Medical

A 32-year-old female has sharp abdominal pain. She had a positive home pregnancy test 8 weeks ago. She has a history of cocaine addiction and pelvic inflammatory disease. There is pain with palpation to her lower right quadrant. The most likely cause of her pain is a(n): A. Miscarriage B. Ectopic pregnancy C. Abruptio placentae D. Placenta previa

.B. Ectopic pregnancy

Your patient has difficulty breathing. He has a history of renal failure and receives dialysis three times a week. Which of the following questions will give you the most information regarding his condition? A. "Have you missed your scheduled dialysis treatments?" B. "What medications are you taking?" C. "Do you have any allergies to medications?" D. "Have you vomited?"

A. "Have you missed your scheduled dialysis treatments?"

You arrive on scene to find a 70-year-old man complaining of abdominal pain. He said he just vomited bright red blood. He is diaphoretic and pale. The patient may have _____. A. A gastrointestinal hemorrhage B. Gallstones C. Appendicitis D. GERD

A. A gastrointestinal hemorrhage

All of the following can be signs of hypoglycemia EXCEPT: A. Abdominal pain and tachypnea B. Anxiety or gitterinenss C. Cool and diaphoretic skin D. Seizure

A. Abdominal pain and tachypnea

A patient with chronic renal failure complains of dyspnea with exertion. You auscultate crackles at the bases of both lungs and note pedal edema. He has a pulse rate of 112/minute and irregular, a blood pressure of 172/100 mmHg, and a respiratory rate of 20/minute and deep. The pulse oximeter records 90 percent. You should: A. Administer oxygen via a nonrebreather mask B. Lay the patient supine C. Chest percussion D. Administer nitroglycerinn

A. Administer oxygen via a nonrebreather mask

Meningitis is: A. An inflammation of a membrane most often caused by viruses or bacteria B. a degenerative disease of the feet C. Always contagious and proper PPE should be utilized D. An infection of the zygote

A. An inflammation of a membrane most often caused by viruses or bacteria

Your patient is an 86-year-old man with history of poorly controlled diabetes and hypertension. The family states that patient has not been following up with his doctors. Over the last few months, patient's been appearing fatigued, eating poorly, and complaining of metallic taste in his mouth. They also noticed that the patient has not urinated in 2-3 days. He's now very confused, mumbling words, and complaining of difficulty breathing. You see pedal edema and crackles on pulmonary exam. Which of the following is the CORRECT management? A. Assess ABC and then transport immediately to a facility with dialysis capacity B. Give supplemental oxygen and nitroglycerin if it's a prescribed medication C. Manage patient's airway and encourage fluid intake D. Measure vitals and find out when then patient was last seen with intact neurological status

A. Assess ABC and then transport immediately to a facility with dialysis capacity

A 74-year-old female presents in her bed, unresponsive to painful stimulation. Family reports the patient has had flu-like symptoms for a week but has refused to see a doctor. Her pulse is 110 and regular, her blood pressure is 70 by palpation, and her respirations are 28 and shallow. Her lips appear cyanotic. Which of the following best describes your treatment? A. Assist ventilations with a bag-valve mask and oxygen; keep the patient supine B. Administer high-flow oxygen with a nonrebreather mask C. Place patient in sitting position; assist ventilations with a bag-valve mask and high-flow oxygen D. Administer low-flow oxygen with a nasal cannula

A. Assist ventilations with a bag-valve mask and oxygen; keep the patient supine

A 64-year-old female presents with an acute onset of altered mental status. She has a heart rate of 32, a blood pressure reading of 70/30 mmHg, and respirations of 16 per minute with normal tidal volume. You suspect a medication overdose. She has most likely overdosed on: A. Beta blocker B. Insulin C. Opioid D. Sleeping pill

A. Beta blocker

Hematochezia is a sign concerning for: A. Colonic bleed B. Kidney stone C. Bleeding disorder D. Gastric ulcer

A. Colonic bleed

Your patient presents after methamphetamine ingestion. You expect which of the toxidrome? A. Dilated pupils, tachycardia, agitation B. Stupor, depressed respiration, pinpoint pupils C. Yawning, restlessness, tremor D. Dilated pupils, flushing, elevated temperature

A. Dilated pupils, tachycardia, agitation

An elderly male is complaining of feeling faint and short of breath during a dialysis treatment. His radial pulse is weak and rapid. His skin is cool, dry, and pale. His breathing is rapid and shallow. You should: A. Discontinue dialysis, position the patient supine, and administer supplemental oxygen B. Complete dialysis while monitoring the patient's vital signs closely C. Place the patient in a sitting position, maintain his body temperature, and finish the dialysis treatment D. Have the patient drink fluids and eat a sandwich while the staff discontinues the dialysis treatment

A. Discontinue dialysis, position the patient supine, and administer supplemental oxygen

You arrived at the scene and found a 30 something year old male unconscious with pinpoint pupils. You notice track marks on his arm. You suspect: A. Drug overdose B. Insulin shock C. Suicide attempt D. Alcohol intoxication

A. Drug overdose

A concerned bystander called EMS to report bizarre behavior from a 35-year-old male. The man appears to be talking to himself. He tells you that there are government people "out to get him". He asks if you see drones that's been following him. You should: A. Empathize with the patient, focus on reality B. Agree with patient's delusions C. Tell him there are no drones D. Restrain the patient

A. Empathize with the patient, focus on reality

Staff at a nursing home report that an 81-year-old resident began to yell and be physically uncooperative about 5 hours earlier. He has a history of Alzheimer's disease, diabetes, hypertension, and alcohol abuse. He is generally cheerful and quiet. You don't find anything unusual during your physical examination. Which of the following explanations for his behavioral change should be your strongest suspicion? A. He may be experiencing a stroke that has changed his personality B. There has been a sudden worsening of his Alzheimer's disease C. He is having an episode of hyperglycemia D. He is intoxicated

A. He may be experiencing a stroke that has changed his personality

A 7-year-old falls off an outdoor jungle gym and strikes the right side of his body against a bar when he falls. He is breathing 24 times a minute, and his pulse rate is 120. His lung sounds are clear, and he winces when you palpate his right lateral chest and abdomen. Which of the following injury patterns do you most strongly suspect? A. Liver injuries B. Rib fractures C. Lung injuries D. Flail chest

A. Liver injuries

At a party, a young adult female is passed out in a bathroom stall. She is unresponsive to a sternal rub and is breathing at a rate of 6 breaths per minute. Her pupils are 2 mm in size, equal, and nonreactive to light. You find several pill bottles nearby. Her pulse rate is 110 and blood pressure is 122/78 mmHg. You suspect: A. Narcotic overdose B. Barbiturate overdose C. Hypoglycemia D. Alcohol poisoning

A. Narcotic overdose

All of the following indicate a possible stroke EXCEPT: A. Numbness and tingling in all four extremities B. Sudden onset left-sided weakness C. Sudden loss of ability to speak D. Vertigo

