Practice Exam 2

Question 1 of 80
Which is NOT a sign of hypoperfusion?
  Cyanosis
  Sp02 reading of 90%
  Capillary refill of less than 2 seconds
  Poor mentation

Question 2 of 80
A patient who is bleeding profusely from a laceration on the leg will not let you help or treat him. He states that, "God will stop the bleeding". What type of consent is this man giving?
  Implied
  Informed
  Involuntary
  None

Question 3 of 80
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?
  You were making the best decision
  You applied proper triage knowledge to a mass casualty
  You made a judgment call
  You abandoned your first patient

Question 4 of 80
CISM should be utilized to?
  Maintain a patent airway when an OPA is not working
  Determine the level of response in a patient
  Continue your prehospital care knowledge
  Help the EMT with stress management

Question 5 of 80
When treating a patient who is terminal, it is best to keep in mind the wishes of the?
  Patient
  Wife
  Family
  Attorney

Question 6 of 80
You are performing CPR on a 58 y/o patient when you notice your partner is not performing compressions adequately. He is performing compressions at the rate of:
  160 compressions a minute
  100 compressions a minute
  120 compressions a minute
  110 compressions a minute

Question 7 of 80
A 6 year old girl was found outside in her yard unconscious. She is breathing 6 breaths a minute and her pulse is 58 bpm with poor systematic perfusion. What should you do?
  Assist ventilations with high flow O2 and transport rapidly
  Transport with high flow O2 and assist respirations if needed
  Initiate chest compressions and assist ventilations with high flow O2
  Use an epinephrine auto injector to increase her heart rate

Question 8 of 80
You and your partner Wilmer respond to a call of a man down with unknown injuries. You recognize this address as being in a high crime neighborhood. As you drive up near the residence, you see a group of young men fighting. There is a man on the ground who appears to be bloody and is not moving. When the group of men see your ambulance, they take off running. What should you do next?
  Broadcast over the PA
  Treat the man and get him out of the danger zone
  Try to get a description of any one of the men
  Call for law enforcement to secure the scene and wait for them to arrive

Question 9 of 80
Which method of penetrating trauma would be considered high energy?
  A hunting rifle gun shot wound
  Touching an electrical wire
  A fall from 100 feet
  A knife stab wound

Question 10 of 80
A pregnant woman presenting with both the infant's legs sticking out of the vagina is called?
  Cephalic birth
  Placenta abruptio
  Breech
  Prolapsed cord

Question 11 of 80
Traumatic injuries that occur after the initial impact are called?
  Rebound
  Deceleration
  Acceleration
  Central

Question 12 of 80
You are on scene of an ice skating accident where your patient has completely dislocated her knee. She has no distal pulses and her leg is pale. She is in extreme pain, so you should?
  Splint the knee in place and transport code yellow
  Call medical control immediately for stabilization instructions
  Ask her to straighten her leg so you can splint it
  Take traction on the foot until you hear a pop

Question 13 of 80
The V in AVPU stands for?
  Vaseline
  Visceral
  Verbal
  Veins

Question 14 of 80
The Federal Communication Commission (FCC) has jurisdiction to regulate all interstate and international telephone, telegraph, and satellite communication, including EMS communication. Which of the following is NOT a function of the FCC regulation of EMS communication?
  Establishing licensing procedures for personnel
  Establishing limitations for transmitter power output
  Allocating specific radio frequencies
  Establishing licensing standards for radio equipment

Question 15 of 80
A 6 year old was struck by a car while crossing the street. You would suspect this child to have what type of injuries?
  Legs and stomach
  Head, chest, abdomen, and pelvis
  Chest, head, and pelvis
  Internal, external, and paternal

Question 16 of 80
The secondary blast phase of an explosion is dangerous because ________________.
  Your Answer: Of flying pieces of projectile
  The secondary phase is not dangerous
  Of its force that could propel the victim against a stationary object
  Of the wave of pressure that injures the organs

Question 17 of 80
Rapid breathing is found in what stage of shock?
  3rd stage
  Electric
  Irreversible
  Compensated

Question 18 of 80
CPR is in progress on an 80 year old man who has fallen from a ladder. He has no pulse and chest compressions are being initiated. Current AHA guidelines specify that this man should receive approximately how many compressions over a period of 2 minutes?
  180 compressions
  120 compressions
  220 compressions
  100 compressions

Question 19 of 80
You and your partner arrive on the scene of a truck and auto accident and find that the truck has a class 6 hazardous materials placard on it. There is a substance leaking from the truck. You should do all of the following except:
  Request additional resources.
  Remain upwind and uphill from the scene.
  Approach the scene from the down wind side.
  Contact dispatch quickly.

