1. 92year old female complains of a headache and trouble breathing. She is on
home O2. What is the most important question you should ask: When did SOB
Start
2. You have attached an AED to a 42 year old female who is apneic and
pulseless. The AED prompts you. "No shock advised." You should a. start chest
compressions
b. replace the AED pads
c. analyze the rhythm
d. turn off the AED: a. start chest compressions
3. Which cardiac rhythm will an AED most likely prompt you to shock? a.
pulseless electrical activity
b. artrial fibrilation
c.asystole
d.ventricular tachycardia: d. ventricular tachycardia
4. A 22 year old female tells you she is weak and complains of steady vaginal bleeding that
started 2 hours ago. She denies any pain and tells you that she had her menstrual cycle 2
weeks ago. Vital signs are BP 100/68, P 110, R 16, and skin is warm and dry. You should a.
elevate the legs
b. pack the vagina with sterile gauze
c. place a sanitary pad over the vaginal opening.
d. place her on her left side: c. place a sanitary pad over the vaginal opening 5. When securing
a pregnant patient to a long spine board, you should tilt the board to the left to prevent
a. hypertension
b. toxemia
c. hypotension
d. eclampsia: c. hypotension
6. A 10 month old female is choking. You should perform
a. 5 back blows
b. a blind finger
c. abdominal thrusts
d. 5 chests thrusts: a. 5 back blows
,7. A 53 year old male complains of nausea and a headache. Which of the following
statements is most significant?
a. "I have not been sleeping well the past few nights."
b. "I just turned the furnace on last night."
c. "I ran out of blood pressure medication."
d. "I ate seafood yesterday.": b. "I just turned the furnace on last night."
8. A 66 year old male collapsed 8 minutes ago. He is in cardiac arrest when you arrive.
What should you do?
a. contact medical control for direction
b. provide positive pressure ventilation s
c. start chest compressions
d. apply an AED and analyze: c. start chest compressions
9. A 72 year old female's family member tells you that she had a brief period of slurred speech
and left arm weakness prior to EMS arrival. What is the most likely cause?
a. stroke
b. narcotic overdose
c. hypoglycemia
d. transient ischemic attack: d. transient ischemic attack
10. A 58 year old male complains of general weakness and tells you that he had severe
chest pain and shortness of breath the day before. You hear takes at the bases of both
lungs. His skin is pale, cool, and clammy. Vital signs are BP 70/40, P 110 and weak, R 28.
You should suspect a. angina pectoris
b. hypovolemic shock
c. cardiogenic shock
d. pulmonary embolism: c. cardiogenic shock
11. An unresponsive 52 year old females in respiratory failure after being struck in the
chest with a metal pipe. With each breath only one side of her chest rises. She has
subcutaneous emphysema and absent radial pulses. What should you do?
a. provide positive pressure ventilations
b. apply bulky dressing
c. begin chest compressions
d. apply by blow oxygen: a. provide positive pressure ventilations
12. You are lifting a 26 year old male who was in a car crash onto a long back- board. He
begins to complain of shortness of breath and becomes anxious.
You should
, a. place him in his side
b. apply oxygen
c. perform a secondary survey
d. allow him to sit up: b. apply oxygen
13. A 48 year old male who was involved in a car crash is slumped over the steering wheel
and unresponsive to loud verbal stimuli.You see smoke inside the vehicle and that the
airbag deployed. You should
a. tell the fire department to stand by for extrication
b. perform an emergency extrication
c. perform a primary survey
d. administer high flow oxygen by non-rebreather mask: b. perform an emer- gency
extrication
14. A 23 year old female is 30 weeks pregnant and complains of abdominal cramps. She
tells you that she has had normal prenatal health care and no vaginal discharge. Vital signs
are BP 102/74, P 112, R 22 and labored. You should a. place her in a knee-chest position
b. administer oxygen
c. check for crowing
d. transport in a supine position: b. administer oxygen
15. Your EMS base displays a " Free Blood Pressure Check" sign on the
window. This is an example of a. community relations
b. system improvement
c. quality assurance
d. public safety event.: a. community relations
16. A 19 year old female was sexually assaulted and is bleeding from her vagina. You
should
a. tell her to remove all of her clothing to save for evidence
b. pack the vagina with a sterile dressing
c. place a sanitary pad over the vaginal opening
d. tell her to take a shower: c. place a sanitary pad over the vaginal opening 17. A 60 year old
male is confused and unable to follow simple commands. He cannot move his left arm.
Vital signs are BP 210/96, P 90, R 18. What should you suspect?
a. alcohol intoxication
b. encephalitis
c. hyperglycemia
d. Ischemic stroke: d. Ischemic stroke