FISDAP PARAMEDIC FINAL EXAM QUESTIONS AND ANSWERS, Exams of Nursing

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FISDAP PARAMEDIC FINAL EXAM

QUESTIONS AND ANSWERS

Of the following, which item is acceptable and productive to ask a 14 year old female in the presence of her parents - ANSWER>>History of childhood illness

You are treating an 82 year old female who is having difficulty breathing in a nursing home. Her only history is of a fever yesterday and frequent UTI. While listening to her chest you hear rhonci and slight cradles in all fields. BP is 110/ Pulse is 100 & regular RR- 30. Temp is 102F. Her jugular veins are flat and there is no pedal edema. She denies chest pain or pressure. What condition is most likely causing her symptoms - ANSWER>>Pneumonia

You are treating an 82 year old female who is having difficulty breathing in a nursing home. Her only history is of a fever yesterday and frequent UTI. While listening to her chest you hear rhonci and slight cradles in all fields. BP is 110/ Pulse is 100 & regular RR- 30. Temp is 102F. Her jugular veins are flat and there is no pedal edema. She denies chest pain or pressure. What will be your treatment? - ANSWER>>High flow oxygen, IV fluid bolus, & transport

You are treating an 82 year old female who is having difficulty breathing in a nursing home. Her only history is of a fever yesterday and frequent UTI. While listening to her chest you hear rhonci and slight cradles in all fields. BP is 110/ Pulse is 100 & regular RR- 30. Temp is 102F. Her jugular veins are flat and there is no pedal edema. She denies chest pain or pressure. After your initial treatment of the patient she becomes unconscious. She is using accessory muscles to breath. How would you treat her next? - ANSWER>>Attempt insertion of an oral airway

Which of the following is least likely to cause crackles - ANSWER>>Asthma

Which of the following medications is least likely to be a part of standard therapy for a patient suffering from exacerbated emphysema - ANSWER>>Nitrates

Which of the following is true about respiratory physiology? - ANSWER>>Changes in PO2, PCO2, or pH stimulate chemoreceptors

What is the purpose of the Good Samaritan laws - ANSWER>>Offer legal protection yo people who stop at an emergency scene

You are treating a thin elderly male complaining of SOB. He looks older than his stated age of 65, leaning forward in a chair. You notice that he has an oxygen generator in the room and is on 2 rpm of o2 via NC. RR is 20 and shallow. BP- 105/60. Pulse 125 & irregular. You are unable to hear any breath sounds in the bases, with slight air movement & wheezing noted in the apices (top part of lung). the patient has pink cheeks, takes short puffy breaths, and can only speak in short sentences. His medications include Proventil inhalers and Theo-duer. He us unable to give you a complete history. What condition would you suspect? - ANSWER>>Exacerbated emphysema

You are treating a thin elderly male complaining of SOB. He looks older than his stated age of 65, leaning forward in a chair. You notice that he has an oxygen generator in the room and is on 2 rpm of o2 via NC. RR is 20 and shallow. BP- 105/60. Pulse 125 & irregular. You are unable to hear any breath sounds in the bases, with slight air movement & wheezing noted in the apices (top part of lung). the patient has pink cheeks, takes short puffy breaths, and can only speak in short sentences. His medications include Proventil inhalers and Theo-duer. He us unable to give you a complete history. What should you do? - ANSWER>>Switch him over to high flow oxygen

You are called to a junior high soccer game to evaluate a student who became acutely SOB during the game. on exam, you note inspiratory & expiratory

wheezes throughout the lungs. BP- 130/80, pulse 120 & Regular, RR- 30. Which medication will you consider using? - ANSWER>>Oxygen, albuterol, and epi

the anatomical structure between the base of the tongue and the epiglottis into which the tip of a curved blade is placed during orotracheal intubation is the - ANSWER>>Vallecula

What is the name for the small, hairlike process o. the outer surface of some cells? These cells aid in metabolism by producing motion or current in a fluid - ANSWER>>Cilia

What is percutaneous transtracheal ventilation - ANSWER>>Needle cricothyrotomy

You have orally intubated a patient. While your partner ventilates the patient with a BVM you evaluate tube placement. Auscultation reveals sounds heard over epigastrium and an absence of breath sounds over the right and left chest. What is your best course of action? - ANSWER>>Deflate the ET tube cuff, remove the ET tube, pre oxygenate the pt with a BVM

