ALL FISDAP REVIEW

Your first concern with a conscious patient who has partial thickness burns to his face is treating A.) Skin B.) Airway C.) Pupils D.) Sensory

B.) Airway

A 25 year old assault victim is spitting up light pink sputum. He has bright, red blood spurting from a 2" laceration to his left forearm. What should you do? A.) Administer oxygen via non-rebreather mask. B.) apply direct pressure to the wound. C.) Apply a tourniquet distal to the wound. D.) Immediately suction his airway.

B.) Apply direct pressure to the wound.

A 40 year old male fell off a ladder and broke his leg. His left knee now bends the wrong way. You should A.) Apply a traction splint. B.) check for pulse, motor, and sensation in the lower leg. C.) See if he can move his toes and ankle. D.) Assess skin temperature of the affected extremity.

B.) Check for pulse, motor and sensation in lower leg.

Which injury is the most likely to require routine assessment and transport? A.) Amputated arm B.) Deformed wrist injury C.) Gunshot wound to the chest D.) Open skull fracture

B.) Deformed wrist injury

A woman was struck in the face with a softball bat. She is unconscious. Vital signs are BP 74/50, P 60, R 8/ What should you do? A.) Apply modified jaw thrust and immobilize. B.) insert an oral airway and administer oxygen via bag valve mask. C.) administer oxygen via nonrebreather mask. D.) suction and insert and orpharyngeal airway.

B.) Insert an oral airway and administer oxygen via bag valve mask.

A 62 year old male is found unresponsive next to a ladder. Vital signs are BP 80/48, P 60, R 24. What should you suspect? A.) Cardiogenic shock B.) Neurogenic shock C.) Respiratory shock D.) Hemorrhagic shock

B.) Neurogenic shock

A 32 year old male sustained facial trauma after falling from a roof. The patient has snoring respirations. what should you do? A.) ventilate via bag valve mask. B.) Perform a modified jaw thrust. C.) Perform a head tilt chin lift. D.) Check for a carotid pulse.

B.) Perform a modified jaw thrust

A 50 year old male has an obviously deformed right lower leg after falling off a roof. As you approach, you notice a tear in the skin over the deformity. What should you do? A.) Fully immobilize the c-spine B.) perform a primary assessment C.) place a bandage on the laceration D.) Realign and splint the leg

B.) Perform primary assessment

A 16 year old male complains of extreme pain to his chest. You note his shirt is splashed with battery acid. Vitals are BP 150/100, P 100, R 24. You should. A.) Drape the area with dry, sterile dressings. B.) Remove his shirt and flush skin with water. C.) Drape the area with moist, sterile dressings. D.) Remove his shirt and brush skin with a gloved hand.

B.) Remove shirt and flush skin with water.

A 24 year old male sustained burns to his eyes, nose, and mouth when the radiator cap on his car blew off. You should treat for A.) Soft tissue injuries B.) Respiratory swelling C.) Eye injuries D.) Burn shock

B.) Respiratory swelling

A patient has a stab wound to the upper left quadrant. which organ would most like be injured? A.) Liver B.) Spleen C.) Kidney D.) Pancreas

B.) Spleen

A 42 year old male has a piece of metal impaled in his lower right leg. There is an obvious open fracture and he has no pulse in his right foot. What should you do? A.) Remove the object carefully after splinting. B.) Stabilize with bulky dressings prior to transport. C.) Apply traction splint, stabilize, and transport. D.) re-position to restore the pulse in his foot.

B.) Stabilize with bulky dressings prior to transport.

What is the most likely cause of bilateral periorbital ecchymosis? A.) epidural hematoma B.) basilar skull fracture C.) Blow-out fracture D.) subdural hematoma

B.) basilar skull fracture

A man fell while water skiing. He is unconscious. You should suspect A.) a heat-related emergency. B.) head and spine injury. C.) hypothermia. D.) anaphylaxis.

B.) head and spine injury.

You arrive at a motor vehicle collision and find that your patient has extricated herself from the vehicle and is walking around. She complains of neck pain. You should A.) check her pupils, sensory, and motor. B.) immobilize her on a long backboard. C.) ask her to lay down on the stretcher. D.) apply a C-collar and walk her to the ambulance.

B.) immoblize her on a long backboard.

A 28 year old patient was the driver of a motorcycle that was traveling 45 mph when it struck a parked car. He was not wearing a helmet. The patient is lying supine with a copious amount of blood around his face. He is making gurgling sounds and is breathing 4 times a minute. Which of the following maneuvers would be most appropriate? A.) Head tilt with chin lift B.) jaw thrust without head tilt C.) Head tilt with jaw thrust D.) Chin lift without head tilt

B.) jaw thrust without head tilt

A 22 year old woman has been in an accident on her moped. She is lying on the ground, breathing well, and still wearing her helmet. You should A.) immediately remove her helmet and begin stabilization. B.) leave her helmet in place while she is stabilized. C.) call for backup assistance before removing her helmet. D.) leave her helmet in place until you begin stabilization.

B.) leave her helmet in place while she is stabilized.

A 75 year old female was in a motor vehicle collision and says she can't feel her legs. Vital signs are BP 80/40, P 60, R 24. You should suspect A.) cardiogenic shock. B.) neurogenic shock. C.) compensated shock. D.) hemorrhagic shock.

B.) neurogenic shock.

A 28 year old male has received blunt trauma to the right anterior chest. He is pale, cool, diaphoretic and responsive to verbal stimuli. Respirations are 38 and shallow with paradoxical movement. You should A.) stabilize the chest wall with bulky dressings. B.) oxygenate with positive pressure ventilations. C.) provide high flow oxygen by non-rebreathing mask. D.) ensure advanced life support is responding to the scene.

B.) oxygenate with positive pressure ventilations.

A 35 year old driver collided into a telephone pole. He is unconscious and unresponsive with severe bleeding from the mouth. You should A.) apply a vest type device to extricate him from the vehicle. B.) rapidly extricate him from the vehicle to a long spine board. C.) lift him from the vehicle utilizing an extremity lift. D.) place a blanket under him to facilitate the evisceration.

B.) rapidly extricate him from the vehicle to a long spine board.

A 35-year-old has fallen and has a deformed right lower leg. The distal extremity is pulseless and the skin is cool and cyanotic. You should. A.) Splint the extremity as it is. B.) realign the injured extremity. C.) apply a traction splint. D.) apply an elastic bandage.

B.) realign the injured extremity.

A 47-year-old male was shot in the back. He is cool and clammy and has arm weakness. Vital signs are BP 130/90, P 76, R 24. You should suspect A.) tension pneumothorax. B.) spinal cord injury. C.) aortic transection. D.) massive hemothorax.

B.) spinal cord injury.

An early indicator of shock includes A.) bradycardia B.) tachycardia C.) hypotension D.) hypertension

B.) tachycardia

A 50 year old is not breathing and has a faint pulse. You should?

BVM

An unresponsive 43 year old male is cool, pale, diaphoretic, and breathing 6 times a minute. Which device should you use to administer oxygen?

Bag-valve mask He is unresponsive and breathing too slow. This is a "Sick" patient and assisting his ventilations should be the first intervention. You can increase his respiratory rate with a bag valve mask, which is why it is the most correct choice.

Which of the following assessment findings should cause you to suspect a history of COPD?

Barrel shaped chest

A 3 year old is unresponsive and apneic on the floor of a restaurant. He was choking, turned blue, and collapsed. What should you do? Begin chest compressions Perform a blind finger sweep Give 5 abdominal thrusts Give 5 back blows

Begin chest compressions

You have just delivered a baby girl who remains cyanotic and is not responding to stimulation and oxygen therapy. Heart rate is 90. You should Attempt suctioning and contact medical control Perform chest compressions at 15:2 Continue to provide stimulation by flicking the soles of her feet Begin positive pressure ventilations

Begin positive pressure ventilations

Assess on infant. Which artery should you take for pulse? Brachial radial carotid femoral

Brachial

24 year old female in her second trimester of pregnancy presents with mild contractions. There is no regular pattern to the contractions, and they have not increased in intensity since they began. She denies vaginal bleeding or any other symptoms. This patient is most likely experiencing? Braxton Hicks contractions premature labor a placenta previa a threatened abortion

Braxton Hicks contractions

What are the structures that brach off the trachea into the lower airway?

Bronchi The trachea splits at the carina into the left and right bronchus. The bronchi get smaller and smaller until it reaches the terminal bronchioles where the alveoli are located.

An 18 year old febrile patient complains of malaise for several days. He is taking an oral antibiotic for an upper respiratory infection. Vital signs are bp 128/72, P118 and weak, R22 with rhonchi

Bronchitis

What should you do with an amputated extremity? A.) wrap in wet gauze soaked in saline and lay on ice. B.) immerse in water and pack on ice. C.) wrap in dry sterile gauze, seal in a plastic bag, and immerse in cool water. D.) put in a plastic bag and immerse in cool water.

C. Wrap in dry sterile gauze and immerse in cool water.

A 50 year old male was struck by an automobile. His skin is pale, cool, and diaphoretic. He is disoriented and using accessory muscles to breathe. The primary survey reveals a rapid, weak radial pulse, respirations are 28 and shallow. What should you do? A.) Immobilize on a long backboard. B.) Obtain a full set of baseline vital signs. C.) Administer oxygen with bag valve mask. D.) Administer oxygen by non-rebreather mask.

C.) Administer oxygen with bag valve mask.

Which of the following trauma patients is suffering from the most severe brain injury? A.) A semi-conscious 23 year old with unequal pupils. B.) A semi-conscious 86 year old with periorbital ecchymosis. C.) An unconscious 34 year old with decerberate posturing. D.) An unconscious 56 year old with vomiting.

C.) An unconscious 34 year old with decerebrate posturing.

A patient has a 3 cm laceration above his left eye. It is bleeding profusely. You should A.) Wrap a roller gauze loosely around the patient's head. B.) Apply several 4 x 4 dressings soaked in sterile water. C.) Apply dressings to the wound using pressure to hold. D.) wrap a roller gauze around a cold pack over the wound.

C.) Apply several 4 x 4 dressings soaked in sterile water.

