Rapid Response Riddles
Subcutaneous injections deliver the medication:
between the skin and the muscle
You are assessing a 72-year-old man with abdominal pain. The patient is sitting in a chair; he is conscious, alert, and calm. As you are talking to the patient, your partner discreetly directs your attention to a handgun, which is located on a nearby table. You should:
position yourself in between the patient and the gun and ask your partner to request law enforcement assistance
A sign of respiratory distress seen in the neck is:
accessory muscle use.
To select the proper size oropharyngeal airway, you should measure from the:
corner of the mouth to the earlobe.
You are ventilating a patient with a stoma; however, air is escaping from the mouth and nose. To prevent this, you should:
A. seal the mouth and nose. B. thoroughly suction the stoma. C. thrust the jaw forward. D. ventilate with less pressure.
seal the mouth and nose.
You are transporting a 33-year-old male who was involved in a major motor vehicle crash. You have addressed all immediate and potentially life-threatening conditions and have stabilized his condition with the appropriate treatment. With an estimated time of arrival at the hospital of 20 minutes, you should:
reassess his condition in 5 minutes.
Your patient’s symptoms include high fever, cough, vomiting, bloody diarrhea, and shortness of breath. Which of the following should you suspect?
A. Influenza B. Whooping cough C. MERS-CoV D. Hepatitis B
MERS-CoV
Which of the following conditions often requires transport to a hospital with specialized capabilities that may not be available at the closest hospital?
Stroke and heart attack
Which of the following would cause an increase in the amount of exhaled carbon dioxide?
A. Anaerobic metabolism B. Increased cardiac output C. Cardiopulmonary arrest D. Excessive ventilation
Increased cardiac output
You are dispatched to a movie theater for a 39-year-old female with signs and symptoms of a severe allergic reaction. As you are assessing her, she pulls an epinephrine auto-injector out of her purse and hands it to you. After confirming the drug’s name and expiration date, you should
contact medical control.
You respond to a residence for a patient with a severe leg injury following an accident with a chainsaw. When you arrive, you find the patient, a 44-year-old male, lying supine in the backyard. He has a partial amputation of his right lower leg that is actively bleeding. The patient is conscious and breathing adequately; however, he is restless and his skin is diaphoretic. You should:
apply direct pressure to the wound.
Your primary assessment of an elderly woman reveals that she is conscious and alert, but is experiencing difficulty breathing. She has a history of emphysema, hypertension, and congestive heart failure. As you assess the patient’s circulatory status, you should direct your partner to:
administer oxygen with the appropriate device.
You are assisting an asthma patient with his prescribed metered-dose inhaler. After the patient exhales, and before inhaling, the patient should put his or her lips around the inhaler, take a deep breath, and depress the inhale. You should:
instruct him to hold his breath for as long as he comfortably can.
You and your partner are caring for a critically injured patient who is unresponsive and apneic. Your partner is controlling severe bleeding from the patient’s lower extremities as you attempt ventilations with a bag-mask device. After repositioning the mask several times, you are unable to effectively ventilate the patient. You should:
insert an oropharyngeal airway and reattempt ventilations
You are dispatched to a state park for a young female experiencing an allergic reaction. Your assessment reveals that her breathing is severely labored and her blood pressure is very low. You carry epinephrine auto-injectors on your ambulance and have been trained and approved by your medical director to administer them. As your partner gives the patient supplemental oxygen, you attempt to contact medical control but do not have a signal from your cell phone. You should:
administer epinephrine to the patient, begin immediate transport, and attempt to contact medical control en route to the hospital.
Your partner is performing one-rescuer CPR on a middle-aged woman in cardiac arrest. When you apply the AED pads, you note that she has a medication patch over the same area where one of the AED pads will be placed. You should:
remove the medication patch, wipe away any medication residue, and apply the AED pad
You receive a call for a 70-year-old female with respiratory distress. Her husband tells you that she has congestive heart failure; however, he does not think that she has been taking her medications as prescribed. The patient is laboring to breathe, appears tired, and has cyanosis around her lips. You should:
assist her ventilations with a bag-mask device.
Your EMS team is performing CPR on a 60-year-old male in cardiac arrest. You connect the AED, push the analyze button, and receive a “no shock advised” message. You should
perform CPR for 2 minutes and reassess.
The myocardium receives oxygenated blood from the __________, which originate(s) from the __________.
A. vena cava, coronary veins B. coronary sinus, vena cava C. coronary arteries, aorta D. aorta, inferior vena cava
coronary arteries, aorta
A 59-year-old male presents with severe vomiting and diarrhea of 3 days’ duration. He is confused and diaphoretic, and his radial pulses are absent. His blood pressure is 78/50 mm Hg. After applying supplemental oxygen, you should:
prepare for immediate transport.
A 30-year-old male experienced a generalized (tonic-clonic) seizure, which stopped before you arrived at the scene. The patient is conscious, is answering your questions appropriately, and refuses EMS transport. Which of the following would be the MOST compelling reason to disagree with his refusal of transport?
He is currently not prescribed any medications.
You are caring for a 68-year-old man with sudden onset of left-sided paralysis and slurred speech. His airway is patent, his respirations are 14 breaths/min with adequate depth, and his oxygen saturation is 98%. Treatment for this patient should include:
recovery position and transport.
Pain that is localized to the lower back and/or lower abdominal quadrants is MOST suggestive of:
an aortic aneurysm.
You respond to the residence of a 70-year-old male who complains of weakness and severe shortness of breath. His wife tells you that he is a dialysis patient, but has missed his last two treatments. After applying oxygen, you auscultate his lungs and hear diffuse rhonchi. The patient is conscious, but appears confused. His blood pressure is 98/54 mm Hg, his pulse rate is 120 beats/min and irregular, and his respirations are 24 breaths/min and labored. You should:
leave him in a sitting position, keep him warm, and prepare for immediate transport
You respond to the scene of a motor vehicle collision. Upon arrival, you find the driver, a young female, sitting on the curb. She is confused; is in obvious respiratory distress; and has pale, moist skin. As your partner manually stabilizes her head, you perform a primary assessment. After performing any immediate life-saving treatment, you should:
perform a detailed head-to-toe exam and prepare for immediate transport.