UF EMS1055 Midterm Exam Questions
and Answers
Which blood pressure is considered hypotensive in an adult? - ANSWER-90/60
You ask an adult patient for consent to treat them and they verbally respond that you
can. What kind of consent is this? - ANSWER-Expressed
The respiratory pattern that is fast and deep, often associated with metabolic acidosis
secondary to diabetic ketoacidosis (DKA) is called? - ANSWER-Kussmal's
Which of the following patients is experiencing tachypnea? - ANSWER-A patient with a
respiratory rate of 25 bpm
You palpate a radial pulse and it is present. You know that the systolic blood pressure is
at LEAST? - ANSWER-80 mmHg
Which patients should you protect yourself with BSI precautions? - ANSWER-all
patients
A 23-year-old female fell from a second-floor balcony. Upon arrival, you find her lying in
the grass. She responds to verbal commands and your assessment reveals flat neck
veins, and normal chest, abdomen and pelvis examinations. Her skin is cool, clammy
and ashen; respirations are rapid and shallow; radial pulses are too rapid to count and
thready. You place her on the heart monitor and it shows a wide-complex tachycardia of
about 280 per minute. You should suspect: - ANSWER-Cardiogenic shock
A late "sign" of shock is: - ANSWER-decreased blood pressure
A 45-year-old female is found unconscious at the scene of a motor vehicle collision. Her
vital signs are BP 80/40, P 130, and R 30. Which of the following is the most likely
cause for her vital signs? - ANSWER-Bleeding into the chest or abdomen (Hypovolemic
shock victims usually have tachycardia, are pale, and have flat neck veins. So, if you
find a trauma victim with a fast heart rate, who is pale, with weak radial pulses and flat
neck veins, this patient is probably bleeding from some injury, either internally or
externally (or possibly both)
Which one of the following is typically associated with post-traumatic hemorrhage early
shock? - ANSWER-Narrow pulse pressure
, Which of the following findings would not make a patient difficult to ventilate with a bag-
valve mask? - ANSWER-Multiple nose piercings
BOOTS" mnemonic: - ANSWER-B - Beards
O - Obesity
O - Older patients
T - Toothlessness
S - Snores or stridor
Which of the following distinguishes a tension pneumothorax from a simple
pneumothorax? - ANSWER-shock
A 32-year-old male is involved in a motor vehicle collision. The steering wheel is bent.
Your assessment reveals present and equal bilateral breath sounds, and a rapid and
weak radial pulse that disappears upon inspiration. You should suspect: - ANSWER-
Cardiac tamponade
A 31-year-old male presents with difficulty breathing, rapid and weak pulse, and flat
neck veins. His trachea is midline and he has decreased breath sounds and dullness to
percussion upon assessment of the left side of the chest. You should suspect: -
ANSWER-Massive hemothorax
An unrestrained 17-year-old female driver rear-ends a cement truck at a high rate of
speed. She is unconscious, pale, cool and clammy, has fast, labored respirations and
fast, thready radial pulses. Her neck veins are flat, trachea midline, chest motion is
asymmetrical, and absent breath sounds on the left. You should suspect: - ANSWER-
Massive hemothorax
Which of the following is true regarding pulmonary contusion? - ANSWER-Caused by
hemorrhage into the lung parenchyma
How do you treat an open pneumothorax? - ANSWER-Place an occlusive dressing
taped on 4 sides
A 34-year-old female was struck by a vehicle causing blunt force chest trauma. She is
unconscious with gasping respirations, almost no air movement, a rapid, thready carotid
pulse and flat neck veins. You should: - ANSWER-Provide PPV
A 27-year-old male with blunt chest trauma from a motor vehicle collision was
successfully intubated at the scene. While ventilating the patient, you note resistance
with an absence of right chest wall movement. You should suspect a: - ANSWER-
Tension pneumothorax
-The development of decreased lung compliance (difficulty in squeezing the bag-mask
device) in the intubated patient should always alert you to the possibility of a tension
pneumothorax.
