EMT Questions Flashcards
A 68 year old pt complains of chest pain. Vital signs are BP 146/90, P 92, R 20. You should?
Administer oxygen via nasal cannula at 6 lpm
Your motorcycle accident victim is anxious, short of breath and tachycardic, with unequal chest expansion. There are no wounds present. Your administration of high flow oxygen does not seem to be helping. You suspect?
A flail chest
You arrive at a campsite where there has been an explosion. Your patients clothing is still burning, and she is gasping for air. You should?
Extinguish burning clothing
You have just assisted in the delivery of a healthy newborn girl. Which of the following is the most important?
Wrap the newborn in a blanket to keep her warm
A 20 year old male collapsed while eating a hot dog. He appears cyanotic. You should?
Check responsiveness
A female is unresponsive due to being hit in the head with a board. She has a large hematoma on her forehead. You should?
Manually stabilize the spine
Which is the BEST way to assess breathing in an unconscious patient?
Watch for chest rise
A 10 month old pt has a partial foreign body obstruction due to a piece of hot dog. She is cyanotic and has minimal air movement. Your treatment should include?
Back blows and abdominal thrusts
A 54 year old female is complaining of chest pain. The patient would like you to assist her in taking one of her husband’s nitro tablets. Vital signs are BP 140/100, P 96, R 18. What should you do?
Monitor vital signs and transport in position of comfort
The most common electrical disturbance the result in cardiac arrest in adults is
Ventricular fibrillation
A 35 year old female claims to have fallen. As you assess her injuries, her husband enters the room tells you to leave. He is holding a baseball bat. You should?
Leave the scene and request police assistance
A 91 year old male was found lying on the floor in his home. He is staring blankly and is rigid and cool to the touch. Vital signs are BP 100/74, Temp 88F, and SPo2 93%. As you prepare for transport, you should?
Apply heat packs and handle gently
A pt complains of abdominal pain. Which of the following questions should you ask??
“How would you describe your pain”
A 90 year old female complains of shortness of breath which has been ongoing for the past few days. It gets worse at night when she lies down. Vital signs BP 180/100. P 106, R24. breath sounds reveal crackles bilaterally. Her most likely problem is?
Congestive heart failure (CHF)
A 7 year old child was struck by an automobile. You note a contusion to the right chest and right lower arm fracture with arterial bleeding. Your treatment should include?
Applying direct pressure to the arm, applying a long backboard, and administering oxygen
Your are called to an office building for a pt with an altered mental status. When you arrive, several people in the parking lot tell you that a few of their coworkers began to feel ill with headaches, nausea, and vomiting. Concerned, they left the building but think that there may still be a dozen people inside. You should?
Clear the building of all people
A 79 year old pt is in cardiac arrest. No one has started CPR. you should?
Begin CPR
A pt has a black substance around her mouth, but says that she has not been exposed to any burning material. After initial assessment, you should?
Ask if she knows what the substance is
Which of the following signs would you expect in a pt with a stab wound on the right side of the chest?
Increased respiratory effort
A seven year old boy was struck by a car. He is unresponsive and apneic, bleeding from the head, nose, and mouth, with obvious deformity to his right mid-femur. You should?
Open the airway and suction
Your patient is unconscious. The nurse on scene states : “ the pt is bradycardic, please attach your AED and transport.” what should you do?
Assess the pts breathing and pulse
A pt has sustained multiple traumatic injuries. In a “load and go: situation, the fastest, most appropriate method of splinting would be securing?
The injured limb to an uninjured limb
When giving the hospital a radio report, you should?
Maintain a clear and steady tone
A three year old pt has been sick for several days. Her mother tells you that she has been vomiting and has diarrhea. The child appears tired but withdraws from you during your exam. She is breathing quickly and looks pale. Vital signs are 90/50, P 133, R36. you should?
Apply high concentration oxygen and transport rapidly
A semi- conscious trauma pt with a suspected cervical spine injury has a significant amount of blood in her mouth. You should?
Suction using a rigid catheter
The best treatment for a pt exposed to an absorbed poison is to?
Remove the poison from the skin
Signs and symptoms of early hypoperfusion can include?
Decreased blood pressure
The following pts are all complaining of shortness of breath. Which of the following pts is MOST likely to be hypoxic?
23 year old asthmatic female exposed to cold temperature: SpO2 90%
A 27 year old female with a history of asthma complains of difficulty breathing. She has used her prescribed inhaler multiple times in the last nine hours. She has been in an argument with her boyfriend and is quite upset. Vital signs are P 140, R 60, SpO2 100%, breath sounds clear with no wheezing. You should suspect?
Hyperventilation
You just assisted a mother delivering a baby who is blue and flaccid. You should?
Ventilate by BVM
A pt is pulseless and apneic. You should?
Begin chest compressions and apply the automated external defibrillator
Which of the following diabetic patients should receive oral glucose?
A 25 year old female who is acting inappropriately
A 28 year old female pt with a history of asthma has stopped breathing. You initiate positive pressure ventilations with BVM mask. Which ventilation rate would be most appropriate?
