EMT Final Flashcards by Test Helper

1 year old with barking cough hot to touch with RR of you should suspect?

Airway obstruction

influenzae

epiglottitis

croup

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12 yo M bleeding uncontrollably from deep laceration to palm. He is a hemophiliac

hemostatic agent

direct pressure

tourniquet

pressure dressing

Hemostatic agent

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15 day old neonate is unresponsive. P55, R58

CPR

Rescue breaths

Blow by

Stimulis

CPR

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15 year old is having an allergic reaction which of the following should concern you the most ?

Throat swelling

rapid pulse

high BP

localized rash

Throat swelling

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18 yo M OD’d on unknown medication. RR is 8. Insert OPA, has gag reflex you should?

Perform modified Jaw Thrust Man. & vent via BVM

Insert NPA

Admin O2 w. NRB

Perform secondary assessment & attach pulse oximeter

Insert NPA

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19 year old fem is found by her friend staring blankly at the wall. She is awake but slow to answer questions. What is most likely the cause?

Poison

seizure

hypoglycemia

overdose

Seizure

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19 yr F is posticial following 10 mins seizures has snoring respirations. You should?

Obtain medication list

Insert OPA

Jaw thrust

Palpate carotid pulse

Insert OPA

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2 year old has been vomiting for 12 hours and has decreased oral intake. She does not track your movements. What type of shock should you suspect? P150 R 24. Cool skin w/ mottling.

Irreversible

neurogenic

hypovolemic

compensated

hypovolemic

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2 year old male had a seizure following the onset of a high fever what should you recommend to the parent?

Call pediatrician

cold bath

transport to hospital

admin tylenol

Transport to the hospital

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21 year old female alert and complains of weakness / dizziness following a syncopal episode. She tells you she has been working outside all day. What’s the most likely cause?

Absent seizure

TIA

Dehydration

hypoxia

Dehydration

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21 year old female has an open femur fracture after falling off horse, you should

Immobilize on longboard

check the distal pulses

applying manual stabilization to the femur

check distal pulse

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22 year old Female is choking, she is in her 3rd trimester of pregnancy, she is standing up leaning over a chair drooling unable to speak or cough. You should?

Apply aed

perform chest thrust

deliver back blows

delivery abdominal thrust

Perform chest thrust

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22 yr old F complains of steady vaginal bleeding, 2 hours ago. No pain, had period 2 wks ago. BP 100/68 P 110 R 16. Warm & dry.

Pad over vaginal opening

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22 yr old F w/ Altered Mental Status & stoma has irregular respirations. You should:

Ventilate stoma w/ BVM

Open airway & ventilate her through mouth

Insert NPA in stoma

Apply pediatric NRM over stoma

Ventilate stoma w/ BVM

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23 year is 30 weeks pregnant and complains of abdominal cramps. She tells you that she has had normal prenatal health care and no vaginal discharge. Vitals signs are Bp 102/74, P 112, R22 and labored. You should?

Administer oxygen

transport supine

check for crowning

Place her in knee-chest position

Administer oxygen

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23 yo seizure PT seizure prior to arrival, during primary survey another seizure, what should you do?

Ensure airway and breathing adequacy

Monitor vitals

OPA to protect airway from tongue

Soft restraints to prevent further injury

Ensure airway and breathing adequacy

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24 y/o M hit in chest with metal pipe. He is having trouble breathing and coughing blood. Vitals are BP 116/70 R 24 and shallow. You should suspect:

Commotio cordis

Aortic dissection

Pulmonary contusion

Tension pneumothorax

Pulmonary contusion

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24 yo F complains of right lower ab pain that radiates to the back with slight vaginal bleeding. Last period was 2 weeks prior. Suspect?

Ruptured appendix

UTI

Chlamydia

Ruptured ovarian cyst

Chlamydia

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28 year old is in active labor. You see umbilical cord protruding from her vagina. Which position should you place her in?

Knee-chest

Semi Fowlers

Supine

Left lateral

Knee-chest

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28 yo F has severe pain after slipping in the shower. 31 wks pregnant has bright red vaginal bleeding. Suspect?

Ectopic pregnancy

Spontaneous abortion

Abruptio Placentae

Placenta previa

Abruptio Placentae

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29 yr old just delivered newborn, still bleeding heavily.You should

Massage the fundus

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3 year old patient found unresponsive, apneic, with a carotid pulse of 30.

Assist ventilations

call for additional resources

start chest compressions

apply AED

start chest compressions

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3 yo F sitting on dads lap, drooling and won’t eat or drink. You should suspect?

Epiglottis

Croup

Emphysema

Pnuemonia

Epiglottis

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32 y/o complains of rapid heart. You should?

