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Airway
Pt. assessment
100

You have transported a 29-year-old male who complained of difficulty breathing to the hospital. Prior to leaving the hospital, at the very least, you should:


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A.complete an electronic patient care report.
B.provide patient demographic information to the registration staff.
C.ensure that all supplies used are restocked.
D.transfer care to staff with an equal or higher level of training.


D.transfer care to staff with an equal or higher level of training.
100

An unresponsive 10-month-old female is apneic and pulseless. Her skin is cold, and you observe dependent lividity. You observe rigor mortis in her jaw and extremities. Her father tells you she was fine when she went to bed last night. You should:

A.tell him his daughter has passed on and everything will be all right.
B.begin chest compressions and attach the AED.
C.tell her father she has died and provided emotional support.
D.question her father about non-accidental trauma.


C.tell her father she has died and provided emotional support.
100

A confused 54-year-old female did not eat lunch but took her insulin. She has a history of diabetes and chronic back pain. She localizes to stimuli with both hands equally. Her vital signs are P 82, R 14, BP 170/110, and SpO Subscript 2 is 97% on room air. You should suspect:


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A.hypoglycemia.
B.stroke.
C.opioid overdose.
D.hypertensive crisis.


A.hypoglycemia.
100

A 70-year-old male has difficulty breathing. When assessing him, which of the following should influence your decision to assist his ventilation with a BVM?


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A.A decrease in his mental status
B.An increase in his respiratory rate
C.A history of COPD
D.An SpO2 below 90% on room air


A. A decrease in his mental status
100

An unresponsive 4-year-old female is apneic but has a carotid pulse of 52. You should first:


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A. insert an oropharyngeal airway.
B. begin chest compressions.
C .attach the AED.
D. administer oxygen.


A. insert an oropharyngeal airway.
200

A 63-year-old male has an irregular three-inch laceration across his right forearm. He tells you he feels nauseated and light-headed. You observe a steady flow of dark, red blood. You are unable to stop the flow with direct pressure. You should next:


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A.elevate his arm above his heart.
B.apply a tourniquet proximal to the injury.
C.apply pressure to his brachial artery.
D.apply a pressure dressing.


B.apply a tourniquet proximal to the injury.
200

Which of the following is a characteristic of an EMS agency's quality improvement program?


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A. Reviewing all serious trauma call PCRs for the service to evaluate scene time
B. Protocol issued by the Medical Director that authorizes EMTs to perform skills in certain situations
C. Discussing specific issues a provider has with patient care and the steps to be taken to correct the issues
D .Documentation of developing trends in the chief complaints of transported patients


A. Reviewing all serious trauma call PCRs for the service to evaluate scene time
200

A 24-year-old male has a single episode of tonic/clonic seizure activity. He is awake when you arrive and is unaware of what happened. He tells you he ran out of his seizure medication. His vital signs are P 72, R 16, BP 138/68, and SpO Subscript 2 is 95% on room air. You should:


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A. monitor his vital signs and transport.
B. transport him in the recovery position.
C. administer oxygen.
D. administer oral glucose.


A. monitor his vital signs and transport.
200



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A 12-year-old male has difficulty breathing. He tells you he has had a cold all week. You auscultate rhonchi in his left lower chest. His vital signs are P 104, R 28, BP 104/74, and SpO Subscript 2 is 89% on room air. You should suspect:



Question content area bottom Part 1
A. chronic asthma.
B septic shock.
C. respiratory distress.
D. respiratory failure


C.respiratory distress.
200

A newborn's heart rate should be:

A. 70dash120beats per minute.
B. 90dash160beats per minute.
C. 80dash140beats per minute.
D. 100dash170beats per minute.


D. 100dash170beats per minute.
300

An unresponsive 2-year-old female has burnt skin on her left hand and left knee. Her father tells you he heard a loud noise and found her this way. She has irregular, slow, shallow respirations and a rapid carotid pulse. You should first:


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A. assist her ventilation.
B. assess her vital signs.
C. administer oxygen by nasal cannula.
D. administer oxygen by non-rebreather mask.


A. assist her ventilation.
300

Your patient is unresponsive, has an unusual odor on his breath, and is incontinent of urine. You should suspect:


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A.a neurological emergency.
B.a respiratory emergency.
C.an endocrine emergency.
D.a cardiac emergency.


C.an endocrine emergency.
300

A 61-year-old female complains of pain to the right side of her chest. She tells you that it started while she was mowing her lawn. She rates the pain 7 of 10 and tells you it does not change with movement. She has a history of cardiac and lung disease. Her skin is diaphoretic. You auscultate coarse crackles in bases of her lungs. Her vital signs are P 96, R 16, BP 168/110, and SpO Subscript 2 is 95% on room air. You should suspect:


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A. congestive heart failure.
B. acute coronary syndrome.
C. costochondritis.
D. hypertensive crisis.


