NREMT practice questions (missed)

55 yo man who has difficulty breathing. After making contact he extends his arm to allow you to take his BP this is

Actual (expressed) consent

diabetic coma (hyperglycemic)

warm dry slow onset

artificial pacemaker fails

weakness and bradycardia

third stage of labor has begun

when the entire baby has deliverd

when caring for a critically injured pt it is MOST appropriate to perform secondary assessment

while you are en route to hospital

after delivery and placenta mother has moderated vag bleeding she is CAO

administer O2 and massage uterus

After blunt injury to anterior torso a pt is coughing up bright red blood. most suspicious of

bleeding in the lungs

two rescue child CPR

compress the chest with one or 2 hands to a depth that is equal to 1/3 the diameter of the chest

pt coughing up bloody sputum and has an oxygen sat of 85% and you hear coarse crackles in all lung feilds

congestive heart failure

MOST indicative of inadeqate breathing in infant is

expiratory grunting -sunken fontanelles (soft spot) indicated dehydration

Orange tag

explosive

blood splashes into EMT eye

exposure

left side of chest collapses during inhale and bulges during exhale

flail chest

purpose of the ped assessment triangle is to

form a general impression of the child without touching him or her

the presence of subcutaneous emphysema after blunt trauma to the anterior neck should make you MOST suspicious for a

fractured larynx

which about crowning is correct

gentle pressure should be applied to the babies head

known diabetic: weak, diaphoretic, tachycaric, confused, pulse 120, resp 24

give 1 tube oral glucose

minimal PPE when suctioning a persons airway

gloves and full facial protection

A pt who is experiencing an acute myocaridal infarction

has chest pain or discomfort that does not change with each breath (nitro relieves pain with stable angina but not AMI)

which of the following is the LEAST pertinent when assessing a responsive 40 yo who fell from standing positon

have you fallen before?

An unresponsive apneic pt chest fails to rise after 2 ventillation attempts

immediatly proceed to chest compressions

how does a unified incident command system differ from a single incident command system

in a unified, plans are made in advance by all agenciesthat assume a shared responsibility for decision making

upon assessing a newborn right after delivery you note that it is breathing and has a HR of 80 beats/ min. MOST appropriate inital management for newborn

initiate positive pressure ventilation

MOST indicative of primary cardiac problem

irregular pulse

spilling an unknown liquid onto ground

park upwind and uphill

which is the MOST reliable indicator of a fracture to a spinal vertebra

palpable pain at site of injury

LEAST suggestive of cardiac comprimise

palpable pain to chest

A 5 yo boy was hit by a car when he ran out into street. He is lying supine 15 feet from the car. Based on age and MOI which is his PRIMARY injury

pelvic injury (adult: below knees)

to maintin neutral alignment of 18 mo childs airway you

place a pad bw shoulder blades

after assisting a pt with her epi you

place the device in a punture proof container

to assist with delivery of the babys head

place your fingers on the bony part of the skull and apply gentle pressure

you are cleaning the back of an ambulance after transporting a pt with major trauma. which of the following contaminated items should NOT be placed in plastic biohazrd bag

plastic IV catheter

at the peak of the inspiratory phase the alveoli in the lungs contain

more O2 than CO2

preferred inital method for providing artificial ventilations to an apneic adult

mouth to mask with supplimental O2

MORE common in children after head injury

nausea vomitting

pt with bradycardia, hyper salvation, vomit tearing

nerve agent Soman, V agent, sarin, tabun

baby delivers

posteriorly to one side

pregnant, swollen and BP 150/86

preeclampsia (high BP, edema)

acute coronary syndrome pain

pressure (AMI, angina)

asprin good for pts with acute coronary syndrome bc

prevents the clot from getting larger

you are at the scene where a man panicked while swimming in a small lake. your inital attempt to rescue

reach with a long stick -reach, throw, row, then go

proper guidelines for safe reaching include all EXCEPT

reaching no more than 30 inches in front of your body

the wall that separates the left and right sides of the heart is called

septum

quickest way to reduce cardiac ischemia in a pt experiencing an acute coronary syndrome is

sit or lay pt down (reduce hearts demand for O2)

vesicant agent

skin blistering

vacination not reccomended by CDC

smallpox

Bit by rattle snake

splint and lower the affected part NO ICE

Child having a seizure. Has had several full body over the past 20 minutes and never woke up in betweeen skin is hot and lfushed

status epilepticus (prolonged or multiple with out return conscious)

reduction in tidal volume MOST likely result from

unequal chest expansion (decreased air inhaled per breath)

if shock is advised most likely

v-fib

which of the following patients would be LEAST likely to present with classic signs and symptoms of acute myocardial infarction

