State practice exam

When CPR is being performed on a child, the rate compression is:

100 a min

The rate and ratio to be used when performing single rescuer CPR on an infant is:

100 compressions per minute, 30 compression to 2 ventilations.

Approximately how many liters of blood does an adult male weighing 150 lb have in his body:

6 liters

To help a person who is having breathing difficulty, the EMS provider should:

Administer oxygen.

Which of the following BEST described an evisceratoin?

Bowel loops protruding through the abdomen

The exchange of oxygen and nutrients from blood cells to tissue cells takes place in the:

Capillaries

Which of the following is found in arterial blood and normally stimulates a healthy person's respiration?

Carbon dioxide

During a delivery, if the umbilical cord is wrapped around the infants neck and you CANNOT slip it free. You should:

Clamp the cord immediately and cut between the clamps.

Which of the following sign would NOT be expected if a patient who is in shock due to hypo-perfusion?

Constricted pupils

Which one of the following modes has the HIGHEST PROBABILITY of causing transition of HIV?

Contact between the bodily fluids of an HIV infected person and the open wound of another

When you take the pulse of a patient, you are really:

Counting the pressure waves of blood that the heart sends through an artery.

You are the first EMS provider to arrive at the scene of an automobile crash where you find an unstable vehicle overturned to its side. You should FIRST:

Determine the number of victims

A patient with a clavicle injury may TYPICALLY exhibit which of the following:

Dropped shoulder

Which of the following vital signs indicate the development of increase pressure within the skull following head trauma?

Elevated systolic blood pressure, decrease pulse rate.

Cool dry skin is MOST LIKELY an indicator of:

Exposure to cold

To extricate from an automobile a patient with a suspected cervical spine injury, which of the following mechanism aid should be employed FIRST?

Extrication collar

Which one of the following anatomical structure is located in the right upper quadrant?

Gallbladder

Which one of the following is the correct method for maintaining of the airway of a patient with a suspected skull injury (fracture)?

Head tilt and jaw thrust maneuver used together

A pneumothorax interfere not only with respiration, but may also interfere with the function of the:

Heart

Which one of the following factors is common to all hypo-perfusion(shock)?

Inadequate cell perfusion

The MOST SERIOUS problem associated with an injury to a joint is that this type of injury:

Is frequently accompanied by serve and vascular damage.

Which of the following organs is MOST SUSCEPTIBLE to damage if you place your hand on the xiphoid process during chest compressions?

Liver

A 10 month old infant is having a seizure (convulsion). The parents tell you that the infant has not been well for the past 2 days and is warm to the touch. Which of the following is the appropriate IMMEDIATE action?

Maintain the airway and prevent injury

When examining a patient at the scene of an accident, you should check for injuries to an extremity by doing all of the following EXCEPT:

Manipulating the extremity for abnormal motion.

When you are observing paradoxical motion, the flail chest section will be seen to:

Move in the opposite direction from the rest of the chest cage as the patient breaths in and out.

Which of the following instruction applies to the performance of mask to stoma ventilation on a person who's had a COMPLETE laryngectomy?

Neither the nose nor the mouth must be sealed of.

An accident victim exhibits noisy breathing that resembles the sound of snoring. what is the probable cause of this sound?

Partial airway obstruction by the tongue

All of the following are criteria for effective chest compression in an adult EXCEPT:

Pause chest compression to check the pulse each time.

In most cases, patient with cardiac related chest pain complain of:

Pressure or heaviness that does not vary with breathing.

According to the NYS Vehicle and traffic LAW, both emergency light and siren MUST be used whenever an ambulance:

Proceeds through a red light with due cation

Which artery is the MOST DIFFICULT to palpate when you are taking the pulse of patient who is in hypo-perfusion (shock)?

Radial pulse

Which of the following group of signs and symptoms indicates that a patient is in hypo-perfusion (shock)?

Rapid weak pulse, perspiration, pallor, shallow breathing

A correct statement about skeletal muscle is that they:

Relax quickly and they are voluntary.

You have inserted an oropharyngeal airway into the mouth of an unconscious victim who by having a gag reflex. You should:

Remove the airway

You are treating a 47-year-old male who was struck by a car. He complaints of severe pain upon palpation of his pelvis. He is alert and complains of nausea . Vital signs are: BP:86/60, P:120 R::24. his skin is diaphoretic. For this patient, the MUST:

Should be applied and all compartments inflated

The FIRST objective in the care of any burns is to:

Stop the burning process.

A patient is found with severe angulation and deformity of both bones of the forearm. The injury does NOT involve the joint, and no radial pulse is present. The injury should be

Straightened by applying gentle traction.