A. Numbness and tingling in all four extremities

Upon making patient contact, you notice a large quantity of prescription bottles on the nightstand next to their bed. Which of the letters in the SAMPLE mnemonic is related to this observation? A. P B. E C. A D. L

A. P

Which list includes only the 'Five Rights' of medication administration? A. Patient, medication, dose, route, and time B. Patient, medication, indication, dose, and time C. Medication, dose, time, route, and documentation D. Medication, dose, generic name, route, and documentation

A. Patient, medication, dose, route, and tiem

A 56-year-old female has had worsening nausea and increasing weakness over the past week. Her husband reports she has been hungry and thirsty, even though her food and fluid intake have been normal. She is responsive to verbal stimulus and is confused to time. Her skin is warm, dry, and flush. Your best treatment approach is to: A. Place the patient in a position of comfort and administer supplemental oxygen B. Encourage the patient to drink fluids C. Expose the patient to promote cooling and administer supplemental oxygen D. Administer oral glucose and supplemental oxygen

A. Place the patient in a position of comfort and administer supplemental oxygen

A young adult male presents on the floor of a public bathroom. His skin is warm, diaphoretic, and pale. He responds to painful stimulus by attempting to roll away. There is a scant amount of blood-tinged sputum around his mouth, and he is breathing deeply at 20 times per minute. What should you do next? A. Position him on his side and suction with a rigid catheter B. Position him supine and assist his ventilations with a bag-valve mask and oxygen C. Sit him up and provide supplemental oxygen D. Apply spinal precautions and immobilize to a board

A. Position him on his side and suction with a rigid catheter

A 24-year-old college student is unconscious in bed. There is a strong odor of alcohol on his breath, and his skin is cool, pale, and diaphoretic. His heart rate is 114, and his blood pressure is 126/90 mmHg. He is breathing 14 times per minute with normal tidal volume. You should: A. Position the patient left lateral recumbent B. Ventilate with a bag-valve mask C. Administer oral glucose D. Request police assistance

A. Position the patient left lateral recumbent

You are called to a home and find a three-year-old child who is dirty and has an ALOC. You see old bruises on his legs and arm.s You suspect possible child abuse. You should _____. A. Report the abuse to the appropriate agency in your area B. Ask the parents for an explanation and determine if it appears logical before reporting the abuse C. Talk to your supervisor and do what they tell you D. Not say anything -- it's not your job

A. Report the abuse to the appropriate agency in your area

You are transporting a 32-week-pregnant female to the emergency department for a possible sprained ankle. After lying comfortably in your stretcher for the first 5 minutes, she develops dizziness and feels like she is going to faint. You should: A. Roll her onto her left side B. Take her blood pressure C. Check for pulse D. Palpate her abdomen

A. Roll onto her left side

Which of the following condition is most likely to result in acute anemia? A. Sickle cell disease B. Liver disease C. Stroke D. Heart attack

A. Sickle cell disease

A patient is having difficulty breathing at a dialysis center. A nurse reports that the patient had not yet begun her dialysis session when she became short of breath. The patient is alert and using accessory muscles to breathe. You auscultate crackles in both lung fields. Her blood pressure is 170/112 mmHg, and her heart rate is 90 beats per minute and irregular. She is breathing 22 times a minute. Her skin is pale, warm, and diaphoretic. You should: A. Sit her up and administer oxygen via a nonrebreather mask B. Lay her supine and administer oxygen via a nonrebreather mask C. Place her in a semi-Fowler's position and assist ventilations with a bag-valve mask and oxygen D. Sit her up and assist her ventilations with a bag-valve mask and oxygen

A. Sit her up and administer oxygen via a nonrebreather mask

A parent reports his 9-year-old child has fallen down a flight of stairs. The child is alert, quiet, and cooperative. HIs right wrist is deformed, and there are several bruises on both arms and legs. Some are purple and yellow in color, while others are red. You find no other obvious injuries. You should: A. Splint the injured wrist, transport, and further evaluate the bruises B. Ask the parent whether the other bruises are a result of the fall C. Apply splints to the wrist and legs D. Have the parent drive the child to the emergency department

A. Splint the injured wrist, transport, and further evaluate the bruises

Crowning during labor refers to _____. A. The appearance of the baby's head at the vaginal opening B. The baby moving into the pelvis C. Thinning of the cervix D. When a woman is fully dilated

A. The appearance of the baby's head at the vaginal opening

After three days of diffuse abdominal pain, a 21-year-old patient states that the pain is now located in her lower right quadrant. Which of the following is true? A. The intestinal appendage is blocked by feces causing inflammation B. The intestine is likely ruptured C. The definitive treatment is antibiotics D. There's blockage of ureter on the right side

A. The intestinal appendage is blocked by feces causing inflammation

In school-age children between 6 and 12, the leading cause of death is ______. A. Unintentional injuries B. Child abuse C. Cancer D. Choking

A. Unintentional injuries

You respond to a report of a "person down" in an apartment. On arrival, you find several members of a family complaining of headaches and nausea, and another person is unresponsive in bed. You should first: A. Begin resuscitation of the unresponsive person B. Evacuate outside of the apartment C. Administer oxygen to patients with headaches D. Check the carbon monoxide monitor

B. Evacuate outside of the apartment

You arrive on scene with your partner to transport a patient that has been throwing up blood that looked like coffee grounds. This sign would lead you to believe that this patient has? A. Pancytopenia B. GI bleed C. Hemophagocytic syndrome D. Esophageal varices

B. GI bleed

Which of the following infectious diseases is transmittable by coming in contact with an infect person's blood? A. Meningitis B. Hepatitis C. Tuberculosis D. Influenza

B. Hepatitis

A 82-year-old Type 2 diabetic living in a nursing home has a four-day history of declining mental status. Staff reports that the patient has not been eating or taking meds after developing flu like symptoms a few days ago. The patient has been increasingly thirsty and having frequent urination. He is most likely suffering from: A. Hypoglycemia B. Hyperglycemia C. Brain tumor D. Stroke

B. Hyperglycemia

A 62-year-old Type 2 diabetic is in a nursing home. Staff reports that the patient has had a four-day history of declining mental status. He is complaining of increased thirst and his urine has been "sticky". He is most likely suffering from: A. insulin shock B. Hyperosmolar hyperglycemic state C. Renal failure D. Urinary tract infection

B. Hyperosmolar hyperglycemic state

An adult patient reports that he is on a newly prescribed opioid pain medication that he feels may be causing his complaints. Which of the following is not a feature of opioid use/overdose? A. Bradypnea B. Hypeertension C. Cyanosis D. Sedation

B. Hypertension

You are presented with a 2-year-old who appears limp and sleepy and doesn't respond to painful stimulus. The father describes a 24-hour-history of vomiting and diarrhea. What condition do you suspect? A. Neurocardiogenic syncope B. Hypovolemic shock C. Hemorrhagic shock D. Distributive shock

B. Hypovolemic shock

Which of the following occurs as blood glucose levels fall below the 70 mg/dL? A. Reduced ketogenesis B. Increased glucagon secretion C. Increased insulin secretion D. Increased vagal tone

