EMT Readiness Exam

36/yo female complains of fever, lower abdomen pain that moves to lower back when she walks. BP 144, p98, R 16. You should suspect?

Pelvic inflammatory disease

Are administering oral glucose to a known diabetic. What should you be most concerned about?

The smell of acetone on breath

45 year old is 34 weeks pregnant.she complains of a severe headache, sensitivity to light, and swollen feet. Vitals signs are BP 130/88, P104, R 24 what should you suspect?

Preeclampsia

A 10 month old is choking, what should you do?

Back blows

First step with a sexually assaulted patient?

Reassure patient

2 year old has been vomiting for 12 hours and has decreased oral intake. She does not track your movements. What type of shock should you suspect? P150 R 24. Cool skin w/ mottling.

Hypovolemic

50 year old female states she has "the worst headache of her life". The onest was 20 minutes ago and it was abrupt. Vitals BP 180/90 P56 and R 20. You should suspect?

Subarachnoid hemorrhage

32 y/o female. 18 weeks pregnant. Lower ab pain w/vaginal bleeding. You should suspect?

Spontaneous abortion

70 y/o with SOB "I woke up and felt like i was drowning". He has been recently sleeping with extra pillows under his head. Bp 160/80 P 98 and irregular. R 24. Spo2 86%.

Left heart failure

Request additional resources for which victim? (couldnt find all the options

Foot wedged in pedal

56 yo M with severe pain after eating greasy food

Cholecystitis

Newborn is apneic immediately after delivery

Stimulate baby

3 yo F sitting on dads lap, drooling and won't eat or drink

Epiglottis

56 yo F complains of chest pain that is unrelieved after 3 NTG's. Troubled breathing speaking in 2-3 word sentences. You should?

Provide 02

What is a system of external/internal reviews called?

Quality improvement

EMS displays a "Free BP Check" sign on the window. This is a sign of?

Community relations

Which the following will only occur in the 1st trimester of pregnancy?

Ectopic pregnancy

36 yo M complains of nausea, vomiting and ab pain. Homeless and admits to chronic alcohol use. VS Bp 92/54 P122 R8. You suspect?

Pancreatitis

62 yo M with history of COPD ran out of Home O2. SOB and dry lung nonproductive cough, clear lung sounds. You suspect?

Emphysema

28 yo F has severe pain after slipping in the shower. 31 wks pregnant has bright red vaginal bleeding. Suspect?

Abruption placenta

Previous ambulance crew failed to clean backboard properly. Dried blood under the edges.

Wash board with disinfectant

24 yo F complains of right lower ab pain that radiates to the back with slight vaginal bleeding. Last period was 2 weeks prior. Suspect?

Ruptured ovarian cyst

When lifting a stretcher into the ambulance using power grip, you should?

Position hands 10 apart

Complications with precipitous delivery

Perineum tearing

54 yo F tells you she drank bleach to kill herself. You should?

Contact poison control

19 yr F is posticial following 10 mins seizures has snoring respirations. You should?

Insert OPA

You have been asked to audit prehospital care reports. Which requires review?

pt sitting on supine with chest pain on a stretcher right

82 yo F mumbling and throwing clothes, nurse says she's diabetic. You should?

Give oral glucose

Unresponsive 3yo lying supine in a ditch. VS 60/40 P60 R8. you should?

Assist ventilations

Leading cause of bradycardia in pediatrics

Hypoxia

Delivery of newborn has central cyanosis covered in thick greenish fluid. You should?

Inspect oropharynx

46 yo F. fever & lower ab pain that moves to lower back when she walks. Abnormal vaginal discharge for 2 days. VS 144/88 P98 R16. you should suspect?

Pelvic inflammatory disease

12 yo M bleeding uncontrollably from deep laceration to palm. He is a hemophiliac

Hemostatic agent

Which body is responsible for protection, temp, excretion?

Integumentary

An unconscious male is cyanotic and actively vomiting you have been suctioning him for at least a minute.