10 breaths per min
An immobilization trauma patient starts vomiting en route to hospital. You should?
Use a yankauer catheter to suction vigorously
A trauma patient’s injured limb is pale and pulseless. You should suspect?
Compromised circulation
A pt becomes unresponsive after administration of oral glucose. You should ?
Open and inspect the airway
A 34 year old male was found unconscious at the bottom of a flight of stairs. You note dark blue, purple, and yellowish brown bruising across his back and a minor laceration of his chest. You should first be concerned with?
Wound to the chest
What of the following is the leading causes of death in infants and children?
Respiratory problems
You are treating a pt in cardiac arrest at a loud outdoor concert. You are awaiting transport and have shocked your pt five times. The AED is recommending another shock, you should?
Administer the shock
An adult is suffering a cardiac arrest. What should you do to restore circulation?
Begin chest compressions
A 42 year old male was in a house fire. The anterior portion of his lower legs has been burned. The area is charred black but your states he has a little pain. This burn would be classified as?
Full thickness
You are entering a controlled intersection with emergency lights and siren activated. The signal light is red. What should you do before going through the light?
Should come to a complete stop prior to proceeding
A 24 year old trauma patient is holding pressure on a laceration to his right leg. He keeps complaining: “i just can’t get it to stop”. His respirations are 10 times per min, amd he has no radial pulses. You should?
Apply a tourniquet
Your patient is in cardiac arrest. After administering a shock and two min of cpr, you detect a faint pulse. Vital signs are BP 90/50, P58, R6, Spo2 88%. What should you do?
Assist respirations via bvm
A 19 year old has swallowed lighter fluid. You should?
Contact a poison control center
You should rapidly extricate a motor vehicle collision patient who is awake and complains of:
Numbness to lower extremities and abnormal respirations
A three year old exhibits inspiratory stridor, fever, and agitation. You should?
Transport immediately
While transporting an oxygen dependent pt on 4 lpm oxygen, his respiratory rate decreases to 8 breaths per min. You should?
Ventilate via BVM and continue to transport
A pt has a small, bubbling puncture wound on the right side of his chest. You should dress the wound with a?
Plastic bag
An unresponsive pt is lying on the ground next to the ladder. You notice a bone sticking out of his left arm. You should?
Open his airway with a jaw thrust
A pt develops a sudden onset of chest discomfort and shortness of breath while working in his garden. Skin is pale and covered in a red rash. You should?
Assist the pt with his epinephrine auto injector
You are transporting a pt with chest discomfort. En route he becomes unresponsive. What is the most appropriate action?
Confirm pulselessness, start cpr, apply AED, stop vehicle and shock if necessary
A 64 year old pt is pale, complains of shortness of breath, and has pedal edema. You should?
Listen to the lung sounds, transport pt sitting up, and contact medical control
As you arrive on the scene of a water treatment plant, you notice a large cloud coming from the building. Your primary concern is to?
Maintain a safe distance
You have repeatedly attempted to ventilate an infant who is choking on a penny. The chest is not rising. You should:
Perform abdominal thrust
A four year old male with complete foreign body airway obstruction becomes unconscious as you are treating him. You place him supine on the ground and attempt ventilations, but the child’s chest does not rise. You should:
Reposition his head a reattempt ventilations
A 28 year old patient complains of back pain after falling 20 feet from a balcony. First responders placed a C-collar and splinted bilateral fractured femurs with padded board splints. You should:
Transport to level 1 trauma center
A very large man in restaurant is clutching his throat and unable to speak. You are unable to reach your arms around his abdomen. You should:
Ask your partner to assist you with the heimlich maneuver
American heart association studies show improved survival to discharge rates with the use of what kind of early cardiac arrest treatment?
Chest compressions
25 year old male asthmatic is short of breath. He has audible wheezes. Vital signs are BP 132/80, P 132, R 24, SpO2 96%. You should:
Assist with a prescribed bronchodilator
You are treating a patient for heat exposure. She is sweating profusely and complaining of abdominal cramps. En route to the hospital. She begins to shiver. You should:
Turn off the air conditioning in the ambulance
40 year old male was found confused and wandering around. Vital signs are BP 90/60, P 140, R 30 and shallow skin is hot and dry. You should suspect?
Heat stroke
30 year old female was in a car crash and has a severely angulated left lower leg. She has just been extricated after entrapment. The limb is cool and pulseless. Vital signs BP 100/40, P 90, R 20. You should:
Splint the extremity in the position found and transport rapidly
An 11 year old male has been injured. He is crying, sucking his thumb, and acting fearful. You should:
Speak calmly and explain all treatment beforehand
Which of the following is TRUE regarding the use of the flow-restricted, oxygen-powered ventilation device?
It can be used on children or adults
Belted patient was involved in a rollover vehicle crash. She is responsive to pain. Vital signs are BP 95/70, P 60, R 23 and an uninjured passenger tells you that she “has her appendix taken out” 3 months ago. Which of the following should MOST lead you to suspect internal bleeding?
Mechanism of Injury
When informing an 18 year old of a treatment that is needed and the associated risks, what type of consent are you seeking?
