Correct Answers
A 92-year-old female fell in the bathroom. She has large hematomas on the bridge of
her nose and the side of her head. First responders report vital signs of BP 90/43, P 62,
R 12. She is alert and denies neck pain or tenderness. Before transport, you should
Obtain vital signs and review important finding with first responders
Suction the airway and assist ventilations with oxygen via BVM
Immobilize the patient with a C-collar and long spine board
Perform a detailed physical exam and bandage her head
- ANSWER - Immobilize the patient with a C-collar and long spine board
When you palpate a pulse you are feeling the
Relaxation of both ventricles
Relaxation of the atria
Contraction of the left atrium
Contraction of the left ventricle
- ANSWER - Contraction of the left ventricle
In case of bee stings, you should
Carefully cleanse the site of the sting
Remove the stinger using tweezers
Remove the stingers by gently scraping with the edge of a card
Call medical control for orders to administer benadryl
- ANSWER - Remove the stingers by gently scraping with the edge of a card
A patient was covered with a diluted bleach solution while washing the walls of the
school gym. You should
Rapidly transport and begin decontamination
Instruct the patient to remove his clothing
Leave the scene and return with protective equipment
Have your partner call the hazmat team
- ANSWER - Instruct the patient to remove his clothing
A man, sitting outside, was stung by a bee while drinking a soda. When you arrive, he is
pale and complains of abdominal pain. Vital signs are BP 90/60, P110, R24 and
wheezing. You should
,Begin treatment on-scene
Move the patient indoors for treatment
Call for air medical transport
Take the patient to your ambulance
- ANSWER - Take the patient to your ambulance
A female is unresponsive due to being hit in the head with a board. She has a large
hematoma on her forehead. You should
Assess her airway
Check for a pulse
Obtain consent to treat
Manually stabilize the spine
- ANSWER - Manually stabilize the spine
Which is the BEST way to assess breathing in an unconscious patient?
Watch for chest rise
Apply a pulse oximeter
Check for capillary refill
Examine the skin color
- ANSWER - Watch for chest rise
A 10-month old has a partial foreign body obstruction due to a piece of hot dog. She is
cyanotic and has minimal air movement. Your treatment should include
Ventilations by bvm and oxygen
A blind finger sweep
Highly concentrated oxygen blow-by
Back blows and abdominal thrusts
- ANSWER - Back blows and abdominal thrusts
A 54-year-old female is complaining of chest pain. The patient would like you to assist
her in taking one of her husband's nitro tablets. Vital signs are BP 140/100, P 96, R 18.
What should you do?
Monitor vital signs and transport in position of comfort
Assist the pt in self-administering nitroglycerin
Administer oxygen and contact the physician
Check the expiration date on the nitroglycerine and comply with the patients request -
ANSWER - Monitor vital signs and transport in position of comfort
The most common electrical disturbance the result in cardiac arrest in adults is
Ventricular tachycardia
,Ventricular fibrillation
Asystole
Pulseless electrical activity
- ANSWER - Ventricular fibrillation
A 35 year old female claims to have fallen. As you assess her injuries, her husband
enters the room tells you to leave. He is holding a baseball bat. You should
Remove the pt from the house as quickly as possible
Continue caring for the pt while reasoning with the husband
Leave the scene and request police assistance
Tell the husband to drop the bat
- ANSWER - Leave the scene and request police assistance
A 91 year old male was found lying on the floor in his home. He is staring blankly and is
rigid and cool to the touch. Vital signs are BP 100/74, Temp 88F, and SPo2 93%. As
you prepare for transport, you should
Handle the pt gently
Apply heat packs and massage extremities
Massage his extremities
Apply heat packs and handle gently
- ANSWER - Apply heat packs and handle gently
A pt complains of abdominal pain. Which of the following questions should you ask?
"Have you had recent constipation"
"Does the pain change when you take a deep breath"
"Is your pain sharp"
"How would you describe your pain"
- ANSWER - "How would you describe your pain"
A 90 year old female complains of shortness of breath which has been ongoing for the
past few days. It gets worse at night when she lies down. Vital signs BP 180/100. P
106, R24. breath sounds reveal crackles bilaterally. Her most likely problem is
Acute respiratory distress syndrome (ARDS)
Pulseless electrical activity (PEA)
Chronic obstructive pulmonary disease (COPD)
Congestive heart failure (CHF)
- ANSWER - Congestive heart failure (CHF)
A 7 year old child was struck by an automobile. You note a contusion to the right chest
and right lower arm fracture with arterial bleeding. Your treatment should include
, Gathering info from the driver, applying a c-collar, and performing a detailed physical
exam
Administering oxygen, splinting to the right arm, and obtaining parental consent
Stabilizing the vehicle, inserting a nasal cannula, and listening to lung sounds
Applying direct pressure to the arm, applying a long backboard, and administering
oxygen
- ANSWER - Applying direct pressure to the arm, applying a long backboard,
and administering oxygen
Your are called to an office building for a pt with an altered mental status. When you
arrive, several people in the parking lot tell you that a few of their coworkers began to
feel ill with headaches, nausea, and vomiting. Concerned, they left the building but think
that there may still be a dozen people inside. You should
Request a hazmat team on scene
Clear the building of all people
Begin triaging patients in the parking lot
Set up a decontamination area
- ANSWER - Clear the building of all people
A 79 year old pt is in cardiac arrest. No one has started CPR. you should
Apply and AED and analyze the rhythm
Call the hospital for medial direction
Perform several quick rescue breaths
- ANSWER - Begin CPR
A pt has a black substance around her mouth, but says that she has not been exposed
to any burning material. After initial assessment, you should
Take a sample of the substance
Ask if she knows what the substance is
Apply an N95 mask to the pt
Take the pt blood pressure
- ANSWER - Ask if she knows what the substance is
Which of the following signs would you expect in a pt with a stab wound on the right
side of the chest
Increased respiratory effort
Spontaneous pneumothorax
Decreased heart rate
Paradoxical chest movement
- ANSWER - Increased respiratory effort