Question 20 of 80
You are dispatched to an accident involving two semi trucks and several cars that have collided under an overpass. The reporting party says that there are several people in the road and nobody is helping them. Your unit is the first to arrive on scene. After performing a thorough scene size-up, what should you do?
  Triage the patients
  Establish a safety officer
  Assume command of the scene
  Call for more ambulances

Question 21 of 80
Medical control is responsible for all of the following EXCEPT:
  Getting the patient to the hospital safely and quickly
  Overseeing patient care
  Making decisions about proper patient care
  Ensuring use of common protocols

Question 22 of 80
Methods of controlling bleeding include:
  The application of clotting agents
  The application of ice
  Air splints
  All of the options are correct

Question 23 of 80
With regard to putting on latex or vinyl gloves, a good recommendation would be to?
  Wait to ask the patient if they are allergic to anything
  Put them on in route to the call
  Use 2 layers for them to be effective
  Do it in front of the patient so they know they are sterile

Question 24 of 80
An evisceration can be described as __________________.
  A protrusion of an internal organ from a wound
  A laceration with a flap of tissue
  The top layer of skin being scraped away
  An avulsion with long bone exposure

Question 25 of 80
You arrive on scene at a single-car accident involving a moose. Your patient was driving about 50 MPH when she hit the moose. After completing your scene size up, to which of the following would you proceed?
  Detailed physical examination
  Baseline vitals and oxygen
  SAMPLE history with focused physical examination on c-spine
  The patient's chief complaint

Question 26 of 80
You arrive on scene to find a 34 year old male laying 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?
  Have your partner distract the patient while you take the knife from him
  Leave the scene until police arrive to make the scene safe
  Call for police backup and then treat the wound
  Inform the patient you will not hurt him and treat the injury

Question 27 of 80
Capillary bleeding is usually ___________________.
  Bright and spurting
  Very painful
  Slow and oozing
  A life threat

Question 28 of 80
You and your partner Belinda are called to the scene of a shooting. There are two patients reported. A man with a bullet wound to the LLQ and another man in his 60's with a bullet wound to the LRQ. The patient with the wound in the LLQ is having problems breathing, has a pulse of 99, respirations of 26 and they are shallow. The patient with the wound to the LRQ is complaining of severe abdominal pain and has a pulse of 60 and a respiration rate of 24. What action is likely the cause for both wounds?
  Deconstruction
  Decapitation
  Crepitation
  Cavitation

Question 29 of 80
Battle's sign:
  None of the options are correct
  A sign of a fight
  A sign of abdominal injury
  A sign of a skull fracture

Question 30 of 80
The blood travels from the left ventricle to the?
  Aortic arch
  Lungs
  Left atrium
  Superior Vena Cava

Question 31 of 80
Where is the radius located on the body?
  The big toe side of the leg
  The thumb side of the arm
  The little finger side of the arm
  The little toe side of the leg

Question 32 of 80
The femoral artery is located where in relation to the carotid artery?
  Inferior
  Distal
  Anterior
  Posterior

Question 33 of 80
A woman in her 37th week of pregnancy reports feeling very dizzy when she lays down to rest and is not getting any rest as a result. What would you suggest?
  Laying on her right side
  Laying on her left side
  Sleeping in a chair
  Laying prone

Question 34 of 80
Syncope is another word for what?
  Fainting
  Squinting
  Urinating
  Vomiting

Question 35 of 80
You are transporting a 6 year old child that has had a seizure. She is in the postictal state. How would you best describe this patient?
  The patient is combative and wants to fight you
  The patient is unresponsive with deep and rapid respirations
  The patient is sleeping comfortably and is easy to rouse
  The patient has weakness on one side of the body and acts as if they have had a stroke

Question 36 of 80
Which of the following is not a type of tissue?
  Muscle
  Epithelial
  Organelles
  Nerve

Question 37 of 80
An arterial bleed on the wrist should be immediately controlled with _____________.
  Pressure from a gloved hand
  All of the options are correct
  Elevation of the legs
  Pressure to the main artery at the axilla