72 yo famle with diabetes and hypertension -diabetes has unique signs

after an airway is inserted in a 6 mo infant in cardiopulmonary arrest you should deliver ventillations at a rate of

8-10 breaths/ min

ultimate authority for all issues regarding patient care at the scene of a mass casualty incident

EMS medical director

which is the primary pace maker which sets the normal rate for the heart

SA node

after administration of nitro to a man with chest pressure he has a rise in HR this is the result of

a drop in BP

an innacurate pulse ox may be caused by

a severe peripheral vasoconstriction

error with AED most results form

battery failure secondary to operator use

Ab thrusts and pt becomes unconscious. after lowering to ground

begin CPR with chest compressions

Newborn has cyanosis to chest and face and a HR of 90 beats/ min you first

begin artificial ventilations

PT with spinal injury can still use diapgragm to breathe but would lose control of intercostal muscles in spinal cord injured

below the C5 level

suspect pulmonary edema if

cant breath when lying down (froth when cough)

sudden cardiac arrest in the adult pop is MOST often the result of

cardiac dysrhythmia

insulin shock (hypoglycemic)

clammy skin rapid onset

hyphema

collection of blood in front part of the eye -caused by direct trauma to eye ball

signs of unadequate breathing in an unresponsive pt include

cyanotic oral mucosa

Which is the MOST common cause of shock in infants and children

deydration

asymmetrical chest wall movement indicated

decreased air movement into one lung

all would cause an increase in CO2 in blood except

deep rapid breathing (fast elimination of CO2)

brown recluse spider bite

delayed onset of pain, swelling, and blister at site

Preferred method for inserting an OPA in a small child is to

depress tongue and insert the airway with down curve facing the tongue

which type of stroke would MOST present with sudden severe head ache

hemorrhagic (ruptured artery in brain)

stabbed in RL chest, semiconscious with labored breathing, collapsed JV and no breath sounds on right

hemothorax (blood in pleural space compresses the lung) -pneumothorax wont have collapsed JV

vital signs MOST suggestive of increased intracranial pressure in a pt who has experienced a traumatic brain injury

high BP, slow pulse

Labor contractions are every 4-5 min lasting 30 seconds you should ask

how many weeks gestation are you

MOST indicative of decompensated shock in a trauma pt with intracranial bleeding

hypotension

Which of the following is a physiological effect of epinephrine when used to treat anaphylactic shock

it is a bronchodilator, it improves the pts breathing

hypoxia-induced unresponsiveness during a submersion injury is usually the result of

laryngospasm

during soccer an 18 yo woman injured her knee. it is flexed and deformed

manually stabalize the leg above and below the knee

Rapid extraction

manually stabilize head, apply collar, remove pt from vehicle onto long backboard

asprin may be contradicted

pts with stomach ulcers

process of oxygen and carbon dioxide exchange in the lungs is called

pulmonary respiration

when transporting an elderly woman who was complaining of nausea and vomit and weaknes she becomes unresponsive you

quickly look at her chest for obvious movement

after order from med control

repeat order back word for word

MOST in need of rapid head to toe exam

responsive 22 yo with small gunshot to ab

which sign would you expect to see in the early stages of shock

restlessness

60 yo man is in cardiac arrest. you begin CPR while your pt applies AED. You receive a no shock you should

resume CPR begining with chest compressions (after 2 min reanalyze)

you are assesing a 70 yo man with pain in both legs. he is CAO has a BP of 160/90 and pulse of 110, respirations of 14 b/min and unlabored. edema to feet and legs and JVD.

right heart failure

when applying a vest style spinal immobilization device to a patient with traumatic neck pain you should

secure the torso section prior to immobilizing head

near- drowning

survival for at least 24 hours after submersion

after nitro you would NOT expect a pt to experience a

syncopal episode (fainting)

which parameter is the LEAST reliable when assessing the perfusion status of a 2 year old child

systolic blood pressure

which of the following signs or symptoms is MOST suggestive of a systemic reaction following injestion of a posion

tachycardia and hypotension

After restoring pulse in cardiac arrest pt. you transport. En route the pt goes back into cardiac arrest. you

tell your pt to stop ambulance (you start CPR but AED is on and needs to get rhythm)

the transition phase of the pediatric assessment process wouldbe LEAST appropriate if

the child is unstable and needs rapid transport

when ventillating a pt you notice decreased vent compliance

the lungs are difficult to ventilate

which about an AED is true

they can be safely used in infants and children less than 8

child develops stranger anxiety when

toddler (1-3)

which is NOT part of an injury or illness prevention program

training a group of daycare emplyees on infant and child CPR