NREMT Flashcards by Beverley Ward

95 - Special Populations

Development of the embryo in the Fallopian tube is

A. Placenta previa
B. Abruptio placentea
C. Ectopic pregnancy
D. Preeclampsia

C. Ectopic pregnancy

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96 - Special Populations

You are caring for a 36 year old female who is 26 weeks pregnant and having a seizure. You suspect:

A. placenta previa
B. abruptio placentae
C preeclampsia
D eclampsia

D. eclampsia

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97 - Special Populations

You are caring for a 22 year old female who believes she is in early labour. She reports vaginal bleeding. Her Vital signs are BP 136/88, P 100, R 16, SaO2

A. placenta previa
B. abruptio placentae
C preeclampsia
D eclampsia

A. placenta previa

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- Special Populations

You are caring for a pregnant 30 year old female who sustained trauma across her abdomen. You suspect:

A. placenta previa
B. abruptio placentae
C. preeclampsia
D eclampsia

B. abruptio placentae

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- Special Populations

You are caring for a 31 year old female who was involved in a motor vehicle collision. You have secured her to a long backboard and obtained a full set of vital signs when she becomes unresponsive. You should:

A. elevate the head of the backboard

B. elevate the feet of the backboard

C. place pillows under the right side of the backboard

D. place pillows under the left side of the backboard.

C. place pillows under the right side of the back board.

She has supine hypotensive syndrome

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- Special Populations

Pregnancy increases the risk of:

A. substance abuse by the father

B. abuse of the mother

C. maternal cardiac arrest

D tobacco usage by the mother

B. abuse of the mother

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- Special Populations

You are caring for a 24 year old female who is experiencing contractions. She reports contractions are 2 minutes apart and she has a sensation to bowel movement. You should:

A. prepare for imminent delivery

B. secure the patient for transport

C. wait for additional resources to arrive

D administer oxygen via non-rebreather mask

A. prepare for imminent delivery

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- Special Populations

You and your partner are preparing for a delivery of a newborn. You should:

A. prepare dad to cut the umbilical cord

B. surround mom with pillows on the bed

C. place mom on the floor with some towels

D. take mom to the bathtub for delivery

C. place mom on the floor with some towels

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- Special Populations

Following delivery of the new borns head, you should:

A. suction the mouth followed by the nose

B. suction the nose followed by the mouth

C assess for any airway obstructions

D. apply force to help deliver the shoulders.

C assess for any airway obstructions

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- Special Populations

You are assessing a newborn who you assisted in delivery. The vital signs are
Heart rate 90 and Res 26, you should:

A. begin chest compressions
B. begin bag valve mask ventilations
C. hand the baby off to mom to nurse
D. Await the delivery of the placenta

B. begin bag valve mask ventilations

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- Special Populations

You are caring for a newborn who has blue extremities, a pulse of 80, a weak cry, a weak attempt at straightening, and slow respirations. The APGAR is:

A. 4
B. 5
C. 6
D. 7

B. 5

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- Special Populations

You are caring for a newborn who has blue extremities, a pulse of 160, a strong cry, weak attempt at straightening, and rapid respirations. The APGAR is:

A. 5
B. 6
C. 7
D. 8

D. 8

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- Special Populations

You are caring for a 6 year old patient whose mother reports his eyes rolled back in his head and then he was unresponsive. He now feels warm to the touch and is semi-responsive. You suspect:

A. meningitis
B. epiglottitis
C. febrile seizure
D. hypovolemic shock

C. febrile seizure

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- Special Populations

The compression to ventilation ratio for 2 rescuer child CPR is:
A. 15:1
B. 15:2
C. 30:1
D. 30:2

B. 15:2

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- Special Populations

Head bobbing in a toddler is a sign of:

A. respiratory distress
B. hypovolemic shock
C. cardiac arrest
D. systemic infection

A. respiratory distress

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- Special Populations

You are caring for a 6 year old whose father’s reporting excessive drooling and a high fever. You suspect:

A. croup
B. pertussis
C. meningitis
D. epiglottitis

D. epiglottitis

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111./112. (Michael skips one) - Special Populations

