Airway
Cardiology
Trauma
Medical
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Operations
100

You are transporting a 4-year-old female that was found sitting in a chair with labored breathing, inspiratory stridor, and drooling. Which one of the following signs would warrant immediate reassessment?

  • The patient remains dyspneic.
  • The SpO2 drops from 96% to 95%.
  • The stridor disappears.
  • The drooling continues.

The stridor disappears.

100

In patients with deeply pigmented skin, changes in color can be found in areas such as:

  • back of the neck
  • forehead and face
  • dorsum of the hand
  • lips or oral mucosa

lips or oral mucosa

100

A function of the liver would include:

  • storage of bile, which is produced in the gallbladder.
  • production of substances necessary for blood clotting.
  • production of hormones that regulate blood sugar levels.
  • release of amylase, which breaks down starches into sugar.

production of substances necessary for blood clotting.

100

Which answer includes all five rights of medication administration?


  • Right patient, right medication, in date, right dose, right route
  • In date, right medication, right order, right dose, right time
  • Right decision, right medication, right order, right dose, right place
  • Right patient, right medication, right time, right dose, right route

Right patient, right medication, right time, right dose, right route

100

Iron supplements are suggested for pregnant women because:


  • iron makes the blood clot faster, which protects the mother from excessive bleeding during delivery.
  • the blood naturally thins during pregnancy, which predisposes the mother to severe bleeding.
  • white blood cells decrease during pregnancy, which increases the mother's risk of an infection.
  • pregnancy causes a decreased number of red blood cells, which predisposes the mother to anemia.

pregnancy causes a decreased number of red blood cells, which predisposes the mother to anemia.

100

A patient inhaled cyanide gas. He is alert and complaining of shortness of breath. His airway is patent, his breathing is adequate, his breathing sounds are clear, and his radial pulse is strong. His skin is warm and dry. Given these assessments finding, what should the EMS provider do first?

  • Obtain vital signs with the patient in a supine position.
  • Administer the antidote for cyanide.
  • Monitor the patient and transport.
  • Administer oxygen via non-rebreather mask.

Administer oxygen via non-rebreather mask.

200

Which best describes the ventilation/perfusion ratio?

  • The ability of the red blood cells to offload oxygen to the cells of the body
  • The ability of the body to exchange gases across the alveolar capillary membrane
  • The amount of air that is moved into and out of the lungs in 1 minute
  • The amount of blood and the pressure at which it carries oxygen through the body

The ability of the body to exchange gases across the alveolar capillary membrane

200

What sign or symptom is typically associated with congestive heart failure?

  • Edema to the left arm
  • Feeling of palpitations
  • Crackles in both lungs
  • Rhonchi to both lungs that is cleared by a cough

Crackles in both lungs

200

Of the following, which statement made by an EMS provider shows that he understands the major cause of death in the prehospital setting for a burn patient?

  • Most patients who die before getting to the hospital die from burn shock, caused by massive fluid loss from the burns.
  • Burn patients most often die before reaching the hospital from the increased body temperature caused by the heat of the burn.
  • Most burn patients who die before getting to the hospital die of airway or bleeding problems, not the burn itself.
  • The most common cause of death for burn patients in the prehospital setting is infection, which can be minimized by applying a sterile burn sheet.

Most burn patients who die before getting to the hospital die of airway or bleeding problems, not the burn itself.

200

Assessment of a crisis patient's blood pressure and oxygen saturation should be performed:

  • within the first few minutes after making patient contact
  • at least every 5 minutes in order to detect signs of shock
  • only if you will be transporting the patient to the hospital
  • if doing so will not worsen his or her emotional distress

if doing so will not worsen his or her emotional distress

200

The underlying pathophysiology associated with an ectopic pregnancy is that a fertilized egg is:

  • Lodged in a fallopian tube
  • Contaminated with abdominal bacteria
  • Stuck in the abdomen
  • Developing without a placenta

Lodged in a fallopian tube

200

Your patient is a 59-year-old man who is suffering from chest pain. Upon arrival, the patient is sweaty, short of breath, and pale. The patient is angry with his daughter for calling 911. He claims the pain is from some spicy sausage he had for breakfast and he has indigestion. What would be an appropriate means of getting the patient the care he needs?

