NREMT practice questions (missed)
55 yo man who has difficulty breathing. After making contact he extends his arm to allow you to take his BP this is
Actual (expressed) consent
diabetic coma (hyperglycemic)
warm dry slow onset
artificial pacemaker fails
weakness and bradycardia
third stage of labor has begun
when the entire baby has deliverd
when caring for a critically injured pt it is MOST appropriate to perform secondary assessment
while you are en route to hospital
after delivery and placenta mother has moderated vag bleeding she is CAO
administer O2 and massage uterus
After blunt injury to anterior torso a pt is coughing up bright red blood. most suspicious of
bleeding in the lungs
two rescue child CPR
compress the chest with one or 2 hands to a depth that is equal to 1/3 the diameter of the chest
pt coughing up bloody sputum and has an oxygen sat of 85% and you hear coarse crackles in all lung feilds
congestive heart failure
MOST indicative of inadeqate breathing in infant is
expiratory grunting -sunken fontanelles (soft spot) indicated dehydration
Orange tag
explosive
blood splashes into EMT eye
exposure
left side of chest collapses during inhale and bulges during exhale
flail chest
purpose of the ped assessment triangle is to
form a general impression of the child without touching him or her
the presence of subcutaneous emphysema after blunt trauma to the anterior neck should make you MOST suspicious for a
fractured larynx
which about crowning is correct
gentle pressure should be applied to the babies head
known diabetic: weak, diaphoretic, tachycaric, confused, pulse 120, resp 24
give 1 tube oral glucose
minimal PPE when suctioning a persons airway
gloves and full facial protection
A pt who is experiencing an acute myocaridal infarction
has chest pain or discomfort that does not change with each breath (nitro relieves pain with stable angina but not AMI)
which of the following is the LEAST pertinent when assessing a responsive 40 yo who fell from standing positon
have you fallen before?
An unresponsive apneic pt chest fails to rise after 2 ventillation attempts
immediatly proceed to chest compressions
how does a unified incident command system differ from a single incident command system
in a unified, plans are made in advance by all agenciesthat assume a shared responsibility for decision making
upon assessing a newborn right after delivery you note that it is breathing and has a HR of 80 beats/ min. MOST appropriate inital management for newborn
initiate positive pressure ventilation
MOST indicative of primary cardiac problem
irregular pulse
spilling an unknown liquid onto ground
park upwind and uphill
which is the MOST reliable indicator of a fracture to a spinal vertebra
palpable pain at site of injury
LEAST suggestive of cardiac comprimise
palpable pain to chest
A 5 yo boy was hit by a car when he ran out into street. He is lying supine 15 feet from the car. Based on age and MOI which is his PRIMARY injury
pelvic injury (adult: below knees)
to maintin neutral alignment of 18 mo childs airway you
place a pad bw shoulder blades
after assisting a pt with her epi you
place the device in a punture proof container
to assist with delivery of the babys head
place your fingers on the bony part of the skull and apply gentle pressure
you are cleaning the back of an ambulance after transporting a pt with major trauma. which of the following contaminated items should NOT be placed in plastic biohazrd bag
plastic IV catheter
at the peak of the inspiratory phase the alveoli in the lungs contain
more O2 than CO2
preferred inital method for providing artificial ventilations to an apneic adult
mouth to mask with supplimental O2
MORE common in children after head injury
nausea vomitting
pt with bradycardia, hyper salvation, vomit tearing
nerve agent Soman, V agent, sarin, tabun
baby delivers
posteriorly to one side
pregnant, swollen and BP 150/86
preeclampsia (high BP, edema)
acute coronary syndrome pain
pressure (AMI, angina)
asprin good for pts with acute coronary syndrome bc
prevents the clot from getting larger
you are at the scene where a man panicked while swimming in a small lake. your inital attempt to rescue
reach with a long stick -reach, throw, row, then go
proper guidelines for safe reaching include all EXCEPT
reaching no more than 30 inches in front of your body
the wall that separates the left and right sides of the heart is called
septum
quickest way to reduce cardiac ischemia in a pt experiencing an acute coronary syndrome is
sit or lay pt down (reduce hearts demand for O2)
vesicant agent
skin blistering
vacination not reccomended by CDC
smallpox
Bit by rattle snake
splint and lower the affected part NO ICE
Child having a seizure. Has had several full body over the past 20 minutes and never woke up in betweeen skin is hot and lfushed
status epilepticus (prolonged or multiple with out return conscious)
reduction in tidal volume MOST likely result from
unequal chest expansion (decreased air inhaled per breath)
if shock is advised most likely
v-fib
which of the following patients would be LEAST likely to present with classic signs and symptoms of acute myocardial infarction
