A detailed physical exam should be done ___________________.
Only by medical staff in a hospital setting
Only after critical interventions
To determine the method of injury
On an unconscious patient before anything else
Question 2
of
50
A man has both legs burned on the front and back, along with the fronts of both arms. Approximately what percentage of his body was burned?
45 percent
50 percent
36 percent
54 percent
Question 3
of
50
A part of the protocols that are to be completed before contacting medical direction are known as?
Standing orders
Required care
Standard of practice
Standard of care
Question 4
of
50
A sphygmomanometer is used to measure?
Distance of skid marks
Depth of laceration
Spaces between Q - R and S waves
Blood pressure
Question 5
of
50
AHA CPR/ AED Guidelines advise doing what after the first shock?
Analyzing again and potentially giving up to 2 more shocks
Resuming CPR for 5 cycles approximately 2 minutes
None of the options are correct are appropriate
Checking the pulse and rhythm of the patient
Question 6
of
50
Before applying a sling to an elbow dislocation you should?
Check the PMS
Make sure there are no laceration
Align the elbow so it pops back in place
Do a detailed physical exam
Question 7
of
50
CPR is in progress on an 35 year old woman who has fallen down an escalator. She has no pulse and chest compressions have been started. Current AHA guidelines specify that this woman should receive approximately how many compressions over a period of 3 minutes?
290 compressions
400 compressions
306 compressions
110 compressions
Question 8
of
50
Fluid that accumulates in the lungs makes the transfer of oxygen more difficult as the alveoli are partitioned by the fluid this is called?
Pulmonary edema
Alveoli failure
Paradoxical flux
Respiratory emesis
Question 9
of
50
Negligence is:
Found when one of four criteria is met
An action that results in pain or injury to the patient
Deviating from the standard of care expected from your level of certification
Not providing care to an injured person
Question 10
of
50
Perfusion is defined as?
The movement of blood through the tissues
Movement of waste product through the intestines
How well a person's skin looks during assessment
The death of cells
Question 11
of
50
Scene safety is compromised by doing what?
Waiting for the fire department to contain a flammable spill
Entering the scene of a shooting before police have it secured
Obeying traffic laws on your way to the scene
Doing a full scene size up
Question 12
of
50
The assessment based approach allows you to rule out life threats and then ________________.
Treat the patient's complaints
Diagnose the patient's illness
None of the options are correct
Repeat your assessment
Question 13
of
50
The bevel of a nasopharyngeal should be inserted ___________.
Toward the septum
Away from the septum
Only after lubing with petroleum jelly
To the base of the carina
Question 14
of
50
The exchange of gases in the lungs is called _________________.
Expiration
Ventilation
Inhalation
Respiration
Question 15
of
50
What letter from the DCAPBTLS mnemonic would you associate with finding that your patient has a pencil jammed into their leg about 2 inches deep?
C
P
A
D
Question 16
of
50
When asking the patient,"Does the pain move anywhere else?" This question refers to what part of the assessment?
Provocation
Radiation
Pain reference
Pertinent medical history
Question 17
of
50
Which of the following is not considered a vital sign?
Skin
Respirations
BP
Pulse
Question 18
of
50
Who is responsible for developing protocols for an EMS system?
Department of Transportation (DOT)
Medical director
State EMS Control
National EMS control
Question 19
of
50
You and your partner Greg are performing CPR on a 22 year old man who was in a motorcycle accident. Your CPR will utilize:
Compressions one third to one half the depth of the chest with one breath every 3-5 seconds
Chest compressions at 30 a minute with one breath every 10 seconds
About 6 breaths per minute with a tidal volume enough to give adequate chest rise
12 to 20 breaths per minute with a tidal volume of 800ml each breath
Question 20
of
50
You arrive on scene of an unknown medical to find a man and a woman unconscious in their kitchen. You are finishing a rapid trauma assessment on the woman when your partner says she smells something odd and is feeling dizzy. Your best course of action would be to:
See if your partner can identify the odor
Place both patients on high flow O2 and pull them out of the house
Call dispatch and request hazmat assistance while maintaining the patient's airway
Remove yourself from the scene and advise dispatch of the situation
Question 21
of
50
You arrive on scene to find a 35 year old man lying prone in the bathroom. He is not alert and you log roll him with c-spine stabilization into a supine position. Your next course of action would be?