A 67 year old man is complaining of sudden onset of difficulty breathing. Exam reveals pt is laboring to breathe and his jugular veins are distended. His BP is 140/84, p 118, RR- 32, breath sounds clear and equal bilaterally. Pts wife states he is recovering from hip surgery. What condition do you suspect? - ANSWER>>Pulmonary Embolism

What is the name of the syndrome marked by increased capillary permeability & respiratory distress usually due to trauma, inhaled toxins, or gastric aspiration? - ANSWER>>Adult Respiratory Distress Syndrome (ADRS)

For which of the following is nasotracheal intubation absolutely contraindicated

• ANSWER>>70 y/o male in cardiac arrest

You are called for a young man choking. On arrival, you find very scared parents desperately trying to dislodge a piece of food from their 110 year old Childs airway by administering back lows and abdominal thrusts. The child is limp. As you take over, you discover that the child is able to move minimal amount of air. You should: - ANSWER>>Continue with back blows & abdominal thrusts until the food is dislodged or the obstruction becomes complete

You have just intubated an adult patient. You believe you have been successful. you are listening for sounds in the epigastric area and hear nothing. What would you do? - ANSWER>>Attach an ETCO2 monitoring device

What changes in blood gasses occur when a patient is hyperventilating - ANSWER>>Decreased CO2: Increased PaO

First responders are applying unusually long ventilations with oxygen resuscitator to an apnea adult female. they are also passing in between breaths. What negative effects can this increased pressure create? - ANSWER>>Increased pulmonary elasticity

You are treating a cardiac arrest patient who you have successfully resuscitated. The patient is still unconscious, apneic, and he is endotracheally intubated. The patient suddenly becomes cyanotic and his SpO2 decreases from 98% to 82%. His heart rate decreases from 110 to 40. What caused these sudden changes? - ANSWER>>Dislodged endotracheal tube

What is the primary danger to the infant during a precipitous delivery - ANSWER>>Cerebral Trauma

You are treating a 26 year old male victim of an assault. The patient was struck in the chest and abdomen with a baseball bat. Vital Signs: P- 110, R- 6 with sonorous respirations. The patient is place on high flow O2. While attempting an oral airway the patient gags. The oral airway is removed. How are you

attempting to secure his airway next? - ANSWER>>Place an NPA and ventilate with a BVM

What effects does morphine sulfate have on the venous system? - ANSWER>>increases venous pooling, resulting in decreased preload and after load

You are treating a 48 year old female with chest pain. On scene you administer oxygen, aspirin, and two nitro tablets. En route to the hospital your patient states her pain decreases to a 1 on a scale of 0-10. To provide the best care, you should: - ANSWER>>continue high flow oxygen and repeat vitals, consider 12 lead EKG if pain persists

A 52 yom is compelling of constant, severe pain and pressure in his chest, which he says started about 4 hours ago. The patient has bilateral rales, and his skin is cool to the touch. Vital signs are: BP- 72/52, P- 124, R-28. No JVD or Edema in lower extremities. What condition is most likely responsible for his signs and symptoms. - ANSWER>>Myocardial infraction with cariogenic shock

Which of the following patients has the best cerebral oxygenation? - ANSWER>>45 yom, disoriented, BP 140/80, skin warm and dry

What term best describes the ability of cardiac cells to spontaneously depolarize without being stimulated by a nerve? - ANSWER>>Automaticity

A 72 yom with a history of atherosclerosis complains of a sudden onset of sharp pain in his right leg and foot which has grown worse over the past 2 hours. Objective data includes an anxious patient with vital signs: BP- 124/60, P-70, R-

18. He has a pale, waxy, cool right leg. No pedal pulses are present in the right foot. The left leg is normal. What is the patients probable diagnosis? - ANSWER>>Acute arterial occlusion

The gradual blockage of an artery due to cholesterol and hardened deposits - ANSWER>>Gradual blockage of an artery by cholesterol and hardened deposits

Your patient is a 22 y/o female without medical history. She was sitting at her office desk where she had an acute onset of dyspnea and pleuritic type chest pain. Presently she is awake and agitated. upon exam she is pale cool and diaphoretic. BP- 92/40, HR- 142, RR- 36 Shallow but clear bilaterally. Only medications taken are tylenol and birth control. What condition do you suspect? - ANSWER>>Pulmonary Embolism

Which of the following best describes the term syncope? - ANSWER>>sudden temporary loss of consciousness