Question 38 of 80
You and your partner Andrea arrive on scene to find a woman in her 30's lying on a couch. Which of the following would determine your next actions?
  The patient's Respirations
  The patient's level of consciousness
  The patient's pulse
  The patient's blood pressure

Question 39 of 80
You and your partner Juan arrive on scene to a possible drowning. Coming through the back gate of the house you see two men doing CPR on a child of 8 or 9 years of age. When you begin CPR, what rate and depth of compressions will you use?
  15:2 / one third the diameter of the chest
  15:2 / 1.5 to 2 inches
  30:2 / enough to give adequate chest rise
  15:2 / one third to one half the depth of the chest

Question 40 of 80
The first stage of shock is called?
  Compensated
  Refractory stage
  Decompensated
  Reflex period

Question 41 of 80
How much blood loss is considered serious in young children?
  400ml
  300cc
  100ml
  500cc

Question 42 of 80
A pulse rate above ______ in adults is considered tachycardia.
  120 per minute
  100 per minute
  140 per minute
  90 per minute

Question 43 of 80
While talking with a group of daycare children you notice a child who seems to be having an increased work of breathing. Which of the following signs helped you come to this decision?
  Red, flushed skin
  Head bobbing
  Dilated pupils
  Goose bumps

Question 44 of 80
You arrive at a restaurant to a call of a woman choking. You find her sitting in a chair, very pale, and sweating. She states in a very hush tone that she has a piece of steak caught in her throat. You should immediately?
  Give her the Heimlich and pop the chunk of steak out
  Tell her she should not take such big bites
  Encourage her to cough as it is likely high enough in the airway to expel it
  Wait until she passes out and then give her abdominal compressions on the ground

Question 45 of 80
Fluid that accumulates in the lungs makes the transfer of oxygen more difficult as the alveoli are partitioned by the fluid this is called?
  Paradoxical flux
  Respiratory emesis
  Alveoli failure
  Pulmonary edema

Question 46 of 80
You and your partner Sue have just arrived on scene to an unknown injury/ illness. You see a man lying against the side of a convenience store who appears unconscious. One of the witnesses tells you that the man was standing there and then just fell over hitting his head on the building and sliding down into the sitting position. As you check his pulse and respirations you find that he is breathing shallow at about 10 per minute, and his pulse is rapid. What would you do first for this patient?
  Pinch his shoulder to see if he wakes up and then get a BP
  Question the witnesses to see if someone really hit him
  Do a focused trauma assessment and then take his blood pressure
  Maintain c spine and move him to a supine position, then open his airway

Question 47 of 80
Rescue breaths during adult CPR should be administered?
  Over a period of 3-5 seconds and just enough volume to get a visible chest rise
  Only if the patient is breathing
  With just enough volume to get visible chest rise and delivered over a period of 1 second
  Over a period of 1 second and 800 ml to 1200 ml in volume

Question 48 of 80
Chest compressions on a newborn that is not breathing adequately should be done at what depth?
  about 1/3 to 1/2 the depth of the chest
  1/4 inch
  1.25 inch
  1 inch

Question 49 of 80
Dispatch has just called you to Medical Park where a man has fallen out of his wheel chair. You and your partner Sheila arrive to find two bystanders doing CPR on an approximately 60 y/o male. When you begin CPR, what rate and depth of compressions will you use?
  30:2 / one third to one half the depth of the chest
  15:2 / 2 inches
  30:2 / 2 inches
  15:2 / one third to one half the depth of the chest

Question 50 of 80
You are called to the home of an elderly male. He is conscious, lying in the supine position and having a hard time breathing. There does not seem to be a foreign object blocking his airway. Which would be an appropriate response by your team.
  Insert an Oropharyngeal airway
  Use a Head Tilt-Chin Lift maneuver
  Suction the patient's airway
  Insert a Nasopharyngeal airway

Question 51 of 80
You arrive on scene to find a mother holding her 3-year-old boy who is complaining of a stomachache. You begin to assess the history of the patient by asking questions. Which of the following inquiries would be inappropriate?
  What is the child's activity level?
  How long has the child had noticeable symptoms?
  What types of toys has the child played with in the last 24 hours?
  Has the child had any diarrhea or vomiting?

