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EMT Final Flashcards

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1
Q

1 year old with barking cough hot to touch with RR of you should suspect?

Airway obstruction

influenzae

epiglottitis

croup

A

croup

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2
Q

12 yo M bleeding uncontrollably from deep laceration to palm. He is a hemophiliac

hemostatic agent

direct pressure

tourniquet

pressure dressing

A

Hemostatic agent

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3
Q

15 day old neonate is unresponsive. P55, R58

CPR

Rescue breaths

Blow by

Stimulis

A

CPR

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4
Q

15 year old is having an allergic reaction which of the following should concern you the most ?

Throat swelling

rapid pulse

high BP

localized rash

A

Throat swelling

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5
Q

18 yo M OD’d on unknown medication. RR is 8. Insert OPA, has gag reflex you should?

Perform modified Jaw Thrust Man. & vent via BVM

Insert NPA

Admin O2 w. NRB

Perform secondary assessment & attach pulse oximeter

A

Insert NPA

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6
Q

19 year old fem is found by her friend staring blankly at the wall. She is awake but slow to answer questions. What is most likely the cause?

Poison

seizure

hypoglycemia

overdose

A

Seizure

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7
Q

19 yr F is posticial following 10 mins seizures has snoring respirations. You should?

Obtain medication list

Insert OPA

Jaw thrust

Palpate carotid pulse

A

Insert OPA

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8
Q

2 year old has been vomiting for 12 hours and has decreased oral intake. She does not track your movements. What type of shock should you suspect? P150 R 24. Cool skin w/ mottling.

Irreversible

neurogenic

hypovolemic

compensated

A

hypovolemic

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9
Q

2 year old male had a seizure following the onset of a high fever what should you recommend to the parent?

Call pediatrician

cold bath

transport to hospital

admin tylenol

A

Transport to the hospital

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10
Q

21 year old female alert and complains of weakness / dizziness following a syncopal episode. She tells you she has been working outside all day. What’s the most likely cause?

Absent seizure

TIA

Dehydration

hypoxia

A

Dehydration

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11
Q

21 year old female has an open femur fracture after falling off horse, you should

Immobilize on longboard

check the distal pulses

applying manual stabilization to the femur

A

check distal pulse

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12
Q

22 year old Female is choking, she is in her 3rd trimester of pregnancy, she is standing up leaning over a chair drooling unable to speak or cough. You should?

Apply aed

perform chest thrust

deliver back blows

delivery abdominal thrust

A

Perform chest thrust

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13
Q

22 yr old F complains of steady vaginal bleeding, 2 hours ago. No pain, had period 2 wks ago. BP 100/68 P 110 R 16. Warm & dry.

A

Pad over vaginal opening

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14
Q

22 yr old F w/ Altered Mental Status & stoma has irregular respirations. You should:

Ventilate stoma w/ BVM

Open airway & ventilate her through mouth

Insert NPA in stoma

Apply pediatric NRM over stoma

A

Ventilate stoma w/ BVM

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15
Q

23 year is 30 weeks pregnant and complains of abdominal cramps. She tells you that she has had normal prenatal health care and no vaginal discharge. Vitals signs are Bp 102/74, P 112, R22 and labored. You should?

Administer oxygen

transport supine

check for crowning

Place her in knee-chest position

A

Administer oxygen

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16
Q

23 yo seizure PT seizure prior to arrival, during primary survey another seizure, what should you do?

Ensure airway and breathing adequacy

Monitor vitals

OPA to protect airway from tongue

Soft restraints to prevent further injury

A

Ensure airway and breathing adequacy

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17
Q

24 y/o M hit in chest with metal pipe. He is having trouble breathing and coughing blood. Vitals are BP 116/70 R 24 and shallow. You should suspect:

Commotio cordis

Aortic dissection

Pulmonary contusion

Tension pneumothorax

A

Pulmonary contusion

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18
Q

24 yo F complains of right lower ab pain that radiates to the back with slight vaginal bleeding. Last period was 2 weeks prior. Suspect?

Ruptured appendix

UTI

Chlamydia

Ruptured ovarian cyst

A

Chlamydia

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19
Q

28 year old is in active labor. You see umbilical cord protruding from her vagina. Which position should you place her in?

Knee-chest

Semi Fowlers

Supine

Left lateral

A

Knee-chest

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20
Q

28 yo F has severe pain after slipping in the shower. 31 wks pregnant has bright red vaginal bleeding. Suspect?

Ectopic pregnancy

Spontaneous abortion

Abruptio Placentae

Placenta previa

A

Abruptio Placentae

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21
Q

29 yr old just delivered newborn, still bleeding heavily.You should

A

Massage the fundus

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22
Q

3 year old patient found unresponsive, apneic, with a carotid pulse of 30.

Assist ventilations

call for additional resources

start chest compressions

apply AED

A

start chest compressions

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23
Q

3 yo F sitting on dads lap, drooling and won’t eat or drink. You should suspect?

Epiglottis

Croup

Emphysema

Pnuemonia

A

Epiglottis

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24
Q

32 y/o complains of rapid heart. You should?

Obtain vitals

assess pulse

perform secondary

put on stretcher and give o2

A

Obtain Vitals

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25
Q

32 y/o female. 18 weeks pregnant. Lower abdominal pain w/ vaginal bleeding. You should suspect?

Ectopic pregnancy

placenta previa

pelvic inflammatory disease

spontaneous abortion

A

spontaneous abortion

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26
Q

32 year old female at 38 weeks gestation, urge to push with each contraction. Infant’s head has delivered. During next contraction you should:

Gently guide baby’s head down towards perineum

Apply gentle pressure on the infant’s head to prevent delivery

Place the mother in the knee-chest position

Gently turn the infant’s head toward the perineum

A

Gently guide baby’s head down towards perineum

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27
Q

32 yo F was involved in a car crash and complains of a tearing pain in her back. Her left radial pulse is stronger than her right radial pulse.