An 81 year old female in a healthcare facility fell out of bed last night and was placed back into bed. This morning the nurse is suspecting a hip fracture. Which of her medications should concern you the most? A.) Insulin B.) Nitroglycerin C.) Coumadin D.) Albuterol

C.) Coumadin

A patient has a large bruise on his left upper quadrant following a motorcycle collision. What should you suspect? A.) Blood loss secondary to the bruise. B.) Injury to the liver. C.) Injury to the spleen. D.) Rupture of hollow organs.

C.) Injury to the spleen.

A patient presents with pain and bruising to the right upper quadrant following a motor vehicle collision you suspect injury in which of the following organs? A.) Pancrease B.) Spleen C.) Liver D.) Stomach

C.) Liver

Your patient has been stabbed in the right upper quadrant. Which organ is the most likely to be injured? A.) Spleen B.) Stomach C.) Liver D.) Kidney

C.) Liver

A patient has bruising around the eyes and behind the ears. You should suspect A.) concussion. B.) hematoma. C.) basilar skull fracture. D.) memory loss.

C.) basilar skull fracture.

Decompensated shock can be recognized by A.) increasing pulse rate B.) deep and rapid respirations C.) decreasing blood pressure D.) pale and clammy skin

C.) decreasing blood pressure

A 24 year old female pedestrian is unconscious after being struck by a car. She has ineffective breathing, and bloody secretions in her mouth. You should A.) assist ventilations via bag-valve mask. B.) insert an oropharyngeal airway adjunct. C.) immediately suction her oropharynx. D.) asses the rate and quality of her pulse.

C.) immediately suction her oropharynx.

A 53 year old female was hit by a car. She is unresponsive with a deformity to the left femur and pelvic instability. She has diminished sounds on the left side. You should A.) rapidly transport. B.) perform a detailed physical assessment. C.) immobilize her onto a long backboard. D.) Stabilize the left femur with a traction splint.

C.) immobilize her onto a long backboard.

A 30 year old female was involved in a minor motor vehicle accident. Upon your arrival, she is standing outside of her vehicle complaining of lower back pain. You should immobilize her using a A.) vest-type extrication device. B.) C-collar and position of comfort. C.) long spine board. D.) Short board and scoop stretcher.

C.) long spine board.

A 23 year old soccer player was kicked in the chest. He is alert with rapid, shallow respirations and complains of chest pain. Skin is pale, cool, and wet. You should A.) insert a nasopharyngeal airway. B.) perform a rapid trauma assessment. C.) oxygenate via non-rebreather mask. D.) palpate the chest for tenderness.

C.) oxygenate via non-rebreather mask.

a 68 year old female with a cardiac history is complaining of shortness of breath. Auscultation reveals crackles bilaterally. you should suspect..

CHF

Your neighbor has asked you to check on her 2 month old baby. The baby is sleeping and vitals are P 130, R 40, and he continues to sleep even when you try to wake him up. What should you do? Call for EMS tell your neighbor that he is sleeping soundly check on the baby again in a few hours recommend that your neighbor call the pediatrician

Call for EMS

A 13 year old female watching a horror movie states she can't catch her breath and her fingers are numb. Respirations are 30 and deep with Sp02 of %100. She is speaking in clear sentences, has clear and equal breath sounds. You should?

Calmly reassure her, encouraging her to calmly slow her rate of breathing.

When assessing distal circulatory function in a 3 year old, a reliable indicator is? Pulse ox BP Cap refill Skin temp

Cap refill

a 73 year old female has chest pain and shortness of breath within bilateral crackles. vital signs are P80/40, P 112, R 22

Cardiogenic shock

What is the name of the cartilaginous Ridge in the trachea at which the right and left lungs split?

Carina Located beneath the sternum.

56 year old female struggling to breathe with wheezing. She is unable to hold her head up or follow commands. What should you do?

Check airway for foreign body obstructions

Upon arrival for shift, what would you do? Check ambulance supplies/ repair broken equipment/ decontaminate ambulance/ copy previous crew checklist

Check ambulance supplies

A patient has been in cardiac arrest for seven minutes after being struck by lightning. you should?

Check the ABC's

Thin 54 year old male with a nonproductive cough complains of difficulty breathing. Sitting upright with hands on his knees and you see retractions. Notice oxygen tubing around the house. You should suspect medical history of?

Chronic Bronchitis

A 65 year old male is having trouble breathing. He is moderately overweight and has been coughing up yellowish phlegm. He smokes two packs of cigarettes a day and reports having episodes like this for many years

Chronic bronchitis

A male complains of mild respiratory distress. He smokes 4 packs of cigarettes a day and reports a consistent cough and frequent respiratory infections. Chest sounds reveal bilateral rhonci. What should you suspect?

Chronic bronchitis (sounds like snoring, excess mucus) Excessive mucus and pus production leads to obstructed airways. The consistent cough is the bodys response to clear the airway obstruction.

Legal case against you. What is your best defense in court? Complete and thorough report/ dispatch records/ partner's supporting testimony/ immediate recollection of events

Complete and thorough report

Unresponsive 16 year old male has snoring respirations after diving in a pond and nearly drowning. You should?

Compressions

The reason for assessing the radial and the carotid pulse simultaneously is to?

Confirm Cardiac Rhythm Problem

A 73 year old male is dyspneic. You note jugular vein distension and dependent edema. Vital signs are BP 158/93, P 130 R 36. What should you suspect?

Congestive Heart Failure

During a long transport you are administering oxygen

Consider using a humidified oxygen

You are resus a pt following cardiac arrest when a family member asks you to stop your efforts. You should: Continue resus per protocol and ask to see the physician signed DNR order/ ask a team member to call online med director for permission to stop/ immediately stop CPR and turn off AED/ delay trans of pt while family searches for the advanced directive

Continue rescue per protocol and ask to see the physician signed DNR order

Cpr in progress and family member state's pt didn't wish to be revived. You should? Continue with resuscitation/ call pts physician/ cease resus effort/ contact medical control

Continue with resuscitation

What happens to your diaphragm during inhalation?

Contracts The diaphragm contracts in a downward motion drawing air into the lungs.

What ring shaped structure forms the lower portion of the larynx?

Cricoid Cartilage The inferior portion of the larynx is a cartilaginous ring. It is located directed inferior of the Thyroid cartilage.

Process in which teams of professional and peer counselors provide emotional and psychological support? Critical incident stress management/ peer psychiatric counseling/ post traumatic incident review/ quality improvement of conference

Critical incident stress management

A patient is found dead at the scene. What Glasgow coma score would he receive? A.) 0 B.) 1 C.) 2 D.) 3

D.) 3

A snowmobile rider is thrown 15 ft from vehicle. His finger is deformed and his sternum is tender to palpation. He says that "I think I'll be okay" and refuses transport. What should you do? A.) Transport the patient to the nearest trauma center. B.) Splint the finger and apply an ice pack to the sternum. C.) Document his refusal of transport. D.) Ask him if you can perform a detailed assessment.

D.) Ask him if you can perform a detailed assessment.

A 45 year old male fell asleep outside while doing yard work. His face and lower legs are bright red with small blisters and painful on examination. You should suspect A.) Alcohol intoxication lead to prolonged exposure. B.) Both partial and full-thickness burns. C.) allergic reaction due to insect bite. D.) Both superficial and partial thickness burns.

D.) Both superficial and partial thickness burns.

A 45 year old male crashed his snowmobile. His skin is cool and pale. Vital signs are BP 198/96, P 48, R slow and irregular. What should you suspect? A.) Hypothermia B.) Tension pneumothorax C.) Neurogenic shock D.) Traumatic brain injury

D.) Traumatic brain injury

An 18-year-old male is holding his right shin after a sports-related injury. There is deformity and swelling; pedal pulses are present. You should A.) apply an ice pack and elevate the limb. B.) stabilize the limb at the hip and ankle. C.) apply traction and realign the limb. D.) apply a board splint in the position found.

D.) apply a board splint in the position found.

A 21 year old football player was hit from the side and landed head first onto the ground. He was ambulatory on the scene and is now oriented to name only. He refuses care and transport. You should A.) forcibly restrain him. B.) have him sign the refusal form. C.) call for police assistance. D.) ask the team coach for assistance.

D.) ask the team coach for assistance.

You are treating a patient with agonal respirations and a gunshot wound to the chest. You notice an open skull fracture leaking brain matter. There is no radial pulse. You should A.) begin CPR and place an airway adjunct. B.) discontinue treatment and protect the crime scene. C.) collect the brain matter and transport rapidly. D.) assess a carotid pulse and assist ventilations.

D.) assess a carotid pulse and assist ventilations.

A 32 year old male is unconscious after being struck in the head by a baseball bat. His pulse and breathing are slow and you see minor bleeding from a laceration at his left temple. Your partner is maintaining manual c-spine stabilization. You should A.) perform a rapid head-to-toe trauma exam. B.) measure and apply a rigid c-collar. C.) secure the patient to the backboard. D.) check airway and apply high-flow oxygen.

D.) check airway and apply high-flow oxygen.

An 18 year old male fell off his skateboard and struck his head on the concrete. He immediately started screaming. He is alert and oriented to name only. You should A.) assist ventilations with 100% oxygen via BVM. B.) ask the patient to describe the fall. C.) obtain blood pressure. D.) immoblize and expedite transport.

D.) immoblize and expedite transport.

You arrive on scene of a car crash. The driver is alert and complaining of severe chest and abdominal pain. His radial pulse is weak and rapid, and his skin is cool, pale, and moist. The patient has a history of cardiac problems. You should A.) auscultate lung sounds and obtain a blood pressure. B.) assist the patient in self-administrating their nitrogylcerin. C.) remove the patient from the vehicle and place in shock position. D.) rapidly extricate onto a long spinal board and transport.

D.) rapidly extricate onto a long spinal board and transport.

A 59 year old male is trapped in his car by a broken gas pedal through his foot. He has gone into cardiac arrest. You should A.) attach an AED and follow prompts. B.) begin positive pressure ventilations. C.) attempt chest compressions. D.) remove him from the impaled object.

D.) remove him from the impaled object.

As the diaphragm and intercostal muscles relax, the chest cavity?

Decreases in size, causing exhalation

A 45 year old female is complaining of breathing difficult. Her lung sounds are clear but she is becoming cyanotic on the lips

Deliver oxygen via nonrebreather at 15 lmp

Carbon dioxide and oxygen exchange at the alveolar level by which process?

