NREMT Questions Flashcards by Test Helper

You are treating a 5 year old female who was hit by a car and thrown 15 feet. She is conscious and has no obvious injuries. Which of the following suspected injuries should you initially manage?
A. Thoracic Injury
B. Cervical Injury
C. Head Injury
D. Pelvic Injury

A. Thoracic Injury

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You have achieved ROSC in a 6 year old male. You should next
A. assess his breathing
B. Remove the AED
C. Attached a pulse oximeter
D. Transport him

Return of Spontaneous circulation

A. assess his breathing

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WHich of the following findings are most likely to be caused by overdone of a beta blocker medication?
A. Tachycardia and hypotension
B. Tachycardia and Hypertension
C. Bradycardia and hypotension
D. Bradycardia and Hypertension

C. Bradycardia and Hypotension

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Which of the following is part of the quality improvement process in an EMS system?
A PResenting an overview of your EMS system to the public
B. Physicians reviewing run reports of an ems service
C. Identifying a public information officer for the ems service
D. Participating in EMS research

B. Physicians reviewing run reports of an EMS service

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A lethargic 2 month old male is cyanotic with tachycardia and rapid respirations. You should suspect?
A. Acute coronary Syndrome
B. Congenital Heart Defect
C. Pulmonary artery Disease
D. Coronary Artery disease

D. Congenital Heart Defect

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A 22 year old male was involved in a car crash. His right hand was amputated. You should first?
A. Place him on a long backboard
B. Find his hand
C. Control Bleeding
D. Apply cervical collar.

Control Bleeding

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A postictal patient has vomited and your initial attempts to clear the airway were unsuccessful. Before attempting to ventilate you ?
A. place the patient prone and perform a finger sweep
B. insert a NPA and suction until all the vomitus is removed
C. Place the patient supine and insert an OPA
D. Logroll the patient and clear the Oropharynx.

D. Logroll the patient and clear the Oropharynx

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A 60 Year old male complains of respiratory distress that has been worsening for the past 2 days. When he coughs, you observe pink tinged sputum. He vitals are BP 210/128, P 108 R 24
A. Wheezes
B. Crackles
C. Clear lung sounds 
D. Stridor.

B. Crackles

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A 48 year old female in a restaurant is coughing forcefully and wheezing. She tells you that she has a piece of carrot lodged in her throat. Your next action should be to.
A. Perform a finger sweep
B. Encourage her to continue coughing
C. Perform subdiaphragmatic abdominal Thrusts
D. ask her if she has an epinephrine autoinjector

C. Perform Subdiaphragmatic abdominal thrusts

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What is the earliest indicator of hypoperfusion in a patient whose blood pressure is 90/70?
A Capillary refill of less than 2 seconds
B Pulse oximetry reading of less than 95%
C Confusion or agitation
D. Heart rate greater than 160

D. Heart Rate greater than 160

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A 5 Year old female is unresponsive and her skin is hot, flushed and dry. Her parents tell you that she has been drinking an unusually large amounts of water over the past week. She is most 
A Graves Disease
B Diabetic Ketoacidosis
C Hyperthermia
D Hypoglycemia

B Diabetic Ketoacidosis

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A 68 year old male is feeling dizzy. His vitals signs are BP 80/42, P112 and R 20. Your assessment reveals distended neck veins and crackles in both lungs. You should suspect?
A. Septic Shock
B Cardiogenic shock
C. Neurogenic Shock
D. Hypovolemic Shock

B. Cardio Shock

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a 34 year old presents with shortness of breath after using industrial chemicals. You auscultate clear lung sounds. His skin is flushed. His vitals are P 130, R 32 and his SPO2 is 99%
A. remove him from the environment
B obtain a sample history
C. assist with his metered dose inhaler
D. administer oxygen

A. Remove him from the environment

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Where should patients be decontaminated at hazardous materials incident?
A. Hot Zone
B Warm ZOne
C Triage Area
D Treatment Area

D Treatment Area

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A drowsy 5 month old female has nasal flaring, retractions and grunting. Her skin is mottled and cool. You should
A administer oxygen by non rebreather mask
B assist her ventilations with a BVM
C administer blow by oxygen
D. Attach a pulse oximeter

C. assist her ventilations with a bvm

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Which of the following is a cause of increased cardiac output?
A Increased respiratory Rate
B Decreased stroke volume
C Increased heart rate
D Decreased vascular resistance

