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2624 Terms
A 29 year old male complains of neck pain after being rear-ended at an intersection. There is no damage to the vehicle, and the driver of the second 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.
3 multiple choice options
You are on the scene of a stabbing where an unresponsive 25 year old male is bleeding severely. The assailant returns to the scene and is holding a knife. You should
retreat to a safe area.
3 multiple choice options
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 patient states he has little pain. This burn would be classified as
full thickness.
3 multiple choice options
A trauma patient's injured limb is pale and pulseless. You should suspect
compromised circulation.
3 multiple choice options
A 23 year old deaf man called for an ambulance. You need to determine why. You should
try speaking clearly so he can watch your lips.
3 multiple choice options
An 11 year old male has been injured. He is crying, sucking his thumb, and acting fearful. You should
Select one:
speak calmly and explain all treatment beforehand.
3 multiple choice options
Which of the following patients would benefit most from helicopter transport?
16 year old male motor vehicle crash victim still trapped BP 80/40
3 multiple choice options
A 35 year old female who is 3 months pregnant has twisted her knee while walking. She is in extreme pain. You should
splint with the stretcher and straps, transport the patient on her left side.
3 multiple choice options
A newborn is breathing at 48 times per minute, P 130, and peripheral cyanosis. You should
ventilate via bag-valve mask at 20 breaths per minute.
3 multiple choice options
A patient is pulseless and apneic. You should
begin chest compressions and apply the automated external defibrillator.
3 multiple choice options
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
Select one:
emphysema.
3 multiple choice options
An unresponsive male has a weak, rapid pulse with deep, rapid respirations. His skin is warm and dry and his breath smells like nail polish remover. What should you suspect?
Diabetic emergency
3 multiple choice options
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.
3 multiple choice options
A 22 year old male with a history of asthma is experiencing shortness of breath, wheezing, and chest tightness. Which of the following is the MOST indicated?
Albuterol
3 multiple choice options
Your patient is complaining of shortness of breath. Vital signs are BP 188/110, P 120, R 32 and shallow. Lung sounds include crackles or "bubbling" sounds. You should suspect
congestive heart failure.
3 multiple choice options
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, SpO2 92%. What should you do?
Select one:
Use a nasal cannula.
3 multiple choice options
A patient becomes unresponsive after administration of oral glucose. You should
open and inspect the airway.
3 multiple choice options
An 89 year old female with a history of smoking is anxious and complaining of dyspnea. Upon examination, you find she has pedal edema. She is coughing up pink frothy sputum. What should you suspect?
Congestive heart failure
3 multiple choice options
A patient has a closed head injury with the following signs and symptoms: altered mental status, increasing blood pressure, decreased pulse and unequal pupils. These symptoms are consistent with
increased intracranial pressure.
3 multiple choice options
In cases of bee stings, you should
remove the stinger by gently scraping with the edge of a card.
3 multiple choice options
A ten month old female presents with a temperature of 105 F. You should
remove her clothing and transport.
3 multiple choice options
An unconscious patient was found lying supine in a parking lot. You note a large bruise on his upper-right abdominal quadrant. You should carefully monitor your patient for signs of
hypoperfusion.
3 multiple choice options
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?
Select one:
Perform a prehospital stroke scale.
3 multiple choice options
Which of the following marks the difference between preeclampsia and eclampsia?
The onset of seizure activity
3 multiple choice options
A man in a diner suddenly began gasping and coughing violently while eating. He is now silent and his lips appear blue. You should
Select one:
perform abdominal thrusts.
3 multiple choice options
Your patient was eating when he suddenly grasped his throat. He cannot speak or cough. You should suspect
foreign body obstruction.
3 multiple choice options
A 46 year old male is complaining of chest pain. You should
apply oxygen and obtain baseline vital signs.
3 multiple choice options
A newborn is limp, cyanotic, and breathing slowly. She does not respond to suctioning, drying, and stimulation. You should
ventilate with a bag-valve mask.
3 multiple choice options
A 20 year old male collapsed while eating a hot dog. He appears cyanotic. You should
check responsiveness.
3 multiple choice options
How should you preserve potential crime scene evidence on clothing that is removed from a patient?
Place items in a large paper bag.
3 multiple choice options
You have just assisted a mother delivering a baby who is blue and flaccid. You should
ventilate by bag-valve mask.
3 multiple choice options
You arrive at a campsite where there has been an explosion. Your patient's clothing is still burning, and she is gasping for air. You should
extinguish burning clothing.