B. acute coronary syndrome.
300

You are preparing to ventilate an 11-month-old female with a BVM. Which of the following ensures that her airway is properly positioned?


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A.Padding behind her shoulders
B.Using cricoid pressure while ventilating her
C.Placing her in the sniffing position
D.Inserting a nasopharyngeal airway


C.Placing her in the sniffing position
300

For which type of complaint should you conduct a FAST physical examination?


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A. Altered mental status with a diabetic history
B. Shortness of breath
C. Chest pain or discomfort
D .Mental status changes or neurologic complaints


D .Mental status changes or neurologic complaints
400

Epinephrine, which is administered for severe allergic reactions, helps to reverse the effects of the allergic reaction by:


Question content area bottom Part 1
A.constricting the bronchioles.
B.decreasing the heart rate.
C.dilating the blood vessels.
D.relaxing airway passages.


D.relaxing airway passages

400

Your patient was struck in the chest with a baseball bat during a bar fight. A crackling or crunching sensation that is felt when air escapes from its normal passageways and is trapped under the skin is called:


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A. subcutaneous emphysema.
B. tension pneumothorax.
C. distention.
D. crepitation.


A. subcutaneous emphysema.
400

A febrile 69-year-old male complains of body aches and decreased appetite. He tells you he has had the flu for a week. His skin is cyanotic and diaphoretic. You auscultate rhonchi and decreased lung sounds over his left lower lung. His vital signs are P 102, R 26, BP 116/90, and SpO2 is 91% on room air. You should suspect:


Question content area bottom Part 1
A. pneumonia.
B. pleurisy.
C. septic shock.
D. influenza.


A. pneumonia.
400

A 49-year-old male complains of sudden onset of shortness of breath. He has a 66 pack-year smoking history. He tells you he was sitting in a chair resting when it began. His skin is diaphoretic, and you auscultate diminished breath sounds in his right upper chest. His vital signs are P 96, R 24, BP 148/94, and SpO2 is 93% on room air. You should suspect:


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A. COPD.
B. pertussis.
C. lung cancer.
D. spontaneous pneumothorax.


D. spontaneous pneumothorax.
400

For the physical examination of a responsive medical patient, you would focus on:


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A. the respiratory and cardiovascular systems first.
B. the endocrine and immune systems first.
C. examining body systems related to the chief complaint.
D .completing a full head-to-toe examination of the patient.


C. examining body systems related to the chief complaint

500

Although many of the signs and symptoms of shock are the same no matter what the cause, the symptoms follow a logical progression as shock develops and worsens. Arrange the following signs and symptoms in the order that they will most likely appear.1. Altered mental status2. Dropping blood pressure3. Nausea and vomiting4. Pale, cool, and clammy skin5. Increased pulse6. Increased respirations


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A.1, 4, 3, 5, 6, 2
B.5, 3, 4, 2, 6, 1
C.2, 5, 6, 3, 4, 1
D.1, 3, 4, 5, 6, 2


A.1, 4, 3, 5, 6, 2
500

While an EMT forms a field diagnosis on the scene of an emergency, how do the steps differ from the traditional approach to diagnosis?


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A.The EMT does not have time to form a differential diagnosis and must rely on prior experience when treating a patient.

B.Due to the limited time spent with the patient, the EMT must rely on a differential diagnosis.

C.The EMT must perform a patient assessment to begin the process of forming a diagnosis.

D.The EMT must rule in or out the most serious conditions associated with the patient's presentation


D.The EMT must rule in or out the most serious conditions associated with the patient's presentation
500

A 21-year-old female has a sudden onset of left lower abdominal quadrant pain and vaginal bleeding. She denies the possibility that she could be pregnant. She tells you the pain started after she had a spicy meal. Her vital signs are P 116, R 18, BP 94/70, and SpO Subscript 2 is 93% on room air. You should suspect:

A. abruptio placentae.
B. an ectopic pregnancy.
C. placenta previa.
D. a ruptured uterus.


B. an ectopic pregnancy.
500

A 64-year-old male is having an asthma attack. Which class of medication can help improve his alveolar ventilation?


Question content area bottom Part 1
A.Beta1 agonist
B.Beta2 antagonist
C.Beta1 antagonist
D.Beta2 agonist


D.Beta2 agonist
500

A 23-year-old male complained of chest pain after he was stabbed in the right chest with a knife. You applied an occlusive dressing and continued your treatment. His initial vital signs were P 92, R 18, BP 128/82, and SpO Subscript 2 was 93% on room air. During transport, he complains of difficulty breathing, and his vital signs are P 114, R 22, BP 104/88, and SpO Subscript 2 is 91% on oxygen 12 L/minute by non-rebreather mask. You should:


Question content area bottom Part 1
A.increase the oxygen flow rate.
B.burp the occlusive dressing.
C.assist his ventilation.
D.place him on his right side.


B.burp the occlusive dressing.
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