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A 29-year-old male with a head injury opens his eyes when you speak to him, is
confused as to the time and date, and is able to move all of his extremities on
command. His Glasgow Coma Scale (GCS) score is:
A. 13
B. 10
C. 14
D. 12
- answer-A. 13
A 40- year old male presents with pain to the right upper quadrant of his abdomen.
He is conscious and alert with stabile vital signs. During your assessment, you note
that his skin and sclera are jaundiced. You should suspect:
A. Acute pancreatitis
B. Liver dysfunction
C. Gallbladder disease
D. Renal insufficiency
- answer-B. Liver dysfunction
A 40-year-old male crashed his motorcycle into a tree. He is semiconscious, has
snoring respirations, and has a laceration to the forearm with minimal bleeding.
You should:
A. Open his airway with the jaw thrust maneuver
B. Apply a cervical collar and suction his airway
C. Tilt the patients head back and lift up on his chin
D. Apply a pressure dressing to the patients arm
- answer-A. Open his airway with the jaw thrust maneuver
A 50- year old male presents with altered mental status. His wife tells you that he
had a "small stroke" three years ago but otherwise has been in good health. The
patient is responsive but unable to follow commands. After administering oxygen,
if needed, you should:
,A. Prepare for immediate transport
B. Repeat the primary assessment
C. Inquire about his family history
D. Perform a head-to-toe assessment
- answer-A. Prepare for immediate transport
A 71-year-old female slipped on a rug and fell. She is conscious and alert and
complains of severe pelvic pain. Her respirations are 22 breaths/min with adequate
depth and her heart rate is 120 beats/min. Which of the following would NOT be
appropriate for this patient?
A. Treating her for possible shock
B. Application for a cervical collar
C. Gentle palpating of the pelvis
D. Rapid head- to- toe exam
- answer-C. Gentle palpating of the pelvis
A 77-year-old woman slipped and fell on a throw rug and landed on her left hip.
She denies striking her head or losing consciousness. Assessment of her left leg
reveals that it is shortened and externally rotated. Distal pulses, sensory, and motor
functions are intact. You should:
A. Place her onto a scoop stretcher, pad around her left hip with pillows, and
secure her to the scoop with straps
B. Manually stabilize her left leg, apply a traction splint, and then secure her to a
long backboard or scoop
C. Bind both of her legs together with triangular bandages and carefully secure her
to the ambulance stretcher
D. Carefully slide a long backboard under her, keep her in a supine position, and
apply a splint to her leg.
- answer-A. Place her onto a scoop stretcher, pad around her left hip with pillows,
and secure her to the scoop with straps
A mucosal atomizer device (MAD) is used to deliver certain medications via the:
A. Sublingual route
B. Intranasal route
C. Inhalation route
, D. Transdermal route
- answer-B. Intranasal route
A patient who presents with profound cyanosis following a chest injury:
A. Requires prompt ventilation and oxygenation
B. Is most likely experiencing severe blood loss
C. Has most likely experienced a ruptured aorta
D. Should be place in Trendelenburg position
- answer-A. Requires prompt ventilation and oxygenation
A utility worker was trimming branches and was electrocuted when he accidentally
cut a high-power line. He fell approximately 20′ and is lying unconscious on the
ground; the power line is lying across his chest. You should:
A. Rapidly assess the patient after ensuring that the power line is not live
B. Quickly but carefully move the patient away from the power line.
C. Apply insulated gloves and assume manual control of C spine
D. Manually stabilize his head as your partner assesses for breathing
- answer-A. Rapidly assess the patient after ensuring that the power line is not live
According to the JumpSTART triage system, if a pediatric patient is not breathing,
you should:
A. Triage him or her as expectant
B. Open the airway and reassess breathing
C. Give five rescue breathes and reassess
D. Immediately check for a pulse
- answer-B. Open the airway and reassess breathing
According to the START triage system, which of the following patients should be
triaged as an immediate priority (red tag)?
A. Unresponsive with a respiratory rate of 34 breaths/ min
B. Conscious, in severe pain, with radial pulses present
C. Apneic, despite manually opening the airway
D. Conscious with a respiratory rate of 24 breaths/ min
- answer-A. Unresponsive with a respiratory rate of 34 breaths/ min