PARAMEDIC FISDAP FINAL EXAM 2024-2025: Questions and Correct Answers, Exams of Nursing

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PARAMEDIC FISDAP FINAL EXAM 2024- 2025

QUESTIONS AND CORRECT ANSWERS (A+)

A 30 year old climber is experiencing sever shortness of breath after reaching an elevation of 12000feet. The PT is very anxious and has rales noted to all quadrants but is otherwise healthy. He is not accustomed to high altitudes. What should you do? a. Administer oxygen while descending to a lower altitude b. Coach the patient to slow his respirations c. Apply CPAP while the patient adapts to the elevations d. Evacuate the patient to a hyperbaric chamber: Administer oxygen while de- scending to a lower altitude. A 26 year old female does not respond to verbal stimuli but moans in response to pain. A friend states the patient has ingested approx 150 amitriptyline tables. Vital Signs are BP 88/50 R16. You establish IV access and administer a fluid challenge. En route to the hospital her ECG shows a widening QRS. You should administer a. amiodarone b. another fluid challenge c. calcium chloride d. sodium bicarbonate: Sodium Bicarbonate. You PT experienced trauma yesterday and you are transferring her to a larger facility. She has been experiencing progressive hypoxia. You notice coarse crackles in all lung fields on ventilation. Vital signs are BP 90/50 and SPO 90%. You should a. increase IV fluid administration rate b. extubate and re-intubate the patient c. transport emergently and continue ventilation d. perform bilateral chest decompression and reassess: Transport emergency and continue ventilation. An alert 22 year old male was just disentangled from debris in a house collapse. He denies head or neck pain, but complains of server hip pain. Vital signs are BP 88/40. P120 R 16 you should administer. a. epinephrine b. lidocaine c. sodium bicarbonate

d. morphine sulfate: sodium bicarbonate Braxton Hicks contractions a. are mild and signal the beginning of labor b. occur in the second trimester and are false labor c. cause extreme back and abdominal discomfort d. cause dilation and effacement of the cervix: occur in the second trimester and are false labor. A 40 year old male crashed his motorcycle. He had a brief loss of consciousness, woke up and walked home. You find him 2 hours later at home unconscious. You should suspect. a. Subdural hematoma b. Subarachnoid Bleed. c. Basilar skull fracture d. Epidural Hematoma: epidural hematoma A 47 year old male who was found unconscious on the side of the road respond only to painful stimulus. When you attempt to establish IV access he stiffens his arms and legs. He has minor abrasions all over his body. Vital signs are BO 178/122 P56 R irregular ETCO2 30. What should you do? a. Mildly hypoventilate with a bag valve mask b. Assist ventilations at 12 breaths per minute c. Administer a 250 mL normal saline bolus d. Administer 25 g of dextrose: Assist ventilations at 12 breaths per minHg. A 28 year old female has a sudden onset of tightness in her chest and server difficulty breathing. Her tongue face and neck appear swollen and she has red itchy hives on her torso. Her signs are BP 80/40 P 130. You should administer a. administer 25 mg diphenhydramine IV b. transport immediately to the hospital c. administer 0.3 mg epinephrine IM d. administer 100 mg Solumedrol IV: Epinephrine 0.3mg You are asked to set up a patient treatment area after a box labeled "radioactive" was found unattended in a park. Which of the following would be the best location. a. An open area in the park

b. The Emergency Operations Center c. The Incident Command Center d. A building in the park: Building in the park What is the most common cause of status epilepticus in adults. a. Alcohol withdrawal b. Sudden elevation in body temperature c. Failure to take prescribed medications d. Recent history of head trauma: Failure to take prescribed medications A 58 year old male with history of renal failure complains of dizziness lethargy and difficulty breathing. He says he missed his last dialysis appointment. Vital signs are BP 160/90 P 100 R 28 with rales heard in the basses. SPO2 92% you should suspect. a. fluid overload b. hypokalemia c. respiratory alkalosis d. hypermagnesemia: Fluid Overload. A 6 month old male was found lying face down in the crib. He is cyanotic and apneic. A weak brachial pulse is present. You are unable to see a chest rise with your second attempt at rescue breathing after repositioning the head. What should you do. a. perform 5 abdominal thrusts b. Start CPR c. Perform a finger sweep d. Give five back slaps: Start CPR You have just been called to a dialysis clinic for a 58 year old male in cardiac arrest. The online physician may order you to administer which of the following medications. a. Magnesium sulfate b. Sodium bicarbonate c. Furosemide d. Calcium channel blocker: Sodium Bicarbonate.