  • Inform the patient that if he does not agree to treatment, you will have to take him against his will because he has a potentially life-threatening problem.
  • Tell the patient that his chest pain is most likely because of his diet, have him take an antacid, and go to bed.
  • Call the patient's neighbors and tell them that you have been called to the patient's house but he is now refusing care.
  • Try to find out why the patient does not want to go to the hospital.

Try to find out why the patient does not want to go to the hospital.

300

Which statement would be true of a patient who relies on the hypoxic drive to breathe?

  • The respiratory rate is set according to the level of oxygen in the body
  • The primary gas affecting the respiratory rate is carbon dioxide
  • The central chemoreceptors are the primary influence on the respiratory rate
  • The peripheral chemoreceptors have become less sensitive to oxygen.


The respiratory rate is set according to the level of oxygen in the body

300

Which is generally NOT used to assess an adult's circulation?

  • Patient's distal pulse rate
  • Evaluation for bleeding
  • Patient's capillary refill time
  • Patient's skin color, temperature, and condition

Patient's capillary refill time

300

Of the following, which is NOT a contraindication for the use of a traction splint?


  • Avulsion or partial amputation where traction could separate the extremity
  • Severe swelling and redness at a midshaft femur
  • Injury to the lower third of the leg that would interfere with the ankle hitch
  • Pelvis, hip, or knee injury

Severe swelling and redness at a midshaft femur

300

You are on the scene of a 30 year-old female patient who is anaphylactic and still unresponsive following a single epinephrine injection.  You had inserted an oral airway and administered oxygen at 15 liters per minute by bag-valve mask and your partner reassesses lung sounds and tells you that the patient is now wheezing loudly in all fields.  What is the next action you should perform?

  • Hyperventilate the patient.
  • Place the patient on a nonrebreather mask.
  • Contact medical control and request to administer another dose of epinephrine.
  • Discontinue bagging the patient.

Contact medical control and request to administer another dose of epinephrine.

300

After delivering a baby at 34 weeks, what should you do immediately?


  • Check the baby's breath sounds
  • Thoroughly suction the airway
  • Administer high-concentration oxygen to the baby
  • Dry the baby with a warm towel


Dry the baby with a warm towel

300

Of the following ways, which is easiest method to communicate with a patient with drastic hearing loss?

  • Use a TDD/TYY telephone.
  • Write your question using paper and pen.
  • Slow down your speech so that the patient can read your lips.
  • Speak loudly and directly into the patient's ear.

Write your question using paper and pen.

400

EMS providers are transporting a semi-conscious 6-year-old female who is at risk of suddenly vomiting due to the fact it seems she ingested a poison that acts like an emetic. If her her vitals sings are stable, what advice would you give the rescuers for her transport?

  • Place the patient in the Trendelenberg position with the suction machine on.
  • Sit the patient upright on the stretcher and prop her head upright with pillows.
  • Secure the parents in the stretcher and have them hold the child close to them.
  • Position the patient left lateral recumbent on the stretcher and apply high-flow oxygen.

Position the patient left lateral recumbent on the stretcher and apply high-flow oxygen.

400

 In providing emergency cardiac care, which is not a role of the BLS provider?

  • Administration of epinephrine
  • CPR
  • Airway management
  • Early defibrillation

Administration of epinephrine

400

Of the following, which BEST describes an evisceration?

