Practice Exam 3

Question 1 of 80
You are dispatched to the scene of an unconscious woman. Upon arrival you are confronted by a 35 year old man who is very upset and appears to have the mental capacity of a 10 year old. He takes you by the hand and leads you into the bedroom where his mother, a woman in her 70s is sitting in a chair unresponsive. The man wants to know if his mother is ok and why she won't speak. You should?
  Tell the man to calm down so you can help his mother. If he continues his agitation have him restrained
  Explain to the man that his mother is very sick and if you don't get her to the hospital she will die
  Tell him that his mom will be fine and to wait for a call from hospital administration
  Tell the man you are going to take care of his mother and that he may ride in the ambulance with her to the hospital

Question 2 of 80
Interventions are _____________.
  A very late sign of shock
  Not part of pre-hospital care
  Things that are done to correct a problem
  Can be treated in the pre hospital setting

Question 3 of 80
You are alone with just a driver that has no medical training. Which situation will not require additional resources at the scene?
  Two people found unconscious at the scene with a strange odor detected
  A woman with a hand laceration controlled by pressure
  A person who has had an episode of syncope due to chest pain
  A 700 lb woman in need of transportation

Question 4 of 80
Which of the following is not in the scope of practice for an EMT?
  Performing intravenous therapy.
  The use of airway adjuncts.
  Using an automated external defibrillator.
  Administering medications.

Question 5 of 80
A couple days have passed since you participated in the extrication of 2 people from a mangled car wreck. You are on lunch break when you are approached by a local government official."I saw that wreck in the paper, how are those people doing?", he asks. What would be the most appropriate response?
  No response it is a violation of HiPAA
  I don't know how they did after we dropped them off at the ER
  I am sorry, but I cannot discuss the patient's condition with you
  They managed well

Question 6 of 80
A motor vehicle accident has occurred right in front of your ambulance and requires the patients to be extricated. Your first choice of location to accomplish the rapid extrication should be the?
  Broken window
  The door
  Cut off roof
  Open broken windshield

Question 7 of 80
When planning your clothing for protection from cold weather, which list shows the correct way of dressing?
  A thin inner layer, a middle layer that resists wind and wetness, and a thermal outer layer
  An inner layer that resists wind and wetness, a thin middle layer, and a thermal outer layer.
  An inner thermal layer, a middle layer that resists wind and wetness, and a thin outer layer.
  A thin inner layer, a thermal middle layer, and an outer layer that resists wind and wetness.

Question 8 of 80
Driving an ambulance fast?
  Decreases the velocity
  Increases the stopping distance
  Increases response efficiency
  Increases chances of patient survival

Question 9 of 80
Which is the single most important factor in preventing the spread of infectious diseases?
  Wearing a HEPA respirator
  Wearing a mask
  Wearing gloves
  Washing your hands

Question 10 of 80
The T in the mnemonic DCAPBTLS would be associated with the statement:
  "Two times a day"
  "I can't bend it"
  "It hurts when you touch it"
  What time is it

Question 11 of 80
You are dispatched to a 57-year-old man who was injured by hitting a tree with his snowmobile. His wife called 911 and says the man is conscious, breathing, and cussing a blue streak. You arrive to find the man in severe pain with an obvious fracture to the femur. According to the NREMT PATIENT ASSESSMENT/MANAGEMENT – TRAUMA Skill Sheet your first concern is:
  Identifying if the patient has any other life threatening injuries
  Determining if the patient has an infectious disease
  Obtaining a set of baseline vital signs
  Requesting another EMS unit to respond with a sled for transport

Question 12 of 80
Using lights and sirens during a cardiac arrest transport is?
  A good way to calm the patient
  Not necessary
  A consideration for moving quickly and safely through traffic
  Mandated by the DOT

Question 13 of 80
The P in AVPU stands for?
  Premature
  Pertinent medical history
  Provocation
  Pain

Question 14 of 80
Your 94-year-old patient is complaining of pain in her pelvis after a fall down 2 stairs. Your assessment should include:
  Palpation of the exterior pelvic area only
  Even left and right pelvic pressure
  Palpation of the pericardium
  Assumption of a pelvic fracture

Question 15 of 80
You are performing a physical exam on a 58 yr. old woman and are utilizing the mnemonic DCAPBTLS. Which letter of the mnemonic relates to seeing her elbow bent backward?
  B
  D
  C
  T

Question 16 of 80
Blood loss can be significant with?
  Anaphylaxis
  A heart attack
  A fracture
  None of the options are correct

