Vital Signs
That was a long time ago
Trauma
Med Terms
Drug Cards
100

Which of the following is the best indicator of perfusion in the adult?

A. Capillary refill
B .Blood pressure
C. Pulse
D. Mental state and alertness


D. Mental state and alertness
100

When using radio communications, you should:

A. speak quickly.
B. place the microphone less than one inch in front of your lips.
C press the talk button and begin speaking immediately.
D. avoid codes.


D. avoid codes

100

An 89-year-old male cut his abdomen on a knife while preparing dinner. You observe several loops of bowel protruding from the wound and minimal bleeding. What type of dressing should you apply to his wound?

A. Hemostatic
B. Self-adhering occlusive
C. Dry, sterile
D. Moist, sterile


D. Moist, sterile
100

A 24-year-old male complains of difficulty breathing. He is sitting in a chair leaning forward. He tells you that he was exercising when it started. His lung sounds are clear but diminished in the bases bilaterally. His vital signs are P 92, R 22, BP 132/90, and SpO2 is 93% on room air. You should suspect:

A. respiratory distress.
B. spontaneous pneumothorax.
C. respiratory failure.
D. tension pneumothorax.


A. respiratory distress.
100

A 76-year-old male complains of a severe headache that feels like a band around his head. He tells you he has been cooking with his grill in the garage because it is raining. His vital signs are P 88, R 14, BP 142/68, and SpO2 is 99% on room air. You should administer:

A. oxygen by nasal cannula.
B. ibuprofen.
C. oxygen by non-rebreather mask.
D. aspirin.


C. oxygen by non-rebreather mask.
200

Why should you check baseline vital signs in the unresponsive medical patient?


A. Because a physical examination is unnecessary
B. To provide a place from which to compare later vital signs
C. Because it is local protocol
D. Because taking the patient's history is impossible


B. To provide a place from which to compare later vital signs
200

A 52-year-old female was shot in the chest. She complains of pain and difficulty breathing. Her skin is pale and diaphoretic. When treating her, you should:

A. place any removed clothing in a plastic bag.
B. assess her vital signs before beginning transport.
C. avoid cutting through the bullet hole in her shirt.
D .apply a cervical collar and spinal stabilization.


C. avoid cutting through the bullet hole in her shirt.
200

A 56-year-old female has a full thickness burn to her left anterior forearm from an industrial alkali. Why does she only have pain in the skin surrounding the burn?

A. The alkali has an analgesic effect on the transmission of nerve impulses in the area of the burn.
B. An alkali burn is a cool burn like frostbite and does not cause pain.
C. The nerve cells are destroyed in the area of the burn.
D. Over-stimulation of the nervous system by the surrounding tissue is blocking nerve impulses from the area of the burn.


C. The nerve cells are destroyed in the area of the burn.
200

Shock is the circulatory system's failure to provide sufficient blood and oxygen to all the body's tissues. Which of the following is not a major type of shock?

A. Cardiogenic
B. Hemorrhagic
C. Hypovolemic
D. Hypervolemic


D. Hypervolemic
200

An 18-year-old male complains of abdominal pain and diarrhea. He tells you he has a history of cystic fibrosis. You auscultate rhonchi in his lower lungs. His vital signs are P 88, R 22, BP 126/78, and SpO2 is 93% on room air. You should?

A. assist with the administration of an OTC antiemetic.
B. administer oxygen by nasal cannula.
C. administer oxygen by non-rebreather mask.
D. assist with the administration of an OTC antidiarrheal.


B. administer oxygen by nasal cannula.
300

A toddler typically has a respiratory rate of about:

A. 22dash34breaths per minute.

B. 30dash60breaths per minute.

C. 24dash30breaths per minute.

D. 24dash40breaths per minute.


D. 24dash40breaths per minute.
300

You have transferred care of a 51-year-old female who has a laceration with arterial bleeding to hospital staff. While cleaning the ambulance, you notice drops of dried blood on the ceiling. To properly sanitize the patient compartment, you should:

A. sterilize the patient compartment with an EPA approved solution.
B. wipe the ceiling with soap and water.
C. spray a 1:1 bleach solution on the ceiling.
D. clean the ceiling with an EPA approved germicide.


