emt readiness exam 2

23yo male was in the motor vehicle crash and has an open abdominal injury with protruding bowel. You should?

cover the bowl with moist dressing

27yo female with history of asthma complains of difficulty breathing. She used prescribed inhaler multiple times in last 9 hours. Argument with her boyfriend. Vitals are P140, R 60 Sp02 100%.

hyperventilation

35 year old female who is 3 months pregnant has twisted her knees while walking. She is walking. She is in extreme pain. You should

Splint using board splints and cravats, transport sitting

72 year old man lying on a golf course. Drooling, bloody lip, and has burns on his feet. He is confused and non of the bystanders know him. You should suspect patient

Victim elder abuse

your partner is about to insert a nasopharyngeal airway in a 28 year old who is lethargic and intoxicated, you should

make sure the device is lubricated prior to insertion

year old female fell in the bathroom she has a large hematoma on the bridge of her nose and the side of her head. BP 90/43, P 62, R12. Alert and denies neck pain or tenderness, you should

Immobilize c collar

A 2 year old child is in respiratory arrest be prepared for

Cardiac arrest

A 3 year old exhibits inspiratory stridor, fever, and agitation, you should

Transport immediately

A 6 year old has partial thickness burns on her arms, upper chest and upper back and face, you should

administer oxygen via mask

A 6 year old reportedly fell off the bed, you note burns and bruises on the back of diff colors what should you do?

Interview, the child, asking the location of the parents during the event.

A 6 yr old patient has retractions and a history of asthma. He is unable to hold his head up. You should.

Administer 02 via non-rebreather. 15 lpm

A 7 year old boy was struck by a car. He is unresponsive and apneic, bleeding from the head, nose and mouth, with obvious deformity on his left right mid femur.

Open airway and suction

a 7 year old child has been ejected from a vehicle.you should.

immobilize on long spine board

A 7 year old child was struck by an automobile, you note contusion to the right chest and a right lower fracture with arterial bleeding, your treatment should include?

apply direct pressure to the arm, apply long Backboard, o2

A 7 yr old boy was struck by a car. He is unresponsive and apneic. Bleeding from the head, nose , and mouth, with obvious deformity of his right mid-femur. You should -

open the airway and suction

A 10 month old female presents with a temperature of 105F you should

Remove clothing during transport

A 10 month old has a partial foreign obstruction due to a piece of a hotdog. She is cyanotic and has minimal air movement

ventilate by bag valve mask and oxygen

A 13 year old male has a pencil impaled in his upper. You detect no radial pulse. You should:

Remove the pencil

A 14 year old female is making grunting sounds . These sounds are indicative

respiratory distress

A 16 year old male walked up to you after falling while rollerblading. He is agitated and states his hands and his hands and tongue are tingling. He takes fluoxetine, you should suspect

an anxiety disorder

A 17 yo female anxious after breaking up with her BF. She says she is dizzy and has numbness and tingling around her mouth, she is tachypneic and tachycardia. You should?

tell her to stop breathing fast

A 19 year old has swallowed lighter fluid. You should -

contact poison control center

A 23 yr old deaf man called for an ambulance you need to determine why. You should

Try speaking clearly so he can watch your lips

A 23yo has been getting more disoriented and nauseous, he is thirsty and complaining of ab pain. Vital signs are BP 130/90 P110, R24. You should expect

hyperglycemia

A 24 year old was found apneic and pulseless in a parking lot. You should

Begin chest compressions

a 24 yr old female has large blisters on her forearm from exposure to dry cleaner this burn could be classified as

partial thickness burns

A 25 yd old male asthmatic is short of breath. He has audible wheezes, vital signs are bp 132/80 p132 r 24 you should

administer high flow oxygen

A 25 yr old prisoner complains of difficulty breathing, chills, and a cough

Tuberculosis

A 28 year old patient complains of back pain after falling 20ft from balcony. First responders place a c collar and splinted bilateral fractured femurs with padded board splints. You should

Transport to level 1 trauma

A 29 year old male complains of neck pain after being rear ended at an intersection .vehicle says her speedometer read two miles an hour at the moment of impact, you should