Abdominal aortic aneurysm

aortic dissection

flail segment

Tension pneumothorax

A

aortic dissection

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28
Q

32 yr old F 36 wk pregnant lying on bathroom floor w/ 2 legs coming out of vagina suspect?

Breech birth

Prolapsed birth

Nuchal cord

Normal birth

A

Breech birth

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29
Q

33 year old female has been down for an unknown period of time nad is pulseless after contact with a portable welder you should?

Check for exit wound

begin chest compressions

attach AED

apply o2

A

begin chest compressions

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30
Q

35 y/o M is short of breath after being shot in abdomen and legs. Vitals are P 122, R 24 and labored. You should

Immobilize to longboard

Obtain vitals

Assist with ventilations

Apply oxygen by NRB

A

Apply oxygen by Non Rebreather

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31
Q

35 year old male has a bp 126/62 what does the number 62 represent?

active

systolic

palp

diastolic

A

Diastolic

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32
Q

36 year old female complains of left leg pain after car wreck, when you place her on a long spine board, you see her left leg is shortened and rotated outward?

Femur fracture

hip dislocation

knee dislocation

pelvic fracture

A

Femur fracture

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33
Q

36 yo male complains of nausea, vomiting and abdominal pain. Homeless and admits to chronic alcohol use. VS Bp 92/54 P122 R8. You suspect?

Food poisoning

pancreatitis

peptic ulcer disease

renal failure

A

pancreatitis

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34
Q

4 yr old M was restrained front seat passenger in a car crash w/ airbag deployment. He has chemical burns to his face & having trouble breathing. You should:

Flush face w/ water

Immobilize with KED

Perform rapid extrication

Bandage forearm & apply ice

A

Perform rapid extrication

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35
Q

42 year old has a large laceration on medial aspect of neck, you should?

Perform secondary survey

apply occlusive dressing

administer high flow O2 via NRB

manually stabilize spine

A

Apply occlusive dressing

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36
Q

42 year old is apneic. Suddenly grabbed throat while eating and collapsed

Finger sweep

abd. thrust

start compressions

A

Start Compressions

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37
Q

45 year old male hypothermic after night camping. You should?

Move him to a warm environment

Remove clothing

Cover him w your outerwear

Apply heat packs to any frostbitten area

A

Move him to a warm environment

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38
Q

45 yr old F w/ frostbite on both feet. Transport time of 20 mins. You should?

Rewarm feet with blankets

Call for air transport

Gently massage legs & feet

Elevate feet & turn up heat in ambulance

A

Rewarm feet with blankets

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39
Q

46 yo F. w/ a fever & lower abdominal pain that moves to her lower back when she walks. Abnormal vaginal discharge for 2 days. VS 144/88 P98 R16. you should suspect?

Kidney stones

Dysmenorrhea

Hepatitis

Pelvic Inflammatory disease

A

Pelvic Inflammatory disease

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40
Q

46 yr old F swollen feet, orthopnea SOB w/ exertion last 2 days. Most likely cause?

Pulmonary embolism

Bradycardia

Angina

Heart Failure

A

Heart Failure

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41
Q

47 year old has been working outside on a hot day and is disoriented his skin is hot and dry you should

Move to a cool area

ice packs on groin and axel

remove tight fitting clothing

drink cold fluids

A

Move to a cool area

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42
Q

48 year old male in vehicle responsive to verbal only. You see smoke in the vehicle.

Admin 02

Tell fire dept

rapid extrication

A

rapid extrication

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43
Q

48 yo M involved in a car crash is slumped over the steering wheel & unresponsive to loud stimuli. You see smoke inside the vehicle & airbag deployed. You should?

Admin O2 via NRB

Tell Fire department to standby for extrication

Perform emergency extrication

Perform primary survey

A

Perform emergency extrication

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44
Q

50 year old F with a history of chronic bronchitis, RR 6, you should?

Assist w/ administration of a prescribed bronchodilator

Place in recovery position

Provide positive pressure ventilation via BVM

Oxygen via NRB

A

Provide positive pressure ventilation via BVM

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45
Q

50 year old female states she has “the worst headache of her life”. The onset was 20 minutes ago and it was abrupt. Vitals BP 180/90 P56 and R 20. You should suspect?

Uncontrolled hypertension

migraine headache

TIA

subarachnoid hemorrhage

A

Subarachnoid hemorrhage

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46
Q

51 year old male is unresponsive with agonal respirations, you should?

Attach AED

check for a pulse

apply O2 via NRB

Start CPR

A

check for a pulse

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47
Q

53 male, nausea, headache. Most significant statement?

Ran out of BP medications

Turned the furnace at night

Ate seafood yesterday

Have not been sleeping well

A

Turned the furnace at night

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48
Q

53 year old male with a history of coronary artery disease had a sudden onset of tearing abdominal pain that radiates to back he is ashen and diaphoretic states that he needs to use the bathroom vs bp 110/76 p 100 R20 you should

explain the need for immediate transport

assist the patient to bathroom

assist with prescribed nitro

perform secondary assessment

A

explain the need for immediate transport

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49
Q

54 yo F tells you she drank bleach to kill herself. You should?

Contact poison control

determine a psychiatric history

Activated charcoal

Milk

A

Contact poison control

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50
Q

55 year old female fell and struck her head. She now complains of a headache. Which statement is most concerning?