Diffusion

You have just reported for duty with your ambulance company. You should? Do inventory and equipment check/ assign call duties with your partner/ do an inspection of the vehicle/ notify dispatch that you are in service

Do inventory and equipment check

Pt has several open sores on arm. The pt states that they haven't healed despite taking antibiotics. Have pt wear surgical mask/ admin o2 via nasal/ apply a sterile dressing or bandage/ don gloves and gown immediately

Don gloves and gown immediately

Arrive large fight, pointed to stab victim. You should? Drive away and stage/ quickly load and tran/ treat and request ALS/ treat and request police

Drive away and stage

Which term best describes respiratory difficulty?

Dyspnea

Organization best suited to deal with a downed power line Electric company/ ambulance crew/ construction company/ fire department

Electric company

A thin 75 year old male complains of difficulty breathing. He states he has smoked "3 packs of cigarettes a day for 30 years." He has bilateral wheezes

Emphysema

A 77 year old female has dyspnea, speaks in short word burst, and breathes with pursed lips. Lung sounds are diminished, distant, and clear. Vital signs are BP 152/90, P 86 and irregular, R 23. What should you suspect?

Empysema Emphysema is a chronic destructive process of the alveoli. The alveoli regenerate but they are misshaped and consist of scar tissue. The scar tissue inhibits gas exchange. She has pursed lips because she is attempting to keep the alveoli open. Without the extra effort her alveoli will collapse due to increased surface tension.

A 34 year old man is saying he is choking, You note stridor and hoarseness in his voice. What should you do?

Encourage him to cough

Before assessing the respiratory adequacy of an unconscious infant or child, you should Routinely suction the mouth to remove oral secretions Insert and OPA or an NPA Ensure that his or her head is in a hyperextended position Ensure the airway is patent and clear of obstructions

Ensure the airway is patent and clear of obstructions

4 year old is having trouble breathing. He is drooling and sitting forward in a chair with his mouth wide open. He has a 103.2 temp. you should suspect? Epiglottitis croup hyperthermia asthma attack

Epiglottitis

Which condition could be considered an upper airway obstruction?

Epiglottitis

During initial assessment of an adult's respiratory status, you should?

Evaluate both the respiratory rate and the rise and fall of the chest

Pt's wife called for medical emergency. On arrival, pt is upset and refusing care. He wants to go back to bed. You should: Evaluate mental status/ treat pt according to wife wishes/ advise that you need his permission to treat/ let police handle patient

Evaluate mental status

Assisting a home birth and baby's head just delivered. You should? Examine for nuchal guide and rotate turn face up and suction

Examine for nuchal

Which of the following shows a sign of lower respiratory tract problem?

Expiratory wheezes and long expiration

Alert 67 yo refuses care and requests to release form? What should you do? Explain risks/ restrain and trans/ provide supportive care and allow refusal/ ask PD to place in protective custody

Explain risk

a 75 year old female complains of a sudden onset of right sided chest pain and dyspnea. She is recovering from a recent hip surgery. What should you expect?

Pulmonary embolism A pulmonary embolism is typically the result of a clot that has formed in the lower extremity with poor circulation. Hip surgery requires a patient to be immobilized for an extended period of time which can permit a clot to form in the distal portion of an extremity. The sudden unilateral chest pain is the lung with the clot. Any lung tissue distal of the clot will not allow for adequate oxygen exchange.

What criteria does the START triage system use to determine pt priority Pulse rate, respiratory rate, mental status/ mental status, pulse rate, blood pressure/ bp, mental status, peripheral pulse/ pulse rate, respiratory rate, bp

Pulse rate, respiratory rate, mental status

26 yo pt complains of chest pain, productive cough, and not feeling well over last 2 days. "he just flew back from Africa last week." You should? Put on n95 mask on yourself/ listen to lung sounds/ take vitals/ HEPA mask on pt

Put on n95 mask

20 yo pt is reluctant to answer questions pertaining to abdominal discomfort? Reassure her that you are there to help her/ ask family for her medical history/ repeat question in firm but pleasant tone/ advise that she needs to be truthful

Reassure her that you are there to help her

The process by which an agency in one state grants automatic certification to an EMT from another state? Reciprocity/ reexamination/ transfer/ professional courtesy

Reciprocity

Appropriate method to obtain pts medical history? Remain at eye level and ask open ended questions/ multitask while gathering info/ stand over the pt and maintain authoritative appearance/ provide choices following each question

Remain at eye level and ask open ended questions

Semiconscious patient's dentures completely loosened. You should?

Remove dentures

A 53 year old male is sleepy, diaphoretic, difficult to arouse, and breathing 8 times a minute. What should you suspect?

Respiratory Failure This rate is too slow and the fact that he is sleepy and difficult to arouse shows that he is in respiratory failure. An adult with a respiratory of 8 is too slow for adequate gas exchange.

You are the 1st ambulance at a 2 vehicle collision. What should you do? Scene safety/ count # of injured/ determine MOI/ request additional resources

Scene safety

A patient has a history of COPD. Before assisting him in self-administering his inhaler you should?

Shake vigorously

How should an epipen be discarded? Sharp container/ red biohazard bag/ return to pt for disposal/ trash can on scene

Sharps container

Valid pt refusal should be: Signed by a legally and mentally competent pt/ signed by everyone on scene/ signed by pt and notarized by a witness/ cosigned by 1 care physician

Signed by a legally and mentally competent pt

80 yo Spanish speaking patient not responding to questions alert and choking? Simple hand gestures/ find interpreter/ speak louder/ check for hearing aids

Simple hand gestures

Finalizing PCR, notice incorrect pulse reading. What should you do?

Single horizontal line, correct, initial

If a patient presents vaginal bleeding within the first 20 weeks of pregnancy you should suspect? Abruptio placentae ruptured uterus placenta previa Spontaneous abortion

Spontaneous abortion

An 18 year old male is cyanotic and complains of sharp chest pain and difficulty breathing after lifting weights. Vital signs are BP 110/66, P 88, R 22. What is the most likely cause?

Spontaneous pneumothorax Performing strenuous activites can, on occasion, cause a collapsed (spontaneous pnemothorax) He has stable vital signs so you should suspect a S.P. If he had been hypotensive (88/40), you should suspect that the S.P had developed into a tension pneumothorax.

What is the proper method for suctioning a newborn's airway with a bulb syringe? Squeeze after placing the bulb syringe in the nose Squeeze before placing the bulb syringe in the nose Squeeze after placing the bulb syringe in the mouth Squeeze before placing the bulb syringe in the mouth

Squeeze before placing the bulb syringe in the mouth

A medical director issues permanent written orders that allow you to treat patients under certain circumstances. This is known as: Standing order/ online medical direction/ advance directive/ designated agent

Standing order

You shocked a patient back into a normal rhythm with an AED. During transport, the patient becomes cyanotic and pulseless. What should you do?

Start CPR, and request the EMS unit to stop

Compared to adults in shock, pediatric patients? Stay in compensated shock longer do not require treatment as quickly are less likely to become hypovolemic become hypertensive sooner

Stay in compensated shock longer

Which is an indication of an upper airway obstruction?

Stridor

What is the term for abnormal breath sounds that result from an obstructed airway?

Stridor Stridor is an UPPER airway obstruction caused by the tissue swelling around the trachea, larynx, or epiglottis during INSPIRATION.

You are beginning to assess a 35 yo man with a cut to his wrist. He is reluctant to reveal his past medical history. You should? Take bsi precautions/ continue assess/ take VS and wait for ALS to arrive/ refuse to handle the pt until he answers your question

Take BSI precautions

What is the Name of the hollow, semi flexible tube that carries in held air from the larynx to the lungs?

Trachea The trachea is a tube like structure that allows air passage from the upper airway into the lungs

Example of definitive care (when you're doing something to fix somebody) Trauma pt going to surgery to repair a lacerated liver/ hypovolemic pt receiving IV fluid therapy en route to the hospital/ geriatric receiving o2 for respiration difficulty/ pediatric pt receiving x ray for possible femur fracture

Trauma pt going to surgery to repair a lacerated liver

A 64 year old male complains of dyspnea and is coughing up blood tinged sputum. Upon auscultation you note cracks bilaterally. What should you suspect?

Tuberculosis

Partner comes to work dirty and leaves trash. Best describe these actions? Unethical/ unprofessional/ dangerous/ negligent

Unprofessional

Unconscious pt is sitting in driver's seat in a vehicle that has just been involved in a motor vehicle collision. The doors are locked and you have a simple tool kit and the rescue truck is 20 min away. You should: Use hammer to break the rear passenger window/ prepare equipment while waiting for rescue truck/ use screwdriver and hammer to pry open the driver's side door/ use hammer to break driver's side window

Use hammer to break the rear passenger window

An adult is breathing at a rate of 6 beats per minute. You should?

Ventilate the patient via bag-valve mask

18 yo pt has gunshot wound in the arm during a fight. Become increasingly anxious and pushes hands away during primary assessment. What would you do? Verify with law that pt has been searched/ obtain vitals and trans immediately/ reassess scene for additional pts/ continue with pri assess away from the police

Verify with law that pt has been searched

While responding to a call with lights and sirens, you approach a school bus that is displaying warning flashers. You should: Wait until the warning flashers are turned off and the bus pulls to the side of the road/ change the tone of the siren and drive around the bus with extreme caution/ turn off your siren temporarily and proceed past the bus before activating again/ announce on the PA speaker that you are going to pass the bus and then proceed carefully

Wait until the warning flashers are turned off and the bus pulls to the side of the road

What is the sound of a lower airway obstruction?

Wheezing

What is the term for high-pitched whistling sounds heard during expiration?

Wheezing Wheezing is a high pitched whistling sound heard on EXHALATION. Wheezing suggest there is a LOWER airway OBSTRUCTION or CONSTRICTION. Exhalation is a passive process, and the wheezing noise is air passively leaving constricted bronchioles.

A 56 year old female has a complete airway obstruction from a piece of food. She becomes unconscious while you asses her. What should you do?

When a patient has a completely obstructed airway and become unconscious the first thing you should do is start chest compressions.