C Increased Heart Rate

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A localized skin reaction following an insect bite that consists of a small reddened area of swelling and itching at the contact is an?
A Arias - Stella Reaction
B Allergic reaction
C Anabolic Reaction
D Anaphylactic Reaction

B Allergic Reaction

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The mother of a 3 year old states My son ate a bunch of grandmas pills You should
A administer syrup of ipecac
B Contact child protective services
C Contact poison control
D Administer activated charcoal

C Contact Poison Control

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Which of the following is a contraindication to nitroglycerin in a patient with cardiac chest pain?
A tetrahydrocannabinol
B phosphodiesterase inhibitors
C hydrocortisone
D Acetylsalicylic acid

B Phosphodiesterase inhibitors

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Events that occur during the second stage of labor include
A clamping of the cord and delivery of the placenta
B Heavy contractions to complete dilation of the cervix
C Contractions that are 5 minutes apart and irregular
D Complete dilation of the cervix and delivery of a child

D Complete dilation of the cervix and delivery of a child

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The role of insulin is to
A allow the movement of glucose into the cell
B divide complex carbohydrates
C break down fatty acids into glucose
D facilitate metabolism of glucose into ATP

A Allow the movement of glucose into the cell

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You are interviewing a patient when he becomes violent. You should
A talk to the patient in a calm voice
B find a third person and restrain the patient
C leave the scene and contact law enforcement
D contact dispatch for back up support

A Talk to the patient in a calm voice

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At a hazardous chemical spill you should establish the initial treatment area?
A in a low lying area adjacent to the scene
B downwind from the accident scene
C on a hill above the accident scene
D upwind from the accident scene

D. Upwind from the accident scene

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According to bystanders a 32 year old male took a handful of pills. He withdraws from painful stimuli, has warm, dry skin and is snoring. You should
A administer oxygen via nasal cannula
B administer oxygen via non rebreather mask
C immediately suction his oropharynx
D insert a nasopharyngeal Airway

C immediately suction his oropharynx

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``` Which of the following mechanisms is used to compensate for shock? A Increased core temperature B Dilation of capillary sphincters C Decreased cardiac output D Constriction of capillary sphincters ```

D Constriction of capillary sphincters

``` A 25 Year old male sustained burns to the posterior aspect of his left arm and anterior chest. How much body surface area has been burned? A. 13.5% B 18% C 22.5% D 27% ```

A 13.5%

``` A concern in pregnant women who experience blunt trauma is A prolapsed cord B abruptio placentae C breech birth D placenta previa ```

B Abruptio Placentae

You are assessing a 13 year old male with a possible hand fracture. He tells you that he does not want to go to the hospital in the ambulance. You are unable to contact his parents You should A transport him to the hospital B permit his friend to drive him to the emergency department C splint his hand and direct him to follow up with his physician D obtain a signed refusal of care

A. Transport him to the hospital

``` An 86 year old female complains of shortness or breath. She states I have left ventricular hypertrophy. Which of the following should you expect to find? A accessory muscle use B Rales C Arm Drift D Paresthesia to her extremities ```

A. Accessory Muscle use

A 37 year old male has been exposed to chlorine gas. To minimize injury you should first. A. administer oxygen via non rebreather mask B Limit the time of exposure to the gas C. initiate rapid transport to a facility with hyperbaric chamber D. Assess his blood oxygen saturation level

B. Limit the time of exposure to the gas

``` A 18 year old female complains of vaginal bleeding. Her father tells you that she passed out. You should suspect A Menses B hypoglycemia C ectopic Pregnancy D sexually transmitted infection ```

C Ectopic Pregnancy

What is the proper treatment for an avulsion? A Flush the wound and apply an occlusive dressing B Place the flap onto the wound and apply a sterile dressing C Cut off the flap and cover it with a moist sterile dressing D Apply a moist sterile dressing and administer oxygen

B. Place the flap onto the wound and apply sterile dressing

``` A 17 year old male was hit in the chest with a baseball bat. He complains of difficulty breathing. You observe tracheal deviation and JVD. His blood pressure is also dropped. You should suspect? A Cardiac Tamponade B. Flail Chest C Pulmonary Bleb D Tension Pneumothorax ```

A Cardiac Tamponade

``` A 21 year old male has been subdued by law enforcement with a conducted electrical weapon. Bystanders tell you that he was having hallucinations and fighting with them. He is disoriented A excited delirium syndrome B an allergic reaction C use of a benzodiazepine D a hypertensive crisis ```