You are caring for a 76 year old male is suffering from a sudden onset chest pain and shortness of breath. The patient has a history of atherosclerosis and atrial fibrillation. You are most concerned with:

A. his history of blood clots
B obtaining his blood pressure
C. administering of nitroglycerine
D. contacting advanced life support

A. his history of blood clots

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- Special Populations

The S in the GEMS Diamond is:

A. saturation of oxygen
B. spinal immobilization
C. sobriety
D. social assessment

D. social assessment

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- Special Populations

You are caring for an 80 year old female who is reporting shortness of breathing for the past 3 days. She is also weak and reports feeling dizzy when standing. You suspect:

A. gastrointestinal bleeding
B. septic shock
C. syncope
D. medication overdose

B. septic shock

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1a. Operations

Scene size up consists of safety, additional resources, cervical spine immobilization, and:

A. number of patients
B. airway assessment
C. vital signs
D. hospital radio report

A. number of patients

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1b. Operations

The process by which a state allows a healthcare provider to function is:

A. certification
B. licensure
C. national registry
D. examination

B licensure

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Operations

A protocol is an example of a(n):

A. online medical direction

B. offline medical direction

C. continuous improvement process

D. test for new EMT students

B. offline medical direction

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Operations

HIPPA is the:

A. health information, portability and accounting act

B. Health insurance privacy and accounting act

C. health insurance portability and accountability act

D. health information privacy and accountability act

C. health insurance portability and accountability act

‘Private’ in sentence was distractor

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Operations

Anger, depression, bargaining and which of the following are steps in the grieving process?

A. denial
B. forgiveness
C. death
D. morbidity

A. denial

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6. Operations You are caring for a 72 year old male who you witnessed fall when you and your partner were returning from a call. The patient is confused and has a large laceration to his head. You can care for this patient under: A. expressed consent B. informed consent C. implied consent D. involuntary consent

C. implied consent

7. Operations Blood settling in the lowest extremity following death is called: A. rigor mortis B. putrefaction C. dependent lividity D. cianosis

C. dependent lividity

8. Operations Arriving on scene and putting on gloves and eye protection are considered: A. scope of practice B. standard of care C. medical practices act D. negligence

B. standard of care

9. Operations when reporting an error in your documentation, you should: A. scribble out the mistake and initial B. apply white-out to the mistake C. put a single line through the mistake and initial D. ignore the mistake and move on

C. put a single line through the mistake and initial

10. Operations Your AED pads should be placed on the patient's: A. anterior chest B. posterior chest C. dorsal region D distal to the chest

A. anterior chest

11. Operations When a neonate's cheek is touched, the instinct to turn the head in that direction is called the: A. Moro reflex B. Palmar grasp C. sucking reflex D. rooting reflex

D. rooting reflex (works for most infants and neonates) Morrow (startle reflex - if startled will reach out as if to grab hold of something Palmar. They will wrap hand around it

12. Operations The ability to comprehend full sentences is typical of: A. infants B. toddlers C. school aged children D. adolescents

B. toddlers 1-3

13. Operations When moving a patient on a gurney, you should: A. apply 3 straps across the patient B. secure 5 straps across the patient and over the shoulders C. disregard the straps until the ambulance is ready to move D. ask the patient how he or she would like to be secured

B. secure 5 straps across the patient and over the shoulders

14. Operations You are caring for a 36 year old patient who has extricated himself from his vehicle following a crash. You should: A. apply oxygen via non-rebreather mask B. take cervical spine immobilization C. evaluate the scene for hazards D. assess the patient's blood pressure

C. evaluate the scene for hazards

15. Operations As you approach your patient you note that he is pale and lying in a large pool of blood. You note blood coming from his leg and shallow respirations. You should apply: A. a warm blanket to the patient B. direct pressure to his leg C. a non-rebreather mask at high flow D. a blood pressure cuff

B. direct pressure to his leg

16. Operations You are caring for a patient who is reporting shortness of breath and chest pain while out walking. His vital signs are BP 98/60, P88, R22, and SaO2 94%. You auscultate rales as his lung sounds. The patient reports a history 2 cardiac stents, hypertension, and hyperlipidemia. You suspect: A. pneumonia B. cariogenic shock C. pulmonary embolism D. pneumothorax

B. cariogenic shock

17. Operations You are caring for a patient who was stuck across the chest with a baseball bat. He is reporting chest pain and dizziness. His vital signs are BP 92/64, P118, R22 and SaO2 96%. You note jugular vein distension and bruising on the chest, You suspect: A. cardiac tamponade B. cariogenic shock C. pulmonary embolism D. tension pneumothorax.