Question 17 of 80
Assault is defined as?
  Causing fear of offensive physical contact
  All of the options are correct
  Restraining a competent patient against their will
  Treating a patient without obtaining consent

Question 18 of 80
You are approaching an MVA involving one vehicle and a bear. Your primary concern should be?
  Making sure the bear is dead before entering the area
  Calling fish and game
  Getting the patient out of the car and away from the bear
  Scene safety

Question 19 of 80
The First Responder has responded to a man choking. Rather than follow protocols she decides to perform an emergency tracheotomy. This is an example of?
  Malfeasance
  Doing what is necessary
  Nonfeasance
  Misfeasance

Question 20 of 80
A 46-year-old woman was hiking in the woods near her home when she accidentally stepped into a hive of hornets and was stung multiple times. She contacted 911 via her cell phone and is going to rendezvous with you at her residence. When you arrive at the home you find her lying on the front lawn. After completing your scene size up, which would be the most appropriate treatment sequence according to the NREMT Patient Assessment/Management - Medical Skill Sheet?
  Administer high flow O2 via NRB - Get a set of vitals - and then do a SAMPLE
  Determine level of consciousness - Identify life threats - Assess airway - breathing - and circulation
  Form a general impression - Assist with epinephrine via auto injector - High flow O2 - and transport
  Assess ABC's - Make a transport decision and do a secondary assessment on the respiratory system. If she appears to be in anaphylactic shock assist her with her epinephrine auto injector.

Question 21 of 80
You should always check the pulse, sensory, and motor responses of a person with a potentially broken arm?
  Before splinting it
  Before and after splinting it
  Before splinting it to see if it needs traction
  After splinting it

Question 22 of 80
What are the conditions and findings with relation to the skin that could be noted in your assessment?
  Shade of color and SpO2 refill rate
  Turgor and temperature
  Moisture content and temp of capillaries
  Roughness and level of moisture

Question 23 of 80
The major components of the nervous system are?
  Branch nerves and trunk nerves
  The spinal cord and brain
  The peripheral nervous system
  The nerves

Question 24 of 80
You and your partner Blaze 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 and has a pulse of 103 and respirations of 35 and are shallow. The patient with the stab wound to the LRQ is complaining of severe abdominal pain and has a pulse of 60 and a respiration rate of 24. What should you do before you arrive on scene?
  Ask for law enforcement backup and park at the scene until they arrive
  Get the AED ready
  Make sure law enforcement has secured the area
  Radio into police the possibility of domestic violence and wait for them across from the scene

Question 25 of 80
The AVPU scale evaluates ____________________. The GCS scale evaluates _________________________________.
  What stimulus it takes to get a reaction / what response is given for each different stimulus
  What reaction is received from a stimulus/ what stimulus was given for the reaction
  Where the patient is on the alertness scale / where the patient is on the stability scale
  What level of responsiveness the patient has to pain / what that response achieves

Question 26 of 80
What would someone who is hyperventilating benefit from?
  Hypoventilating
  Holding their breath for 15 seconds
  Rebreathing in a paper bag
  O2 from a nasal cannula

Question 27 of 80
Which of the following would be considered a life threatening injury?
  A fall of 20 feet
  Broken rib
  Pelvic fracture
  Dislocated shoulder

Question 28 of 80
The U in AVPU stands for?
  Undeveloped
  Understand
  Upward pressure
  Unresponsive

Question 29 of 80
What is the best way to assess a patient's temperature?
  The back of your hand
  The index and middle finger
  Looking at their skin
  Your lips

Question 30 of 80
You arrive on scene with your partner Dale to find a woman in respiratory distress. She is walking around with her hands up in the air and you can hear audible wheezing on inspiration. Bystanders tell you that she was eating a hot dog when she started choking. It has been 10 minutes since she started having breathing difficulties. The best course of action would be?
  Heimlich maneuver
  Wait until she passes out from choking then do chest compressions
  Transport and encourage her to cough
  Encourage her to cough and have a family member sign a PCR

Question 31 of 80
A slice across a patient's arm with little to no bleeding would be related to which of the following letters in the DCAPBTLS mnemonic?
  S
  D
  L
  C

Question 32 of 80
You and your partner Rodrigo are called to a retirement home where several of the nurses and tenants are vomiting and complaining of dizziness. You should suspect that?
  There is enough supplies to treat them
  They are all suffering from the same flu bug
  There is a toxic agent responsible
  Dispatch did not call more units

Question 33 of 80
You are called to treat a 69 year old male who has fallen and lost consciousness. He has a laceration on his head and is breathing very rapidly. Which of the following is a likely cause?
  All of the options are correct
  He has slipped and hit his head
  He has hypoglycemia
  He has had a heart attack

