Name: Score:
203 Multiple choice questions
Term 1 of 203
Neonatal resuscitation caveats
Two or more seizures successively without an intervening lucid period, or a seizure
lasting over five minutes
AEMT for Adult, Unc/Unresponsive Peds only)
reactions involve skin disorders and may include some respiratory involvement like
wheezing, yet the patient still maintains good tidal volume air exchange
Deep airway suctioning no longer recommended, traditional CPR 3:1 ratio is standard for
newborns, Most newborns requiring resuscitation will respond to BVM, compressions
and Epinephrine; for those that don't, consider hypovolemia, pneumothorax, and/or
hypoglycemia (BG <40)
Term 2 of 203
Limb child birth presentation
Keep the placenta in the right lateral position; avoid any movement; prepare for
transport
Place placenta in left lateral recumbent position
Store the placenta for later use; place it in a sterile container; do not disturb the baby
Discard the placenta immediately; focus on the baby; monitor vital signs
,Term 3 of 203
Narcan contraindications
patients with a history of successful drug treatment; stable patients; adults during
routine check-ups
patients with a history of hypersensitivity to the drug; intubated patients; the newly born
during initial resuscitation
patients with no previous drug exposure; patients in recovery; children over 12 years old
patients with a mild allergic reaction; patients who are conscious; elderly patients
Term 4 of 203
Chemical burns to the eyes must be irrigated for a minimum of _____ minutes.
20-30 min
15-20 min
5-10 min
10-15 min
Term 5 of 203
Signs and symptoms of stroke
Epinephrine is a first-line drug that should be administered in acute anaphylaxis
(moderate/severe symptoms). IM Epinephrine (1:1,000) should be administered in priority
before or during attempts at IV or IO access.
2. Did not receive any parenteral medications... 3. In the judgement of the paramedic,
does not require continuous cardiac monitoring... 4. Can maintain a sitting position w/out
adverse impact on their medical condition. 5. Is left with a verbal report to hospital
personnel.
AMS, weakness, paralysis, blindness or other sensory loss, aphasia, dysarthria, syncope,
vertigo, dizziness, vomiting, headache, seizures, respiratory pattern change,
hypertension, hypotension
NS or LR bolus 500 mL; if no rales on lung exam, may repeat x1
,Term 6 of 203
What is a dystonic reaction
consists of dehydration, salt depletion, dizziness, fever, AMS, headache, cramping, N/V.
Vital signs usually consist of tachycardia, hypotension and elevated temperature
- Condition that causes involuntary muscle movements or spasms typically in the face,
neck, and upper extremities
- Typically an adverse reaction to drugs such as Haloperidol
- When recognized, administer Diphenhydramine 50mg IM/IV/IO
2. Did not receive any parenteral medications... 3. In the judgement of the paramedic,
does not require continuous cardiac monitoring... 4. Can maintain a sitting position w/out
adverse impact on their medical condition. 5. Is left with a verbal report to hospital
personnel.
Consist of benign muscle cramping caused by dehydration and is not associated with an
elevated temperature
Term 7 of 203
Contraindications for extraglottic airway device
A. Gag reflex B. History of esophageal trauma, or known esophageal disease C. Recent
ingestion of caustic substance D. Tracheostomy or laryngectomy E. Suspected foreign
body obstruction
Begin chest compressions at a rate of 30:2 until an advanced airway is successfully
placed
A. Placement in, or distal to a fractured bone B. Previous significant orthopedic
procedure at the site; prosthetic limb or joint; IO catheter use in past 48 hours of the
target bone. C. Infection at the area of insertion. D. Absence of adequate anatomical
landmarks
Performed on any pt 18 years or older in CHF, Respiratory distress w/ bronchospasm,
and pneumonia, who has two of the following: A. Retractions or accssory muscle use B.