B. Increased glucagon secretion

Which of the following is true regarding Epinephrine? A. Unintentional side effects include bradycardia and flushed skin B. Indication of epinephrine are decreasing mental status, difficulty breathing, and hypotension C. Epinephrine dilates the bronchioles and peripheral vessels D. It is administered subcutaneously

B. Indication of epinephrine are decreasing mental status, difficulty breathing, and hypotension

Your patient presents with hallucinations and violent behavior. You restrain him to the stretcher by his wrists and ankles. While en route to the hospital he calms down noticeably, apologizes for his behavior, and asks you to remove the restraints. You should: A. Continue to monitor the patient and consider removing the restraints if patient remained calm B. Keep the restrain until transport of the patient is complete C. De-escalate the restraints by removing the ankle restraints D. Remove the wrist restraints and reevaluate the situation

B. Keep the restraint until transport of the patient is complete

Your patient presents severely agitated, paranoid, and hyper-alert. His pupils are dilated bilaterally, and his skin is warm and diaphoretic. His heart rate is 104, and his blood pressure is 148/100 mmHg. His respiratory rate is 22 breaths per minute with normal tidal volume. Which of the following drugs has he most likely been using? A. Marijuana B. Methamphetamine C. Heroin D. Barbiturates

B. Methamphetamine

A 3-year-old female ingested liquid drain cleaner. She is alert, frightened, and crying. You note burns around her mouth. You should: A. Position her supine and elevate her legs B. Monitor her airway C. Determine why the ingestion occurred D. Administer activated charcoal

B. Monitor her airway

You are transporting a patient with suspected but not confirmed TB, the standard precaution would be: A. Surgical or regular mask B. N-95 respirator C. Face shiled D. Glove, gown, and regular mask

B. N-95 respirator

What does the mnemonic OPQRST stand for? A. Origin; provocation, palliative, and positioning; quality oft he discomfort; radiation; signs; and time B. Onset; provocation, palliative, and positioning; quality oft he discomfort; radiation; severity; and time C. Origin, pertinent past medical history, quantity of the discomfort, radiation, severity, and time D. Onset, pertinent past medical history, quality of the discomfort, radiation, symptoms, and time

B. Onset; provocation, palliative, and positioning; quality of the discomfort; radiation; severity; and time

You arrive at the scene to find an elderly man who is confused and agitated. His wife states that patient is not himself and had been like this in the past when he "took too much insulin". His pulse is 102 beats per minute, and his blood pressure is 128/90 mmHg. He is breathing 20 times per minute with noticeable chest rise and fall. Which of the following is TRUE? A. oral glucose administration is contraindicated in this patient due to agitation B. Oral glucose should quickly resolve patient's symptoms C. One time administration of oral glucose should be enough to completely reverse effect insulin D. Oral glucose can be placed under the tongue if patient is not safely swallowing his own saliva

B. Oral glucose should quickly resolve patient's symptoms

You are called about an 80-year-old patient with history of diabetes and peripheral vascular disease, who had changes in his mental status. Your patient is alert, with right-sided arm and leg weakness and slurred speech. Family members who live with the patient state that the patient woke up with these symptoms in the morning. He has a blood pressure of 182/118 mmHg, a heart rate of 82, and is breathing 12 times a minute. Which of these statements is true? A. Patient could still be within the tPA window and should be transported to a stroke center immediately B. Patient should be transported as soon as possible C. The patient's symptoms may resolve with oral glucose D. Given the patient woke up with the symptoms, it is impossible to determine the last known normal

B. Patient should be transported as soon as possible

A 22-year-old female has been complaining of fever and body chills and aches for 24 hours. She has lower abdominal pressure that worsens with palpation. She describes a yellowish vaginal discharge that has an unpleasant odor. Walking makes the discomfort worse. She is sexually active and takes birth control pills. Which condition would best explain her presentation? A. Ovarian cyst B. Pelvic inflammatory disease C. Syphillis D. Urinary tract infection

B. Pelvic inflammatory disease

Law enforcement officers report an adult male was staggering and combative outside of a bar. He is sitting in the back of a police car, his arms restrained by handcuffs. You detect the odor of an alcoholic beverage on the man's breath. You see no signs of trauma. He is confused and verbally abusive. You should: A. Have the police transport the person to a hospital B. Perform a full assessment C. Keep the patient in the handcuffs and transport by ambulance D. Allow the police to take the person to jail

B. Perform a full assessment

Which of the following would be considered a serious complication of a severe allergic reaction? A. Hives B. Respiratory distress C. Urticaria D. Hypotension

B. Respiratory distress

A 33-year-old female has abdominal and joint pain that has worsened over the past 12 hours. Her pulse rate is 100, and her blood pressure is 116/78 mmHg. She is breathing 22 times per minute and feels short of breath. Her skin feels warm and dry. Which of the following conditions would most likely explain her presentation? A. Hyperglycemia B. Sickle cell crisis C. Peritonitis D. Ovarian cyst

B. Sick cell crisis

You are called to the home of a 90-year-old male who is having trouble breathing and is confused. The friend who called said that patient has cancer and they think he is on hospice and has a DNR. The patient becomes apneic and loses his pulse. You should _____. A. Assume he has a DNR order and do nothing B. Start CPR C. Provide limited resuscitation efforts until you contact family to determine his wishes D. Call hospice and clarify the situation

B. Start CPR

Which of the following drug types is likely to cause toxidrome of tachycardia, hypertension, and dilated pupils? A. Cannabis B. Stimulants C. Narcotics D. Cholinergics

B. Stimulants

A 50-year-old female is alert but has difficulty speaking clearly and is unable to sit up by herself. She has difficulty raising her right arm when compared to the left. She has a history of diabetes and takes insulin every day. Which of the following is the most likely cause of her presentation? A. Hypoglycemia B. Stroke C. Generalized seizure D. Spinal cord disorder

B. Stroke

After the baby's head has delivered you should? A. Support the head and gently pull the baby out B. Suction the mouth and nose then check if the cord is wrapped around the infant's neck C. Put the mother on high flow O2 and prepare to deliver ther est of the ifnant D. Suction the mouth and nose and wait for the mother to push the rest of the baby out

B. Suction the mouth and nose then check if the cord is wrapped around the infant's neck

When dealing with a medical call, your primary assessment should focus on _______. A. Complete medical history B. The nature of the illness, chief complaint, and symptoms C. Patient's mechanism of injury D. A thorough head to toe exam

B. The nature of the illness, chief complaint, and symptoms

You are delivering a newborn. As the head emerges from the birth canal, you note dark-colored, sticky secretions covering the infant's face, nose, and mouth. What should you anticipate? A. This is a normal delivery B. The newborn maybe in distress and may require resuscitation C. There may be a delay in delivering the placenta D. You'll need to immediately stimulate the newborn to breathe