Question 34 of 80
Which of the following would cause a person to become hypovolemic?
  Slow GI bleed
  Dehydration on a hot day
  Cut to the hand that is uncontrolled
  All of the options are correct

Question 35 of 80
Hematemesis is when the patient has.
  Bowel movements containing blood
  Urine containing blood
  Continuously vomited with no production
  Been vomiting blood

Question 36 of 80
The autonomic nervous system controls?
  The brain
  Skeletal muscle movements
  None of the options are correct
  Voluntary functions

Question 37 of 80
You and your partner have just started CPR on a 23 year old MVA victim. According to AHA CPR guidelines how often should you change compressor roles?
  Every 1 minute
  Every 10 minutes
  Every 5 minutes
  Every 2 minutes

Question 38 of 80
You have just arrived on scene to a call of man down. A man is lying prone on the sidewalk outside of a bar and there are several bystanders who say they witnessed him just fall over forward. As you check his pulse and respirations you find that he is breathing shallow at about 8 per minute and his pulse is 112. What would be the proper choice of action?
  Ask the bystanders if he had been drinking and then log roll him onto a backboard
  While maintaining c-spine precautions log roll him to a supine position and open his airway
  Do a rapid trauma assessment and then take his blood pressure
  Shake him to see if he wakes up, take his blood pressure, and put a c-collar on him

Question 39 of 80
Which of the following is not considered a vital sign?
  BP
  Respirations
  Pulse
  Skin

Question 40 of 80
You walk into an apartment and notice an infant being held by its mother. The patient is not crying and seems to be laying limp in her mother's arms. The patient appears to be ashen in color and you can't see any visible breathing effort. What assessment tool have you used and what is your first priority in treating this patient?
  Pediatric Assessment Triangle; Take the child from the mother and quickly open the airway and assess breathing
  Rapid Initial Assessment; Have the mother place the child on the floor and begin CPR if there are no signs of circulation or breathing
  Pediatric Assessment Triangle; Perform a rapid head to toe exam and look for any obvious life threats
  Rapid Initial Assessment; Gather pertinent history from the mother while you assess the child's breathing and circulation

Question 41 of 80
What is a sign of shock?
  Nausea and vomiting
  Altered mental status
  Pale, cool skin
  All of the options are correct

Question 42 of 80
What is the preferred position for a patient in shock?
  Supine with legs elevated
  Prone with legs elevated
  Modified fowlers
  A position of comfort

Question 43 of 80
Oxygenation includes which two processes?
  Alveolar/capillary gas exchange and low ATP production
  High ATP production and low ATP production
  Cell/capillary gas exchange and high ATP production
  Alveolar/capillary gas exchange and cell/capillary gas exchange

Question 44 of 80
The atmosphere consists mainly of what type of gas?
  Carbon dioxide
  Hydrogen
  Oxygen
  Nitrogen

Question 45 of 80
You are providing life support and performing CPR on a 53 year old male who had an unwitnessed collapse. The defibrillator was attached, an analysis was performed, and a shock was delivered. What should you do next?
  Begin CPR with two quick rescue breaths
  Check his pulse and deliver another shock if his pulse is absent
  Check his pulse and begin CPR if absent
  Begin CPR with chest compressions

Question 46 of 80
During an assessment of a 78 year old woman you find her skin to be cool, moist, and pale. What would you suspect?
  Vasovagal
  Hyperthermia
  Hyperglycemia
  Hypoperfusion

Question 47 of 80
You and your partner Gwen are called to the scene of an unknown injury accident involving a 50ish male patient. En route dispatch again radios you and reports that the man does not have a pulse and family members are doing CPR. When you arrive on scene a bystander tells you that the patient was fine and then just dropped like a rock. According to AHA AED Guidelines with CPR in progress, which of the following answers contains the most appropriate action for you to take?
  Attach the AED, tell everyone to stand back, and analyze the man's rhythm
  Open the man's airway, tell the bystander to stop CPR, and shock him
  Hook up the AED, open the man's airway, and insert an oral adjunct
  Question the bystanders, direct them to continue CPR, and analyze the man's rhythm

Question 48 of 80
Arterioles connect to the ____________________ and then to the ______________.
  Veins / capillaries
  Capillaries / venuoles
  Venuoles / arteries
  Venuoles / capillaries

Question 49 of 80
Deoxygenated blood returns to the ________.
  Right atrium
  Pulmonary artery
  Left atrium
  Pulmonary vein

