Practice test #1

Which of the following interventions should be performed first for an unresponsive patient with a suspected spinal cord injury? A. Head-tilt, chin-lift. B. Jaw thrust maneuver. C. Oropharyngeal airway. D. Nasopharyngeal airway.

B. Jaw thrust maneuver.

You are caring for a multi-system trauma patient with possible internal bleeding. Select the correct statement about the rapid scan for a multi-system trauma patient: A. The rapid scan is used to identify all injuries. B. The rapid scan is used to identify life-threatening conditions. C. The rapid scan is another term for the secondary exam. D. The rapid scan is not required on conscious patients.

B. The rapid scan is used to identify life-threatening conditions.

The left side of the heart receives oxygenated blood from the: A. pulmonary arteries. B. pulmonary veins. C. superior venae cavae. D. inferior venae cavae.

B. pulmonary veins.

Which of the following is true during inhalation of a spontaneously breathing patient? A. There is a drop in pressure within the thorax. B. There is an increase in pressure within the thorax. C. Air is being pushed into the lungs. D. The diaphragm and intercostal muscles are relaxed.

A. There is a drop in pressure within the thorax.

Nerve agents and choking agents are examples of: A. chemical agents. B. nuclear weapons. C. biological agents. D. radiological weapons.

A. chemical agents.

Continuous positive airway pressure (CPAP) can reduce respiratory distress by: A. helping to keep the alveoli open. B. stimulating sleep apnea. C. relieving foreign body airway obstruction. D. increasing the need for intubation.

A. helping to keep the alveoli open.

Which of the following signs of hypoxia is more commonly found in pediatric patients? A. seesaw respirations B. cyanosis C. tachypnea D. altered level of consciousness

A. seesaw respirations

The foramen magnum: A. connects the forearm to the humerus. B. is an opening at the base of the skull. C. attaches the patella to the knee joint. D. allows lateral movement of the head.

B. is an opening at the base of the skull.

Which of the following provides oxygenated blood directly to the heart? A. cerebral arteries. B. carotid arteries. C. coronary arteries. D. femoral arteries.

C. coronary arteries.

Your 5-year-old patient is unresponsive. A carotid pulse is present at 40 beats per minute. Breaths are shallow at six per minute. You should immediately: A. Apply a nonrebreather mask. B. Begin artificial ventilations. C. Place the patient in the recovery position. D. Begin chest compressions.

D. Begin chest compressions.

Your patient is unresponsive following blunt trauma to the head. Which of the following is the EMT's first priority for an unresponsive patient? A. Assess respiratory rate. B. Open the airway. C. Perform a SAMPLE history. D. Determine if CPR is indicated

D. Determine if CPR is indicated

Life-threatening bleeding should be found and treated during the: A. Primary assessment. B. Scene size up. C. Secondary assessment. D. Patient history.

A. Primary assessment.

The primary assessment of an adult with chest pain includes: A. Identifying the specific cause of the patient's pain. B. Ensuring the scene is safe. C. Determine the transport priority. D. Reassessing vital signs.

C. Determine the transport priority.

You are dispatched to a soccer game for a 12-year-old female with signs and symptoms of an allergic reaction. Upon arrival, the patient's mother hands you an epinephrine auto-injector. You should: A. direct the mother to administer the epi-pen. B. administer the epi-pen. C. begin the primary assessment. D. contact the physician that prescribed the epi-pen.

C. begin the primary assessment.

You are caring for a six-year-old patient with respiratory distress. The pulse oximeter (Sa02) reads 93%. Your management of the patient should include: A. Withhold oxygen until the patient develops accessory muscle use. B. Contacting the patient's pediatrician prior to transport. C. Administering a metered dose inhaler if prescribed to a parent or sibling. D. Administer sufficient oxygen to maintain a pulse oximeter reading of at least 94%.

D. Administer sufficient oxygen to maintain a pulse oximeter reading of at least 94%.

Your 6-year-old patient jumped from a swing and injured his right leg. You note deformity to the right leg above the ankle. The patient most likely has a fracture to the: A. proximal radius. B. distal ulna. C. proximal fibula. D. distal tibia.