“I think i blacked out”

“im on blood thinners”

“i have type 2 diabetes”

“i ate three hours ago”

A

“im on blood thinners”

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51
Q

55 year old female tells you “It feels like something is stuck in my throat and my voice sounds different.” She is hot to the touch. Bp 148/90 P124 R 18.

Inspect her throat for a foreign body

Administer Humidified O2

Assist with administration of her antipyretic

Allow her to suction her own airway

A

Inspect her throat for a foreign body

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52
Q

56 year old complains of severe abdominal pain after eating large meal suspect?

Bladder infection

Cholecystitis

Kidney stones

Peritonitis

A

Cholecystitis

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53
Q

56 year old had car battery acid splashed in eyes you should?

Call poison control

apply moist dressing to both eyes

apply dry dressing to both eyes

irrigate eyes

A

irrigate eyes

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54
Q

56 yo F complains of chest pain that is unrelieved after 3 Nitroglycerins. Troubled breathing, speaking in 2-3 word sentences. You should?

Provide O2

Administer Aspirin

Transfer patient to stretcher

Check BP & Spo2

A

Provide O2

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55
Q

56 yo Male with severe pain after eating greasy food. You should suspect?

Cholecystitis

bladder infection

kidney stones

Periostitis

A

Cholecystitis

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56
Q

58 year old male complains of general weakness and tells you that he had severe chest pain/ SOB the day before. You head rales at both lungs. Cool, pale, clammy skin signs. BP 70/ p110, and R28. suspect?

Angina pectoris

pulmonary embolism

hypovolemic shock

cardiogenic shock

A

cardiogenic shock

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57
Q

58 Year old with fever and chills. Lung sounds reveals rales and rhonchi in lower right lung.

Pneumonia

Pulmonary Edema

Chronic Bronchitis

Emphysema

A

Pneumonia

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58
Q

6 yo crying in backseat of car after TC. Downed utility line on top of vehicle. You should.

Don turn out gear and move line

Request additional resources

Ask patient to get out

Rapidly extricate patient

A

Request additional resources

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59
Q

60 M confused and unable to follow simple commands. Cant lift left arm. BP 210/96 P 90 R18. You should suspect?

Hyperglycemia

ischemic stroke

Encephalitis

Alcohol intoxication

A

ischemic stroke

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60
Q

62 year old male with COPD history ran out of his home Oxygen. He is SOB. He has a dry, non-productive cough, with clear lung sounds.

Pneumonia

asthma attack

emphysema

chronic bronchitis

A

emphysema

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61
Q

67 yo female is unconscious and her family members are performing poor CPR. You should.

Give 2 breaths

2 minute CPR

Check Pulse

Attach AED

A

Check Pulse

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62
Q

68 yr old was found unresponsive 5 mins. ago no spontaneous respiratory effort, you should:

Assess cap refill

Carotid pulse check for 5-10 sec

Attach AED & push to analyze

Immediately initiate 30 chest compressions

A

Carotid pulse check for 5-10 sec

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63
Q

70 y/o with SOB “I woke up and I felt like I was drowning”. He has been recently sleeping with extra pillows under his head. Bp 160/80 P 98 and irregular. R 24. Spo2 86%.

Pneumonia

Left heart failure

right heart failure

MI

A

Left heart failure

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64
Q

72 year old has a nosebleed after a fall

Place in position of comfort

lean her head forward

pack nostrils with gauze

A

lean her head forward

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65
Q

76 Year old female with fever, cough w/green sputum for 3 days. Lung sounds Rhonchi

Asthma

Bronchitis

Pneumonia

Heart Failure

A

Pneumonia

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66
Q

78 yo male tells you “I feel sick & can’t walk” bed is dirty w/ urine and feces. He request transport, but daughter does not want him to be transported to the hospital. What should you do?

Call law enforcement for assistance

Contact adult protective services

Have daughter sign refusal form

Transport him to hospital

A

Transport him to hospital

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67
Q

78 yr old F “i can’t breathe” BP 152/84 P 108 R 20 w/ bilateral wheezing SPO2 90%. What should you do?

Obtain orthostatic VS

Assist ventilation w/ BVM

O2 via NRM

Insert NPA

A

O2 via NRM

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68
Q

82 yo F mumbling and throwing clothes, nurse says she’s diabetic. You should?

call law enforcement

give oral glucose

have nurse help restrain

ask her whats wrong

A

ask her whats wrong

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69
Q

92 year old female complains of a headache and trouble breathing. She is on home O2. What is the most important question you should ask?

Which meds do you take?

Are you allergic to any meds?

When did SOB start?

How many liters of home O2 are you normally on?

A

When did SOB start?

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70
Q

10 month old Female withdraws to painful stimuli. She had an ear infection and fever the passed three days, and she has a bulging fontanelle.

Febrile seizure

meningitis

stroke

hyperglycemia

A

Meningitis

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71
Q

10 month old is choking, what should you do?

5 chest thrusts

abdominal thrusts

backblows

a blind finger sweep

A

Back blows

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72
Q

A 12 year old male is prone in a shallow bathtub of water. He is pulseless and apneic. What should you do?

Start chest compressions

Assist his ventilations

Dry the patient

Immediately apply AED pads

A

Start Chest Compressions

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73
Q

12 year old male was kicked in the chest by a horse. He has distended neck veins and tracheal deviations. What should you suspect?

