Cardiac
Which complaint is appropriate for NTG administration?
Decreased level of consciousness
Headache
Chest pain
Difficulty breathing
Chest Pain
How would you characterize Braxton-Hicks contractions?
Regular contractions of progressively increasing intensity.
Alleviation of pain with movement or changing positions.
Pink or red blood show in conjunction with the contractions.
A rupture of the amniotic sac just before the contractions begin.
Alleviation of pain with movement or changing positions.
Which statement below BEST describes status epilepticus?
A period of drowsiness following tonic-clonic seizures
A seizure involving convulsions on only one side of the body
A seizure that occurs without a known cause
Two or more seizures with tonic-clonic activity without an intervening period of consciousness
Two or more seizures with tonic-clonic activity without an intervening period of consciousness
The label on your patient's prescribed metered-dose inhaler reads as follows: 'Administer 2 puffs as needed for shortness of breath'. Your protocols state that you can only assist with 1 puff. The patient is extremely short of breath. You should:
not administer the medication.
administer 2 puffs.
contact medical direction for orders.
administer 1 puff.
contact medical direction for orders.
Which of the following would a physician NOT take into consideration when prescribing an epinephrine auto-injector for a patient?
Patient's known allergies
Patient's medical history
Severity of previous allergic reactions
How far the patient lives from medical attention
How far the patient lives from medical attention
During a HazMat incident, which of the following is NOT a desirable characteristic of the rehabilitation sector?
It is large enough to accommodate multiple rescue crews.
It allows for rapid re-entry to the emergency operation.
It is located in the warm zone.
It is protected from weather elements.
It is located in the warm zone.
You are on the scene in a nursing home and find a patient in his bed in cardiac arrest. What type of move would you perform to get the patient to a hard surface so you can perform chest compressions?
Emergency move
Non-urgent move
Clothing drag
Urgent move
Emergency move
An emergency move should be completed when time is critical due to an unsafe scene or a potential life threat.
In a 24 year-old female patient with lower quadrant abdominal pain, what is the MOST lethal possibility?
Mittelschmirz
Ectopic pregnancy
Cholecystitis
Pelvic inflammatory disease
Ectopic pregnancy
Which one of the following statements is correct with regard to the pathophysiology of seizures?
A seizure occurs when there is a massive and uncoordinated electrical discharge in the brain.
All seizures are caused by epilepsy, which describes a problem somewhere in the body.
A seizure condition describes a muscle problem that causes the arms and legs to jerk.
A seizure occurs when the heart beats irregularly, causing a decreased amount of oxygen-rich blood to reach the brain.
A seizure occurs when there is a massive and uncoordinated electrical discharge in the brain.
You are called to the local park on a hot summer day for a 10 year-old child in respiratory distress. The child can barely speak and appears to be getting sleepy. Vital signs are blood pressure 80/60, pulse 120, and respiratory rate 32. Your physical exam reveals a swollen tongue, inspiratory stridor, wheezing and urticaria on the neck and chest. What condition do you suspect?
Allergic reaction
Asthma
Heat exhaustion
Anaphylaxis
Anaphylaxis
Select the statement about glucose that is correct.
Glucose is a complex sugar that rapidly absorbs into the bloodstream.
Glucose is a simple sugar that is readily absorbed by the bloodstream.
Glucose is given to patients who are suspended of being hyperglycemic.
Glucose is usually administered by the EMT via the intravenous route.
Glucose is a simple sugar that is readily absorbed by the bloodstream.
Both local and federal agencies are on the scene of a probable terrorist attack. In order to operate in an efficient manner, all agencies should follow the:
Interagency Communication System.
Interagency Command System.
Incident Command System.
Incident Control System.
Incident Command System.
What is one of the greatest concerns when assessing a dialysis patient and his AV graft?
Red and hot skin at the graft site
Palpate pulse in the graft
Strong radial pulse distal to the graft
Feeling of a vibration through the graft
Red and hot skin at the graft site
During what time periods do seizures due to complications of pregnancy generally occur?
In the first trimester
Late in pregnancy
Before the mother even knows she is pregnant
In the second trimester
Late in pregnancy
If a patient has a mental status of less than alert, which of the following is not true?
He is in a state of rapid eye movement sleep
His brain may not be getting enough oxygen
He may not have adequate blood circulation
He requires high-concentration oxygen
He is in a state of rapid eye movement sleep
You are transporting a 31 year-old female suffering from anaphylaxis. Her respiratory rate is 42 per minute, she is cyanotic, and she has a decreased level of responsiveness. Which of the following is the highest priority of care for this patient?
Transport rapidly.
Assist ventilations with a bag-valve mask.
Elevate the patient's head.
Search for an epinephrine auto-injector.
Assist ventilations with a bag-valve mask.
A 19 year-old hemophiliac has intentionally cut his right wrist. Assessment indicates an open airway, adequate breathing, and profound bleeding from the laceration. What statement correctly indicates how you should proceed?
Since control is virtually impossible, we need to transport immediately
Let's elevate his arm and place a tourniquet distal to the cut
Let's use normal bleeding control procedures and see how that works
We need to quickly apply a tourniquet above the cut
Let's use normal bleeding control procedures and see how that works
Which of the following supervisors are responsible for notifying area hospitals and determining their availability and capabilities?
