EMT practice final exam| 148 questions and answers 2023.

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 During a birth the baby's head was delivered. You should: suction the mouth and nose with a bulb syringe You are helping a 21 y/o pt to self-administer her epinephrine via auto-injector. She has been stung by a bee. You should Hold injector in place at least 10 seconds Albuterol is an example of a (an) Beta-agonist medication How should you open the airway of an infant? place the head in a neutral position You have an unconscious pt with blood in the airway. You should use a suction unit to immediately clear the airway A victim of smoke inhalation has developed difficulty breathing. He does not like the smell of the mask you are using to deliver O2. You should Explain that the mask is very important and continue its use Your 73 y/o pt is sitting in the tripod position. As you approach they motion for assistance in using their inhaler. You should immediately Assess the patients airway status Which of the following indicates the correct flow range and delivery percentage for nasal canula? 1-6 LPM / 40% When ventilating with a mouth to mask you notice the presence of increasing gastric distention. You should Manually reposition the airway Your 25-year-old male pt has sustained a painful, deformed shoulder, injured while playing baseball. This has happened to him before and he wants to "pop it back in" you should Splint the shoulder as you find it Your patient is a 56 y/o male who collapses while mowing the lawn. He is apneic and pulseless immediately following collapse. What is the patient most likely experiencing? Cardiac Arrest A 24-year-old male has been stabbed in the right chest. Which of the following signs should you expect? Increased respiratory effort You are treating a 23 y/o pt in a car crash. He is complaining of neck, back and leg pain. He has a cut above his left eye. You should Take manual stabilization of the spine A 5 year old female with asthma is having intercostal retractions. She cannot hold her head up to talk. You shouldA. contact medical control before assisting her with prescribed inhaler ventilate via BVM at 15 lpm A patient has been kicked in the chest. One section of ribs is moving separately during respirations. You should Initiate positive pressure ventilations An unresponsive 10 year old male was hit by a car and is bleeding heavily from an open leg fracture. After securing his airway and manually stabilizing c-spine, you should: control bleeding from the leg wound A 19-year-old sexual assault victim is bleeding from an external vaginal laceration. You should Have the patient apply a sterile dry dressing to the wound After air passes through the vocal cords during inhalation, which structure does it reach next? trachea A 45 y/o diabetic pt is experiencing left arm pain and is sweating profusely. You should Administer oral glucose Your 54 year old patient is refusing to answer your interview questions. You should document his refusal and transport A 4-Year-old female tracheostomy pt has pulled out her tracheostomy tube. The opening is partially obstructed with skin. You should Use a soft tip catheter and suction until clear A 22-year-old male was hit in the head with a shovel. He has the following signs and symptoms: altered mental status, increasing BP, decreased pulse and unequal pupils. What should you suspect? Increased intracranial pressure Your unresponsive pt is slumped over the kitchen table. A friend tells you that she was fine one minute and started acting abnormally the next. She moans in response to painful stimuli and her skin is pale, cool, and clammy. Her medical alert bracelet denotes diabetes. You should suspect Hypoglycemia Your patient has spilled a dilute alkali solution into his eyes. You should first irrigate with clean water A 56 y/o male is complaining of severe CP. He took Viagra two hours ago and has been physically active. You should Assure an open airway and continue gathering history An intoxicated 33 y/o female was fighting with police. You note some minor scrapes on the pt's leg and face. The pt is being verbally abusive to you. The police want your approval to take the pt to jail. You shouldA. Ask the officer to transport her to the hospital in a squad car for safety Restrain and transport the patient with police escort Which patient would benefit the MOST from helicopter transport? 38 y/o male burn patient with 1st degree burns to 55% of his body You are ventilating an apneic infant. His pulse is 54. You are currently ventilating with a BVM with supplemental oxygen. You should begin chest compressions Your patient has been submerged underwater for an unknown period and is in cardiac arrest. After taking c-spine precautions, you should begin CPR immediately Consent to treat is implied in which of the following cases? 21 yr old unconscious male When suctioning a patient, you should Suction on the way out for no more than 15 seconds You are inserting an oropharyngeal airway into a 4 year old patient. You should use a tongue depressor to keep the tongue out of the way a 11 year old male has crashed his bicycle. The patient's baby sitter is requesting to know the extent of his injuries. You should reply "You will have to wait and talk with his parents" You have administered six shocks to your cardiac arrest patient. She remains pulseless and is not breathing. You should next Resume CPR and transport