Traumatic Asphyxia

cardiac tamponade

flail chest

tension pneumothorax

A

Tension pneumothorax

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74
Q

15 year old male was struck in the face by falling tree branch. He was knocked to the ground, and is now alert and repeatedly complains of a headache when lying down. Vital signs are BP 140/90, P 100, R 16. You should

Begin spinal immobilization

assist ventilations with 100 % O2

attempt an NPA

transport in sitting position

A

begin spinal immobilization

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75
Q

16 year old male tripped and landed on his elbow. His elbow is swollen with obvious deformity, and he is screaming in pain. you should

Administer oxygen

perform a primary survey

Apply gentle traction

splint in position found

A

splint in position found

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76
Q

19 year old female is unresponsive after overdosing on heroin. She is supine on the ground with gurgling respirations and vomit next to her head. You should

Open her mouth and suction

CPR with AED

BVM

check pulse

A

open her mouth and suction her airway

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77
Q

19 year old females jaw is clenched following a 5 minute tonic-clonic seizure. She is cyanotic and has gurgling respirations. What should you do?

Insert npa and suction

Administer O2 non rebreather

obtain vitals and wait for jaws to relax

Use soft catheter to suction through nose

A

Insert NPA and suction

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78
Q

a 2 year old female has been vomiting for 12 hours and has decreased oral intake. She does not track your movements and cries weakly when stimulated.What type of shock should you suspect? P150 R 24. Cool skin w/ mottling.

A

Hypovolemic

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79
Q

20 year old male complains of a sudden onset of shortness of breath and chest pain. His lung sounds are diminished on the right side. He denies trauma and past medical history. You should suspect

CHF

Pulmonary embolism

Spontaneous pneumothorax

Asthma exacerbation

A

spontaneous pneumothorax

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80
Q

a

20 year old male has supraclavicular retractions and is slow to respond to questions. He has expiratory wheezes in all lung fields with minimal chest wall movement. You should

Open his airway with a head tilt chin

Perform a detailed physical assessment

Assist ventilations with a bag valve mask

Assist patient in taking prescribed MDI

A

Assist pt. In taking prescribed (MDI) meter dose inhaler

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81
Q

21 year old female is 33 weeks pregnant. She complains of abdominal pain, abdominal pain, blurred vision, and a severe headache.

Position on left side

Administer nitro

Hi-flo O2

Elevate legs

A

Hi-flo O2

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82
Q

a 21 year old male has an evisceration after being stabbed. you should

A

moist sterile dressing

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83
Q

22 year old female was in a bicycle accident and struck her chest on the handlebars. She is short of breath and you notice small section of her chest move asymmetrically. You should suspect?

Pulmonary contusion

pneumothorax

flail segment

sucking chest

A

flail segment

84
Q

23 year old female is 38 weeks pregnant with her third child. Her contractions are 2 minutes apart and 1 minute each. She tells you that she needs to go to the bathroom. You should

A

prepare for delivery

Immediate delivery

85
Q

23 year old male has a penetrating wound to his right upper chest with a small amount of bubbling blood. He is alert, plae, and diaphoretic. Vital signs are BP 122/82, P 112, R 24. You should?

Pack the wound with gauze

Apply a dry, sterile dressing

Apply an occlusive dressing

Clean the wound

A

Apply an occlusive dressing

86
Q

24-year-old female is 32 or 23 weeks pregnant she tells you that she feels weak and has been vomiting for the past three days she also tells you that she is scared to go to the hospital in the ambulance. Vital signs are 84/82 pulse is 110 respirations 16 SPO2 98 you should

Have her family take her to the hospital

monitor her vital signs and transport

contact her primary care physician

administer O2

A

admin O2

87
Q

25 year old male was stabbed in the chest Emergency Medical Responders applied an occlusive dressing prior to your arrival. Vitals signs are BP 90/62, P 120, R 28 and labored. You should

a. lift one side of the occlusive dressing
b. auscultate breath sounds
c. apply high flow oxygen
d. begin positive pressure ventilation

A

Lift one side of the occlusive dressing

88
Q

29 year old male has a large stick impaled in his lower right abdominal quadrant. He is supine and screaming in pain.

A

stabilize?

89
Q

32 year old female is 28 weeks pregnant. In position should you transport her?

A. Left Lateral recumbent

b. semi fowlers
c. Position of comfort
d. Trendelenburg

A

Left Lateral Recumbent

90
Q

35 year old male spilled corrosive chemicals on his legs while cleaning an indoor swimming pool. He is dyspneic and has thickness burns to his legs you should?

Administer 02

estimate the percent of the body burn

remove him from the pool

wipe chemicals off with gloved hand

A

Remove him from the pool

91
Q

36 year old male is ventilator dependent. His Care giver called 911 because the ventilator warning alarm was sounding. You should?

a. unplug the machine and ventilate him with BVM
b. Suction his airway
c. Look for adequate chest rise and fall
d. attach the pulse oximeter

A

Look for adequate chest rise and fall

92
Q

36-year-old female complains of fever and lower abdominal pain that moves to the lower back when she walks. She also mentions that she has had a domino vaginal discharge for the past two days. Vitals signs are blood pressure 144/88 pulse 98 respirations 16 you should suspect?

Kidney stones

dysrhythmia

hepatitis

pelvic inflammatory disease.

A

pelvic inflammatory disease.

93
Q

4 year old male was the restrained front seat passenger in a car crash with airbag deployment. He has chemical burns to his face and is having trouble breathing. you should

A

rapid extrication

94
Q

40 year old male with an open ankle fracture that’s actively bleeding. Which of the following precautions should you take?

Gloves

Gloves, hepa mask and gown

gloves and surgical mask

gloves and goggles and surgical mask

A

gloves and goggles and surgical mask

95
Q

42 year old was stung by a bee, his left hand and finger are red and swollen, he tells you that he is allergic to bee stings. Vitals are Bp 112/76 P90 R16 you should?

