This practice test will change each and every time you reload the page. The Question order and answer order will shuffle randomly. Enjoy!
Medical control is responsible for all of the following EXCEPT:
Overseeing patient care
Making decisions about proper patient care
Getting the patient to the hospital safely and quickly
Ensuring use of common protocols
All of the following are reasons to request that resources be sent to the scene except:
Traffic issues
Making decisions about proper patient care
Getting the patient to the hospital safely and quickly
Ensuring use of common protocols
Oxygenation includes which two processes?
Cell/capillary gas exchange and high ATP production
exchange and low ATP production
Alveolar/capillary gas exchange and cell/capillary gas exchange
High ATP production and low ATP production
What is one technique used to assist in Endotracheal Intubation?
Vagal Maneuver
Cricoid Pressure
Cricothyrotomy
Selte Maneuver
With regard to the SAMPLE history, the question "Has anything unusual happened today or is it a normal day?" would relate to which letter?
M
P
L
E
You and your partner Juan arrive on scene to a possible drowning. Coming through the back gate of the house you see two men doing CPR on a child of 8 or 9 years of age. When you and Juan begin CPR, what rate and depth of compressions will you use?
30:2 / one third to one half the depth of the chest
15:2 / 2 to 2.5 inches
15:2 / at least one third the depth of the chest
30:2 / enough to give adequate chest rise
You arrive on scene to find a man in his 20's lying in a pool of vomit. You can see that he is breathing at about 16 breaths per minute and the depth of respiration is adequate. He has a small laceration on his forehead. You try getting a response by calling "Hey man can you hear me?" but he does not answer. Your partner gives him a quick sternal rub and his eyes pop open along with a whimper under his breath and then they close again. You ask him to perform several motor functions but he does not comply. He does not answer any of your questions. This man has a GCS of what?
14
9
4
7
Fractures of the tibia and fibula commonly include?
Damage to the vessels
Very little pain
No eccymosis
Damage to the brachial artery
The ____________ receives blood returned from the body and then the ___________ pumps it into the lungs.
right atrium / right ventricle
left atria / left ventricle
left ventricle / right atrium
right ventricle / left atrium
Respiratory physiology includes cellular respiration, the process that exchanges oxygen and carbon dioxide within the lungs. Oxygen that is inhaled________________________________________. Carbon dioxide _______________________________________________.
moves by osmosis from the alveoli into the lungs where it is absorbed into the blood stream / moves by osmosis through the cell wall of the alveoli and into the veins where it is transported to the heart
is diffused through the capillary cell wall and into the venules where it moves into the alveoli / is diffused from the alveoli into the veins where it is cleaned
diffuses from the alveoli into the capillaries where it moves into the arterioles and arteries / diffuses from the capillaries into the alveoli and is expelled from the lungs during exhalation
d. is actively transported by the arteries to the alveoli the capillaries into the alveoli and is expelled from the lungs during exhalation
What will not be included in management of shock?
Treat additional injuries that are present
Keep patient warm, try to maintain normal body temperature
Airway management as needed
Attempt to control internal bleeding
The majority of cardiac medical emergencies are the result of what?
Embolism and thrombosis
Reduced blood supply to the myocardium
Poor diet
Old age
You are assessing an 83 year old woman who has COPD and CHF. She is sitting upright in her chair and appears to understand that you are an EMT here to help her. You should?
Never break eye contact
Call the patient something endearing like honey
Be honest with the patient about her conditions
Stand in front of her to facilitate communication
A reaction to events that interferes with the activities of daily living is known as:
Behavioral emergency
Psychiatric disorder
Functional disorder
Altered mental state
You are transporting a 19 yr old pregnant woman who is in the 37th week of her 3rd pregnancy. She is breathing rapidly and is cool to the touch. She says that her contractions are 12 minutes apart. In what position would you transport her?