When is it acceptable to disturb evidence at a crime scene When it is necessary for proper patient care/ when the investigator states it is permissible/ when entering and exiting the crime scene/ when police have cleared the scene for safety

When it is necessary for proper patient care

Technique to comm with a deaf pt? Write questions on paper/ face pt and speak loudly/ speak slowly with exaggerate lip movement/ request interpreter

Write questions on paper

Considering scene safety, priorities from most to least? You, your crew, other rescuers, bystanders, the pt/ your crew, the pt, equipment, other rescuers/ the pt, your partner, you, bystanders

You, your crew, other rescuers, bystanders, the pt

which patient is most likely to benefit from an AED?

a 54 year old choking patient who is unresponsive with no carotid pulse

38 year old female reports left sided abdominal pain that radiates to the back. Vitals are 90/64, 118, 20. You should suspect? Pelvic inflammatory disease kidney stones a ruptured ectopic emergency cholecystitis

a ruptured ectopic emergency

1. Which statement strongly indicates syncope? a. "I blacked out for a few seconds" b. "I was lying in bed and felt myself drift off" c."I think i may have had a seizure" d."I have had a low grade fever for three days"

a. I blacked out for a few seconds

17. which of the following assessmemt findings suggests a gi bleed a. bright red blood from the rectal area b. epigastric pain with nausea, vomiting, and diarrhea c. a history of diverticulitis and irritable bowel syndrome d. dark red emesis and low blood pressure

a. bright red blood from the rectal area

Where should you apply pressure to access for uterine contractions? Left and right upper quadrants abdomen below the navel abdomen above the navel left and right flank

abdomen below the navel

What effect can excessive traction have on the umbilical cord during placental delivery? Uterine rupture umbilical bleeding abruptio placenta

abruptio placenta

37 week pregnant woman with tearing abdominal pain and weak, vitals are 90/60, 140, and 26 with pale, cool, diaphoretic skin, you should suspect? Supine hypotensive syndrome imminent delivery abruptio placentae placenta previa

abruptio placentae

a 78 year old diabetic patient with a syncopal episode now complains of anxiety, shortness of breath, and back pain. You should suspect

acute coronary syndrome

a patient complaining of substernal chest pain with radiating pain to his neck and jaw. the pain is not relieved with rest, you should suspect?

acute myocardial infarction

A 66 year old female called EMS for chest pain prior to calling she took three doses of her prescribed sublingual nitrogylcerin with no relief. what should you do?

administer oxygen

During the primary assessment, a 57 year old female says she has chest pain and points to her epigastric area. What should you do?

administer oxygen

a 67 year old male with a history of asthma complains of chest tightness and shortness of breath. He took one nitroglycerin tablets without relief. He is pale and sweaty with an SP02 of 76% what should you do?

administer oxygen by nonrebreather mask

a 36 year old female complains of chest pain. she is conscious and alert with an SP02 of 93% you should

administer oxygen via nasal cannula at 4 lpm

A 28-year-old patient is experiencing Dyspnea and wheezing which medication should you request from medical control?

albuterol inhaler

Pediatric airways differ from adult airways in that Trachea is more rigid child's tongue takes up less space oral airways devices cannot be used on children all structures are smaller and can be more easily obstructed

all structures are smaller and can be more easily obstructed

CPR, which is the upstroke of the compression critical?

allows blood to fill the heart chamber

a patient was struck by lightning you should suspect

an irregular heart beat

which of the following is the largest artery in the blood?

aorta

a patient presents with a sudden onset of tearing chest pain, absent radial pulse on the right arm, and a history of high blood pressure, you should suspect

aortic dissection

A 6 month old is febrile, cyanotic, and grunting with labored breathing. You should? Assist ventilations via bvm sponge the infant with tepid water apply blow by 02 and trans perform a rapid medical assessment

apply blow by 02 and trans

50 year old fell from her bicycle after hitting a bump in the road. She is now bleeding from her vagina. You should Gently pack the vagina with sterile dressing transport the patient with legs elevated transport patient in the left lateral recumbent apply external sterile bulky dressing

apply external sterile bulky dressing

which vessels regulate regional blood flow to the capillary beds

arterioles

you are in an airport and see an adult collapse. as you get the AED from the wall, a bystander starts CPR. if indicated, you should deliver your first shock...

as soon as possible on arrival at the patients side

a 46 year old male is in cardiac arrest. you administer one shock, and at the 2 minute pulse check.=, you feel a strong carotid pulse, what should you do?

assess breathing and manage airway if necessary

an asthmatic 50 year old female is sitting at her desk. she is anxious and complaining of tightness in her chest you should

assist her with her prescribed inhaler

an 84 year old male with a history of "heart problems" complains of chest pain. the chest pain started 30 minutes ago while at rest. vital signs are BP 110/70, P92, R 20, SP02 95% what should you do?

assist the patient with his prescribed nitroglycerin

25. according to the Cincinnati prehospital stroke scale, which of the following should be assessed a. blood glucose b. facial droop c. grip strength d. duration of symptoms

b.

22. a car battery exploded in your pt's face. he denies any breathing difficulty. you should a. irrigate his eyes with vinegar and water b. irrigate eyes with water c. cover eyes with moist sterile dressings d. cover eyes with dry sterile dressings

b. irrigate eyes with water

8. a pt's family member reports a glucometer reading of 57 mg/dL. how should you interpret this reading? a. high b. low c. normal d. inaccurate

b. low

23. a patient is having a tonic-clonic seizure. he is not breathing. you should a. check blood glucose level b. prevent the pt from further injury c. administer oxygen via non-rebreather mask d. insert an OPA

b. prevent the pt from further injury

What can an EMT do to improve radio communication? Be brief and use simple language / begin speaking immediately after clicking the transmit button / hold close to mouth / use codes

be brief and us simple language

A mother has just delivered a newborn with central cyanosis. The newborns vitals are P 82, R 30. You should? Initiate active warming begin positive pressure ventilations administer blow by O2 suction the airway and stimulate

begin positive pressure ventilations

in an adult a pulse rate of 50 is called

bradycardiac

5. you have been dispatched to a behavioral emergency. The police are on the scene and have asked you to evaluate the patient. you should a. search pt. for weapons and transport to jail b. assess the pt. and transport to appropriate ER c. restrain the pt. to your cot and transport to nearest hospital d. inform the officer that they need to transport the pt. to the hospital

c.

When suctioning blood, fluid, and mucous from the oropharynx, the most appropriate device is?

A rigid tip suction catheter

Pre- eclampsia becomes eclampsia when A seizure occurs constant hyperten occurs systolic above 170 third trimester begins

A seizure occurs

Which of the following injuries is considered an open wound? A.) Abrasion B.) Crush injury C.) Contusion D.) Hematoma

A.) Abrasion

A 30 year old male was shot in the mid thigh. Bleeding continues after your partner applies direct pressure. What should you do? A.) Apply a tourniquet to the affected leg. B.) Check for distal pulse, movement, and sensation. C.) Elevate the leg and place a pressure dressing. D.) Continue pressure and transport rapidly.

A.) Apply a tourniquet to the affected leg.

A 25-year old is in respiratory distress after being stabbed in the chest. Blood is bubbling from a 2cm laceration to his left chest wall. Lung sounds are diminished on the left side. You should: A.) apply an occlusive dressing. B.) apply a pressure dressing. C.) assist ventilations. D.) administer high flow oxygen.

A.) Apply an occlusive dressing.

Your patient is bleeding profusely from the scalp. You should A.) Apply direct pressure with a sterile gauze. B.) Wrap the head tightly with a 4 x 4 dressing. C.) Apply a cold pack to prevent tissue swelling. D.) transport the patient in the shock position.

A.) Apply direct pressure with a sterile gauze.

A 23 year old male received burns to his feet while "stomping out" a campfire. The rubber and the shoelaces are melted together. What should you do? A.) Cut the shoe laces and remove the shoes B.) Apply a moist sterile dressing. C.) Place his shoes in a bucket of cold sterile water. D.) Obtain a set of baseline vitals and transport.

A.) Cut the shoe laces and remove the shoes.

A trauma patient has severe wounds oozing blood. After scene size up, you should A.) Ensure the patient has a clear airway. B.) Put on a long backboard. C.) Dress and bandage all wounds. D.) Call law enforcement.

A.) Ensure patient has a clear airway.

A 28-year-old male was fleeing from the police and sustained a shallow one-centimeter laceration to his forearm while climbing a rusted chain link fence. He is refusing transportation. What should your concern be? A.) Infection B.) Embolism C.) Crime scene preservation D.) Blood loss

A.) Infection

An altered 24-year-old male has been stabbed in the abdomen. The patient is sitting, holding abdominal contents, and complaining of dizziness. He does not want to be touched. Vital signs are BP70/40, P 120, R 20. You should A.) Lay him down and apply a moist dressing. B.) Apply direct pressure and recheck vital signs. C.) Apply a three-sided occlusive dressing. D.) Transport rapidly in the position found.

A.) Lay him down and apply a moist dressing.

A patient has chemical burns on her eye and is wearing contact lenses. A.) Remove her contact lenses and rinse her eyes with an irrigating solution. B.) Remove her contact lenses and cover them with gauze soaked in saline solution. C.) Leave contact lenses in and rinse the eyes with irrigating solution. D.) Leave contact lenses in and cover the eyes with gauze soaked in saline solution.

A.) Remove her contact lenses and rinse her eyes with an irrigating solution.

A four year old male has suffered an arm amputation during a farming accident. How should you manage the amputated limb? A.) Seal in a plastic bag and place in a container of cool water. B.) Place in a container full of ice. C.) Wrap the part in aluminum foil to maintain body temperature. D.) Apply dressing and seal tightly with plastic wrap.

A.) Seal in plastic bag and place in a container of cool water.

A 22-year-old male was ejected from his vehicle. He complains of "numbness and tingling in his extremities." What should you do? A.) Stabilize the cervical spine. B.) Assess for changes in the pupils. C.) Perform a detailed secondary assessment. D.) Obtain baseline vital signs.

A.) Stabilize the cervical spine.