Obtain vitals

assess pulse

perform secondary

put on stretcher and give o2

Obtain Vitals

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**32 y/o female. 18 weeks pregnant. Lower abdominal pain w/ vaginal bleeding. You should suspect?** Ectopic pregnancy placenta previa pelvic inflammatory disease spontaneous abortion

spontaneous abortion

**32 year old female at 38 weeks gestation, urge to push with each contraction. Infant's head has delivered. During next contraction you should:** Gently guide baby's head down towards perineum Apply gentle pressure on the infant’s head to prevent delivery Place the mother in the knee-chest position Gently turn the infant’s head toward the perineum

Gently guide baby's head down towards perineum

**32 yo F was involved in a car crash and complains of a tearing pain in her back. Her left radial pulse is stronger than her right radial pulse.** Abdominal aortic aneurysm aortic dissection flail segment Tension pneumothorax

aortic dissection

**32 yr old F 36 wk pregnant lying on bathroom floor w/ 2 legs coming out of vagina suspect?** Breech birth Prolapsed birth Nuchal cord Normal birth

Breech birth

**33 year old female has been down for an unknown period of time nad is pulseless after contact with a portable welder you should?** Check for exit wound begin chest compressions attach AED apply o2

begin chest compressions

**35 y/o M is short of breath after being shot in abdomen and legs. Vitals are P 122, R 24 and labored. You should** Immobilize to longboard Obtain vitals Assist with ventilations Apply oxygen by NRB

Apply oxygen by Non Rebreather

**35 year old male has a bp 126/62 what does the number 62 represent?** active systolic palp diastolic

Diastolic

**36 year old female complains of left leg pain after car wreck, when you place her on a long spine board, you see her left leg is shortened and rotated outward?** Femur fracture hip dislocation knee dislocation pelvic fracture

Femur fracture

**36 yo male complains of nausea, vomiting and abdominal pain. Homeless and admits to chronic alcohol use. VS Bp 92/54 P122 R8. You suspect?** Food poisoning pancreatitis peptic ulcer disease renal failure

pancreatitis

**4 yr old M was restrained front seat passenger in a car crash w/ airbag deployment. He has chemical burns to his face & having trouble breathing. You should:** Flush face w/ water Immobilize with KED Perform rapid extrication Bandage forearm & apply ice

Perform rapid extrication

**42 year old has a large laceration on medial aspect of neck, you should?** Perform secondary survey apply occlusive dressing administer high flow O2 via NRB manually stabilize spine

Apply occlusive dressing

**42 year old is apneic. Suddenly grabbed throat while eating and collapsed** Finger sweep abd. thrust start compressions

Start Compressions

**45 year old male hypothermic after night camping. You should?** Move him to a warm environment Remove clothing Cover him w your outerwear Apply heat packs to any frostbitten area

Move him to a warm environment

**45 yr old F w/ frostbite on both feet. Transport time of 20 mins. You should?** Rewarm feet with blankets Call for air transport Gently massage legs & feet Elevate feet & turn up heat in ambulance

Rewarm feet with blankets

**46 yo F. w/ a fever & lower abdominal pain that moves to her lower back when she walks. Abnormal vaginal discharge for 2 days. VS 144/88 P98 R16. you should suspect?** Kidney stones Dysmenorrhea Hepatitis Pelvic Inflammatory disease

Pelvic Inflammatory disease

**46 yr old F swollen feet, orthopnea SOB w/ exertion last 2 days. Most likely cause?** Pulmonary embolism Bradycardia Angina Heart Failure

Heart Failure

**47 year old has been working outside on a hot day and is disoriented his skin is hot and dry you should** Move to a cool area ice packs on groin and axel remove tight fitting clothing drink cold fluids

Move to a cool area

**48 year old male in vehicle responsive to verbal only. You see smoke in the vehicle.** Admin 02 Tell fire dept rapid extrication

rapid extrication

**48 yo M involved in a car crash is slumped over the steering wheel & unresponsive to loud stimuli. You see smoke inside the vehicle & airbag deployed. You should?** Admin O2 via NRB Tell Fire department to standby for extrication Perform emergency extrication Perform primary survey

Perform emergency extrication

**50 year old F with a history of chronic bronchitis, RR 6, you should?** Assist w/ administration of a prescribed bronchodilator Place in recovery position Provide positive pressure ventilation via BVM Oxygen via NRB

Provide positive pressure ventilation via BVM

**50 year old female states she has “the worst headache of her life”. The onset was 20 minutes ago and it was abrupt. Vitals BP 180/90 P56 and R 20. You should suspect?** Uncontrolled hypertension migraine headache TIA subarachnoid hemorrhage

Subarachnoid hemorrhage

**51 year old male is unresponsive with agonal respirations, you should?** Attach AED check for a pulse apply O2 via NRB Start CPR

check for a pulse

**53 male, nausea, headache. Most significant statement?** Ran out of BP medications Turned the furnace at night Ate seafood yesterday Have not been sleeping well

Turned the furnace at night

**53 year old male with a history of coronary artery disease had a sudden onset of tearing abdominal pain that radiates to back he is ashen and diaphoretic states that he needs to use the bathroom vs bp 110/76 p 100 R20 you should** explain the need for immediate transport assist the patient to bathroom assist with prescribed nitro perform secondary assessment

explain the need for immediate transport

**54 yo F tells you she drank bleach to kill herself. You should?** Contact poison control determine a psychiatric history Activated charcoal Milk