You are suctioning a trauma patient who has large blood clots present in the mouth. You should:

Sweep the clots out of the mouth before suctioning.

which of the following is BEST indicator of immediate childbirth?

The mother's feeling of having to move her bowel.

With regard to the administration of oxygen to a patient with chronic obstructive pulmonary disease, which one of the following statement is correct?

The oxygen could depress the stimulus to breath, but it should be administered if indicated.

which of the following statement regarding management of pelvic injuries is correct?

The patient should be immobilized on a backboard.

When a patient is being secured to a spinal immobilization device, which part should be secured FIRST?

Torso

From which direction should you approach an airborne contamination incident?

Upwind from the incident

Systolic blood pressure indicates the pressure when the:

Ventricles are contracting

What is the recommended procedure for the transportation of severed limb to the hospital?

Wrap the limb in sterile gauze , seal in a plastic bag, and keep the limb cool.

A patient with a history of diabetes has an altered mental status due to a diabetic emergency. the EMS Provider should:

administer a sugar concentrate (examples CANDY, SODA, ANYTHING SWEET) if there is no danger that the patient will aspirate.

As you lift a patient into the rear go the ambulance, a reporter recognizes the patient as a State Senator. Immediately, the presentative demand to be told what has happened to the Senator. You should:

advise the press you are unable to comment.

You are called to the scene of a suspected meth lab. from outside you can hear the sound of a child crying. You should FIRST:

await the police outside, and tell bystanders not to enter.

A CONTRAINDICATION to the use of a nasopharyngeal air way is

cerebrospinal fluid flowing from the nose.

Which areas of the spinal cord are the most susceptible to injury?

cervicle and lumbar

Partial thickness (secondary degree) burns involving more than 30% of the body surface are classified as:

critical burns

According to the one theory, the way in which nitroglycerin relieves chest pain is by:

dilating coronary arteries.

In anatomic term, an injury midway down the left forearm would be considered:

distal to the elbow.

The recommended treatment for a painful, swollen deformity of the forearm is to immobilize the:

elbow and wrist

All of the following are signs of a skull injury in an adult EXCEPT:

hypotension.

The signs /symptoms of inadequate breathing are:

immediate air hunger and mild cyanosis followed by slow and shallow respirations.

Proper rewarming of a late or deep local color injury to hand is accomplished by:

immersion in warm water.

In rescuing a diving accident victim from a swimming pool, EMS provider's FIRST action is to:

immobilize the victim's entire spine before removing him/her from the water.

How should a patient with cardiac related breathing difficulty be transported?

in position of comfort

A machine shop operator injured his hand while using a drill press. If the injured hand is to be splintered, the EMS Provider should splint it:

in the position of function.

A close bone or joint is BEST defined as an injury:

in which there is no break in the continuity of the skin.

Two life threatening complications which may be encountered in a patient with clerical spinal cord injury are:

inadequate breathing effort and neurogenic shock.

A DISADVANTAGE of using the ONE RESCUER bag mask ventilation technique is that it:

is difficult to maintain an adequate face to mask seal.

When water enters the trachea or larynx of a drowning victim, the normal immediate response is:

laryngospasm.

When you are performing cardiac compression on an adult, the heel of your hand should be places on the:

lower half of the sternum.

A patient is actively seizing, and his teeth are tightly clenched. You should

move dangerous object out of the patient's way.

An adult patient has a foreign obstruction and is able to forcefully cough. The EMS Provider's MOST APPROPRIATE action is to

not interfere and monitor the patient.

To control a nosebleed in a patient WITHOUT suspected spinal trauma, The EMS provider should:

pinch the patients nostrils together and sit the patient leaning forward to allow drainage.

In mouth to mask ventilation, the stomach is likely to be distended if too great a force is used to inflate the lungs. Lung ventilation may become more difficult because stomach inflation:

pushes up on the diaphragm and increase the likelihood of vomiting.

At the scene of a crime, The EMS provider should remember to:

refrain from touching anything not associated with the area of the patient.

You arrive at the scene of a call and find an unconscious adult victim. The first ventilation proves unsuccessful. The NEXT step should be to:

reposition the head.

When treating a patient with a brain injury, it is important to record changes in the patient's:

respiratory rate.

The PRIMARY concern of treatment for a heat emergency is to:

rid the body of excessive heat

Signs and symptoms of multi broken ribs include:

unequal chest expansion, inadequate breathing, deformity, and pain.

The appropriate action to take when you must apply restraint to an emotionally disturbed patient who is a danger to himself and others is to remove the straps:

when directed by a physician at the hospital.