stung by a bee on his left hand and finger are red and swollen, he tells you that he is allergic to bee stings. Vitals are Bp 112/76 P90 R16 you should? - - correct ans- - Scrape stinger A 12 year old male is prone in a shallow bathtub of water. He is pulseless and apneic. What should you do? - - correct ans- - Dry the patient Appropriate to say to suicidal patient - - correct ans- - Let's bring you to the hospital 36 year old complains of the fever abdominal pain moves to lower back bp 114/88 p 98 R

    • correct ans- - Kidney stones An unconscious 28 year old male has a puncture wound in his left forearm. You also see multiple scars on the backs of both his hands. What type of overdose should you suspect?
    • correct ans- - Narcotic What is a system of internal and external reviews called? - - correct ans- - Quality improvement Which part of the heart is responsible for causing pulmonary edema? - - correct ans- - Left ventricle 51 Year old male is unresponsive with agonal respirations. You should - - correct ans- - Check for pulse what is the normal breathing rate for a 6 year old? - - correct ans- - 18 - 30 A 70 year old male complains of shortness of breath he tells you "I woke up and felt like I was drowning." He has recently been sleeping with extra pillows under his head. Vital signs

are BP 166/80, P 98 and irregular, R 24, SpO2 86%. What should you suspect? - - correct ans- - Left side heart failure Sexually assaulted and bleeding from vagina. - - correct ans- - Place sanitary pad over vaginal opening Which cardiac rhythm prompts you to shock? - - correct ans- - V-Fib A 35 year old has shortness of breath after being shot in abdomen and legs. Vital signs are P 122 R 24 and labored - - correct ans- - Apply 02 by non rebreather 45 year old male hypothermic after night camping. You should? - - correct ans- - Move him to warm environment Patient has been shot in the chest after cutting off the patient's blood soaked shirt you should place it in - - correct ans- - Biohazards disposal bag Which statistic about EMS calls would support a community's request to reduce the speed limit in the neighborhood? - - correct ans- - 15% of calls for car crashes have at least one victim dead on scene A 72 y/o female has a nose bleed after a fall. You should. - - correct ans- - Lean forward 54 year old female drank bleach to kill herself. Psychiatric history/ poison control/activated charcoal/drink milk - - correct ans- - Poison control Lifting a 26 year old male out of crash onto long board. Complaints shortness of breath and anxious. You should - - correct ans- - Apply 02

A confused 22-year-old male weak pulse of 122 distended abdomen pale and clammy - - correct ans- - Internal bleeding Unresponsive 22 year old is breathing 6/min after motorcycle crash - - correct ans- - Begin ventilation with BVM / 76 Year old female with fever, cough w/green sputum for 3 days. Lung sounds Rhonchi - - correct ans- - Pneumonia 28 year old 31 weeks prego falls in shower. Severe abdominal pain, bright red vaginal bleeding. Suspect - - correct ans- - Abruption placenta A 25-year-old stabbed in the chest occlusive dressing was applied prior to arrival Vital signs are 90/62 pulse 122 respiration 28 and labor you should - - correct ans- - Lift one side of the occlusive dressing 42 yo is apneic suddenly grabbed throat while eating and collapse. You should - - correct ans- - Compressions 40 year old with open ankle fracture with blood. Standard Precautions - - correct ans- - Gloves and goggle and surgical mask An 88 y/o female in hospice care is pulseless and apneic with dependent lividity. Her son says "she died 2 hours ago after I gave her a large dose of pain medication" What should you do? - - correct ans- - Notify law enforcement When using sirens? - - correct ans- - Consider motorist can hear it