Which vessel provides blood supply to the SA and AV nodes in most patients? - ANSWER>>RCA (Right coronary artery)

Impulses that originate in both the atria and ventricles simultaneously, meeting somewhere in the heart, create a strange appearing complex. What is that complex known as? - ANSWER>>Fusion beat

Most common causes of premature atrial contractions? - ANSWER>>stimulants such as caffeine or tobacco

Your 66 yom patient is experiencing crushing chest pain, and has a BP of 80/64. Your monitor shows him to be in VTACH at a rate of 176. How would you treat this patient? - ANSWER>>synchronized cardioversion at 100J

A 20 yom presents to you complaining of diffuse chest pain that increases with deep inhalation but decreases when he leans forward. His 12 lead EKG shows changes in all leads. He recently had a viral infection. From this information, what is his most probable diagnosis? - ANSWER>>pericarditis

What does Starling's Law state? - ANSWER>>The strength of a contraction of a muscle fiber is proportional to how far it is stretched

Which of the following scenarios may best describe a patient experiencing an acute mi - ANSWER>>79 yof gets in an argument with her sister. She begins feeling substernal pressure that is unrelieved by rest and nitro.

An elderly female is found unresponsive by a neighbor. Your crew has initiate CPR. The cardiac monitor show VFib How would you treat this patient? - ANSWER>>continue CPR, then prepare to defibrillate at 360J

What is the electrical axis of the heart? - ANSWER>>the average of all depolarizations of the heart

Under which conditions does a Type II AV block have a very serious prognosis? - ANSWER>>AV dissociation exists

What are the primary causes of symptoms in patients experiencing tachydysrhythmias? - ANSWER>>decreased ventricular filling and stroke volume

Your patient is a 58 yom with a history of alcoholism and and cirrhosis of the liver. The patient is vomiting copious amounts of blood. Which is most likely the cause? - ANSWER>>Esophageal Varices

Correct bolus amount for a 44 lb child in hemorrhagic shock? - ANSWER>> mL

You are treating a 80 yom who complains of headache, blurred vision, and left sided weakness. He has a history of heart problems and takes digoxin. Which of these is the most likely cause of his symptoms? - ANSWER>>embolic stroke caused by afib

You are caring for a patient with a heart rate of 50. He is alert and oriented. His BP is 126/72 and he denies chest pain or respiratory distress. How would you initially treat this patient? - ANSWER>>gather a complete history and physical assessment

Which is the ion responsible for determining the resting membrane potential of a cardiac cell? - ANSWER>>Potassium

A 55 yom complains of sudden onset of acute shortness of breath. He denies chest pain and is alert and oriented but anxious. Skin is pale (with cyanosis), cool, and diaphoretic. BP 230/110, P 110, R 28. No JVD. Crackles are heard bilaterally. He has a hx of heart attack 5 years ago. The patient is most likely suffering from? - ANSWER>>Left sided heart failure

A 55 yom complains of sudden onset of acute shortness of breath. He denies chest pain and is alert and oriented but anxious. Skin is pale (with cyanosis), cool, and diaphoretic. BP 230/110, P 110, R 28. No JVD. Crackles are heard bilaterally. He has a hx of heart attack 5 years ago. Besides increasing oxygen levels, what is the next step for this patient? - ANSWER>>Decrease preload

A 55 yom complains of sudden onset of acute shortness of breath. He denies chest pain and is alert and oriented but anxious. Skin is pale (with cyanosis), cool, and diaphoretic. BP 230/110, P 110, R 28. No JVD. Crackles are heard bilaterally. He has a hx of heart attack 5 years ago. What medication and dosage would you use? - ANSWER>>Nitro 0.4mg SL

Sally, a 72 yof, called EMS because of severe lower back pain that will not go away. She states that she has arthritis, but this is much worse. She has a hx of hypertension and takes medication for it. She is extremely pale and diaphoretic. BP- 90 by palpation, P- 104, R-24. After oxygen, how would you initially treat. - ANSWER>>Rapid transport to ER

Sally, a 72 yof, called EMS because of severe lower back pain that will not go away. She states that she has arthritis, but this is much worse. She has a hx of hypertension and takes medication for it. She is extremely pale and diaphoretic. BP- 90 by palpation, P- 104, R-24 What condition is most likely affecting the patient. - ANSWER>>Tripple A

You are treating a 59 yom who is complaining of 7/10 chest pain. BP- 130/80, P- 130, R-18. ECG reveals sinus tach with occasional PVC's what drug should you administer? - ANSWER>>Aspirin