Question 50 of 80
If someone is tachycardic they _________________.
  Have a pulse less than 60
  Have a blood pressure lower than 60
  Have a pulse rate of more than 60 beats per minute
  Have a pulse more than 100

Question 51 of 80
An acute myocardial infarction or AMI is generally called:
  A Hemopneumothorax
  A heart attack
  Cardioverting
  A pneumothorax

Question 52 of 80
You are off duty at a college football game when you see a man at the concession counter fall to the ground. A doctor standing in line behind the man begins to assess and yells, "Call 911, he doesn't have a pulse!" You scan the area for an AED and see nothing. What should you do?
  Call 911 and ask them to bring an AED
  Ask to see the doctor's credentials
  Begin CPR and ask a bystander to locate an AED
  Call 911 and begin CPR

Question 53 of 80
What is another name for white blood cells?
  Leukocytes
  Plasma
  Hemoglobin
  Erythrocytes

Question 54 of 80
You and your partner Zach are about to use an AED on an unconscious patient. Which of the following answers is part of that procedure?
  Continuing CPR after the fourth shock
  Cutting the electrode pads into squares
  Wetting the electrodes to ensure they conduct
  Making sure patient has no pulse

Question 55 of 80
Unoxygenated blood travels into the lungs via the?
  Pulmonary artery
  Aortic arch
  Pulmonary vein
  Pulmonary valve

Question 56 of 80
The contraindications for the Oropharyngeal airway include: ____________________ and _____________________.
  Conscious patient, a patient with an intact gag reflex
  A patient with an intact gag reflex, an apneic patient being vetilated with a bag-mask device.
  An unresponsive patient without an intact gag reflex, an apneic patient being vetilated with a bag-mask device.
  Conscious patient, an apneic patient being vetilated with a bag-mask device.

Question 57 of 80
A person having breathing difficulties may show __________.
  Signs of contentment
  Signs of adequate breathing
  Straining of facial muscles
  No sign of distress

Question 58 of 80
If someone is bradycardic they ___________________.
  Have a pulse less than 60
  Have a pulse less than 100
  Have a pulse rate of more than 60 beats per minute
  Have a blood pressure lower than 60

Question 59 of 80
You are the second team to arrive on the scene. You find the first team using a bag-mask device on a 35 year old female. Gastric distention is observed. What should you do to assist the original team?
  Perform the Jaw-Thrust maneuver.
  Suction the patient's airway.
  Perform the Heimlich maneuver
  Perform the Sellick maneuver.

Question 60 of 80
What must you do first before inserting an oral airway?
  Measure it
  None of the options are correct
  Lubricate it with petroleum jelly
  Measure it from nose to earlobe

Question 61 of 80
You are dispatched to a daycare where a child is having difficulty breathing. The caregiver called 911 and reported that the 5-year-old went down for a nap. When she went to check on him 30 minutes later he did not appear to be breathing normally. En route to this call, what are the most important things to remember?
  Daycare providers are often involved with child abuse. Remember to look for odd shaped bruising or burns on the child. Note if the caregiver is acting oddly or has difficulty making eye contact with you.
  Sunken fontanelles can indicate dehydration or possible allergic reaction. Wheezing respirations with red skin may also indicate swelling in the throat.
  Caregivers may be reluctant to give additional information about the cause of the child's respiratory difficulty out of fear of blame. Call law enforcement if you suspect abuse.
  Because of the size of a child's head you may need additional padding under the shoulders to align the airway. Flexion and hyperextension can obstruct the airway.

Question 62 of 80
If you referred to the lung sounds as being bilateral, you would be indicating that they are . . .
  Sequential
  Prudential
  Equal
  Unequal

Question 63 of 80
With regard to maintaining a child's airway which of the following would be true?
  A towel under the shoulders will help put the airway in alignment
  It takes up less of the mouth in proportion to an adult
  Never use a towel under the shoulders
  Use an OPA measured from the corner of the nose to the ear lobe

Question 64 of 80
Before inserting a simple oral airway adjunct you must?
  Read the instructions for use
  Measure it from nose to earlobe
  Lubricate it with a water based lubricant
  Measure it from the earlobe to the corner of the mouth

Question 65 of 80
When using an oropharyngeal or nasopharyngeal you must continue to ___________.
  Keep the head in the proper position or the airway may occlude
  Monitor the patients reflex mechanism
  Occlude the airway with pressure to the Sellick membrane
  Apply pressure to the brachial artery