A 27 year old male has been assaulted with a pen in the supraclavicular area. He is anxious and pale and his vital signs are BP 80/42 P 128 R 32 and shallow. First responders have sealed the wound with a bandage. Assessment reveals lung sounds on the right and poor chest rise what should you do. a. Perform needle decompression b. Lift a corner of the occlusive dressing c. Establish two large bore IV's while en route to the hospital d. Administer high flow oxygen and transport rapidly: needle decompression An 11 year old male has been skateboarding in 100 degrees temper- ature and has been drinking caffeinated soft drinks. He complains of palpa- tions. The cardiac monitor displays a narrow QRS tachycardia at a rate of 160 beats. Vitals signs BP 110/60 P160 R 20 What should you do? a. transport the patient by ambulance, monitor closely, and administer fluids en route b. suggest the father drives his son to the local clinic since vital signs are within normal limits c. perform vagal maneuvers and, if unsuccessful, administer adenosine d. obtain a 12 lead ECG and, if rhythm unchanged, perform vagal maneuvers- : Transport the patient by ambulance monitor closely and administer fluids en route. An 80 year old male in server respiratory distress. He has a history of hypertension and breathing problems. He takes inderal daily. Vital signs are BP 170/70 P72 and irregular R40 and extremely labored skin warm and diaphoretic. Lung sounds are diffuse bilateral crackles and wheezing. He coughs up blood tinged sputum. Which of the following is most important. a. Endotracheally intubating b. Restoring a normal sinus rhythm c. Decreasing preload d. Increasing preload: Decreasing preload A 50 year old patient is found lying outside on the ground. The ambient temperature is 40 degrees F. You thermometer reads 20C 86F. He is in V-fib and pulseless and apneic. You should a. ventilate via bag valve mask, administer warm IV infusion, and transport rapidly b. perform CPR, administer warm IV infusion, and transport rapidly c. defibrillate, intubate, administer 1mg EPI ETT, and transport rapidly d. defibrillate once, perform CPR, Intubate, and transport rapidly: Defibrillate once perform CPR intubate and transport rapidly.

To successfully accomplish nasotracheal intubation you should ad- vance the endotracheal tube though the glottic opening to coincide with patient a. swallow b. expiration c. inspiration d. cough: Inhalation An alert 23 year old male presents with a sudden onset of shortness of breath and chest pain after running upstairs. Breath sounds are diminished in the right side. The most likely cause is. a. pleural effusion b. tension pneumothorax c. subcutaneous emphysema d. spontaneous pneumothorax: Spontaneous pneumothorax First responders are treating an apneic adult female. You notice that they are applying frequent long ventilations with an oxygen resuscitator. What effects with their actions create. a. Increased capillary elasticity b. Increased venous return c. Decreased venous return d. Decreased intracranial pressure: decreased venous return You are called to a nursing home on a hot summer day for a 88 year old male. The nurse tells you he missed his dialysis appointment because he was complaining of nausea vomiting headache and running a fever. Which differential diagnosis should you consider first. a. Heart attack and stroke b. Sepsis and hyperkalemia c. Hypotension and severe flu d. Hemolytic anemia and heat stroke: Sepsis and hyperkalemia You have just administered adenosine to a 62 year old patient with narrow complex tach. The ECG shows an irregular rate of 50 then steadily climbs back to a rate of 169. What would should suspect a. sinus tachycardia with aberrancy

b. paroxysmal supraventricular tachycardia c. rapid atrial fibrillation d. a rhythm of ventricular origin: rapid atrial fibrillation. A 63 year old male is having a diabetic emergency. He is unresponsive R glucometer 28. You cannot establish IV access. You should a. administer glucose paste PO b. administer glucagon IM c. transport emergently d. administer D 50W 10: administer glucagon IM When setting up a night time landing zone for a helicopter what is the recommended area needed. a. 100x100 feet b. 25x25 feet c. 50x50 feet d. 300x300 feet: 100x A 67 year old with hypo-tension and bradycardia has no responded to pacing or atropine. You should a. an epinephrine infusion at 5- 20 mcg/min b. 40 units vasopressin via intravenous infusion d. 1 mg epinephrine via intravenous infusion d. a dopamine infusion at 2 - 10 mcg/kg/min: administer dopamine infusion A 19 year old male has suffered blunt trauma on his left chest. He complains of server dyspnea and pain over the affected area. Vital signs are BP 92/60 P 128 R

32. Breath sounds are very diminished over the left chest. You should a. perform a needle thoracostomy b. perform an endotracheal intubation c. initiate two large bore IVs of normal saline (NS) d. perform a pericardiocentesis: perform needle thoracostomy A 44 year old patient has a persistent cough and occasional spits up bloody sputum. He has been living in a shelter for the past three weeks and he smells like alcohol you should.

a. administer oxygen via non-rebreather mask b. put on an N95 mask and eye protection c. apply the ECG monitor and check for blood glucose level d. suction the airway and reassess: Put on N95 mask and eye protection. While treating a patient with suspected TB. What type of personal protective equipment is essential a. protective eyewear b. Surgical facemask c. Face-Shield mask d. HEPA respirator: HEPA respirator A 2 year old male has been sick over the last 48 hours with a low grade fever runny nose and upper respiratory infection. He has a seal bark cough. The patient is using accessory muscles to breath and appears fatigued his upper airway has stridours sounds. His lung sounds appear clear. SPO2 92% how would you treat the patient. a. Humidified oxygen, transport b. Oxygen, nebulized racemic epinephrine transport c. Nebulized albuterol with atrovent reassess after 15 minutes d. Alternate between placing the patient in a humidified room and cold air from outside: Oxygen nebulized racemic epinephrine transport. A 48 year old patient is chocking on a hot dog. He is unresponsive apneic and has a strong pulse. Chest compression are infective at relieving the obstruction. You should. a. use laryngoscopy and Magill forceps to remove the object. b. force the object out of the way as you pass an endotracheal tube. c. place the patient into recovery position and transport immediately. d. perform chest thrusts, blind finger sweep, and attempt to ventilate: use lagosopy and magill forceps to remove the object. 87 year male is complaining of dizziness. Physical exam revals pale cool and diaphoretic skin. Pulse matches ECG bradycardia. You should a. urinary calculi b. azotemia c. urinary tract infection d. disequilibrium syndrome: administer atropine