B. The newborn maybe in distress and may require resuscitation

Cellular respiration and cellular metabolism are best described as: A. the use of oxygen to create hemoglobin in the blood stream B. The use of oxygen and carbohydrates to produce energy and the creation of carbon dioxide and water by-products C. The exchange of respiratory gases between the systemic capillaries and the surrounding tissue beds D. The exchange of respiratory gases between the alveoli and the pulmonary capillary bed

B. The use of oxygen and carbohydrates to produce energy and the creation of carbon dioxide and water by-products

To determine if a newborn needs resuscitation, you should assess: A. blood pressure and oxygen level B. Tone, respiratory effort, and heart rate C. Tone and oxygen level D. Heart rate and color

B. Tone, respiratory effort, and heart rate

A mother is holding her 14-month-old son. She reports the patient was getting ready to fall asleep when his body stiffened for a few seconds and then began to "jerk" rhythmically for about a minute. The child had been running a high fever and has had normal urine output and bowel movements. The child is awake and is crying loudly and clinging to his mother. You should: A. Further assessment to see if transport to hospital is indicated B. Transport the child and parent to the hospital C. Have the mother bottle-feed the child D. Administer oxygen to the child

B. Transport the child and parent to the hospital

You evaluate a 5-year-old female at a day-care center. The child has had numerous episodes of "staring into space" over the past 2 hours, lasting a few seconds, followed by confusion and being frightened. Her vital signs are normal. Staff is unable to reach the parent. You should: A. Let the child stay at the center until a parent picks her up B. Transport to a hospital while attempting to reach the parent C. Administer oral glucose D. Wait until the parent is notified

B. Transport to a hospital while attempting to reach the parent

Sublingual medicine is delivered ______. A. By swallowing B. Under the tongue C. Through an intravenous line D. Through inhalation

B. Under the tongue

The female reproductive system includes all of the following except: A. Ovaries B. Ureter C. Fallopian tubes D. Vagina

B. Ureter

After transporting a patient with a fever, vomiting, and a productive cough, what would be the best way for you to reduce the chance of being infected? A. Hose down the interior of the ambulance with hot water B. Wash your hands with soap and water C. Spray your hands and face with disinfectant D. Leave the patient compartment fan on for several hours

B. Wash your hands with soap and water

A 2-year-old presents with a high fever and repeated vomiting. The parent states the patient has been ill for 24 hours and has become increasingly lethargic. You note red dots spread across the child's face and arms. You should: A. Remove all the patient's clothing B. Wear an N95 HEPA mask C. Apply cold packs to the patient's groin and armpits D. Put a mask over the patient's mouth and nose

B. Wear an N95 HEPA mask

A 7-year-old child has been coughing and vomiting for the past 6 hours. He presents lethargic, not reacting to your presence. His parents state that he has been complaining of a headache during the day. His sin feels very warm to the touch. What should you do next? A. Stabilize the patient's head and neck B. Wear protective masks and gloves C. Perform a neurological exam D. Encourage patient to hydrate himself

B. Wear protective masks and gloves

Which question would help you determine the patient's chief complaint? A. What day is it? B. What can I do for you? C. Who called the ambulance? D. When did the emergency start?

B. What can I do for you?

A normal heart rate for a newborn is typically _____ than that of a one year old. A. It depends on the weight of the baby B. faster C. slower D. The same

B. faster

Family members call 911 for a 75-year-old woman who has overdosed on her blood pressure medications. They report she is typically alert and, other than hypertension, is in good health. The patient appears embarrassed and says she forgot that she had taken her medication earlier and took another dose. You look at the medication bottle and notice that the prescription was filled two days ago and it is empty. Which of the following questions would be important to ask in this situation? A. Do you have any other medical history? B. Are you allergic to anything? C. Are you trying to harm or kill yourself? D. Have you been more forgetful recently?

C. Are you trying to harm or kill yourself?

You are called to provide emergency treatment to a female rape victim. Law enforcement is already on scene. It's important to do all of the following, except: A. If possible, give the victim the option of being treated by a female EMT B. Try to preserve evidence as you are dealing with a crime scene C. Ask the woman to tell you details about what happened D. Limit the physical exam to a brief assessment to determine life threatening injuries

C. Ask the woman to tell you details about what happened

A 55-year-old female was sexually assaulted and beaten. She says that she is bleeding from h er vagina. You observe that she has lacerations to her head and right forearm that are oozing blood. You should: A. Treat the head and arm injuries only B. Apply spinal precautions and immobilize to a long backboard C. Bandage the head and arm lacerations, and ask if you can inspect her pelvic area D. Inspect the vagina and apply direct pressure to control any bleeding

C. Bandage the head and arm lacerations, and ask if you can inspect her pelvic area

Which statement is true regarding hemodialysis patients? A. Dialysis session is performed once every week B. Patients are at risk of developing dehydration if they miss dialysis sessions C. Blood pressure should be taken on the arm opposite to the AV shunt D. They are prone to arrhythmias due to hypernatremia

C. Blood pressure should be taken on the arm opposite to the AV shunt

You are assessing a patient with an altered mental status who you believe is postictal. Which of the following most strongly suggests that the patient had a seizure? A. Cold, dry skin and bradycardia B. Bilateral pinpoint pupils C. Bowel and bladder incontinence D. Hypotension and fever

C. Bowel and bladder incontinence

You arrive at the scene of the patient's home. The patient was found by a family member to be unconscious with many empty medication bottles lying close by. It's unclear how long the patient has been down. You should do which of the following? A. Give activated charcoal immediately B. Blind finger sweep the patient's mouth to remove any pills C. Bring all containers found at the scene D. Perform abdominal thrust

C. Bring all containers found at the scene

A 7-month-old female is lethargic and cries when stimulated. She has had a fever, diarrhea and little to eat or drink in the last 12 hours. Her heart rate is 150, and she is breathing 50 times per minute. You suspect: A. Respiratory distress B. Respiratory failure C. Compensated shock D. Decompensated shock

C. Compensated shock

Parents report their 3-year-old child may have ingested two or three tablets of a grandparent's antihypertensive medication about 45 minute earlier. The child appears alert, clings to a parent, and appears frightened. You should: A. administer activated charcoal B. immediate transport C. Contact poison control D. Monitor the patient for a brief period

C. Contact poison control

A woman is in her 39th week of pregnancy. She is having contractions that are 15 to 20 seconds long, with 2 to 3-minute breaks in between. Which of the following questions will best help you decide whether to transport or prepare for delivery? A. Are you having twins? B. Has your water broken? C. Do you feel the urge to move your bowels? D. Is this your first child?