A 28 year old man was the driver of a motorcycle that was traveling 45 mph when it struck a parked car. He was not wearing a helmet. The patient is lying supine with a copious amount of blood around his face. He is making gurgling sounds and breathing 4 times a minute. You should. A.) Suction the airway B.) control bleeding C.) apply a c-collar D.) Ventilate via bag-valve mask

A.) Suction the airway

An unresponsive 18 year old female was found in the supine position with bleeding in the mouth and from the nose. Respirations 20 per minute. What should you do? A.) Suction the oropharynx. B.) Administer high-flow oxygen. C.) Assist ventilations. D.) Insert and oral airway.

A.) Suction the oropharynx.

What is the most important factor when a person is struck in the chest with a baseball? A.) The speed of the ball at impact. B.) The angle of the ball at impact. C.) The size of the baseball. D.) The weight of the baseball.

A.) The speed of the ball at impact.

A patient has diminished breath sounds on one side. Chest rise is unequal. You should suspect A.) a pneumothorax. B.) flail chest. C.) pneumonia. D.) a rib fracture.

A.) a pneumothorax.

A man cut his wrist. It is bleeding very rapidly and spurting blood with each heartbeat. The patient most likely severed a/an A.) artery B.) vein C.) capillary D.) tendon

A.) artery

Proper management for an avulsion of the ear includes A.) bandaging in the correct anatomical position. B.) bandaging in the position found. C.) packing the wound with dressings. D.) icing the area to cool the part for reattachment.

A.) bandaging in the correct anatomical position.

A patient was stabbed in the chest, and the knife was removed prior to your arrival. You notice blood and bubbles leaking from the wound. You cannot find an occlusive dressing. You should A.) cover the wound with a plastic wrapper sealed on three sides. B.) apply a dry, sterile dressing and tape down on three sides. C.) apply continuous pressure to the wound with your gloved hand. D.) pack the wound with sterile gauze moistened with saline.

A.) cover the wound with a plastic wrapper sealed on three sides.

When treating an abdominal evisceration, you should: A.) cover with a moist sterile dressing. B.) apply an occlusive dressing. C.) irrigate the tissue to remove contaminants. D.) replace the abdominal contents.

A.) cover with a moist sterile dressing.

In chest wounds, the crackling sensation produced by air flowing into the surrounding tissues is called subcutaneous A.) emphysema. B.) bronchitis. C.) asphyxia. D.) pneumothorax

A.) emphysema.

A patient presents with jugular vein distention (JVD), muffled heart sounds, and clear breath sounds. You should suspect A.) pericardial tamponade. B.) tension pneuomothorax. C.) congestive heart failure. D.) myocardial infarction.

A.) pericardial tamponade.

An adult was pinned between two vehicles. He is conscious but confused and unable to follow commands. He has bruising on both sides of his anterior chest. He has a weak carotid pulse, no peripheral pulses, breath sounds in all fields, and distended neck veins. You should suspect A.) pericardial tamponade. B.) tension pneumothorax. C.) hemothorax. D.) a torn aorta.

A.) pericardial tamponade.

A patient received a severe steam burn to his hand and wrist. You should A.) remove his watch B.) Apply dry sterile dressing C.) Apply moist sterile dressing D.) Remove debris

A.) remove his watch

A man has a knife impaled at the fourth intercostal space, left sternal border. He is pulseless and not breathing. You should A.) remove the knife from the chest. B.) stabilize with a bulky dressing. C.) not attempt to perform compressions. D.) perform compressions with the knife in place.

A.) remove the knife from the chest.

A baseball player was hit by a baseball in the left eye and complains of double vision. You should A.) restrict spinal motion. B.) apply ice to the orbit. C.) perform a detailed exam. D.) assess pupillary response.

A.) restrict spinal motion.

After securing your trauma patient onto a long backboard, you should immediately assess A.) sensory, pulse, and motor function. B.) Level of pain using a "1 to 10" scale. C.) pupil size and vital signs. D.) the patient's comfort level.

A.) sensory, pulse, and motor function.

A patient has a 4-inch stick lodged in her eye. You should A.) stabilize the stick with gauze, place a paper cup over the affected eye, and dress the unaffected eye. B.) cover the unaffected eye and continuously irrigate the affected eye with saline during transport. C.) gently remove the stick and apply pressure to the affected eye with saline-moistened gauze. D.) place a paper cup over the affected eye and secure the cup in place by wrapping gauze around it.

A.) stabilize the stick with gauze, place a paper cup over the affected eye, and dress the unaffected eye.

Febrile seizures in children are most often the result of a/an Abrupt rise in body temp life threatening infection Temp greater than 100 Fahrenheit inflammatory process

Abrupt rise in body temp

A maternal condition that occurs when the placenta separates from the uterine wall and is a cause of pre birth bleeding is? Abruptio placenta uterine rupture placenta previa ectopic pregnancy

Abruptio placenta

Scald injuries to a child's lower extremity can be indicative of? Abuse radiant heat accidents chemicals

Abuse

Prescribed inhalers are helpful for patients with an obstructive pulmonary disease because they?

Activate Beta 2 receptors

a 57 year old female developed severe weakness and mild shortness of breath while shoveling snow. she is diaphoretic and complaining of nausea and jaw pain. you should suspect

Acute MI

A patient presents with a sudden onset of shortness of breath crackles, hypertension, and jugular distension. You Should suspect?

Acute Pulmonary Edema

a buildup of calcium and cholesterol from plaque inside blood vessels which would most likely cause ...

Acute coronary syndrome

2 days after a call you realize you forgot to document that you checked a pts blood glucose prior to him refusing trans and signing refusal form. You should? Add an addendum to report with correct info, current date and initials/ disregard the mistake since the pt was not transported to hospital and medical director knew about reading/ inform supervisor of error and let him know that it won't happen again/ complete now refusal and return to pt residence to have him resign

Add an addendum to report with correct info, current date and initials

23 yo F sudden onset of diff breathing while gardening. BP 90/ 60, P 144, R 26 and labored, wheezing in all lung fields. She has a prescribed epinephrine auto injector. What should you do? Admin o2 and contact medical control/ admin o2 via nasal cannula and reassess/ ask if she knows what insect stung her/ assist with metered dose inhaler

Admin o2 and contact medical control/

An 18-year-old male complains of shortness of breath. He has a history of asthma and self administered two doses of his prescribed metered dose inhaler with no relief. Vital signs are P104 R 22 SP02 91% what should you do?

Administer oxygen by non-rebreather mask

20 year old male complains of sudden onset shortness of breath. He is breathing at 24 times per minute and his pulse oximetry is 85% you should?

Administer oxygen via non-rebreather mask 15 lpm

While returning to lunch a women flags you down, she found a young child on the roadside who appears to be hit by a car she is not sure if the child is breathing. What should you do? Alert dispatch that you have been flagged for a possible emergency/ grab necessary equipment and have woman show you the locations/ have dispatch call for ALS backup and move to safety while waiting/ calmly explain that you are currently off duty and call 911

Alert dispatch that you have been flagged for a possible emergency

Elderly pt cut her hand, bleeding is controlled. She answers questions slowly and often pauses. Vitals are BP 110/80, 64, 14. What should you do? Allow adequate time unless condition worsens/ yes or no ?/ document altered mental/ direct questions to someone else

Allow adequate time

During CPR, why is the upstroke of compression so critical?

Allows blood to fill the heart chamber

First to arrive. Using START, you should identify pts who? Ambulatory/ deceased/ unresponsive/ breathing

Ambulatory

A 54 year old male complains of chest tightness after raking leaves for an hour. The pain subsided after he rested and took two nitroglycerin tablets. He has had very similar episodes in the past. He is most likely experiencing...

Angina Pectoris

An obese man complains of sever difficulty breathing. His skin is cool and moist and breathing 22 times per minute. He indicates he never goes to the doctor and often feels dizzy after walking. You should?

Apply a nonrebreather mask at 10 liters/min

An alert 32 year old female complains of difficulty breathing. She speaks in 2-3 word sentences and has oxygen saturation of 92%. What should you do?

Apply high flow oxygen. -She is alert and her respirations are still effective without the need for assisting ventilations. She only complains of shortness of breath, so applying high flow oxygen should be the first treatment.

BSI procedures? Are the responsibility of each individual/ only required when blood is visible/ are not required in the care of children/ does not include the wearing of a mask

Are the responsibility of each individua

When does scene size up start? En route to the call/ arrive on scene/ see the pt/ receive the call

Arrive on scene

An unresponsive trauma patient is gurgling. When you suction the oropharynx with a rigid catheter, the patient gags. You should?

Assess insertion depth of the catheter

A 42 year old male complains of shortness of breath after being sprayed with super-heated steam. He has burns to his face, neck and upper chest. Vital signs are BP 112/66, P 124, R 28 shallow and labored. What should you do?

Assist his ventilations He is in respiratory failure. His breathing is ineffective because his respirations are fast and shallow. Shallow respirations do not allow for adequate oxygen exchange because the air is not drawn down far enough into the lungs. Assisting his breathing with positive pressure ventilations will help reduce any pulmonary edemy from the lower airway burns.

