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OB/Pediatrics Practice Test Questions with
Solution
1. Seizures in children most often are the result of
A. a life-threatening infection B. a temperature greater than 102 degree F C. an abrupt rise in body temperature D. an inflammatory process in the brain.: an abrupt rise in body temperature
2. After clearing the airway of a newborn who is not in distress, it is most important for you to
A. apply free-flow oxygen
B. clamp and cut the chord
C. keep the newborn warm.
D. obtain an APGAR score.: keep the newborn warm
3. You are caring for a 6-year-old child with a possible fractured left arm and have reason to believe that the
child was abused. How should you manage this situation?
A. inform the parents of your suspicions
B. Call the police so the parents can be arrested.
C. Advise the parents that the child needs to be transported
D. Transport the child to the hospital regardless of the parents wishes: Advise the parents that the child needs to be
transported
4. At 0345, you receive a call for a woman in labor. upon arriving at the scene, you are greeted by a very anxious
man who tells you that his wife is having her baby "now". This man escorts you into the living room where a 25- year old woman is lying on the couch in obvious pain. The woman states that her contractions are occurring every 4 to 5 minutes and lasting approximately 30 seconds each. Which of the following questions would be most appropriate to ask at this point?
A. has your bag of waters broken yet?
B. have you had regular prenatal care?
C. At how many weeks gestation are you?
D. how many other children do you have?: At how many weeks gestation are you?
5. At 0345, you receive a call for a woman in labor. upon arriving at the scene, you are greeted by a very anxious
man who tells you that his wife is having her baby "now". This man escorts you into the living room where a 25- year old woman is trying on the couch in obvious pain. Which of the following statements regarding crowning is true?
A. Crowning represents the end of the second stage of labor.
B. Crowning always occurs immediately after the amniotic sac has ruptured.
C. It is safe to transport the patient during crowning if the hospital is close.
this condition should include
A. positioning the mother in a semi-Fowler's position, administering oxygen, and providing transport
B. positioning the mother in a head-down position with her hips elevated,
administering oxygen, and providing transport.
C. applying gentle traction to the protruding limb to remove pressure of the fetus from the umbilical cord.
D. giving the mother 100% oxygen and attempting to manipulate the pro- truding limb so that delivery can
occur.: positioning the mother in a head-down position with her hips elevated, administering oxygen, and providing transport.
9. When you attempt to assess a 22-year-old woman who has been sexually assaulted, she orders you not to touch
her.Your most appropriate initial action should be to
A. ask the patient to sign a release form.
B. ask a female EMT-B to attempt to assess the patient.
C. explain to the patient that she must be examined.
D. transport the patient without performing an assessment.: ask a female EMT-B to attempt to assess the
patient.
10. Which of the following techniques represents the most appropriate method of opening the airway of an infant
with no suspected neck injury?
A. Lift up the chin and hyperextend the neck.
B. Tilt the head back without hyperextending the neck
C. Gently lift the chin while maintaining slight flexion of the neck.
D. Perform the technique as you would for an older child or adult.: Tilt the head back without hyperextending the
neck
11. A 3-year-old child has a sudden onset of respiratory distress. The mother denies any recent illnesses or
fever. You should suspect
A. croup
B. epiglottitis
C. lower respiratory infection
D. foreign body airway obstruction: foreign body airway obstruction
12. Which of the following findings would indicate an altered mental status in a small child?
A. Recognition of the parents
B. Fright at the EMT-B's presence
C. Lack of attention to the EMT-B's presence
D. Consistent eye contact with the EMT-B: Lack of attention to the EMT-B's presence
13. Which of the following parameters would be LEAST reliable when assess- ing the perfusion status of a 2-
year old child with possible shock?
A. Distal capillary refill
B. Systolic blood pressure
B. oxygen, placement on the left side, and transport C. oxygen, treatment for shock, and uterus massage during transport D. oxygen, internal vaginal pads, and treatment of shock during transport.: - oxygen, treatment for shock, and uterus massage during transport
17. While performing a visual inspection of a 30-year-old woman in active labor, you can see the umbilical
cord at the vaginal opening. After providing high concentration oxygen, you should next
A. massage the uterus to facilitate delivery of the fetus.
B. relieve pressure from the cord with your gloved fingers.
C. place the mother on her left side and provide rapid transport
D. elevate the mother's lower extremities and provide immediate transport.: -
relieve pressure from the cord with your gloved fingers
18. A 34-year old woman, who is 36 weeks pregnant, is having a seizure. After you protect her airway and
ensure adequate ventilation, you should transport her
A. on her left side.
B. in the prone position
C. in the supine position
D. in a semi-sitting position: on her left side.
19. A 7-year old child has an altered mental status, high fever, and a general- ized rash. You perform your
assessment and initiate oxygen therapy. En route to the hospital, you should be most alert for
A. vomiting
B. seizures
C. combativeness
D. respiratory distress: seizures
20. Which of the following is the most common cause of shock (hypoperfu- sion) in infants and children?
A. infection
B. Cardiac failure
C. Accidental poisoning
D. sever allergic reaction: infection
21. Which of the following signs or symptoms is more common in Children than adults following head
trauma?