A. Excited delirium syndrome

Following delivery of a newborn. the placenta remains in the mother You should. A. place pads inside the vagina to stop the bleeding B apply gentle traction on the cord to hasten delivery C massage the uterus to separate the placenta D transport mother and baby to the hospital

D Transport Mother and baby to the hospital

``` When treating a 37 year old male who has partial thickness burns to his legs and groin. you should apply A. Burn ointment B occlusive dressing C moist sterile dressings D. dry sterile dressings ```

D. Dry Sterile Dressings

``` The AED will shock which of the following rhythms? A Sinus tachy B Asystole C Ventricular Fibrillation D. Pulseless electrical activity ```

C Ventricular Fibrillation

You have reattempt to ventilate an infant who is not breathing and you still cannot deliver any air. You should next administer? A up to five abdominal thrusts followed by up to five chest thrusts B. Chest compressions C. blind finger sweeps before repositioning the airway D. up to 10 chest thrusts, then observe the airway for any obstruction

B Chest Compressions

``` A 30 Year old female who is 15 weeks pregnant complains of vaginal bleeding and sudden cramping pain in her lower left abdominal quadrant. What is the most common cause of these findings. A. abruptio placentae B Spontaneous Abortion C Preeclampsia D Placenta previa ```

B Spontaneous Abortion

``` The production of erythrocytes occurs in which body structure? A Bone marrow B Liver C Spleen D Kidney ```

A Bone Marrow

A 22 year old male presents with injuries to his genitalia after an assault. There are multiple lacerations and contusions on his genitals. Your treatment should include A avoiding contact with his wounds to preserve evidence B flushing his wounds with sterile water before applying dressings C applying a hemostatic agent D applying dry sterile dressings to his wounds

D. Applying dry sterile dressings to his wounds

``` A 42 Year old female complains of eye pain. You observe excessive lacrimation and salivation. Which of the following toxidromes should you suspect? A Hallucinogenic B Organophosphate C Sympathomimetic D. Anticholinergic ```

B Organophosphate

You arrive on the scene to find a family tearfully standing at the bedside of their obviously deceased elderly family member. The patient's wife produces a DNR order and requests that nothing be done. You should A. begin CPR until the patient physician can be consulted B console the family and offer any further assistance that may be required C contact the primary care physician to inform her of the patient's death D transport the patient to the hospital for pronouncement.

B Console the family and offer any further assistance that may be required

``` A 64 year old male presents with chest pain and shortness of breath. He has a history of diabetes and hypertension. WHich of the following is the most likely cause of his condition? A Hypoglycemia B Cerebral artery occlusion C Dehydration D Coronary artery occlusion ```

D. Coronary artery occlusion

``` A 50 year old male complains of severe cramps in both legs after running a race on a hot summer day. The most likely cause of his leg cramps is? A decreased oxygen levels B decreased sodium levels C increased calcium levels D increased carbon dioxide levels ```

A. decreased oxygen levels

``` A 45 year old male suddenly collapsed and is unresponsive . You should next check for A the presence of gag reflex B the presence of a shockable rhythm C breathing followed by a pulse check D a pulse while checking for breathing ```

D. a pulse while checking for breathing

When communicating with elderly patients you should A ask for the patients first name so you may address him/her by it B talk clearly and loudly while facing the patient C use specific medical terminology when discussing signs and symptoms D position yourself at or below the patient's eye level

D. position yourself at or below the patients eye level

``` A car was struck on the passenger side where the patient was seated. The patient now complains of right upper quadrant abdominal pain. You should most likely suspect injury to the patients? A liver B spleen C inferior vena Cava D diaphragm ```

A Liver

``` A 45 year old female complains of abdominal pain. She just had a large meal of fried chicken, potato salad and mashed potatoes with gravy. She has a history of gallstones but has not had a A Cholecystitis B Acid reflux C Renal Calculi D Pancreatitis ```

A Cholecystitis

``` When managing a patient who has suffered a venomous insect bite you should A apply ice directly to the site B cut the wound and suck out the poison C immobilize the bitten extremity D apply heat to the site ```

A apply ice directly to the site

``` A 68 year old female presents with abdominal pain. Her left lower abdominal quadrant is tender upon palpation. Which of the following is the most likely cause of her condition? A Bowel obstruction B Appendicitis C Cholecystitis D Ectopic Pregnancy ```

A. Bowel Obstruction

An 81 year old male with COPD has a respiratory rate of 8 He responds to verbal stimuli and is agitated and confused. You should A ventilate him with a BVM B attach a pulse oximeter C Apply CPAP D assist with administration of his prescribed inhaler