Open airway, check pulse

32 yo F was involved in a car crash and complains of a tearing pain in her back. Her left radial pulse is stronger than her right radial pulse.

Aortic dissection

48 year old male in vehicle responsive to verbal only. You see smoke in the vehicle.

Rapid extrication

You are delivering a baby and the amniotic sac is still in place. You should?

Tear amniotic sac

54 year old female tells you that she drank bleach to kill herself/. You should?

Contact poison control

Newborn infant with pink torso and blue extremities, you should?

Dry him off

36 year old ventilator dependent, called 911 because the ventilator warning. What should you do?

Look for rise and fall

22 year old fem is choking.She is in her 3rd trimester of pregnancy she is standing up leaning over a chair drooling unable to speak or cough. You should?

Perform chest thrust

8 year old with ecchymosis to ULQ. you should suspect?

Splenic injury

22 year old pregnant choking what do you do?

Chest thrust

21 year old female alert and complains of weakness / dizziness following a syncopal episode. She tells you she has been working outside all day. What's the most likely cause?

Dehydration

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

Im on blood thinners

36 year old female complains of left leg pain after car wreck, when you place her on long spine board, you see her left leg is shortened and rotated outward?

Femur fracture

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

Triage upwind

32 y/o complains of rapid heart. You should?

Obtain Vitals

58 year old male complains of general weakness and tells you that he had severe chest pain/ SOB the day before. You head rales at both lungs. Cool, pale, clammy skin signs. BP 70/40 p110, and R28. suspect?

Cardiogenic shock

Which part of heart responsible for pulmonary edema?

LV

Unconscious 28 year old 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?

Narcotic

You have just assisted in the delivery of a newborn. She has central cyanosis and is covered in a thick greenish fluid. You should.

Inspect the oropharynx

48yo M involved in a car crash is slumped over the steering wheel & unresponsive to loud stimuli. You smoke inside the vehicle & airbag deployed. You should?

Perform emergency extrication

Which vessels carries oxygenated blood back to the heart?

Pulmonary veins

Which part of the heart is responsible for causing pulmonary edema.

Left ventricle

A 59 year old male complains of distress and crushing chest. He is diaphoretic, pale cool. You should

Assist with self administer Rex nitro

immediately after the delivery of vigorous newborn, you should.

Suction oropharynx with bulb

19 year old fem is found by her friend staring blankly at the wall. She is awake but slow to answer questions. What is most likely the cause?

Seizure

23 year is 30 weeks pregnant and complains of abdominal cramps. She tells you that she has had normal prenatal health care and no vaginal discharge. Vitals signs are Bp 102/74, P 112, R22 and labored. You should?

Administer oxygen

You have just delivered an infant with a pink torso and blue extremities. He is crying and moving his arms and legs. You should.

Vigorous dry off with towel

Where in your PCR should you document that you placed the patient on o2 at 15lm by nrb?

Plan

Which conditions will only occur during the 1st trimester of pregnancy?

Ectopic pregnancy

A newborn head has just been delivered. You should?

Inspect for meconium

A 66 year old female has regained a pulse after shock with an AED? She is moving her extremities and has a R 8. You should?

Assis her ventilations

An 8 year old male was hit by a car and is unresponsive. He has ecchymosis to his left upper quadrant. You should suspect.

Splenic injury

What should you do to prevent the spread of this infection.

Clean your stethoscope with a germicide

67 yo female is unconscious and her family members are performing poor CPR. You should

2 min CPR

While performing a primary assessment on a Suicidal 35 year old M he becomes verbally abusive. You should

Calmly attempt to de escalate him

62 Year old complains of chest pain & shortness of breath with a long history of Angina. Vital signs are BP 90/50 P 100 R22 SPO2 90% what should you do?

Administer 02

Securing pregnant patient to long spine board, you should tilt the board to the left to prevent

Hypotension

78 yo male tells you "I feel sick & can't walk" bed is dirty w/ urine and feces. He request transport, but daughter does not want him to be transported to the hospital. What should you do?