Contact poison control

**55 year old female fell and struck her head. She now complains of a headache. Which statement is most concerning?** “I think i blacked out” “im on blood thinners” “i have type 2 diabetes” “i ate three hours ago”

“im on blood thinners”

**55 year old female tells you “It feels like something is stuck in my throat and my voice sounds different.” She is hot to the touch. Bp 148/90 P124 R 18.** Inspect her throat for a foreign body Administer Humidified O2 Assist with administration of her antipyretic Allow her to suction her own airway

Inspect her throat for a foreign body

**56 year old complains of severe abdominal pain after eating large meal suspect?** Bladder infection Cholecystitis Kidney stones Peritonitis

Cholecystitis

**56 year old had car battery acid splashed in eyes you should?** Call poison control apply moist dressing to both eyes apply dry dressing to both eyes irrigate eyes

irrigate eyes

**56 yo F complains of chest pain that is unrelieved after 3 Nitroglycerins. Troubled breathing, speaking in 2-3 word sentences. You should?** Provide O2 Administer Aspirin Transfer patient to stretcher Check BP & Spo2

Provide O2

**56 yo Male with severe pain after eating greasy food. You should suspect?** Cholecystitis bladder infection kidney stones Periostitis

Cholecystitis

**58 year old male complains of general weakness and tells you that he had severe chest pain/ SOB the day before. You head rales at both lungs. Cool, pale, clammy skin signs. BP 70/ p110, and R28. suspect?** Angina pectoris pulmonary embolism hypovolemic shock cardiogenic shock

cardiogenic shock

**58 Year old with fever and chills. Lung sounds reveals rales and rhonchi in lower right lung.** Pneumonia Pulmonary Edema Chronic Bronchitis Emphysema

Pneumonia

**6 yo crying in backseat of car after TC. Downed utility line on top of vehicle. You should.** Don turn out gear and move line Request additional resources Ask patient to get out Rapidly extricate patient

Request additional resources

**60 M confused and unable to follow simple commands. Cant lift left arm. BP 210/96 P 90 R18. You should suspect?** Hyperglycemia ischemic stroke Encephalitis Alcohol intoxication

ischemic stroke

**62 year old male with COPD history ran out of his home Oxygen. He is SOB. He has a dry, non-productive cough, with clear lung sounds.** Pneumonia asthma attack emphysema chronic bronchitis

emphysema

**67 yo female is unconscious and her family members are performing poor CPR. You should.** Give 2 breaths 2 minute CPR Check Pulse Attach AED

Check Pulse

**68 yr old was found unresponsive 5 mins. ago no spontaneous respiratory effort, you should:** Assess cap refill Carotid pulse check for 5-10 sec Attach AED & push to analyze Immediately initiate 30 chest compressions

Carotid pulse check for 5-10 sec

**70 y/o with SOB “I woke up and I felt like I was drowning”. He has been recently sleeping with extra pillows under his head. Bp 160/80 P 98 and irregular. R 24. Spo2 86%.** Pneumonia Left heart failure right heart failure MI

Left heart failure

**72 year old has a nosebleed after a fall** Place in position of comfort lean her head forward pack nostrils with gauze

lean her head forward

**76 Year old female with fever, cough w/green sputum for 3 days. Lung sounds Rhonchi** Asthma Bronchitis Pneumonia Heart Failure

Pneumonia

**78 yo male tells you “I feel sick & can’t walk” bed is dirty w/ urine and feces. He request transport, but daughter does not want him to be transported to the hospital. What should you do?** Call law enforcement for assistance Contact adult protective services Have daughter sign refusal form Transport him to hospital

Transport him to hospital

**78 yr old F “i can’t breathe” BP 152/84 P 108 R 20 w/ bilateral wheezing SPO2 90%. What should you do?** Obtain orthostatic VS Assist ventilation w/ BVM O2 via NRM Insert NPA

O2 via NRM

**82 yo F mumbling and throwing clothes, nurse says she's diabetic. You should?** call law enforcement give oral glucose have nurse help restrain ask her whats wrong

ask her whats wrong

**92 year old female complains of a headache and trouble breathing. She is on home O2. What is the most important question you should ask?** Which meds do you take? Are you allergic to any meds? When did SOB start? How many liters of home O2 are you normally on?

When did SOB start?

10 month old Female withdraws to painful stimuli. She had an ear infection and fever the passed three days, and she has a bulging fontanelle. Febrile seizure meningitis stroke hyperglycemia

Meningitis

10 month old is choking, what should you do? ## Footnote 5 chest thrusts abdominal thrusts backblows a blind finger sweep

Back blows

A 12 year old male is prone in a shallow bathtub of water. He is pulseless and apneic. What should you do? Start chest compressions Assist his ventilations Dry the patient Immediately apply AED pads

Start Chest Compressions

12 year old male was kicked in the chest by a horse. He has distended neck veins and tracheal deviations. What should you suspect? ## Footnote Traumatic Asphyxia cardiac tamponade flail chest tension pneumothorax