With pediatric patient, your assessment should begin? At first sight after you intro yourself after parents consent at first contact

At first sight

After assess you determine pt is dead. Police suspect foul play. What should you do? Avoid disturbing the scene/ leave area immediately/ document time of death/ take pics for documentation

Avoid disturbing the scene

21. a 28 yo pt is outside at a concert and appears confused. he is unable to answer your questions. you should a. assess his level of intoxication and look for illicit drug use b. administer oral glucose and then reevaluate the pt c. look for a medical identification necklace or bracelet d. call medical direction for a consultation on treatment

c. look for a medical identification necklace or bracelet

6. a pt. was cleaning a bathroom when he came out gagging and coughing. his eyes are red and watering and he is complaining of dyspnea. you should a. locate the cleaning supplies used by the pt b. flush the pt's eyes with a saline solution c. move the pt. to a well ventilated area d. call dispatch for a hazardous materials team

c. move the pt to a well ventilated area

26. 78 yo M alzheimers pt has bruising on his back, neck, and stomach. when you ask the pt what happened, his caregiver insists "he fell getting out of bed" what should you do a. ask on of the family members to ride in the back with him b. ask the caregiver why the pt required restraint c. immediately notify law enforcement to take a report d. move him into the ambulance so you can talk to him alone

c. notify law enforcement to take a report

15. where would you expect to find pain in a pt with suspected appendicitis a. LUQ b. LLQ c. RLQ d. RUQ

c. right lower quadrant

School bus crashed into tree. 15 children are unharmed, 10 have abrasions and minor lacerations, and 2 children are unconscious. What should you do? Relocate unharmed children to safe location/ contact the school/ call for additional ambulance/ question bus driver about crash

call for additional ambulance

Neonatal 2 week old female is dyspneic and lethargic to respond. Vitals are P 58, R 4 and irregular. What should you be concerned about? Altered mental status cerebral hypoxia respiratory acidosis cardiac arrest

cardiac arrest

A 40 year old patient with a history of coronary artery disease and recent mastectomy is complaining of chest discomfort. Vital signs are P 120, R 22,, BP 80/54. you should suspect

cardiogenic shock

a 36 year old female with a history of congenital heart defects is slow to respond. she has pale, cool, ad clammy skin. vital signs are BP 68/30 P128, R26 what should you suspect?

cardiogenic shock

a 38 year old female with a history of congenital heart defects is slow to respond. she has pale, cool, and clammy skin. vital signs are BP 68/30, P128. R26. what should you suspect?

cardiogenic shock

if the heart lacks enough power to pump the proper volume of blood through the circulatory system, it is known as

cardiogenic shock

7 year old presents with a pencil in his left cheek, you should? Remove the pencil stabilize the pencil check for airway patency control bleeding

check for airway patency

5 year old is actively seizing, his respirations are slow and skin is pale. His parents say he had seized several times in the last 15 minutes without waking up. You should suspect that the? Seizure is about to end and you should wait to treat him child will become postictal and will regain consciousness child is in status epilepticus and medication is required child is in diabetic ketoacidosis and medication is required

child is in status epilepticus and medication is required

a 49 year old male with a history of heart problems complains of chest pressure and shortness of breath, you should assist him in taking his prescribed nitroglycerin if he ...

complains of a headache and has a bp of 132/90

an 80 year old male presents with shortness of breath, fatigue, peripheral edema, and jugular vein distention. breath sounds reveal crackles and rhonchi. the most likely cause is

congestive heart failure

you just arrived at the scene of a 75 year old male with generalized weakness and chest pain. he has not taken his prescribed medications. nitro, aspirin, and atenolol. you should

contact medical control to assist the patient with his nitroglycerin

CPR has been ongoing for ten minutes on a patient in cardiac arrest. An AED has just been applied and is ready to analyze. you should

continue CPR until a shock is advised

an adult patient is in cardiac arrest with bystander CPR in process; what should you do?

continue CPR while your partner attaches the AED

What is the proper way to size an OPA for a child? Tip of the nose to the corner of the mouth corner of mouth to the angle of the mandible the length of the index finger of the child middle of the mouth to the ear lobe

corner of mouth to the angle of the mandible

The vessels that supply the myocardium are called the

coronary arteries

A patient complains of chest pain radiating to both of his shoulders after dinner. he is pale, diaphoretic and slightly short of breath. vital signs are BP 150/90, P 120, and irregular. you should suspect

costochondritis

Where is Sellick's Maneuver applied?

cricoid cartilage Sellicks maneuver is also called cricoid pressure. It inhibits gas entering the stomach during assisted ventilations.

2 year old is restless, irritable, and febrile with a distinct cough. The parent states that the child is calmer in a steam shower. You should suspect? Influenza bronchitis croup epiglottis

croup

24. your first priority whe. dealing with a pt who is exhibiting behavior issues is to a. call local law enforcement for backup b. find out what medications the pt is on c. determine what mental problem the pt has d. ensure the safety of yourself and your partner

d. ensure the safety of yourself and your partner

12. 72 yo male has weak hand grips, blurred vision, and is unable to tell you the day of the week. he is a type 2 diabetic. what should you do a. assess additional motor functions b. administer oral glucose c. check his pupils for reactiveness d. evaluate for for facial droop

d. evaluate for facial droop

2. When assessing the patient for arm drift, you should ask the patient to a. grab your fingers and squeeze b. slowly raise their arms to shoulder height c. hold their arms out, looking at their fingers d. hold their arms out palms up, eyes closed

d. hold their arms out palms up, eyes closed

13. which of the following meds helps the body transport sugar into the cells a. oral glucose b. diabinese c. orinase d. insulin

d. insulin

14. an unconscious patient has one pupil that is significantly larger than the other and not reactive to light. the most likely cause is a. glaucoma b. hypoglycemia c. drug overdose d. stroke

d. stroke

aspirin is administered to patients with pain because it...

decreases the ability of platelets to form clots

EMR have been performing effective CPR on a patient in cardiac arrest. Upon your arrive then AED indicated "shock advised" what should you do?

defibrillate the patient

the pulmonary artery carries

deoxygenated blood away from the heart

when do the coronary arteries fill with blood?

diastole

A 34-year-old male says he's choking. You note Stridor and hoarseness in his voice what should you do?

encourage him to cough

A child is postictal. You should? Note length of seizure administer blow by o2 ensure open airway protect patient from injury

ensure open airway

Which statement indicates that the patient is suffering from a CHF rather than Pneumonia?

feels like I'm drowning when I sleep

a 44 year old female awakened with shortness of breath complaining of indigestion, epigastric pressure. Antacids didn't help. you should suspect

gastroesophageal reflux disease

10 year old patient was injured while skating, upon assessment you note a visible deformity of the forearm. The fingers are pale and cool without a palpable pulse. You should apply? A rigid splint gentle manual traction a cold pack and rapid transport significant traction until pulse returns

gentle manual traction

The period of time during which intrauterine fetal development occurs is called? Gravidity gestation parity primi gravity

gestation

A conscious child has a significant airway obstruction due to an illness. You should? Insert OPA examine the upper airway for white spots place the child in a supine position give o2 and transport immediately

give o2 and transport immediately

During assessment of a crying infant, you discover a sunken fontanelle. Your next question should be? Birth defects fallen recently how many wet diapers has the baby produced

how many wet diapers has the baby produced

a sudden severe increase in blood pressure is called

hypertensive crisis

A 2 year old female is lethargic to respond. She has dry mucous membranes and a tearless cry. What should you suspect? Hypoxia hypoglycemia hypovolemia hypothermia Dehydration

hypovolemia

The most important component of the scene size up is Identifying airway threats / identifying any potential hazards / determining the number of patients / assessing the MOI

identifying any potential hazards

a 54 year old female suddenly becomes pulseless and apneic. What should you do?

immediately start chest compressions

you observe an older male slump to the floor he is pulseless what should you do

immediately start chest compressions

Placenta previa occurs when the placenta.. Separates from the uterus is abnormally positioned separates from umbilical cord disrupted

is abnormally positioned

what is the primary action of nitroglycerin

it dilates coronary arteries

What part of the respiratory system contains the vocal chords?

larynx This structure is directly above the trachea the vocal cords are located here it is also known as the voice box

after blood has been oxygenated, it returns to the heart by entering the

left atrium

a 60 year old patient is short of breath and cyanotic. lung sounds reveal crackles and yo not accessory muscle use. you should suspect?

left sided heart failure

After a call, you are frustrated, you write in report patient was "nuts" and "something seriously wrong with him" you could be found guilty of Slander / libel / vilification / perjury

libel

Which of the following indicates decompensated shock in a pediatric patient? Shallow breathing rapid heart rate pale cool and diaphoretic loss of consciousness

loss of consciousness

Which may indicate that a fetus was in distress before delivery? Presence of a greenish material in the amniotic fluid meconium

meconium

during CPR which of the following is most important?

minimal interruptions to chest compressions

a 69 year old male is lying in his bed and complains of chest pain. during your assessment he becomes

move him onto a hard surface

A 14 year old female Is short of breath. She has a history of cystic fibrosis. Lung sounds reveal coarse rhonchi. What is the most likely cause of her condition?

mucous secretions

a 65 year old man complains of weakness and indigestion that began this morning. vital signs are 150/90/ p116, r24 you should suspect?

myocardial infarction

a 76 year old female is sitting in a tripod position complaining of abdominal discomfort, nausea, dizziness, and fatigue. she has taken 2 nitroglycerin tablets with relief. you should suspect

myocardial infarction

an oriented 78 year old female with pale, moist skin is complaining of indigestion. vital signs are BP 180/90 P 116 and irregular R 24 and regular. you should suspect

myocardial infarction

what is the muscular middle layer of the heart?

myocardium

What is directly posterior to the nose?

nasopharynx The nasopharynx connects the opening of the nostrils to the soft palate? Which is located at the back of the mouth. This passage is designed to warm up and held air in filter out fine particulate matter.

Within two minutes of assisting your patient with his third nitroglycerin tablet, he complains of dizziness and becomes sweaty. Radial pulses are present, rapid, and weak. You should suspect that the

nitrogylcerin caused vasodilation and decreased perfusion

2 year old patient has a respiratory rate of 30 breaths per minute. This is considered? Too fast inadequate normal too slow

normal

A pulseless, apneic infant has rigor mortis. The infant is still dressed in sleepwear you should Tell the mom there is nothing you can do and offer to call the funeral home / perform CPR and transport the hospital staff will be better able to inform the mother of her loss / offer the mother time alone with the infant while you contact the appropriate agencies / question the mom about medical history and age of the infant to rule out SID's

offer the mother time alone with the infant while you contact the appropriate agencies

what best describes PEA

organized electrical activity without a pulse

a child is in cardiac arrest with an unknown down time. what should you do?