C. Do you feel the urge to move your bowels?

Syncope is another word for what? A. Vomiting B. Urinating C. Fainting D. Squinting

C. Fainting

A 4-year-old female is nauseous, vomiting, and has diarrhea lasting 40 minutes. Her last oral intake was lunch an hour earlier. She has cramping and pain across her abdomen. She is warm and dry to the touch. Which of the following is the most likely cause of her presentation? A. Appendicitis B. Cholecystitis C. Food poisoning D. Peritonitis

C. Food poisoning

A 10-month-old infant was crawling on the floor when he had a sudden episode of difficulty breathing. His respiratory rate is 30. There is audible stridor. You suspect: A. Epiglottitis B. Croup C. Foreign body obstruction D. Trauma

C. Foreign body obstruction

A 4-year-old female presents in bed, postictal, after a gand mal seizure. Her mother states that she "spiked a high fever this afternoon." Her skin is hot and dry to the touch. You should: A. Apply ice packs to cool her off B. Immerse her in cold water to cool her off C. Give supplemental oxygen D. Give tylenol

C. Give supplemental oxygen

A high school runner collapses while running a marathon. He is alert, complaining of dizziness and weakness. His heart rate is 120 beats per minute, and his blood pressure is 106/78 mmHg. His skin is cool and clammy. You suspect that he is experiencing: A. Heat stroke B. Heat cramps C. Heat exhaustion D. Heat intolerance

C. Heat exhaustion

Your patient has difficulty breathing and feeling faint. He had taken a dose of antibiotics after a surgical procedure at the dentist's office. You can auscultate wheezes in both lungs. His pulse rate is 120, and his blood pressure is 88/50 mmHg. The patient has a prescribed epinephrine auto-injector. You should: A. Contact the dentist to determine the type of antibiotics B. Help the patient sit up and help his breathing C. Help administer the patient's prescribed epinephrine auto-injector D. Administer continuous positive airway pressure (CPAP)

C. Help administer the patient's prescribed epinephrine auto-injector

You arrive on the scene of a college dorm. A college student called EMS because his roommate was "not looking right". You learned that the patient developed flu symptoms a few days ago and now appeared lethargic. The patient was lying in bed, opened his eyes but did not acknowledge your presence. He was breathing in a deep and rapid pattern. His breath smelled fruity. He is hugging his abdomen and groaning in pain. You should suspect: A. Intoxiation B. Stroke C. Hyperglycemia D. Sepsis

C. Hyperglycemia

Which of the following is an indication for the use of an epinephrine auto-injector? A. Rash B. Itching C. Hypotension D. Urticaria

C. Hypotension

A 57-year-old female was robbed, badly beaten, and sexually assaulted. Your priority in treatment is to: A. Preserve evidence of the sexual assault B. Determine baseline vital signs C. Identify traumatic injuries D. Get a detailed description of the attack

C. Identify traumatic injuries

Your patient is a 52-year-old male with a history of alcoholism. He just vomited about 1 pint of bright red blood in front of you. You should: A. Examine for signs of cirrhosis B. Take an alcohol intake history C. Immediate transport D. Take orthostatic vitals

C. Immediate transport

A 12-year-old Type 1 diabetic female is unresponsive. There is gurgling in her airway. A parent says her blood sugar level is low. Which of the following should be done immediately? A. Administer oral glucose B. Obtain a set of vital signs C. Immediately transport to the closest ALS provider D. Obtain diabetic medication list

C. Immediately transport to the closest ALS provider

The femoral artery is located where in relation to the carotid artery? A. Anterior B. Distal C. Inferior D. Posterior

C. Inferior

You arrive at a scene and find recently empty takeout containers and bottles on the dining table. The letter of the SAMPLE mnemonic that relates to this observation is: A. S B. A C. L D. P

C. L

Which of the following suggests vasovagal episode as the cause of syncope? A. Patient experiences a postictal period afterward B. Patient syncopized without any warning signs C. Patient quickly regains consciousness after being positioned supine D. Patient's tachycardic and hypertensive after recovery

C. Patient quickly regains consciousness after being positioned supine

A 4-month-old infant is face up in his crib, pulseless and apneic. There appears to be dark bruising along his back and buttocks. The infant is cold to the touch, cyanotic, and stiff. You should: A. Begin chest compressions and ventilations B. Do nothing and transport the infant to the hospital C. Provide emotional support for the family D. Bring the infant into the ambulance and call police

C. Provide emotional support for the family

Your patient is a young woman complaining of pain with urination x3 days and pain in her L flank. She is vomiting and feels chills. She most likely has: A. Kidney stones B. Cystitis C. Pyelonephritis D. Kidney failure

C. Pyelonephritis

You have determined that a patient is a suicide risk and requires transport to the hospital. He refuses transport and says, "I'm not going without a fight." You should: A. Assess patient's capacity in medical decision making B. Contact medical control C. Request that law enforcement be dispatched to the scene D. Contact the patient's family

C. Request that law enforcement be dispatched to the scene

Which space in the body will you find the pancreas? A. Pericardial space B. Subriatal space C. Retroperitoneal space D. Peritoneal space

C. Retroperitoneal space

An 87-year-old female presents in a nursing home with onset of confusion and altered mental status. Staff reports that the patient is normally quiet and keeps to herself. Over the last few days, she was noted to have malaise and dark cloudy urine. She has a history of hypertension, atrial fibrillation, Type 2 diabetes, and glaucoma. Her pulse rate is 100,, her blood pressure is 90/64 mmHg, and she's breathing at 24 breaths per minute. Her skin is warm to touch and diaphoretic. You suspect that she's experiencing: A. Acute stroke B. Hyperglycemia C. Sepsis D. Acute psychosis

C. Sepsis

A 9-month-old infant has had a cough, a fever, and diarrhea for 24 hours. Her diaper is dry and her skin feels warm and dry. Her heart rate is 160, and she is breathing 45 times per minute. She cries weakly upon stimulation. Which of the following conditions do you suspect is more likely causing her presentation? A. Respiratory distress secondary to cough B. Respiratory failure secondary to bronchiolitis C. Shock secondary to dehydration D. Shock secondary to cardiac dysthymia

C. Shock secondary to dehydration

A full-term, pregnant woman is in active labor. When she pushes during the next contraction, you notice the top of the head appear, and the umbilical cord appears to be wrapped around the neck. You should: A. Position the woman on her hands and knees and insert gloved fingers into the birth canal to help the newborn breathe B. Encourage the woman to push harder and cause the cord to slip off C. Stop the forward motion of the delivery with one hand over the newborn's head, while trying to slip the cord off the neck with your other hand D. Use a scalpel to cut the cord, being careful not to injure the newborn

C. Stop the forward motion of the delivery with one hand over the newborn's head, while trying to slip the cord off the neck with your other hand

Family members report that an elderly male has garbled speech, difficulty swallowing, and a right-sided facial droop. They also report a similar episode a week earlier that went away on its own. He has a history of diabetes and hypertension. Which of the following treatment plans is most appropriate? A. Encourage the patient to drink orange juice to increase his blood sugar level, reevaluate mental status, and transport if necessary B. Suggest that the patient is experiencing a transient ischemic attack (TIA) and assist in making arrangements to have patient seen at an urgent care center C. Suggest immediate transport to an emergency department capable of managing acute stroke D. Perform a detailed physical examination to determine wether there are any related injuries, immobilize if necessary, and transport to the patient's preferred hospital