Tension pneumothorax

15 year old male was struck in the face by falling tree branch. He was knocked to the ground, and is now alert and repeatedly complains of a headache when lying down. Vital signs are BP 140/90, P 100, R 16. You should ## Footnote Begin spinal immobilization assist ventilations with 100 % O2 attempt an NPA transport in sitting position

begin spinal immobilization

16 year old male tripped and landed on his elbow. His elbow is swollen with obvious deformity, and he is screaming in pain. you should Administer oxygen perform a primary survey Apply gentle traction splint in position found

splint in position found

19 year old female is unresponsive after overdosing on heroin. She is supine on the ground with gurgling respirations and vomit next to her head. You should ## Footnote Open her mouth and suction CPR with AED BVM check pulse

open her mouth and suction her airway

19 year old females jaw is clenched following a 5 minute tonic-clonic seizure. She is cyanotic and has gurgling respirations. What should you do? ## Footnote Insert npa and suction Administer O2 non rebreather obtain vitals and wait for jaws to relax Use soft catheter to suction through nose

Insert NPA and suction

a 2 year old female has been vomiting for 12 hours and has decreased oral intake. She does not track your movements and cries weakly when stimulated.What type of shock should you suspect? P150 R 24. Cool skin w/ mottling.

Hypovolemic

20 year old male complains of a sudden onset of shortness of breath and chest pain. His lung sounds are diminished on the right side. He denies trauma and past medical history. You should suspect ## Footnote CHF Pulmonary embolism Spontaneous pneumothorax Asthma exacerbation

spontaneous pneumothorax

a 20 year old male has supraclavicular retractions and is slow to respond to questions. He has expiratory wheezes in all lung fields with minimal chest wall movement. You should Open his airway with a head tilt chin Perform a detailed physical assessment Assist ventilations with a bag valve mask Assist patient in taking prescribed MDI

Assist pt. In taking prescribed (MDI) meter dose inhaler

21 year old female is 33 weeks pregnant. She complains of abdominal pain, abdominal pain, blurred vision, and a severe headache. ## Footnote Position on left side Administer nitro Hi-flo O2 Elevate legs

Hi-flo O2

a 21 year old male has an evisceration after being stabbed. you should

moist sterile dressing

**22 year old female was in a bicycle accident and struck her chest on the handlebars. She is short of breath and you notice small section of her chest move asymmetrically. You should suspect?** Pulmonary contusion pneumothorax flail segment sucking chest

flail segment

23 year old female is 38 weeks pregnant with her third child. Her contractions are 2 minutes apart and 1 minute each. She tells you that she needs to go to the bathroom. You should

prepare for delivery Immediate delivery

**23 year old male has a penetrating wound to his right upper chest with a small amount of bubbling blood. He is alert, plae, and diaphoretic. Vital signs are BP 122/82, P 112, R 24. You should?** Pack the wound with gauze Apply a dry, sterile dressing Apply an occlusive dressing Clean the wound

Apply an occlusive dressing

24-year-old female is 32 or 23 weeks pregnant she tells you that she feels weak and has been vomiting for the past three days she also tells you that she is scared to go to the hospital in the ambulance. Vital signs are 84/82 pulse is 110 respirations 16 SPO2 98 you should ## Footnote Have her family take her to the hospital monitor her vital signs and transport contact her primary care physician administer O2

admin O2

25 year old male was stabbed in the chest Emergency Medical Responders applied an occlusive dressing prior to your arrival. Vitals signs are BP 90/62, P 120, R 28 and labored. You should a. lift one side of the occlusive dressing b. auscultate breath sounds c. apply high flow oxygen d. begin positive pressure ventilation

Lift one side of the occlusive dressing

29 year old male has a large stick impaled in his lower right abdominal quadrant. He is supine and screaming in pain.

stabilize?

32 year old female is 28 weeks pregnant. In position should you transport her? A. Left Lateral recumbent b. semi fowlers c. Position of comfort d. Trendelenburg

Left Lateral Recumbent

**35 year old male spilled corrosive chemicals on his legs while cleaning an indoor swimming pool. He is dyspneic and has thickness burns to his legs you should?** Administer 02 estimate the percent of the body burn remove him from the pool wipe chemicals off with gloved hand

Remove him from the pool

36 year old male is ventilator dependent. His Care giver called 911 because the ventilator warning alarm was sounding. You should? a. unplug the machine and ventilate him with BVM b. Suction his airway c. Look for adequate chest rise and fall d. attach the pulse oximeter

Look for adequate chest rise and fall

36-year-old female complains of fever and lower abdominal pain that moves to the lower back when she walks. She also mentions that she has had a domino vaginal discharge for the past two days. Vitals signs are blood pressure 144/88 pulse 98 respirations 16 you should suspect? ## Footnote Kidney stones dysrhythmia hepatitis pelvic inflammatory disease.

pelvic inflammatory disease.