Left lateral recumbent
Supine with feet elevated
Prone with a pillow under her belly
Modified Trendelenburg
All of the following factors are part of setting the stage to successfully obtain a patient's history except:
EMT demeanor and appearance
Respecting a patient's personal space
Patient's demeanor and appearance
Note-taking
Signs and symptoms of Anaphylactic shock include all of the following except:
Vascular dilation
Mild itching
Vomiting
Burning skin
You arrive on scene to find a 78 year old man who is sitting in a chair and staring off into space. His breathing is labored and you can hear wet lung sounds. You get no answer when you try to get his name. Your requests for him to move his toes go without response. Immediate treatment for this patient would include ________________.
Aggressive IV therapy
Transporting in a supine position
High flow O2
Administration of epinephrine
If a patient has given you expressed consent to treat them it means that?
They are unconscious
They understand the treatment as you have explained
They are conscious
None of the above
You are assessing a patient who is complaining of severe chest pain. They are sweating and their BP is 96/55. You have their medications with you and they include a prescription for nitroglycerin. You contact medical control and they order you to give the patient 1 nitro tablet sublingually. What would you do?
Repeat the blood pressure and ask again what they would like you to do
Give the patient 1 nitro tablet as instructed
Instruct medical control to get out their protocol books and look under contraindications for nitro administration
Repeat the blood pressure and administer 1 nitro tablet
You have just arrived at the scene to find a 27-year-old female complaining of anxiety and breathing difficulties. Which of the following questions would be most appropriate to ask first?
What is your name?
What day is today?
Do you have a history of panic attacks?
How long have you been having trouble breathing?
You and your partner are called to a residence for a welfare check on an elderly patient who is terminally ill. You should be very conscious of all those around you, but your actions should be dictated by the?
Wife
Family
Attorney
Patient
When a person has an ischemic stroke it is caused by?
The blood not reaching parts of the brain
A blood clot in the vena cava
Late ventricular stimulation
Laying down too fast
You are treating a patient who was involved in a vehicle accident. The patient's head struck the steering wheel causing trauma to the face. What is your primary concern with this patient when considering the airway?
Assisting with bag-mask ventilations will be difficult due to facial trauma.
Blood, teeth, and tissue can obstruct the airway.
A patient with head trauma can stop breathing spontaneously.
Basic airway management will not be affected by facial trauma.
Which statement best describes an advantage of supplemental oxygen therapy?
Supplemental oxygen therapy replaces all of the inert gas with oxygen and can improve external respiration
Supplemental oxygen therapy replaces some of the inert gas with oxygen and can improve internal respiration
Supplemental oxygen therapy replaces all of the inert gas with oxygen and can improve internal respiration
Supplemental oxygen therapy replaces some of the inert gas with oxygen and can improve external respiration
An upper airway obstruction may produce sounds like:
Biots breathing
High pitched sounds like stridor on inspiration
Eronchli Ventalotis
Crackles
You and your partner arrive at a nursing home and find a 73 year old male patient with a stoma. He is not breathing. What course of action is indicated?
Use a Venturi mask to ventilate
Use a Tracheostomy mask to ventilate
Use a Nasal Cannulas to ventilate.
Use a Nasopharygeal airway to ventilate.
Which of the following is an appropriate situation in which to use an emergency move?
The patient is in danger of fire
When there is potential for violence
hen a non-critical patient is blocking access to a critical patient
All of the above
Respirations in a preschool aged child would be considered normal at ___________.
16 breaths per minute
24 breaths per minute
32 breaths per minute
35 breaths per minute
Blunt trauma includes ___________________ and can be caused by __________________________.
Non-bleeding trauma; multiple forces and conditions
Heavy bleeding trauma; multiple forces and conditions
Non-bleeding trauma; sharp instruments
Heavy bleeding trauma; sharp instruments
What four things is BURP supposed to help you remember?
How many cc's of blood does the average man have per kilogram of body weight?
60 cc
80 cc
70 cc
90 cc
While assessing a patient, you hear snoring and stridor sounds with every breath the patient takes. What would this be an indicator of?
Sleep apnea
Bronchitis
Airway obstruction
Pneumonia
You are dispatched to the scene of a bee sting that has initiated anaphylaxis in a 7 year old boy. While swatting the bees away, the boy's father was stung multiple times and is allergic to bees as well. What dosage of epinephrine should you give the boy in an auto injector? What about the dosage for his father?
