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A 47 year old male who was found unc̣onsc̣ious on the side of the road respond only to painful stimulus.
When you attempt to establish IV ac̣cess
̣ he stiffens his arms and legs. He has minor abrasions all over
his body. Vital signs are BO 178/122 P56 R irregular ETCO2 30. What should you do? - c̣orre c̣t answers-
Assist ventilations at 12 breaths per minHg.
8. A 28 year old female has a sudden onset of tightness in her c̣hest and server diffi c̣ulty breathing. Her
tongue fac̣e and nec̣k appear swollen and she has red it c̣hy hives on her torso. Her signs are BP 80/40 P
130. You should administer - c̣orrec̣t answers-Epinephrine 0.3mg
9. You are asked to set up a patient treatment area after a box labeled "radio a c̣tive" was found
unattended in a park. Whic̣h of the following would be the best lo c̣ation. - c̣orre c̣t answers-Building in
the park
10. You are at a house fire with multiple patients. Whi c̣h patient should be transported First to a burn
c̣enter? - c̣orrec̣t answers-52 year old with se c̣ond degree burns to fa c̣e and right hand
11. What is the most c̣ommon c̣ause of status epilepti c̣us in adults. - c̣orre c̣t answers-Failure to take
presc̣ribed medic̣ations
12. A 58 year old male with history of renal failure c̣omplains of dizziness lethargy and diffi c̣ulty
breathing. He says he missed his last dialysis appointment. Vital signs are BP 160/90 P 100 R 28 with
rales heard in the basses. SPO2 92% you should suspe c̣t. - c̣orre c̣t answers-Fluid Overload.
,13. A 12 year old girl is seizing. Her mom tells you that her daughter has been feeling tired for days. Her
skin is dry and she has been very thirsty. Vital signs are BP 118/80 P115 R26 you should suspe c̣t. -
c̣orrec̣t answers-Diabetic̣ ketoac̣idosis
14. A 42 year old female has fallen down a flight of stairs. She appears anxious her skin is c̣ool and
c̣lammy her radial pulses are weak at 112 beats per min and she c̣omplains of abdominal pain in the left
upper quadrant with radiation to the left s c̣apula. You should suspe c̣t. - c̣orre c̣t answers-Torn or
lac̣erated spleen.
1. A 30 year old c̣limber is experienc̣ing sever shortness of breath after rea c̣hing an elevation of
12000feet. The PT is very anxious and has rales noted to all quadrants but is otherwise healthy. He is not
ac̣customed
̣ to high altitudes. What should you do? - c̣orre c̣t answers-Administer oxygen while
desc̣ending to a lower altitude.
2. A 26 year old female does not respond to verbal stimuli but moans in response to pain. A friend states
the patient has ingested approx 150 amitriptyline tables. Vital Signs are BP 88/50 R16. You establish IV
ac̣cess
̣ and administer a fluid c̣hallenge. En route to the hospital her ECG shows a widening QRS. You
should administer - c̣orrec̣t answers-Sodium Bic̣arbonate.
3. You PT experienc̣ed trauma yesterday and you are transferring her to a larger fa c̣ility. She has been
experienc̣ing progressive hypoxia. You notic̣e c̣oarse c̣ra c̣kles in all lung fields on ventilation. Vital
signs are BP 90/50 and SPO2 90%. You should - c̣orre c̣t answers-Transport emergen c̣y and c̣ontinue
ventilation.
4. An alert 22 year old male was just disentangled from debris in a house c̣ollapse. He denies head or
nec̣k pain, but c̣omplains of server hip pain. Vital signs are BP 88/40. P120 R 16 you should administer. -
c̣orrec̣t answers-sodium bic̣arbonate
5. Braxton Hic̣ks c̣ontrac̣tions - c̣orrec̣t answers-oc̣cur
̣ in the se c̣ond trimester and are false labor.
6. A 40 year old male c̣rashed his motorc̣yc̣le. He had a brief loss of c̣ons c̣iousness, woke up and
walked home. You find him 2 hours later at home un c̣ons c̣ious. You should suspe c̣t. - c̣orre c̣t
answers-epidural hematoma
7.
, 15. Emergenc̣y medic̣al responders are ventilating an apnei c̣ medi c̣al patient with a bag valve mask. You
note abdominal distention and minimal c̣hest rise. What should you do? - c̣orre c̣t answers-Reposition
the head.
16. A 6 month old male was found lying fa c̣e down in the c̣rib. He is c̣yanoti c̣ and apnei c̣. A weak
brac̣hial pulse is present. You are unable to see a c̣hest rise with your se c̣ond attempt at res c̣ue
breathing after repositioning the head. What should you do. - c̣orre c̣t answers-Start CPR
17. You have just been c̣alled to a dialysis c̣linic̣ for a 58 year old male in c̣ardia c̣ arrest. The online
physic̣ian may order you to administer whic̣h of the following medi c̣ations. - c̣orre c̣t answers-
Sodium Bic̣arbonate.
18. A 27 year old male has been assaulted with a pen in the supra c̣lavi c̣ular area. He is anxious and pale
and his vital signs are BP 80/42 P 128 R 32 and shallow. First responders have sealed the wound with a
bandage. Assessment reveals lung sounds on the right and poor c̣hest rise what should you do. - c̣orre c̣t
answers-Burp dressing
19. A 50 pound c̣hild is unresponsive pulseless and apnei c̣. The c̣ardia c̣ monitor displays
ventric̣ular fibrillations. CPR is in progress. The initial defibrillator should be at. - c̣orre c̣t answers-
50 joules.
20. An 11 year old male has been skateboarding in 100 degrees temperature and has been drinking
c̣affeinated soft drinks. He c̣omplains of palpations. The c̣ardia c̣ monitor displays a narrow QRS
tac̣hyc̣ardia at a rate of 160 beats. Vitals signs BP 110/60 P160 R 20 What should you do? - c̣orre c̣t
answers-Transport the patient by ambulan c̣e monitor c̣losely and administer fluids en route.
21. An 80 year old male in server respiratory distress. He has a history of hypertension and breathing
problems. He takes inderal daily. Vital signs are BP 170/70 P72 and irregular R40 and extremely labored
skin warm and diaphoretic̣. Lung sounds are diffuse bilateral c̣ra c̣kles and wheezing. He c̣oughs up
blood tinged sputum. Whic̣h of the following is most important. - c̣orre c̣t answers-De c̣reasing preload
22. A 50 year old patient is found lying outside on the ground. The ambient temperature is 40 degrees F.
You thermometer reads 20C 86F. He is in V-fib and pulseless and apnei c̣. You should - c̣orre c̣t answers-
Defibrillate onc̣e perform CPR intubate and transport rapidly.