A 14 year old patient was pulled form a indoor pool. She is pulseless and apneic. You should a. begin transcutaneous pacing, Establish an IV, and administer atropine b. establish an airway and an IV, administer epinephrine, and check lung sounds c. aggressively suction, perform CPR, transport immediately, and attempt an IV en.route d. perform CPR, endotracheally intubate, establish an IV, and administer ep- inephrine: perform CPR endotracheal intubation establish an IV and administer epinephrine A trauma patient has lost approx 500ml of blood the amount of crystal- loid solutions needed to replace this blood loss is a. 2500 ml b. 1000 mL c. 1500 mL d. 3000 mL: 1500 ml of saline ( 3 to 1 rule) A 43 year old female has been stuck in the chest with a baseball bat. There is a large bruise over her sternum. She is obversely in pain an states her heart feels like it is beating funny Vital signs are BP 109/80 P 124 and irregular R 22 The ECG show sinus tachycardia with ST elevation and frequent PVC's. You should suspect a. aortic dissection b. myocardial infarction c.myocardial contusion d. pericardial tamponade: myocardial contusion A 3 month old infant who weighs 6kg has a history of congenital heart disease. Vital signs are R60 the ECG hows a narrow complex tachycardia at a rate or 240 cyandic nail beds and spo2 at 88% what should you administer. a. 0.1mg of atropine, IV dirp b. 30mg of amiodarone, IV push c. 72mg of acetaminophen, orally d. 0.6mg of adenosine, IV push: 0.6 mg adenosine IVP A 44 year old male fell from a ladder and is now complaining of pain in the middle of his back at the level of his shoulders blades. He responds to verbal stimulus and vitals signs are BP 70/50 P64 R 20. The patient is most likely suffering from a. central cord syndrome b. Brown-Sequard syndrome

c. hypovolemic shock d. neurogenic shock: neurogenic shock A 63 year old female chocked on a piece of steak and is apneic. You partner has visualized a partial obstruction in the trachea. He has been trying to grab it with forceps for more than 2 minutes. What should you advise him to do?: Remove the blade and attempt to ventilate. An unconscious 13 year old patient has minor abrasion on his torso after being struck by a vehicle. The child's parents are not on scene law enforcement and an EMS supervisor are on scene You should? a. transport the patient to the hospital b. have law enforcement assume custody c. delay transport until parental consent is given d. consult with the EMS supervisor: transport the patent to hospital A 38 year old female is crowing. You note the amniotic fluid contains a substance resembling pea soup. An apneic blue limp infant with a heart rate of 80 beats is delivers. How should you treat the infant. a. Provide positive-pressure ventilation with 100% oxygen via bag-valve mask b. Perform endotracheal intubation using the endotracheal tube as a suction catheter c. Suction with bulb syringe and ventilate d. Stimulate the infant by flicking the soles of the feet: Suction with a bulb syringe and ventilate. A 56 year old female has a sudden onset of substernal chest pres- sure. She denies any shortness of breath or nausea. She has a history of arthrosporic heart disease and is talking verapamil. Vital signs are BP 160/90 pulse matches the ECG rhythm below R 16 skin warm and dry. and lungs clear bilateral. What should you do. a. Administer Lidocaine and transport b. Sedate and perform synchronized cardioversion c. Administer nitroglycerin d. Perform vagal maneuvers: Nitroglycerin A 64 year old is sitting in his living room in moderate distress. He is able to speak to you in full sentences but claims he is not feeling right. Vitals signs are BP 1110/64 R

