DETAILED
A 65M is having trouble breathing. He is moderately overweight and has been coughing up
yellow phlegm. He smokes 2 packs of cigarettes a day and reports having these episodes for
many years. Which condition should you suspect - ANSWER Chronic Bronchitis
15M is short of breath after minor car collision. He has a history of asthma and his vitals are
R 26 and clear bilaterally. What should you do - ANSWER coach to slow breathing
What is the normal range of breaths/min for an adult - ANSWER 12-20
26F bride at her wedding reception in sitting in a tripod position and drooling. Lung sounds
are diminished. Obvious stridor is noted. You should suspect - ANSWER upper airway
obstruction
What sound would a lower airway obstruction produce - ANSWER wheezing
Which of the following can present with a sudden onset of difficulty breathing and
diminished breath sounds - ANSWER pneumothorax
Which of the following assessment finding should cause you to suspect your pt has a history
of COPD - ANSWER barrel shaped chest
42 asthmatic pt complains of chest pain, SOB and violent cough that produces brown
sputum, what is most likely the cause - ANSWER pneumonia
1
,19F began choking after eating a hotdog, when you first arrived on scene she was coughing
and drooling. Now she is drowsy, slow to respond, and unable to cough. What should you do
- ANSWER abdominal trusts
During the initial assessment of an adult's respiratory status you should -
ANSWER evaluate RR and rise and fall of the chest
61F is pale diaphoretic and unable to catch her breath. You notice swelling in lower
extremities. You should suspect - ANSWER CHF
When ventilating a pt with BVM you should - ANSWER use 2 rescuers if possible
Which pt would be classified as immediate during MCI - ANSWER 8F with no
respirations after 5 positive pressure ventilations
Thin 54M nonproductive cough complains of difficulty breathing. He is sitting upright with
his hands on his knees and you see retractions. You notice oxygen tubing throughout the
house. You should suspect a medical history of - ANSWER chronic bronchitis
Unresponsive trauma pt is gurgling. When you suction the oropharynx with a rigid catheter
the pt gags. You should - ANSWER assess insertion depth
16F is asthmatic in tripod position complains of increase SOB with SpO2 of 79. You should
administer oxygen at - ANSWER 10L NRB
In seconds, what is the time limit for suctioning an adult's airway - ANSWER 10-15s
Pt is unconscious and buried to the midchest in muddy ditch. When attempting to ventilate
you should suspect increased - ANSWER resistance
2
,Semiconscious pt's dentures have completely loosened, you should - ANSWER remove
the dentures
Pt is unresponsive with snoring respirations following a motorcycle accident. You notice fluid
coming from the pt's nose and ears. You should - ANSWER open the airway with a jaw-
thrust
After assisting an asthmatic pt with their beta 2 medication, you may expect to observe
which of the following side effects - ANSWER tachycardia
The reason for assessing the radial and the carotid pulses simultaneously is to -
ANSWER confirm cardiac rhythm problem
Which of the following in an indication of an upper airway obstruction -
ANSWER snoring
64M complains of dyspnea and is coughing up bloody sputum. Upon auscultation you note
crackles bilaterally, you should suspect - ANSWER pulmonary edema
In which group of pts are you most likely to encounter "see-saw breathing" -
ANSWER PEDS
In which group of pts are you most likely to encounter "see-saw breathing": PEDS
68F complains of SOB and fatigue. Symptoms worsen at night when she tries to rest. Lung
sounds are diminished in all lobes. Which indicates that the pt is suffering form CHF rather
than pneumonia - ANSWER "I feel like I'm drowning when I lie down"
14F SOB has cystic fibrosis. Lung sounds reveal coarse rhonchi. What is most likely the cause
of the condition - ANSWER mucous secretions
3
, As the diaphragm and intercostal muscles relax, the chest cavity - ANSWER decreases
in size causing exhalation
18 febrile pt complains of malaise for several days. He is taking oral antibiotic for upper
respiratory infection. Vitals are BP 128/72, P 118 weak, R 22 with rhonchi. You should
suspect - ANSWER bronchiolitis
Unresponsive 50M laying on the floor. You determine he is not breathing but has a faint
pulse. You should - ANSWER ventilate with BVM
80M return of spontaneous circulation after AED use. Respirations are 8 and shallow. You
should - ANSWER assist ventilations with BVM
You have inserted an OPA for 21M apneic. How many times per minutes should you ventilate
using the BVM - ANSWER 10-12
28 pt is experiencing dyspnea and wheezing, which medication should you request from MC
- ANSWER albuterol
Unresponsive with snoring respirations are most likely caused by - ANSWER tongue
blocking the airway
During interfacility transport of symptomatic COPD pt with mild SOB how much oxygen
should you administer - ANSWER nasal can 2L
Pt presents with sudden onset of SOB crackles, hypertension and JVD. You should suspect -
ANSWER acute pulmonary edema