A. cardiac tamponade

18. Operations You are caring for a 36 year old male who has sustained a chest injury following the impact of a bullet to his ballistic vest. He reports to you he has chest pain and has difficulty getting his lungs to work. His vital signs are BP 102/70, P 125, R 28, and SaO2 94%. You should: A. secure him to a long backboard B. begin a bag valve mask ventilations C. apply oxygen via non-rebreather mask D. rapidly transport the patient to the hospital

C. apply oxygen via non-rebreather mask

19. Operations You are caring for a 78 year old female who fell and injured her hip. Her vital signs are 88/64, P88, R24, and SaO2 94%. Palpation of her hip and femur reveal crepitation. You should: A. cover the patient in a warm blanket B. encourage her to sip some water C. apply a pelvic binder D secure the leg to a traction splint

A. cover the patient in a warm blanket

20. Operations You are caring for a 19 year old female patient who is reporting a headache and a fever. Her college roommate reports she hasn't gotten out of bed all day. You suspect: A. hepatitis B. COVID 19 C. meningitis D. influenza

C. meningitis

21. Operations You respond to a 54 ear old male whose family reports he has had a cough for the past several weeks and is now coughing up blood. You should: A. apply oxygen via non-rebreather mask B. don an N95 or HEPA mask C. ask the patient about his travel history D. assess the patient's breathing

B. don an N95 or HEPA mask | TB

22. Operations You are caring for a 3 year old who is having shortness of breath. you note a fever of 100.5 and a high pitched cough. You suspect: A. pertussis B. whooping cough C. epiglottitis D. croup

D. croup (high pitched is the sound of the seal cough). (Epiglottitis shows with a higher fever, Pertussis is also whooping cough).

23. Operations You are caring for a patient suffering from an asthma attack. You can assist the patient in taking: A. epinephrine B. advair C. albuterol D. atrovent

C. albuterol

24. Operations You are caring for a 26 year old female who starts to have shortness of breath during a soccer game. She reports this has been happening to her more frequently during her outdoor soccer games. You suspect: A. emphysema B. chronic bronchitis C. pneumonia D. asthma

D. asthma

25. Operations You have assisted a patient with their meter dose inhaler of albuterol. You should suspect: A. tachypnea B. tachycardia C. hypotension D. apnea

B. tachycardia

26. Operations Stridor is consistent with a(n) A. lower airway obstruction B. upper airway instruction C. chronic obstructive pulmonary disease D. asthma

B. upper airway instruction | can be heard across the room so an emergency

27. Operations You are caring for a 36 year old male who is cyanotic and reporting shortness of breath. The patient's vital signs are BP 136/90, P 120, R 30, and SaO2 90%. You note pale skin and clear lung sounds. You suspect: A. asthma B emphysema C. chronic obstructive pulmonary disease D. pulmonary embolism

D. pulmonary embolism

52a. Medical & Medications You are caring for a patient who was stung by a bee and is reporting the site injury is very painful. You note a stinger still in the skin. To remove the stinger you should: A. use a pair of tweezers B. scrape a credit card over it C. apply direct pressure D. suck the stinger out of the skin

B. scrape a credit card over it

52b. Medical & Medications You are caring for a patient who has a bee sting. You note the skin is raised and red. You would document this as a(n): A. abrasion B. bruise C. wheal D. bump

C. wheal

53. Medical & Medications You are caring for a patient who has ingested an antibiotic which she believes has caused her to have urticaria. She is also reporting difficulty speaking and swallowing. You should: A. administer her epinephrine pen B. drive quickly to the hospital C. wait for advanced life support to arrive D. advise her to take slow deep breaths