16. Pulse matches monitor (super vertical tachycardia) what should you do.: vagal fluids adenosine.

Which I V will be able to administer the most fluid in the least amount of time.: 14 gauge 1/2 inch IV catheter. A 30 year old man is breathing fast and deep. He works at a preschool and believes that the children plan to harm him. Which of the following statement is most helpful when treating the patient.: I understand that you are concerned. Can you tell me more about why you fell this way. A 67 year old man has collapsed and is on the floor. He is pale clammy and moaning with vomit around his mouth. Vital signs are BP 180/30 P110 and weak R and shallow. Oropharynx is clear and lungs are clear bilaterally. His ECG shows ventricular tachycardia. That should you do? a. Administer amiodarone 150 mg IV b. Administer adenosine 6 mg IV c. Insert an endotracheal tube d. Synchronized cardioversion at 100 J: Synchronized cardio100J A 26 year old male is experiencing dyspnea after being struck in the chest during a bar fight. He has a history of asthma and has taken his inhaler without relief he has busing to the right side of the rib cage with crepitus P128 R24 with clear bilateral lung sounds spo2 86% what should you do?: assist ventilations with a bag valve mask You have just intubated and adult and you have been successful you hear no sounds in epigastric and equal lung sounds you should?: attach etco2 monitor You arrive at the scene of a single vehicle crash. A woman walks up to a your ambulance with a cut on her forehead. You should a. perform a rapid trauma assessment b. fully immobilize from a standing position c. determine if she is the only victim d. determine her level of consciousness: determine if she is the only victim A 73 year old male has several fractured ribs on his right side with unequal chest wall movement. He has dyspnea and diminished breath sounds on the right. Vital signs are BP 124/76 P124 R 26 and shallow. His trachea is mid line and neck veins are flat. Most likely has a. a tension Pneumothorax b. cardiac tamponade c. pulmonary occlusion

d. a flail chest segment: a flail chest segment You have just converted a 318 lb cardiac arrest patient into a normal sinus rhythm. She is hypotensive and you have been ordered to start the an epinephrine drip at 3mcg/min using a 60 drip set.You have mixed a 4:1 concentration of epineph- rine and should set the drip rate at: 45 drops/min (clock) A container of hydro-flouric acid has spilled at a local metal plant. The hazmat team is responding and you are asked to stage at the front gate of the business where the company safety manger is waiting for you. What info would ou expect his manger to have: material safety data sheet MSDA A 33lbs child is experiencing fever poor appetite purpura and vomit- ing. His cap refill is 3 seconds he is tachycardic you should administer: 300ml of crystalloid solution Your crew is the first unit to arrive for a suspected radiation emer- gence after a box labeled recitative material was found unattended in a park. What three principals should you follow?: time distance and shielding You are assisting with a deliver and the infants head has been deviled. You notice the umbilical cord is wrapped around the infants neck. You should a. instruct the mother to push as hard as possible to facilitate rapid delivery of the infant b. administer oxygen to the mother and transport rapidly to the closest appropriate facility c. gently slip the cord over the infant's head, or clamp the cord in two places and cut ....between the clams to release the cord d. immediately clear the mouth and nose of fluid and mucus with a bulb syringe: gently slip the cord over the infants head or clamp the cord in two places and cut between the clamps to release the cord. A 50 year old male is complaining of a chronic cough. He has lost his appetite and has had hot flashes and periods of sweating during the night. He has noticed some red specks in his sputum when he coughs. You should suspect a. pneumonia b. tuberculosis c. pulmonary edema d. infectious bronchitis: Tuberculosis A pregnant patient is experiencing contractions upon examination you notice that the infantst head is bulging from the premium and the patent has the urge to push what stage of labor is this? a. Fourth

b. First c. Second d. Third: two you are dispatched to a playground for a patent with difficulty breath- ing. Upon arrival you find a five year old male who appears anxious with noted cyanosis and intercostal retraction BP 85/pb P112 R24 with swelling of the upper airway. You should suspect: anaphylaxis A 28 year old female is 34 weeks pregnant and experiences sudden sharp tearing pain in her abdomen and developers a rigid abdomen what should you suspect a. Abruptio placentae b. Placenta previa c. Ruptured append d. Aortic aneurysm: abruptio placenta You are first on scene of a crash. Where should you park your vehicle.: place the ambulance to block traffic A 50 year old male at a mountain resort has begun to experiencing shortness of breath headache and dizziness. Lung sounds reveal inspiratory crackles. You should suspect a. high altitude pulmonary edema b. left sided heart failure c. acute mountain sickness d. a cerebral vascular emergency: high altitude pulmonary edema After a prehospital delivery the mother should be allowed to breast- feed her newborn because: breast feeding helps constrict the uterus and reduce bleeding A two year old male has been ill for several days with a respirator tract infection. Yesterday he developed server headache high fever and extreme lethargy. You should suspect.: meningitis When starting an external jugular IV the needle should point: toward the feet while using the backwards upward right pressure BURP maneuver during an orotracheal

intubation you patient begins to vomit. What should you do?: Stop the intuba- tion attempt and suction A patient has surfaced rapidly from a deep dive and is now complaining of difficultly breathing and extreme muscle and joint pain. You should a. transport rapidly to the closest hospital b. perform a complete neurological assessment c. administer Dilaudid, Lasix, and transport to nearest hyperbaric chamber d. transport rapidly to the nearest hyperbaric chamber: Transport rapidly to the nearest hyperbaric chamber. It is mid-December and a 13 month old child is awakened in the middle of the night with barking cough and inspiratory stridor. The child has been ill for a few days with chills and congestion. You should suspect a. epiglottitis b. respiratory syncytial virus c. croup d. bronchiolitis: croup A 50 year old female is experiencing chest pressure her ECG is ( a-fib) she becomes unresponsive while you are obtaining iv access her ECG changes to the rhythm below v-tach. What should you do? a. Check for pulse b. Immediately defibrillate c. Administer epinephrine d. Perform synchronized cardioversion: asses for a pulse A 19 year old male has suffered a significant blunt trauma to his left anterior chest. He is in obvious respiratory distress vital signs are BP 80/p P 140 R 32 lung sounds are diminished and there is dullness to percussion over the left side of the chest. You should suspect a. pneumothorax b. hemothorax c. cardiac tamponade d. tension pneumothorax: hemothorax A 25 year old female was bitten by something while hiking 12 hours ago. She has slurred speech double vision and excessive salivation her boyfriend states she had a seizure about 20 min ago. You should:: thoroughly wash and immobilize the wound and start an IV