perform CPR while attaching an AED

A 4 year old male is sitting upright and drooling. He has swallowed a marble that is completely blocking his airway. What should you do? Start chest compressions perform abdominal thrusts provide back blows suction the airway

perform abdominal thrusts

You are treating a 3 month old, apneic patient with a pulse of 110. In preparing to ventilate this infant, you should? Institute 2 min of CPR and then ventilate place a small towel under their shoulders open the airway with an OPA and bag every 6 seconds attach the AED and wait instructions

place a small towel under their shoulders

A patient is in labor and has a strong urge to push. The baby's head is not yet visible, but the umbilical cord is protruding, you should? Clamp the cord in 2 places and cut between them place her in knee-chest position and transport cover the cord with a dry sterile dressing encourage her to bear down and push

place her in knee-chest position and transport

3 year old child involved in a motor vehicle collision needs to be secured on an adult backboard. You should? Secure the feet first, then the torso secure the head first, then the torso place padding under the child's head place padding under the child's torso

place padding under the child's torso

A woman is 36 weeks pregnant and complaining of painless vaginal bleeding. The most likely cause is? Abruptio placenta placenta previa spontaneous abortion bloody show

placenta previa

24 year old woman presents with vaginal bleeding following sexual assault, controlling bleeding would best be done by Packing a vaginal canal with gauze apply direct pressure placing a dressing @ the vaginal opening bending the patient's legs upward

placing a dressing @ the vaginal opening

Which of the following can be present with a sudden onset of difficult breathing and diminished breath sounds

pneumothorax

while performing chest compressions, you should

position your shoulders over your hands

32 week pregnant female complaining of facial swelling, headache, vomiting, and experiencing visual disturbances last 12 hours. You should suspect? Gestational diabetes eclampsia severe migraine pre eclampsia

pre eclampsia

what action does aspirin have in the body that makes it beneficial for patients experiencing AMI?

preventing platelets from clotting

20 year old female is pregnant for the first time with twins. What is she considered? Gravida I| Gravidarum primigravida

primigravida

which of the following is a sign or symptom of cardiogenic shock

progressive hypotension

which of the following is a sign or symptom of cardiogenic shock?

progressive hypotension

A dying pt has signed a DNR, you should? Contact medical control before providing care/ clear the scene once the order has been verified/ treat the pt since the DNR orders only apply to hospital care/ provide emotional support to the pt and fam members

provide emotional support to the pt and fam members

Pt trapped in vehicle upside down and showing signs of hypoperfusion. You can only access left arm and head. Medical treatment should begin after? Scene safety/ get pt GCS/ rapid trauma survey/ pt is freed from vehicle

pt is freed from vehicle scene safety?

a 48 year old patient complains of difficulty breathing. patients history reveals an acute myocardial infarction eight months ago, vital signs are BP 144/88 P 110 R 24 Auscultation reveals crackles in the lung bases you should suspect

pulmonary edema

Shortly after delivery, a mother experiences dyspnea and becomes hypotensive. No excessive bleeding is noted and the uterus seems firm. You should suspect? Abruptio placenta pulmonary embolism post delivery trauma uterine rupture

pulmonary embolism

13 month old lying supine in crib, crying. Fever of 104.5, rash on body and some spots are purple. You should? Transport put on surgical mask open airway apply high-flow oxygen

put on surgical mask

you have just defibrillated a patient who now has a pulse and effective respirations. in which positions should you place him?

recovery

A 20 year old female feels faint and has severe pain between her shoulder blades. Her skin is cool and clammy. Vital signs are BP 82/48, P 134, R 22, and SPO2 92%. What should you suspect? Sexual transmitted infection spontaneous abortion pelvic inflammatory disease rupture ectopic pregnancy

rupture ectopic pregnancy

A pale 2 year old male turns his face away and hides when you approach. Vital signs are P 150 R 32 with audible wheezing what should you be most concerned about? Heart rate skin color respiratory rate breath sounds

skin color

a cardiac arrest patient has been "down" for six minutes without any care what should you do?

start chest compressions

Nitroglycerin is a medication which is typically administered

sublingually

A 64-year-old woman with a complete laryngectomy is in respiratory arrest you should?

suction the stoma completely

a 62 year old male complains of chest pain and tightness. vital signs are BP 88/56 P 126 R18 what is the best position for this patient

supine

Pt dead when you arrive. Rigor mortis already set in. you should? Direct fam to contact coroner and leave scene/ *tell bad news and emotional supp/ pt dead nothing you can do/ fam sign refusal and clear scene

tell bad news and emotional supp

Which of the following conditions is most likely to cause decreased compliance while ventilating via bag valve mask?

tension pneumothorax

33 year old female was in a motor vehicle collision. She is 36 weeks pregnant. First responders have removed the patient from the vehicle and immobilized her and they cannot obtain a blood pressure. You should? Load and go to the nearest trauma center tilt the backboard to the left immediately loosen the backboard straps as soon as possible apply oxygen and call for helicopter transport

tilt the backboard to the left immediately

2 yo F with flu like symptoms. She is in care of a babysitter and her parents can't be reached by phone. What should you do? Treat and release with babysitters consent/ contact law enforcement for temporary custody/ stay on scene until parents can be contacted/ *trans under implied consent

trans under implied consent

A 3 year old drank some drain cleaner. It would be most helpful to? Administer activated charcoal transport immediately administer glucagon induce vomiting

transport immediately

a 64 year old patient states "i feel like i am about to die" Nitroglycerin and oxygen have not decreased her chest pain. vital signs are BP 90/60 P60 R24 you should

transport immediately

a 48 year old male complains of 8/10 crushing chest pain that radiates to his neck. Vital signs are BP 112/78 P 60 R 18 the patients daily medication include metoprolol, clalis, and aspirin, what should you do

transport rapidly in a position of comfort to the closest facility

what valve controls blood flow between the left atrium and the left ventricle

tricuspid

A patient who collapsed has been revived following one shock with an AED. she is now moaning and breathing on her own. What should you do?

turn her to her side and monitor her airway

When ventilating a patient with a bag valve mask device you should?

use two rescuers whenever possible

You are assisting a vaginal delivery and the mom is crowning. The infant's head suddenly disappears and the mother begins to complain of sharp, intense, constant abdominal pain. You should suspect? Placenta previa multiple births uterine rupture transition to phase III of delivery

uterine rupture

blood enters the right atrium from the...

vena cava

the systolic blood pressure measures pressure during which of the following?

ventricular contraction

which electrical cardiac disturbance will an AED shock

ventricular fibrillation

after an AED has analyzed a patient, the machine states "shock advised" the most likely cause is

ventricular tachycardia

When inserting an OPA in a child you should? Hold the tongue in position Use tongue depressor

Hold the tongue in position

58 yo heavy chest pressure. Ask you what is cause. You should? Hospital staff will explain/ heart not getting enough O2/ acute MI/ can't explain bc HIPAA

Hospital staff will explain

Signs or symptoms of a pre delivery emergency? Hypertension Back pain crowning gush of amniotic fluid

Hypertension

Which signs and symptoms most suggest pre eclampsia? Hypertension and excessive water retention inability to sleep supine and acid reflux hypoglycemia and swollen extremities polyuria and postural hypotension

Hypertension and excessive water retention

35 week pregnant woman. Following scenarios most life threatening? Hypertension and experiencing visual disturbances fever and pain on urination sharp lower abdominal pains contracts with mucous discharge

Hypertension and experiencing visual disturbances

MCI, pt asks for help. Disoriented and R 32. According to START, you should?

Immediate

START, open airway, he begins breathing and is unresponsive. This pt should be classified?

Immediate

Triage upon opening airway he is breathing and unresponsive? Immediate/ deceased/ delayed/ minor

Immediate

A 14 year old jumped off a 4 foot wall, landing on her feet. She is complaining of tingling below waist, lower back pain, and cramping in both feet. Vital signs are BP 106/74, P 112, and R 20. You should Immobilize to a long spine board Transport in a position of comfort Apply bilateral soft splints to lower extremities Coach her to slow her breathing

Immobilize to a long spine board

6 yo child fell at the park. No adult around. Type of consent? Implied/ legal/ expressed/ pediatric

Implied

A semi-conscious 34 year old male begins to gag after insertion of an OPA

Insert an NPA

The use of accessory muscles and nasal flaring are signs of what type of breathing?

Labored The use of accessory muscles is a sign of respiratory distress or failure. Nasal flaring is the body's response in effort to increase the size of the airway and attempt to draw in more air with each breath. Expect to initially see an increased respiratory rate and heart rate with labored breathing. As the patient begins to tire, the respiratory rate and quality will begin to decrease, which worsens the problem.

Pt shot in head no signs of life. Brain matter on floor. You should? Cover pt and contact coroner/ leave scene untouched and contact PD/ resus measures and tran/ permit fam to view and emotional support

Leave scene untouched and contact PD

A 60 year old patient is short of breath and cyanotic. Lung sounds reveal crackles and you note accessory muscle use. You should suspect...

Left Sided Heart Failure

A 37 year old female in the later stages of pregnancy has been experiencing abdominal pain and vomiting for the last two days. She responds to verbal stimulus. Vital signs are BP 100/70, P 116 R 24, skin cool and dry, How should you position her? In Fowler's position on the stretcher Semi Fowlers with knees bent Left lateral recumbent with knees bent Supine with a pillow under her knees

Left lateral recumbent with knees bent

Defamation in writing

Libel

A 2 year old child presents with a fever, lethargy, and screaming upon neck flexion. You should suspect? Meningitis Influenza febrile seizure ear infection

Meningitis

The cessation of menses with associated decrease of estrogen secretion is called? Menopause menarche myometrium mitted schmerz

Menopause

A 4 year old patient has sustained blunt trauma to the chest. Based on the MOI you should suspect Good chest rise with no diaphragmatic breathing Minimal external signs with serious internal injury Multi rib fractures due to fragile bone structure Dark ecchymosis around the umbilical area

Minimal external signs with serious internal injury

Which sequence correctly traces the path oxygen takes from the atmosphere to the lungs?

Mouth, Pharynx, trachea, bronchi, alveoli.

MCI, how should report info to trans ambulance? Neuro status and vitals/ medical and SAMPLE/ pt's hospital pref/ MOI and who was at fault

Neural status and vitals

When using PCR for research or quality assurance. What should you delete? Pt's name/ emt's name/ response times/ treatments rendered

PTS name

A 6 year old is shy and withdrawn. He has multiple contusions in various stages of healing. His mother states "he fell on the playground." What should you suspect? Sexual abuse Emotional abuse Neglect Physical abuse

Physical abuse

To relieve pressure on the vena cava when transporting a pregnant patient, you should? Place on left side place in recovery raise the patient's legs place in semi fowler's

Place on left side

You need to access unconscious patient inside vehicle via rear passenger window? Place spring loaded window punch to the corner of window/ take axe and work around edges/ hydraulic cutting tool to remove rear door/ use a halligan tool to pull off window

Place spring loaded window punch to the corner of window

A 67 year old male has significant shortness of breath, chest pain and nausea. He is clammy. Vitals are BP is 90/60, P 148, R 34. You should

Place the patient in the supine position

Painless bright red vaginal bleeding late in the third trimester. You should suspect? Placenta previa abruptio placentae ectopic pregnancy spontaneous abortion

Placenta previa

A 42 year old asthmatic patient complains of chest pain, shortness of breath and a violent cough that produces brownish sputum. What is the most likely cause?