3 multiple choice options
A patient is unresponsive. There are several empty beer bottles and insulin syringes nearby. You should
ensure and maintain an open airway.
3 multiple choice options
A 28 year old female patient with a history of asthma has stopped breathing. You initiate positive pressure ventilations with a bag valve mask. Which ventilation rate would be most appropriate?
20 breaths per minute
3 multiple choice options
A 24 year old female has large blisters on her forearm from exposure to drain cleaner. This burn would be classified as a
partial thickness burn.
3 multiple choice options
You have just assisted in the delivery of a healthy newborn girl. Which of the following is most important?
Wrap the newborn in a blanket to keep her warm.
3 multiple choice options
You inform a Hispanic mother that her four month old son has died. You suspect SIDS. The mother begins crying uncontrollably and pounding her fists on the floor. You should
allow her to cry and let her family comfort her.
3 multiple choice options
Two minutes after administration of a prescribed bronchodilator your patient becomes increasingly shaky. You should
document your patient's response to the medication.
3 multiple choice options
An unresponsive child with facial trauma requires airway management. You should
suction the airway.
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.
3 multiple choice options
A semi-conscious trauma patient with a suspected cervical spine injury has a significant amount of blood in her mouth. You should
perform a jaw thrust.
3 multiple choice options
The most common electrical disturbance that results in cardiac arrest in adults is
ventricular fibrillation.
3 multiple choice options
When informing an 18 year old of a treatment that is needed and the associated risks, what type of consent are you seeking?
Expressed
Which of the following is the BEST way to assess breathing in an unconscious patient?
Watch for chest rise
3 multiple choice options
A man has inhaled poison. After opening his airway, you should
apply high concentration oxygen.
3 multiple choice options
A patient has hives, watering eyes, and mild wheezing. Vital signs are B 102/60, P 110, and R 22. Which treatment should you provide during the initial assessment?
Manage the patient's airway.
3 multiple choice options
An 86 year old male has a laceration on his forehead and complains of chest pain. He states that he fell and hit his head. Which of the following questions should you ask?
"What happened just before you fell?"
3 multiple choice options
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 last eat?"
3 multiple choice options
A 54 year old 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 describe
angina pectoris.
3 multiple choice options
While ventilating a patient you see abdominal distension. What should you do?
Reassess the volume and rate of ventilations.
3 multiple choice options
A 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 are BP 100/40, P 90, R 20. You should
splint the extremity in the position found and transport rapidly.
3 multiple choice options
The most effective way to control the spread of infectious disease is to:
exercise good hand washing technique.
3 multiple choice options
A 72 year old female complains of shortness of breath. She is responsive but can only speak in 2 to 3 word sentences. Vital signs are P 118, R 26, Sp02 68%. Her skin is pale with cyanosis around the lips and nail beds. She is on home oxygen at 2 lpm by cannula. You should
ventilation via bag-valve mask.
3 multiple choice options
Which method would be most appropriate when restraining a violent patient?
Strap the patient in the supine position to the cot using cravats.
3 multiple choice options
A seven year old child was struck by an automobile. You note a contusion to the right chest and a right lower arm fracture with arterial bleeding. Your treatment should include
applying direct pressure to the arm, applying a long backboard, and administering oxygen.
3 multiple choice options
You are entering a controlled intersection with emergency lights and siren activated. The signal light is red. Your emergency vehicle
should come to a complete stop prior to proceeding.
3 multiple choice options
Your motorcycle accident victim is anxious, short of breath and tachycardic, with unequal chest expansion. There are no sucking wounds present. Your administration of high flow oxygen does not seem to be helping. You suspect
a flail chest.
3 multiple choice options
Agonal respirations are a characteristic of breathing seen in
impending respiratory arrest.
3 multiple choice options
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. You should
take the patient to your ambulance.
3 multiple choice options
A patient is unresponsive in a crashed vehicle that is pointing into the ditch. You should
ensure the vehicle is stable.
3 multiple choice options
An unresponsive patient is lying on the ground next to a ladder. You notice a bone sticking out of his left arm. You should
open his airway with a jaw thrust.
3 multiple choice options
A 55 year 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. Vital signs are BP 136/80, P 130, R 22. What should you do?
Transport rapidly and monitor vital signs.
3 multiple choice options
A 23 year old male was in a motor vehicle crash and has an open abdominal injury with a protruding bowel. What should you do?
Cover the bowel with moist dressings
3 multiple choice options
A patient who is suffering from hypoglycemia would have skin that is
cold and clammy.