C. Suggest immediate transport to an emergency department capable of managing acute stroke

What would you look for in an assessment of an emergency related to the nervous system? A. Cardiogenic B. Medical history C. Symmetry of response D. Level of activity

C. Symmetry of response

The outer most layer of skin tissue is called? A. The dermis B. Dermatitis C. The epidermis D. Subcutaneous

C. The epidermis

What is an indication to prioritize transport of a seizure patient? A. There's vomit around the patient's mouth B. The patient has a known history of epilepsy and is on multiple anti-epileptic medications C. The patient has been seizing for more than 5 minutes D. The patient is still not alert and oriented

C. The patient has been seizing for more than 5 minutes

A 3-year-old male had a witnessed seizure. His mother states that he developed a fever of 102 degrees Fahrenheit over the past 2 hours. He is now back to his normal state. Which is true? A. The patient will need immediate transport B. The patient likely has a central nervous system infection C. The patient is not at increased risk of developing a seizure disorder D. Rubbing alcohol can be applied to cool the patient

C. The patient is not at increased risk of developing a seizure disorder

The Adam's apple is also known as? A. The mastoid cartilage B. The vallecula C. The thyroid cartilage D. The cricoid cartilage

C. The thyroid cartilage

Which stage of labor is associated with placental delivery? A. First B. Second C. Third D. Fourth

C. Third

You find a patient having a grand mal seizure in a living room that is cluttered. Bystanders have placed a bite block in her mouth. In a patient seizing, which of the following should NOT be done? A> Remove the bite block immediately as it can result in broken teeth and compromise the airway B. Avoid attempting to restrain the patient as it can cause unintentional injuries C. Turn the patient's head and keep it on its side to help drainage of the saliva D. If possible, remove items in the vicinity to prevent further injury

C. Turn the patient's head and keep it on its side to help drainage of the saliva

A 40-year-old female has been vomiting for 24 hours and describes her emesis as being dark in color, with a coffee ground-like texture. This finding is most indicative of: A. Intestinal obstruction B. Poor digestion of food material C. Upper gastrointestinal beleding D. Lower gastrointestinal bleeding

C. Upper gastrointestinal bleeding

Police have detained an adult male for smashing a storefront window. He is prone with his hands handcuffed behind his back. He is hot to the touch, diaphoretic, and pale. He screams and curses at you. You note his pupils are dilated, his radial pulse is rapid, and he is tachypneic. You should transport the patient: A. In the same position, on the floor of the ambulance B. On his side, arms handcuffed in front, on the gurney C. Prone on the gurney, using soft restraints D. Supine on the gurney, using soft restraints

D. Supine on the gurney, using soft restraints

Which of the following statements is correct with regard to evaluating female patients with abdominal pain? A. You should determine the specific cause of the patient's pain B. You should administer oxygen due to possibility of internal hemmorhage C. You don't have to evaluate sexual history if the patient is over 60 years old D. You should evaluate change in patient's bowel or urinary function

D. You should evaluate change in patient's bowel or urinary function

A 67-year-old male has abdominal pain and is cool, diaphoretic, and pale after vomiting several times over 20 minutes. There is a large amount of emesis that is dark red in color. You suspect that the bleeding is most likely due to: A. A peptic ulcer B. Esophageal varices C. Peritonitis D. Liver disease

B. Esophageal varices

During your initial triage of a school bus crash, you have a child who is unconscious and not breathing. You perform a jaw thrust and the patient remains apneic. What should you do next? A. Give five rescue breaths and reassess B. Check for a brachial or carotid pulse C. Declare the patient dead D. Begin chest compressions

B. Check for a brachial or carotid pulse

A 12-year-old, insulin-dependent diabetic presents with a three-day history of abdominal pain, nausea, and vomiting. Your exam reveals warm, dry skin and poor skin turgor. You also note a fruity odor on the patient's breath. She is most likely suffering from: A. Hypoglycemia B. Diabetic ketoacidosis (KDA) C. Stomach flue D. Septic shock

B. Diabetic ketoacidosis (DKA)

You and your partner arrive on scene to find a woman in her 30's lying on a couch. Which of the following would determine your next actions? A. The patient's level of consciousness B. The patient's blood pressure C. The patient's respirations D. The patient's pulse

A .The patient's level of consciousness

Which pressure represents the heart during the relaxation phase? A. Systolic B. Diastolic C. Osmotic D. None of the above

B. Diastolic

Which question would be least helpful in determining the cause of a patient's vaginal bleeding? A. "When was your last menstrual period?" B. "How many pads do you use a day?" C. "Could you be pregnant?" D. "Do you have any abdominal pain?"

B. "How many pads do you use a day?"

You arrive on scene to find a female patient actively having contractions every 10-12 minute apart. A visual inspection of the patient reveals no visible crowning. Which stage of labor would you consider this patient to be in? A. 2nd stage of labor B. 1st stage of labor C. 3rd stage of labor D. 4th stage of labor

B. 1st stage of labor

A 55-year-old man with history of heart bypass surgery, had a witnessed syncopal event on a crowded train. Patient regained consciousness after a few seconds. He now is conversant and states he feels weak without other complaints. He states he felt dizzy, sweaty, and nauseous prior to passing out. Syncope in his patient is likely due to: A. Stroke leading to increased intracranial pressure B. A temporary lack of blood flow to the brain C. Heart attack D. Medication effect

B. A temporary lack of blood flow to the brain

A pregnant woman in her 36th week of pregnancy has severe pain and cramping in her abdominal region. You observe a large number of used tampons and sanitary napkins that are bloody. There is a watery, bloody discharge from her vagina. She is cool, pale, and clammy. Her pulse rate is 130, her blood pressure is 86/50 mmHg, and she is breathing 25 times per minute. You should: A. Insert trauma dressings into the vagina and apply direct pressure B. Administer high-flow oxygen, and preserve her body temperature C. Open an OB kit and prepare for imminent delivery D. Inspect the tampons and sanitary napkins to estimate the blood loss

B. Administer high-flow oxygen, and preserve her body temperature

A 34-year-old female complains of chest tightness and difficulty breathing. She states that she has a history of anxiety disorder but has been noncompliant with her medications. She is breathing 30 times per minute. You should first: A. Advise her to take her medications B. Administer oxygen C. Have the patient breathe into a paper bag D. Coach her to take slow deep breaths

B. Administer oxygen

Your patient is sitting on a living room couch, confused and lethargic after inhaling glue fumes. Vital signs are a regular heart rate of 88, blood pressure of 128/90 mmHg, a respiratory rate of 18 breaths per minute, and an oxygen saturation level of 98 percent. You should: A. Administer activated charcoal B. Administer oxygen via a nonrebreather mask C. Decontaminate the patient by removing his clothes D. Transport the patient to a facility with a hyperbaric chamber

B. Administer oxygen via a nonrebreather mask

The components of the pediatric assessment triangle (PAT) include: A. Airway, work of breathing, and pulse location B. Appearance, work of breathing, and circulation to the skin C. Appearance, breathing rate, and pulse rate D. Airway, respiratory rate, and pulse rate

