OB
When we are assessing a young, adult female with abdominal pain, which of the following is our biggest concern?
A. Gall stones.
B. Kidney stones.
C. Endometriosis.
D. Ectopic pregnancy.
D. Ectopic pregnancy.
You are part of a transporting BLS unit resuscitating a 52-year-old male who is in cardiac arrest. Following 1 defibrillation with the AED and cycles of CPR, the patient begins to moan and has some subtle involuntary movements. He has labored, gasping breaths at 4 per minute. Which of the following are indicated in the assessment and treatment of this patient? Select all that apply.
A. Monitor SpO2 and provide oxygen as necessary.
B. Insert an NPA and continue rescue breathing.
C. Remove the AED pads and begin transport.
D. Continually reassess for regurgitation.
E. Continue CPR for two more minutes.
F. Reanalyze the rhythm with the AED.
A. Monitor SpO2 and provide oxygen as necessary.
B. Insert an NPA and continue rescue breathing.
D. Continually reassess for regurgitation.
Which of the following BEST explains why we perform chin lifts when opening a patient’s airway?
A. It allows for oral inspection.
B. It indirectly lifts the epiglottis.
C. It indirectly lifts the tongue up.
D. It increases the glottic opening.
C. It indirectly lifts the tongue up.
You are assessing a 6-year-old choking victim and determine he is apneic. Your partner has completed 5 abdominal thrusts, the child has become unresponsive, and your partner is unclear on what to do next. What should you suggest?
A. Tell him to turn the victim on his side and perform a blind finger sweep.
B. Advise him to now perform 5 back blows in the middle of the shoulders.
C. Begin compressions and remember to look in the mouth before ventilating.
D. Attempt to ventilate with a bag-valve-mask device or pocket mask.
C. Begin compressions and remember to look in the mouth before ventilating.
During patient lifting you should follow this important suggestion:
A. Avoid twisting your body.
B. Lift on the count of three.
C. Pull rather than push objects.
D. Lock your knees and elbows.
A. Avoid twisting your body.
Which of the following is a pre-delivery emergency?
A. Nuchal cord.
B. Prolapsed cord.
C. Placenta previa.
D. Limb presentation.
C. Placenta previa.
A 53-year-old male is experiencing a suspected heart attack. Which piece of equipment is LEAST likely to be used with this patient during care?
A. Nasal cannula.
B. EMS stretcher.
C. Suction device.
D. Automated external defibrillator.
D. Automated external defibrillator.
Rescuers are treating a patient who is having a severe allergic reaction. You are unable to ventilate effectively with a bag-valve-mask. Which of the following techniques would be the MOST effective?
A. Switching ventilations to a pocket mask with supplemental oxygen.
B. Rolling the patient on his side to improve ventilation success with the BVM.
C. Suctioning the patient until ventilations are successful with a bag-valve-mask.
D. Performing pocket mask ventilations while preparing to do abdominal thrusts.
A. Switching ventilations to a pocket mask with supplemental oxygen.
Your partner is ventilating your non-intubated, 1-year-old patient at a rate of 60 times per minute. Which of the following is MOST likely to occur?
A. Gastric distension.
B. Respiratory alkalosis.
C. Appropriate ventilations.
D. Hyperventilation syndrome.
A. Gastric distension.
Members of a tactical police team deliver a semi-responsive male with a gunshot wound to his chest. His airway is partially obstructed with blood and you observe an obvious sucking chest wound. What is your FIRST priority?
A. Seal the sucking chest wound.
B. Control minor external bleeding.
C. Look for possible internal bleeding.
D. Inspect the chest for a flail segment.
A. Seal the sucking chest wound.
What is the name of the stage of delivery when the baby is delivered?
A. Dilation.
B. Contraction.
C. Expulsion.
D. Placental.
C. Expulsion.
While treating a homeless person at a park for chest pain and dizziness, he tells you the chest pain is the worst pain he has ever had. After checking his vital signs which are: Pulse-88, Respirations-16, and Blood Pressure-120/80, you should:
A. Test his blood glucose.
B. Check for medical alert tags.
C. Treat him with his own nitroglycerin.
D. Apply the automated external defibrillator to his chest.
C. Treat him with his own nitroglycerin.
You are opening a partially-occluded airway with a jaw thrust technique. Which maneuver must be performed prior to displacing the jaw forward?