A. administer her epinephrine pen

54. Medical & Medications You are caring for a 63 year old patient who has fallen and struck his chest on some timber. He is reporting shortness of breath. His vital signs are BP 130/?, P 92, R 26 and shallow, and SaO2 94%. You palpate crepitation on his chest. You should: A. secure the patient to a long backboard for transport B. request advanced life support and wait for their arrival C. begin transport to the nearest hospital D. conduct a detailed secondary assessment and vital signs

C. begin transport to the nearest hospital

55. Medical & Medications You are caring for a 35 year old female who is crying, lacrimating, salivating and defecating. You expect this is an exposure to: A. hallucinogens B. bath salts C. anticholinergic agents D. cholinergic agents.

D. cholinergic agents (nerve agents)

56. Medical & Medications You are caring for a patient who is found unresponsive by a housekeeper. The patient's vital signs are BP 90/60, P 106, R 8 and shallow, and SaO2 88%. You note the patient is pale and cool with constricted pupils. You suspect an overdose of: A. hallucinogens B. bath salts C. marijuana D. narcotics

D. narcotics | Treatment - Oxygen BVM ventilations while partner is preparing Narcan

57. Medical & Medications A state of delusion or sense of being out of touch with reality is called: A. psychiatric emergency B. behavioral crisis C. psychosis D. psychology

C. psychosis | Doesn't always impede life

58. Medical & Medications You are caring for a 22 year old male who is displaying erratic speech and describing hallucinations. You suspect: A. anxiety B. depression C. bipolar disorder D. schizophrenia

D. schizophrenia | teenage and early 20's, and higher impact on males

59. Medical & Medications You are caring for a patient suffering from excited delirium. The patient has been restrained to the cot and you are transporting the patient with law enforcement. You should: A. secure the patient with a long backboard on either side of him B. hobble the patient with their feet and arms tied together C. ensure proper circulation to his hands and feet every 5 minutes D. apply a cervical collar to keep the patient's airway open

C. ensure proper circulation to his hands and feet every 5 minutes

60. Medical & Medications You are caring for a 28 year old female who is reporting lower quadrant abdominal pain which gets worse when she walks. You suspect: A. ectopic pregnancy B. renal calculi C. pancreatitis D. pelvic inflammatory disease

D. pelvic inflammatory disease | usually right or left, not both, can also show as back pain that radiates

61. Medical & Medications You are caring for a patient who has multiple abrasions from flying glass following an explosion. This would be a: A. primary blast injury B. secondary blast injury C. tertiary blast injury D. quaternary blast injury

B. secondary blast injury A. would be the shock wave - pressure - lung, ear injuries etc.

62. Medical & Medications You are caring for a patient who opens his eyes to voice commands, is confused to his surrounding, and obeys commands. The Glasgow Coma Score of the patient is: A. 11 B. 12 C. 13 D. 14

C. 13

63. Medical & Medications You are caring for a patient who opens his eyes to painful stimuli, produces incomprehensible sounds, and has decorticating posturing. The patient, is confused to his surrounding, and obeys commands. The patients Glasgow Coma Score is: A. 6 B. 7 C. 8 D. 9

B. 7

64. Medical & Medications Oxygen is delivered to the tissues from the capillaries via: A. facilitated diffusion B. active transport C. diffusion D. osmosis

C. diffusion

65. Medical & Medications You are caring for a 56 year old female patient who cut her arm while doing some home repairs. You are having difficulty controlling the bleeding with direct pressure. You would be most concerned with: A. her use of a makeshift tourniquet B. her history of diabetes C. her weight of less than 80 kg D. her use of coumadin

D. her use of Coumadin

66/67. Medical & Medications You are caring for a patient who has a stab wound to the shoulder that is bleeding profusely. You should: A. pack the wound with gauze B. apply a tourniquet distally C. apply oxygen via non rebreather mask D. wait for advanced life support to arrive

A. pack the wound with gauze

NRMET Wisdom (Michaels) You would be most concerned with, means:

Objective is to find - What's most wrong with the answer choices that will impact your patient. Usually its a primary assessment problem - usually the one that is wrong or is most concerning to you.

