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A 38-year-old male with a history of schizophrenia is reported by
neighbors to be screaming and throwing things in his house. You are
familiar with the patient and have cared for him in the past for
unrelated problems. Law enforcement officers escort you into the
residence when you arrive. The patient tells you that he sees
vampires and is attempting to ward them off by screaming and
throwing things at them. He has several large lacerations to his
forearms that are actively bleeding. The MOST appropriate way to
manage this situation is to:
A. request that the police officers arrest him and take him to the
hospital.
B. try to gain the patient's trust by telling him that you see the
vampires too.
C. approach the patient and calm him by placing your hand on his
shoulder.
D. restrain the patient with appropriate force in order to treat his
injuries. - ANSWER✔✔D. restrain the patient with appropriate force in
order to treat his injuries.
A 67-year-old female presents with difficulty breathing and chest
discomfort that awakened her from her sleep. She states that she has
congestive heart failure, has had two previous heart attacks, and has
,prescribed nitroglycerin. She is conscious and alert with adequate
breathing. Her blood pressure is 94/64 mm Hg and her heart rate is
120 beats/min. Treatment for this patient includes:
A. oxygen at 4 L/min via nasal cannula.
B. placing her in an upright position.
C. nitroglycerin for her chest pain.
D. ventilations with a bag-mask device. - ANSWER✔✔B. placing her in
an upright position.
You arrive at the scene of an apparent death. When evaluating the
patient, which of the following is a definitive sign of death?
A. profound cyanosis
B. absent breath sounds
C. absence of a pulse
D. dependent lividity - ANSWER✔✔D. dependent lividity
A 20-year-old male was accidentally shot in the right upper abdominal
quadrant with an arrow during an archery contest. Prior to your
arrival, the patient removed the arrow. Your assessment reveals that
he is conscious and alert with stable vital signs. The entrance wound
is bleeding minimally and appears to be superficial. You should:
A. transport only if signs of shock begin to develop.
B. assume that the arrow injured an internal organ.
,C. clean the wound and apply a dry, sterile dressing.
D. carefully probe the wound to determine its depth. - ANSWER✔✔B.
assume that the arrow injured an internal organ.
A severe risk of terrorist attacks is indicated by the color _____ by the
Department of Homeland Security Security Advisory System.
A. green
B. red
C. blue
D. orange - ANSWER✔✔ B. red
A 59-year-old male presents with severe vomiting and diarrhea of 3
days' duration. He is confused and diaphoretic, and his radial pulses
are absent. His blood pressure is 78/50 mm Hg. After applying 100%
supplemental oxygen, you should:
A. obtain a repeat blood pressure in 5 minutes.
B. prepare for immediate transport.
C. perform a head-to-toe exam.
D. allow him to drink plain water. - ANSWER✔✔B. prepare for
immediate transport.
Equipment and supplies that are carried on an ambulance should be
stored:
, A. as directed by the EMS system's medical director.
B. based on recommendations of the health department.
C. according to the urgency and frequency of their use.
D. in locked or secured cabinets in order to prevent theft. -
ANSWER✔✔ C. according to the urgency and frequency of their use.
A 35-year-old mildly obese woman is complaining of localized pain in
the right upper quadrant with referred pain to the right shoulder. The
MOST likely cause of her pain is:
A. acute cystitis.
B. appendicitis.
C. acute cholecystitis.
D. pancreatitis. - ANSWER✔✔ C. acute cholecystitis.
A 49-year-old man has been removed from his overturned tanker,
which was carrying a hazardous material. The tank ruptured and he
was exposed to the material. When rescue personnel bring him to the
decontamination area, they note that he is unconscious and has slow,
shallow breathing. They should:
A. defer the decontamination procedure and bring the patient directly
to awaiting EMS personnel for immediate treatment.
B. request that EMS personnel don standard precautions, enter the
warm zone, and begin immediate treatment of the patient.
C. cut away all of the patient's clothing and do a rapid rinse to remove
as much of the contaminating matter as they can.