.1/.5
.5/2.0
0.15/.3
.8/1.6
Which type of history and physical examination would be appropriate for a patient who is having trouble breathing with no signs of physical injury?
Rapid: Detailed
Rapid: Focused
Detailed: Detailed
Focused: Focused
A 57 year old man was in a car accident. He is complaining of severe chest pain. He has a history of cardiac problems and has a prescription for Nitro spray but it is empty. His first blood pressure is 119/74. His second blood pressure is 109/88 and his respirations have increased from 16 to 22 per minute. This man has ________________________ and it was most likely caused by __________________.
A narrowing pulse pressure / impact to the steering wheel
Likely suffered a ruptured aorta / disease processes
Agood chance of survival if nitro is administered / his previous cardiac history
Had a heart attack / a weakened right atrium
Male reproductive system structures include: ____________ and ________________. The Reproductive system performs these functions: ________________, __________________, and ________________.
Penis, prostate / reproduction, peristalsis, and production of adrenalin
Testes, ureter / urination, production of hormones, and paristalsis
Penis, testes / reproduction, urination, and production of hormones
Penis, testes / reproduction, urination, and production of adrenalin
Which of the following is a primary location for abnormal ambient air?
Low altitude
High altitude
In a vehicle
Near water
During secondary assessment, all of the following are aspects of blood pressure monitoring that should be addressed except:
methods of measurement
relation to perfusion
methods of palpitation
position of arm
You arrive on scene to find an 11 year old girl who was struck by a truck while riding her bike. She is unresponsive to painful stimuli and has a large abrasion on her left side. She is breathing at 24 respirations per minute and regular. Your next course of action would be?
C-spine precautions and Administer high flow O2 with an NRB
Splint any fractured extremities
Start Positive pressure ventilation with a BVM
Initiate CPR
When a patient's body temperature drops below ______, he or she will stop shivering. This is a sign of _________________.
96 degrees / mild hypothermia
94 degrees / compensated hypothermia
92 degrees / acute hypothermia
90 degrees / severe hypothermia
The primary purpose of the Secondary Assessement is:
To make sure no mistakes were made during initial assessment
To double check the validity of the initial assessment
To make sure the person doing the initial assessment was thorough and professional
To identify any signs or symptoms of illness that may not have been revealed during the initial assessment
You are assessing the vital signs of a 7-year-old child. Which of the following sets of vitals would you hope to find?
BP 104/60, respirations of 16 per minute and a pulse of 98
BP 116/70, respirations of 27 per minute and a pulse of 130
BP 108/64, respirations of 20 per minute and a pulse of 100
BP 100/58, respirations of 14 per minute and a pulse of 125
Pulmonary veins return blood to the ____________.
Left atrium
Right atrium
Left ventricle
Lungs
On which side is the radius located?
The thumb side of the arm
The big toe side of the leg
The little toe side of the leg
The little finger side of the arm
Nitroglycerin should _____________________.
Constrict the vessels
Relax the vessels
Increase cardiac output
Maintain the pulse rate
Of the following answer choices, which is not part of the airway?
Trachea
Sclera
Teeth
Tongue
You are assessing a patient with an arm injury. You believe they are competent, but they are refusing treatment and transport for an injury that you know needs medical attention. This patient?
Has to do what the hospital says
Has the right to refuse treatment
Has not made a choice that shows they are competent
None of the above
Management of suspected brain injury patients should include all of the following expect:
Use of a "rapid out" extrication on all patients
Position - elevate head of backboard 30 degrees
Assist ventilation if indicated
Consider rapid transport
The patient is a 6 year old girl whose mother says has been sick for a few days and then started having breathing problems this morning. Upon assessment, you notice the child is flaring her nostrils and has a hoarse voice when talking. What is she most likely suffering from and what should you do?