4 year old male was the restrained front seat passenger in a car crash with airbag deployment. He has chemical burns to his face and is having trouble breathing. you should

rapid extrication

**40 year old male with an open ankle fracture that’s actively bleeding. Which of the following precautions should you take?** Gloves Gloves, hepa mask and gown gloves and surgical mask gloves and goggles and surgical mask

gloves and goggles and surgical mask

**42 year old was stung by a bee, his left hand and finger are red and swollen, he tells you that he is allergic to bee stings. Vitals are Bp 112/76 P90 R16 you should?** Remove the stinger with a tweezer administer epipen scrape stinger apply cold pack

Scrape Stinger

45 year old female 34 weeks pregnant she complains of severe headache sensitive to light and swollen feet vs are blood pressure 130/88 pulse 104 and respirations 24 would you suspect? ## Footnote Preeclampsia Miscarriage gestational Diabetes Placenta Previa

Preeclampsia

**A 450 lb patient has a 6 inch laceration to right upper arm & a fractured left ankle. He is on the 3rd floor. You should:** Apply a pressure dressing to the arm Splint ankle and foot Call for extrication assistance carry him down the steps in a stair chair

Call for extrication assistance

**52 year old female complains of severe abdominal pain, distention, and black stools. Vital signs are BP 92/, P 115, R 20. What should you suspect?** Upper intestinal bleeding Hemorrhoids Gastric Ulcers Abdominal Aortic Aneurysm

Upper intestinal bleeding

**55 y/o male goes unconscious after administration of nitro. You should:** Attach AED place in supine position contact medical control assist his ventilations

place in supine position

58 year old male complains of increasing shortness of breath. He is confused and speaks in 2 word sentences. He has pedal edema and jugular vein distention with a productive cough.

high flow oxy by nonrebreather mask

**59 year old male complains of distress and crushing chest. He is diaphoretic, pale cool. You should.** Supine position search for meds assist ventilations assist with self administered rx nitro

Supine position

**59 year old male complains of distress and crushing chest. He is diaphoretic, pale cool. You should.** Supine position search for meds assist ventilations assist with self administered rx nitro

assist with self administered rx nitro

**6 year old male has a deep laceration to his lower leg with dark red oozing blood. VS are BP 108/70 P 124 RR 20, you should?** Apply direct pressure apply tourniquet administer high flow O2 contact parents

Apply direct pressure

**62 y/o male is in cardiac arrest at a restaurant. After beginning chest compressions, his daughter tells you that he has terminal cancer, she asks you to stop resuscitation efforts. What should you do?** Ask about a DNR while continuing resuscitation efforts. Stop resuscitation efforts Leave Call medical

Ask about a DNR while continuing resuscitation efforts.

**66 year old female complains of shortness of breath. You notice several tissues beside her that contain bloody sputum. You should:** Don an N95 mask and ask her if she has experienced night sweats or cough Put on a face shield and protective gown Place a non-rebreather mask on her and put the tissues in a biohazard basket Place a surgical mask on her and ask about her symptoms

Don an N95 mask and ask her if she has experienced night sweats or cough

**66 year old female has regained a pulse after shock with an AED? She is moving her extremities and has a R 8. You should?** Apply 02 by NRB assist her ventilations remove the AED defibrillate her

assist her ventilations

66 year old male collapsed 8 minutes ago. He is in cardiac arrest when you arrive. What should you do?

start chest compressions

7 year old male is in cardiac arrest after choking on a bite chicken. Upon your arrival, you note effective CPR is in progress. You should ## Footnote Immediately apply AED attempt to ventilate continue chest compressions perform 5 abdominal thrusts

immediately apply AED

**72-year-old female‘s family member tells you she had a brief period of slurred speech and left sided arm weakness prior to EMS arrival. What is the most likely cause?** Hypoglycemia narcotic overdose transient ischemic

transient ischemic attack

**A confused 22-year-old male weak pulse of 122 distended abdomen pale and clammy.** Internal bleeding Acute cholecystites bowl obstruction insulin shock.

Internal bleeding

a febrile 2 year old female has a seizure. She is postictal and her lips are cyanotic.

assist vent??

**A newborn head has just been delivered. You should?** Apply gentle traction to the newborn head beginning drying the newborn head Inspect for meconium tell her to push

Apply gentle traction to the newborn head

**A patient has amputated her index finger in a table saw accident you should** Wrap finger in wet gauze and an occlusive dressing place finger in solution of sterile saline and ice put finger in a bag and directly on ice wrap finger in gauze put in a plastic bag and keep cool.

wrap finger in gauze put in a plastic bag and keep cool.

**After delivering a shock with an AED to an unresponsive 49 year old male you should:** Check for carotid pulse assist his ventilations Reanalyze the rhythm Resume chest compressions

Resume chest compressions

**Alert 65 yr old M suspected MI refusing transport says it is indigestion & wants to stay home. You should:** Attempt to convince him to go to hospital Get witnessed refusal before leaving Take him anyway Turn around and leave

Attempt to convince him to go to hospital

18 year old female with sickle cell anemia complains of stomach pain and upper leg pain Vitals 130/66 P 96 R 14 you should Transport in her left lateral recumbent position administer aspirin and encourage her to drink fluids apply 02 and transport a position of comfort assist her in taking her prescribed pain meds

Apply o2 and transport a position of comfort

8 year old male was hit by a car and is unresponsive. He has ecchymosis to his left upper quadrant. You should suspect. Aortic dissection splenic injury kidney trauma liver rupture