An obese 77 year old woman called EMS complaining of dyspnea cough with hemoptysis and diaphoresis. You note tachypnea tachycardia crackles and wheezing. She also has varicose veins. Find significance dif- ferences in BP between the right and left arms. You should suspect.: aortic aneurysm Ten workers were exposed to fluorine gas fumes but only two exhibit symptoms. One additional worker was exposed to hydro-fluoric acid on his skin. He is being decontaminated with water by the company's response team. Two ambulances are on scene. You should plan and prepare to?: order a full scale mass casualty response including eleven ambulances and additional fire and law enforcement agencies Which of the following is a prehospital medication given for compart- ment syndrome: sodium bicarbonate which of the following would be an indication for the use of needle cricothyrotomy?: Inability to ventilate A pale diaphoretic patient complains of chest pain at a level of 6 on 1- 20 BP 132/88 you see the following ECG (ST elevation) You have established oxygen and an IV you should give?: ASA and admin nitroglycerin You have just assisted with the delivery of a 32 week old infant. She is apneic and has a pulse of 64. What should you do?: open the airway ventilate with a bag valve mask for 30 seconds and reassess During a yearly heath screening a clinic discovered your patient has the heart rhythm shown below (bradycardia). She alert and oriented but scared because the clinic call for an ambulance Vital signs bp 114/50 R12 spo2 99%. You should administer: atropine A 18 year old male was 40 miles into a long distance bike race when he had a syncopal episode and fell off his bike. He responds to painful stimula- tion BP 60/ P160 skin cool and diaphoretic.You should administer?: lactated ringers A 54 year old male has fallen and is holding pressure on his abdomen with bloody kitchen rag. He has had abdominal surgery last week and his incision has ruptured and the abdominal contents are protruding. Vitals are BP 100/68 P 124 R 20 what should you do?: remove the rag apply a moist sterile dressing You have just been stuck with a blood contaminated needle. You should you immediately deal with the exposure?: wash the affected area with soap and water Side effects of oral contraceptives include: pulmonary embolism and stroke.

You are first on scene of a car crash.You partner stops the ambulance a safe distance from a single vehicle that crashed into a concrete barrier. Black smoke is coming from underneath the hood.The vehicles only occupant screams for assistance you should?: rapidly extricate the occupant without a cervical collar A 50 year old female is experiencing chest pain then goes into ventricular fibrillation. What should you do?: Defibrillate The medications prepreanolol atenolol and metoproloe are examples of?: beta adrengic blockers An 80 year old male has just collapsed. Vital signs are BP 90/40 pulse matches ECG 3 degree block R 20 What should you do?: Apply transcutaneous pacing. A 76 year old patient is lying in soiled sheets with diarrhea and vomit. Both the stools and emesis look thick black and tarry similar to coffee grounds What should you suspect?: upper gastrointestinal bleeding A six year old female has suffered blunt trauma to her right upper quadrant. She responds to painful stimulation vitals signs 50/30 P132 R 32 she is in? a. ruptured diaphragm b. ruptured aortic aneurysm c. hypovolemic shock d. Pericardial tamponade: hypovolemic shock A patient involved in a motor vehicle crash has an obvious open femur fracture and an angulated right forarm. He is bleeding servery from a scalp laceration. His left arm is guarding his chest and he gasps "i cant breath".You should be MOST concerned by the a. femur fracture b. right forearm fracture c. head trauma d. respiratory difficulty: respiratory difficulty An 18 year old male suffered second degree burns to his entire head and neck anterior chest and both arms while removing a radiator cap from his overheated engine. Using the rule of nines what percentage of his body is burned?: 36% You are unable to ventilate a trauma patient with extreme facial trauma using advanced airway maneuvers. You should insert a 14 g needle a. superior to the thyroid cartilage, using a 90 degree angle