A. Tilting the head back slightly.
B. Placing your right hand under the neck.
C. Holding the head and neck in neutral alignment.
D. Placing your thumbs on either side of the mandible.
C. Holding the head and neck in neutral alignment
You are treating a 10-month-old patient that you suspect is choking on a button. The infant is responsive but apneic. After administering 5 back blows, you should immediately:
A. Deliver 5 chest thrusts to clear the airway.
B. Perform a finger sweep to clear the throat of any debris.
C. Look in the patient's mouth with a jaw-lift maneuver.
D. Attempt to ventilate the infant with a bag-valve-mask.
A. Deliver 5 chest thrusts to clear the airway.
During the winter months, you are visiting the home of an elderly patient that obviously does not have sufficient income and appears to lack for all types of support. You must evaluate the patient closely and be suspicious of:
A. Elder abuse.
B. Hypothermia.
C. Hyperthermia.
D. Rodent infestation.
B. Hypothermia.
During delivery of a newborn, the umbilical cord becomes wrapped around the neck. Which of the following is the best way to manage this?
A. Clamp and cut the cord immediately.
B. Gently lift the cord over the baby's head.
C. Transport the infant to the nearest obstetric facility.
D. Request medical control permission for a caesarean section.
B. Gently lift the cord over the baby's head.
During examination of a patient with back and jaw pain, you discover the new onset of an irregular heart beat. Select the statement that BEST describes your findings?
A. It is a normal finding for a cardiac patient and not a cause for concern.
B. The patient is at risk of going into cardiac arrest and he may require CPR.
C. Irregular heartbeats indicate the patient currently has a respiratory problem.
D. Back and jaw pain with irregular heartbeats indicate high blood pressure issues.
B. The patient is at risk of going into cardiac arrest and he may require CPR.
You have decided to use a small offroad vehicle to remove your unconscious patient from the woods. You are limited to the amount of equipment that you are able to carry with you, choose a piece of equipment that MUST be with you as you remove the patient from the woods.
A. Suction equipment.
B. Extra O2 bottle.
C. Leather restraints.
D. Extra nasal cannula.
A. Suction equipment.
You are caring for a one-week-old infant. The mother states the child choked on formula. You provided oropharyngeal suction and now must complete an assessment. What is the most appropriate action during the assessment of this infant?
A. Hug and kiss the infant as if it were a friend or family member.
B. Ask the parents if they would like to hold the baby during the exam.
C. Use only non-latex equipment to perform your initial patient assessment.
D. Start your assessment at the patient’s feet and continue toward the head.
B. Ask the parents if they would like to hold the baby during the exam.
A 33-year-old male patient experienced a sudden onset of severe sharp chest pain. You find the patient to have severe shortness of breath with
absent breath sounds on the right, paleness, diaphoresis, and an altered mental status. He has no peripheral pulses and has marked jugular venous
distention. He has no medical history and takes no medications. Your first impression of this patient is:
A. Hypovolemic shock.
B. Obstructive shock.
C. Neurogenic shock.
D. Septic shock.
B. Obstructive shock.
Which of the following conditions is most likely to present with pelvic pain, fever, and chills?
A. Ovarian cyst.
B. Ovarian rupture.
C. Vaginal yeast infection.
D. Pelvic inflammatory disease.
D. Pelvic inflammatory disease.
This is a weakened area of an artery that balloons out and may rupture causing catastrophic bleeding
What is an aneurysm?
Which of the following would represent the BEST reason why EMTs should be allowed to perform advanced airway techniques?
A. It is an easy skill to learn.
B. EMS suction is not effective.
C. It only takes a patient a second to aspirate.
D. Advanced providers often cannot successfully intubate.
C. It only takes a patient a second to aspirate.
You have just completed the transport and delivery of a 6-year-old patient you suspect sustained the injuries as a result of child abuse. Your partner disagrees with your assessment. What should you do?
A. Notify the hospital staff of your suspicions and have them investigate further.
B. Notify local law enforcement or child protective services of your suspicions.
C. Since you and your partner disagree, inform a supervisor and have him or her decide.
D. Document your suspicions on the patient care report and explain that your partner disagreed.
B. Notify local law enforcement or child protective services of your suspicions.
Which of the following best explains why we avoid rubbing a frostbitten extremity?
A. Ice crystals within the tissue may cause further injury.
B. Rubbing will increase the likelihood of systemic hypothermia.
C. Rubbing will increase the release of toxins into the circulation.
D. Ice crystals within the tissue may become dislodged and enter the circulation.
A. Ice crystals within the tissue may cause further injury.