questions with complete solutions
Which of the following is a characteristic of cystic fibrosis? - ANSWER
thick airway mucus that causes airway obstruction and difficult
breathing
You are transporting an elderly woman who has possibly experienced a
stroke. She is obviously scared but is unable to talk and cannot move the
entire right side of her body. Which of the following is the most
important thing you can do for this patient? - ANSWER establish the last
time the patient was seen well.
Your patient is a 74-year-old and has 8/10 chest pains he describes as
"crushing" and "squeezing." He has a history of hypertension and
angina. His vitals are HR 110, BP 96/62, and an SPO2 of 96% on room air.
Which of the following medications would be appropriate to give him? -
ANSWER Aspirin at 325mg PO
Your patient is 28-years-old and is unresponsive. He is taking 4 shallow
breaths per minute and has a weak carotid pulse. His pupils are
constricted when you shine light on them. Which of the following is the
most appropriate first intervention? - ANSWER insert an oral pharyngeal
airway
,Your patient was ejected from a motor vehicle during a head -on
collision. You find him supine and unconscious, with deformity and
swelling to his face. He appears to be breathing fast and shallow with
minimal chest rise. You should: - ANSWER perform jaw thrust, insert an
oropharyngeal airway, and ventilate the patient with a BVM at 10 -12 per
minute.
Your 74-year-old patient is lying down in a bed and severely dyspneic. He
is breathing quickly, coughing up pink frothy sputum, and has obvious
jugular vein distention. Which of the following interventions should you
perform? - ANSWER sit the patient up
Your patient is 58-years-old and is pulseless and apneic. Bystanders state
he collapsed about 3 minutes ago when he was running for the bus. You
should first: - ANSWER begin compressions at a rate of 100-120
compressions per minute while your partner sets up the AED
Your patient is an 82-year-old with severe dyspnea. You have placed him
on a non-rebreather mask at 10 lpm. He has a history fo COPD, has
bilateral expiratory wheezing, and is tachycardic with a rate of 118 and a
BP of 118/82. He is displaying accessory muscle use and intercostal
retractions. You should next: - ANSWER administer CPAP at 5cmH2O
Your patient is a 24-year-old who is 37 weeks pregnant. She is supine on
a backboard after a minor motor vehicle accident she has in a parking
lot. She has a heart rate of 112, a blood pressure fo 78/58, and is pale
and sweaty. What is the most likely reason for her condition? - ANSWER
The pt's IVC is being compressed by her uterus
, Kyphosis will make a geriatric patient: - ANSWER be more challenging to
place supine on a board
Patients who have experienced even minor-appearing head injuries
should be suspected of having a brain injury, especially if they: -
ANSWER are taking Coumadin or Eliquis
You are treating a premature newborn you have just delivered. Your
assessment of the neonate reveals a breathing rate of 44 and a HR of 92.
You should immediately: - ANSWER perform rescue breathing at a rate of
40-60 breaths per min
(if below 60 breaths per min, ventilate)
**just for this class for some rzn
Your patient is in labor struggling during contractions. After a
particularly forceful contraction you note that there is in intact amniotic
sack around the newborn's head. You should: - ANSWER rupture the sack
with your finger and continue delivery of the newborn
Your patient had his leg pinned against a wall by a forklift. You are
transporting him to the trauma center and the leg appears pale, he has
little to no feeling in the calf, and complains of incredible pain even
when being splinted and still. You suspect he may be suffering from: -
ANSWER compartment syndrome
Your patient was shot in the right anterior chest. You place a non -
rebreather mask on the patient and an occlusive dressing on the chest.
Enroute to the hospital, the patient develops extreme dyspnea with