JB LEARNING EMT FINAL EXAM
COMPREHENSIVE EXAMINATION TEST WITH
COMPLETE QUESTIONS AND SOLUTIONS
◉ Which of the following would MOST likely cause obstructive
shock? Answer: Pericardial tamponade (Obstructive shock results
from an injury or condition that physically obstructs the flow of blood
and causes inadequate circulation through cardiovascular system)
◉ When assessing the pupils of a patient with a severe closed head
injury, you note that they are bilaterally dilated and non reactive.
What does this specifically indicate? Answer: Pressure on the
oculomotor Nerve
◉ After being struck in the head with a baseball bat, a 9 YOM
immediately loses consciousness. On your arrival he is conscious but
confused. Shortly into your assessment he becomes unresponsive.
Which of the following injuries has this child MOST likely sustained?
Answer: Epidural Hemorrhage (result of damage to the middle
meningeal artery produces loss of consciousness)
◉ Most chemical burn injuries are treated with: Answer: Water
◉ Common clinical signs of a hemothorax include all of the
following, EXCEPT: Answer: Mediastinal Shift
,◉ You are treating a patient with a closed head injury. His initial vital
signs reveal a bp of 132/82, p 76 and RR 28. Which of the following
set of repeat vital signs is most suggestive of increased intracranial
pressure?
A: BP 80/40 P 68 & weak, RR 20 and deep
B: BP 90/60, P 130 & bounding, RR 34 shallow
C: BP 174/80 P 120 & thready, RR 30 and shallow
D: BP 180/88, P 64 & bounding, RR 36 & irregular Answer: BP
180/88 P 64 and bounding RR 36 and irregular
◉ A 22 YOM experienced blunt abdominal trauma. He is conscious
and alert but appears anxious. His BP is 100/62, P 118, RR 22. Further
assessment reveals that his radial pulse are easily palpable, What is
the MOST appropriate IV fluid regimen for the patient? Answer: 25
mL/hr (KVO) due to vitals are stable
◉ You are assessing a patient who experienced a penetrating injury to
his left anterior chest. His blood pressure is 100/60 mm Hg and his
pulse rate is 110 beats/min. Which of the following clinical findings is
MOST suggestive of a pericardial tamponade? Answer: Repeat blood
pressure of 90/60 As pressure builds within the pericardial sac, the
ability of the heart to contract (systole) and relax (diastole) is
impaired. This results in a narrowing pulse pressure - the difference
between the systolic and diastolic blood pressure.
, ◉ When performing a rapid assessment on a man who fell
approximately 25 feet, you should assess the chest for: Answer:
Symmetry and stability
◉ You respond to the scene of a local knife-throwing contest where a
man has a large knife impaled in the precordial area, just to the left of
the lower sternum. He is unresponsive, apneic, and pulseless. You
should: Answer: B) remove the knife, control bleeding, and begin
CPR
◉ Which of the following signs would indicate a severe pericardial
tamponade Answer: A drop in the blood pressure of greater than 10
mm Hg during inhalation
◉ A 30-year-old man has a closed head injury and is unresponsive.
His left pupil is dilated and he has extensor posturing. His BP is
180/100 mm Hg, his pulse rate is 50 beats/min, and his respirations
are 8 breaths/min and irregular. Treatment for him should include
Answer: intubation with ventilations aimed at maintaining an ETCO2
of 30 to 35 mm Hg.
◉ When administering crystalloid solutions to a patient in
hemorrhagic shock, it is important to remember that: Answer:
crystalloids do not increase the blood's oxygen-carrying capacity.
◉ While assessing a 78-year-old woman who fell, you note crepitus
and pain to her pelvis. The patient is conscious but restless, and her
skin is dry. Her blood pressure is 82/42 mm Hg and her pulse rate is
66 beats/min. Her medical history is significant for hypertension and
COMPREHENSIVE EXAMINATION TEST WITH
COMPLETE QUESTIONS AND SOLUTIONS
◉ Which of the following would MOST likely cause obstructive
shock? Answer: Pericardial tamponade (Obstructive shock results
from an injury or condition that physically obstructs the flow of blood
and causes inadequate circulation through cardiovascular system)
◉ When assessing the pupils of a patient with a severe closed head
injury, you note that they are bilaterally dilated and non reactive.
What does this specifically indicate? Answer: Pressure on the
oculomotor Nerve
◉ After being struck in the head with a baseball bat, a 9 YOM
immediately loses consciousness. On your arrival he is conscious but
confused. Shortly into your assessment he becomes unresponsive.
Which of the following injuries has this child MOST likely sustained?
Answer: Epidural Hemorrhage (result of damage to the middle
meningeal artery produces loss of consciousness)
◉ Most chemical burn injuries are treated with: Answer: Water
◉ Common clinical signs of a hemothorax include all of the
following, EXCEPT: Answer: Mediastinal Shift
,◉ You are treating a patient with a closed head injury. His initial vital
signs reveal a bp of 132/82, p 76 and RR 28. Which of the following
set of repeat vital signs is most suggestive of increased intracranial
pressure?
A: BP 80/40 P 68 & weak, RR 20 and deep
B: BP 90/60, P 130 & bounding, RR 34 shallow
C: BP 174/80 P 120 & thready, RR 30 and shallow
D: BP 180/88, P 64 & bounding, RR 36 & irregular Answer: BP
180/88 P 64 and bounding RR 36 and irregular
◉ A 22 YOM experienced blunt abdominal trauma. He is conscious
and alert but appears anxious. His BP is 100/62, P 118, RR 22. Further
assessment reveals that his radial pulse are easily palpable, What is
the MOST appropriate IV fluid regimen for the patient? Answer: 25
mL/hr (KVO) due to vitals are stable
◉ You are assessing a patient who experienced a penetrating injury to
his left anterior chest. His blood pressure is 100/60 mm Hg and his
pulse rate is 110 beats/min. Which of the following clinical findings is
MOST suggestive of a pericardial tamponade? Answer: Repeat blood
pressure of 90/60 As pressure builds within the pericardial sac, the
ability of the heart to contract (systole) and relax (diastole) is
impaired. This results in a narrowing pulse pressure - the difference
between the systolic and diastolic blood pressure.
, ◉ When performing a rapid assessment on a man who fell
approximately 25 feet, you should assess the chest for: Answer:
Symmetry and stability
◉ You respond to the scene of a local knife-throwing contest where a
man has a large knife impaled in the precordial area, just to the left of
the lower sternum. He is unresponsive, apneic, and pulseless. You
should: Answer: B) remove the knife, control bleeding, and begin
CPR
◉ Which of the following signs would indicate a severe pericardial
tamponade Answer: A drop in the blood pressure of greater than 10
mm Hg during inhalation
◉ A 30-year-old man has a closed head injury and is unresponsive.
His left pupil is dilated and he has extensor posturing. His BP is
180/100 mm Hg, his pulse rate is 50 beats/min, and his respirations
are 8 breaths/min and irregular. Treatment for him should include
Answer: intubation with ventilations aimed at maintaining an ETCO2
of 30 to 35 mm Hg.
◉ When administering crystalloid solutions to a patient in
hemorrhagic shock, it is important to remember that: Answer:
crystalloids do not increase the blood's oxygen-carrying capacity.
◉ While assessing a 78-year-old woman who fell, you note crepitus
and pain to her pelvis. The patient is conscious but restless, and her
skin is dry. Her blood pressure is 82/42 mm Hg and her pulse rate is
66 beats/min. Her medical history is significant for hypertension and