Question 66 of 80
You are called to a neighborhood pool where a 5 year old girl was found floating unconscious. She is cyanotic and has no muscle tone. Your partner Greg does not find a pulse and the child is not breathing. Your CPR should include a compression to ventilation ratio of_____________ and each compression should be at a depth of_________________.
  30:2 / 1.5 to 2 inches in depth
  15:2 / just enough to give adequate chest rise
  15:2 / one third of the anterior-posterior diameter of the chest
  15:2 / one third to one half the depth of the chest

Question 67 of 80
Which direction does the diaphragm move when a person breathes in?
  Out
  In
  Up
  Down

Question 68 of 80
The exchange of gases in the lungs is called _________________.
  Inhalation
  Expiration
  Respiration
  Ventilation

Question 69 of 80
You are dispatched to an amusement park where a 16-month-old boy is reported to have something wedged in his throat. Dispatch says that the child is breathing, but it sounds very noisy like a whistle. Upon arrival you can see that the child is breathing with stridor, is pale, and is beginning to turn blue around the lips. What is the best treatment plan for this patient?
  Perform pediatric Heimlich thrusts with an upward motion slightly lower than those used on adults.
  Begin transport while giving blow-by oxygen. Continue to monitor the status of the child's airway en route to the hospital.
  Try to see the object in the child's throat and remove with your fingers if possible. Call for additional help if unable to remove the object.
  Give the child 3 back slaps and 3 abdominal thrusts. If the object does not dislodge, begin transport with non-reabreather mask and O2.

Question 70 of 80
Gastric distention can interfere with movement of the diaphragm and lead to what other problem?
  Hyphema
  Hyperglycemia
  Hypoventilation
  Hyperventilation

Question 71 of 80
Which of the following patients has adequate respirations?
  A 6 month old child who is breathing at 22 per minute
  55 year old woman with paradoxical chest expansion at 22 per minute
  A 10 year old who is breathing with accessory muscles at 30 per minute
  A 31 year old man breathing at 20 per minute and slightly irregular

Question 72 of 80
You and your partner Warren arrive at a house where a woman in her 50's has been reported unconscious. Her pulse is 80 and she is apneic. Warren inserts an oropharyngeal and you begin ventilating her at ____________________. After about 1 minute of ventilations, the patient begins to have seizures and is gagging. What would be the most appropriate thing to do?
  10-12 breaths per minute/ Remove the oropharyngeal
  10-12 breaths per minute / insert a nasopharyngeal
  12-20 breaths per minute / Prepare to suction
  12-20 breaths per minute / Begin suctioning her airway

Question 73 of 80
Anatomically, a child's airway is just like a little adult's, EXCEPT?
  The vallecula is not developed yet
  The tongue is larger in proportion to their body and their uvula is not developed yet
  The tongue is larger in proportion to their body and the cricoid cartilage is smaller
  The tongue is smaller and the adenoids are not present

Question 74 of 80
According to the current AHA Guidelines how many milliliters of tidal volume should you deliver via BVM to an adult patient who is apneic?
  80ml-100ml
  100ml-500ml
  Just enough to give adequate chest rise
  500ml-1000ml

Question 75 of 80
You arrive on scene to find another EMS crew doing CPR on a 60 year old woman. What is the best indicator that ventilations are being performed correctly.
  The patient's skin color is pink
  The BVM is fully compressed
  There is adequate chest rise and fall
  You can feel a pulse in the carotid artery

Question 76 of 80
You arrive on scene to find another EMS crew doing CPR on a 60 year old woman. What is the best indicator that ventilations are being performed correctly.
  There is adequate chest rise and fall
  The BVM is fully compressed
  You can feel a pulse in the carotid artery
  The patient's skin color is pink

Question 77 of 80
A 27 year old man and his 4 year old nephew have been pulled from a river after being submerged for approximately 12 minutes. Rescue breathing for the man should include breaths at what rate? Rescue breathing for the child should include breaths at what rate?
  1 breath every 5-6 seconds for the man / 1 breath every 3-5 seconds for the child
  12-20 breaths per minute for the man / 10-12 breaths per minute for the child
  10-12 breaths per minute for the man / 20-30 breaths per minute for all children
  1 breath every 3-5 seconds for the man / 1 breath every 5-6 seconds for the child

Question 78 of 80
As a lone rescuer you are preparing to perform ventilations, why would you choose a mouth to mask device rather than a bag mask?
  Because it is more sanitary
  It provides a higher concentration of oxygen
  You are proving a smaller volume of air
  You are able to achieve a better seal

Question 79 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?
  100ml-500ml
  None of the options are correct
  500ml-1000ml
  80ml-100ml

Question 80 of 80
Apnea is defined as?
  Fast breathing
  Slow breathing
  The absence of breathing
  Poor breathing

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