Remove the stinger with a tweezer

administer epipen

scrape stinger

apply cold pack

A

Scrape Stinger

96
Q

45 year old female 34 weeks pregnant she complains of severe headache sensitive to light and swollen feet vs are blood pressure 130/88 pulse 104 and respirations 24 would you suspect?

Preeclampsia

Miscarriage gestational

Diabetes

Placenta Previa

A

Preeclampsia

97
Q

A 450 lb patient has a 6 inch laceration to right upper arm & a fractured left ankle. He is on the 3rd floor. You should:

Apply a pressure dressing to the arm

Splint ankle and foot

Call for extrication assistance

carry him down the steps in a stair chair

A

Call for extrication assistance

98
Q

52 year old female complains of severe abdominal pain, distention, and black stools. Vital signs are BP 92/, P 115, R 20. What should you suspect?

Upper intestinal bleeding

Hemorrhoids

Gastric Ulcers

Abdominal Aortic Aneurysm

A

Upper intestinal bleeding

99
Q

55 y/o male goes unconscious after administration of nitro. You should:

Attach AED

place in supine position

contact medical control

assist his ventilations

A

place in supine position

100
Q

58 year old male complains of increasing shortness of breath. He is confused and speaks in 2 word sentences. He has pedal edema and jugular vein distention with a productive cough.

A

high flow oxy by nonrebreather mask

101
Q

59 year old male complains of distress and crushing chest. He is diaphoretic, pale cool. You should.

Supine position

search for meds

assist ventilations

assist with self administered rx nitro

A

Supine position

102
Q

59 year old male complains of distress and crushing chest. He is diaphoretic, pale cool. You should.

Supine position

search for meds

assist ventilations

assist with self administered rx nitro

A

assist with self administered rx nitro

103
Q

6 year old male has a deep laceration to his lower leg with dark red oozing blood. VS are BP 108/70 P 124 RR 20, you should?

Apply direct pressure

apply tourniquet

administer high flow O2

contact parents

A

Apply direct pressure

104
Q

62 y/o male is in cardiac arrest at a restaurant. After beginning chest compressions, his daughter tells you that he has terminal cancer, she asks you to stop resuscitation efforts. What should you do?

Ask about a DNR while continuing resuscitation efforts.

Stop resuscitation efforts

Leave

Call medical

A

Ask about a DNR while continuing resuscitation efforts.

105
Q

66 year old female complains of shortness of breath. You notice several tissues beside her that contain bloody sputum. You should:

Don an N95 mask and ask her if she has experienced night sweats or cough

Put on a face shield and protective gown

Place a non-rebreather mask on her and put the tissues in a biohazard basket

Place a surgical mask on her and ask about her symptoms

A

Don an N95 mask and ask her if she has experienced night sweats or cough

106
Q

66 year old female has regained a pulse after shock with an AED? She is moving her extremities and has a R 8. You should?

Apply 02 by NRB

assist her ventilations

remove the AED

defibrillate her

A

assist her ventilations

107
Q

66 year old male collapsed 8 minutes ago. He is in cardiac arrest when you arrive. What should you do?

A

start chest compressions

108
Q

7 year old male is in cardiac arrest after choking on a bite chicken. Upon your arrival, you note effective CPR is in progress. You should

Immediately apply AED

attempt to ventilate

continue chest compressions

perform 5 abdominal thrusts

A

immediately apply AED

109
Q

72-year-old female‘s family member tells you she had a brief period of slurred speech and left sided arm weakness prior to EMS arrival. What is the most likely cause?

Hypoglycemia

narcotic overdose

transient ischemic

A

transient ischemic attack

110
Q

A confused 22-year-old male weak pulse of 122 distended abdomen pale and clammy.

Internal bleeding

Acute cholecystites

bowl obstruction

insulin shock.

A

Internal bleeding

111
Q

a febrile 2 year old female has a seizure. She is postictal and her lips are cyanotic.

A

assist vent??

112
Q

A newborn head has just been delivered. You should?

Apply gentle traction to the newborn head

beginning drying the newborn head

Inspect for meconium

tell her to push

A

Apply gentle traction to the newborn head

113
Q

A patient has amputated her index finger in a table saw accident you should

Wrap finger in wet gauze and an occlusive dressing

place finger in solution of sterile saline and ice

put finger in a bag and directly on ice

wrap finger in gauze put in a plastic bag and keep cool.

A

wrap finger in gauze put in a plastic bag and keep cool.

114
Q

After delivering a shock with an AED to an unresponsive 49 year old male you should:

Check for carotid pulse

assist his ventilations

Reanalyze the rhythm

Resume chest compressions

A

Resume chest compressions

115
Q

Alert 65 yr old M suspected MI refusing transport says it is indigestion & wants to stay home. You should:

Attempt to convince him to go to hospital

Get witnessed refusal before leaving

Take him anyway

Turn around and leave

A

Attempt to convince him to go to hospital

116
Q

18 year old female with sickle cell anemia complains of stomach pain and upper leg pain Vitals 130/66 P 96 R 14 you should

Transport in her left lateral recumbent position

administer aspirin and encourage her to drink fluids

apply 02 and transport a position of comfort

assist her in taking her prescribed pain meds

A

Apply o2 and transport a position of comfort

117
Q

8 year old male was hit by a car and is unresponsive. He has ecchymosis to his left upper quadrant. You should suspect.

Aortic dissection

splenic injury

kidney trauma

liver rupture

A

Splenic injury

118
Q

An 88 year old female in hospice care is pulseless and apneic with dependent lividity. Her son says “she died 2 hours ago after I gave her a large dose of pain medication” What should you do?