Check pulse and apply AED
Manually open the airway
AED - SAMPLE
Give him a sternal rub to check for consciousness
Question 22
of
50
You arrive on scene with your partner Joe to find an 7 year old boy unconscious after being dragged from the water. He is not breathing and has no pulse. CPR in this case should include________________.
15:2 compression to ventilation ratio
5:1 compression to ventilation ratio
30:2 compression to ventilation ratio
30:1 compression to ventilation ratio
Question 23
of
50
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 may have anterior displacement of the tongue which can cause an airway obstruction. CPR should include delicate compressions to avoid rib fractures.
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 a large tongue that takes up more
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.
Question 24
of
50
Your partner Alex is assessing a patient who was a player in a hockey game. Alex thinks the man likely has a fractured zygoma. From this you would gather that the patient has been struck where?
Ankle
Right below the sternum
Cheek
Spine
Question 25
of
50
Your partner Ruben has just asked a patient "Is the pain stationary in that one spot?" What part of the SAMPLE history is he assessing?
Onset
Provocation
Pertinent medical history
None of the options are correct
Question 26
of
50
A wound to the leg that resulted in heavy bleeding of bright red blood could be controlled by what?
Pressure to the femoral artery
Pressure to the femoral artery
Pressure to the knee
Pressure over the brachial vein
Question 27
of
50
You are cleaning the back of your ambulance outside the hospital emergency room when a man walks up to you holding his stomach. He tells you that he is hurting really bad and asks if you can help him. What is the best response in this situation?
Have him sit on your stretcher and begin assessing him for any obvious life threats
Tell him to walk down to the door marked 'Emergency Room' and talk to the lady at the front desk
Call dispatch and report a walk up medical and give your location
Assist him into the Emergency Room and help him to the Triage area
Question 28
of
50
The autonomic nervous system is _____________.
An automatic subdivision of the central nervous system
Responsible for offload of oxygen
A subdivision of the peripheral nervous system
Responsible for offload of oxygen
Question 29
of
50
The cardiovascular system consists of the_____________.
Lungs and heart
Heart and vessels
Heart and brain
Heart and spinal cord
Question 30
of
50
Which of the following would cause a person to become hypovolemic?
Dehydration on a hot day
Slow GI bleed
All of the options are correct
Cut to the hand that is uncontrolled
Question 31
of
50
You arrive on scene to a MCI vehicle accident involving multiple vehicles. Your triaged patient is a 4 year old boy who has multiple fractures and is pulseless. You and your partner begin CPR:
At a rate of 100 compressions per minute with one breath every 5-6 seconds
With chest compressions at a rate of 30:2 with one breath every 3-5 seconds
With 12 to 20 breaths per minute with a tidal volume of 800ml for each breath
At a ratio of 15:2 with a compression depth of one third the diameter of the chest
Question 32
of
50
The majority of cardiac medical emergencies are the result of what?
Reduced blood supply to the myocardium
Poor diet
Old age
Embolism and thrombosis
Question 33
of
50
Which of the following would be a sign that CPR may not be necessary?
The patient is unconscious
Stiff neck and jaw
No pulse or respirations
Core cyanosis
Question 34
of
50
Respirations in a preschool aged child would be considered normal at ___________.
32 breaths per minute
24 breaths per minute
16 breaths per minute
35 breaths per minute
Question 35
of
50
You and your partner find an adult male pulseless and apneic. At what rate should your CPR compressions be delivered?
At least 90 compressions per minute
60-80 compressions per minute
170 compressions per minute
109 compressions per minute
Question 36
of
50
You arrive on scene to find a 64 year old male complaining of shortness of breath. He is using accessory muscles to breath and is in the tripod position. As you kneel down beside him you notice a cylinder of oxygen near his chair. From this scene size up information you might assume that?
He is a welder
He has an upper airway obstruction
He was exercising
He has COPD
Question 37
of
50
A patient who is competent may:
Have lost control of their bladder
Gain power of attorney over EMS providers
Tell you what to do
Refuse treatment
Question 38
of
50
A child is breathing at 32 breaths per minute. This would be considered ______________.
Above range
Below range
In range
Bradypneic
Question 39
of
50
You and your partner Shelly are called to the scene of a single car MVA with two patients. The reporting party told dispatch that one of the patients is unconscious in the car and the other is out of the car and conscious, but bleeding badly from his face. You arrive to find that the man in the car is actually dead and the other man is standing up against a bystander's car. According to the NREMT Patient Assessment/Management - Trauma Skill Sheet what would be the most appropriate treatment for this patient?