She could have croup and needs to be transported with a nasal cannula at 4 lpm
She could have tonsillitis and will require transport to the hospital in a position of comfort
She could have epiglottitis and needs to be transported with high flow O2 on an NRB She could have epiglottitis and needs to be transported with high flow O2 on an NRB
She could have SARS and should be transported wearing a HEPA mask
You are called to a home where a 90 year old woman has been found unresponsive by her caregiver. You arrive to find the woman lying supine on the couch snoring heavily. What are you going to do?
Put her on high flow O2 at 15 lpm via NRB, initiate transport, and perform further assessment en route.
Execute a head tilt chin lift maneuver to raise the tongue off the pharynx.
Insert an oropharyngeal to make the airway patent and begin assisted ventilations.
Suction the patient's airway to remove the secretions causing the snoring respirations.
You and your partner Nhabib have been dispatched to a home for an unknown illness of a 6-year-old girl. Of the following choices of vital signs, which would you hope to find in this patient?
31 breaths per minute, pulse 64, systolic BP 90
20 breaths per minute, pulse 141, systolic BP 125
14 breaths per minute, pulse 75, systolic BP 80
24 breaths per minute, pulse 120, systolic BP 98
You and your partner Abraham arrive on scene to a one-car collision with a cow. Your patient was driving about 45 MPH around a corner when the cow leaped from the roadside in front of the car. After doing your initial scene size up, which of the following would you proceed to?
Baseline vitals
Get a general impression of the patient
Perform a detailed physical examination
C spine and SAMPLE history with focused physical examination
Transporting a woman who is 36 weeks pregnant on her left side should be done because of what?
It will help prevent hypotension
It will help prevent hypertension
It will help increase the chances of a cephalic birth
It gives you better access from the bench side of the ambulance
Your patient was in a head-on collision. In order to open their airway you would use the?
Jaw thrust
Trendelenburg tilt
Head tilt chin lift
Laryngoscope
The mnemonic DCAPBTLS is used for remembering what to look for during a physical exam. What does the letter D stand for?
Deformity
Distal
Document
Dehydration
You arrive on scene to find a 34 year old male laying on the ground in a pool of blood. Bright red blood is spurting from a large cut in his shirt sleeve and he is clutching a knife between his teeth. What should you do first?
Have your partner distract the patient while you take the knife from him
Inform the patient you will not hurt him and treat the injury
Call for police backup and then treat the wound
Leave the scene until police arrive to make the scene safe
You are dispatched to an accident involving two semi trucks and several cars that have collided under an overpass. The reporting party says that there are several people in the road and nobody is helping them. Your unit is the first to arrive on scene. After performing a thorough scene size-up, what should you do?
Triage the patients
Call for more ambulances
Assume command of the scene
Establish a safety officer
Which of the following would be the best indication that a patient is suffering from hypoxia?
They are breathing shallow and fast
Their oxygen saturation is 87% while you have them on O2 at 15 LPM
They are cool and moist
Their pulse is rapid and their skin is pale
The windshield in the ambulance is made of what material?
Bullet resistant glass
Unbreakable plastic
Safety glass
Plexiglas
You and your partner Joe are called to the scene of a family BBQ where a woman with an altered LOC is calling people names as they walk by. During her assessment you learn that she is a diabetic and her blood sugar reading is 40. What would be the most appropriate question to ask related to this incident?
Is she allergic to anything
Did she hurt anyone physically
Has she eaten recently
What is her medical history
A person with cyanosis around the neck will?
Not be hypoxic
Have yellowing of the jugular veins
Be hypoxic
Likely be mentating correctly
Which of the following is NOT indicated in a 7 year old child who has suffered a basilar fracture after falling from a bicycle?
Palpation of the extremities
C-spine stabilization
Airway assessment
Nasopharyngeal airway
A 6 year old girl was found outside in her yard unconscious. She is breathing 6 breaths a minute and her pulse is 58 bpm with poor systematic perfusion. What should you do?
Assist ventilations with high flow O2 and transport rapidly
Initiate chest compressions and assist ventilations with high flow O2
Use an epinephrine auto injector to increase her heart rate
Transport with high flow O2 and assist respirations if needed
Disposable medical equipment, other than sharps, that becomes contaminated should be?