Transport him to hospital

42 year old is apneic. Suddenly grabbed throat while eating and collapsed

Start compressions

A 10 month old F withdraws to painful stimuli. She had an ear infection and fever the passed three days, and she has a bulging fontanelle.

Meningitis

Which of the following patients have a right to refuse transport.

A 52 year old man with tightness in the chest and wheezing

Family members poor cpr. You should

Perform 2 minutes of CPR

Bleeding from dialysis shunt you should

Apply direct pressure to the shunt

A 12 year old male was kicked in the chest by a horse. He has distended neck veins and tracheal deviations. What should you suspect?

Tension pneumothorax

58 Year old with fever and chills. Lung sounds reveals rales and rhonchi in lower right lung

Pneumonia

24 y F is 23 weeks pregnant and she tells you that she feels weak and been vomiting for the passed 3 days she also tells you that she is scared to go to the hospital in the ambulance. V/S 84/52 P 110 R SPO2 98% on room air temp. You should.

Monitor her vitals signs and transport

A 72-year-old female's family member tells you she had a brief period of slurred speech and left sided arm weakness prior to EMS arrival. What is the most likely cause

Transient ischemic attack

18 yo M OD'd on unknown medication. RR is 8. Insert OPA, has gag reflex you should?

Insert NPA

Circumferential burn from elbow to wrist is what %

4.5

28 year old is in active labor. You see umbilical cord protruding from her vagina. Which position should you place her in?

Knee-chest

A 35 year old male spilled corrosive chemicals on his legs while cleaning an indoor swimming pool. He is dyspneic and has thickness burns to his legs you should?

Remove him from pool area

Which of the following is an audible, high pitched sound usually results from a blockage of the smaller air passages

Stidor

Left ankle fracture with tingling sensation in foot. Foot is cool swollen with a faint pulse. You should

Splint in position of comfort

45 year old is 34 weeks prego. Severe headache and severity to light, swollen feet

Pre-eclampsia

Daughter of 82yo M called 911 because she thought her father was acting strangely. He has no complaints and refusing to go to the hospital. Daughter has proof of Medical Power of Attorney. She tells you to take him to the hospital. You should?

Tell her daughter that she is only legally allowed to make decisions when her father is incapacitated

What is the leading cause of bradycardia for pediatric patients

Hypoxia

A 36-year-old female complains of fever and lower abdominal pain that moves to the lower back when she walks. She also mentions that she has had a domino vaginal discharge for the past two days. Vitals signs are blood pressure 144/88 pulse 98 respirations 16 you should suspect?

Pelvic inflammatory disease/

53 year old male with a history of coronary artery disease had a sudden onset of tearing abdominal pain that radiates to back he is ashen and diaphoretic states that he needs to use the bathroom vs bp 110/76 p 100 R20 you should

Explain the need for immediate transport

92 year old female complains of a headache and trouble breathing. She is on home O2. What is the most important question you should ask

When did SOB Start

A 16 y/o male tripped and landed on his elbow. It is swollen with obvious deformities and he is screaming in pain. You should:

Splint in position found

A 58 year old male complains of general weakness and tells you that he had severe chest pain and shortness of breath the day before. You hear rales at the base of both lungs. His skin is pale, cool, and clammy. Vital signs are BP 70/40, P 110, R 28. You should suspect:

Cardiogenic SK

24 year old female complains of right lower quadrant abdominal pain that radiates to her back with slight vaginal bleeding

Ruptured ovarian cyst

Cough producing thick mucus in tripod w/barrel chest

Chronic Bronchitis

An alert 62 yo male complains of chest pain, short of breath and long history of angina. Vital signs are BP 90/50, P100, R22, SP02 90%. What should you do?

Administer o2

A 450 lb patient has a 6 inch lacerating to the right upper arm & a fracture left ankles. He is on the 3rd floor. You should:

Apply a pressure dressing to the arm

A 22 fem was in a bicycle accident and struck her chest on the handlebar. She is short of breath and you notice small section of her chest move asymmetrically. You should suspect?

Flail segment