an unconscious pt has a partially amputated foot. You should - - correct ans- - Control bleeding A febrile 24 yo female complains of periumbilical pain that radiates to her right lower quadrant. What should you suspect - - correct ans- - Appendicitis's A 50 yo. Female states, " I'm having the worst headache of my life" and that the headache began suddenly, 20 min - - correct ans- - Migrant headache A 45 year old has frostbite on both feet. You transport time is 20min. You should? - - correct ans- - Rewrap with blanket A 19 year old Female jaw is clenched following a 5 min tonic clonic seizure. She is cyanotic and has gurgling respirations. What should you do? - - correct ans- - Insert NPA and suction An 18 year old female with sickle cell anemia complains of stomach pain and upper leg pain Vitals 130/66 P 96 R 14 you should - - correct ans- - Apply o2 and transport a position of comfort Pencil stuck in cheek and bleeding stopped - - correct ans- - Stabilize Air Medical Landing Zone? - - correct ans- - 100 x 100 Name the condition for a pregnant patient with placenta covering cervical opening - - correct ans- - placenta previa 62 year old male with COPD history ran out of his o2. He is SOB. He has a dry non- productive cough with clear lung sound - - correct ans- - Chronic bronchitis

72 year old has a nosebleed after a fall - - correct ans- - lean her head forward 78 yo M says "Feel sick cant walk" wants to be transported but daughter doesnt want you to. - - correct ans- - transport to hospital1. Which statement strongly indicates syncope? - - correct ans- - I blacked out for a few seconds

