CPR Exam II

Which value would you identify as an abnormal Blood Glucose Level (BGL) before meals?

145 mg/dL

When assisting with an auto-injector how long should you hold the pen in place?

3 Seconds

Early one evening, you are called to the home of an older adult couple. Upon arrival, the wife greets you at the door and tells you that her husband, who has Alzheimer's disease, suddenly went into the kitchen and then started screaming and shouting. "He even threw a dish at me, but luckily he missed," she explains. Which statement or question is the most appropriate to use with this patient?

"I'm not going to cause you any harm"

The emergency medical services (EMS) system for which you work deals with a large older adult population. When talking with other emergency medical responders (EMRs) about this population, which statement indicates a lack of knowledge about this age group?

"You need to expect that they won't be able to remember things"

You arrive at a shopping mall in response to an emergency call that a young man suddenly collapsed while trying on shoes in a shoe store. His friend whom was with him reports that the patient mentioned hearing a strange sound before he collapsed. Additional bystanders report that the patient slumped to the floor and "then his whole body started shaking" His friend tells you that the patient has a history of seizures. You would assess the patient as having status epilepticus if the seizure shows no signs of slowing down and lasts longer than:

5

If a patient has ingested poison, activated charcoal may be recommended by the PCC or medical control. Activated charcoal ideally should be given within which time period of a person swallowing a poison?

60 minutes

The body's core temperature is:

98.6 F (37 C)

When exposed to the same conditions and based on your understanding of factors predisposing a person to heat-related illnesses, which individual would be at greatest risk for a heat-related illness?

A 75-year-old diabetic with heart disease

A patient has a history of seizures. Which of the following patients would least likely require summoning more advanced medical personnel?

A patient whose seizures are medically controlled

Nitroglycerin is contraindicated in which of the following patients?

A patient with a brain injury

You and your partner are called to a rural camping site in response to a call about a camper being bitten by a snake on his lower leg. The patient tells you that it was a coral snake. You inspect the bite wound, which reveals

A semicircular mark

Seizures result from which of the following?

Abnormal electrical brain activity

When providing care on the scene to a patient with CO (Carbon Monoxide) poisoning, which of the following is appropriate?

Administrating supplemental oxygen

Which of the following activities occur in the warm zone?

Airway management

Which statement best describes a hazardous material?

Any chemical posing a threat to an individual

In your role as an EMR who is first on the scene of a possible HAZMAT incident, your last step would be to -

Determine if the material is responsible for injuries at the scene

You arrive at a shopping mall in response to an emergency call that a young man suddenly collapsed while trying on shoes in a shoe store. His friend whom was with him reports that the patient mentioned hearing a strange sound before he collapsed. Additional bystanders report that the patient slumped to the floor and "then his whole body started shaking" His friend tells you that the patient has a history of seizures. You would interpret the patient's "hearing a strange sound" as indicating which phase of a generalized seizure?

Aura

Which action is most appropriate for you to do when providing care to a patient with frostbitten feet?

Avoid breaking any blisters that have formed

You respond to an emergency call at a local fitness center. A woman who has been exercising is complaining of being light-headed and dizzy. She is breathing rapidly and her pulse is weak, Her skin is cool and clammy. You notice that she is wearing a medical identification bracelet. She tells you that she has diabetes and has not eaten since early this morning. You understand that diabetes involves a problem with regulation of which of the following?

Blood Glucose Levels(BGL)

You suspect that a patient is experiencing cannabis intoxication. Which of the following would you likely find?

Blood shot eyes

Which substance is considered the most commonly used stimulant?

Caffeine

You respond to a call in which a passerby noticed a middle-aged man lying on the sidewalk just in front of the doorway to a building. Upon arrival, you find that the patient is lying face-down, and you notice vomit on the sidewalk and in his mouth. He is unresponsive. His chest is moving up and down in a shallow, slow fashion. You notice an empty bottle of liquor protruding out from under the patient's jacket.Which of the following would you do first?

Call for more advanced medical personnel

You arrive at the home of a young couple that called 9-1-1 because their 2-year-old child got into the cabinet under the sink and drank some liquid drain cleaner.Upon arriving at the scene, which of the following is most appropriate to do first?