Sanitized with antiseptic
Sterilized
Thrown in the trash
Put in a red biohazard bag
Medications can be administered through a number of different routes. Which answer choice is NOT one of them?
Interstitial
Sublingual
Intramuscular
Inhalation
Considerations that should be addressed during a Neurological examination in spinal cord injuries include all of the following except:
Speech and language
Vital signs
Respiratory ability
Sensation
The brain is located______to the heart.
Superior
Lateral
Anterior
Proximal
The cricothyroid membrane is ___________ to the ______________.
Anterior / thyroid cartilage
Inferior to the cricoid cartilage
A solid ring connected / esophagus
Superior / cricoid cartilage
Which best describes an oblique fracture?
A fracture that occurs straight across the bone
A fracture in which the bone is broken into more than two pieces
A fracture in which the bone is broken at an angle across the bone
An incomplete fracture that passes only partway through the shaft of a bone
A patient with increased fluids in their tissues would be said to have:
Anemia
Edema
Eczema
Hyperglycemia
A fracture caused by a twisting force is known as a (an) ________________ fracture.
Spiral
Greenstick
Transverse
Comminuted
Amputation is?
The traumatic removal of a body part
A very deep cut that does not go all the way through
Painless if all the nerves are severed
Done in the prehospital setting
Alcohol abuse may present in all of the following ways except:
Sedation
Nausea
Respiratory depression
Increased resistance to infection
What would someone who is hyperventilating benefit from?
Rebreathing in a paper bag
O2 from a nasal canula
Holding their breath for 15 seconds
Hypoventilating
Your patient is a 58 year old female. She called 911 complaining of difficulty breathing. During your initial assessment, you find that she is using accessory muscles to breath at a rate of 20 shallow breaths per minute, and her SpO2 is 98% on room air. She has high pitched inspiratory stridor and is slightly cyanotic around her mouth. When you kneel down beside her you notice an ash tray piled high with cigarette butts. Which of the following is the most likely cause of her breathing difficulty, and what would be the most appropriate treatment?
She likely has COPD and the swelling of her lower airway passages are causing the stridor. High flow O2 or nebulizer with rapid transport.
She has CHF and the fluid backing up into her lungs is causing the obstruction of her lower airway. The smoking likely worsened the condition. High flow 02 via NRB and transport
She has an upper airway obstruction. Do abdominal thrusts until the obstruction is free and then apply high flow O2 and transport
She has a foreign body obstruction in her upper airway. You should encourage her to cough in an attempt to dislodge it. Give high flow O2 and rapid transport
With regard to the SAMPLE history, the question "What have you eaten today?" would relate to which of the letters?
A
M
P
L
Which list contains the fundamental elements of the Life Support Chain?
Oxygenation, perfusion, and cell environment
Oxygenation, aerobic metabolism, and perfusion
Perfusion, anaerobic metabolism, and cell environment
Cell environment, aerobic metabolism, and anaerobic metabolism
Risk factors, signs, or symptoms for suicide may include all of the following except:
History of abuse
Hoplessness
Easy access to lethal means
Purposefulness
The root word encephal- refers to what?
Head
Neck
Brain
Bone
Which of the following choices would you include in a detailed physical exam?
Cavitating the abdomen
Emaciating the arms
Precipitation
Auscultating the lungs
Another word for thorax is the ______.
Abdomen
Chest
Buttocks
Pelvis
The question: Do you take any vitamins or use any recreational drugs? ------ Is related to which letter in the SAMPLE history?
A
M
P
L
You and your partner Meagan are the first to arrive on scene of a 3 vehicle collision on a busy section of a state highway. All three vehicles are blocking the east bound lane and a few of the patients have gotten out of their cars. Cars and semi trucks are continuing to pass the wreckage using the east bound lane. What are you going to do next?
Check the cars for patients who are not able to get out
Check the patients walking around for spinal injury
Call for additional medical help and traffic control assistance
Triage the patients and treat the most seriously injured first
Oxygen is used for treating __________________.
