State Exam Flashcards
An adult trauma patient is unresponsive but breathing at a rate of 12 breaths per minute with snoring respiration. Which of the following is the most appropriate intervention?
A. Open the airway using the jaw-thrust maneuver while maintaining in-line cervical spine stabilization and apply an oropharyngeal airway.
B. Open the airway using a head-tilt/chin-lift maneuver while maintaining in-line cervical spine stabilization and apply an oropharyngeal airway.
C. Open the airway using the jaw-thrust maneuver while maintaining in-line cervical spine stabilization and provide assisted ventilation using a bag-valve mask.
D. Open the airway using a head-tilt/chin lift maneuver while maintaining in-line cervical spine stabilization and apply a nasopharyngeal airway.
A. Open the airway using the jaw-thrust maneuver while maintaining in-line cervical spine stabilization and apply an oropharyngeal airway.
A 30-year-old female was found in a city park and is having trouble breathing. She complains of steadily increasing shortness of breath and urticaria and feels as if her throat or tongue is swelling. Which of the following is the most likely cause of her signs and symptoms?
A. Asthma
B. Anaphylactic shock
C. Syncope
D. Heat exhaustion
B. Anaphylactic shock
Which of the following organs is not part of the endocrine system?
A. Pituitary gland
B. Pancreas
C. Gallbladder
D. Thyroid gland
C. Gallbladder
A 19-year-old female is complaining of general malaise and shortness of breath. She is sweaty, is breathing very shallowly, and has pinpoint pupils. Which of the following is the most likely cause of her signs and symptoms?
A. Sedative overdose
B. Opioid overdose
C. Sympathomimetic overdose
D. Tension pneumothorax
B. Opioid overdose
A 20-year-old asthmatic patient is experiencing shortness of breath. ON scene, the patient says they have a meter-dosed inhaler in their backpack, but needs assistance in getting it. What is the mechanism of action of albuterol when delivered via a metered-dose inhale?
A. Increases alveolar blood flow
B. Suppresses mucus production in the lungs
C. Relaxes bronchial smooth muscle
D. Increases overall lung compliance
C. Relaxes bronchial smooth muscle
A patient has just stopped exhibiting a generalized moto seizure. In which of the following states is the patient most likely to be?
A. Self-resolved lack of orientation to person, place, and time
B. Anxious and restless
C. Unresponsiveness to painful stimuli
D. Alert and oriented to person, place, and time
A. Self-resolved lack of orientation to person, place, and time
Which of the following is considered a common cause of acute abdomen? Select all that apply:
A. Gastroenteritis
B. Pancreatitis
C. Gallstones
D. Kidney stones
A, B, & C
A. Gastroenteritis
B. Pancreatitis
C. Gallstones
Which of the following statements is false regarding viral hepatitis?
A. Jaundice and right upper quadrant pain often occur several weeks after infection
B. Asymptomatic patients with hepatitis C cannot transmit the virus
C. Vaccines are available for hepatitis A and B
D. Hepatitis can be caused by cytomegalovirus
B. Asymptomatic patients with hepatitis C cannot transmit the virus
A 28-year-old female was involved in a motor vehicle accident. She is unresponsive and apneic. All attempts at opening her airway using the jaw-thrust maneuver have failed. What is the most appropriate next step?
A. Use the head-tilt/chin-lift maneuver to open her airway
B. Ventilate her with a bag-valve mask and reservoir bag
C. Insert two nasal airways and apply high-flow oxygen therapy
D. Attempt mouth-to-mask ventilation
A. Use the head-tilt/chin-lift maneuver to open her airway
Which of the following is generally not included in a patient care report?
A. Immunization record
B. Objective findings
C. Subjective findings
D. Transfer of patient care
A. Immunization record
Vital signs were not obtained from a patient when required. Which of the following is the appropriate action to remedy the situation?
A. Document that the patient refused to have vital signs obtained
B. Document that vital signs were not available
C. Make all values for this set of vital signs zero
D. Document that vital signs were not obtained and the reason
D. Document that vital signs were not obtained and the reason
A male patient fell more than 30 feet and landed on his back. The patient is unable to move anything below his shoulders. Which of the following describes this patient’s inability to move parts of his body?
A. Monoplegia
B. Hemiplegia
C. Paraplegia
D. Quadriplegia
D. Quadriplegia
A 76-year-old male complains of chest pain. He has a pulse of 68 beats per minute, blood pressure of 124/86 mmHg, and respirations of 22 breaths per minute. Nitroglycerine is administered. His blood pressure changes to 93/56 mmHg, and his pain persists. Which of the following is the most appropriate next step?
A. Administer 162 mg of aspirin (chewed) and place the patient in a position of comfort until his blood pressure increases
B. Administer high-flow oxygen and 324 mg aspirin (chewed), place the patient in a position of comfort, and transport
C. Administer a repeated dose of nitroglycerin
D. Administer high-flow oxygen and a repeated dose of nitroglycerin and transport
B. Administer high-flow oxygen and 324 mg aspirin (chewed), place the patient in a position of comfort, and transport
Which of the following is not a common sign or symptom of an ankle sprain?
A. Crepitus
B. Paresthesia
C. Muscle spasm
D. Swelling
A. Crepitus
In addition to DCAP-BTLS, which of the following should be assessed in the extremities of a trauma patient?
A. Retractions
B. Paradoxical motion
C. Reflexes
D. Neurovascular status
D. Neurovascular status