D. clean the ceiling with an EPA approved germicide.
300

A 78-year-old female fell off her bicycle and struck her head. She tells you she does not remember the crash. Bystanders tell you that she was unresponsive before your arrival. While you are assessing her, she becomes unresponsive. You should suspect a(n):

A. intracerebral bleed.
B. subdural bleed.
C. vasovagal syncopal episode.
D. epidural bleed.


D. epidural bleed.
300

An unresponsive 54-year-old female is apneic and pulseless. Your partner begins chest compressions while you attach the AED and analyze the rhythm. The AED announces, "Shock advised." You should suspect:

A. asystole.
B. pulseless ventricular tachycardia.
C. pulseless electrical activity.
D. supraventricular tachycardia.


B. pulseless ventricular tachycardia

300

What is the reason for giving an epinephrine auto-injector in a life-threatening allergic reaction?


A. It will help dilate the patient's blood vessels and relax the airway passages.
B. It will help constrict the patient's blood vessels and relax the airway passages.
C. It will help raise the patient's blood pressure and slow the heart rate.
D. It will constrict the patient's airway passages and blood vessels.


B. It will help constrict the patient's blood vessels and relax the airway passages.
400

Which of the following is part of the body's compensatory response to blood loss?

A. Blood vessels constrict and the heart rate decreases.
B. Blood vessels constrict and the heart rate increases.
C. Blood vessels dilate and the heart rate increases.
D .Blood vessels dilate and the heart rate decreases.


B. Blood vessels constrict and the heart rate increases.
400

A 65-year-old male complains of generalized weakness. He tells you that he almost passed out earlier today. His lungs are clear to auscultation. His vital signs are P 44, R 16, BP 96/68, and SpO Subscript 2 is 94% on room air. You should suspect:

A. cardiogenic shock.
B. respiratory distress.
C. respiratory failure.
D. obstructive shock.


A. cardiogenic shock.
400

A 43-year-old female who stepped into a campfire complains of pain in her lower leg. The skin on her lower leg is reddened and blistered. The skin on her foot has areas of blackened skin and other areas that are dry, white, and leathery. She denies pain to this area when you cover it with a dressing. What type of burn should you suspect she has to her foot?

A. First degree
B. Second degree
C. Full thickness
D. Partial thickness


C. Full thickness
400

The patient was a driver in a lateral impact motor vehicle collision. During the assessment of his chest, the EMT notes a segment of the chest wall moving in the opposite direction from the rest of the chest. Which of the following best describes this finding?

A. Intercostal retractions
B. Flutter segment
C. Tension pneumothorax
D. Paradoxical motion


D. Paradoxical motion
400

Coworkers call 9-1-1 for a 22-year-old male who was having an asthma attack. The patient tells you that he took his albuterol inhaler prior to your arrival and feels better. You auscultate clear lung sounds. His vital signs are P 92, R 18, BP 130/82, and SpO2 is 93% on room air. You should administer:

A. albuterol by nebulizer.
B. albuterol by his inhaler.
C. oxygen by non-rebreather mask.
D. oxygen by nasal cannula.


D. oxygen by nasal cannula

500



Question content area top Part 1

A normal systolic blood pressure for an infant who is 12 months old is:

A. 100 mmHg.
B .90 mmHg.
C. 110 mmHg.
D. 60 mmHg.


B .90 mmHg.
500

Why would a 21-year-old female who has a regular pulse of greater than 160 have signs of cardiogenic shock?

A. Electrical impulses are not conducted efficiently.
B .Oxygen diffusion is decreased because of increased perfusion.
C .Myocardial cells do not have enough time to repolarize.
D. Preload is reduced due to decreased atrial filling time.


D. Preload is reduced due to decreased atrial filling time.
500

A 23-year-old female has a five-inch laceration to her left thigh. You were unable to control her hemorrhage, so you applied a tourniquet and stopped the bleeding. During transport, her vital signs are P 104, R 18, BP 88/62, and SpO Subscript 2 is 97% on oxygen by non-rebreather mask at 12 L/minute. Of the following, which will help to improve her outcome the most?

A. Elevating her left leg
B .Applying a hemostatic dressing
C. Increasing her SpO Subscript 2 to 100%
D. Keeping her warm


D. Keeping her warm
500

A 24-year-old female complains of chest pain and difficulty breathing. She tells you a horse kicked her in the chest. Her skin is pale and diaphoretic. You observe a contusion to the left side of her anterior chest wall. Breath sounds are absent over her left lower lung. Her vital signs are P 116, R 22, BP 92/80, and SpO Subscript 2 is 95% on room air. You should suspect:

A. hemothorax.
B. flail chest.
C. tension pneumothorax.
D. pneumothorax


A. hemothorax.
500

Which of the following would be the most appropriate site for the administration of an epinephrine auto-injector?

A. Into the trachea
B. Beneath the skin of the calf
C. Into a vein of the upper arm
D. In the muscle of the thigh


D. In the muscle of the thigh
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