JB LEARNING EMT FINAL EXAM EXAM SCRIPT
SOLVED QUESTIONS AND CORRECT
ANSWERS GRADED A+
◉ A 70-year-old man presents with an acute onset of confusion,
slurred speech, and left side weakness. According to his daughter, he
has high blood pressure and has had several "small strokes" over the
past 6 months. Your partner applies supplemental oxygen; assesses his
vital signs, which are stable; and assesses his blood glucose level,
which reads 35 mg/dL. You attempt to perform the Cincinnati
Prehospital Stroke test, but the patient is unable to understand your
instructions. After establishing IV access, you should:
A: administer oral glucose, place him in a semi-sitting position,
monitor his cardiac rhythm, and transport.
B: administer 50% dextrose, monitor his cardiac rhythm, protect his
impaired extremities, and transport.
C: give 324 mg of baby aspirin, place him in a supine position,
monitor his cardiac rhythm, and transport.
D: monitor his cardiac rhythm, withhold glucose in case he is having
a hemorrhagic. Answer: administer 50% dextrose, monitor his cardiac
rhythm, protect his impaired extremities, and transport.
◉ If a patient was experiencing acute injury involving the
interventricular septum and anterior wall of the left ventricle, you
would expect the 12-lead ECG to reveal:
,A: ST segment elevation in leads V5, V6, I, and aVL.
B: ST segment depression in leads II, III, and aVF.
C: ST segment elevation in leads V1 through V4.
D: Inverted T waves in all of the precordial leads.. Answer: ST
segment elevation in leads V1 through V4.
◉ A 44-year-old man presents with the rhythm shown below. He
complains of nausea, but denies vomiting. He is conscious and alert
with a BP of 122/62 mm Hg, a pulse rate of 98 beats/min, and
respirations of 16 breaths/min and unlabored. Treatment for this
patient would MOST likely include:
Rhythm... NSR.
A: cardioversion.
B: diltiazem, 0.25 mg/kg.
C: ondansetron, 4 mg.
D: amiodarone, 150 mg.. Answer: ondansetron, 4 mg.
Rhythm was NSR.
◉ You and your team are attempting to resuscitate a 66-year-old man
in cardiac arrest. The cardiac monitor reveals a slow, wide-complex
rhythm. The patient has been successfully intubated and an IV line
has been established. As CPR is ongoing, you should:
, A: administer 10 mL of epinephrine 1:10,000 IV.
B: give 40 units of vasopressin every 3 to 5 minutes.
C: ventilate the patient at a rate of 24 breaths/min.
D: attempt transcutaneous pacing to increase the heart rate.. Answer:
administer 10 mL of epinephrine 1:10,000 IV.
◉ You are assessing a 67-year-old female with chest discomfort when
she becomes unresponsive, apneic, and pulseless. The cardiac monitor
reveals coarse ventricular fibrillation. You achieve return of
spontaneous circulation after 6 minutes and the cardiac monitor now
reveals a narrow complex rhythm. The patient is still unresponsive,
has occasional respirations, a blood pressure of 70/40 mm Hg, and a
weak pulse of 70 beats/min. The MOST appropriate postresuscitation
care for this patient includes:
A: insertion of an airway adjunct, assisted ventilation, vascular
access, a 500-mL crystalloid bolus, an antidysrhythmic, and
consideration for induced hypothermia.
B: high-flow oxygen via nonrebreathing mask, vascular access, a
lidocaine infusion, and an adequate volume of normal saline solution
to increase her blood pressure.
C: prompt insertion of a multilumen airway device, ventilatory
assistance, vascular access, 150 mg. Answer: insertion of an airway
adjunct, assisted ventilation, vascular access, a 500-mL crystalloid
bolus, an antidysrhythmic, and consideration for induced
hypothermia.
SOLVED QUESTIONS AND CORRECT
ANSWERS GRADED A+
◉ A 70-year-old man presents with an acute onset of confusion,
slurred speech, and left side weakness. According to his daughter, he
has high blood pressure and has had several "small strokes" over the
past 6 months. Your partner applies supplemental oxygen; assesses his
vital signs, which are stable; and assesses his blood glucose level,
which reads 35 mg/dL. You attempt to perform the Cincinnati
Prehospital Stroke test, but the patient is unable to understand your
instructions. After establishing IV access, you should:
A: administer oral glucose, place him in a semi-sitting position,
monitor his cardiac rhythm, and transport.
B: administer 50% dextrose, monitor his cardiac rhythm, protect his
impaired extremities, and transport.
C: give 324 mg of baby aspirin, place him in a supine position,
monitor his cardiac rhythm, and transport.
D: monitor his cardiac rhythm, withhold glucose in case he is having
a hemorrhagic. Answer: administer 50% dextrose, monitor his cardiac
rhythm, protect his impaired extremities, and transport.
◉ If a patient was experiencing acute injury involving the
interventricular septum and anterior wall of the left ventricle, you
would expect the 12-lead ECG to reveal:
,A: ST segment elevation in leads V5, V6, I, and aVL.
B: ST segment depression in leads II, III, and aVF.
C: ST segment elevation in leads V1 through V4.
D: Inverted T waves in all of the precordial leads.. Answer: ST
segment elevation in leads V1 through V4.
◉ A 44-year-old man presents with the rhythm shown below. He
complains of nausea, but denies vomiting. He is conscious and alert
with a BP of 122/62 mm Hg, a pulse rate of 98 beats/min, and
respirations of 16 breaths/min and unlabored. Treatment for this
patient would MOST likely include:
Rhythm... NSR.
A: cardioversion.
B: diltiazem, 0.25 mg/kg.
C: ondansetron, 4 mg.
D: amiodarone, 150 mg.. Answer: ondansetron, 4 mg.
Rhythm was NSR.
◉ You and your team are attempting to resuscitate a 66-year-old man
in cardiac arrest. The cardiac monitor reveals a slow, wide-complex
rhythm. The patient has been successfully intubated and an IV line
has been established. As CPR is ongoing, you should:
, A: administer 10 mL of epinephrine 1:10,000 IV.
B: give 40 units of vasopressin every 3 to 5 minutes.
C: ventilate the patient at a rate of 24 breaths/min.
D: attempt transcutaneous pacing to increase the heart rate.. Answer:
administer 10 mL of epinephrine 1:10,000 IV.
◉ You are assessing a 67-year-old female with chest discomfort when
she becomes unresponsive, apneic, and pulseless. The cardiac monitor
reveals coarse ventricular fibrillation. You achieve return of
spontaneous circulation after 6 minutes and the cardiac monitor now
reveals a narrow complex rhythm. The patient is still unresponsive,
has occasional respirations, a blood pressure of 70/40 mm Hg, and a
weak pulse of 70 beats/min. The MOST appropriate postresuscitation
care for this patient includes:
A: insertion of an airway adjunct, assisted ventilation, vascular
access, a 500-mL crystalloid bolus, an antidysrhythmic, and
consideration for induced hypothermia.
B: high-flow oxygen via nonrebreathing mask, vascular access, a
lidocaine infusion, and an adequate volume of normal saline solution
to increase her blood pressure.
C: prompt insertion of a multilumen airway device, ventilatory
assistance, vascular access, 150 mg. Answer: insertion of an airway
adjunct, assisted ventilation, vascular access, a 500-mL crystalloid
bolus, an antidysrhythmic, and consideration for induced
hypothermia.