Splenic injury

**An 88 year old female in hospice care is pulseless and apneic with dependent lividity. Her son says “she died 2 hours ago after I gave her a large dose of pain medication” What should you do?** Ask if she has a DNR Notify law Enforcement contact the hospice Start CPR

Notify law Enforcement

An alert 62 yo male complains of chest pain, short of breath and long history of angina. Vital signs are BP 90/50, P100, R22, SP02 90%. What should you do? ## Footnote Assist him with his nitrog Administer O2 Admin. aspirin Ask If BP is normal

admin O2

**An unconscious male is cyanotic and actively vomiting you have been suctioning him for at least a minute.** Perform finger sweep open airway, check pulse apply O2 NBM Log roll and suction

open airway, check pulse

**an unconscious pt has a partially amputated foot. You should?** Assess carotid pulse control bleeding position and maintain airway BP and R

control bleeding

**An unresponsive 19yo F is supine on the bed next to several empty beer cans, her 3yo son is running around the house. Vital signs are BP 80/, P 110, R 6 & shallow. You should?** Transport her & her son to the hospital Document the findings Call & wait for child services Call & wait for Law enforcement

Transport her & her son to the hospital

**An unresponsive 42 year old male, not breathing, with a medical alert bracelet that identifies him as a diabetic. You should?** Administer oral glucose check pulse check airway Check blood glucose

check airway

**An unresponsive 52 y/o F in respiratory failure after being struck in chest with metal pipe. With each breath only one side rises. She has subcutaneous emphysema and absent radial pulse. What should you do?** Chest compressions Positive pressure ventilations Blow by Oxygen Apply bulky dressings to chest

Positive pressure ventilations

**An unresponsive 67 year old male is lying supine with a weak carotid pulse. He has emesis in his oropharynx and gasping respirations of 6 you should:** Suction airway Insert a nasal airway perform ab thrusts Ventilate him with a BVM

Suction airway

**Appropriate to say to suicidal patient:** “Let's bring you to the hospital” “Think about how your family would miss you” “I understand how you must feel” “Don’t worry everything will work out”

“Let's bring you to the hospital”

Are administering oral glucose to a known diabetic. What should you be most concerned about?

The smell of acetone on breath

**Baby/ Infant Grunting & Intercostal Retractions & Nasal Flaring** Respiratory Failure Respiratory Distress Complete Airway Obstruction

Respiratory Distress

**Bleeding from dialysis shunt you should:** Apply direct pressure to the shunt Apply a tourniquet apply pressure to her brachial artery elevate her arm

Apply direct pressure to the shunt

**Blood spurts on arms and legs while treating gunshot wound, bleeding profusely, you should.** Notify supervisor immediately Clean areas with sterile water Continue patient care Request another ambulance crew

Continue patient care

**While Checking ambulance, find dried bloody piece of gauze under stretcher, what should you do?** Place in sharps container Document it of pre-shift check sheet Report it to supervisor Dispose of with gloved hand

Dispose of with gloved hand

**Circumferential burn from elbow to wrist is what %** 9 4.5 18

4.5

**Complication of precipitous (rapid) delivery?** Meconium staining Umbilical cord rupture Eclampsia Perineum tearing

Perineum tearing

**Cough producing thick mucus in tripod w/ barrel chest**: pulmonary embolism CHF asthma chronic bronchitis

chronic bronchitis

Delivery of newborn has central cyanosis covered in thick greenish fluid. You should?

Inspect oropharynx

**Dimensions for landing zone** 50x50 200x200 75x75 100x100

100x100

**during a cardiac arrest of a 62 year old female AED prompts “shock advised” you should?** defibrillate ensure no one is touching turn off AED disconnect o2 therapy

ensure no one is touching

**EMS displays a “Free BP Check” sign on the window. This is a sign of?** Quality assurance public safety event community relations system improvement

community relations

Family members poor cpr. You should

Perform 2 minutes of CPR

**Febrile 24 year old female complains of periumbilical pain that radiates to right lower quadrant. You should suspect?** Appendicitis Pancreas Cholecystitis Diverticulitis

Appendicitis

**First step with a sexually assaulted patient?** Document findings Protect evidence clean wounds reassure patient

reassure patient

**immediately after the delivery of vigorous newborn, you should.** Blow-by level with placentia suction oropharynx with bulb massage

suction oropharynx with bulb

**In which zone would you triage patients during a hazardous materials emergency?** Dry Hot Wet Cold

Cold

**Leading cause of bradycardia in pediatrics** Metabolic imbalances Hypoxia neurological trauma hypovolemia

Hypoxia

**Left ankle fracture with tingling sensation in foot. Foot is cool, swollen with a faint pulse. You should.** Splint in position of comfort attempt to realign ankle elevate her leg and apply ice apply traction splint

Splint in position of comfort

**Lifting a 26 year old male out of crash onto long board. Complaints shortness of breath and anxious. You should.** apply 02 allow to sit up secondary survey

apply 02

**Most effective way for single rescuer to ventilate, apneic adult PT**

BVM

Name the condition for a pregnant patient with placenta covering cervical opening

placenta previa

Newborn infant with pink torso and blue extremities, you should?