Call the national Poison Help line

You are responding to the scene of a shooting involving a convenience story robbery. The clerk has been shot in the abdomen and the suspect has been apprehended. You are preparing to provide care to the clerk. Which of the following would you do first?

Check with law enforcement for permission to enter the scene

Weapons of mass destruction (WMDs) typically include which of the following?

Chemicals Explosive agents Biologicals Radioactive material

Which of the following statements best reflects the experience of a heart attack in a woman?

Chest pain in women is typically sudden and short-lived

You arrive at the home of a young couple that called 9-1-1 because their 2-year-old child got into the cabinet under the sink and drank some liquid drain cleaner. Which of the following would least likely affect the severity of the poisoning in this child?

Child's gender

Which of the following would you identify as an inhaled poison?

Chloroform

You place blocks against the wheels of a vehicle to prevent it from moving. This is called -

Chocking

Ingested poisons include

Contaminated food Household cleaners Drugs

You respond to a call in which a passerby noticed a middle-aged man lying on the sidewalk just in front of the doorway to a building. Upon arrival, you find that the patient is lying face-down, and you notice vomit on the sidewalk and in his mouth. He is unresponsive. His chest is moving up and down in a shallow, slow fashion. You notice an empty bottle of liquor protruding out from under the patient's jacket.You suspect alcohol poisoning. Alcohol is classified as which of the following?

Depressant

Nitroglycerin is administered to:

Dilate the blood vessels

You suspect possible radiation exposure. Which of the following would be appropriate?

Don a positive-pressure SCBA Seal off all openings in protective clothing with duct tape Wear two pairs of paper shoe covers under heavy rubber boots

You are called to the home of a family whose carbon monoxide monitor has gone off. The family is outside when you arrive. When interviewing them, which signs and symptoms would you expect them to report as initial complaints?

Dull headache

What is the most common cause of stroke

Embolism or blood clot

You gained access to a patient who is to be extricated and begin to provide care. Which of the following is the most important for you to do first?

Ensure that the neck and spine are stabilized

Which of the following risk factors for coronary heart disease (CHD) is a person unable to change?

Ethnicity

Which mechanism for cooling the body is most affected by high humidity?

Evaporation

You suspect that a patient under your care is experiencing early stages of dehydration. Which of the following would you suspect to find?

Excessive thirst

To prevent heat-related illnesses, which of the following is appropriate?

Exercising for brief periods with frequent rests

When assessing a patient who you believe is having a stroke, Which of the following would you assess first?

Face

You arrive at the home of a 65-year-old man in response to a 9-1-1 call from his wife saying that he is having a stroke. The patient is conscious. Your SAMPLE history and physical exam might reveal which of the following?

Facial drooping Trouble walking Facial numbness

Which of the following is considered a biological disaster?

Flu pandemic

You are called to the high school football practice facility where one of the athletes who has been practicing is complaining of dizziness and a throbbing headache. The weather is extremely hot and humid. You examine the athlete and suspect heat stroke based on which of the following?

Flushed, dry skin

A 72-year-old woman goes out of her house in her bear feet, wearing only her pajamas and robe, to get the newspaper from the curb. There is snow on the ground, and the temperature is 20 F (-6.6 C). When she tries to get back into the house the door is locked. Finally, a passerby sees her and calls9-1-1. Upon arrival, you find her sitting on the steps of the porch. The passerby is sitting with her and has coat wrapped around her shoulders. She is conscious and alert but says that her feet are numb. You would most likely suspect which of the following?

Frostbite

You arrive at a shopping mall in response to an emergency call that a young man suddenly collapsed while trying on shoes in a shoe store. His friend whom was with him reports that the patient mentioned hearing a strange sound before he collapsed. Additional bystanders report that the patient slumped to the floor and "then his whole body started shaking" His friend tells you that the patient has a history of seizures. What type of seizure is the patient experiencing?

Generalized seizure

A 72-year-old woman goes out of her house in her bear feet, wearing only her pajamas and robe, to get the newspaper from the curb. There is snow on the ground, and the temperature is 20 F (-6.6 C). When she tries to get back into the house the door is locked. Finally, a passerby sees her and calls9-1-1. Upon arrival, you find her sitting on the steps of the porch. The passerby is sitting with her and has coat wrapped around her shoulders. She is conscious and alert but says that her feet are numb. Which of the following is your priority?