B. Appearance, work of breathing, and circulation to the skin

A 31-year-old female presents with urticaria and a rash on her forearm after being stung by a bee. She has a history of being allergic to nuts and carries an epinephrine auto-injector, which she produces. You should immediately: A. Give supplemental oxygen B. Assess patient's breathing C. Have her use her epinephrine auto-injector D. Transport to a hospital

B. Assess patient's breathing

A Child falls off his bicycle at a high rate of speed. He has road rash on his hands, knees, and the left side of his body; a contusion on his left parietal portion of his head; and a deformity to his left shoulder. He is unresponsive and breathing 6 times per minute. His pulse rate is 76. What should you do first? A. Splint the injured shoulder B. Assist ventilations with a bag-valve mask at a rate of 20 per minute C. Immobilize the patient to a long backboard D. Provide high-flow oxygen via a nonrebreather mask

B. Assist ventilations with a bag-valve mask at a rate of 20 per minute

You respond to a call for a man with an ALOC. When you arrive on scene, you find a male patient who is behaving erratically. He is screaming and pacing. Witnesses say he is threatening to "kill someone." You should immediately ____. A. Approach him and quickly administer a sedative so he can relax B. Call for law enforcement backup before approaching the man C. Approach the man and try to verbally de-escalate the situation D. Place restraints on the man to make sure he does not hurt himself or others

B. Call for law enforcement backup before approaching the man

A 73-year-old female was in her backyard gardening when she collapsed to the ground. Her husband told 911 that 'she is breathing very fast and will not talk to me.' You arrive to find the woman lying on her side in the grass. She is breathing at 7 breaths per minute and her pulse is irregular and very thready. Her lungs also present with crackles upon auscultation. As you are taking a blood pressure (88/66) the husband tells you that the woman has been having jaw pain and some weakness for approximately 3 days. What is the most likely cause of this woman's condition and how would you treat her? A. Septic shock, transport in a position of comfort with high flow O2 via NRB B. Cardiogenic shock, assist ventilations, and transport C. Hypoperfusion, high flow O2, and transport in Fowler's position D. Cardiac arrest, treat for shock, and rapid transport

B. Cardiogenic shock, assist ventilations, and transport

Your patient opens eyes spontaneously, he does not follow command but tries to bate your hands away during sternal rub, and muttering incomprehensible sounds. His Glasgow Coma Scale score is: A. 7 B. 9 C. 11 D. 8

C. 11

A 3-year-old child pulls a pot of boiling water off the stove, burning his entire right arm, the front of his torso, and his entire right leg. The percent of body surface affected by the burn is approximately what percent? A. 36.5 B. 39 C. 40.5 D. 49

C. 40.5

Which of the following patients most likely is experiencing delirium tremens? A. A 16-year-old male who was found acting bizarrely at a rave, presenting with hallucination and paranoia B. A 24-year-old college student who's been drinking heavily for the past month, presenting with shakiness, nausea, and normal vita signs C. A 62-year-old homeless man arrested for assault, developed sudden altered mental status, fever, tachycardia on day 3 of custody D. A 42-year-old male who quit drinking "cold turkey" 10 days ago, presenting with abdominal pain and nausea

C. A 62-year-old homeless man arrested for assault, developed sudden altered mental status, fever, tachycardia on day 3 of custody

A 14-year-old male collapsed after playing soccer for a few minutes. He is unresponsive and breathing 40 times per minute. His pulse rate is 220, and is felt at the carotid artery only. His skin is cool and diaphoretic. You suspect: A. Sudden dehydration B. Severe hypoglycemia C. A cardiac rhythm disturbance D. An asthma attack

C. A cardiac rhythm disturbance

A 40-year-old female has a rapid onset of sharp, right upper abdominal pain that radiates to her shoulder blades. She is nauseous but does not need to vomit. Her last meal was about 45 minutes ago. She takes medications for a peptic ulcer. You suspect that she is experiencing: A. A new ulcer B. Acute coronary syndrome C. A gallbladder attack D. A bowel obstruction

C. A gallbladder attack

A 22-year-old male has been having increasing, left-sided groin pressure for 8 hours. The discomfort has become so severe that he is unable to sit for any period of time. His urine is dark red in color and contains small clots. You suspect his presentation is most likely due to: A. A sexually transmitted disease B. A kidney infection C. A kidney stone D. Testicular torsion

C. A kidney stone

A welder has a rapid onset of a severe headache, body aches, nausea, and vomiting after finishing a shift on a container ship. She has a rapid radial pulse, pale skin, and is breathing 24 times per minute. You should: A. Complete your exam and transport B. Administer oxygen via a nasal cannula C. Administer oxygen via a nonrebreather mask D. Administer acetominophen and encourage her to drink fluids

C. Administer oxygen via a nonrebreather mask

A 22-year-old male is at a party when he experiences rapid onset of a severe headache, left ear ringing, and nausea. You find him vomiting in the bathroom and unable to stand. You detect the odor of alcohol on his breath and his pupils are constricted. Which of the following conditions is most likely causing this presentation? A. Seizure B. Alcohol poisoning C. Drug overdose D. Stroke

D. Stroke

You helped a woman deliver a newborn. The newborn is not breathing. You should: A. Percuss the baby's chest B. Begin chest compressions C. Assist ventilations with a pediatric bag-valve mask D. Suction the mouth and nnose

D. Suction the mouth and nose

While transporting a patient with a vaginal hemorrhage, you note that the sanitary napkin that was placed over her vagina has become soaked with blood. Your best next step would be to: A. Discard the soaked napkin B. Pack the vagina with a new napkin C. Place another napkin directly on top of the first one D. Remove the first napkin and place a new napkin over the vaginal opening

D. Remove the first napkin and place a new napkin over the vaginal opening

Cardiac arrest in children is most commonly due to ___. A. A congenital heart defect B. A heart attack C. Internal bleeding D. Respiratory failure

D. Respiratory failure

A 22-year-old female has vaginal bleeding and complains of severe abdominal cramping. She reports that she has not had her menstrual cycle in four months. Which of the following is the most likely cause of these signs and symptoms? A. Pelvic inflammatory disease B. Endometritis C. Hemorrhagic ovarian cyst D. Spontaneous abortion

D. Spontaneous abortion

Which statement regarding gastroenteritis is FALSE? A. The condition is often self limiting B. Children are much more sensitive than adults to fluid loss associated with gastroenteritis C. It is most often caused by virus D. Patient can present with hemorrhagic shock

D. Patient can present with hemorrhagic shock

You are evaluating a 2-year-old child after a motor vehicle crash. He is crying loudly and reaching for his mother. How would you assess this patient? A. Quickly palpate the head, torso, and abdomen for serious injuries B. Take a set of vital signs as soon as possible C. Ask the patient about any medications or allergies D. Perform a toe-to-head assessment

D. Perform a toe-to-head assessment

An adult female is curled up on her couch, complaining of severe abdominal pain. The pain is spread throughout her abdomen and hurts worse when she coughs. She has a fever and is nauseous. You suspect her presentation is due to: A. Ectopic pregnancy B. Pancreatitis C. Dehydration D. Peritonitis