Question 52 of 80
If a patient was throwing up blood that looked like coffee grounds you might suspect?
  Esophageal Varices
  They had a hard night drinking
  GI bleed
  Pleuratenial Intestotrophy

Question 53 of 80
Dispatch has called you and your partner Lenny to a possible cardiac arrest. You arrive at a local restaurant and enter to find a 60'ish woman lying supine on the restaurant floor. Bystanders are performing CPR and a crowd has gathered around the woman. After questioning bystanders about the event what should you do?
  Ask if anyone saw the woman collapse
  Have the crowd move back to give you some room to work
  Attach the AED and analyze
  Have the bystanders stop CPR and attach the AED

Question 54 of 80
You are transporting an unconscious but breathing 55 year old male who has suffered a head injury. He has an oropharyngeal airway in place. You hear gurgling sounds during his respirations and you need to suction his airway. How should this be accomplished?
  With a flexible catheter/on the way out
  By inserting the catheter and suctioning until the airway is clear
  By inserting the catheter to just below the vocal chords and then initiating suction 15 seconds/on the way in
  By inserting the catheter for 15 seconds only and suctioning on the way in

Question 55 of 80
A sign is _____________, while a symptom is______________.
  Not reliable / reliable
  Subjective / objective
  Reliable / not reliable
  Objective / subjective

Question 56 of 80
A symptom is_____________while a sign is________________.
  None of the options are correct
  Reflexive / responsive
  Objective / subjective
  Subjective / objective

Question 57 of 80
What is Hyperthermia?
  The body having too much blood
  The body getting too hot
  None of the options are correct
  The body getting too cold

Question 58 of 80
If someone is blue around the lips and has an altered level of consciousness, you could say for certain that they are?
  Cyaphoretic
  Diaphoretic
  Cyanotic
  Bradycardic

Question 59 of 80
You are ventilating an adult patient who is apneic. According to the AHA, approximately what volume of air should you deliver during each ventilation?
  80ml-100ml
  None of the options are correct
  100ml-500ml
  500ml-1000ml

Question 60 of 80
You are suctioning an unconscious patient who has vomited. It is proper procedure to suction the patient for approximately ________________ and then ___________________________________.
  10-15 seconds / throw the catheter tip away and put on a sterile one
  5-10 seconds / ventilate the patient at 100 compressions a minute
  10-15 seconds / rinse the catheter in preparation of additional suctioning
  5-10 seconds / ventilate the patient at 12-20 breaths a minute

Question 61 of 80
A person suffering from apnea may be _____________.
  Breathing normally
  Breathing at 16 breaths per minute and normal
  Passing only a little air through the lungs
  Cyanotic

Question 62 of 80
An adult and a child's airway are much different from each other. Which answer most correctly describes this relationship?
  An adult's airway is more narrow than a child's airway, and the adult has a larger tongue in proportion to the mouth
  A Child's airway is straighter than an adult making it easier to visualize the glottic opening
  A Child's airway is narrower at the Cricoid ring and the tongue is larger in proportion to the mouth
  There is no difference. Children's airways are just like adult's airways

Question 63 of 80
You arrive on scene with your partner Enrique to find a man who has suffered a spinal injury and is showing signs of shock. Shock as the result of a spinal cord injury is likely caused by ______________________?
  The nervous system's inability to control the diameter of the vessels
  The brain telling the heart to slow way down
  Too much spinal fluid leaking out of the spinal cavity
  The brain's inability to make the heart contract

Question 64 of 80
According to AHA CPR and AED guidelines, a patient with a VF rhythm should be shocked how many times before CPR is resumed?
  3
  2
  1
  4

Question 65 of 80
You and your partner arrive at the home of a 35 year old female. As you assess the patient, which of the following would indicate an abnormal breathing pattern?
  Rise and fall movement on both sides of the chest
  A normal rate and depth
  Movement of the abdomen
  Nasal flaring

Question 66 of 80
Your patient was in VF, an AED was attached and a shock was called for and administered. What is the next step in your treatment?
  Check his pulse and begin CPR if absent
  Begin CPR with two quick rescue breaths
  Do 5 cycles of CPR before checking pulse
  Check his pulse and deliver another shock if his pulse is absent

Question 67 of 80
You and your partner arrive on scene to find a 9 year old with a possible basilar fracture of the skull. Which of the following would be contraindicated in this patient?
  Nasopharyngeal airway
  NRB
  Oropharyngeal airway
  BVM

Question 68 of 80
You are assessing a 6 month old infant girl and become concerned when you discover her respiratory rate. Which of the following rates would give you this concern?
  20 breaths/min
  60 breaths/min
  30 breaths/min
  50 breaths/min

