Airway/Breathing
During an assessment of a 78 year old woman you find her skin to be cool, moist, and pale. What would you suspect? A. Hypoperfusion B. Hyperthermia C. Vasovagal D. Hyperglycemia
A. Hypoperfusion
Rapid breathing is first seen in what stage of shock? A. Compensated B. Decompensated C. Irreversible D. Both A and B
A Compensated
Syncope is another word for what? A. Vomiting B. Urinating C. Squinting D. Fainting
D. Fainting
Which of the following would be considered unethical for a First Responder? A. Giving a patient a business card for a lawyer B. Disclose one's affection for a coworker C. Talking to a patient about religion D. Making sure a patient who has no insurance goes to the hospital
A. Giving a patient a business card for a lawyer
You are dispatched to a 53-year old female patient who has extreme chest pain. Upon gaining medical direction to administer nitroglycerin, you administer one tablet. What action should you now perform? A. Have the patient stand up B. Take blood pressure C. Have the patient lay supine D. Administer another dose of nitroglycerin
B. Take blood pressure
The technical term given to the injury known as "road rash" A. Hives B. Abrasion C. Avulsion D. C-Spine
B. Abrasion
You and your partner Xavier arrive at a sushi bar to a call of a man choking. You find him sitting in a back booth, very pale and diaphoretic. He tells you in a whisper that he has a chunk of fish caught in his throat. What would you do next? A. Give him the Heimlich and pop the piece of fish out B. Tell him to slow down while eating C. Wait until he passes out and then give him abdominal compressions on the ground D. Encourage him to cough it up. The ability to speak signifies that it is likely high enough in the airway to cough up
D. Encourage him to cough it up. The ability to speak signifies that it is likely high enough in the airway to cough up
When transmitting a number with two or more digits you should say the whole number first, followed by: A. Saying it again B. Saying each number individually C. Saying, "Do you copy?" D. Saying it in Spanish
B. Saying each number individually
You arrive on scene to find a man in his 20's lying in a pool of vomit. You can see that he is breathing at about 16 breaths per minute and the depth of respiration is adequate. He has a small laceration on his forehead. You try getting a response by calling "Hey man can you hear me?" but he does not answer. Your partner gives him a quick sternal rub and his eyes pop open along with a whimper under his breath and then they close again. You ask him to perform several motor functions but he does not comply. He does not answer any of your questions. This man has a GCS of what? A. 14 B. 9 C. 4 D. 7
C. 4
You are dispatched to a 75-year old female patient who is currently in cardiac arrest. After one shock via the AED she begins breathing at 15 breaths per minute, and has a strong carotid pulse; what is your next step? A. Assist ventilations with a bag-valve mask B. Provide supplemental oxygen by Non-Rebreather C. Continue to administer shocks via AED D. Request a non-transport and leave the scene
B. Provide supplemental oxygen by Non-Rebreather
Signs and symptoms of concussion include all of the following except: A. Discoloration around eyes and ears B. Delayed motor and verbal responses C. Inappropriate emotional responses D. Inability to recall simple concepts and words
A. Discoloration around eyes and ears
Which of the following does not lead to seizure activity? A. Head injury B. Drug withdrawal C. Diabetes D. Epilepsy
C. Diabetes
You arrive on scene with your partner Rico to aid with a mass casualty. Rico has begun tending c-spine to a patient in a crushed vehicle while you begin to manage the airway of the unconscious patient. While you are getting an oral airway out of your bag you see that one of the other cars in the crash is that of your cousin. You go to the car and find him in respiratory distress with shallow respirations and he can barely talk. You put him on high flow O2 and put a collar on him telling him to stay put until you get back. What just happened? A. You applied proper triage knowledge to a mass casualty B. You abandoned your first patient C. You made a judgment call D. You were making the best decision
B. You abandoned your first patient
You and your partner Amy arrive on scene to find a woman with hives over much of her body. She is wheezing and complaining of difficulty breathing. Her husband says she was stung by a hornet and has no prior history of allergies. What would be the best course of action? A. Use an autoinject epinephrine pen and administer to the patient's thigh. Obtain signed transport refusal. B. Make sure blood pressure is above 100 mmHg and inject her with epinephrine 1/1000. C. Get her BP, pulse, and respirations and then inject her with epinephrine only if her vitals are within normal limits. D. High flow O2 and rapid transportation if the patient appears to be going into anaphylaxis.
