EMT FISDAP Readiness Exam 4

56 y/o male complains of increasing shortness of breath. Confused, speaks in 2 word sentences. JVD & pedal edema w productive cough. V/S BP 168/94, P 88 irregular, R w crackles, SPO2 76%

apply 02 via NRM

32 y/o female, car crash. complains of tearing pain in back Upon assessment, left radial pulse is stronger than right radial pulse. You should suspect?

Aortic Dissection

A patient amputated her index finger in a table saw accident. You should:

Wrap in gauze, put in plastic bag, and keep cool

A 24 y/o female complaints of RLQ abdominal pain that radiates to her back w slight vaginal bleeding. Her last menstrual period was 2 weeks ago, You should suspect?

Ruptured Ovarian Cyst

29 y/o female, just delivered newborn, heavily bleeding, You should?

Massage Fundus

19 y/o female found by friend staring blankly at while, awake and slow to answer questions. What was the cause?

Seizure

70 y/o male, complains of shortness of breath, he tells "I woke up and feels like drowning", sleeping w extra pillows under head. V/S BP 166/80, P 98 and irregular, R 24. SPO2 86%. What should you suspect?

Left Sided Heart Failure

Just delivered an infant with pink torso and blue extremities, crying and moving arms and legs what should you do?

vigorously dry off baby w towel

Newborn is apneic immediately after birth

Stimulate baby w dry towel

62 y/o male with history of COPD, ran out of his home 02, shortness of breath and has dry non productive cough w clear lung sounds

Emphysema

68 y/o male found unresponsive 5 min ago, no spontaneous respiratory effort, you should:

Check carotid pulse

3 y/o female found unresponsive apeneic w carotid pulse of 30

assist ventilations

what is correct location for assessing a 2 y/o pulse

radial pulse

53 y/o male history of CAD, sudden onset of tearing abdominal pain that radiates to back. ashen and diaphoretic, states he needs to use toilet, V/S BP 110/70, P 100, R 20, what should you do?

explain need of immediate transport

62 y/o male cardiac arrest at restaurant, after beginning chest compressions, daughter tells he has terminal lung cancer and asks you to stop resuscitation efforts, what should you do?

ask about dnr while continuing cpr

33 y/o female has been "down" for an unknown period of time and is pulseless after contact w a portable welder

begin CPR

a 450 pound has a 6 inch laceration to his right upper arm and fractured left ankle, on 3rd floor of apt building. You should?

apply pressure dressing

51 y/o male unresponsive w agonal respirations, you should?

Check Pulse

40 y/o male open ankle fracture thats actively bleeding, what PPE should you use?

Gloves, goggles, and mask

what is the leading cause of bradycardia in peds

hypoxia

15 y/o is 38 weeks pregnant, having strong contraction one minute apart, lying on high school bathroom. you should?

prepare for delivery

82 y/o female mumbling and throwing clothes. History of diabetes, you should

admin oral glucose

2 y/o female vomiting for 12 hrs and decrease oral intake. does not track movements and cries weakly when stimulated. P 150, R 24, skin is cool and mottling, what type of shock?

hypvolemic

32 y/o female 20 weeks pregnant. which position should you transport?

left lateral recumbent

what is the first step in assessing responsive 35 y/o male w a possible obstructed airway?

ask pt if he is choking

which vessels carry oxygenated blood to the heart?

pulmonary veins

1 year old dry bark like cough, hot to touch R is 40 you should suspect?

Croup

52 y/o female severe abdominal pain, distension and black stools

upper GI bleeding

28 y/o female tripped and left ankle fracture, has tingling sensation on her foot. Foot is cool, swollen, and faint pulse, you should?

elevate leg and ice

2 y/o male seizure following high fever, what should you tell parents?

transport

36 y/o male nauseous, vomiting, and abdominal pain. homeless and alcoholic you should suspect?

pancreatitis

4 y/o male restrained front seat passenger in car crash w airbag deployment. chemical burns to his face and trouble breathing, you should?

perform rapid extraction

36 y/o female headache, slurred speech, weakness in left hand. what is the most important question to ask her?

when did these symptoms start

in which zone do you triage pts during a hazardous materials emergency?

cold

55 y/o female, "it feels like something is stuck in my throat" she is hot to touch BP 148/90, P 124, R 18, you should?

inspect for foreign body airway obstructions

delivery of newborn central cyanosis and is covered thick green fluid, you should?

inspect oropharynx

22 y/o female w AMS and a stoma has irregular respirations you should?

ventilate her through her stoma w bvm

32 y/o at 38 weeks gestation urged to push each contraction. infant head delivered, during the next contraction, you should?

gently guide infants head towards the perinium

7 y/o cardiac arrest choking on chicken upon arrival CPR is in progress, you should?

immediately apply AED

47 y/o male working outside hot day and is disoriented, skin hot and dry, you should?

move him to cool area

29 y/o male large stick impaled in LRQ, supine and screaming in pain. P 110, R 22, what should you do?

stabilize stick

when applying a tourniquet, tighten until

bleeding stops

while performing primary assessment of 32 y/o female she complains of a rapid heartbeat what should you do?

assess pulse

unresponsive 19 year old female is supine on a abed next to several empty beer cans w 3 year old son running around house

transport both

66 y/o female has regained pulse after one shock from AED, moving extremities and has a R 8, AED prompts shock advised you should

Assist ventilations

35 y/o male shortness of breath shot in abdomen and legs, P 122, R 24 and labored

High flow 02 via NRM

S/S of opiate overdose

Pinpoint pupils, Hypotensive, bradypnea

an unresponsive 42 y/o male is not breathing. has medical alert bracelet identifying him as diabetic. you should?

assess airway

you arrive at a factory and see lots of people coughing as they evacuate the building you should?

park ambulance 100 ft away and wait for trained personnel to arrive

Contraindication for nitroglycerin admin?