You are treating a patient who complains of dizziness when sitting up or standing up. She has just come home from running a marathon. BP- 130/80, P- 70, RR-18 WHILE SITTING. WHEN SHE STANDS UP her BP-100/60, P-90, RR-24. What is your field impression for this patient? - ANSWER>>Orthostatic hypotension

You are assessing an 86 y/o male BP- 140/88, P-66 Irregular, RR-18 and regular. Are these vitals of some concern or within normal limits - ANSWER>>Within normal limits, this is an expected result in an aging patient

You are called to a homeless shelter. The manager called you because the pt a 45 y/o male is coughing u blood tinged sputum. he has a persistent cough, night sweats, and a hx of weight loss and fatigue. He is currently taking Rifampin. he feels febrile to the touch. What illness is likely causes his symptoms. - ANSWER>>Tuberculosis

A 24 year old female present with complaints of headache, nausea, joint pain, and loss of appetite. She has white sores in her mouth and a reddish rash on her palms and the soles of her feet, she states they do not itch. Which of the following is likely to cause her presentation - ANSWER>>Herpes

You have just accidnelty given yourself a needle stick and exposed yourself to a patients blood. You don't know their disease status. What are you most at risk of contracting? - ANSWER>>Hepatitis C

A virus may cause which of the following illnesses - ANSWER>>Pancreatitis

You 20 year old male patient was discharged from the ED earlier in the day after receiving a prescription for an antibiotic and an injection of Compazine for nausea. He is presenting with arching of the back, forced jaw opening, facial grimacing, and profusion of his tongue. What is likely his condition? - ANSWER>>Acute dystonic reaction

You 20 year old male patient was discharged from the ED earlier in the day after receiving a prescription for an antibiotic and an injection of Compazine for nausea. He is presenting with arching of the back, forced jaw opening, facial grimacing, and profusion of his tongue. What is the most appropriate medication? - ANSWER>>Diphenhydramine

You are treating a 16 year old boy at the local zoo who has severe respiratory distress, swelling in his neck, a rash and hives all over his body. Symptoms started when he took a few bites of an ice cream cone topped with peanuts and was stung by a bee. pts mom states he is lactose intolerant and eats peanuts all the time without a problem. Pt has never been stung before by a bee. Which allergen is most likely causing his symptoms? - ANSWER>>Bee Sting

You are treating a 16 year old boy at the local zoo who has severe respiratory distress, swelling in his neck, a rash and hives all over his body. Symptoms started when he took a few bites of an ice cream cone topped with peanuts and was stung by a bee. pts mom states he is lactose intolerant and eats peanuts all the time without a problem. Pt has never been stung before by a bee. How would you best treat the patient - ANSWER>>Epinephrine

Which of the following conditions causes the symptoms of altitude sickness - ANSWER>>Decrease in oxygen concentration

You patient is a 16 y/o female found responsive to pain. Her mom states she's been increasingly sluggish over the last week, she has been eating and drinking more than normal. Her skin is warm and dry & there is a fruity odor on her breath, her BP is 110/40 Pulse is 120 and regular RR- 32 and deep. Which of the following is most likely causing her presentation? - ANSWER>>

You patient is a 16 y/o female found responsive to pain. Her mom states she's been increasingly sluggish over the last week, she has been eating and drinking more than normal. Her skin is warm and dry & there is a fruity odor on her breath, her BP is 110/40 Pulse is 120 and regular RR- 32 and deep. How would you treat patient. - ANSWER>>Oxygen, IV, Observation, Transportation

Which of the following is characteristics of type 1 diabetes - ANSWER>>The beta cells of the Islets of Langerhans secrete little or no insulin

Your patient is a 44 year old female complaining of right upper quadrant abdominal pain with radiation to the right shoulder. She is nauseated and has a temperature of 99.9F. The pain began 4 hours ago, after she ate dinner that contained very fatty foods. Her abdomen is soft with gurgling over the right upper quadrant. BP 136/84, P 96, R 24. Which of the following is the most likely cause of the patient's presentation - ANSWER>>Cholecystitis

Your patient is a 29 year old male who has been stung by a bee in his thumb. His thumb is swollen, red, and painful, but he has no other complaints. He denies any medical history but states that he has a family history of bee sting allergy. How would you remove the stinger? - ANSWER>>Gentle scraping with the edge of a card