3 multiple choice options
A 23 year old patient is in respiratory arrest following a severe asthma attack. He has an asthma inhaler in his hand and bystanders say he gave himself two doses when the attack started. You should
perform ventilations with a bag-valve mask and oxygen.
3 multiple choice options
While attempting to ventilate your apneic patient, her chest does not rise. You should
reposition the airway and ventilate.
3 multiple choice options
A patient complains of abdominal pain. Which of the following questions should you ask?
"How would you describe your pain?"
3 multiple choice options
A 64 year old man suddenly became pulseless and apneic while watching television. His wife informs you that he recently had bypass surgery. You should
perform CPR as with any other patient.
3 multiple choice options
A patient has had battery acid splashed into both eyes. You should
irrigate both eyes with water for 20 minutes.
3 multiple choice options
A patient from a motor vehicle crash is refusing care. Which of the following is most important to document?
Advisement of transportation
3 multiple choice options
What is the most common error made while using an AED?
Applying the pads improperly
3 multiple choice options
A parent hands you a lethargic 22 month old male and states "he's had a congested 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.
3 multiple choice options
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 diapers very often. You should suspect
dehydration.
3 multiple choice options
Your patient is on a home ventilator. While performing your patient assessment, you should
assess the patient as you normally would.
3 multiple choice options
After administering nitroglycerin, your patient might experience
a headache.
3 multiple choice options
You should open the airway of a six-month old by
placing the head in a neutral position.
3 multiple choice options
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.
3 multiple choice options
How often should you trend a stable patient's condition?
Every 15 minutes
3 multiple choice options
A 14 year old female is making grunting sounds. These sounds are indicative of
respiratory distress.
3 multiple choice options
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.
3 multiple choice options
An alert and oriented adult complaining of chest pain refuses transport against medical advice. You should
ask family to help convince the patient to be transported.
3 multiple choice options
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, P 54, R 18, Temp 88F, and Sp02 93%. As you prepare for emergent transport, you should
handle the patient gently.
3 multiple choice options
A 33 year old male is pale, cool, clammy, and disoriented. The patient should most likely receive
oral glucose.
A 34 year old female is found unconscious on a bathroom floor. She is apneic, has pinpoint pupils, and has a fresh puncture wound to her right forearm. She has multiple scars that form a bluish streak over the veins of the backs of both hands. You should suspect
a narcotic overdose.
3 multiple choice options
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
wrap the patient in blankets.
3 multiple choice options
Your partner is about to insert a nasopharyngeal airway in a 28 year old who is lethargic and intoxicated. You should ensure that
the device is lubricated prior to insertion.
3 multiple choice options
A 52 year old male is unconscious after rolling his tractor. You notice an open knee fracture. His vital signs are BP 118/66, P 96, R 20. You should
assess distal pulses and apply sterile dressings.
3 multiple choice options
A two year old child is in respiratory arrest. You should be prepared for
cardiac arrest.
3 multiple choice options
A 19 year old has swallowed lighter fluid. You should
contact a poison control center.
3 multiple choice options
When giving the hospital a radio report, you should
maintain a clear and steady tone.
3 multiple choice options
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 lightning.
3 multiple choice options
Immediately after delivery, your newborn patient is not breathing. You should
stimulate the baby by rubbing vigorously with a dry towel.
3 multiple choice options
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 are BP 180/100, P 106, R 24. Breath sounds reveal crackles bilaterally. Her most likely problem is
congestive heart failure (CHF).
3 multiple choice options
A 92 year old female fell in the bathroom. She has large hematomas on the bridge of her nose and the side of her head. First responders report vital signs of BP 90/43, P 62, R 12. She is alert and denies neck pain or tenderness. Before transport, you should
perform a detailed physical exam and bandage her head.
3 multiple choice options
Your efforts to ventilate a patient with a bag-valve mask are not effective. You should
reposition the airway and ventilate again.
3 multiple choice options
You are transporting a patient 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.
3 multiple choice options
In what position should you place the expectant mother who suffers from supine hypotensive syndrome?
On her left side
3 multiple choice options
Which of the following is a SYMPTOM that is often associated with a heart attack?
Arm pain
3 multiple choice options
You arrive on the scene of a patient in respiratory distress. The patient is thin and barrel-chested, with rhonchi and wheezing. He also exhibits pursed lips and intercostal retraction. You should suspect his current respiratory distress is caused by
emphysema.
3 multiple choice options
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 minute, and he has no radial pulses. You should
apply a tourniquet.
3 multiple choice options