Cards

Question 1

A 13-year-old female was thrown from a horse and hit the ground head-first. She is conscious, complaining she cannot feel or move her legs, and is incontinent of urine. Vital signs are BP 80, R 18. You should suspect:
a. brain stem herniation
b. hypovolemia shock
c. an epidural hematoma
d. neurogenic shock

Question 2

A 23-year-old female is short of breath an unable to speak. Her hand, fingers, feet, and toes are all contracted inwards and locked in a flexed position. Vital signs are BP 130/90, P 110, R 36. You should suspect
a. respiratory alkalosis
b. pulmonary embolus
c. respiratory acidosis
d. anxiety or panic attack

Question 3

Identify the rhythm shown:
a. supraventricular tachycardia
b. accelerated junctional
c. ventricular fibrillation
d. ventricular tachycardia

Question 4

Using the START system, what is the first step in triaging multiple patients:
a. assess a patient’s breathing rate.
b. determine which patients can talk.
c. assess a patient’s perfusion status.
d. determine which patients can walk.

Question 5

An unresponsive 67-year-old female is found supine on her living room floor. Vital signs are BP 82/40, R 10, and her carotid pulses match the ECG here:
You should:
a. perform transcutaneous pacing.
b. ventilate and intubate.
c. establish an IV and administer 20 mcg/kg dopamine.
d. establish an IV and administer 0.5 mg atropine.

Question 6

a 6-month-old infant is unresponsive. Vital signs are P 30 and faint, R 6. You should:
a. attach the cardiac monitor.
b. administer epinephrine IM.
c. begin CPR.
d. establish IO access.

Question 7

A female is 38 weeks pregnant, in active labor, and the umbilical cord presents during a uterine contraction. You should:
a. insert a gloved hand and attempt delivery.
b. place the mother in a position of comfort.
c. place the mother in the knee-chest position.
d. compress and displace the umbilical cord.

Question 8

A 42-year-old male is unresponsive with snoring respirations. You attempt to place his head in neutral alignment when you encounter resistance and crepitus in his neck. You should:
a. stop the movement and return his head to the position found.
b. continue the movement and insert a nasal airway.
c. continue the movement and prepare for immediate intubation.
d. stop the movement and perform a jaw thrust.

Question 9

A 38-year-old female delivered a full-term baby 4 days ago. Her husband tells you that she will not get out of bed to eat or feed the baby. You should suspect:
a. hyperemesis gravidum
b. postpartum depression
c. postpartum eclampsia
d. mittelschmerz

Answer 9

b. postpartum depression

Question 10

While delivering a newborn the amniotic sac is still intact around the baby’s head. You should
a. allow the sac to remain intact
b. initiate rapid transport
c. gently tear the sac
d. try to slow the labor process

Answer 10

c. gently tear the sac

Question 11

A 2-year-old is bradycardic, caused by an increased vagal tone. You should administer
a. atropine
b. isoproterenol
c. epinephrine
d. dopamine

Question 12

A 48-year-old female is unconscious after crashing her semi-truck. Bystanders are reporting that the vehicle is leaking white fluid. You should:
a. call for additional ambulances.
b. stage your ambulance one mile from the scene
c. approach the scene from uphill and upwind
d. rapidly extricate the driver

Question 13

A 92-year-old female who slipped and fell complains of nose pain. Vital signs are BP 132/80 and R 20. Her pulse matches the ECG here. You should
a. administer amiodarone
b. administer atropine
c. monitor and transport
d. begin transcutaneous pacing

Question 14

What is status epilepticus?
a. continuous seizure lasting 5 or more minutes.
b. prolonged syncope
c. syncope with myoclonus movements
d. tonic-clonic seizure activity.

Question 15

A confused 69-year-old female had a syncopal episode. Her pulse matches the ECG shown. You should
a. begin transcutaneous pacing
b. administer atropine
c. administer dopamine
d. obtain a 12 lead ECG.