b. in the cricothyroid membrane, using a 45 degree angle c. in the thyroid membrane, using a 45 degree angle d. in the cricothyroid membrane, using a 33 degree angle: insert a 14 g needle in cricothyroid membrane 45 degree angle. A seven year old is having difficulty breathing. He is lethargic with central cyanosis and poor muscle tone. Vitals Signs are P 70 and R 10. You should suspect?: Respiratory failure An 84 year old male has extreme difficulty breathing apprehension cyanosis and diaphoresis. Assessment findings include elevated pulse and blood pressure and rales and rhonchi you should treat this patient for?: left ventricular failure A 37 year male is chocking and has become unconscious. Attempts to ventilate are unsuccessful. you should a. give five abdominal thrusts b. perform a surgical airway c. suction the airway d. perform chest compressions: perform chest compressions A 78 year old female is lying supine in an nursing home bed with labored respiration she is semi-conscious cyanotic and the nurse tells you she has a history of CHF 80/40 spo2 90 monitor shows ventricular tachycardia you should? a. administer oxygen via CPAP b. perform vagal maneuvers c. administer amiodarone IV d. perform synchronized cardioversion: perform sync cardiovert A 74 year old patent is short of breath he has had a slight fever since yesterday and he suffers from frequent urinary track infections. Lung sounds are present with rhonchi and slight crackles in all fields. Vitals 110/80 P100 R30 temp 102 you should suspect?: pneumonia The ECG of a post cardiac arrest adult shows sinus tachycardia at a rate of 120 with bp 60/40 you should give?: dopamine 5- 20 One year old has been ill with multiple episodes of emesis and diarrhea. Asses shows a lethargic 35 pond child who has mottled skin dry mucous membranes cap

2 sounds P 220. After securing airway you providing high consultation oxygen and establishing an IV you should?: give 320 cc fluid bolus

A 79 year old female complains of labored respirations she is cyan- otic and has a history of CHF identify the following rhythm (sinus tach) and appropriate treatment: sinus tachycardia administer nitroglycerin A 17 year old male alert was struck in abdomen with large wrench vi- tals 90/ P128 weak R 22 skin is pale and cool and diaphoretic. The abdomen is bruised and rigid you should?: rapidly transport to a level one A 14 year old male is found in an intoxicated condition. His friends report he admitted to drinking alcohol taken from his fathers workshop. The container is marked methanol not for human consumption. Definitive treat- ment for his condition is administration of a. ethylene glycol b. syrup of ipecac c. ethanol d. activated charcoal: ethanol A patient who complains of pain in left upper quadrant is most likely suffering from: pancreatitis A 28 year old woman complains of sudden onset severe abdominal pain that radiates to her shoulder 88/60 P 100 R 20 skin cool pale and clammy states her last menstrual period was 8-10 weeks ago you should suspect a. ectopic pregnancy b. ruptured appendix c. pelvic inflammatory disease d. abruptio placenta: ectopic pregnancy You have just fished a stressful shift. you are frustrated and angry with how some of your calls resolved you should: talk to an internal critical incident stress counselor An adult has a foot laceration from a farming accident he is alert and refusing treatment his religious beliefs do not permit medical you should: - document the patient wishes A 50 year old female tripped down four steps. Her airway is patent radial P 100 R 16 what other initial information do you need to decide if she is unstable? a. Blood glucose level b. Mental state c. Blood pressure d. Neurological deficit: mental status

An unconscious 78 year old male post cardiac arrest is being actively ventilated with a bag valve mask. Initial vitals are BP 98/40 P 82 and irregular. After several minutes reassessment of vital signs are etco2 22 BP 68/28 and irregular spo2 92 you should: decrease the rate of respirations An 86 year old female presents with a rhythm in the ECG she is immobile due to server arthritis and has a history or atherosclerosis and hypertension. What should you suspect: Left ventricular hypertrophy LVH A 37 year old suicidal male is being violent. Police has pinned him in a prone position but he continues to struggle and fight. You should a. sedate the patient and place him supine on the stretcher in soft restraints b. use a long spine board to strap the patient in his current position c. leave the scene until the patient is no longer resisting d. give the police clearance to transport the patient: sedate the patient and place him supine on the stretcher in soft restraints The termination of pregnancy for maternal health reasons is called a: therapeutic abortion While using the START system at a major incident you encounter a patient not breathing. After positioning the airway the patient breaths 16 a min. You should catagorize him as? a. critically injured b. nonsalvageable c. immediate d. delayed: Immediate Management of all newborns includes a. prevention of heat loss, opening the airway and evaluation of the infant b. prevention of heat loss, opening the airway and performing direct tracheal suctioning c .opening the airway and administering high-flow oxygen by positive-pres- sure ventilation d. opening the airway and blowing oxygen across the infant's nose and mouth: prevent heat loss opening the airway and evaluating of the infant A 6 year old female has suffered blunt trauma to her upper right quadrant she responds to painful stimulation BP 50/30 P110 you should most likely suspect damage to her? a. ruptured diaphragm

b. ruptured aortic aneurysm c. liver d. Pericardial tamponade: liver A 12 lead show 4mm of ST elevation in leads II III and avf you should suspect?: an inferior wall MI A 58 year old male is complaining of swollen legs and feet and increased heart rate. you note distended neck veins and abdominal distention you should suspect: right sided heart failure In what hazardous material zones does triage and treatment occur: - cold An 87 year old patient with recent history of hematuria and lower abdominal pain now presents with altered mental status her physical exam is otherwise unremarkable. She is resident of adult foster home. A likely cause is?: urinary tract infection You should use lactated ringers and normal saline if you goal is to deliver a: isotonic what will remain in the intravascular space longer than other crystalloids A 50 year old female has just been struck by a car she is alert and complains of shortness of breath. You note crepitation and paradoxical movement in her right chest R 26 spo2 89 you should a. augment ventilation with positive pressure b. orotracheally intubate c. roll the patient onto her left side d. splint with sandbags and tape: augment ventilation with positive pressure While treating a patient for a cardiac event, you forget to administer aspirin. The patient suffers a MI and subsequently dies. The family is suing you for negligence, which element of negligence still needs to be proven?: - proximate cause You have been assigned to triage at an MCI a patent complains of small laceration on his forearm R24 and absent radial pulses using start triage you should assign this person as?: immediate A 26 year old female has been involved in an explosion at a chem lab. She has first and second degree burns to her face. Witnesses state that her shirt had been on fire and stopped burning you should suspect?: extensive airway burns

