Final

Airway

100

There are two membranes surrounding the lungs, the outer layer is the __________, the inner layer is the  ____________, and collectively they are the ___________.

1. Pleura, Visceral, Parietal

2. Parietal, Visceral, Pleura

3. Visceral, Parietal, Pleura

4. Visceral, Pleura, Parietal

Parietal, Visceral, Pleura

200

Components of the airway that are part of the lower airway are:

1. Oropharynx, Alveoli, Bronchi

2. Bronchi, Carina, Nasopharynx

3. Bronchi, Bronchioles, Alveoli

4. Bronchioles, Alveoli, Pharynx

Bronchi, Bronchioles, Alveoli

300

1. Which of the following abnormal lung sounds is NOT heard in the lower airway?

   1. Wheezing

   2. Crackles

   3. Stridor

   4. Rales

Stridor

400

1. What is perfusion?

   1. A strong blood pressure to get blood to every organ

   2. The breakdown of sugar into glucose to be used for energy

   3. When all tissues receive adequate supply of blood and oxygen

   4. The cellular exchange of CO2 for O2

When all tissues receive adequate supply of blood and oxygen

500

What is the most important thing to consider after entering a scene and making contact with the patient?

If the scene is safe

BSI

Is the patient critical

Is the airway patent

Is the airway patent

Pharmacology

100

You are treating a Type I diabetic patient who has taken their medications, but not eaten since yesterday. You would expect her blood glucose level to be ___________?

120mg/dl

87mg/dl

340mg/dl

40mg/dl

40mg/dl

200

Which of the following statements regarding anaphylaxis is correct?

Patients with asthma are at a lower risk of developing anaphylaxis

Anaphylaxis is characterized by bronchoconstriction and hypotension

Most anaphylactic reactions occur during the patients first exposure to an allergen

The signs of anaphylaxis are caused by widespread vasoconstriction

Anaphylaxis is characterized by bronchoconstriction and hypotension

300

1. The treatment for patients with chest pain is _______________.

   1. O2, 324 mg Aspirin, 0.4mg Nitro 

   2. O2, 600mg Aspirin, 0.2mg Nitro

   3. O2, 324 mg Aspirin, 0.4mg Naloxone

   4. O2, 600mg Aspirin, 0.2mg Naloxone

O2, 324 mg Aspirin, 0.4mg Nitro

400

1. DKA is:

2. 
   

   1. A condition caused by having extremely low blood sugar levels leading to coma

   2. An acidic condition caused by high blood sugar and the breakdown of ketones in the body

   3. A condition caused by overdosing on insulin

   4. An acidic condition which can occur rapidly during hypoglycemia

An acidic condition caused by high blood sugar and the breakdown of ketones in the body

500

Which patient is the best candidate for oral glucose?

An unresponsive 40 year old who just took too much insulin

A 15 year old boy who is showing signs of altered mental status, lowered heart rate and a head injury

An unresponsive 78 year old female with a med alert “diabetic” bracelet

A 50 year old male with a history of diabetes who feels sluggish and tired

A 50 year old male with a history of diabetes who feels sluggish and tired

Trauma

100

1. A ruptured spleen would most likely result in _________.

   1. Septic shock

   2. Distributive shock

   3. Cardiogenic shock

   4. Hypovolemic shock

Hypovolemic shock

200

1. In regards to the rules of nines, if an adult burns their entire left arm and entire left leg, what percent of their body surface area is burned?

   1. 9%

   2. 18%

   3. 27%

   4. 32%

27%

300

1. Which of the following is not accurate?

   1. A tourniquet is placed 2” distal to an injury to account for retraction of the vessels.

   2. If a distal tourniquet is not effective, you can place an additional tourniquet proximal to the first.

   3. If you are allowed to release a tourniquet and you see continued bleeding, you should retighten the tourniquet and document the new time.

   4. A blood sweep should be done on any patient with a potential for bleeding by sweeping your hands underneath the patient from head to toe checking as you go for any signs of blood

A tourniquet is placed 2” distal to an injury to account for retraction of the vessels.

400

A patient fell on top of their shovel while digging up pipes in their yard. The blade of the shovel cut through the outer tissue of their abdominal cavity and a small portion of the large intestines is protruding out. This injury is called ______________.

Intestinal hernia

Abdominal laceration

External organ protrusion

Evisceration

Evisceration

500

1. A patient with Cushing’s Triad is showing signs of __________

2. 
   

   1. Head trauma: low BP, tachycardia, irregular resp

   2. Head trauma: high BP, Bradycardia, irregular resp

   3. Seizure: low BP, tachycardia, irregular resp

   4. Seizure: high BP, tachycardia, irregular resp

1. Head trauma: high BP, Bradycardia, irregular resp

Medical

100

1. hat is a transient ischemic attack?

2. 
   

   1. A lack of blood flow to the brain which causes temporary decreased mentation

   2. A lack of blood flow to the heart which leads to heart failure

   3. A temporary loss of sensation to the extremities due to a lack of perfusion

   4. A lack of blood flow to the abdominal organs which can lead to multiple organ failure

A lack of blood flow to the brain which causes temporary decreased mentation

200

1. Which of the following rhythms is shockable with the AED

   1. Asystole

   2. Ventricular Fibrillation

   3. Atrial Fibrillation

   4. Irregular sinus rhythm

Ventricular Fibrillation

300

1. Which of the following is not one of the nine rights for medication administration?

2. 
   

   1. Right patient

   2. Right Dose

   3. Right side effects

   4. Right route

Right side effects

400

1. Delirium Tremens is seizure activity from which of the following:

2. 
   

   1. Opioid overdose

   2. Organophosphate poisoning

   3. Alcohol withdrawal

   4. Head trauma

Alcohol withdrawal

500

1. Which of the following is not part of the FAST test?

2. 
   

   1. Facial droop

   2. Arm drift

   3. Size of pupils

   4. Time when the symptoms started

Size of pupils

Operations/OB

100

1. When moving a patient with chest pain down a small set of stairs you should ________.

2. 
   

   1. Have them walk since it is not that far

   2. Place them on a gurney and carefully lift them over the stairs

   3. Get additional help to carry the patient by hand

   4. Use a stair chair with your partner

Use a stair chair with your partner

200

1. What is the first thing that you should do when you arrive at a potential MCI?

2. 
   

   1. Establish a perimeter

   2. Clear bystanders

   3. Establish Incident Command

   4. Begin Triage

Establish Incident Command

300

1. s the EMT responsible for triage at a motor vehicle collision, you find a patient who is breathing 18 times per minute and has a radial pulse. Which of the following should you do next?

2. 
   

   1. Check mental status

   2. Place a yellow tag on the patient

   3. Move the patient to the triage/treatment area

   4. Check blood pressure

Check mental status

400

1. You should provide rescue breaths to a newborn when they present with ________.

2. 
   

   1. Resp less than 50

   2. HR less than 100

   3. HR less than 60

   4. Resp less than 60

HR less than 100

500

1. What is the condition where the umbilical cord presents first and is often pinched between the baby’s head and the birth canal?

2. 
   

   1. Nuchal cord

   2. Prolapsed cord

   3. External cord

   4. Placental cord

• Prolapsed cord