Hyperglycemia
Hypoxia
Hypoglycemia
All of the above
You are attempting to get a blood pressure on a 62 year old female in the back of the ambulance. All you are able to hear through the stethoscope is background noise from the traffic outside. What are you going to do now?
Auscultate the pressure in the femoral
Palpate the pressure in the carotid
Auscultate the pressure in the brachial
Palpate the pressure in the radial
The amount of air that can be forcibly expelled from the lungs after breathing deeply is called:
Dead space
Residual volume
Minute volume
Vital capacity
The P in OPQRST stands for?
Provocation
Pertinent medical history
Present illness
Pulse
CPR is in progress on an 80 year old man who has fallen from a ladder. He has no pulse and chest compressions are being initiated. Current AHA guidelines specify that this man should receive approximately how many compressions over a period of 2 minutes?
100 compressions
120 compressions
180 compressions
220 compressions
When assessing a patient's orientation and level of mentation, they should be able to answer 3 questions related to?
Place, time, and person
Place, person, and thing
Pain, verbal, and eye movement
Verbal, denial of pain, and time
When you are determining a patient's level of consciousness/responsiveness, you use GCS to determine _____________, but would use an AVPU scale to check_______________.
What response is given for each different stimulus /What stimulus it takes to get a reaction b. What level of responsiveness the patient has to pain / what that response achieves c. What reaction is gotten from a stimulus/ what stimulus was given for the reaction d. What response is given for each different stimulus /What stimulus it takes to get a reaction
What level of responsiveness the patient has to pain / what that response achieves
What reaction is gotten from a stimulus/ what stimulus was given for the reaction
Where the patient is on the alertness scale / where the patient is on the stability scale
Signs and symptoms of rattlesnake bites include all of the following except:
Progressive weakness
Pain at site
Seizures
Signs of allergic reaction
During inhalation the __________ contracts and draws air into the lungs with____________ pressure.
Lungs / positive
Stomach / positive
Trachea / high
Diaphragm / negative
You are called to the scene of a structure fire. Upon arrival you notice several people staggering down the block away from the fire with soot marks around their mouths. You should?
Tell them to stay where they are and wait until you come back
Call for additional ambulances and continue to assess the scene
Treat them immediately and find out if there are others in the building
Get ready for the building to explode because it could be a meth lab
What position is preferred when transporting a person who is unconscious from a non trauma emergency?
Supine
Trendelenburg
Prone
Recovery
Your chest pain patient asks you how many chambers are in the heart. You reply?
There are 3. The Mitral, Biscupid, and Tricuspid
There are 4. The right and left atrium, and the right and left ventricle.
There are 5. The apex, the right and left atrium, and the right and left ventricle.
The heart doesn't contain any chambers.
The pediatric assessment triangle is composed of three elements:
Level of Consciousness, Quality of Respirations, General Appearance
Muscle Tone, Respiratory depth and rate, Perfusion
Circulation, Appearance, Work of Breathing
Blood pressure, Pulse rate, Respiratory Rate
You are dispatched for a report of breathing difficulty. Upon arrival you find an 80 year old male being held upright in a chair at the table. Family members relate that he began coughing, then couldn't talk after that. The patient is breathing normally when you assess him. He is unable to speak, and appears to be unable to stand. What would you consider as causes of his condition?
Foreign Body Airway Obstruction
Bronchospasms
Sudden Onset of Congestive Heart Failure
Acute Stroke
You have a responsive patient who is able to answer your questions. What do you do?
History, secondary assessment, vitals
Baseline vitals, history, and secondary assessment
Secondary assessment, baseline vitals, and history
History, vitals, and secondary assessment
Inhalers with various medications are prescribed to patients who suffer from
Bronchodilation
Baseline vitals, history, and secondary assessment
Secondary assessment, baseline vitals, and history
History, vitals, and secondary assessment
The second layer of skin tissue is called?
The epidermis
The dermis
Subcutaneous
Preepidermis
Which of the two lower leg bones is the largest?