Ask if she has a DNR

Notify law Enforcement

contact the hospice

Start CPR

A

Notify law Enforcement

119
Q

An alert 62 yo male complains of chest pain, short of breath and long history of angina. Vital signs are BP 90/50, P100, R22, SP02 90%. What should you do?

Assist him with his nitrog

Administer O2

Admin. aspirin

Ask If BP is normal

A

admin O2

120
Q

An unconscious male is cyanotic and actively vomiting you have been suctioning him for at least a minute.

Perform finger sweep

open airway, check pulse

apply O2 NBM

Log roll and suction

A

open airway, check pulse

121
Q

an unconscious pt has a partially amputated foot. You should?

Assess carotid pulse

control bleeding

position and maintain airway

BP and R

A

control bleeding

122
Q

An unresponsive 19yo F is supine on the bed next to several empty beer cans, her 3yo son is running around the house. Vital signs are BP 80/, P 110, R 6 & shallow. You should?

Transport her & her son to the hospital

Document the findings

Call & wait for child services

Call & wait for Law enforcement

A

Transport her & her son to the hospital

123
Q

An unresponsive 42 year old male, not breathing, with a medical alert bracelet that identifies him as a diabetic. You should?

Administer oral glucose

check pulse

check airway

Check blood glucose

A

check airway

124
Q

An unresponsive 52 y/o F in respiratory failure after being struck in chest with metal pipe. With each breath only one side rises. She has subcutaneous emphysema and absent radial pulse. What should you do?

Chest compressions

Positive pressure ventilations

Blow by Oxygen

Apply bulky dressings to chest

A

Positive pressure ventilations

125
Q

An unresponsive 67 year old male is lying supine with a weak carotid pulse. He has emesis in his oropharynx and gasping respirations of 6 you should:

Suction airway

Insert a nasal airway

perform ab thrusts

Ventilate him with a BVM

A

Suction airway

126
Q

Appropriate to say to suicidal patient:

“Let’s bring you to the hospital”

“Think about how your family would miss you”

“I understand how you must feel”

“Don’t worry everything will work out”

A

“Let’s bring you to the hospital”

127
Q

Are administering oral glucose to a known diabetic. What should you be most concerned about?

A

The smell of acetone on breath

128
Q

Baby/ Infant Grunting & Intercostal Retractions & Nasal Flaring

Respiratory Failure

Respiratory Distress

Complete Airway Obstruction

A

Respiratory Distress

129
Q

Bleeding from dialysis shunt you should:

Apply direct pressure to the shunt

Apply a tourniquet

apply pressure to her brachial artery

elevate her arm

A

Apply direct pressure to the shunt

130
Q

Blood spurts on arms and legs while treating gunshot wound, bleeding profusely, you should.

Notify supervisor immediately

Clean areas with sterile water

Continue patient care

Request another ambulance crew

A

Continue patient care

131
Q

While Checking ambulance, find dried bloody piece of gauze under stretcher, what should you do?

Place in sharps container

Document it of pre-shift check sheet

Report it to supervisor

Dispose of with gloved hand

A

Dispose of with gloved hand

132
Q

Circumferential burn from elbow to wrist is what %

9

4.5

18

A

4.5

133
Q

Complication of precipitous (rapid) delivery?

Meconium staining

Umbilical cord rupture

Eclampsia

Perineum tearing

A

Perineum tearing

134
Q

Cough producing thick mucus in tripod w/ barrel chest:

pulmonary embolism

CHF

asthma

chronic bronchitis

A

chronic bronchitis

135
Q

Delivery of newborn has central cyanosis covered in thick greenish fluid. You should?

A

Inspect oropharynx

136
Q

Dimensions for landing zone

50x50

200x200

75x75

100x100

A

100x100

137
Q

during a cardiac arrest of a 62 year old female AED prompts “shock advised” you should?

defibrillate

ensure no one is touching

turn off AED

disconnect o2 therapy

A

ensure no one is touching

138
Q

EMS displays a “Free BP Check” sign on the window. This is a sign of?

Quality assurance

public safety event

community relations

system improvement

A

community relations

139
Q

Family members poor cpr. You should

A

Perform 2 minutes of CPR

140
Q

Febrile 24 year old female complains of periumbilical pain that radiates to right lower quadrant. You should suspect?

Appendicitis

Pancreas

Cholecystitis

Diverticulitis

A

Appendicitis

141
Q

First step with a sexually assaulted patient?

Document findings

Protect evidence

clean wounds

reassure patient

A

reassure patient

142
Q

immediately after the delivery of vigorous newborn, you should.

Blow-by

level with placentia

suction oropharynx with bulb

massage

A

suction oropharynx with bulb

143
Q

In which zone would you triage patients during a hazardous materials emergency?

Dry

Hot

Wet

Cold

A

Cold

144
Q

Leading cause of bradycardia in pediatrics

Metabolic imbalances

Hypoxia

neurological trauma

hypovolemia

A

Hypoxia

145
Q

Left ankle fracture with tingling sensation in foot. Foot is cool, swollen with a faint pulse. You should.

Splint in position of comfort

attempt to realign ankle

elevate her leg and apply ice

apply traction splint

A

Splint in position of comfort

146
Q

Lifting a 26 year old male out of crash onto long board. Complaints shortness of breath and anxious. You should.

apply 02

allow to sit up

secondary survey

A

apply 02

147
Q

Most effective way for single rescuer to ventilate, apneic adult PT

A

BVM

148
Q

Name the condition for a pregnant patient with placenta covering cervical opening

A

placenta previa

149
Q

Newborn infant with pink torso and blue extremities, you should?

A

Dry him off

150
Q

Newborn is apneic immediately after delivery, you should?