Get the victim out of the cold

Which of the following are NOT signs and symptoms of opioid overdose?

Hallucinations

A responsive patient who is suffering from a heat emergency has cool, moist skin. She is most likely suffering from:

Heat exhaustion

Which of the following is categorized as the most severe heat-related illness?

Heat stroke

You respond to an emergency call at a local fitness center. A woman who has been exercising is complaining of being light-headed and dizzy. She is breathing rapidly and her pulse is weak, Her skin is cool and clammy. You notice that she is wearing a medical identification bracelet. She tells you that she has diabetes and has not eaten since early this morning. You would most likely suspect which of the following?

Hypoglycemia

When providing care to a patient with suspected substance abuse, which of the following is most important?

Identifying life-threatening conditions

Which of the following terms related to use of a drug is used to characterize substance misuse?

Improper

You respond to a call in which a passerby noticed a middle-aged man lying on the sidewalk just in front of the doorway to a building. Upon arrival, you find that the patient is lying face-down, and you notice vomit on the sidewalk and in his mouth. He is unresponsive. His chest is moving up and down in a shallow, slow fashion. You notice an empty bottle of liquor protruding out from under the patient's jacket.You would identify that the poison entered the body by which route?

Ingestion

A child is stung by a bee and experiences a reaction. This reaction is in response to a poison that has entered the body by which route?

Injection

You would treat all scorpion stings as medical emergencies based on the understanding that:

It is difficult to tell which scorpions are poisonious

Which of the following suggests that a vehicle is unstable?

It is on its side

A transient ischemic attack (TIA) differs from a stroke in that a TIA:

Lasts for a shorter duration

A patient is conscious but unable to self-administer the auto-injector. At which location would you administer the auto-injector?

Lateral mid thigh

Which of the following would be a source of chemical food poisoning?

Lead

An adolescent who has been stung by a wasp begins to exhibit signs and symptoms of anaphylaxis. Which of the following would least likely be found during the assessment?

Localized skin rash

You are providing care for a patient with confirmed hypothermia. Which of the following steps would you do first?

Move the patient to a warmer environment

If your patient is found in the cold, not shivering, with a diminished level of responsiveness you should suspect:

Severe hypothermia

You respond to an emergency call at a local fitness center. A woman who has been exercising is complaining of being light-headed and dizzy. She is breathing rapidly and her pulse is weak, Her skin is cool and clammy. You notice that she is wearing a medical identification bracelet. She tells you that she has diabetes and has not eaten since early this morning. Which action is most appropriate?

Offer the patient fruit juice or something containing sugar

You arrive at an office building in response to a call about an employee who suddenly started complaining of of chest pain. The patient is also complaining of shortness of breath and nausea. Your local protocol allows you to administer medication to the patient. After asking the patient about the use of medications, you determine that it is safe to administer it. You would administer which of the following?

One 5-grain (325-mg) adult aspirin tablet

You respond to a call in which a passerby noticed a middle-aged man lying on the sidewalk just in front of the doorway to a building. Upon arrival, you find that the patient is lying face-down, and you notice vomit on the sidewalk and in his mouth. He is unresponsive. His chest is moving up and down in a shallow, slow fashion. You notice an empty bottle of liquor protruding out from under the patient's jacket.While caring for the patient, you also find a bottle of prescription medication next to him. The label reads codeine. You would identify this drug as which of the following?

Opioid narcotic

You are called to a patient's home because the patient is complaining of chest pain. Which of the following would lead you to suspect that the patient is experiencing angina pectoris and not a heart attack?

Pain that eases with resting

Which of the following findings would support an assessment of a distressed swimmer?

Patient is able to stay afloat

You arrive at a shopping mall in response to an emergency call that a young man suddenly collapsed while trying on shoes in a shoe store. His friend whom was with him reports that the patient mentioned hearing a strange sound before he collapsed. Additional bystanders report that the patient slumped to the floor and "then his whole body started shaking" His friend tells you that the patient has a history of seizures. The patient's seizure is ending. Which of the following is the most appropriate?

Positioning the patient on his side

Which of the following would you do first to stabilize the vehicles?