72 yo famle with diabetes and hypertension -diabetes has unique signs
after an airway is inserted in a 6 mo infant in cardiopulmonary arrest you should deliver ventillations at a rate of
8-10 breaths/ min
ultimate authority for all issues regarding patient care at the scene of a mass casualty incident
EMS medical director
which is the primary pace maker which sets the normal rate for the heart
SA node
after administration of nitro to a man with chest pressure he has a rise in HR this is the result of
a drop in BP
an innacurate pulse ox may be caused by
a severe peripheral vasoconstriction
error with AED most results form
battery failure secondary to operator use
Ab thrusts and pt becomes unconscious. after lowering to ground
begin CPR with chest compressions
Newborn has cyanosis to chest and face and a HR of 90 beats/ min you first
begin artificial ventilations
PT with spinal injury can still use diapgragm to breathe but would lose control of intercostal muscles in spinal cord injured
below the C5 level
suspect pulmonary edema if
cant breath when lying down (froth when cough)
sudden cardiac arrest in the adult pop is MOST often the result of
cardiac dysrhythmia
insulin shock (hypoglycemic)
clammy skin rapid onset
hyphema
collection of blood in front part of the eye -caused by direct trauma to eye ball
signs of unadequate breathing in an unresponsive pt include
cyanotic oral mucosa
Which is the MOST common cause of shock in infants and children
deydration
asymmetrical chest wall movement indicated
decreased air movement into one lung
all would cause an increase in CO2 in blood except
deep rapid breathing (fast elimination of CO2)
brown recluse spider bite
delayed onset of pain, swelling, and blister at site
Preferred method for inserting an OPA in a small child is to
depress tongue and insert the airway with down curve facing the tongue
which type of stroke would MOST present with sudden severe head ache
hemorrhagic (ruptured artery in brain)
stabbed in RL chest, semiconscious with labored breathing, collapsed JV and no breath sounds on right
hemothorax (blood in pleural space compresses the lung) -pneumothorax wont have collapsed JV
vital signs MOST suggestive of increased intracranial pressure in a pt who has experienced a traumatic brain injury
high BP, slow pulse
Labor contractions are every 4-5 min lasting 30 seconds you should ask
how many weeks gestation are you
MOST indicative of decompensated shock in a trauma pt with intracranial bleeding
hypotension
Which of the following is a physiological effect of epinephrine when used to treat anaphylactic shock
it is a bronchodilator, it improves the pts breathing
hypoxia-induced unresponsiveness during a submersion injury is usually the result of
laryngospasm
during soccer an 18 yo woman injured her knee. it is flexed and deformed
manually stabalize the leg above and below the knee
Rapid extraction
manually stabilize head, apply collar, remove pt from vehicle onto long backboard
asprin may be contradicted
pts with stomach ulcers
process of oxygen and carbon dioxide exchange in the lungs is called
pulmonary respiration
when transporting an elderly woman who was complaining of nausea and vomit and weaknes she becomes unresponsive you
quickly look at her chest for obvious movement
after order from med control
repeat order back word for word
MOST in need of rapid head to toe exam
responsive 22 yo with small gunshot to ab
which sign would you expect to see in the early stages of shock
restlessness
60 yo man is in cardiac arrest. you begin CPR while your pt applies AED. You receive a no shock you should
resume CPR begining with chest compressions (after 2 min reanalyze)
you are assesing a 70 yo man with pain in both legs. he is CAO has a BP of 160/90 and pulse of 110, respirations of 14 b/min and unlabored. edema to feet and legs and JVD.
right heart failure
when applying a vest style spinal immobilization device to a patient with traumatic neck pain you should
secure the torso section prior to immobilizing head
near- drowning
survival for at least 24 hours after submersion
after nitro you would NOT expect a pt to experience a
syncopal episode (fainting)
which parameter is the LEAST reliable when assessing the perfusion status of a 2 year old child
systolic blood pressure
which of the following signs or symptoms is MOST suggestive of a systemic reaction following injestion of a posion
tachycardia and hypotension
After restoring pulse in cardiac arrest pt. you transport. En route the pt goes back into cardiac arrest. you
tell your pt to stop ambulance (you start CPR but AED is on and needs to get rhythm)
the transition phase of the pediatric assessment process wouldbe LEAST appropriate if
the child is unstable and needs rapid transport
when ventillating a pt you notice decreased vent compliance
the lungs are difficult to ventilate
which about an AED is true
they can be safely used in infants and children less than 8
child develops stranger anxiety when
toddler (1-3)
which is NOT part of an injury or illness prevention program
training a group of daycare emplyees on infant and child CPR