A ventilate him with a BVM

``` A hemothorax can produce which of the following types of shock? A Neurogenic B Hypovolemic C Cardiogenic D Anaphylactic ```

B Hypovolemic

You find an unresponsive 67 year old male who has a history of diabetes. His skin is dry and flushed. His vital signs are BP 88/52, P 140 and weak, R 28 and deep. You should suspect A elevated blood sugar and elevated blood insulin levels B decreased blood sugar and elevated blood insulin levels C elevated blood sugar and decreased blood insulin levels D decreased blood sugar and decreased insulin levels

C. elevated blood sugar and decreased blood insulin levels

``` A 22 year old male presents with fever, flushed skin, drooling, and difficulty breathing which has gotten worse over the last 2 days. The most likely cause of his condition is A Toxic inhalation B drug overdose C upper airway infection D pertussis ```

D Upper airway Infection

A 35 year old male complains of chest pain with radiation to the jaw, nausea and restlessness. He took two nitro tablets prior to your arrival. His vital signs are BP 82/62, P 98 R 18 A assist with admin of his nitro and aspirin B administer aspirin C assist with admin of nitro D withhold admin of his nitro and aspirin

B Admin aspirin

``` 54 year old female presents with shortness of breath and tachypnea that began suddenly. She has a history of deep venous thrombosis and takes an anticoagulant. You should ask if she has A pulmonary embolism B pneumonia C Asthma D COPD ```

A Pulmonary Embolism

``` Upper gastrointestinal hemorrhage usually presents with vomiting that resembles A coffee grounds B bile C black tar D frothy sputum ```

A Coffee Grounds

``` In START triage the person in charge of overseeing patient care during a multiple casualty incident is called the A Logistics Section CHief B Triage Supervisor C Incident Commander D Treatment Supervisor ```

D Treatment Supervisor

``` A 78 year old male presents with substernal chest pain that began while he was shoveling snow. His vitals signs are BP 170/84, P 114 and R 20. You should suspect A myocardial infarction B asthma C pericardial tamponade D COPD ```

A Myocardial Infarction

``` A 35 year old male complains of left flank pain. He appears agitated and restless. His vitals are BP 126/78, P 122 R 20 and his SPO2 is 98% on room air. You should suspect A kidney stones B diverticulitis C Cholecystitis D dissecting aortic aneurysm ```

B Diverticulitis

``` A 29 year old male presents with anxiety and homicidal ideations. You should first A request law enforcement B provide emotional support C retreat to safety D apply soft restraints ```

B provide emotional support

``` Which of the following injuries may result from the blast wave of an explosion? A Impaled objects B Organ rupture C Hypothermia D Fractures ```

B ORgan Rupture

``` Angioedema during anaphylaxis is caused by A vasoconstriction B Vasodilation C tachycardia D bradycardia ```

B Vasodilation

An alert and oriented 5 year old male is having difficulty breathing. His mother tells you that he has been sick for the past 2 days. You should begin your assessment by A placing him supine to auscultate lung sounds B observing his work of breathing C looking for signs of non accidental trauma D asking him questions to evaluate his respiratory status

B observing his work of breathing

A 4 year old male was playing in the toy room when he suddenly became anxious and started coughing. You hear wheezes when he breathes. You should A insert a NPA and rapidly transport him B ventilate him with a BVM and immediately transport him C monitor his airway and encourage him to cough D place him in the supine position and perform abdominal thrusts

C monitor his airway and encourage him to cough

``` The impulse which stimulates the heart to beat normally originates in the A bundle of His B sinoatrial node C Purkinje fibers D atrioventricular junction ```

B sinoatrial Node

Tidal volume is best described as the amount of air. A that remains in the lungs following maximum expiration B that can be exhaled following maximum inspiration C inhaled and exhaled during each normal breath D exchanged in 1 minute

C. inhaled and exhaled during each normal breath

A 58 year old male presents in tripod position and speaking in one word sentences. His respiratory rate is 10. He is confused and cyanotic. Your management should include A immediate insertion of a supraglottic airway device B assisted ventilation with a BVM C administration of oxygen by nasal cannula D administration of oxygen by non rebreather mask

B assisted ventilation with a BVM

``` You are transporting a pregnant 26 year old female. She tells you that this is her fourth pregnancy and she has three children. How should you record this in your patient care report? A G4, P3 B G7 P3 C G3 P4 D G3 P7 ```

A G4, P3

During resuscitation of a 68 year old male in cardiac arrest the AED announces "No Shock advised" You should next A. perform 1 minute of CPR and reanalyze B check all connections and reanalyze C perform 2 minutes of cpr and reanalyze D check for pulse and assess his vital signs

