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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
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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? -
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.
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? -
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?
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?
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 -
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?
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
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
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