EMT PRACTICE FINAL EXAM QUESTIONS WITH COMPLETE SOLUTIONS GRADED A+

An 18 year old hiker has been bitten by a rattle snake. His vital signs are bp 140/90 p 130 R 24. You should: - Calm the patient and coach him not to move A pulseless and apneic 68 year old male has an implanted pacemaker in his right shoulder Without delaying defibrillation, where should you apply the AED pads? - anterior chest and back (between shoulder blades) When infants or children experience breathing difficulties, their pulse may - Increase early, then decrease significantly One of the most problematic side effects of nitroglycerin is - hypotension What is the amount of air moved with one normal breath called? - tidal volume A 67-year-old female is short of breath and sitting in a tripod position. She is on home oxygen and has had a productive cough over the last few days. During your exam, you note that she is wheezing and breathing with pursed lips. SPO2 is 93%. You should suspect - Obstructive pulmonary disease A 2-year-old boy has a circumferential burn to his hand up to the wrist. The mother tells you a pot of boiling water spilled onto the boy. You should - Transport and inform the ER that you suspect abuse What does pulse oximetry measure? - The amount of hemoglobin that is saturated usually with oxygen You respond to a scene where a mentally ill adult is threatening to kill himself. He is refusing transportation to a hospital. You should - ask law enforcement for assistance A 23 y/o construction worker twisted his foot climbing up a ladder. He has an obvious deformity on the right leg just below the knee. The lower leg and foot are cyanotic and pulseless. You should - Pull gentle traction and apply a splint The strongest portion of the heart that is responsible for circulating blood to the entire body is the - left ventricle your ambulance is first to arrive on scene... - an 18 year old soccer - A 72 y/o female pt is unresponsive following an ejection from a car accident. She has an open jaw fracture and a dialated right pupil. What is the best way to open this pt's airway? - perform a modified head tilt chin lift Which of the following is an essential component of your oral report? - history related to the current illness A 23 y/o patient is lethargic. The patient just finished mowing the lawn. He is drooling and sweating profusely. You should suspect - hypoglycemia You are conducting a physical exam on a responsive female toddler. You should - use a toes-to-head approach A 72-year-old with heart problems fell out of bed. He is confused and has pale and sweaty skin. You should - Take spinal precautions and rapidly transport An unresponsive pt is bleeding severely from an open wound to her head. Initial efforts to stop the bleeding have failed. Vitals BP 660/40 P 122 R 16. You should - Continue to apply pressure and transport rapidly When driving an ambulance, operators must drive with the safety of others in mind. This is known as driving: - with due regard To protect yourself from injury when lifting a stretcher you should - keep the weight as close to your body as possible A patient complains of left sided chest discomfort. The vital signs are BP 108/68 P 104 R 24 SpO2 90% and her hands are cyanotic. You should - Administer O2 via NRB @ 15 LPM What is the most effective way to control the spread of infectious disease? - exercise good hand washing technique When opening the airway of an unconscious pt found lying in bed you should - Place one hand on the forehead with the other hand on the angle of the jaw You're transporting a 62 yr old patient complaining of chest pain. Vital signs are: BP 88/40, P 90, R 12. Online medical control orders you to assist the patient in taking his prescribed nitro. You should - repeat the vital signs and confirm the order Your 36 y/o pt is unresponsive upon attempting to insert an OPA, the patient gags, You should - Insert a nasal airway An AED has advised no shock to be delivered to a 60 y/o pulseless and apneic pt. You should - Leave the AED pads in place and begin CPR A four year old patient has hot, dry skin after being inside a car with the windows rolled up on a hot day. You should - Rapidly cool the patient with ice packs everywhere You are dispatched to a 68 y/o female complaining of discomfort in her upper back. She is nauseous and appears to be sweaty. Based on these symptoms, which of the possible causes is most life-threatening. - Cardiac compromise Your 90 year old nursing home patient is pulseless and apneic. The nurse shows you a note in the patient's chart stating "Do not resuscitate". The note is signed by a doctor. You should - call on-line medical control A 20 yr old female complains of severe abdominal pain. She is in the fetal position. After your primary assessment, you should - obtain baseline vital signs Which of the following BEST describes a bipolar patient? - They appear psychotic during manic phases A 28 y/o female who is 12 weeks pregnant has twisted her left knee while walking. She states the pain is 10/10 in severity. You should - Splint using board splints and cravats and transport sitting