Put the car in "park

The rationale for wearing a hat on the head during cold weather is based on the understanding that the body loses heat via which process?

Radiation

During a high-angle rescue, the team uses a secured rope to approach a patient. This is called -

Rappelling

Aspirin acts by:

Reducing platelets' ability to form clots

Which of the following is appropriate in the treatment of a patient who is severely hypothermic?

Removing wet clothing

Which of the following would be appropriate use for a throwing assist?

Ring buoy Kickboard Small cooler

Altered mental status due to which conditions would require immediate action?

Shock Head injury Hypoglycemia

Ingestion of an opiate, sedative, or barbiturate can cause depression of the CNS and:

Slow breathing

Alcohol is a powerful CNS depressant. It:

Slows reflexes

You are providing care to an older adult patient who has fallen in his home. When speaking to the patient, it seems like the patient does not hear. The patient is awake and alert, breathing and has a pulse. The patient's son is present and tells you that his father is hard of hearing. When dealing with this patient, which of the following is most important?

Speak slowly and clearly to the patient when interacting with him

You should not use a tweezers or a forceps to remove an embedded stinger because:

Squeezing may cause the stinger to inject more venom into the wound

Which substance category includes drugs that produce temporary feelings of alertness and bursts of energy?

Stimulants

When dealing with a HAZMAT incident, which of the following would least likely suggest that the incident involves a possible terrorist attack?

Strange odors, such as bitter almonds or garlic, are absent

A patient has hypoglycemia and is unconscious. Which of the following would you do?

Summon more advanced medical personell

You arrive at an office building in response to a call about an employee who suddenly started complaining of of chest pain. The patient is also complaining of shortness of breath and nausea. As the emergency medical responder (EMR) on the scene, which of the following would you do first if you suspect that the patient is having a heart attack?

Summon more advanced medical personnel

When the body starts to become too cold, which of the following occurs as the first response?

Superficial blood vessel constriction in the extremities

You respond to a call in which a passerby noticed a middle-aged man lying on the sidewalk just in front of the doorway to a building. Upon arrival, you find that the patient is lying face-down, and you notice vomit on the sidewalk and in his mouth. He is unresponsive. His chest is moving up and down in a shallow, slow fashion. You notice an empty bottle of liquor protruding out from under the patient's jacket.You would suspect which effect if the patient has taken both drugs?

Synergistic effect

You arrive at an office building in response to a call about an employee who suddenly started complaining of of chest pain. The patient is also complaining of shortness of breath and nausea. You obtain a SAMPLE history from the patient. Which of the following suggest that the patient is experiencing a heart attack?

The pain is described as squeezing and unrelieved by rest The patient is sitting up and leaning forward The patient complains of feeling dizzy

In which situations would the use of activated charcoal be indicated?

The patient is fully conscious and alert

In which of the following situations would the responder administer intranasal Naloxone?

The patient is unconscious and opioid overdose is suspected

Which statement best reflects the most accurate information about Poison Control Centers (PCCs)?

They receive over 2 million phone calls each year

You are called to the scene in which a patient was stung by a jellyfish. Which of the following would lead you to suspect that the patient is experiencing a severe allergic reaction?

Throat swelling

What would be the desired goal of giving activated charcoal?

To bind a toxin and prevent absorption

When using a simple access method, you would ---

Try opening the door

Which of the following is the most important when providing care to patients exposed to biological agents?

Using infection control procedures

Which of the following would lead you to suspect that a HAZMAT is involved?

Vapor cloud Leaking container Spilled liquid Unusual odors

You are caring for a patient who is pinned inside of a vehicle directly behind the air bags, which have not deployed. Which of the following is the most appropriate?

Waiting for deactivation of the system

When obtaining a SAMPLE history from a patient who is addicted to cocaine, he tells you that he has not used the drug for the last 12 hours. You should be alert for signs of-

Withdrawal

You and your partner are called to a rural camping site in response to a call about a camper being bitten by a snake on his lower leg. The patient tells you that it was a coral snake. You are preparing to transport the patient. Which of the following methods is least appropriate to use?

Walking assist

Which of the following would you do first when you suspect the victim has been bitten by a coral snake?

Wash the wound

Which of the following would provide further evidence to support your suspicion that you victim has frostbite?

Waxy skin