Question 69 of 80
The initial two breaths given during CPR are:
  To be one second each
  All of the options are correct
  To free any obstructions
  To be large sized breaths

Question 70 of 80
Your patient is a 33 year old female who fell off the back of a motorcycle going approximately 20 MPH. Her respirations are irregular at 8 a minute. An OPA has been inserted and ventilations are being assisted with a BVM and 100% O2 at a rate and tidal volume of________________________. C-Spine precautions have been taken and she is packaged and moved to the ambulance where she stops breathing and there is no palpable pulse. CPR is started and the lead paramedic does a rapid sequence intubation. The BVM is attached to the ET tube and ventilations are restarted at a rate of ______________________________________________.
  5 to 6 breaths per minute. Tidal volume of approximately 600 ml. / 8-10 breaths per minute with pauses to deliver compressions.
  10 to 12 breaths per minute. Tidal volume of just enough air to give adequate chest rise. / 8 to 10 breaths per minute without pauses in compressions.
  10-12 breaths per minute. Tidal volume of approximately 800 ml. / 5-6 breaths per minute with pauses for ventilation delivery over 1 second.
  12 to 20 breaths per minute. Tidal volume of just enough air to make the chest rise with each ventilation. / 10-12 breaths per minute with no interruption of compressions to deliver ventilations.

Question 71 of 80
Parts of the upper respiratory system would include?
  Trachea and lungs
  Mouth, nasal cavity, and larynx
  Right lobe and left lobes
  Pharynx, pleura, and trachea

Question 72 of 80
Which type of poison is likely to cause a scene to be hazardous?
  Rat poison
  Ingested
  All of the options are correct
  Inhaled

Question 73 of 80
If someone has audible inspiratory stridor they may have _____________.
  CHF
  Therapeutic oxygen around
  An upper airway obstruction
  A lower airway obstruction

Question 74 of 80
A respiration rate would be considered within normal limits for an adult at____ per minute, for a 6-12 year old child at ____ per minute, and for an infant at____ per minute.
  22 - 32 - 42
  20 - 40 - 60
  16 - 25 - 40
  10/20/1940

Question 75 of 80
You have been called to a home where a 1-year-old girl is in respiratory distress, possible apnea. The caregiver called 911 after finding the girl on the floor in front of the TV. She does not know if the child is breathing or not. Which of the following choices below contains the most accurate facts related to this call?
  Children have ridged tracheal cartilage and a short epiglottis that can easily block the airway. During CPR the neck should be slightly hyperextended to account for this difference.
  Children have smaller airways that are often blocked by toys and rarely occluded with mucus or swelling. If you suspect a foreign body airway obstruction, try to visually locate the object and remove it if possible.
  Children have a large tongue that takes up more of the oropharynx and can cause an airway obstruction. Proper administration of CPR should include about an inch of padding under the child's shoulders.
  Children may have anterior displacement of the tongue which can cause an airway obstruction. CPR should include delicate compressions to avoid rib fractures.

Question 76 of 80
The exchange of gases in the lungs is called _________________.
  Ventilation
  Expiration
  Inhalation
  Respiration

Question 77 of 80
You have arrived on scene and find a unconscious adult male who is not able to maintain his airway spontaneously. You determine that his gag reflex is not intact. What is the first step in inserting a oropharyngeal airway?
  Select the proper size airway by measuring from the center of his mouth to the earlobe.
  Select the proper size airway by measuring from the corner of his mouth to the earlobe.
  Select the proper size airway by measuring from the base of his nose to the earlobe.
  Select the proper size airway by measuring from the tip of his nose to the earlobe.

Question 78 of 80
AHA Guidelines specify that rescue breaths should be delivered over a period of___________.
  1 second
  3 seconds
  2 seconds
  5 seconds, 2 seconds in and 3 seconds out

Question 79 of 80
Your patient has a pulse, but is not breathing. Rescue breathing should be done... __________________.
  At 200 ml for all patients except infants
  With just enough air to make the chest rise.
  At a greater depth than during CPR
  At 500 ml to 800 ml

Question 80 of 80
Your patient is an 8 year old girl who fell from a swing and hit her head. She has a pulse but is not breathing. Your CPR should include what?
  Chest compressions and ventilations at a ratio of 30:2
  Breaths at a rate of 12-20
  Breaths at a rate of 10-12
  Breaths at a rate of 20-30