Dry him off

**Newborn is apneic immediately after delivery, you should?** 5 back blows assisted ventilations stimulate baby Chest compressions

stimulate baby

**Patient has been shot in the chest after cutting off the patient’s blood soaked shirt you should place it in.** Ambulance trash can brown paper bag plastic bag biohazard disposal bag

brown paper bag

**Pencil stuck in cheek and bleeding stopped** Stabilize the pencil with a bulky dressing suction the surrounding blood pull the pencil out wrap with roller gauze

Stabilize the pencil with a bulky dressing

Periumbilical pain radiates to Right Lower Quadrant

Appendicitis

**Previous ambulance crew failed to clean backboard properly. Dried blood under the edges.** Notify supervisor of improper equip care Wash board with disinfectant bag board notify dispatch that your ambulance is out of service

Wash board with disinfectant

**Request additional resources for which following car accident patient?** 56 year old male with foot wedged under pedal 23 year old male passenger seat coughing up blood 16 year old female in rear seat unable to speak clearly 50 year old female in driver’s seat with unequal grip

56 year old male with foot wedged under pedal

**Securing pregnant patient to long spine board, you should tilt the board to the left to prevent:** Hypotension Hypertension toxemia? eclampsia

Hypotension

**Sexually assaulted and bleeding from vagina.** Place sanitary pad over vaginal opening Tell her to remove all clothing to save for evidence Pack vagina with sterile dressing Shower

Place sanitary pad over vaginal opening

The daughter of an 82 year old male calls 911 because she thought her fater was acting strangely. He tells you that he has no complaints and refuses to go to the hospital. His daughter has proof of medical power of attorney and tells you to take him to the hospital. You should. ## Footnote Inform him that daughter’s Med POA requires you to follow her wishes Ask daughter to take her father to the hospital herself since you cannot transport w/o consent Tell her daughter that she is only legally allowed to make decisions when her father is incapacitated Advise him to go to the hospital for medical clearance

Tell her daughter that she is only legally allowed to make decisions when her father is incapacitated.

**Unconscious 28 year old male has a puncture wound in his left forearm. You also see multiple scars on the backs of both his hands. What type of overdose should you suspect?** Barbiturate narcotic methamphetamine hallucinogen

narcotic

**An Unresponsive 22 year old is breathing 6/min after motorcycle crash.** Begin ventilation with BVM immobilize on back secondary survey apply non-rebreather

Begin ventilation with BVM

**Unresponsive 3 yo lying supine in a ditch. Bleeding from ears and nose. BP 60/ P60 R8. you should?** assist ventilations apply HF O2 NRB Direct pressure Move to ambulance

assist ventilations

**What is a system of external/internal reviews called?** Performance review quality improvement EMS Training Medical direction

quality improvement

**What is the 1st step in assessing a res. 35 yr old w/ possible airway obstruction?** Attempt to visualize Ask PT if he is choking Perform abdominal thrusts Perform 5 back slaps

Ask PT if he is choking

what is the correct location for assessing a 2 year olds pulse ## Footnote Brachial carotid femoral radial

brachial

What is the leading cause of bradycardia for pediatric patients

Hypoxia

what is the name of the condition during pregnancy in which the placenta covers the cervical opening?

placenta previa

**what is the normal breathing rate for a 6 year old?** 20- 30-60 22-34 18-30

18-30

what is your first step in treating a patient who has been sexually assaulted?

document?

**What organ is responsible for the exchange of oxygen, food, and waste between the mother and fetus?** placenta umbilical cord birth canal uterus

placenta

**What should you do to prevent the spread of this infection.** Be sure you have been vaccinated against MRSA report the exposure to you supervisor Place a HEPA respirator on the patient clean your stethoscope with a germicide

clean your stethoscope with a germicide

**When does crowning occur?** Baby’s head is visible @ opening Shoulders head are out Head is out Baby is out

When the babys head is visible at the vaginal opening.

**when is it appropriate to insert gloved in the vagina?** To relieve pressure off the umbilical cord to delay delivery check cervical dilation insert dressing for vaginal bleeding

To relieve pressure off the umbilical cord

**When lifting a stretcher into the ambulance using power grip, you should?** position hands 10’ apart support weight on heels of palms

position hands 10’ apart

when the babys head is delivered, you see the umbilical cord is wrapped around the baby's neck. you should

clamp cord two places

**When using ambulance siren, you should** Consider other motorists won’t hear it Use horn when approaching traffic Only at intersections Frequent change emergency tones

Consider other motorists won’t hear it

**Where in your PCR should you document that you placed the patient on O2 at 15lpm by NRB?** Objective plan subjective assessment

plan

**Which body is responsible for protection, temp, excretion?** integumentary muscular cardiovascular neurological

integumentary

**Which cardiac rhythm AED prompts you to shock?** Atrial fib asystole v-tach pulses electrical activity

v-tach

**Which conditions will only occur during the 1st trimester of pregnancy?** Pre-eclampsia ectopic pregnancy braxton hicks contractions abruptio placenta

ectopic pregnancy

which of the following groups of signs and symptoms most correctly suggests an opioid overdose? ## Footnote Excessive defecation, muscle fasciculation, & nausea/vomiting Hypertension, tachycardia, & dilated pupils Tachycardia, hyperthermia & dry skin & mucous )membrane Hypoventilation, pinpoint pupils, and hypotension

hypoventilations, pinpoint pupils, hypotension

Which of the following is a contraindications for nitro administration?