Erectile Dysfunction Meds

while driving ambulance, first on scene for a car crash involving 4 cars w significant damage and a semi trailer on its side, you should?

request additional resources

25 y/o male stabbed, EMR applied occlusive dressing prior to your arrival, BP 90/62, P 120, R 28 and labored, you should?

lift one side of occlusive dressing

59 y/o male complains of dizziness an crushing cheat pain. he is diaphoretic, pale, and cool, you should?

supine

22 y/o third trimester and choking, she is standing up leaning over a chair drooling but unable to speak or cough, what should you do?

chest thrusts

18 y/o female with sickle cell anemia complains of stomach pain and upper leg pain. V/S bp 130/66, P 96, R 14, you should?

apply 02 and transport in position of comfort

delivery of newborn, notice that amniotic sac is still intact, you should?

tear amniotic sac open

66 y/o female complains of shortness of breath, notice several tissues that contain bloody sputum, you should?

don n95 ask about nights sweats or cough

54 y/o female tells you she drank bleach to kill herself, you should?

contact poison control

22 y/o male kicked in chest by horse, has distended neck veins and tracheal deviation. what should you suspect?

tension pneumo

42 y/o male large laceration on medial aspect of neck

apply occlusive dressing

normal breathing rate for a 6 y/o

18 to 30 breaths

56 y/o male complains of severe abdominal pain soon after large greasy meal. what should you suspect?

cholecystitis

checking ambulance you find a dried bloody piece of gauze under stretcher. what should you do?

dispose w gloved hand

92 y/o female complains of headache and trouble breathing. she is on home oxygen. speaks in 2 - 3 word sentences. what is most important question you should ask her?

when did you become short of breath

10 month old choking, you should perform?

back blows

a 21 y/o male has an evisceration after being stabbed. you should

cover w moist sterile dressing

8 y/o hit by car and unresponsive, has ecchymosis to LUQ, you should suspect?

splenic injury

56 y/o male car battery acid splashed in eyes, you should?

irrigate eyes

16 y/o male tripped and landed on elbow, elbow swollen w deformity and is screaming in pain, you should?

apply gentle traction to his arm

a 20 y/o male was hit in the abdomen with a golf club. he has bruising to his RUQ, you should suspect an injury to the?

liver

which of the following conditions will only occur during first trimester of pregnancy?

ectopic pregnancy

EMS displays, free BP checks

community relations

10 month y/o withdraws to painful stimuli, had an ear infection and bulging fontanelle

meningitis

LPM for oxygen via NRM

10 LPM

45 y/o frostbite on both feet, transport is 20 min, you should?

rewarm feet w blankets

you have attached an AED to a 42 y/o female who is apneic and pulseless. AED prompts no shocked advised, you should?

resume/start compressions

a 20 y/o male complains of a sudden onset of shortness of breath and chest pain, lung sounds are diminished on right side. he denies trauma and past medical history. you should suspect?

Pulmonary Embolism

part of heart responsible for causing pulmonary edema

Left Ventricle

which following patients have right to refuse treatment and transport?

A 52 y/o male w tightness in chest and wheezes

Complications of precipitous delivery

Perineum tearing

32 y/o female complains of sudden onset of sharp, cramping pain in her lower abdomen and vaginal bleeding, is 18 weeks pregnant. what should you suspect?

Spontaneous Abortion

53 y/o male complains of nausea and headache, which statements is most significant?

turned on furnace last night

55 y/o male goes unconscious after administration of nitroglycerin, you should

assist ventilations

alert 21 y/o female complains of weakness and dizziness following a syncopal episode. she tells you she has been working outside all day in hot weather. most likely cause?

dehydration

A 21 y/o female has an open femur fracture after falling off a horse. You should

stabilization

What are the recommended dimensions of a landing zone for air medical?

100 x 100 ft

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

:I am on daily blood thinners"-is concerning because when bleeding it takes longer for blood to clot and causes more bleeding

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

placenta

A 28 y/o female is in active labor and tells you she needs to push. You see the umbilical cord is protruding from her vagina. Which position should you place her in?

Knee Chest

While performing a primary survey on a suicidal 35 y/o male, he becomes verbally abusive. You should

calmly attempt to deescalate him

When using the ambulance siren, you should

consider motorists will hear it

A 24 y/o male was hit in the chest with a metal pipe. He is having trouble breathing and coughing up blood. Vital signs are BP 116/70, P

110, R 24 and shallow. You should suspect

pulmonary contusion

An unconscious 28 y/o 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?

Narcotics

A 6 y/o female is crying in the back seat of a vehicle after a car crash. A downed utility line is on top of the vehicle. You should

contact dispatch for additional resources

An unresponsive 67 y/o male is lying supine with a weak carotid pulse. He has emesis in his oropharynx and gasping respirations of 6. You should

suction airway

What is the most effective way for a single rescuer to ventilate an apneic adult

BVM

You should request additional resources for which of the following car crash patients?

Select one:

a. A 23 year old male in the passenger seat who is coughing up blood

b. A 56 year old male whose foot is wedged under the brake pedal

c. A 50 year old female in the driver's seat with unequal hand grip. A 16 year old female in the rear seat who is unable to speak clearly

56 y/o male foot wedged under brake pedal

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

leave them and document

A 45 y/o female is bleeding from her dialysis shunt. You should

apply direct pressure to shunt

A 66 y/o male collapsed 8 minutes ago. He is in cardiac arrest when you arrive. What should you do?

start chest compressions