A 29 year old male who has been stung by a wasp on his thumb. He is short of breath. His vitals are BP 90/60, P 120, R 24 and labored. What should you do? -

ANSWER>>Administer 0.3mg of 1:1000 epinephrine & 25mg of diphenhydramine

Your patient is a 26 year old female who has ingested 150 amitriptyline tablets. She responds to painful stimuli and has an intact gag reflex, has a BP 88/50, P 130, weak, but regular, R 16. What medications would you consider using to treat this patient? - ANSWER>>Sodium Bicarb

Your patient is a 26 year old female who has ingested 150 amitriptyline tablets. She responds to painful stimuli and has an intact gag reflex, has a BP 88/50, P 130, weak, but regular, R 16. Which of the following assessments is likely to give you the most useful information? - ANSWER>>Cardiac Monitoring

Which of the following statements conserning elderly emergency medical care of the elderly is tru - ANSWER>>Alcohol and drug use may be a cause of altered mental status

Which of the following statements concerning seizures is true? - ANSWER>>The post-ictal phase preceded the seizure in absence (petit mal) seizures

Which of the following does not need to be proven by the plaintiff with a malpractice case against a medic? - ANSWER>>A duty to act

Your Patient is a 41 year old female who is 3 days postoperative, recovering from an abdominal hysterectomy. She smokes and is about 40 pounds overweight. She is taking hormone replacement therapy, an antidepressant, and an antibiotic. She has a sudden onset of sharp left-sides chest pain With dyspnea and near syncope. She is not responsive only two painful stimulus, her school skin is cool and diaphoretic, and she is cyanotic. BP 90/50, P 122 weak but regular, Are 36. Which of the following is most likely the cause of her presentation? - ANSWER>>Massive Pulmonary Embolism

Your patient is a 17 year old male who has ingested 20 tablets of diazepam ( mg each). He is unresponsive to all stimuli, has snoring respirations at 6 per minute, BP 70/40, and a weak carotid pulse of 92. Which of the following will have the greatest benefit for the patient? - ANSWER>>Insert a NPA and BVM

Your patient is a 22 year old female veterinary student. She was cleaning up the animal grooming area and accidentally spilled a large quantity of concentrated flea and tick killer on herself. She is nauseated, has abdominal cramping and diarrhea, her eyes are tearing and she is salivating profusely. Which of the following medications is indicated for treatment of this patient's problem? - ANSWER>>Atropine

Your patient is a 70 year-old male. Customers in a bar called 911 when the patient fell out of his chair. He responds to verbal stimulus, has slurred speech, and is weak on the right side of his body. He has an odor of alcohol on his breath and indicates that his head hurts. BP 178/110, P 58, R 24. How would you treat this patient? - ANSWER>>Oxygen, IV 0.9% sodium chloride

Which of the following is the underlying cause of the pain associated with a sickle cell crisis? - ANSWER>>Tissue ischemia

The correct dose of naloxone for a 6lb 8oz neonate suffering respiratory depression secondary to in utero exposure to narcotics is - ANSWER>>0.3mg

The correct placement for a needle throacostomy would be - ANSWER>>The second intercostal space, over the third rib, midclavicular line.

What is the most common cause of pulmonary embolism? - ANSWER>>DVT

You are treating a 6 yo who weighs 40lbs. He is unresponsive with a weak pulse, delayed capillary refill. His vital signs are BP 60/0, P240, R6. EKG shows a narrow complex tachycardia at a rate of 250. What is your initial treatment? - ANSWER>>Synchronous at 20 joules

What is the most common cause of death in children over the age of 1 year? - ANSWER>>Trauma

Which of the following has the greatest potential to prevent pediatric deaths? - ANSWER>>Car seats, seat belts, and seat belt positioning boosters

When assessing the mental status of an 8 month old child, which of the following is expected behavior in a patient with a normal mental state? - ANSWER>>Recognizes familiar caretakers

Which of the following is the most common concern to the adolescent trauma patient? - ANSWER>>Parental reprimand

How can you reduce gastric distention during ventilation? - ANSWER>>The patient is ventilated slow with large volumes of oxygen

Which of the following pulse rates would be cause for concern in an 18 month old child? - ANSWER>>

Which of the following is the recommended location for assessment of the pulse in an unresponsive 6 month old child? - ANSWER>>Brachial artery

When responding to the scene of an injured 5yo child, child abuse should be expected in which of the following circumstances? - ANSWER>>Injury pattern does not match the history of the mechanism of injury

A 5yo boy who awoke with a sore throat and fever is found sitting at the kitchen table. He appears quite ill and is leaning forward with his head in his hands. His voice is muffled and he is drooling. What illness do you suspect the child is suffering from? - ANSWER>>Epiglottis

Which of the following is true concerning pediatric febrile seizures? - ANSWER>>Febrile seizures are more likely to occur when the temp raises rapidly

Which isn't the correct location for placement of an IO needle in a pediatric patient? - ANSWER>>Which isn't the correct location for placement of an IO needle in a pediatric patient?