D. High flow O2 and rapid transportation if the patient appears to be going into anaphylaxis.
You are called to the scene of a man down. Dispatch reports the man is pulseless and bystanders are doing CPR. According to the NREMT Cardiac Arrest Management/AED skill sheet, which of the following sequences is appropriate? A. Check for responsiveness, Assess for breathing, Check carotid pulse , put your gloves on B. Question the bystanders, direct them to stop CPR , check for pulse and then attach the AED, Begin chest compressions C. Turn on power to AED, open the patient's airway, insert an adjunct and then analyze the rhythm D. Complete one cycle of CPR, Attach the AED, Have everyone stand clear during rhythm check
D. Complete one cycle of CPR, Attach the AED, Have everyone stand clear during rhythm check
You arrive on scene to find a 34-year-old male lying on the ground in a pool of blood. Bright, red blood is spurting from a large cut in his shirt sleeve and he is clutching a knife between his teeth. What should you do first? A. Have your partner distract the patient while you take the knife from him B. Inform the patient you will not hurt him and treat the injury C. Call for police backup and then treat the wound D. Leave the scene until police arrive to make the scene safe
D. Leave the scene until police arrive to make the scene safe
After the baby's head has delivered you should? A. Suction the mouth and nose then check if the cord is wrapped around the infant's neck B. Suction the mouth and nose and wait for the mother to push the rest of the baby out C. Support the head and gently pull the baby out D. Put the mother on high flow O2 and prepare to deliver the rest of the infant.
A. Suction the mouth and nose then check if the cord is wrapped around the infant's neck
4. Your patient is a 14-year-old girl who is complaining of vaginal pain after falling onto the center post of her bike. She is alone and very scared. She has called the accident in on her cell phone and stated that she is bleeding very badly and feeling faint. Besides treating for shock, what other things should you consider with this patient? A. Transporting in the fowler's position and O2 on nasal canula at 6 lpm B. Parental release and advice about bike riding C. If she is having her period and are her parents home D. Having a female EMT respond for the patient's modesty
D. Having a female EMT respond for the patient's modesty
What would be the correct sequence of treatment for a 76 year old female with a pulse of 142. The patient is also cyanotic around the lips and nail beds? A. Ventilate her with a BVM and transport B. Continue assessment to determine cause and call ALS C. Continue assessing en route to the hospital and apply high flow O2 D. Perform a rapid trauma assessment and transport rapidly
C. Continue assessing en route to the hospital and apply high flow O2
The type of shock caused by a malfunction of the heart
Cardiogenic Shock
Select the best treatment option for a patient with an open abdominal wound and organs protruding. A. cover with a sterile saline moistened gauze and secure with an occlusive dressing B. apply a sterile adhesive dressing C. immediately apply a pressure dressing over a sterile gauze D. cover with a sterile moistened gauze and seal with a pressure dressing
A. cover with a sterile saline moistened gauze and secure with an occlusive dressing
You and your partner Grimes are called to the scene of a stabbing. There are two patients reported. A woman with a stab wound to the URQ and a man with a stab wound to the LRQ. The woman with the wound in the URQ is having problems breathing, has a pulse of 103, respirations of 35, and they are shallow. The patient with the stab wound to the LRQ is complaining of severe abdominal pain and has a pulse of 48 and a respiration rate of 24. Which patient is most likely to have a low blood pressure? Why? A. The man, because of the nature and location of the injury, he may be losing blood internally. His pulse is too slow as well B. The woman, because if she cannot breathe well her BP will drop C. The man, because a respiration rate of 24 is indicative of low blood pressure D. Neither will have a low blood pressure, they will both be high
A. The man, because of the nature and location of the injury, he may be losing blood internally. His pulse is too slow as well
You are called to the scene of a woman who is having difficulty breathing. Upon arrival you notice several people surrounding the woman who seems to be agitated. Your scene assessment determines it to be safe and you approach the woman who is in the tripod position. Her breathing is rapid and shallow. She states her ribs hurt after being struck with a punch from her husband. You should? A. Call law enforcement and leave the scene until they arrive B. Treat the patient if the situation appears safe and inform law enforcement of the possible assault when the time is appropriate C. Call the husband out for hitting a woman and make him look dumb in front of the rest of the family D. Inform the woman that she will have to go to the hospital if she wants to get treated. This environment is not safe
B. Treat the patient if the situation appears safe and inform law enforcement of the possible assault when the time is appropriate