BSI, Treat any life threats, Do a detailed focused exam, Check vital signs and make a transport decision
Determine chief complaint, do a secondary assessment, Treat ABC's, and then make a transport decision based on the vitals
Verbalize general impression of the patient, Determine chief complaint/apparent life threats, Make a transport decision, and get a set of baseline vitals
Consider stabilization of the spine, Perform a primary survey and make a transport decision, then do a secondary assessment
Question 40
of
50
All of the following are functions of the Patient Care Report except:
Essential research record
Administrative information
Education
Diagnosis
Question 41
of
50
Without any further information, what condition would you say the following patient is in? A 1-year-old male with a pulse rate of 110, breathing at 30 breaths per minute, with a systolic BP of 90.
Moderate
Good
Poor
Bad
Question 42
of
50
Which of the following would be an advised method of asserting your authority with a patient who appears aggressive?
Tell them you are on the EMS boxing team
Tell them you will sedate them if they don't mellow out
Keep your eye level above that of the patient's
Tell them you will call the police if they don't mellow out
Question 43
of
50
What should be palpated in an infant when checking the pulse?
Radial artery
Brachial artery
Femoral artery
Carotid artery
Question 44
of
50
You and your partner Bob are called to the scene of a man down. The report said the man has no pulse and that family members are doing CPR. Upon arriving at the scene what 3 things are you going to do first?
Open their airway, tell the bystander to stop CPR, and put your gloves on
Attach the AED, tell everyone to stand back, and hit the analyze button
Question the bystanders, direct them to stop CPR, and check for pulse
Hook up the AED, open their airway, and insert an adjunct
Question 45
of
50
You arrive on scene with your partner Emilio to find a woman who is having problems breathing. She is speaking in 1 or 2 word bursts and is on oxygen at 3 liters per minute. There is an ashtray next to her bed loaded with cigarette butts. She says her care taker called the ambulance and she does not want you there. She says she will allow you to take her vitals but then you have to leave. Her BP is 100/60 her pulse is 48 and her respirations are 18. She says she is 89 years old and has a pacemaker and is on high blood pressure medication. "I just want to be old, please leave", she says. What should you do?
Respect her wishes and leave, asking her to please call if she needs medical attention
Tell the care giver to quit calling and giving false alarms
Prepare to bag her and transport when she eventually passes out
Transport her to the ER. Her vitals dictate that you must
Question 46
of
50
When transporting a patient who is in cardiac arrest, the use of sirens and lights is?
A necessity
Advised by the DOT
For moving quickly and safely through traffic
Recommended for comfort
Question 47
of
50
You are called to a local river where a rafting trip has turned bad. A family of 5 was dumped into the river after their raft capsized, only 3 of them made it to shore. As you arrive on scene, a woman and a young boy are brought up from a rescue raft. The search and rescue crew say the victims were under water about 15 minutes. The woman does not have a pulse, but the boy does. What will your ventilation rate be for the woman? What about the boy?
6 ventilations per minute for the woman / 12-20 ventilations for the boy
30 compressions to 2 ventilations per minute
10-12 ventilations per minute for the woman / 12-20 ventilations per minute for the boy
12-20 ventilations per minute for the woman / 15-30 ventilations per minute for the boy
Question 48
of
50
What is Hyperthermia?
The body getting too cold
None of the options are correct
The body having too much blood
The body getting too hot
Question 49
of
50
What is the best way to assess a patient's temperature?
The index and middle finger
Looking at their skin
Your lips
The back of your hand
Question 50
of
50
It's 8 a.m., you and your partner Raymond are called to a multiple car collision on a busy side street. You arrive on scene and can see at least 6 patients. The cars are a twisted mess and are covering one whole lane of traffic with multiple fluids pooling around the cars. You can hear people crying and traffic is already starting to move around and by the wreck. You should...?
Inform the patients that you are not allowed by law to enter the zone until it is made safe by law enforcement
Begin extrication of the patients while your partner calls for more ambulances
Get the fire department in route, establish a safety zone, and assist in keeping traffic at a safe distance
Triage the most critically injured first and then extricate them in order of severity