You are transporting the victim of a major trauma which occurred yesterday to a larger facility. This patient has been experiencing progressive hypoxemia. You hear coarse crackles blatantly during auscultation of the lungs and the pulse oximetry reading is falling in spite of the patent being intubated. You should suspect a. the patient has developed a tension pneumothorax b. the oxygen tank is empty c. acute respiration distress syndrome has developed d. the endotracheal tube has become dislodged: that acute respiratory distress syndrome has developed A 19 year old female is 25 weeks pregnant. She has server headache blurred vision and edema she has not regularly seen a doctor during her pregnancy. What other symptom should you expect.: hypertension Online medical direction has ordered you to administer 13 mcgkf/min of dop to a patient who weighs 190lbs.Your concentration of dopamine is 1600 mc/mi you are going to administer this through a Micro-drip tubing. At how many drops per minute should you set the IV infusion: 42 gtts/min You have just given a bolus of dextrose to an unconscious female patient with a blood glucose level of 30. The repeat blood glucose level is now 120. She is now alert and oriented and she refuses further treatment of transport. What should you do?: ask a neighbor to monitor the patient after you leave. Which of the following is a cause of multifocal atrial tachycardia: Elec- trolyte imbalance A patent has sustained a soft tissue injury to the face you main concern is?: managing the airway Your partner started an IV and dropped the needed. The exposed needle is wedged between the stretcher bracket and crack on the tile you should?: use a needle nose clap to properly dispose of the needle Which of the following medication is most likely to be prescribed for a server resp conditions: ipratropium After receiving Narcan. A patient is waking up quickly and pulling at the airway you have placed. Before removing it you should a. preoxygenate the patient b. begin rapid sequence intubation (RSI)

c. restrain the patient according to protocol d. prepare to begin suctioning: prepare to begin suctioning A 66 year old male complains of server dyspnea. His has breath sounds on the right and diminished on the left. He has a long history of cigarette smoking. Vital signs are BP 80/30 P124 R 26 and shallow SPO2 88% on 4 lpm What should you suspect? a. emphysema exacerbation b. spontaneous pneumothorax c. tension pneumothorax d. pulmonary embolus: Emphysema exacerbation A patient is complains of left calf pain. The left leg is cool to the touch and paler than the right leg. You should suspect a. arterial occlusion b. abdominal aneurysm c. arterial anastomosis d. deep vein thrombosis: Arterial occlusion After placing a combitube bilateral breath sounds are present and chest rise is equal. You notice quiet gurgling in the stomach with each ventilation. You should. a. arterial occlusion b. abdominal aneurysm c. arterial anastomosis d. deep vein thrombosis: add air to the distal cuff A seven month old is breathing at a rate of 60 per min. He has nasal flaring and intercostal retractions. You hear stridorous noises on inspiration. This is most likely caused by a a. foreign body obstructing the upper airway b. mucus in the lower airways c. bronchospasms associated with asthma d. aspiration of gastric contents: foreign body obstruction the upper airway A 28 year old suffered a head injury. Vital signs a BP 140/120 P 55 R 30 and irregular. Which of the following signs would you expect to see in this patient. a. Jugular vein distention b. Tachycardia

c. Decerebrate posturing d. Beck's triad: Decerebrate posturing During transportation you PT becomes very upset complaining about her medical expenses. How should you respond? a. "I am sorry, but I am not responsible for your billing" b. "Don't worry. I'm sure everything will work out in the end" c. Anger will not help the situation. Try to be more positive" d. "You seem angry. Is there any way that I can help?": You seem angry is there any way hat i can help A 3 year old female has surfed burns to both her hands after grabbing a hot exhaust pipe the injured area shows dark chard skin. These burns should be considered?: critical A 200 pound woman is having difficulty breathing which of the following devices is most appropriate for carrying her down stars.?: stair chair A patient has polymorphic ventricular fibrillation you would give?: - mag Which of the following pharmacological agents are most likely to cause premature arterial contractions. a. Depressants b. Barbiturates c. Stimulants d. Steroids: stimulants You are dispatched to a house early on the morning for a family complaining of headaches and nausea. You should a. assess the family on scene b. send police into the home c. wear an N95 mask d. evacuate the house: evacuate the house. A 65 year old female is short of breathe clear lungs and no jvd she has a significant cardiac history what should you admin?: oxygen and 12 lead An 18 month has a seizure for first time and according to the parents she has become increasing ill over the last few hours and her current temp is 104 they describe the patent arms curling toward her chest and her legs straightening and