C Perform 2 minutes of CPR and reanalyze

``` Which of the following is the medical term for the movement of air into and out of the lungs? A Oxygenation B Ventilation C Respiration D Inhalation ```

B Ventilation

If you are the first arriving unit at a mass casualty incident. What should you do first? A Identify the potential hazardous material involved B Begin to treat the most critical Patients C Request appropriate additional resources D Begin to triage patients.

A Identify the potential hazardous material involved

A 35 year old male is unresponsive with snoring respirations at a rate of 8 You should A attach an AED B suction his airway and assist his ventilations C insert a NPA and assist his ventilations D administer oxygen via non rebreather mask

C insert a NPA and assist his ventilations

``` A 25 year old male injured his right forearm 2 days ago. His forearm is now swollen and painful. His capillary refill is 5 seconds and you palpate a weak radial pulse. You should most concern with A tendon damage B infection C compartment syndrome D radial nerve compression ```

C. Compartment Syndrome

Needles and syringes left at a residence following a cardiac arrest are collected. You should dispose of then in a A sharps container without recapping B biohazard bag without recapping C biohazard bag after they have been recapped D sharps container after they have been recapped

A sharps container without recapping

``` When assessing the quality of an unresponsive patients breathing you hear stridor during inspiration. You should suspect A Fluid in the alveoli B bronchoconstriction C an obstructed lower airway D a partially obstructed upper airway ```

D a partially obstructed upper airway

``` A 40 year old male presents with sharp pain in his right flank that radiates to his groin. You should suspect A sickle cell anemia B pancreatitis C renal calculi D diverticulitis ```

C renal calculi

Paroxysmal nocturnal dyspnea is best defined as A shortness of breath that awakens the patient B Persistent night time coughing C increased minute ventilation during REM D periodic night time hyperventilation

A shortness of breath that awakens the patient

A family called you to the scene because their brother is depressed and they want him taken to the psychiatric facility . The scene is safe and you are led to a bedroom where a 52 year old male A if the patient has a history of suicide B the patient's diagnosis the last time he was hospitalized C the length of time the patient has been acting like this D how much of his medication he took

C the length of time the patient has been acting like this

``` An unresponsive 26 year old female is lying supine on the bathroom floor. You hear snoring respirations and observe blood in her nares. As your partner stabilizes her head. you should next A perform a jaw thrust maneuver B insert a NPA C suction her oropharynx for 10 seconds D assess her carotid pulse ```

D assess her carotid pulse

A confused 67 year old female is struggling to sit upright and is gasping for air. She is diaphoretic and pale. You should do first A assist her ventilations with a BVM B assist with administration of her prescribed MDI C administer oxygen by NRB mask D administer oxygen by Venturi Mask

A assist her ventilations with a BVM

Firefighters have just rescued a 56 year old male from a burning house. You observe smoldering clothing around his arms and torso. You should first A assess his airway B cover the injured and with dry sterile dressings C remove as much of the burned clothing as possible D extinguish his burning clothes

D extinguish his burning clothes

``` A 15 year old female injured her left ankle while playing soccer. While assessing her you should A support her foot and leg B see if she can bear weight C evaluate the range of motion D evaluate her Babinski Reflex ```

A. Support her foot and leg

``` A blockage of circulation to the brain that results in symptoms which disappear over time is known as? A transient ischemic attack B a hemiparesis attack C a pseudo ischemic attack D an ischemic stroke ```

A transient ischemic attack

Carbon Monoxide toxicity causes shortness of breath by A preventing red blood cells from carrying oxygen B destroying alveoli in the lungs C Preventing the exchange of oxygen in the lungs D destroying red blood cells

A. Preventing red blood cells from carrying oxygen

``` Which of the following is a sign of inadequate respirations? A Lethargy B Erythema C Hyperglycemia D Hypertension ```

A Lethargy

``` A 25 year old female complains of weakness, fever and sores in her mouth. Her family tells you that she has recently lost a lot of weight. You should suspect A HIV related disease B meningitis C tuberculosis D hepatitis ```

D Hepatitis

``` Chest pain that occurs in an unpredictable pattern. changes in frequency and is unrelieved by rest is know as A stable angina B Prinzmetal's angina C unstable angina D myocardial infarction ```

C Unstable Angina

``` Which of the following is most likely to increase systemic vascular resistance? A Chronic smoking B Taking Aspirin C Regular exercise D Taking nitroglycerin ```

A Chronic smoking