A. Nausea and vomiting
B. Altered mental status
C. Tachycardia and diaphoresis
D. Changes in pupillary reaction: Nausea and vomiting
22. A 4-year old fell from a third-story window and landed on her head. She is semiconscious with slow,
irregular breathing and bleeding from her mouth. After performing a jaw-thrust maneuver with simultaneous stabilization of her head, you should
A. suction the oropharynx
A. lower the extremities and reassess the child
B. Begin positive pressure ventilations and reassess the child
C. Place a nasopharyngeal airway and increase the oxygen flow.
D. Listen to the lungs with a stethoscope for abnormal breath sounds.: lower the extremities and reassess the child
26. You are responding to a 23 y/o pedestrian who is 7 months pregnant and was struck by a motor vehicle. She
is complaining of abdominal pain, skin is pale and cool, heart rate is 110, respirations 20 you should
A. Position the pt on left side, administer O2 and transport emergently
B. Place the pt on her back administer O2 and transport routine
C. Position the pt in Trendelenburg, administer O2 and transport routine
D. Place the pt on her right side, elevate the bottom of the cot, apply O2 and transport emergently: Position the
pt on left side, administer O2 and transport emergently
27. How should you open the airway of an infant?
A. Place head in the sniffing position
B. Pad underneath the head
C. Place the head in a neutral position
D. Lift the neck and elevate the head: Lift the neck and elevate the head
28. a 2 y/o pt who has been sick all day, now has a barking cough. You should suspect
A. Epiglottitis
B. Asthma
C. Croup
D. Chronic laryngospasm: Croup
29. During a birth the baby's head has delivered. You should
A. Suction the nose and mouth with a bulb syringe
B. Suction the mouth only with bulb syringe
C. Suction for 15 seconds with pediatric suction device
D. Insert a delee suction catheter in the mouth: Suction the nose and mouth with a bulb syringe
30. 27 yr old patient was sexually assaulted and has moderate vaginal bleed- ing. You should:
a. pack the vagina with gauze
b. avoid treatment to leave the criminal evidence intact
c. apply direct pressure to the vaginal opening using trauma dressing
d. place the patient in Trendelenburg position: apply direct pressure to the vaginal opening using trauma dressing
31. 20 yr old patient is having lower abdominal pain and vaginal bleeding with large clots and tissue. Her last
menstrual period was 8 weeks ago. What is likely her problem?
a. gonorrhea
b. placenta abruption
c. spontaneous abortion
d. ruptured ectopic pregnancy: spontaneous abortion
32. What are signs/symptoms of a ruptured ectopic pregnancy?
c. she may deliver prematurely
d. she may have a seizure: she may have a seizure
36. Supine hypotensive syndrome occurs when:
a. a supine position kinks the ascending aorta
b. the pregnant uterus compresses the inferior vena cava
c. the superior vena cava is compressed by the uterus
d. blood pressure decreases as a result of hypovolemia: the pregnant uterus compresses the inferior vena cava
37. The ONLY indications for placing your gloved fingers in the vagina during delivery are:
a. breech presentation and prolapsed umbilical cord
b. limb presentation and severe vaginal hemorrhage
c. vertex presentation and delivery of the placenta
d. nuchal cord and presentation of an arm or leg: breech presentation and prolapsed umbilical cord
38. Your G-7; P-6 patient with a previous C-section is progressing well in her delivery with crowning of the
baby's head. On her last push, the head disappears and the mom starts complaining of severe abdominal pain. What do you suspect?
a. placenta abruptio
b. placenta previa
c. ruptured uterus
d. cephalopelvic disproportion: ruptured uterus
39. Your patient is 37 weeks pregnant and was assaulted by her BF, who punched her in the abdomen.
She is complaining of severe pain in her abdomen and her skin is pale and diaphoretic. BP 98/56, P 127, R
- Her abdomen is rigid to palpation. Which of the following conditions do you suspect?
a. spontaneous abortion
b. placenta previa
c. placenta abruptio
d. ruptured ectopic pregnancy: placenta abruptio
40. You respond to a pregnant 28 yr old female at a shelter who states that her water "broke" and that she is
now experiencing labor pains. She is complain- ing of bright red vaginal bleeding, but denies any pain. BP 110/70, P 112, R 20.