68. Medical & Medications You are caring for a 76 year old with a nose bleed. You should: A. pack the wound with gauze B. lay the patient supine and cover with a blanket C. lean the patient forward and apply direct pressure D. recline the patient and apply direct pressure

C. lean the patient forward and apply direct pressure

69. Medical & Medications You are caring for a patient with an abdominal evisceration. You should: A. put the organs back in the abdomen B. cover in a moist sterile dressing C. apply a dry sterile dressing D. apply direct pressure to the organs

B. cover in a moist sterile dressing

70. Medical & Medications You are caring for a 24 yer old male who has sustained burns to his chest, abdomen, and circumferentially around his right arm and forearm. His burn surface area is: A. 18% B. 27% C. 36% C. 45%

B. 27% | 9+9+9

71. Medical & Medications You are transporting a patient who sustained burns following a house fire. Your patient has burns to his hands and arms from attempts to extinguish the fire. His vital signs are: BP 140/92, P 118, R 24, SaO2 94%. You are most concerned with. A. airway compromise B. carbon monoxide exposure C. blistering of the burns D. history of hypertension

A. airway compromise

72. Medical & Medications You are caring for a patient who has sustained a laceration to the neck following a fall. You should: A. apply a cervical collar B. cover with an occlusive dressing C. rapidly transort to a trauma center D. wait for advanced life support to arrive

B. cover with an occlusive dressing | can't treat laceration if a collar is covering it

73. Trauma The thoracic region of the spinal column has how many bones? A. 4 B. 5 C. 6 D. 12

D. 12

74. Trauma Periorbital ecchymosis is a sign of a(n) A. open skull fracture B. depressed skull fracture C. basilar skull fracture D. linear skull fracture

C. basilar skull fracture | battle signs behind the ear is another sign

75. Trauma You are caring for a patient who was involved in a motor vehicle collision. The patient was walking around on scene according to bystanders but is now unconscious. You should transport the patient using a(n): A. stair chair B. stokes basket C. ambulance gurney D. long spine board

B. stokes basket | basket stretcher

85. Trauma You are caring for a football player who sustained a tackle and is now confused and dizzy. You should: A. take off his shoulder pads and helmet B remove his helmet and secure him to a long backboard C. have a coach remove the helmet face guard D. keep the helmet and shoulder pads on the patient

C. have a coach remove the helmet face guard

86. Trauma You are caring for a patient who was struck by a baseball bat to the chest. They are complaining of difficulty breathing and you note paradoxical chest movement. Vital signs BP 90/60, P 112, R 32, and SaO2 90%. You should: A. apply high flow oxygen and a non-rebreather mask B. conduct a secondary assessment C. complete a rapid head to toe assessment D. begin bag-valve mouth ventilations

D. begin bag-valve mouth ventilations (flail chest, vitals show shock) (R less than 10 and greater than 30 - support with positive pressure)

87. Trauma You are caring for a 68 year old female that was struck by a motor vehicle while riding her bicycle. You note she is gurgling, breathing shallow, and has pale and diaphoretic skin. You should: A. conduct a secondary assessment B. begin bag-valve mask ventilations C. apply oxygen via a non-breather mask D. suction the airway for 10 seconds

D. suction the airway for 10 seconds

88. Trauma Muffled heart sounds, jugular distension, and hypotension indicate: A. increased intracranial pressure B. tension pneumothorax C. cardiac tamponade D. commotio Cordis

C. cardiac tamponade (becks triad) BP is going to get closer together, but BP is going to go down

88. Trauma The spleen is: A. in the right lower quadrant B. in the left lower quadrant C. a hollow organ D. a solid organ

D. a solid organ | spleen is in the lower left quadrant

90. Trauma Hematuria is a common sign of an injury to the: A. kidney B. spleen C. pancreas D. stomach

A. kidney

91. Trauma Melena is a common sign of: A. Kidney stones B. hepatitis C. gastrointestinal bleeding D. tension pneumothorax.