D. distal tibia.

Your patient has been exposed to a chemical that over-stimulates the parasympathetic nervous system. You would expect this patient to exhibit: A. dilated pupils. B. dry mouth. C. hypertension. D. vomiting.

D. vomiting.

Which of the following vessels carries deoxygenated blood? A. aorta. B. renal artery. C. pulmonary veins. D. pulmonary arteries.

D. pulmonary arteries.

Which of the following is the most frequent cause of airway obstruction? A. fluid. B. toys. C. vomit. D. the tongue.

D. the tongue.

You are caring for a 22-year-old female who complains of respiratory distress after exercising. She is alert, speaking full sentences, and has a persistent cough. She is most likely experiencing: A. Respiratory distress with adequate breathing. B. Respiratory distress with inadequate breathing. C. Respiratory paralysis. D. Respiratory arrest.

A. Respiratory distress with adequate breathing.

You are caring for an apneic patient with a suspected overdose. You have loaded the patient into the ambulance and entered the patient compartment. You should first: A. put on your seat belt. B. reassess vital signs. C. assess the patient's SaO2. D. contact medical direction.

A. put on your seat belt.

You are called for a drowning victim at a family barbecue. Upon arrival, two family members approach you yelling, swearing, and demanding to know what took so long. One of the family members pushes you. You should: A. retreat and request immediate assistance from law enforcement. B. explain to the family where you responded from and why you were delayed. C. order the family members to back off and take you to the patient. D. tell the family that assaulting an EMS provider is a felony.

A. retreat and request immediate assistance from law enforcement

You are treating a patient with respiratory distress. He has a history of multiple myocardial infarctions. Lung sounds indicate pulmonary edema. You note the patient does NOT have any JVD or pedal edema. The patient is most likely experiencing: A. angina. B. left heart failure. C. right heart failure. D. asthma.

B. left heart failure.

You are considering administration of oral glucose to your diabetic patient. This drug is contraindicated when it: A. is not prescribed to the patient. B. poses a significant risk of harm. C. produces undesired effects. D. is likely to relieve the patient's symptoms.

B. poses a significant risk of harm.

Which of the following describes the purpose of administering aspirin to a suspected myocardial infarction patient? A. Aspirin dilates the coronary arteries. B. Aspirin will eliminate cardiac related chest pain. C. Aspirin reduces platelet aggregation in the coronary arteries. D. Aspirin reduces the risk of metabolic acidosis.

C. Aspirin reduces platelet aggregation in the coronary arteries.

You are first on the scene of a motor vehicle collision involving multiple vehicles. Which of the following should you do first: A. Start the triage process. B. Begin extrication of trapped patients. C. Request additional resources. D. Perform a primary assessment.

C. Request additional resources.

Which of the following is the first priority at a hazardous material incident? A. identify the hazardous material. B. request additional resources. C. ensure your own safety. D. evacuate bystanders.

C. ensure your own safety.

Carbon monoxide exposure is dangerous because it: A. collapses red blood cells. B. causes pulmonary edema. C. stimulates bronchial constriction. D. reduces delivery of oxygen.

D. reduces delivery of oxygen.You are considering administration of oral glucose to your diabetic patient. This drug is contraindicated when it: A. is not prescribed to the patient.B. poses a significant risk of harm.C. produces undesired effects.D. is likely to relieve the patient's symptoms.

Which of the following medications is intended to decrease myocardial workload and increase myocardial blood flow? A. Nitroglycerin B. Activated charcoal C. Aspirin D. Epinephrine

A. Nitroglycerin

You are called for a 6-month-old infant with respiratory distress. Which of the following is true about patients in this age group? A. infants are obligate nose breathers. B. infants require forceful ventilations with the BVM. C. infants are more resistant to hypoxia than adults. D. infants rarely develop bradycardia due to hypoxia.

A. infants are obligate nose breathers.