OBGYN/PEDS
In which of the following situations should the lone rescuer call 9-1-1 and retrieve an AED before initiating CPR on a pulseless and apneic child?
A) The child is between 1 and 8 years of age.
B) The child’s past medical history is unknown.
C) An opioid overdose is suspected or confirmed.
D) The child’s collapse was witnessed and sudden.
Which of the following is a common side effect of nitroglycerin?
A) Nausea
B) Anxiety
C) Headache
D) Hypertension
C) Headache
Which of the following is the MOST reliable indicator of a fractured spinal vertebra?
A) Lack of pain at the site of the injury
B) Palpable pain at the site of the injury
C) Decreased movement on one side of the body
B) Palpable pain at the site of the injury
The middle, muscular layer of the heart is called the:
A) epicardium.
B) pericardium.
C) myocardium.
D) endocardium.
C) myocardium.
An unresponsive patient has an end-tidal carbon dioxide(ETCO2) level of 70 mm Hg. You should conclude that the patient is:
HINT: CO2 content & is pt breathing adequately?
What is hypercarbic & breathing inadequately
Upon assessing a newborn, you note that the infant is breathing spontaneously and has a heart rate of 80 beats/min. What should you do?
A) Initiate positive pressure ventilations.
B) Provide blow-by oxygen with oxygen tubing.
C) Assess the newborn's skin condition and color.
A) Initiate positive pressure ventilations.
Which of the following patients with diabetes is the BEST candidate for oral glucose?
A. Confused pt who has cool, clammy skin
B. Confused patient with suspected hyperglycemia
C. A semiconscious pt with pale, clammy skin
D. An unresponsive pt who took too much insulin
A. Confused pt who has cool, clammy skin
If a vehicle strikes a tree at 60 mph, the unrestrained driver would likely experience the MOST severe injuries during the:
A) first collision.
B) second collision.
C) third collision.
C) third collision.
Which of the following is the MOST significant finding in a patient with a severe headache?
A) Pain in both legs
B) Chest discomfort
C) Unilateral weakness
D) Abdominal tenderness
C) Unilateral weakness
A patient with a core body temperature of 94°F would MOST likely present with:
A) decreased muscle activity.
B) an altered mental status.
C) joint and muscle stiffness.
D) shivering and pale skin.
D) shivering and pale skin.
A 5-year-old child in compensated shock secondary to severe vomiting and diarrhea would be expected to have:
A) slow, shallow respirations.
B) a slow capillary refill time.
C) strong, bounding radial pulses.
What is
B) a slow capillary refill time.
Which of the following complications would MOST likely occur if a patient with end-stage renal disease missed several dialysis treatments?
A) Severe dehydration
B) Potassium depletion
C) Bacterial infection
D) Pulmonary edema
D) Pulmonary edema
A 22-year-old man has a shard of glass impaled in his cheek. You look inside his mouth and see minor bleeding. The patient is conscious and alert with adequate breathing. You should:
A) carefully remove the shard of glass in the same direction that it entered.
B) cut the glass to shorten its length and then stabilize the remaining shard in place.
C) carefully stabilize the shard of glass and allow him to suction his own mouth.
D) remove the shard of glass and place gauze in his mouth to control the bleeding.
C) carefully stabilize the shard of glass and allow him to suction his own mouth.
After applying the AED to an adult patient in cardiac arrest, you analyze her cardiac rhythm and receive a shock advised message. Emergency medical responders, who arrived at the scene before you, tell you that bystander CPR was not in progress upon their arrival. You should:
A) perform CPR for 2 minutes and then defibrillate.
B) detach the AED and prepare for immediate transport.
C) deliver the shock as indicated followed immediately by CPR.
D) notify medical control and request permission to cease resuscitation.
C) deliver the shock as indicated followed immediately by CPR.
After administering epinephrine to a woman in anaphylactic shock, her condition improves. The EMT should recognize that her clinical improvement is because epinephrine:
A) constricts the blood vessels and dilates the bronchioles.
B) decreases the heart rate, which improves cardiac output.
C) blocks histamine receptors and stops the allergic reaction.
D) causes fluid to shift back into the cells, which reduces edema.
A) constricts the blood vessels and dilates the bronchioles.
A newborn has cyanosis to the chest and face and a heart rate of 90 beats/min. What should you do?
A) Resuction the mouth
B) Briskly dry off the infant
C) Begin chest compressions
D) Begin artificial ventilations
Which of the following clinical findings is common with emphysema, but not congestive heart failure?
A) Pursed lip breathing
B) Abdominal distention
C) Distended jugular veins
A) Pursed lip breathing
A 44-year-old man experienced burns to his anterior trunk and both arms. He is conscious and alert, but is in extreme pain. Assessment of the burns reveals reddening and blisters. This patient has ________________ burns that cover _____ of his total body surface area.
A) first-degree, 27%
B) partial-thickness, 36%
C) second-degree, 45%
D) full-thickness, 18%
B) partial-thickness, 36%
While performing CPR on a patient who is wearing an external defibrillator vest, the device alarms and a voice states that a shock is about to be delivered. What should you do?
A) Remove the battery from the device and apply your AED
B) Cease patient contact until the shock has been delivered
C) Continue CPR because the vest delivers a low energy shock
B) Cease patient contact until the shock has been delivered
Which of the following would MOST likely cause a rapid drop in a patient's blood glucose level?
A) Mild exertion after eating a meal
B) Eating a meal after taking insulin
C) Taking too much prescribed insulin
D) Forgetting to take prescribed insulin
C) Taking too much prescribed insulin
You are assessing a 5-year-old boy with major trauma. His blood pressure is 70/40 mm Hg and his pulse rate is 140 beats/min. and weak. The child's blood pressure:
A) indicates decompensated shock.
B) reflects adequate compensation.
C) is appropriate based on his age.
A) indicates decompensated shock.
73-year-old man presents with confusion; cool, pale, clammy skin; absent radial pulses; and a blood pressure of 70/40 mm Hg. The patient's wife tells you that he has had abdominal pain for a week and began vomiting a coffee-ground substance yesterday. His past medical history includes hypertension and gastric ulcer disease. Your MOST immediate concern should be that:
A) his blood glucose level is probably too high.
B) he is bleeding from his gastrointestinal tract.
C) he is in shock and requires prompt transport.
D) his condition requires surgery within 2 hours.
C) he is in shock and requires prompt transport.
A patient is unresponsive with snoring respirations. His arm is amputated just above the elbow and is bleeding heavily. The EMT should:
What is the EMT should apply a proximal tourniquet and stop the bleeding immediately.
Follow up: Why is compromised airway and assessing breathing status not the highest priority?
You are assessing a 70-year-old man who reports pain in both of his legs. He is conscious and alert, has a blood pressure of 160/90 mm Hg, a pulse rate of 110 beats/min, and respirations of 14 breaths/min and unlabored. Further assessment reveals edema to both of his feet and legs and jugular venous distention. What should you suspect?
A) Left heart failure
B) Right heart failure
C) Pulmonary edema
B) Right heart failure
Hypoxia-induced unresponsiveness during a submersion injury is usually the result of:
A) laryngospasm.
B) water in the lungs.
C) a cardiac dysrhythmia.
D) associated hypothermia.
A) laryngospasm.