5 back blows

assisted ventilations

stimulate baby

Chest compressions

A

stimulate baby

151
Q

Patient has been shot in the chest after cutting off the patient’s blood soaked shirt you should place it in.

Ambulance trash can

brown paper bag

plastic bag

biohazard disposal bag

A

brown paper bag

152
Q

Pencil stuck in cheek and bleeding stopped

Stabilize the pencil with a bulky dressing

suction the surrounding blood

pull the pencil out

wrap with roller gauze

A

Stabilize the pencil with a bulky dressing

153
Q

Periumbilical pain radiates to Right Lower Quadrant

A

Appendicitis

154
Q

Previous ambulance crew failed to clean backboard properly. Dried blood under the edges.

Notify supervisor of improper equip care

Wash board with disinfectant

bag board

notify dispatch that your ambulance is out of service

A

Wash board with disinfectant

155
Q

Request additional resources for which following car accident patient?

56 year old male with foot wedged under pedal

23 year old male passenger seat coughing up blood

16 year old female in rear seat unable to speak clearly

50 year old female in driver’s seat with unequal grip

A

56 year old male with foot wedged under pedal

156
Q

Securing pregnant patient to long spine board, you should tilt the board to the left to prevent:

Hypotension

Hypertension

toxemia?

eclampsia

A

Hypotension

157
Q

Sexually assaulted and bleeding from vagina.

Place sanitary pad over vaginal opening

Tell her to remove all clothing to save for evidence

Pack vagina with sterile dressing

Shower

A

Place sanitary pad over vaginal opening

158
Q

The daughter of an 82 year old male calls 911 because she thought her fater was acting strangely. He tells you that he has no complaints and refuses to go to the hospital. His daughter has proof of medical power of attorney and tells you to take him to the hospital. You should.

Inform him that daughter’s Med POA requires you to follow her wishes

Ask daughter to take her father to the hospital herself since you cannot transport w/o consent

Tell her daughter that she is only legally allowed to make decisions when her father is incapacitated

Advise him to go to the hospital for medical clearance

A

Tell her daughter that she is only legally allowed to make decisions when her father is incapacitated.

159
Q

Unconscious 28 year old male has a puncture wound in his left forearm. You also see multiple scars on the backs of both his hands. What type of overdose should you suspect?

Barbiturate

narcotic

methamphetamine

hallucinogen

A

narcotic

160
Q

An Unresponsive 22 year old is breathing 6/min after motorcycle crash.

Begin ventilation with BVM

immobilize on back

secondary survey

apply non-rebreather

A

Begin ventilation with BVM

161
Q

Unresponsive 3 yo lying supine in a ditch. Bleeding from ears and nose. BP 60/ P60 R8. you should?

assist ventilations

apply HF O2 NRB

Direct pressure

Move to ambulance

A

assist ventilations

162
Q

What is a system of external/internal reviews called?

Performance review

quality improvement

EMS Training

Medical direction

A

quality improvement

163
Q

What is the 1st step in assessing a res. 35 yr old w/ possible airway obstruction?

Attempt to visualize

Ask PT if he is choking

Perform abdominal thrusts

Perform 5 back slaps

A

Ask PT if he is choking

164
Q

what is the correct location for assessing a 2 year olds pulse

Brachial

carotid

femoral

radial

A

brachial

165
Q

What is the leading cause of bradycardia for pediatric patients

A

Hypoxia

166
Q

what is the name of the condition during pregnancy in which the placenta covers the cervical opening?

A

placenta previa

167
Q

what is the normal breathing rate for a 6 year old?

20-

30-60

22-34

18-30

A

18-30

168
Q

what is your first step in treating a patient who has been sexually assaulted?

A

document?

169
Q

What organ is responsible for the exchange of oxygen, food, and waste between the mother and fetus?

placenta

umbilical cord

birth canal

uterus

A

placenta

170
Q

What should you do to prevent the spread of this infection.

Be sure you have been vaccinated against MRSA

report the exposure to you supervisor

Place a HEPA respirator on the patient

clean your stethoscope with a germicide

A

clean your stethoscope with a germicide

171
Q

When does crowning occur?

Baby’s head is visible @ opening

Shoulders head are out

Head is out

Baby is out

A

When the babys head is visible at the vaginal opening.

172
Q

when is it appropriate to insert gloved in the vagina?

To relieve pressure off the umbilical cord

to delay delivery

check cervical dilation

insert dressing for vaginal bleeding

A

To relieve pressure off the umbilical cord

173
Q

When lifting a stretcher into the ambulance using power grip, you should?

position hands 10’ apart

support weight on heels of palms

A

position hands 10’ apart

174
Q

when the babys head is delivered, you see the umbilical cord is wrapped around the baby’s neck. you should

A

clamp cord two places

175
Q

When using ambulance siren, you should

Consider other motorists won’t hear it

Use horn when approaching traffic

Only at intersections

Frequent change emergency tones

A

Consider other motorists won’t hear it

176
Q

Where in your PCR should you document that you placed the patient on O2 at 15lpm by NRB?

Objective

plan

subjective

assessment

A

plan

177
Q

Which body is responsible for protection, temp, excretion?

integumentary

muscular

cardiovascular

neurological

A

integumentary

178
Q

Which cardiac rhythm AED prompts you to shock?

Atrial fib

asystole

v-tach

pulses electrical activity

A

v-tach

179
Q

Which conditions will only occur during the 1st trimester of pregnancy?

Pre-eclampsia

ectopic pregnancy

braxton hicks contractions

abruptio placenta

A

ectopic pregnancy

180
Q

which of the following groups of signs and symptoms most correctly suggests an opioid overdose?