Enter the back seat of the vehicle to stabilize the c-spine

A 30 yr old female was in a car crash and has a severely angulated left lower leg. She has been extricated after entrapment. The limb is cool and pulseless. Vital signs are bp 100/40 P90 R20 you should

apply a manual traction and reassess the patient

A 33 year old male is pale cool clammy and disoriented. The patient should most likely receive

glucose

A 34 year old female is found unconscious is on a bathroom floor. She is apneic, has pinpoint pupils, and has a fresh puncture wound to her right forearm. Bluish streaks over the veins of the back of both hands, you should suspect

narcotic overdose

A 34 year old was found unconscious at the bottom of stairs, you note dark purple, blue, and yellowish bruising across his back and minor laceration, you should first be concerned about a/an

injury to neck

A 35 yr old female claims to have fallen. As you assess her injuries her husband enters the room and tells you to leave. He is holding a baseball bat. You should

leave the scene and call the police

a 40 year old male was found confused wandering around. Vital signs are B/P 90/60, P140,R30 and shallow, skin hot and dry. You should suspect?

heat stroke

A 40yo sweating and complaining of mild chest discomfort and SOB 15 after exercising. You should suspect?

acute myocardial infarction

A 42 year old male was in a house fire. The anterior portion of lower legs has been burned. The area is charred black but your patient states he has little pain. The burn would be classified

full thickness burns

A 45 year old male weighing 130 KG is having chest pain. Fifth floor

using a stair chair

A 46 yo male complaining of chest pain.You should?

apply oxygen and obtain vital signs

A 50 yr old patient has slow shallow respirations w cool clammy skin and blue around her mouth

bvm

A 54yo male was involved in a car crash and has a large open neck wound. You should dress this wound with an?

occlusive dressing

a 54yo male was playing basketball when he developed a crushing pain with associated shortness of breath. He sat down and his symptoms went away five minutes later. These symptoms best described?

Angina pectoris

a 55 yr old male has just self administered his EPIPEN he now complains of chest tightness and shortness of breath. He believes that his tongue is swelling. What should you do?

transport rapidly and monitor vital signs

A 57 yo has hemorrhaging after cutting off 3 fingers with a power saw and the 4th partially detached you should?

apply pressure over the injured fingers

A 64 year old diabetic is hypotensive during treatment. Cause of this condition is?

hypoglycemia

A 64 year old is pale complains of SOB and has pedal edema. You should?

listen to lung sounds, transport sitting up and contact medical control

A 68 year old patient complains of chest pain. Vital signs are BP 146/90. P 92, R20

Administer oxygen via nasal cannula at 6lpm

a 72 yr old female complains of shortness of breath she is responsive but can only speak in 2-3 word sentences vital signs are p118 r26 spo2 68%. Her skin is pale cyanosis around her lips and nail beds. She is on home oxygen at 2 lpm via cannula. You should

apply a non-rebreather

A 74 year old female may be having a stroke. Which of the following would support this?

Present with left sided facial droop

A 78 year old female was found in her pajamas on the kitchen floor. It is a cold morning and no one has heard from her for 24 hours. You find the daughter performing cpr

attach AED pads

A 79 year old patients in cardiac arrest. No one has started CpR you should -

Begin cpr

A 80 year old male complains of shortness of breath. Vital signs are BP 156/88, P 132, R 24 with crackles, spo2 % you should

administer oxygen by non rebreather mask

A 90 year of female complains of shortness of breath which has been ongoing for the few days. It gets worse at night when she lie down. Vital signs are BP 180/100, P 106, R 24. Breath sounds reveals crackles bilaterally

CONGESTIVE HEART FAILURE

A belted patient was involved in rollover vehicle crash. She is responsive to pain. Vital signs are BP 95/70, P60, R23 and an uninjured passenger tells you that sh had her appendix take out 3 months ago, which leads to suspect internal bleeding?

mechanism of injury

A bystander from a train derailment wanders into your treatment area. He has an altered mental status. Is covered in green film, and states he cannot catch his

request for hazmat

A confused 22 year old male has a weak pulse of 122 and distended abdomen. His skin is pale, cool, and clammy. What is most likely the cause

Insulin shock

A CPR patient has a tracheostomy. You should?

Ventilate through tracheostomy through via BVM.

A confused 22 year old male has a weak pulse of 122 and distended abdomen. His skin is pale, cool, and clammy. What is most likely the cause

Insulin shock

A CPR patient has a tracheostomy. You should?

