EMT FISDAP READINESS EXAM 1 Solved 100%

Manually stabilize the spine - Answer A female is unresponsive due to being hit in the head with a board. She has a large hematoma on her forehead. You should Watch for chest rise - Answer Which is the BEST way to assess breathing in an unconscious patient? back blows and abdominal thrusts - Answer A 10 month old pt has a partial foreign body obstruction due to a piece of hot dog. She is cyanotic and has minimal air movement. Your treatment should include Monitor vital signs and transport in position of comfort - Answer 54 year old female is complaining of chest pain. The patient would like you to assist her in taking one of her husband's nitro tablets. Vital signs are BP 140/100, P 96, R 18. What should you do? Ventricular fibrillation (V-fib) - Answer The most common electrical disturbance the result in cardiac arrest in adults is Leave the scene and request police assistance - Answer A 35 year old female claims to have fallen. As you assess her injuries, her husband enters the room tells you to leave. He is holding a baseball bat. You should Apply heat packs and handle gently - Answer A 91 year old male was found lying on the floor in his home. He is staring blankly and is rigid and cool to the touch. Vital signs are BP 100/74, Temp 88F, and SPo2 93%. As you prepare for transport, you should "How would you describe your pain" - Answer A pt complains of abdominal pain. Which of the following questions should you ask? congestive heart failure (CHF) - Answer A 90 year old female complains of shortness of breath which has been ongoing for the past few days. It gets worse at night when she lies down. Vital signs BP 180/100. P 106, R24. breath sounds reveal crackles bilaterally. Her most likely problem is Applying direct pressure to the arm, applying a long backboard, and administering oxygen - Answer A 7 year old child was struck by an automobile. You note a contusion to the right chest and right lower arm fracture with arterial bleeding. Your treatment should include Clear the building of all people - Answer Your are called to an office building for a pt with an altered mental status. When you arrive, several people in the parking lot tell you that a few of their coworkers began to feel ill with headaches, nausea, and vomiting. Concerned, they left the building but think that there may still be a dozen people inside. You should Begin CPR, starting with high-quality chest compressions. - Answer A 79 year old pt is in cardiac arrest. No one has started CPR. you should Ask if she knows what the substance is - Answer A pt has a black substance around her mouth, but says that she has not been exposed to any burning material. After initial assessment, you should Increased respiratory effort - Answer Which of the following signs would you expect in a pt with a stab wound on the right side of the chest open the airway and suction - Answer A seven year old boy was struck by a car. He is unresponsive and apneic, bleeding from the head, nose, and mouth, with obvious deformity to his right mid-femur. You should Administer oxygen via nasal cannula at 6 lpm - Answer A 68 year old pt complains of chest pain. Vital signs are BP 146/90, P 92, R 20. You should flail chest - Answer Your motorcycle accident victim is anxious, short of breath and tachycardic, with unequal chest expansion. There are no wounds present. Your administration of high flow oxygen does not seem to be helping. You suspect, Extinguish burning clothing - Answer You arrive at a campsite where there has been an explosion. Your patients clothing is still burning, and she is gasping for air. You should Wrap the newborn in a blanket to keep her warm - Answer You have just assisted in the delivery of a healthy newborn girl. Which of the following is the most important? check responsiveness - Answer A 20 year old male collapsed while eating a hot dog. He appears cyanotic. You should Assess the pts breathing and pulse - Answer Your patient is unconscious. The nurse on scene states: "the pt is bradycardic, please attach your AED and transport." what should you do? To a backboard - Answer A pt has sustained multiple traumatic injuries. In a "load and go: situation, the fastest, most appropriate method of splinting would be securing Maintain a clear and steady tone - Answer When giving the hospital a radio report, you should Apply high concentration oxygen and transport rapidly - Answer A three year old pt has been sick for several days. Her mother tells you that she has been vomiting and has diarrhea. The child appears tired but withdraws from you during your exam. She is breathing quickly and looks pale. Vital signs are 90/50, P 133, R36. you should Suction using a rigid catheter - Answer A semi- conscious trauma pt with a suspected cervical spine injury has a significant amount of blood in her mouth. You should Remove the poison from the skin - Answer The best treatment for a pt exposed to an absorbed poison is to decreased blood pressure - Answer Signs and symptoms of early hypoperfusion can include 23 year old asthmatic female exposed to cold temperature: SpO2 90% - Answer The following pts are all complaining of shortness of breath. Which of the following pts is MOST likely to be hypoxic Hyperventilation - Answer A 27 year old female with a history of asthma complains of difficulty breathing. She has used her prescribed inhaler multiple times in the last nine hours. She has been in an argument with her boyfriend and is quite upset. Vital signs are P 140, R 60, SpO2 100%, breath sounds clear with no wheezing. You should suspect Ventilate by BVM - Answer You just assisted a mother delivering a baby who is blue and flaccid. You should Begin chest compressions and apply the automated external defibrillator - Answer Begin chest compressions and apply the automated external defibrillator A 25 year old female who is acting inappropriately - Answer Which of the following diabetic patients should receive oral glucose? 