D. Peritonitis

Your patient presents complaining of lower quadrant abdominal pain and vaginal bleeding. She shows you a pad soaked with blood. Her heart rate is 82 and regular, her respiratory rate is 14 and nonlabored, and her blood pressure is 124/88 mmHg. You should: A. Pack the vagina with sterile gauze B. Massage the uterus to control internal bleeding C. Apply direct pressure to the vaginal area D. Place a pad over the vagina to absorb any blood

D. Place a pad over the vagina to absorb any blood

An 8-year-old patient has ingested a medication unfamiliar to you. On-scene, your best source of information regarding the medication is: A. The toxicology textbook B. The patient's family member C. The patient's physician D. Poison control

D. Poison control

You respond to a call for a possible overdose. You arrive and find a male unconscious, apneic, with a needle still in his arm and a heart rate of 62. After ensuring scene safety, care should involve ______. A. Inducing vomiting and providing CPR B. Doing a head-tilt-chin lift, placing an NRB at 15 LPM, and transporting immediately C. Intubating and CPR D. Possibly administering Narcan, airway support, and manual ventilations

D. Possibly administering Narcan, airway support, and manual ventilations

A 65-year-old female has been experiencing vomiting and loose stools for 72 hours. She is confused, and her skin feels cool and diaphoretic. You can detect carotid pulses only. You should: A. Perform a detailed physical exam B. Elevate her legs and reassess C. Have her drink fluids D. Prepare for immediate transport

D. Prepare for immediate transport

A 27-year-old male complains of itching and coughing after a meal. You observe hives on the patient's face and arms. His blood pressure is 160/92 mmHg, his pulse rate is 90, and he's breathing 20 times per minute. Lung sounds are clear bilaterally; the patient is alert, anxious, and agitated. He denies history of allergy. What should you do next? A. Assist the patient in administering epinephrine auto-injector B. Administer an oral dose of diphenhydramine (Benadryl) C. Administer activated charcoal D. Prepare for transport

D. Prepare for transport

A 22-year-old male is unconscious after being stung by a bee. He has a weak radial pulse, and his skin is cool, pale, and diaphoretic. You auscultate wheezes in both lung fields. Which of the following would most likely correct the underlying problem? A. Administration of the patient's prescribed metered-dose inhaler B. Ventilation with a bag-valve-mask device C. Oxygen administration D. Administration of the patient's prescribed epinephrine auto-injector

D. Administration of the patient's prescribed epinephrine auto-injector

A 40-year-old female is short of breath shortly after eating lunch at a new restaurant. She has abdominal cramping and diarrhea. You auscultate wheezing in both lung fields. Her blood pressure is 80 by palpation, and her skin feels cool and clammy. You suspect: A. Food poisonining B. Colitis C. Gallbladder disease D. Anaphylaxis

D. Anaphylaxis

Your patient is complaining of sudden onset of abdominal pain radiating to the back. You noted a pulsatile mass upon inspection oft he abdomen. Which of the following assessment procedures would best confirm your suspicion of an abdominal aortic aneurysm? A. Palpate the abdomen for rebound tenderness B. Perform deep palpation of the abdomen C. Perform the Markle test D. Assess pedal pulses

D. Assess pedal pulses

55-year-old man has been having gradually worsening abdominal pain for 1 day. The pain is located in the left lower quadrant. You noted the patient is warm, diaphoretic, and has rebound tenderness in the left lower quadrant. You should suspect: A. Appendicitis B. Bowel obstruction C. Kidney stone D. Bowel perforation

D. Bowel perforation

A 6-month-old male has a two-day history of low-grade fever, tachypnea, and wheezing. Auscultation of lung sounds reveals inspiratory and expiratory wheezes to all lobes bilaterally. You suspect that the patient has: A. Epiglotitis B. Pneumonia C. Croup D. Bronchiolitis

D. Bronchiolitis

Your patient complains of a rapid onset of fever, fatigue, and sore throat with difficulty swallowing. You note that he is sitting forward, drooling, and has inspiratory stridor. His lung sounds are clear. Based on this information, he is most likely suffering from: A. Asthma B. Acute pulmonary edema C. Pneumonia D. Epiglottitis

D. Epiglottitis

You arrive on-scene to find a 25-year-old female unconscious on the floor of her bedroom with generalized tonic-clonic muscle activity. Her roommate reports that when she returned home from school, she heard strange noises from the room and found the patient in the same condition you do. Her skin is hot to the touch, pale, and diaphoretic. She has a rapid pulse at the radial wrist, and you can't see the patient breathe. What is the best approach to managing the patient's condition? A. Expose the patient and apply cold packs to her neck, armpits, and groin B. Administer supplemental oxygen with a nasal cannula C. Begin chest compressions and ventilate with a bag-valve mask D. Extricate the patient and begin transport as soon as possible

D. Extricate the patient and begin transport as soon as possible

A weak and rapid pulse, low blood pressure, and clammy skin can be a sign of what type of diabetic emergency? A. None of these B. Hyperglycemia C. A diabetic coma D. Hypoglycemia

D. Hypoglycemia

All of the following are contraindications of oral glucose except: A. vomiting B. Decreased level of consciousness C. Nausea D. Hypoglycemia

D. Hypoglycemia

Depression is considered a disorder when it: A. Results in feelings of sadness in the patient B. Produces physiologic symptoms such as weakness C. Persists for more than three days D. Interferes with normal daily activity

D. Interferes with normal daily activity

Your patient presents with a rash on both hands after being exposed to poison oak. She has an allergy to peanuts and has her epinephrine auto-injector. You should: A. Administer oxygen B. Administer her epinephrine auto-injector C. Have the patient self-administer diphenhydramine (Benadryl) D. Listen to her lung sounds

D. Listen to her lung sounds

Of the following actions, which should you do first for a patient who has overdosed on an unknown medication? A. Identify the medication B. Administer an antidote to the medication C. Administer oxygen D. Maintain a patent airway

D. Maintain a patent airway

The following infectious diseases are spread through airborne droplets EXCEPT: A. Tuberculosis B. Influenza C. Meningitis D. Norovirus

D. Norovirus

A teacher reports a 12-year-old child had been "acting out" so she sent him to the school office. The principal called for EMS after the child appeared disoriented and pale. You find the patient to be confused to time and location through he follows commands. He has a history of diabetes. His skin feels clammy, and has a rapid radial pulse. Which of the following treatment plans would be best? A. Supplemental oxygen; transport B. Heat packs to his armpits and abdomen; supplemental oxygen C. Supplemental oxygen; patient's prescribed epinephrine auto-injector; transport D. Oral glucose; supplemental oxygen; contact parents.

D. Oral glucose; supplemental oxygen; contact parents

Dizziness or syncope upon standing is most suggestive of: A. Arrhythmia B. Heart failure C. Hypertensive emergency D. Orthostasis

D. Orthostasis