Ventilate through tracheostomy through via BVM

A female is unresponsive after being hit in the head with a board. She has a large hematoma on her forehead. You should

assess her airway

A four year old male with a complete foreign body airway obstruction becomes unconscious as you are treating him. Child's chest does not rise

Reposition his head and reattempt ventilation

A man in a dinner suddenly began gasping and coughing verbally violently while eating. He is now silent and lips appear to be blue

Perform abdominal thrust

A man inhaled poison. What should you do? -

apply high concentrated o2

A man, sitting outside, was stung by a bee while drinking a soda. When you arrive, he is pale and complains of abdominal pain. Vital signs are BP 90/60, P110, R 24 and wheezing

begin treatment on site

A marble has completely obstructed your 4 year old patients airways. You should immediately

Abdominal thrusts

A motorcyclist is unconscious after being struck by an automobile. His full face helmet is still in place. Which of the following is an indication for removing his helmet?

if the helmet is preventing you from assessing the face

A newborn is breathing 48 per minute, P 130, peripheral cyanosis

administer blow-by at 6lpm

A newborn is limp, cyanotic, and breathing slowly she does not respond to suctioning , drying, and stimulation, you should

begin chest compressions

A patient becomes unresponsive after administration of oral glucose. You should

Open and inspect the airway

A patient covered diluted bleach solutions while washing the walls of the school gymnasium

instruct the patient to remove the clothing

A patient develops a sudden onset of chest discomfort and SOB while working in his garden. Skin is pale and covered in red rash. You should? -

assist the patient with his epinephrine auto injector

A patient from a motor vehicle crash is refusing care. Which of the following is most important to document -

Advisement of transportation

A patient hands you a lethargic 22 month old male and states he's had a congestive cough he has sternal retractions and his belly and chest move in opposite directions with each breath. He is breathing at a rate of 64. You should suspect.

respiratory distress

A patient has a closed head injury with altered mental status, increasing blood pressure, decreased pulse and unequal pupils. These are symptoms are with?

increased intracranial pressure

a patient has a history of type 1 diabetes. Which of the following questions is most helpful for immediate treatment in the field?

when did you eat last.

A patient has a small, bubbling puncture wound to the right side of the chest. You should dress the wound with a

plastic bag

A patient has hives, water eyes, and mild wheezing. Vitals are BP 102/60, P 110, and R 22. Which treatment should you provide during the initial assessment

Manage the patients airway

A patient has sustained multiple traumatic injuries in a load and go situation the fasted most appropriate method of splinting would be securing

the entire body to spine board

A patient is unresponsive in a crashed vehicle that is pointing into the ditch

Ensure vehicle is stable

A patient is unresponsive. There are several empty beer bottles and insulin nearby, you should?

ensure and maintain an open airway

a patient who had hypoglycemia would have skin that is.

cold and clammy

A PT complains of abdominal pain. Which of the following questions would you ask?

How would you describe your pain

A thin 75 yr old female on home oxygen presents in a tripod position with marked dyspnea and confusion and intercostal retractions and mild cyanosis.

emphysema

A three year old child developed a fever today. His mother states that he started shaking and turning blue for a short period of time. He is currently lethargic. You should suspect

spike in temperature

A three yr old patient has been sick for several days her mother tells you that she has been vomiting and has had diarrhea . the child appears tired but withdraws from you during your exam. She is breathing quickly and looks pale. You should

Observe the patient and transport routine to the hospital

a trauma patients injured limb is pale and has no pulses. You should suspect

Compromised circulation

A very large man is clutching his hands unable to speak. Unable to reach around.

perform Heimlich by wrapping your arms around the chest

After administering nitro, your patient might experience

headache

Agonal respiration are a characteristics of breathing seen in

Impending respiratory distress.

An 11 yr old male has been injured. He is crying sucking his thumb and acting fearful. You should

Speak calmly and explain all treatment beforehand

An 86 yr old male has laceration on his forehead and complains of chest pain. He states that he fell and hit his head. Which of the following questions would you ask

what happened just before you fell

An 89 year old female with a history of smoking is anxious and complaining of dyspnea. You find she has a pedal edema. She is coughing up pink frothy sputum.

CHF

an adult is breathing at the rate of 6breaths per minute

ventilate pt with a bag mask valve

An adult is suffering a cardiac arrest. What should you do to restore circulation.

chest compressions

An alert and oriented adult complaining of chest pain refuses transport

asks family to help convince the patient to be transported

An assault victim complains of abdominal pain. On palpation note that the abdomen is rigid and tender. His vital signs are BP 110/70 P 118 and R 26

ruptured diaphragm

An immobilized trauma patients starts vomiting en route to hospital

turn longboard on its side

An occlusive dressing should be used to quickly seal any open wound to the?

abdomen

An unconscious patient was found lying supine in a parking lot you note a large bruise on hi upper right abdominal quadrant. You should carefully monitor your patient for signs of

hypoperfusion