Recent use of erectile dysfunction medication

**Which of the following is an audible, high pitched sound usually results from a blockage of the smaller air passages.** Wheezing rales stridor rhonchi

Wheezing

**Which of the following patients have a right to refuse transport.** A 52-year-old man with tightness in the chest and wheezing an 86-year-old male with Dyspnea and confusion A 14-year-old A 22-year-old female who had syncopal episode and smells of alcohol

A 52-year-old man with tightness in the chest and wheezing

**Which of the following suspect pulmonary edema?** Subcutaneous air Crackles Rhonchi Wheezing

Crackles

**Which of the following will only occur in the 1st trimester of pregnancy?** Ectopic pregnancy Braxton hicks preeclampsia abruptio placentae

Ectopic pregnancy

**Which part of the heart is responsible for causing pulmonary edema.** Right Atrium Left Atrium Right Ventricle Left Ventricle

Left Ventricle

**Which pregnancy complication would be painless** Abruptio placenta Placenta previa Ectopic pregnancy delivery

Placenta previa

**Which statistic about EMS calls would support a community’s request to reduce the speed limit in the neighborhood?** 65% of ambulance calls are medical in nature and occur at night 7% of patient who call for ambulance have visual impairment 15% of calls for car crashes have at least one victim dead on scene 35% of victims of car crashes were not wearing seat belts

15% of calls for car crashes have at least one victim dead on scene

**Which vessels carry oxygenated blood back to the heart?** Vena cava pulmonary veins pulmonary arteries aorta

pulmonary veins

**While driving the ambulance you are first on the scene for a car crash involving four cars with significant damage and a semi truck in its side, you should?** Request additional resource begin treating the most serious patients set up staging area begin triage

Request additional resource

**While gathering a patient’s medical history, you find a mixture of current and expired medication. What should you do about the expired medication?** Take the expired meds to the hospital Tell her family to throw out expired meds Contact her primary physician Contact local pharmacy for recycling options

Take the expired meds to the hospital

**While performing a primary assessment on a Suicidal 35 year old Male he becomes verbally abusive. You should.** Calmy attempt to de escalate him call law enforcement for assistance Secure him to the stretcher in supine position place him in soft restrance

Calmy attempt to de escalate him

while performing a primary assessment, 32 y/o complains of rapid heart. You should?

obtain baseline signs

**While triaging MCI you find unresponsive and apneic female with open head injury. What color are they?** Black Yellow Red Green

Black

While ventilating a 12 year old female with a pocket mask, you are unable to see chest rise. You should

reopen airway

**You are administering oral glucose to a known diabetic. What should you be most concerned about?** When and what she last ate the smell of acetone on their breath his ability to swallow time and dose of their last insulin administration

his ability to swallow

**You are delivering a baby and the amniotic sac is still in place. You should?** Asses fetal heartbeat asses for radial pulse tear amniotic sac coach mom through contraction.

tear amniotic sac

**You are driving emergency with lights and sirens, when approaching an intersection with a green light, you should?** Proceed through with due regard proceed through after a complete stop attempt to make eye contact with all motorists depend on audible and visual warning devices

Proceed through with due regard

**You arrive at a factory and see a lot of people coughing as they evacuate.You should?** Establish triage site and begin to sort patients by severity of 28 complaint Become incident commander and direct partner to begin treating Call for additional resources and look for triage sight upwind of factory Park ambulance 100 yards away and wait for trained personnel

Call for additional resources and look for triage sight upwind of factory

you have attached an AED to a 42 year old female who is apneic and pulseless. The AED prompts you "no shock advised"

start chest compressions

**You have been asked to audit prehospital care reports. Which requires review?** Administer O2 to patient with labored shallow respirations place a patient with chest pain supine on a stretcher immobilizing a patient who slipped down the stairs and has a scalp bleed applying traction splint to open femur

place a patient with chest pain supine on a stretcher

**You have just assisted in the delivery of a newborn. She has central cyanosis and is covered in a thick greenish fluid. You should.** Inspect the oropharynx determine apgar rub pt give o2

Inspect the oropharynx

**You have just delivered an infant with a pink torso and blue extremities. He is crying and moving his arms and legs. You should.** Assist ventilations hand him to mom blow by vigorously dry off with towel.

vigorously dry off with towel.

**You resuscitate a 53 year old male with an AED on scene. During transport he becomes pulseless again. What should you do?** Give rescue breaths at a rate of 12-20/ min perform 2 rescuer CPR until arrival a hospital perform chest compressions and stop ambulance safely stop ambulance and apply AED.

perform chest compressions and stop ambulance

D C A P B T L S

Deformities, Contusions, Abrasions, Punctures, Burns, Tenderness, Lacerations, Swelling

EMT Final Flashcards

(205 cards)