You are treating a pregnant woman in her third trimester. She is suffering from a headache. Her vitals, BP 220/108, P 80, R18. She tells you her ankles are more swollen than normal. What illness is most likely causing her signs and symptoms? - ANSWER>>Preeclampsia

23 yo female is complaining of diffuse Lower abdominal pain, unusual vaginal discharge, and a low-grade fever. Her symptoms began 2 days ago, toward the end of her period, which was otherwise normal. What is the most likely explanation for her symptoms? - ANSWER>>PID

Oxytocin is indicated for the management of which of the following conditions?

• ANSWER>>Postpartum hemorrhage

You are assisting with a normal cephalon delivery. The infants head has been delivered. To assist with the delivery of the upper shoulder you should? - ANSWER>>Assist the infants head downward

What stage of labor begins with cervical dilation and ends with delivery of the infant? - ANSWER>>Second

Your Pt is G3 P2 Ab0. 38 weeks began having contractions 2.5 hours ago. Contractions are 2.5 mins apart and regular. The patient states that her water has not yet broken. In considering that the bag of water has not yet ruptured, which of the following is true? - ANSWER>>The infant may be delivered without the bag of water breaking

Which of the following is the recommended technique of stimulating a distressed newborn? - ANSWER>>Rubbing the infants back vigorously with a dry towel

You are assisting delivery of a full-term infant. As the bag of water breaks, you notice that it is thick and greenish like pea soup. At delivery, the infant is apneic, blue limp and a HR of 80. what should you do? - ANSWER>>Assist ventilations with BVM

Which of the following would NOT be appropriate in the emergency management of an inverted uterus? - ANSWER>>Applying traction to the umbilical cord to separate the placenta

A 31 yo G3 P1 AB1 is in labor at term at home. She's been in labor for 24 hr without dilation. The midwife called for an ambulance. Upon arrival Pt is having strong contractions 2min apart. As you prepare to transport the mother complains of sudden tearing abdominal pain and becomes pale diaphoretic and agitated. Upon palpating the abdomen you feel the outline of the fetus. You should suspect - ANSWER>>Uterine rupture

Upon examining a 27 yo in labor at 32 weeks gestation you notice that the umbilical cord is prolapsed. Which of the following would you NOT do? - ANSWER>>Immediately clamp cord in 2 places and cut between

When the monitor is configured to display lead II, what is the polarity of each lead? - ANSWER>>Left leg is positive right arm negative

What is the earliest gestational age at which a fetus may survive if born early? - ANSWER>>26 weeks

You have been called to a fitness club where a 28 year old female experienced a sudden onset of lower right quadrant abdominal pain while running in a

treadmill. She states she had a normal period 3 weeks ago. Assessment reveals that she is pale and wet with RLQ abdominal pain and tenderness to palpating. Vitals are BP 88/64 P 116. Which of the following conditions is LEAST likely to be causing the patients signs/symptoms? - ANSWER>>PID

40 yo female who has been sexually assaulted. She is conscious but has multiple injuries. In addition to management of the patients injuries and attention to her psychological needs which of the following is appropriate? - ANSWER>>Place each article of clothing removed in a separate paper bag

5yo was awakened with severe respiratory distress. She has a seal bark cough, fever, and finds it hard to swallow. What do you suspect? - ANSWER>>Croup

You are treating a 4 year old who is lethargic. Her vitals are BP 50/0, P 50, R 8. After the airway has been secured how would you treat her next? - ANSWER>>CPR

You are caring for a 4 yo who took four tablets of her mothers elavil. Her vitals are BP 60/palp, P 140, R 6 and she is lethargic. What intervention would you perform first? - ANSWER>>BVM with O

Which of the following are early signs of dehydration in an infant? - ANSWER>>Dry mucus membranes