  1. When assessing the patient for arm drift, you should ask the patient to - - correct ans- - hold their arms out palms up, eyes closed
  2. 68 yo patient reports abdominal pain, vomiting, and a loss of appetite, as well as black, tarry stools. you should suspect - - correct ans- - upper gi bleed
  3. You are called to an outdoor garden center on a hot, humid day. Your patient is pale, wheezing, and has hives. you should suspect - - correct ans- - bee sting
  4. you have been dispatched to a behavioral emergency. The police are on the scene and have asked you to evaluate the patient. you should - - correct ans- - restrain the pt. to your cot and transport to the nearest hospital
  5. a pt. was cleaning a bathroom when he came out gagging and coughing. his eyes are red and watering and he is complaining of dyspnea. you should - - correct ans- - move the pt to a well ventilated area
  6. 38 yo pt. has a history of hypothyroidism. she is hypertensive, tachycardic, and hyperthermic. you find an empty bottle of Synthroid nearby. You should - - correct ans- - contact the poison center or medical command.
  7. a pt's family member reports a glucometer reading of 57 mg/dL. how should you interpret this reading? - - correct ans- - low
  1. a worker at a fertilizer plant has spilled lye all over his upper body. you should - - correct ans- - brush the powder off the pt.
  2. to assess a possible stroke pt for abnormal speech, you should - - correct ans- - ask the pt to repeat a common phrase
  3. a pt was stung by a bee. you should - - correct ans- - apply ice cold compress to the affected area
  4. 72 yo male has weak hand grips, blurred vision, and is unable to tell you the day of the week. he is a type 2 diabetic. what should you do - - correct ans- - evaluate for facial droop
  5. which of the following meds helps the body transport sugar into the cells - - correct ans-
  • insulin
  1. an unconscious patient has one pupil that is significantly larger than the other and not reactive to light. the most likely cause is - - correct ans- - stroke
  2. where would you expect to find pain in a pt with suspected appendicitis - - correct ans- - right lower quadrant
  3. when assessing a pt for facial droop, you should - - correct ans- - ask pt to smile or show his teeth
  4. which of the following assessment findings suggests a gi bleed - - correct ans- - bright red blood from the rectal area
  5. you are assessing an unresponsive medical patient. what should be your primary focus
    • correct ans- - chief complaint
  1. a patient has a headache. how should you position him on the cot - - correct ans- - 90 degree fowler
  2. 50 yo male who recently completed renal dialysis is bleeding profusely from his shunt. how should you classify this bleeding - - correct ans- - a life-threatening problem that requires immediate surgical intervention
  3. a 28 yo pt is outside at a concert and appears confused. he is unable to answer your questions. you should - - correct ans- - look for a medical identification necklace or bracelet
  4. a car battery exploded in your pt's face. he denies any breathing difficulty. you should - - correct ans- - irrigate eyes with water
  5. a patient is having a tonic-clonic seizure. he is not breathing. you should - - correct ans-
  • prevent the pt from further injury
  1. your first priority whe. dealing with a pt who is exhibiting behavior issues is to - - correct ans- - ensure the safety of yourself and your partner
  2. 78 yo M alzheimers pt has bruising on his back, neck, and stomach. when you ask the pt what happened, his caregiver insists "he fell getting out of bed" what should you do a. ask on of the family members to ride in the back with him b. ask the caregiver why the pt required restraint c. immediately notify law enforcement to take a report d. move him into the ambulance so you can talk to him alone - - correct ans- - c. notify law enforcement to take a report
  1. according to the Cincinnati prehospital stroke scale, which of the following should be assessed - - correct ans- - facial droop
  2. A 32-year-old patient is found unconscious in the snow. You cannot detect a pulse or respiration rate within 10 seconds. What should you do? - - correct ans- - assess her pulse for 30-45 seconds
  3. An 80 y/o male complains of a headache and nausea. He is confused with hot, dry skin. His house is hot and humid. VS are BP 90/55, P 96, R 18, SpO2 88% and BGA 88 mg/dL. What should you do? - - correct ans- - Begin active cooling measures (signs of heat stroke, also think of fluid replacement due to dehydration)
  4. A 28 y/o female complains of sudden onset of dyspnea while eating in a restaurant. Her tongue is swelling and she has urticaria on her neck. VS are BP 86/44, P 116, R 18 with wheezing. What should you administer? - - correct ans- - Epinephrine .3 to .5 IM 1:1000 (should suspect anaphylactic shock)
  5. While spraying pesticide on his crops, a 51 y/o male started to feel lightheaded and had trouble breathing with excessive saliva production. What should you administer? - - correct ans- - Atropine (cholinergic response with the signs of SLUDGE, need to use a anticholinergic drug which is atropine, which blocks the effects of the accumulating acetylcholine)
  6. An adult male is sitting alone in a dark room, rocking back and forth. he mutters to his sock puppet "are you feeling sad?" what should you do? - - correct ans- - introduce yourself and start an assessment
  7. A mother of a 17 y/o male called EMS because her son has a depressed affect. While assessing him, he states "I'm not sure if I can take this anymore." What should you do? - - correct ans- - Inquire about his suicidal ideations (his statement is a warning sign that he may be thinking of suicide)
  1. A febrile 54 y/o female complains of nausea and vomiting with pain around her umbilicus. Her abdominal tenderness increases on palpation. VS are BP 80/40 and P 130. What should you suspect? - - correct ans- - Ruptured appendix (rebound tenderness and febrile)
  2. a 42-year-old man complains of difficulty breathing and pain in his chest and shoulders. he recalls feeling a sharp pinprick on his arm while cleaning out his basement. what type of spider bite is this man most likely suffering from? - - correct ans- - black widow
  3. a car battery exploded in your patient's face. he denies breathing difficulty. you should?
    • correct ans- - begin irrigating eyes with clean water
  1. a 19-year-old female is unresponsive after taking a whole bottle of her sleeping medicine about 4 hours ago. you should? - - correct ans- - apply high-flow oxygen
  2. a 32-year-old male complains of photophobia (sensitivity to light) and vomiting. the most likely cause is? - - correct ans- - migraine
  3. a patient tells you he had anemia, you should expect him to present with? - - correct ans- - pallor
  4. your epileptic patient complains of a persistent metallic taste in her mouth. you should suspect: - - correct ans- - a seizure may occur
  5. A patient is having a tonic-clonic seizure and is not breathing. you should: - - correct ans- - prevent patient from further injury
  6. a patient has severe groin pain radiating to the flank area and can't sit still - - correct ans- - kidney stones (renal calculi)
  1. A nursing home patient, an older lady has various colors of bruising on her cheek and wrist. what should you suspect? - - correct ans- - abuse
  2. a patient has flank pain, pain on urination, and diaphoretic with no fever. what do you suspect? - - correct ans- - kidney stones
  3. unresponsive patient naked guy in the front yard with pinpoint pupils. what should you suspect? - - correct ans- - opioid overdose
  4. how to treat a postictal patient? - - correct ans- - high flow oxygen
  5. female patient with abdominal pain vomits bright red blood. what should you do? - - correct ans- - manage the airway
  6. A 40-year-old female with abdominal pain in mid epigastric region is nauseous and subsides with eating. you should suspect? - - correct ans- - peptic ulcers
  7. severe abdominal pain radiating to the back. what should you suspect? - - correct ans- - triple a
  8. working in shed complains of abdominal pain. red small mark that starts to swell. what type of spider bite is it? - - correct ans- - black widow
  9. A 32-year-old patient is found unconscious in the snow. You cannot detect a pulse or respiration rate within 10 seconds. What should you do? - - correct ans- - assess her pulse for 30-45 seconds

