Scenario Based Practice Exam (NYS EMT) Already Passed

Scenario Based Practice Exam (NYS EMT) Already Passed You respond to a 26 yeal old male who is unconscious and unresponsive to stimuli, you assess his breathing and determine that he is not breathing. The prefered method of ventilating this patient is, mouth to mask with supplemental oxygen A construction worker has fallen from a height of 10 feet. When you arrive, he is conscious, but confused about how the fall occurred. He tells you that he is having difficulty breathing and cannot feel his legs. What is the first priority in the initial assessment of this patient? Take spinal precautions. The driver of a snowmobile struck a tree and was thrown from the sled. A witness confirms that there was a brief loss of consciousness; that was why he called 9-1-1. The patient is awake when you reach him. Which of the following is the most significant fiinding concerning the MOI? the condition of the rider's helmet You arrive on the scene of a call for difficulty breathing. You enter the kitchen and you see a seventy-year-old male seated at the table leaning forward. He is having severe trouble breathing, his skin is bluish-gray, and he is sweaty. You hear a gurgling sound as he tries to inhale. As you ask him questions, he tries to respond between gasps, but his answers are not comprehensible. He is clutching his chest and appears to be in severe pain. His wife advises you that he had a heart attack last year and takes nitroglycerin, hydrochlorothiazide, and digitalis. The chest pains began as he finished supper. The patient took two NTG tablets, but the pain has continued to get worse. His vital signs are BP 180/120, pulse 120, respiratory rate 28, pulse oximetry 82 percent. What is your next intervention? Oxygen 15 lpm via nonrebreather You respond to the local high school football field on a Saturday afternoon for an injured player. You arrive on scene with the correct BSI gear and are directed to midfield where an 18 -year-old male wearing a helmet is lying on his back. He is unconscious and not responsive to your questioning. You are unable to perform an airway maneuver or to ascertain his respirations. Your next move is to: Stabilize his head and neck and remove the helmet You are dispatched to a call for chest pain. You respond priority, the scene is safe and you are wearing protective equipment. Your patient is a female in her sixties, seated at the kitchen table. She is guarding her chest with one hand and tells you she has crushing chest pain of sudden onset. She has a history of cardiac problems and is currently on nitroglycerine paste and Cardizem. Her pulse is weak and thready. Which of the following drugs should you not administer? Epinephrine You are dispatched to a local restaurant for a man down. You arrive on scene and observe a male in full cardiac and respiratory arrest. You and your partner perform CPR for one minute and then convert his heart rhythm with the AED; he then has a pulse of 65 and a blood pressure of 90/60. After two minutes he begins to have spontaneous respirations and his gag reflex returns, so you remove the oropharyngeal airway. You finish your assessment and begin transport to the nearest emergency room 15 minutes away. At ten minutes from the hospital, he suddenly lapses into unconsciousness and again has no pulse or spontaneous respirations. Your next procedure should be Begin rescue breathing. What is the maximum APGAR score? 10 Electrical burns may be complicated by Cardiac dysrhythmias You are dispatched to the high school football field for a player injured. You respond priority and arrive on scene wearing suitable precautions. The trainer advises you he suspects the player has a fractured fibula. The patient is conscious, alert, and oriented times three and his only complaint is severe pain in his lower leg. When considering what type of splint you are going to apply you must always splint the suspected fracture site and The adjacent joints.