Triage.
Medical.
Treatment.
Transportation.
Transportation.
You are assessing a patient complaining of the sudden onset of chest pain when he reveals central intravenous catheter to his right upper chest. Which sign related to the catheter should be of greater concern to the EMS provider?
The skin is red around the insertion site.
The catheter tubing is kinked.
There appears to be fluid in the catheter.
The line is unclamped and without a cap.
The line is unclamped and without a cap.
A nine month pregnant patient with dizziness and fainting as a pulse rate of 112 and her blood pressure is 84/50 mmHg. Respirations are 24 per minute and she has a room air pulse oximetry reading of 97%. What should you do as soon as you reach the patient's side?
Roll her onto her side.
Determine any complications of the pregnancy.
Start positive pressure ventilation.
Recheck the blood pressure.
Roll her onto her side.
A 29-year-old female with a history of depression has taken some pills in a suicide attempt. Her husband is visibly upset and her three young children are crying as you place her into the ambulance. She is conscious and stable as you transport her to the hospital. During the transport, she tearfully states she did not mean to take the pills and asks if she is going to die. In regards to therapeutic communication, what is your BEST response?
You are stable right now and we are transporting you for definitive care.
I think that you have a loving family and you need to be more considerate of them.
If you do not want to die, why did you take the pills?
You are going to be fine, don't worry.
You are stable right now and we are transporting you for definitive care.
You are on the scene of a 18 year-old female patient who is unresponsive. The patient's mother states that she is deathly allergic to peanuts and accidentally ate stir fry cooked in peanut oil. The patient is unresponsive with agonal respirations at 6 breaths per minute. What is your first action?
Administer epinephrine with medical control consent.
Insert an oral airway and apply oxygen at 15 liters per minute by bag-valve mask.
Perform a complete assessment and confirm that the patient is actually in anaphylaxis.
Insert an oral airway and apply oxygen at 15 liters per minute by nonrebreather mask.
Insert an oral airway and apply oxygen at 15 liters per minute by bag-valve mask.
After eating a large fried meal, your patient is complaining of a cramping pain in the right upper quadrant and has had two episodes of nausea green emesis. What do you suspect?
Appendicitis
Peptic ulcer
Cholecystitis
Intestinal obstruction
Cholecystitis
You respond to a local skate park for a 29 year-old male who was stung by a bee and 'passed out.' Upon arrival, you find the patient unresponsive to all stimuli with agonal respirations at 6 per minute. You insert an oral airway and administer oxygen at 15 liters per minute by bag-valve mask. You notice that it is difficult to bag the patient. Your partner listens to lung sounds and states they are very diminished in the upper fields and absent in the lower fields. What is the best action?
Request an ALS unit and begin transport.
Request orders from medical control for an emergency cricothyroidotomy.
Hyperventilate the patient.
Immediately administer IV epinephrine
Request an ALS unit and begin transport.
Which of the following may result if a patient with severe hypothermia is handled roughly:
Ventricular fibrillation
Heart attack
Seizures
Rewarming shock
Ventricular fibrillation
You should time the contractions from the:
end of one to the start of the next.
start of one to the end of the next.
end of one to the end of the next.
start of one to the start of the next.
start of one to the start of the next.
Two BLS providers respond to the scene of a syncopal episode. They evaluate a 53-year-old male patient who passes out and cut his upper lip. The BLS providers examine the patient and his vital signs are normal. The BLS providers talk the patient into driving himself to the urgent care clinic for stitches for his lip instead of waiting all night in the emergency room. The patient signs the EMS refusal form. The patient decides to see his own doctor the next morning but dies at his house from sudden cardiac arrest a few hours later. Which of the following statements is true?
The BLS providers are negligent because there was proximate causation.
The BLS providers are not negligent because the EMTs have no control over the patient's medical condition.
The BLS providers are not negligent because the patient signed the refusal form.
The BLS providers are negligent because the patient died.
The BLS providers are negligent because there was proximate causation.
When gases leave a damaged lung in a diving accident and enter the bloodstream, which of the following occurs?
Arterial blood gases
Hyperbaric arterial injury
Arterial gas embolism
Arterial thrombosis
Arterial gas embolism
Arterial gas embolism is a potentially catastrophic event that occurs when gas bubbles enter or form in the arterial vasculature and occlude blood flow, causing organ ischemia.
When assessing a patient with a medical complaint, which of the following would MOST likely reveal the cause of his or her problem?
history taking
rapid body scan
baseline vital signs
primary assessment
history taking
A 30 year-old male was stung by a honeybee approximately 15 minutes ago. He presents with respiratory distress, significant facial swelling, and hypotension. After placing him on oxygen and administering his epinephrine via auto-injector, you note that his breathing has improved. Additionally, his facial swelling is diminishing and his blood pressure is stabilizing. You next action should be to:
reassess his breathing and blood pressure in 15 minutes.
visualize his airway to assess for oropharyngeal swelling.
notify medical control of the patient's response to your treatment.
record the time and dose of the injection, and transport promptly.
record the time and dose of the injection, and transport promptly.