Ulna
Fibula
Femur
Tibia
It's 7:30 a.m. and you arrive on scene of a two car collision involving at least 6 patients on a foggy corner of a fairly busy country road. The fire department is not there yet and there is smoke and flames showing from both cars. You can hear people crying and cars are already driving around the wreckage to get past the scene. What steps should you take?
Begin extrication of the patients while your partner calls for more ambulances
Get the fire department en route, establish a safety zone and assist in keeping traffic a safe distance away
Triage the most critically injured first and then extricate them in order of severity
Inform the patients that you are not allowed by law to enter the zone until it is made safe by law enforcement
You are transporting a 32 year old pregnant woman who is in the 32nd week. She is complaining of stomach pain and is pale. How would you transport her?
Left lateral recumbent
Supine with feet elevated
Prone with a pillow under her belly
Modified Trendelenburg
Which of the following would be contraindicated in a 9 year old child who has suffered a skull fracture after being thrown from a horse?
Nasopharyngeal airway
Oropharyngeal airway
Airway assessment
Extremity assessment
Eclampsia is characterized by ________________.
Seizures
Vaginal bleeding
Protrusion of a limb from the vagina
Hypotension and fluid loss
All of the following are functions of the nervous system except:
Consciousness
Perfusion
Motor function
Fight-or-flight response
Which of the following aspects of a patient's appearance and behavior would not be observed during a secondary assessment.
Facial expressions
Nervousness
Posture and motor behavior
Assess the level of consciousness
You and your partner Amy arrive on scene to find a woman with hives over much of her body. She is wheezing and complaining of difficulty breathing. Her husband says she was stung by a hornet and has no prior history of allergies. What would be the best course of action?
Use an autoinject epinephrine pen and administer to the patient's thigh. Obtain signed transport refusal.
Make sure blood pressure is above 100 mmHg and inject her with epinephrine 1/1000.
Get her BP, pulse, and respirations and then inject her with epinephrine only if her vitals are within normal limits.
High flow O2 and rapid transportation if the patient appears to be going into anaphylaxis.
The most common route of exposure for a hazardous materials incident is?
Inhalation
Ingestion
Absorption
Injection
Blood that is unoxygenated moves into the lungs through the?
Pulmonary artery
Pulmonary valve
Pulmonary vein
Aortic arch
Your patient is a 77-year-old female who is complaining of dyspnea, nausea, weakness, and you notice that she is sweating profusely. What medication is indicated?
Albuterol
Benadryl
Nitroglycerin
Oral glucose
You arrive on scene with your partner Giovanni to find an 84 year old woman. She tells you a long colorful story about how she twisted her ankle while walking around the block. What is the first thing you should do?
Do a rapid trauma assessment
Ask her if she is experiencing pain anywhere else
Do a detailed physical exam of the ankle
Make sure she has a patent airway
What type of lung sounds would you expect to hear in a patient that is healthy?
Moist lung sounds
Bronchovesicular lung sounds
Bronchial lung sounds
Vesicular lung sounds
Your patient is a 69 year old female who has a history of diabetes. She is breathing very deeply and very rapidly in a state of respiratory acidosis. Her husband said he woke up to her breathing like this and she would not wake up. You know that this woman is most likely in?
Respiratory rebound stage
A diabetic coma
Diabetic shock
Respiratory alkalosis
Shock is:
Having too much blood forming in the bones
A state of inadequate removal of waste from the circulatory system
A state of inadequate perfusion of the body and its systems
Having the lymph system dumping too much waste into the circulatory system
When must you have consent in order to treat a patient?
If they are mentally capable of giving it
Always
Unless it is life threatening
When the patient is combative
Which of the following choices correctly describes abruptio placenta?
A placenta that abruptly detaches from an abnormally low position on the uteran wall when contractions begin.
A premature detachment of a normally situated placenta that causes abdominal pain and bleeding.
An abnormally low positioning of the placenta in the uterus that begins to detach when the cervix dilates.
A placenta that is not fully developed causing hypoxia and poor blood flow to the fetus from the umbilical cord.
