EMT JBL MOD EXAM 4
A 31-year-old female is experiencing an acute asthma attack. She is conscious and alert, but obvious
respiratory distress. After assisting her with her prescribed MDI, you should:
A: reassess the patient and document her response to the medication
B: contact medical control and apprise him or her of what you did.
C: administer another treatment in 30 seconds if she is still in distress.
D: check the drug's expiration date to ensure that it is still current. - Answer-A: reassess the patient and
document her response to the medication
A 49-year-old male with an extensive cardiac history presents with 2 hours of crushing chest and
shortness of breath. He is pale and diaphoretic and tells you that he feels like he is going to die. His
medications include nitroglycerin, sildenafil (Viagra), and enalapril (Vasotec). His blood pressure is
140/90mm Hg and his heart rate is 110 beats/min. In addition to administering supplemental oxygen if
needed, you should:
A: administer one nitroglycerin and call medical control.
B: ask him if he took his Viagra within the past 24 hours.
C: obtain physician approval to give the nitroglycerin
D: place him in a supine position and transport at once. - Answer-B: ask him if he took his Viagra within
the past 24 hours.
A 62-year-old male is seen with crushing chest pain, which he describes as being the same kind of pain
that he had with a previous heart attack. He has prescribed nitroglycerin but states that he has not taken
any. After administering supplemental oxygen, if needed, contacting medical control, you should:
A: administer the nitroglycerin unless he has taken Viagra within the past 72 hours
B: begin immediate transport and request a rendezvous with a paramedic unit
C: assist him with his nitroglycerin unless his systolic blood pressure is less than 100 mm Hg.
, D: administer up to three doses of nitroglycerin before assessing his blood pressure. - Answer-C: assist
him with his nitroglycerin unless his systolic blood pressure is less than 100 mm Hg.
A 74-year-old woman complains of heaviness in her chest, nausea, and sweating that suddenly began
about an hour ago. She is conscious and alert, but anxious. Her blood pressure is 144/84 mm Hg and her
heart rate is 110 beats/min. She took two of her prescribed nitroglycerin (0.4-mg tablets) before your
arrival but still feels heaviness in her chest. You should:
A: assist her in taking one more of her nitroglycerin tablets, reassess her blood pressure, and contact
medical control for further instructions.
B: recall that geriatric patients often take multiple medications and that interactions can occur with
potentially negative effects.
C: give her high-flow oxygen, avoid giving her any more nitroglycerin because it may cause a drop in her
blood pressure, and transport.
D: transport her at once and wait at least 20 minutes before you consider assisting her with a third dose
of her prescribed nitroglycerin. - Answer-B: recall that geriatric patients often take multiple medications
and that interactions can occur with potentially negative effects.
Advil, Nuprin, and Motrin are trade (brand) names for the generic medication:
A: acetaminophen
B: aspirin
C: nitrostat
D: ibuprofen - Answer-D: ibuprofen
An example of anti-inflammatory is:
A: Narcan
B: nitroglycerin
C: aspirin
D: oxygen - Answer-C: aspirin
A 31-year-old female is experiencing an acute asthma attack. She is conscious and alert, but obvious
respiratory distress. After assisting her with her prescribed MDI, you should:
A: reassess the patient and document her response to the medication
B: contact medical control and apprise him or her of what you did.
C: administer another treatment in 30 seconds if she is still in distress.
D: check the drug's expiration date to ensure that it is still current. - Answer-A: reassess the patient and
document her response to the medication
A 49-year-old male with an extensive cardiac history presents with 2 hours of crushing chest and
shortness of breath. He is pale and diaphoretic and tells you that he feels like he is going to die. His
medications include nitroglycerin, sildenafil (Viagra), and enalapril (Vasotec). His blood pressure is
140/90mm Hg and his heart rate is 110 beats/min. In addition to administering supplemental oxygen if
needed, you should:
A: administer one nitroglycerin and call medical control.
B: ask him if he took his Viagra within the past 24 hours.
C: obtain physician approval to give the nitroglycerin
D: place him in a supine position and transport at once. - Answer-B: ask him if he took his Viagra within
the past 24 hours.
A 62-year-old male is seen with crushing chest pain, which he describes as being the same kind of pain
that he had with a previous heart attack. He has prescribed nitroglycerin but states that he has not taken
any. After administering supplemental oxygen, if needed, contacting medical control, you should:
A: administer the nitroglycerin unless he has taken Viagra within the past 72 hours
B: begin immediate transport and request a rendezvous with a paramedic unit
C: assist him with his nitroglycerin unless his systolic blood pressure is less than 100 mm Hg.
, D: administer up to three doses of nitroglycerin before assessing his blood pressure. - Answer-C: assist
him with his nitroglycerin unless his systolic blood pressure is less than 100 mm Hg.
A 74-year-old woman complains of heaviness in her chest, nausea, and sweating that suddenly began
about an hour ago. She is conscious and alert, but anxious. Her blood pressure is 144/84 mm Hg and her
heart rate is 110 beats/min. She took two of her prescribed nitroglycerin (0.4-mg tablets) before your
arrival but still feels heaviness in her chest. You should:
A: assist her in taking one more of her nitroglycerin tablets, reassess her blood pressure, and contact
medical control for further instructions.
B: recall that geriatric patients often take multiple medications and that interactions can occur with
potentially negative effects.
C: give her high-flow oxygen, avoid giving her any more nitroglycerin because it may cause a drop in her
blood pressure, and transport.
D: transport her at once and wait at least 20 minutes before you consider assisting her with a third dose
of her prescribed nitroglycerin. - Answer-B: recall that geriatric patients often take multiple medications
and that interactions can occur with potentially negative effects.
Advil, Nuprin, and Motrin are trade (brand) names for the generic medication:
A: acetaminophen
B: aspirin
C: nitrostat
D: ibuprofen - Answer-D: ibuprofen
An example of anti-inflammatory is:
A: Narcan
B: nitroglycerin
C: aspirin
D: oxygen - Answer-C: aspirin