  • Open wound of the abdomen from which organs protrude
  • Accumulation of blood beneath the skin, resulting in swelling
  • Flap of skin that is partially or completely torn away from the underlying tissue
  • Epidermis that is scraped away by a rough surface

Open wound of the abdomen from which organs protrude

400

All of the following are hollow abdominal organs, EXCEPT for the:

  • Liver
  • Bladder
  • Ureters
  • Stomach

Liver

400

Endometriosis describes:

  • bacterial infection of the bladder
  • infection of the ovaries and/or fallopian tubes
  • endometrial tissue located outside the uterus
  • infection of the uterine lining

endometrial tissue located outside the uterus

400

What is your BEST protection against legal liability when a competent patient refuses EMS care?

  • Advise medical control of the situation.
  • Err on the side of caution and transport.
  • Ensure that the family is aware of the risks.
  • Thoroughly document the entire event.

Thoroughly document the entire event.

500

What portion of the respiratory system is known as dead space?

  • The alveoli and capillaries surrounding them
  • The pleural cavity and pericardial sac.
  • The pleura and alveoli.
  • The bronchi and trachea as well as any portion of the airway not involved with gas exchange.

The bronchi and trachea as well as any portion of the airway not involved with gas exchange.

500

When ________ are stimulated, an increase in contractility and heart rate is the result.

  • beta-1 receptors.
  • beta-2 receptors.
  • alpha-1 receptors.
  • alpha-2 receptors

beta-1 receptors.

500

When you shine light into the pupil:


  • it should become smaller in size.


500

All of the following are common side effects of epinephrine, EXCEPT:

  • drowsiness.
  • tachycardia.
  • headache.
  • dizziness.


drowsiness.

500

What should be done when documenting a call for a female patient that has been sexually assaulted?


  • Only use quotation marks when recording any statements made by witnesses
  • Translate the patient's words or statements using proper medical terminology
  • Record your opinion only if you have reasonable proof to justify the statement
  • Keep the report concise and record only what the patient stated in her own words


Keep the report concise and record only what the patient stated in her own words

500

The driver of a truck carrying a radioactive substance has accidentally come into contact with the material. You are first on the scene and a quick observation indicates that he still has the powder on his arm. What should your immediate action be?


  • Provide basic care, but avoid touching the patient's arm.
  • Instruct the patient to remain still and wait for the radiation safety officer.
  • Place the patient in the ambulance, but avoid touching him en route to the hospital.
  • Rinse the powder off the arm and wrap with a sterile dressing and roller gauze.

Instruct the patient to remain still and wait for the radiation safety officer.

600

You respond to a call of a 3-year-old patient in respiratory distress. The mother states that the patient has been making a barking cough for the past 24 hours and has been crying inconsolably. The patient has tachypnea, but otherwise his vital signs are normal. He is drooling profusely in a forward leaning tripod position. What condition do you suspect?

  • Strep throat
  • Croup
  • Epiglottitis
  • Child abuse

Epiglottitis

600

The right atrium's primary function is to:

receive blood from the vena cava.

600

An elderly female patient has fallen and is complaining of right hip and right knee pain. When assessing her, your next concerning finding would be?

  • Absent pedal pulse
  • Ecchymosis of the right hip and knee
  • Swelling on the right knee
  • Crepitus at the right hip

Absent pedal pulse

600

You have established, with reasonable certainty, that your patient is suffering from a behavioral emergency.  Which of the following is the best course of action?


  • Begin questioning and counseling with the patient
  • Establish the best way to restrain the patient before he has the opportunity to become violent
  • Attempt to determine if there is a possible physical cause for the patient's behavior
  • There is no need to assess for medical conditions if the patient does not have a history of past medical problems

Attempt to determine if there is a possible physical cause for the patient's behavior

600

A 32-year-old pregnant patient at 38 weeks suddenly develops severe hypertension, headache, visual disturbances, and generalized edema. During transport, she begins having a generalized seizure. This condition represents progression of a pregnancy-induced hypertensive disorder into a life-threatening emergency affecting both mother and fetus.

Eclampsia

600

Patients with multiple bone or joint injuries and burn patients without airway compromise should be marked with a __________ triage at a mass-casualty incident.

Yellow