In what zone do EMS units at the scene of a hazardous materials, tactical or other dangerous situation operate? - ANSWER>>Cold

What type of radio system uses transmissions and reception that occur on two frequencies? - ANSWER>>Duplex

What is the function of the medical practice act? - ANSWER>>Provide state legislation that governs the practice of medicine within that state

The term "ethics" is best described as - ANSWER>>Moral, rather than legal, standard of behavior

The process by which an agency or association grants recognition to an individual who has met certain predetermined qualifications specified by that agency is called - ANSWER>>Certification

Which of the following is least likely to result in an accusation of negligence? - ANSWER>>Poor Pt outcome

The statement, "the Pt states that she has had chills and a fever for 24 hours," belongs in which part of a narrative using SOAP format? - ANSWER>>Subjective

e majority of deaths associated with confined space incidents occur in which of the following groups? - ANSWER>>Individuals attempting a rescue

Government agency that regulates radio communications is the: - ANSWER>>FCC

There are 5 plane crash survivors that are ready for transportation to the hospital. Who will notify hospitals and coordinate Pt allocation to those facilities? - ANSWER>>Transportation officer

have just pulled a patient out of the rubble. They report that he is not breathing. When they reposition the patients head to spontaneous breathing begins at 22 per min. His pulse is strong at a rate of 100 and he is now moaning and disoriented. What triage priority would you give this patient? - ANSWER>>Red

Which of the following variables poses the MOST risk to X-ray techs? - ANSWER>>Type of radiation (gamma)

How should you approach a helicopter that has just landed to pick up your Pt? - ANSWER>>Toward the pilots, front of the craft

Your Pt is a 40 yo male who has been depressed since his wife left him. He is currently threatening suicide. What would be best for you to ask or say to this patient? - ANSWER>>Have you given any thought to how you might kill yourself?

What is the name of the dispatch system that strategically places EMS units based upon projected call volume and dynamically deploys these units based on actual real-time call volumes? - ANSWER>>System Status Management

The medical command physician orders 20mg of lasix IVP for your patient who is short of breath. After receiving the order, what should you do first? - ANSWER>>Repeat the order back to the physician to confirm

You have just finished a run. You are completing a run report and discover an error as you are writing. What should you do? - ANSWER>>Draw a line through the error, initial it

Which of the following is the best example of a subjective and possibly libelous statement? - ANSWER>>"The Pt was drunk and disorderly"

You have arrived at the scene of a MVC. The Pt head is flexed forward, and she does not appear to be breathing. What is your immediate concern? - ANSWER>>Safety of the rescuers

You and your partner respond to a full arrest. During the arrest, you are unable to defib the Pt because it won't charge. Later the Pt dies, and the family learns that you forgot to replace the defib battery that morning according to routine procedures. What can the family sue you for? - ANSWER>>Negligence

You have been called to check and alert and oriented diabetic patient who is sweating. He refuses treatment, but you forcibly proceed to give him an injection of glucagon. What legal charge will be most applicable? - ANSWER>>Committing battery

What is a radio "PL" (private line) tone? - ANSWER>>Allows 2 ambulances to talk to each other privately

You are at the scene of a riot. The IC has assigned you to the task of triage. Which of the following patients can wait the longest for transportation? - ANSWER>>34 yo near amputation of a leg R18; strong radial; mental status: Alert

A police officer at the scene of a traffic stop has requested that you medically clear the driver who was arrested for driving erratically. The other claims he's a diabetic. Refusing transport. The officer asks what his BGL was, what will you ANSWER the officer? - ANSWER>>Apologize to the officer and explain that you can not divulge that information

Your partner Colleen, is assisting you with a premature delivery. Colleen is wearing gloves but no gown or face/eye protection. During the delivery amniotic fluid squirts up onto colleens face. After the shift ends, Colleen tells you she is embarrassed about getting amniotic fluid in her mouth and is not planning on reporting the incident. What should you do? - ANSWER>>Strongly encourage her to report the exposure

You are on scene of a mci you are expecting 40 Pt from a building collapse. A patient walks up to you and shows you a 3in laceration on his forearm. What triage priority would you give this patient? - ANSWER>>Green

Your ambulance has malfunctioned? En route to a non emergency call at a clinic. It stalled and will not restart. What is you best action to take next? - ANSWER>>Request another unit to respond

you respond to the local pool where a maintenance worker just spilled chlorine. You are the first to arrive. The lifeguards are treating your patient with oxygen and fresh air. What is your first course of action? - ANSWER>>Stop and do not approach

