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Practice Questions Flashcards

1
Q

You arrive to find a 40 y/o male unresponsive at an office meeting. Witnesses say he was normal 5 mins ago. BP 140/80, HR 100, RR 16, O2 94%. He has a medic alert bracelet that states “diabetic”. Which of the following is the least likely cause of his condition?
A. stroke B. vasovagal response (fainting)
C. diabetic coma D. drug ingestion/OD

A

Diabetic coma

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2
Q

Atropine would not be used for

A

PEA or Asystole

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3
Q

Which of the following is not a component of the START triage system?
A. LOC B. RR C. presence of pulse D. pupil size

A

Pupil size

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4
Q

You have been called to the scene of a GSW and told by dispatch the pt has been shot twice in the chest. Your first concern will be

A

scene safety

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5
Q

Select the correct order for assessing a pt after the scene size up

  1. focused assessment
  2. initial assessment
  3. ongoing assessment
  4. complete assessment
A

2,1,4,3

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6
Q

You and your partner, an EMT, have been called to the scene of a head on collision on a rural road. Prioritize the 5 pts

  1. 16 y/o, diabetic who is tachy and confused
  2. 33 y/o, snoring resp
  3. 29 y/o, sucking chest wound
  4. 55 y/o, compound femur
  5. 2 y/o, no pulse or resp
A

2,3,1,4,5

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7
Q

What is the pediatric dose of SQ epi for asthma?

A

0.01 mg/kg

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8
Q

You’re treating a 3 y/o asthma pt. The pt weighs 33 lbs, calculate the SQ epi dose using the recommended 0.01 mg/kg

A

0.15 mg/kg

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9
Q

Your pt has suffered a head injury, which of the below signs would indicate increased ICP?

A

decreased pulse, increased BP

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10
Q

Which of the following most correctly identifies the s/s of hemorrhagic shock?
A. pupils dilated, warm skin, weak muscles
B. Hypotn, diarrhea, constricted pupils
C. N&V, pupils dilated, pale
D. tachycardia, hypotn, hyperthermia

A

N&V, pupils dilated, pale

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11
Q

What system first deals with acid-base balance?

A

buffer system

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12
Q 
Resp acidosis is caused by which of the following?
A. hyperventilation
B DKA
C. anxiety
D. pnuemothorax
A

pnuemothorax

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13
Q

When starting an IV the tourniquet occludes?

A

venous but allows arterial

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14
Q

Minidrip set is always used for?

A

med administration (dopamine)

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15
Q 
Highest concentration of O2 found in?
A. L atrium
B. L ventricle
C. R atrium
D. R ventricle
A

L atrium

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16
Q

Fluid of choice for burns?

A

LR

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17
Q

External jugular is considered what kinda of IV site?

A

peripheral

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18
Q

IV solution closest to plasma?

A

LR

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19
Q

When medic fails to perform required tx they have committed

A

nonfeasance

20
Q 
Which of the following is not true for lido?
A. inc vfib threshold
B. dec cardiac funct
C. used to tx vtach
D. can cause seizures
A

decreases cardiac function

21
Q 
For which is cardizem contraindicated?
A. bradycardia
B. hypotn
C. SVT
D. tachycardia
A

bradycardia

22
Q 
Lasix doesn't do which of the following?
A. works in loop of henle
B. inc preload
C. prevents re-absorption of sodium
D. causes vasodilation w/in 5 min
A

increases preload

23
Q

What do you give for OD on Elavil?

A

sodium bicarb for OD on tricyclic

24
Q

Late sign of lido toxicity?

25
Which drug decreases preload?
morphine
26
``` Which of the following drugs isn't a vasopressor? A. intropin B. Norepi C. Adenosine D. Dopamine ```
adenosine
27
Pt c/o palpitations, EKG shows wide complex rate 180, BP 124/76, skin warm and dry. First choice of tx?
cordarone 150 mg over 10 min (amiodarone)
28
Pt c/o palpitations, EKG shows wide complex rate 180, BP 124/76, skin warm and dry. Treated with cordarone. Suddenly feels faint & develops crushing chest pain BP 84/48, HR 184, pale and moist skin.Immediate tx?
synched cardioversion
29
Pt. has decreased mental status most likely caused by?
decreased cerebral perfusion
30
``` Classic pneumonia presents with all the following except? A. rhonchi B. fever C. pedal edema D. hot dry skin ```
pedal edema
31
``` Pt has symptoms of cholecystitis. Which of the following would you not find? A. LUQ pain B. cullen's sign C. diffuse abd pain D. murphy's sign ```
murphy's sign
32
EKG contains inverted P waves, narrow QRS rate 72. What type of rhythm
accelerated junctional rhythm
33
``` S/S of hypoglycemia include all the following except A. seizure B. weak rapid pulse C. waekness/tremors D. polydypsia ```
polydypsia this is found in hyperglycemia
34
With a 3rd degree heart block, the PR interval _____ and the R to R is _______?
varies, regular
35
What isn't a sign of an allergic reaction?
HTN, they would have hypotn
36
32 y/o woman c/o severe pain in RLQ, nausea, constipated for 2 days, suspect?
appendicitis
37
``` 67 y/o with dyspnea c/o orthopnea for last 2 nights. Pale, cool,clammy skin. Which is most likely cause of SOB. A. pulm edema B. R heart failure C. PE D. pneumonia ```
pulmonary edema
38
``` Pt. presenting with chest pain, pulm edema, and hypotn. Tx of choice? A. solumedrol B. epi C. intropin D. fluids ```
intropin (dopamine)
39
Helmetless motorcycle rider involved in MVC. Unconscious motionless on ground approx 5 min. As you begin assessment he regains consciousness for several min then rapidly loses it again. Suspect?
epidural hematoma
40
Which of the following would be most appropriate sequence of tx for GSW victim. 1. establish IV/ give fluids 2. provide patent airway 3. vent & oxygenate as needed 4. control moderate bleeding from GSW
2,3,4,1
41
86 y/o nursing home pt hot, dry skin SOB & rhonchi. Diagnosis?
pneumonia
42
``` Which of the following techniques should be used with a spine board in a narrow place as an alternate to 4-man log roll? A. 4-man seat carry B. 4-man straddle slide C. 4-man pickup D. 4-man ext. carry ```
4-man straddle carry
43
Single most important indicator of neonatal distress?
bradycardia
44
What drug should be reduced in elderly pts?
lidocaine
45
Laryngotracheobronchitis is characterized by?
occurs at night with stridor and seal bark cough

State Exam (10 decks)

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