Respiratory rate >25 per minute C. SpO2 <94%
, Term 8 of 203
D10 action
rapid release of electrolytes to enhance hydration
quick infusion of sugar into blood for metabolism
slow infusion of carbohydrates to stabilize blood pressure
delayed absorption of vitamins for long-term energy
Term 9 of 203
S.A.F.E.R stand for:
NS or LR bolus 500mL up to max 2000mL for hypoperfusion
Consists of dehydration, tachycardia, hypotension, temperature >104° F (40° C) and AMS
Stabilize, Assess, Facilitate, Encourage, Recovery or referral
0.5mg IM if pt is <20kg; 1mg IM if pt is >20kg
Term 10 of 203
Narcan adverse reactions
reactions involve skin disorders and may include some respiratory involvement like
wheezing, yet the patient still maintains good tidal volume air exchange
rapid administration causes projectile vomiting
the pregnant patient
form, wallet card, or medallion
Term 11 of 203
The EMS provider shall attempt to verify the validity of the DNR/POLST Order by confirming
the patient's medical history and family contact information
the patients name, age, and condition of identification
the patient's last known address and emergency contacts
the patient's insurance details and social security number
203 Multiple choice questions
Term 1 of 203
Neonatal resuscitation caveats
Two or more seizures successively without an intervening lucid period, or a seizure
lasting over five minutes
AEMT for Adult, Unc/Unresponsive Peds only)
reactions involve skin disorders and may include some respiratory involvement like
wheezing, yet the patient still maintains good tidal volume air exchange
Deep airway suctioning no longer recommended, traditional CPR 3:1 ratio is standard for
newborns, Most newborns requiring resuscitation will respond to BVM, compressions
and Epinephrine; for those that don't, consider hypovolemia, pneumothorax, and/or
hypoglycemia (BG <40)
Term 2 of 203
Limb child birth presentation
Keep the placenta in the right lateral position; avoid any movement; prepare for
transport
Place placenta in left lateral recumbent position
Store the placenta for later use; place it in a sterile container; do not disturb the baby
Discard the placenta immediately; focus on the baby; monitor vital signs
,Term 3 of 203
Narcan contraindications
patients with a history of successful drug treatment; stable patients; adults during
routine check-ups
patients with a history of hypersensitivity to the drug; intubated patients; the newly born
during initial resuscitation
patients with no previous drug exposure; patients in recovery; children over 12 years old
patients with a mild allergic reaction; patients who are conscious; elderly patients
Term 4 of 203
Chemical burns to the eyes must be irrigated for a minimum of _____ minutes.
20-30 min
15-20 min
5-10 min
10-15 min
Term 5 of 203
Signs and symptoms of stroke
Epinephrine is a first-line drug that should be administered in acute anaphylaxis
(moderate/severe symptoms). IM Epinephrine (1:1,000) should be administered in priority
before or during attempts at IV or IO access.
2. Did not receive any parenteral medications... 3. In the judgement of the paramedic,
does not require continuous cardiac monitoring... 4. Can maintain a sitting position w/out
adverse impact on their medical condition. 5. Is left with a verbal report to hospital
personnel.
AMS, weakness, paralysis, blindness or other sensory loss, aphasia, dysarthria, syncope,
vertigo, dizziness, vomiting, headache, seizures, respiratory pattern change,
hypertension, hypotension
NS or LR bolus 500 mL; if no rales on lung exam, may repeat x1
,Term 6 of 203
What is a dystonic reaction
consists of dehydration, salt depletion, dizziness, fever, AMS, headache, cramping, N/V.
Vital signs usually consist of tachycardia, hypotension and elevated temperature
- Condition that causes involuntary muscle movements or spasms typically in the face,
neck, and upper extremities
- Typically an adverse reaction to drugs such as Haloperidol
- When recognized, administer Diphenhydramine 50mg IM/IV/IO
2. Did not receive any parenteral medications... 3. In the judgement of the paramedic,
does not require continuous cardiac monitoring... 4. Can maintain a sitting position w/out
adverse impact on their medical condition. 5. Is left with a verbal report to hospital
personnel.
Consist of benign muscle cramping caused by dehydration and is not associated with an
elevated temperature
Term 7 of 203
Contraindications for extraglottic airway device
A. Gag reflex B. History of esophageal trauma, or known esophageal disease C. Recent
ingestion of caustic substance D. Tracheostomy or laryngectomy E. Suspected foreign
body obstruction
Begin chest compressions at a rate of 30:2 until an advanced airway is successfully
placed
A. Placement in, or distal to a fractured bone B. Previous significant orthopedic
procedure at the site; prosthetic limb or joint; IO catheter use in past 48 hours of the
target bone. C. Infection at the area of insertion. D. Absence of adequate anatomical
landmarks
Performed on any pt 18 years or older in CHF, Respiratory distress w/ bronchospasm,
and pneumonia, who has two of the following: A. Retractions or accssory muscle use B.
Respiratory rate >25 per minute C. SpO2 <94%
, Term 8 of 203
D10 action
rapid release of electrolytes to enhance hydration
quick infusion of sugar into blood for metabolism
slow infusion of carbohydrates to stabilize blood pressure
delayed absorption of vitamins for long-term energy
Term 9 of 203
S.A.F.E.R stand for:
NS or LR bolus 500mL up to max 2000mL for hypoperfusion
Consists of dehydration, tachycardia, hypotension, temperature >104° F (40° C) and AMS
Stabilize, Assess, Facilitate, Encourage, Recovery or referral
0.5mg IM if pt is <20kg; 1mg IM if pt is >20kg
Term 10 of 203
Narcan adverse reactions
reactions involve skin disorders and may include some respiratory involvement like
wheezing, yet the patient still maintains good tidal volume air exchange
rapid administration causes projectile vomiting
the pregnant patient
form, wallet card, or medallion
Term 11 of 203
The EMS provider shall attempt to verify the validity of the DNR/POLST Order by confirming
the patient's medical history and family contact information
the patients name, age, and condition of identification
the patient's last known address and emergency contacts
the patient's insurance details and social security number