Excessive defecation, muscle fasciculation, & nausea/vomiting

Hypertension, tachycardia, & dilated pupils

Tachycardia, hyperthermia & dry skin & mucous )membrane

Hypoventilation, pinpoint pupils, and hypotension

A

hypoventilations, pinpoint pupils, hypotension

181
Q

Which of the following is a contraindications for nitro administration?

A

Recent use of erectile dysfunction medication

182
Q

Which of the following is an audible, high pitched sound usually results from a blockage of the smaller air passages.

Wheezing

rales

stridor

rhonchi

A

Wheezing

183
Q

Which of the following patients have a right to refuse transport.

A 52-year-old man with tightness in the chest and wheezing

an 86-year-old male with Dyspnea and confusion

A 14-year-old

A 22-year-old female who had syncopal episode and smells of alcohol

A

A 52-year-old man with tightness in the chest and wheezing

184
Q

Which of the following suspect pulmonary edema?

Subcutaneous air

Crackles

Rhonchi

Wheezing

A

Crackles

185
Q

Which of the following will only occur in the 1st trimester of pregnancy?

Ectopic pregnancy

Braxton hicks

preeclampsia

abruptio placentae

A

Ectopic pregnancy

186
Q

Which part of the heart is responsible for causing pulmonary edema.

Right Atrium

Left Atrium

Right Ventricle

Left Ventricle

A

Left Ventricle

187
Q

Which pregnancy complication would be painless

Abruptio placenta

Placenta previa

Ectopic pregnancy

delivery

A

Placenta previa

188
Q

Which statistic about EMS calls would support a community’s request to reduce the speed limit in the neighborhood?

65% of ambulance calls are medical in nature and occur at night

7% of patient who call for ambulance have visual impairment

15% of calls for car crashes have at least one victim dead on scene

35% of victims of car crashes were not wearing seat belts

A

15% of calls for car crashes have at least one victim dead on scene

189
Q

Which vessels carry oxygenated blood back to the heart?

Vena cava

pulmonary veins

pulmonary arteries

aorta

A

pulmonary veins

190
Q

While driving the ambulance you are first on the scene for a car crash involving four cars with significant damage and a semi truck in its side, you should?

Request additional resource

begin treating the most serious patients

set up staging area

begin triage

A

Request additional resource

191
Q

While gathering a patient’s medical history, you find a mixture of current and expired medication. What should you do about the expired medication?

Take the expired meds to the hospital

Tell her family to throw out expired meds

Contact her primary physician

Contact local pharmacy for recycling options

A

Take the expired meds to the hospital

192
Q

While performing a primary assessment on a Suicidal 35 year old Male he becomes verbally abusive. You should.

Calmy attempt to de escalate him

call law enforcement for assistance

Secure him to the stretcher in supine position

place him in soft restrance

A

Calmy attempt to de escalate him

193
Q

while performing a primary assessment, 32 y/o complains of rapid heart. You should?

A

obtain baseline signs

194
Q

While triaging MCI you find unresponsive and apneic female with open head injury. What color are they?

Black

Yellow

Red

Green

A

Black

195
Q

While ventilating a 12 year old female with a pocket mask, you are unable to see chest rise. You should

A

reopen airway

196
Q

You are administering oral glucose to a known diabetic. What should you be most concerned about?

When and what she last ate

the smell of acetone on their breath

his ability to swallow

time and dose of their last insulin administration

A

his ability to swallow

197
Q

You are delivering a baby and the amniotic sac is still in place. You should?

Asses fetal heartbeat

asses for radial pulse

tear amniotic sac

coach mom through contraction.

A

tear amniotic sac

198
Q

You are driving emergency with lights and sirens, when approaching an intersection with a green light, you should?

Proceed through with due regard

proceed through after a complete stop

attempt to make eye contact with all motorists

depend on audible and visual warning devices

A

Proceed through with due regard

199
Q

You arrive at a factory and see a lot of people coughing as they evacuate.You should?

Establish triage site and begin to sort patients by severity of 28 complaint

Become incident commander and direct partner to begin treating

Call for additional resources and look for triage sight upwind of factory

Park ambulance 100 yards away and wait for trained personnel

A

Call for additional resources and look for triage sight upwind of factory

200
Q

you have attached an AED to a 42 year old female who is apneic and pulseless. The AED prompts you “no shock advised”

A

start chest compressions

201
Q

You have been asked to audit prehospital care reports. Which requires review?

Administer O2 to patient with labored shallow respirations

place a patient with chest pain supine on a stretcher

immobilizing a patient who slipped down the stairs and has a scalp bleed

applying traction splint to open femur

A

place a patient with chest pain supine on a stretcher

202
Q

You have just assisted in the delivery of a newborn. She has central cyanosis and is covered in a thick greenish fluid. You should.

Inspect the oropharynx

determine apgar

rub pt

give o2

A

Inspect the oropharynx

203
Q

You have just delivered an infant with a pink torso and blue extremities. He is crying and moving his arms and legs. You should.

Assist ventilations

hand him to mom

blow by

vigorously dry off with towel.

A

vigorously dry off with towel.

204
Q

You resuscitate a 53 year old male with an AED on scene. During transport he becomes pulseless again. What should you do?

Give rescue breaths at a rate of 12-20/ min

perform 2 rescuer CPR until arrival a hospital

perform chest compressions and stop ambulance

safely stop ambulance and apply AED.

A

perform chest compressions and stop ambulance

205
Q

D

C

A

P

B

T

L

S

A

Deformities, Contusions, Abrasions, Punctures, Burns, Tenderness, Lacerations, Swelling

EMT UCLA (9 decks)

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