pointing together. The parents do not want to go to the hospital tonight. You should?: have the parents speak with an online physician A patient is threatening suicide because his wife left him. Which of the following statements or questions would be appropriate? a. "I understand your feelings. I would be suicidal too." b. "I'm sure that there are many people in your life who want you to live." c. "What method had you intended to use to kill yourself?" d. "Talking with me will be helpful. How long have you had marital problems?"-: What method had you intended to use to kill yourself A 44 year old male complains of extreme fatigue headache and fever with pain in this right upper quadrant and joints. He admits to a history of alcoholism and smoking two pack per day for the past 20 years his skin and sclera are yellow in color. You should suspect: hepatitis A patient was just pulled from a burning building. You have started oxygen and initiated transport.While en route to the hospital you notice singed hairs around his face and a spot around his nose and mouth.. He is coughing up black sputum mixed with blood and shows signs of increasing hypoxia. Which developing condition is your biggest concern. a. Laryngeal edema b. Bronchospasm c. Hemothorax d. Pulmonary edema: Laryngeal edema A 65 year old female complain of sudden onset of server migraine headache. Vitals signs are BP 140/90 P 120 R 22. She has been non complaint with her prescribed imitrex. You should administer a. diltiazem b. aspirin c. nitroglycerin d. morphine: morphine Which of the following will cause a patient with a tension pneumothorax to become hypotensive a. An increase in intrathoracic pressure, decreasing venous return b. Damage to the aortic arch baroreceptors that regulate blood pressure c. Hypovolemia due to rupture of pulmonary blood vessels

d. The twisting of the aorta and vena cava as mediastinal shift occurs: an increase in intrathoracic pressure A 23 year old male complains of chills and headache. He was sleeping outside before waking up with these symptoms. He has a reddish ring with a small fluid filed vesicle in the center on his arm. What should you suspect a. Spider Bite b. Scorpion sting c. Snake bite d. Tick bite: Spider bite. A 44 year old female has sustained server blunt trauma to the chest she responds to painful stimulation and her vitals are 88/76 P 130 R 24 muffled heart sounds and flat neck veins. The definitive treatment for this patient is a. fluid resuscitation b. pneumocentesis c. thoracic decompression d. pericardiocentesis: pericardiocentesis A 12 year old becomes ill yesterday and has become progressively sicker. His temp is 103F and he has small specks on his chest the patient appears to be unable to turn his head you should suspect?: meningitis A 65 year old male with emphysema is sitting in a chair he is lethargic and struggling to keep his head up his skin is ashen vital sings a {P 134 R 30 and shallow what should you do?: assist ventilation with a bag valve mask Which of the following is most important when document a patient refusal a. The patient's insurance coverage b. The patient's mental status c. The patient's vital d. The willingness for EMS to return if needed: The patient's mental status You have orally intubated an adult pt and are evaluating the tube place- ment. You hear auscultation sounds over the epigastrium and an absence of breath sounds over the right and left chest. You should: remove the ET and ventilate the patent with a bag valve mask

Your elderly patent is supine. She complains of labored respirations. She is cyanotic and has a history of CHF vitals signs are BP 230/100 P120 R 36 What lung sounds would you expect to hear.: Crackles You are treating an unresponsive elderly male from a nursing home. He has a surgical incision on his right hip that is is red and warm to the touch.You notice widespread deep purple bruising on his body. Vitals sings are BP 80/40 P116 R 10 spo2 89%.You should suspect: disseminated intravascular coagulation When arriving on a potential HAZMAT incident on the highway you should stage the emergency apparatus.: Uphill and upwind After delivery of a newborn she cries weakly with stimulation and moves all extremities P140 R 18 and irregular her body is pink but the extrem- ities are blue. What is her APGAR.: 7 - 8 A 21 year old male is intoxicated he was struck in the head with a bat 3 hours prior to arrival. He has suddenly began acting aggressive towards his friends. A police officer on scene states " i want to arrest him" you should: suspect hypoxia and head injury and transport the patient to a hospital A 5 year old has a sudden onset of high fever score throat and pain on swallowing. His voice is muffled and he is drooling. You should suspect: - epiglottis A 19 year old intoxicated female is distraught after being involved in a MVC she is complaining of pain in her head and multiple superficial facial lacerations. Vitals 88/40 P 128 R 28 you should suspect: neurogenic shock or Hypovolemia do to bleeding from other injury's You are working during inclement weather in a remote location. The nearest hospital is more than two hours away. Your patient just delivers a healthy baby boy but has inverted her uterus. What orders you expect from an online physician: Replace the inverted uterus with a gloved hand A 67 year old female with a history of diabetes complainants of nausea and began vomiting an hour ago. She denies any pain her blood glucoses is 208 her skin is cool and pale vital signs are BP 146/88 R 24 P 126 and irregular. What should you suspect: Myocardial infarction A 34 year old female crashed her motorcycle while wearing an open face helmet. She is unconsciousness her facial bones and soft tissue are missing from the nose to the upper part of her neck. You are having difficulty ventilating her and you can see bubbles coming from the center of a large mass of tissues when she exhales. You should: insert an ET at the site of the bubbles