Expressed
Your patient has a mental illness and says she is hearing voices. You should:
Ask her what the voices are saying
You are unable to loosen or slip the umbilical cord from around a baby’s neck. You should:
Clamp the cord in two places, and cut the cord between the clamps
After administering nitroglycerin, your patient might experience:
Headache
74 year old female may be having a stroke. Which of the following would support this?
She presents with left-sided facial droop
How often should you trend a stable patient’s condition?
Every 15 minutes
What should you do before defibrillating a patient who has a nitroglycerin patch?
Remove the patch
A patient is experiencing labor pains. She states she needs to move her bowels. You should suspect that?
Delivery will occur soon
A mother is holding her one year old baby. His eyes are open and he looks at you when you approach. His eyes are sunken and he appears to be breathing rapidly. His mom tells you that he has been sick for a few days, and she has not had to change his diaper very often. You should suspect:
Dehydration
How should you preserve potential crime scene evidence on clothing that is removed from a patient?
Place items in a large paper bag
Your patient complains of a headache. You notice his right cheek is sagging and his left arm is hanging limp at his side. What should you do?
Perform a prehospital stroke scale
A six year old female reportedly fell off her bed. You note burns to the girls back and bruises of different colors on her legs. You should:
Report suspected abuse to the hospital
Two minutes after administration of a prescribed bronchodilator your patient becomes increasingly shaky. You should:
Continue to reassess the patient every 5 minutes
A patient was involved in a motor vehicle crash. She is still in her car when you arrive and complains of neck stiffness. Your partner tells you that he notices clear, colorless liquid pooling beneath the vehicle and smoke. You should:
Conduct a rapid trauma assessment and move the patient
Patient from a motor vehicle crash is refusing care. Which of the following is most important to document:
Advisement of transportation
A 72 year old man was found lying on a golf course. He is drooling, has a bloody lip, and has burns on his feet. He is confused and none of the bystanders know him. You should suspect the patient:
Was hit by lighting
You are called to a restaurant where a 62 year old male patient is clutching his chest. When asked if he can breath he shakes his head “no” what should you do?
Perform a series of abdominal thrust
A newborn is limp, cyanotic, and breathing slowly. She does not respond to suctioning, drying, and stimulation. You should:
Ventilate with a BVM
A CPR patient has a complete tracheostomy. You should:
Ventilate the patient through the tracheostomy via BVM
You have delivered two shocks with the defibrillator. Your patient now has a pulse and a blood pressure of 80/40. He remains apneic. What should you do?
Continue ventilations with oxygen and transport
Your patient is on a home ventilator. While performing your patient assessment, you should?
Connect the patient to your oxygen
You are transporting a 44 year old male complaining of chest pain when he becomes pulseless and apneic. You should:
Analyze the rhythm with the AED
You are called to a shopping mall for a “man down.” when you arrive, the patient is unresponsive. You may begin treating him based on the principle of?
Implied consent
A 17 year old female is anxious after breaking up with her boyfriend. She says she is dizzy and has numbness and tingling around her mouth. She has tachypneia and tachycardia. You should:
Monitor her oxygen SAT and transport
An assault victim complains of abdominal pain. On palpation, you note that the abdomen is rigid and tender. His vital signs are BP 110/70, P 118, and R 26. You should suspect?
Compensated shock
You are dispatched to the scene of a domestic dispute. You have been called to the same residence three prior times without incident. You should:
Request law enforcement for assistance
You are providing artificial ventilations with a BVM. your partner says, “clear.” You should?
Let go of the mask and not touch the patient
A ten month old female presents with a temperature of 105 F. You should?
Place cold packs in her armpits and groin
A thin 75 year old female on home oxygen presents in a tripod position with marked dyspnea, confusion, intercostal retractions, and mild cyanosis. Breath sounds are markedly decreased bilaterally. You suspect?
Emphysema
An adult is breathing at a rate of 6 breaths per minute. You should?
Ventilate the patient via BVM
A 23 year old has been getting gradually more disoriented and nauseous. HE is thirsty and complaining of abdominal pain. Vital signs are BP 130/90, P 110, R 24. You should suspect?
Hyperglycemia
A 13 year old male has a pencil impaled in his upper arm. You detect no radial pulse. You should?
Reposition the arm to return pulse
Your patient was eating when he suddenly grasped his throat. He cannot speak or cough. You should suspect?
Foreign body obstruction
Which method would be most appropriate when restraining a violent patient?
Strap the patient in the supine position to the cot using cravats
You have properly places defibrillation pads on a patient with a hair chest. The automated defibrillator is continuing to advise: “attach pads.” you should?
Remove current pads and apply new ones
A 45 year old female complains of chest pain. She is attempting to pull off the non-rebreather mask that Emergency Medical Responders placed on her. Vital signs are BP 130/80, P 118, R 24,Sp02 92%. What should you do?
Use a nasal cannula
A man in a diner suddenly began gasping and coughing violently while eating. He is now silent and his lips appear blue. You should?
Perform abdominal thrust