C. gastrointestinal bleeding

93. Trauma You are caring for a 43 year old male who was injured in an explosion. The patient is semi-responsive with a weak radial pulse. You note an unstable open fracture to the left forearm, and amputated right leg. You should: A. apply a pelvic binder B. administer oxygen via nasal annular C. secure a tourniquet to the ankle D. obtain a set of vital signs.

C. secure a tourniquet to the ankle

94. Trauma You are caring for a patient who is found unresponsive following an altercation. He is pale and diaphoretic. His vital signs are BP 90/60, P 120, R 18, SaO2 90% A. traumatic brain injury B. bleeding into the abdomen C. tension pneumothorax D. neurogenic shock

D. neurogenic shock

B. bleeding into the abdomen | Distractor - neurogenic shock - skin is pink, warm and dry, and heart rate is the only shock where it goes low

27. Cardiology You are caring for a 36 year old male who is cyanotic and reporting shortness of breath. The patient's vital signs are BP 136/90, P 120, R, 30, and SaO2 90%. You note pale skin and clear lung sounds. You suspect. A. asthma B. emphysema C. chronic obstructive pulmonary disease D. pulmonary embolism

D. pulmonary embolism

28. Cardiology You are caring for a 48 year old female who is reporting chest pain while playing volley ball. She reports she sat down to catch her breath and the pain did not go away. Her vital signs are BP 130/80, P 90, R 16, SaO2 96%. She reports a history of atherosclerosis. You suspect: A. myocardial infarction B. stable angina C. asthma D. cariogenic shock

A. myocardial infarction

29. Cardiology You are caring for a 50 year old male who is experiencing chest pain while doing work in his garden. He reports the pain radiates to his right arm and despite sitting down and drinking some water, the pain remains. His vital signs are BP 128/78, P 90, R 12, and SaO2 96%. You should: A. apply oxygen via nasal annular B. administer 324 mg aspirin C. administer 0.4mg of nitroglycerine D. apply the AED pads to the patient's chest

B. administer 324 mg aspirin (Can give even before taking blood pressure, they could sneak in there the wrong dosages to throw you off ie administer 4.mg of nitroglycerine, can give aspirin with far less information, this question presumes you can give a drug - doesn't mention medical control)

30. Cardiology You are caring for a 92 year old female who is reporting she suddenly is having difficulty moving her left side. You should: A. apply oxygen via nasal cannula B. administer 324 mg aspirin C. ask her the time this started D. assist her ambulating to the gurney

C. ask her the time this started

31. Cardiology Tissue which receives an inadequate oxygen supply is said to be: A. infarcted B. ischemic C. injured D. isolated

B. ischemic (once tissue dies, it becomes infarcted

32. Cardiology A blood clot which occludes blood flow somewhere besides where it was formed is referred to as: A. necrosis B. embolism C. thrombosis D. artifact

B. embolism

33. Cardiology An AED will shock: A. normal sinus rhythm B. asystole C. atrial fibrillation D. ventricular fibrillation

D. ventricular fibrillation | sinus is normal, systole is flatline

34. Cardiology In order to be considered a transient ischemic attack, symptoms must resolve within: A. 1 hour B. 6 hours C. 12 hours D. 24 hours

D. 24 hours | warning stroke

35. Cardiology You are caring for a patient you suspect is having a stroke and appears to not be able to produce speech. You would document this as: A. dysarthria B. analexia C. apnea D. aphasia

D. aphasia | dysarthria is slurred speech

36. Cardiology You are caring for a 38 year old female who is reporting the worst headache of her life. She denies a history of headaches. You should: A. apply oxygen via non-rebreather mask B. assess the patient's blood sugar C. assess the patient for facial droop D. apply the patient on a long spine board

C. assess the patient for facial droop | seeing growth in 30-40 age range

37. Cardiology Status epilepticus requires a seizure last more than: A. 1 minute B. 5 minutes C. 15 minutes D. 60 minutes

B. 5 minutes | 2 seizures within an hour is also status epilepticus

38. Cardiology You are assessing a patient and note her medical alert tag says she takes Keppra. You suspect she suffered from : A. seizures B. strokes C. shock D. syncope