10 breaths per minute - Answer A 28 year old female pt with a history of asthma has stopped breathing. You initiate positive pressure ventilations with BVM mask. Which ventilation rate would be most appropriate? Use a yankauer catheter to suction vigorously - Answer An immobilization trauma patient starts vomiting en route to hospital. You should compromised circulation - Answer A trauma patient's injured limb is pale and pulseless. You should suspect Open and inspect the airway - Answer A pt becomes unresponsive after administration of oral glucose. You should injury to neck - Answer A 34 year old male was found unconscious at the bottom of a flight of stairs. You note dark blue, purple, and yellowish brown bruising across his back and a minor laceration of his chest. You should first be concerned with respiratory problems - Answer What of the following is the leading causes of death in infants and children? Administer the shock - Answer You are treating a pt in cardiac arrest at a loud outdoor concert. You are awaiting transport and have shocked your pt five times. The AED is recommending another shock, you should Begin chest compressions. - Answer An adult is suffering a cardiac arrest. What should you do to restore circulation? full thickness - Answer A 42 year old male was in a house fire. The anterior portion of his lower legs has been burned. The area is charred black but your states he has a little pain. This burn would be classified as Should come to a complete stop prior to proceeding - Answer You are entering a controlled intersection with emergency lights and siren activated. The signal light is red. Your emergency vehicle Has the right of way againsts vehicles entering from the right Apply tourniquet - Answer A 24 year old trauma patient is holding pressure on a laceration to his right leg. He keeps complaining: "i just can't get it to stop". His respirations are 10 times per min, amd he has no radial pulses. You should Assist respirations via bvm - Answer Your patient is in cardiac arrest. After administering a shock and two min of cpr, you detect a faint pulse. Vital signs are BP 90/50, P58, R6, Spo2 88%. What should you do? Contact Poison Control Center - Answer A 19 year old has swallowed lighter fluid. You should Numbness to lower extremities and abnormal respirations - Answer You should rapidly extricate a motor vehicle collision patient who is awake and complains of: transport immediately - Answer A three year old exhibits inspiratory stridor, fever, and agitation. You should Ventilation via bvm and continue to transport - Answer While transporting an oxygen dependent pt on 4 lpm oxygen, his respiratory rate decreases to 8 breaths per min. You should plastic bag - Answer A pt has a small, bubbling puncture wound on the right side of his chest. You should dress the wound with a open his airway with a jaw-thrust maneuver. - Answer An unresponsive pt is lying on the ground next to the ladder. You notice a bone sticking out of his left arm. You should Assist the pt with his epinephrine auto injector - Answer A pt develops a sudden onset of chest discomfort and shortness of breath while working in his garden. Skin is pale and covered in a red rash. You should Confirm pulselessness, start cpr, apply AED, stop vehicle and shock if necessary - Answer You are transporting a pt with chest discomfort. En route he becomes unresponsive. What is the most appropriate action? Listen to the lung sounds, transport pt sitting up, and contact medical control - Answer A 64 year old pt is pale, complains of shortness of breath, and has pedal edema. You should Maintain a safe distance - Answer As you arrive on the scene of a water treatment plant, you notice a large cloud coming from the building. Your primary concern is to You have repeatedly attempted to ventilate an infant who is choking on a penny. The chest is not rising. You should: Administer chest compressions Insert an oral airway and reattempt Apply an automatic external defibrillator Perform abdominal thrust - Answer Perform abdominal thrust A four year old male with complete foreign body airway obstruction becomes unconscious as you are treating him. You place him supine on the ground and attempt ventilations, but the child's chest does not rise. You should: Reposition his head a reattempt ventilations Open his airways and perform a finger sweep Perform five abdominal thrust and reassess Deliver 5 back blows and five chest thrust - Answer Reposition his head a reattempt ventilations A 28 year old patient complains of back pain after falling 20 feet from a balcony. First responders placed a C-collar and splinted bilateral fractured femurs with padded board splints. You should: Check pulses and carefully re-splint the legs Perform a detailed assessment on scene Take patient to the closest hospital Transport to a level 1 trauma center - Answer Transport to a level 1 trauma center A very large man in restaurant is clutching his throat and unable to speak. You are unable to reach your arms around his abdomen. You should: Use your portable suction equipment to dislodge the object Perform the heimlich by wrapping your arms around his chest Ask your partner to assist you with the heimlich maneuver Administer multiple back blows and quickly sweep the mouth - Answer Perform the heimlich by wrapping your arms around his chest American heart association studies show improved survival to discharge rates with the use of what kind of early cardiac arrest treatment? - Answer Chest compressions Assist with a prescribed bronchodilator - Answer 25 year old male asthmatic is short of breath. He has audible wheezes. Vital signs are BP 132/80, P 132, R 24, SpO2 96%. You should: You are treating a patient for heat exposure. She is sweating profusely and complaining of abdominal cramps. En route to the hospital. She begins to shiver. You should: Turn off the air conditioning in the ambulance Discontinue high concentration oxygen Wrap the patient in blankets Transport the patient with lights and sirens - Answer Turn off the air conditioning in the ambulance 40 year old male was found confused and wandering around. Vital signs are BP 90/60, P 140, R 30 and shallow skin is hot and dry. You should suspect Alcohol abuse Heat exhaustion Heat stroke Drug abuse - Answer Heat stroke 30 year old female was in a car crash and has a severely angulated left lower leg. She has just been extricated after entrapment. The limb is cool and pulseless. Vital signs BP 100/40, P 90, R 20. You should: Apply manual traction and reassess the patient Administer high flow oxygen and transport rapidly Apply cold packs, elevate the limb, and transport Splint the extremity in the position found and transport rapidly - Answer Apply manual traction and reassess the patient An 11 year old male has been injured. He is crying, sucking his thumb, and acting fearful. You should: Speak calmly and explain all treatment beforehand Reassure the child that you can relieve his pain. Ask the parent if they can get the child to stop crying Ask the parent to hold the child during the exam - Answer Speak calmly and explain all treatment beforehand It can cause significant lung damage if used improperly - Answer Which of the following is TRUE regarding the use of the flow-restricted, oxygen-powered ventilation device? mechanism of injury (MOI) - Answer Belted patient was involved in a rollover vehicle crash. She is responsive to pain. Vital signs are BP 95/70, P 60, R 23 and an uninjured passenger tells you that she "has her appendix taken out" 3 months ago. Which of the following should MOST lead you to suspect internal bleeding?