What do apparently mild electrical burns and hydrofluric acid burns have in common? - ANSWER>>They can be worse than initially expected

What does neurogenic shock due to spinal injury create? - ANSWER>>Decreased cardiac output

You are treating a 24 year old male who slipped and fell on an icy sidewalk. You are considering transporting this Pt in a sitting position. You should apply c- spine precautions if the patient - ANSWER>>Is unable to communicate

How do you calculate cardiac output? - ANSWER>>Heart rate multiplied by stroke volume

You observe marked shortness of breath, JVD, tachycardia, and hypotension on a trauma Pt. What could this indicate - ANSWER>>Tension pneumothorax

When calculating kinetic energy, the most important variable relating to total kinetic energy is? - ANSWER>>Velocity

A dermatome can be described as - ANSWER>>An area of the skin inner ages by a specific spinal nerve

Which of the following interventions should be performed on the scene (before loading a critical trauma patient into the ambulance) - ANSWER>>Decompress a tension pneumo

APGAR scores should be obtained at which of the following intervals? - ANSWER>>At 1 min after complete delivery and 5 mins after

The intercostal artery, vein, and nerve are found - ANSWER>>Along the bottom of the rib

You are treating a 20 yo male who was an unrestrained driver of a vehicle that hit a pole at 65mph. He is unconscious but has a good airway and clear bilateral breath sounds. He has JVD and a large bruise on his chest, but there is no crepitus or instability to his chest. Vitals BP 70/60 P 120 R 24. What is the most likely cause of his condition? - ANSWER>>Pericardial tamponade

Compartment syndrome is best defined as - ANSWER>>Tissue pressure rising above perfusion pressure, resulting in ischemia to the muscle

You are dispatched to the scene of a bar fight. Patient 25 yo male, suffered a laceration to the left lateral neck from a broken bottle. In addressing the injury, you should - ANSWER>>Apply an occlusive dressing

24 yo woman laying in sidewalk after trailer caught on fire. Coughing up black tinged sputum and complains of difficulty breathing. Her breathing is stridorous but both lungs clear. She's awake and able to ANSWER verbally but is hoarse. She moves on command, oriented to person place and time. What's her GCS? - ANSWER>>15

A 24 year old woman is found lying on the sidewalk after jumping out of her trailer home bedroom during a fire. She has second degree burns to her face and head, and third degree burns to both her arms. What percent of her body is burned? - ANSWER>>18%

A 24 year old woman is found lying on the sidewalk after jumping out of her trailer home bedroom during a fire. She has second degree burns to her face and head and third degree burns to both her arms. She is coughing up black

tinged sputum and complains of difficulty breathing. Her breathing is stridorous, her lungs are clear. She is awake and able to ANSWER verbally but very hoarse. She moves all extremities on common. She is oriented to person , place, time. What is your biggest concern - ANSWER>>Swelling of airway

Dispatched to the scene of a fight. 17 yo male complaining of left upper quadrant pain. He was hit with a bat in the "stomach" one time. On visual inspection you not redness at the left anterior costal margin. Palpating of the same region reviews the presence of slight crepitus. Based on these findings, you would expect damage to which abdominal organ? - ANSWER>>Spleen

What complaint would suggest a traumatic injury to the spleen? - ANSWER>>"My left shoulder hurts"

Injury into the spleen is life threatening. If the structure is severely injured, the greatest concern is which of the following? - ANSWER>>Rapid and significant blood loss

When attempting to give the most fluid in the least amount of time through an IV line it is best to use a - ANSWER>>14g, 4 inch IV cath

On palpating you observe that your patient is complaining of point tender pain in the RUQ. These findings would be consistent with injury to the - ANSWER>>Liver

You are treating a patient and find that a carotid pulse - ANSWER>>60-80mmhg

Which of the following patients require immediate transport to the nearest appropriate medical facility as opposed to intervention by prehospital personnel? - ANSWER>>An unresponsive 30yo unrestrained passenger involved in a serious head on MVC

A 45 yo woman is found unconscious at the scene of a MVC. Her vitals are bp are BP 80/40, P 130, and R 30. Which of the following is most likely causing her condition? - ANSWER>>Bleeding into the chest or abdomen

What is the preferred method for assessing a patient for spinal tenderness? - ANSWER>>Palpate over the spinal processes