Pneumonia

A febrile 2 year old male in respiratory distress with crackles in the lower left lung field. You should suspect?

Pneumonia

An 89 year old patient complains of difficulty breathing and a productive cough that has gotten worse over the past 12 hours. You should suspect?

Pneumonia

A febrile 44 year old male complains of shortness of breath and has dull chest pain. He has been coughing up "rusty" sputum for the last three days. What is the most likely cause?

Pneumonia Pneumonia is an infection of the lung tissue and the "rusty" sputum (spit) is a sign of lower airway infection. He is febrile (fever) from an immune response to the infection, and the "dull" chest pain is a common symptom at the location of the infection.

14 yo shooting victim is pulseless and apneic. Pupils are fixed and lividity is present. What should you do? Protect against scene intrusion/ CPR/ search for pt identification/ search for other victims

Protect against scene intrusion

Pt with leukemia and obviously near death. A valid DNR is present. You should: Provide o2 and any other supportive care/ ask family if they are sure about DNR order/ attempt resuscitation if pt appears to be viable/ clear scene and explain nothing can be done

Provide o2 and any other supportive care

You have assisted a mother in delivering a premature newborn. Assessment after 5 minutes shows newborn has central cyanosis and heart rate of 90. What should you do? Begin chest compressions Continue to dry and warm the newborn Administer oxygen via blow-by Provide ventilatory assistance

Provide ventilatory assistance

10. to assess a possible stroke pt for abnormal speech, you should a. ask the pt to repeat a common phrase b. write questions for the pt to read c. ask family if the pt's speech has been normal d. ask the pt to smile and abserve for symmetry

a. ask the pt to repeat a common phrase

16. when assessing a pt for facial droop, you should a. ask pt to smile or show you his teeth b. ask pt to close their eyes and hold their arms out c. palpate the face or cheek bones one side at a time d. carefully observe the pts face

a. ask pt to smile or show his teeth

When approaching unsafe scene, you should: Park ambulance so that you can easily make a quick retreat/ wear Kevlar vest to reduce threat of gunshot wound or stabbing/ leave on lights and sirens to scare off perpetrators/ stand clear view so that you can be identified as medical personal

Park ambulance so that you can easily make a quick retreat

In which group of patients are you likely to encounter "see-saw" breathing?

Pediatrics

Nausea, vomiting, vaginal discharge, irregular periods and abdominal pain are signs and symptoms of? Pelvic inflammatory disease ruptured ectopic pregnancy endometriosis cystitis

Pelvic inflammatory disease

A 19-year-old female began choking after eating a hot dog. When you first arrived on scene, she was coughing and drooling.Now, she is drowsy, slow to respond, and unable to cough. You should?

Perform abdominal thrusts

Which pt would benefit most from a helicopter transport: 30 yo male pulseless and apneic with history of asthma/ *15 yo F in a motor vehicle crash victim still trapped bp 78 over 42/ 28 year old F in labor crowning; hospital 45 minutes away/ 38 year old male burn pt with first degree burns to 55% of body

15 yo F in a motor vehicle crash victim still trapped bp 78 over 42

Suspect a chemical of mass destruction? 75 people become sick with sudden onset of vomiting and diarrhea at parade/ you smell an unfamiliar bitter odor at scene of multi vehicle collision/ 20 ppl complain of abdominal cramping at triathlon/ 100 people evacuated with nausea from office building with a new furnace

75 people become sick with sudden onset of vomiting and diarrhea at parade

What is the amount of air that normally reaches the alveoli in an adult?

350 mL The average adult ventilation is 500 mL, but there is an area of dead space that traps 150 mL of air. 350 mL effectively reaches the alveoli for oxygen and carbon dioxide exchange.

In centimeters what is the correct depth of chest compressions for a 7 year old child? 1.5 6 5 2

5

How many lobes are in the lungs?

5 3 on the right and two on the left.

How often should you ventilate a patient who is apneic and has a pulse?

5-6

Following a motor vehicle collision, which pt requires emergency moves? 50 yo who cannot be assessed in position found/ 53 yo with severe neck pain/ 24 yo with numbness in extremities/ 64 yo with previous back injuries

50 yo who cannot be assessed in position found

Initiate CPR on infant if heart rate is less than?

60

19. a patient has a headache. how should you positon him on the cot a. supine b. semi-fowlers c. 90 degree fowler d. trendelenberg

*90 degree fowler

18.you are assessing an unresponsive medical patient. what should be your primary focus a. chief complaint b. skin condition c. history of present illness d. list of medications

*a. chief complaint

11.a pt was stung by a bee. you should a. soak the affected area in sterile saline b. flush with copious amounts of water c. apply ice cold compress to the affected area d. elevate the affected part above above the heart

*c. apply ice cold compress to the affected area

3. 68 yo patient reports abdominal pain, vomiting and a loss of appetite, as well as black, tarry stools. you should suspect a. upper gi bleed b. fecal impaction c. lower gi bleed d. an ulcer disease

*c. lower gi blood

16 asthmatic female is in tripod position complains of increased shortness of breath. SPO2 is 79% you should administer oxygen at

10 lpm via nonrebreather

A 16 year old asthmatic female in a tripod position complains of increased shortness of breath. SpO2 is 79%. You should administer oxygen at?

10 lpm via nonrebreather mask

Which patient would be classified as "immediate" during and MCI?

8 year old female with no respirations after 5 positive pressure ventilations.

You have inserted an OPA for a 21 year old apneic male. How many times per minute should you ventilate him with a BVM?

10 to 12

Pt cond should be corrected during Pri survey? 12 yo dyspnea from allergic reaction/ 28 yo rapid pulse stung by several bees/ 22 yo ab pain baseball bat/ 45 yo mod chest pain, no palp BP

12 yo dyspnea from allergic reaction

at what rate should single rescue CPR be performed for a 17 year old female

120 compressions/minute

chronic hypertension in adults typically begins at a pressure of higher than

140/90

When ventilating patient with BVM, what is the appropriate oxygen flow rate?

15 liters/min

What is the name of the passageway shared by the digestive tract and the respiratory systems for air and food?

Pharynx The pharynx is also known as the throat. The nasal cavity and a mouth share this passage way. Air moves down the larynx and food travels into the esophagus.

A cord is wrapped around a baby's neck during childbirth. This is called Neck cord Nuchal cord Circumferential cord Prolapsed cord

Nuchal cord

What is the most common location for an airway obstruction

Pharynx This passage way is shared by air and food so it is a common site for a partial or complete obstruction, which could be food or a flaccid tongue

What nerve primarily controls respiration?

Phrenic

How should you insert a nasopharyngeal airway?

First step is to face the bevel towards the septum. Apply a water soluble lubricant, do not use an oil based lubricant.

Alert & oriented 4 year old patient has possible head injury from a fall. Vitals are P 120, R 18. How should you transport? Fully immobilize with towel under his scapulae fully immobilize in Trendelenburg position secure child's safety seat to the stretcher allow the patient to sit on his mother's lap

Fully immobilize with towel under his scapulae

Normal response for a healthy 9 month old infant. Gaze follows parents pays no attention to you when entering ribs clearly visible upon inspiration extremities feel cool to the touch

Gaze follows parents

Upon entering home elderly called 911 for chest pain you should? Gen impress/ check BP/ collect meds/ load and go

Gen impression

Honor DNR when? Given appropriate paperwork/ fam requests/ confirm with physician/ pt's cond is irreversible

Given appropriate paperwork

You need pts agreement in order to share treatment info when you are? Giving condition info to pts roommate/ speaking to reporting agency about victim of elder abuse/ providing info to hospital for treatment purposes/ notifying family member of pt location

Giving condition info to pts roommate/

Trauma pt with history of hepatitis. You should wear gloves and? Goggle and mask/ n95 mask and level b suit/ gown and mask/ n95 and Tyvek suit

Goggle and mask

What is directly posterior to the mouth?

Oropharynx

Proper technique to suction patient's airway includes?

Oxygenating and ventilating before and after suctioning.

Most effective way to stop spread of infectious diseases? Gloves all pts/ good hand washing/ avoid bodily fluids/ face shield all calls

Good hand washing

One sign of respiratory distress in a neonate? Grunting increased activity barrel chest tachycardia

Grunting

20 year old female unable to cath breath after minor car crash, numbness and tingling to hands and face. Vitals are P 118, R 24. What should you do?

High flow oxygen with a nonrebreather mask

Verbal consent to treatment is called? Expressed/ implied/ defined/ legalized

Expressed

Pt coughing up bright red blood every time he yells or coughs and is spitting up secretions. What should you wear? Face shield/ goggles/ protective gown/ HEPA mask

Face shield

20. 50 yo male who recently completed renal dialysis is bleeding profusely from his shunt. how should you classify this bleeding a. a life threatening problem that requires immediate surgical intervention b. arterial and possibly serious c. normal after dialysis if it does not last more than 10 mins d. venous and non life threatening

a. a life threatening problem that requires immediate surgical intervention

4. You are called to an outdoor garden center on a hot, humid day. Your patient is pale, wheezing, and has hives. you should suspect a. mild heat stroke b. spider bite c. bee sting d. heat exhaustion

c. bee sting

7. 38 yo pt. has a history of hypothyroidism. she is hypertensive, tachycardic, and hyperthermic. you find an empty bottle of synthroid nearby. You should a. provide syrup of ipecac until the pt. vomits. b. give up to 3 doses of activated charcoal c. contact the poison center or medical command. d. call the doctor that prescribed the medicine

c. contact the poison center or medical command.

9. a worker at a fertilizer plant has spilled lye all over his upper body. you should a. scrub with soap and copious amounts of water b. neutralize the substance c. flush with a large amount of water d. brush the powder off the pt

d. brush the powder off the pt.