51 a 42-year-old man complains of difficulty breathing and pain in his chest and shoulders. he recalls feeling a sharp pinprick on his arm while cleaning out his basement. what type of spider bite is this man most likely suffering from? - - correct ans- - black widow 52 19 year old female is unresponsive after taking a whole bottle of her sleeping medicine about 4 hours ago. you should? - - correct ans- - apply high-flow oxygen 53 an 18 year old male states "the CIA is after me" you notice he has covered his head and windows with aluminum foil. when you ask why he says "in order to block out the government radio waves" vitals are BP138/34, P122, R24. you should suspect? - - correct ans- - paranoid schizophrenia 54 a patient is running a high fever, vomiting and reporting pain that has shifted from around her belly button to the lower right area of her abdomen you should suspect? - - correct ans- - appendicitis 55 a 20 year old male in a college dorm room complains of fever, headache, and a stiff neck. he has an altered mental status, and you notice red blotches on his skin. which of the following are the most appropriate BSI precautions - - correct ans- - gloves and HEPA mask 56 an unconscious patient has one pupil that is significantly larger than the other and not reactive to light. the most likely cause is: - - correct ans- - stroke 57 what is hyperglycemia - - correct ans- - high blood sugar 58 when assessing a patient for facial droop you should? - - correct ans- - ask the patient to smile or show his teeth 59 an alert patient has a severe headache/weakness of the left arm you should suspect? - - correct ans- - stroke

60 which of the following most accurately describes insulin? - - correct ans- - it helps glucose move into the cells 61 a patient with a headache. how should you position him on the cot? - - correct ans- - 62 You have determined that an alert elderly male patient has garbled speech and weakness to the right arm and leg. His vital signs and SpO2 level are within normal limits. The family informs you that he has a history of heart problems and diabetes. Given this scenario, what should you do immediately? - - correct ans- - check the patients BGL 63 Which of these statements made by your new EMT partner demonstrates an understanding of assessment findings related to stroke? - - correct ans- - "If one arm is weak, a stroke should be suspected." 64 A 41 - year-old female patient has called 911 for a headache. Which of these assessment findings should make the EMT suspicious that the patient has a migraine headache? - - correct ans- - The pain was preceded by an aura 65 An elderly male patient with a history of COPD, hypertension, and diabetes presents as lethargic and confused. His airway is patent, and breathing is adequate. His skin is hot and his radial pulse is strong, regular, and bounding. Vital signs are pulse, 112; respirations, 20 breaths/min; blood pressure, 108/64 mmHg; SpO2, 94%; andtemperature, 102.8°F. Also noted is swelling to his right lower leg. Given these assessment findings, the EMT should suspect which condition is responsible for thepatient's altered presentation? - - correct ans- - infection 66 Assessment reveals a drooling 48 - year-old male patient to have gurgling speech and left-arm paralysis. The EMT's immediate priority treatment is to: - - correct ans- - Suction the airway