You are called to the scene of a one car rollover involving a 17 year old male driver. When you arrive on scene a first responder is already there as well as the police who had been trying to catch the driver for speeding. The patient is standing on the road talking to police and the vehicle is off the road in the trees laying on its side. The driver has small abrasions on both arms and both legs, but other than that he denies any pain anywhere. You should...?
Release the patient into the custody of his parents
Have him sign a denial of transport form
Put a collar on this patient and immobilize to a backboard
Bandage the abrasions at the scene and leave
Your patient is feeling sick to their stomach and is bradycardic. What type of response is this?
Sympathetic
Parasympathetic
Vagal
Emotional
You and your partner Grimes are called to the scene of a stabbing. There are two patients reported. A woman with a stab wound to the URQ and a man with a stab wound to the LRQ. The woman with the wound in the URQ is having problems breathing, has a pulse of 103, respirations of 35, and they are shallow. The patient with the stab wound to the LRQ is complaining of severe abdominal pain and has a pulse of 48 and a respiration rate of 24. Which patient is most likely to have a low blood pressure? Why?
The man, because of the nature and location of the injury, he may be losing blood internally. His pulse is too slow as well
The woman, because if she cannot breathe well her BP will drop
The man, because a respiration rate of 24 is indicative of low blood pressure
Neither will have a low blood pressure, they will both be high
You and your partner Abner are called to the scene of a man who is having trouble breathing. When you arrive on scene, you notice several other men and women standing around the front porch and inside the house. The scene appears safe and you ask where the patient is located. One of the men points into the back bedroom. You enter to find a man doubled over and breathing very rapid. He says that his stomach hurts after being struck in the stomach by a baseball bat swung by his wife. You should...?
Leave the scene and call law enforcement
Treat the patient if the situation appears safe. Inform law enforcement if it was assault, when the time is appropriate
Call the husband out for getting beat up by a woman
Inform the man that he will have to go to the hospital if he wants to get medical attention as this scene is not safe
You arrive on scene with your partner Wayne to find a man at a bowling alley in respiratory distress. He is walking around looking pale and acting agitated. Audible wheezing sounds can be heard as he breathes in. His cousin says he was just getting ready to bowl when he started coughing and now it's like this. You ask the man if he is choking and he wheezes "yes". What should you do for this patient?
Use a pair of Magill forcepts to remove the blockage
Heimlich maneuver
Transport and encourage him to cough
Wait until he passes out from choking then do compressions to dislodge the food
You arrive on scene to find a 5 year old boy who has suffered a fall running up the stairs. His mother states he was unconscious for approximately 20-30 seconds. She is holding him in her arms and he has a small laceration and swelling on the edge of his jaw. He answers your questions as a five year old should and both eyes are PEARRL - BP is 130/80. Which would be the most appropriate treatment and action?
C-spine precautions, O2, and rapid transport
Bandage the jaw and monitor him for 15 minutes before leaving
O2, c collar, backboard, and low priority transport
Check his CMS and have the mother sign a transport refusal form
A man of average size and weight has approximately how much blood per kilo of body weight?
50 ml
60 ml
70 ml
100 ml
An improvised explosive device has detonated and 3 members of the SWAT team were injured during the secondary phase of the blast. You know from that fact that they were?
Hit by an energy wave and have organ damage
Thrown through the air
Hit by flying shrapnel
Not doing their job
Assessment findings and symptoms for barbiturate, sedative and hypnotic substances may include all of the following except:
Drowsiness
Appearance of intoxication
Sharp mental acuity
Peacefulness
Most violent injuries to EMT's occur?
At motor vehicle accidents
At crime scenes
When a patient has a sudden behavioral change
In the homes of gang members
With regard to maintaining a child's airway which of the following would be true?
Never use a towel under the shoulders
Use an OPA measured from the corner of the nose to the ear lobe
It takes up less of the mouth in proportion to an adult
A towel under the shoulders will help put the airway in alignment
You arrive on scene with your partner to find a woman who has suffered a fall from a deck. She landed on her feet after falling approximately 9 feet to a rocky embankment. This patient likely has suffered an injury to what part of her body?