and Answers
Which blood pressure is considered hypotensive in an adult? - ANSWER-90/60
You ask an adult patient for consent to treat them and they verbally respond that you
can. What kind of consent is this? - ANSWER-Expressed
The respiratory pattern that is fast and deep, often associated with metabolic acidosis
secondary to diabetic ketoacidosis (DKA) is called? - ANSWER-Kussmal's
Which of the following patients is experiencing tachypnea? - ANSWER-A patient with a
respiratory rate of 25 bpm
You palpate a radial pulse and it is present. You know that the systolic blood pressure is
at LEAST? - ANSWER-80 mmHg
Which patients should you protect yourself with BSI precautions? - ANSWER-all
patients
A 23-year-old female fell from a second-floor balcony. Upon arrival, you find her lying in
the grass. She responds to verbal commands and your assessment reveals flat neck
veins, and normal chest, abdomen and pelvis examinations. Her skin is cool, clammy
and ashen; respirations are rapid and shallow; radial pulses are too rapid to count and
thready. You place her on the heart monitor and it shows a wide-complex tachycardia of
about 280 per minute. You should suspect: - ANSWER-Cardiogenic shock
A late "sign" of shock is: - ANSWER-decreased blood pressure
A 45-year-old female is found unconscious at the scene of a motor vehicle collision. Her
vital signs are BP 80/40, P 130, and R 30. Which of the following is the most likely
cause for her vital signs? - ANSWER-Bleeding into the chest or abdomen (Hypovolemic
shock victims usually have tachycardia, are pale, and have flat neck veins. So, if you
find a trauma victim with a fast heart rate, who is pale, with weak radial pulses and flat
neck veins, this patient is probably bleeding from some injury, either internally or
externally (or possibly both)
Which one of the following is typically associated with post-traumatic hemorrhage early
shock? - ANSWER-Narrow pulse pressure
, Which of the following findings would not make a patient difficult to ventilate with a bag-
valve mask? - ANSWER-Multiple nose piercings
BOOTS" mnemonic: - ANSWER-B - Beards
O - Obesity
O - Older patients
T - Toothlessness
S - Snores or stridor
Which of the following distinguishes a tension pneumothorax from a simple
pneumothorax? - ANSWER-shock
A 32-year-old male is involved in a motor vehicle collision. The steering wheel is bent.
Your assessment reveals present and equal bilateral breath sounds, and a rapid and
weak radial pulse that disappears upon inspiration. You should suspect: - ANSWER-
Cardiac tamponade
A 31-year-old male presents with difficulty breathing, rapid and weak pulse, and flat
neck veins. His trachea is midline and he has decreased breath sounds and dullness to
percussion upon assessment of the left side of the chest. You should suspect: -
ANSWER-Massive hemothorax
An unrestrained 17-year-old female driver rear-ends a cement truck at a high rate of
speed. She is unconscious, pale, cool and clammy, has fast, labored respirations and
fast, thready radial pulses. Her neck veins are flat, trachea midline, chest motion is
asymmetrical, and absent breath sounds on the left. You should suspect: - ANSWER-
Massive hemothorax
Which of the following is true regarding pulmonary contusion? - ANSWER-Caused by
hemorrhage into the lung parenchyma
How do you treat an open pneumothorax? - ANSWER-Place an occlusive dressing
taped on 4 sides
A 34-year-old female was struck by a vehicle causing blunt force chest trauma. She is
unconscious with gasping respirations, almost no air movement, a rapid, thready carotid
pulse and flat neck veins. You should: - ANSWER-Provide PPV
A 27-year-old male with blunt chest trauma from a motor vehicle collision was
successfully intubated at the scene. While ventilating the patient, you note resistance
with an absence of right chest wall movement. You should suspect a: - ANSWER-
Tension pneumothorax
-The development of decreased lung compliance (difficulty in squeezing the bag-mask
device) in the intubated patient should always alert you to the possibility of a tension
pneumothorax.