A. seizures

39. Cardiology You are caring for a patient whose seizure has stopped. You should: A. assess the patient's blood sugar B. ensure the patient's airway is open C. apply the AED pads to the patient's chest D. obtain the patient's oxygen saturation

B. ensure the patient's airway is open

40/41. Cardiology You are caring for a 90 year old male who woke up and rushed to use the bathroom. He reports passing out prior to making it to the bathroom and is now embarrassed but reports being fine. You should: A. have the patient sign AMA paperwork B require the patient to be transported to the hospital C. apply the AED pads to the patient's chest D. assess the patient for any injuries

D. assess the patient for any injuries

42. Cardiology When epinephrine is released as part of the sympathetic response, you should expect: A. hypotension B. bradycardia C. tachycardia D. hypoxia

C. tachycardia | Neurotransmiter Sympathetic response - fight or flight Path

43. Cardiology The neurotransmitter released as part of the parasympathetic response is: A. Epinephrine B. Norepinephrine C. Acetylcholine D. Dopamine

C. Acetylcholine parasympathetic response is (rest and digest phase)

44. Cardiology You are caring for a 63 year old who is suffering from sudden onset right sided weakness. His vital signs are BP 160/96, P 88, R 18, and SaO2 96%. You should: A. administer oral glucose B. apply a non-rebreather mask C. assess for arm drift D. apply cervical spine immobilization

C. assess for arm drift | Cincinatti stroke scale

45. Cardiology You are caring for a 35 year old ale who is reporting pain in the upper right quadrant following a motor vehicle collision. He reports he was wearing his seatbelt and has no other injuries. You suspect an injury involving the : A. spleen B. kidney C. liver D stomach

C. liver (ends in an R, last letter of the word contains an L or R, if neither letter is usually in the word. The solid organs is what is worrying in a trauma)

46. Cardiology You are caring for a 50 year old male who was playing tennis when he started to experience chest pain. He came inside and took his nitro which relieved his pain. You suspect: A. unstable angina B. stable angina C. myocardial infarction D. cariogenic shock

B. stable angina ( if rest or nitro took pain away it would be stable, wouldn't really see unstable and Myocardial infarction together asking which one? Cariogenic - would expect patient to have severe hypotension)

47. Cardiology You are caring for 36 year old female who reports she has been drinking a lot more lately but is unsure why. She reports a family history of diabetes but reports being too young. You would document this as: A. polyuria B. polydipsia C. polyphagia D. polypharmacy

B. polydipsia (the 3 P's of diabetes, Polyuria - excessive urine Polydipsia - excessive thirst, Polyphagia - excessive hunger)

48. Cardiology You are caring for a patient this is found unresponsive by family members. His vital signs are BP 126/88, P 87, R 30 rapid and deep, and SaO2 98%. You suspect: A. traumatic brain injury B. hypoglycemia C. hyperglycemia D. heat exhaustion

C. hyperglycemia | not a lot of info other than rapid R - Kaussmaul respirations/unresponsiveness

49. Cardiology You are caring for a 34 year old male who reports ab nominal pain. His vital signs are a BP 136/90, P 96, R 24, and SaO2 94%. He is currently complaining of abdominal paid that is 6/10 and a history of sickle cells. You should: A. apply oxygen via nasal cannula B. assess the patient's blood sugar C. conduct a Cincinnati Prehospital Stroke Scale D. administer 324 mg of aspirin orally

A. apply oxygen via nasal cannula (Sickle cell - we know this increases increase in breathing. BP - in a bit of pain.) (Blood sugar - not early on in care, stoke - a bit young and doesn't usually present with stomach pain, Aspirin - not going to help misshapen red blood cells)

50. Cardiology You are caring for a 35 year old female who is reporting shortness of breath and difficulty breathing following a bee sting. You should administer her epinephrine pen of: A. 0.15 mg B. 0.30 mg C. 0.5 mg D. 1.0 mg

B. 0.30 mg - adult dose (A. 0.15 mg - child dose) (NREMT can present wrong dose or wrong route)

51. Cardiology The vasodilation present during anaphylaxis is due to a release of: A. epinephrine B. albuterol C benadryl D. histamine

D. histamine | Very potent - note anaphylaxis