a. placenta abruptio
b. uterine rupture
c. spontaneous abortion
d. placenta previa: placenta previa
41. To maintain an open airway on a 4 yr old who is lying supine, you should:
a. hyperextend the neck
b. place a towel roll behind the head
c. place a towel roll behind the neck
d. place padding behind the torso: place padding behind the torso
42. When inserting an oropharyngeal airway in an infant or child, you should:
b. croup
c. foreign body airway obstruction
d. epiglottitis: croup
46. You are evaluating a disoriented 27 y/o female who is 32 weeks pregnant. Her husband states "her arms and
legs just got stiff and she had a blank stare" she has no prior medical history you should suspect
A. Eclampsia
B. Ectopic pregnancy
C. Epilepsy
D. Placental abruption: Eclampsia
47. You respond to a girl's boarding school dormitory where you encounter a 15 yr old who appears very ill with
pale skin, sunken eyes, and who is in a tripod position. Her roommate states that she complained of a sore throat for two days. Her fever is 102. What should be your main concern?
a. croup
b. meningitis
c. influenza
d. epiglottitis: epiglottitis
- caused by the flu; tripod position indicates they can't breathe; sore throat and fever are typical
48. What are the signs of meningitis?
a. fever, painful neck movement
b. extremity rigidity, coughing
c. altered LOC, wheezing
d. paralysis of extremities, tremors: fever, painful neck movement
49. Your pt is nine months pregnant with her first child. Her contractions are 10 minutes apart, lasting for 20
seconds. She tells you that she is "having this baby now". You should
A. Coach her to calm down and have her husband transport
B. Prepare for an imminent on scene delivery
C. Transport the patient on her left side and monitor
D. Transport pt in supine position and monitor: Transport the patient on her left side and monitor
50. which of the following is an anatomical difference between an adult and an infant airway?
A. The infants trachea is more rigid
B. The infants trachea is softer
C. The adults tongue is proportionally larger
D. The adults mouth is proportionally smaller: The infants trachea is softer
51. A 2-year-old boy has a circumferential burn to his hand up to the wrist. The mother tells you a pot of boiling
water spilled onto the boy. You should
A. Reassure the mother and treat the burn with moist dressing
B. Transport and inform the ER that you suspect abuse
C. Talk to the boy separately and ask if he is being abused
D. Confront the boy's mother about possible abuse: Transport and inform the ER that you suspect abuse
C. Transport and administer CPR enroute
D. Transport to closest hospital: Dry, stimulate and apply oxygen
56. you are called to the scene of a motor vehicle crash, where you find a three-year-old female sitting in an
unsecured car seat. She has abrasions to her forehead and right arm. She is alert to voice, her skin is pink and dry, and she appears to breathing normally. You should
A. Rapidly extricate the child and place her in a supine positon
B. Place a short back board behind the child and gently extricate her from the car seat.
C. Remove the child from the car seat and place her on a long spine
D. Secure the child in the car seat using towels and tape to immobilize her head and chest: Secure the child in the
car seat using towels and tape to immobilize her head and chest
57. Your 18-mo. old pt has pale cool skin, decreased mental status, and de- layed cap refill. The mother tells
you that the child's diaper has been dry for most of the day. First responders have applied oxygen. You should
A. position the child on his side and transport
B. rapidly transport and monitor vital signs
C. ventilate with BVM and transport rapidly
D. transport rapidly and apply wet towels enroute: rapidly transport and monitor vital signs
58. A 30-year-old female is experiencing vaginal bleeding and abdominal pain. She is drowsy. Her skin is pale,
cool, clammy. Vitals are BP 90/60 P 120 R 20. You estimate that she may have lost 500cc of blood. Which of the following should concern you MOST?
A. Hypovolemic shock due to blood loss
B. Cardiogenic shock due to lack of perfusion
C. Septic shock due to a serious infection
D. Neurogenic shock due to blood vessel dilation: Hypovolemic shock due to blood loss
59. Your pregnant patient has a history of asthma. She started having difficulty breathing 15 minutes prior to
calling 911. She has used her inhaler three times with no relief. You should
A. Encourage her to use her inhaler until she feels relief
B. Start O2 therapy at high flow, transport and contact medical control for orders to administer a nebulizer
C. Start O2 therapy at high flow and transport
D. Start O2 therapy at high flow, administer a nebulizer, reassess to determine
if transport is required: Start O2 therapy at high flow, transport and contact medical control for orders to administer a nebulizer
60. Your 26-year-old female pt was involved in 30 MPH head-on collision. She complains of slight stiffness in
her neck. She is 36 weeks pregnant. What action should you take?
A. Perform a complete physical exam, obtain hx to ensure lack of other injuries and advise pt to consult with
primary doctor.
B. Provide c-spine stabilization, O2 c-collar, long spine board and transport with pt in right lateral recumbent
position.
C. Provide c-spine stabilization, O2 c-collar, long spine board and transport with pt in left lateral recumbent
position.
D. Evaluate the patient, c-collar assist onto stretcher and transport in left lateral recumbent position: Provide c-
spine stabilization, O2 c-collar, long spine board and transport with pt in left lateral recumbent position