``` A 21 year old male was bitten on the neck by a dog. You should first A assess for airway patency B determine the location of the animal C determine his level of consciousness D apply an occlusive dressing ```

B Determine the location of the animal

``` Which of the following is most likely to cause decreased systemic vascular resistance? A Hypovolemia B Tachycardia C Vasodilation D Hypertension ```

C Vasodilation

A 66 year old male presents with a decreased level of consciousness, right arm weakness and unequal pupils. His Vitals signs are BP 196/110 P 54 R 18. You initial management for him A laying him supine on the stretcher B admin aspirin C rapid transport to the closest appropriate facility D administration of oral glucose

A Lay him supine on the stretcher

``` Increased carbon dioxide levels will cause a patient blood to become A alkatotic B acidic C carbonic D basic ```

B Acidic

``` A 6 year old male was hit by a car. He complains of chest pain and shortness of breath. His vital signs are BP 90/60 P 110 and R 28 He has normal chest wall movement. You should most likely A rib fractures B fractured sternum C cardiac arrhythmia D pulmonary contusion ```

D Pulmonary Contusion

A 3 year old Female is in a cardiac arrest. Pediatric AED pads are not available. You should A cut the adult AED pads to the correct size B place adult AED pads in the superior and inferior positions C place adult AED pads in the anterior and posterior positions D avoid using the AED

C place adult AED pads in the anterior and posterior positions

``` Sickle cell disease is most commonly associated with which of the following? A Headache B Vaginal bleeding C Neck Pain D Bone and muscle pain ```

D Bone and muscle pain

``` A 24 year old male who has a history of diabetes has a respiratory rate of 24 and deep. He has been sick for 4 days and has been trying to adjust his normal insulin dose . His hyperventilation A acidosis B hypoxemia C hypoglycemia D alkalosis ```

A. acidosis

``` A 32 year old female in her third trimester of pregnancy is actively seizing. Her family tells you that she was recently diagnosed with hypotension. The most likely caused of her seizures is A eclampsia B delirium tremens C preeclampsia D epilepsy ```

A Eclampsia

``` Which of the following findings is associated with pulmonary embolism? A Hematuria B Hemochromatosis C Hematemesis D Hemoptysis ```

D Hemoptysis (coughing up blood)

During rapid extrication, you may release the head A when the torso has been secured to the long backboard B when another rescuer stabilizes the cervical spine C after advising the patient to remain still D after the cervical collar has been applied.

A when the torso has been secured to the long backboard

``` What patient information should be evaluated at the scene when considering the use of air medical transport? A proximity to home B Insurance coverage C Patient weight D Hospital preference ```

D Hospital Preference

``` A 48 year old male complains of a sudden onset of difficulty breathing. He was recently released from the hospital following surgery. Which of the following is the most likely cause of his complainant A. acute asthma attack B COngestive heart failure C pulmonary embolism D. SPontaneous pneumothorax ```

C. Pulmonary embolism

``` Which of the following is an example of an absorbed poisoning? A Acetaminophen B Carbon Monoxide C Organophosphate D Snake bite ```

C Organophosphate

``` Which of the following valves separates the right ventricle and right atrium? A Tricuspid B Bicuspid C Pulmonary D Aortic ```

A Tricuspid

``` A 26 year old male was thrown from his bicycle onto a tree stump. His skin is pale, cool and clammy. His vital signs are BP 90/60, P 124 and R 24. You should suspect A internal abdominal hemorrhage B spontaneous pneumothorax C neurogenic shock D increased intracranial pressure ```

B spontaneous pneumothorax

You respond and find several members of a single family dwelling complaining of a headache, nausea and vomiting. You find the pulse oximetry reading for the children is 100% on room air. You should suspect A ask about flu immunization status B assess temperature on all the children C administer oxygen by Non rebreather mask D determine what was eaten in the past 8 hours

C administer oxygen by Non rebreather mask

``` A patient with which of the following is most likely to be a candidate for coronary angioplasty? A Right sided weakness B Epigastric pain C Unilateral facial droop D A history of recent surgery ```

B EPigastric pain

A 3 year old female is suspected of ingesting multiple prescription medications. You should first A evaluate her appearance work of breathing and circulation B contact poison control C gather all medications and take them to the hospital D induce vomiting

A evaluate her appearance work of breathing and circulation

``` When securing a patient to a long backboard the last part of the body to be secured is the A head B lower torso C pelvis D middle torso ```

A Head