4
A 65M is having trouble breathing. He is moderately overweight and has been coughing up
yellow phlegm. He smokes 2 packs of cigarettes a day and reports having these episodes for
many years. Which condition should you suspect - ANSWER Chronic Bronchitis
15M is short of breath after minor car collision. He has a history of asthma and his vitals are
R 26 and clear bilaterally. What should you do - ANSWER coach to slow breathing
What is the normal range of breaths/min for an adult - ANSWER 12-20
26F bride at her wedding reception in sitting in a tripod position and drooling. Lung sounds
are diminished. Obvious stridor is noted. You should suspect - ANSWER upper airway
obstruction
What sound would a lower airway obstruction produce - ANSWER wheezing
Which of the following can present with a sudden onset of difficulty breathing and
diminished breath sounds - ANSWER pneumothorax
Which of the following assessment finding should cause you to suspect your pt has a history
of COPD - ANSWER barrel shaped chest
42 asthmatic pt complains of chest pain, SOB and violent cough that produces brown
sputum, what is most likely the cause - ANSWER pneumonia
1
,19F began choking after eating a hotdog, when you first arrived on scene she was coughing
and drooling. Now she is drowsy, slow to respond, and unable to cough. What should you do
- ANSWER abdominal trusts
During the initial assessment of an adult's respiratory status you should -
ANSWER evaluate RR and rise and fall of the chest
61F is pale diaphoretic and unable to catch her breath. You notice swelling in lower
extremities. You should suspect - ANSWER CHF
When ventilating a pt with BVM you should - ANSWER use 2 rescuers if possible
Which pt would be classified as immediate during MCI - ANSWER 8F with no
respirations after 5 positive pressure ventilations
Thin 54M nonproductive cough complains of difficulty breathing. He is sitting upright with
his hands on his knees and you see retractions. You notice oxygen tubing throughout the
house. You should suspect a medical history of - ANSWER chronic bronchitis
Unresponsive trauma pt is gurgling. When you suction the oropharynx with a rigid catheter
the pt gags. You should - ANSWER assess insertion depth
16F is asthmatic in tripod position complains of increase SOB with SpO2 of 79. You should
administer oxygen at - ANSWER 10L NRB
In seconds, what is the time limit for suctioning an adult's airway - ANSWER 10-15s
Pt is unconscious and buried to the midchest in muddy ditch. When attempting to ventilate
you should suspect increased - ANSWER resistance
2
,Semiconscious pt's dentures have completely loosened, you should - ANSWER remove
the dentures
Pt is unresponsive with snoring respirations following a motorcycle accident. You notice fluid
coming from the pt's nose and ears. You should - ANSWER open the airway with a jaw-
thrust
After assisting an asthmatic pt with their beta 2 medication, you may expect to observe
which of the following side effects - ANSWER tachycardia
The reason for assessing the radial and the carotid pulses simultaneously is to -
ANSWER confirm cardiac rhythm problem
Which of the following in an indication of an upper airway obstruction -
ANSWER snoring
64M complains of dyspnea and is coughing up bloody sputum. Upon auscultation you note
crackles bilaterally, you should suspect - ANSWER pulmonary edema
In which group of pts are you most likely to encounter "see-saw breathing" -
ANSWER PEDS
In which group of pts are you most likely to encounter "see-saw breathing": PEDS
68F complains of SOB and fatigue. Symptoms worsen at night when she tries to rest. Lung
sounds are diminished in all lobes. Which indicates that the pt is suffering form CHF rather
than pneumonia - ANSWER "I feel like I'm drowning when I lie down"
14F SOB has cystic fibrosis. Lung sounds reveal coarse rhonchi. What is most likely the cause
of the condition - ANSWER mucous secretions
3
, As the diaphragm and intercostal muscles relax, the chest cavity - ANSWER decreases
in size causing exhalation
18 febrile pt complains of malaise for several days. He is taking oral antibiotic for upper
respiratory infection. Vitals are BP 128/72, P 118 weak, R 22 with rhonchi. You should
suspect - ANSWER bronchiolitis
Unresponsive 50M laying on the floor. You determine he is not breathing but has a faint
pulse. You should - ANSWER ventilate with BVM
80M return of spontaneous circulation after AED use. Respirations are 8 and shallow. You
should - ANSWER assist ventilations with BVM
You have inserted an OPA for 21M apneic. How many times per minutes should you ventilate
using the BVM - ANSWER 10-12
28 pt is experiencing dyspnea and wheezing, which medication should you request from MC
- ANSWER albuterol
Unresponsive with snoring respirations are most likely caused by - ANSWER tongue
blocking the airway
During interfacility transport of symptomatic COPD pt with mild SOB how much oxygen
should you administer - ANSWER nasal can 2L
Pt presents with sudden onset of SOB crackles, hypertension and JVD. You should suspect -
ANSWER acute pulmonary edema
4
