EMT FINAL EXAM 3
1. Which of the following signs would you expect in a pt with a stab wound
on the right side of the chest
Increased respiratory effort
Spontaneous pneumothorax
Decreased heart rate
Paradoxical chest movement
2. 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
Apply direct pressure to the wound
Perform rapid sweep of the mouth
Administer high flow oxygen
Open the airway and suction
3. A 68 year old pt complains of chest pain. Vital signs are BP 146/90, P 92,
R 20. You should
Provide supplemental oxygen via BVM
Administer oxygen via nasal cannula at 6 lpm
Administer oxygen via non-rebreather mask at 6lpm
Use flow restricted oxygen powered ventilation device
4. Your motorcycle accident victim is anxious, short of breath and tachy-
cardic, with unequal chest expansion. There are no wounds present. Your
administration of high flow oxygen does not seem to be helping.You suspect,
A pleural rub
Neurogenic shock
An open pneumothorax
A flail chest
,5. 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
Extinguish burning clothing
Open the pts airway Ventilation
via bag-valve mask
Begin to administer oxygen
ANS: Extinguish burning clothing
6. You have just assisted in the delivery of a healthy newborn girl. Which of
the following is the most important?
Wrap the newborn in a blanket to keep her warm
Note the exact time and location of birth
Give the newborn high concentrated oxygen via non rebreather
mask
Give the newborn to her mother to begin binding
ANS: Wrap the newborn in ablanket to keep her warm
7. A 20 year old male collapsed while eating a hot dog. He appears cyanotic.
You should
Begin abdominal thrusts
Open his airway
Begin chest compressions
Check responsiveness
ANS: Check responsiveness
8. Your patient is unconscious. The nurse on scene states : " the pt is
bradycardic, please attach your AED and transport." what should you do?
Explain that use of an AED is not appropriate at this time
Assess the pts breathing and pulse
Obtain vital signs and request the nurses order in writing
Apply the AED and transport immediately
ANS: Assess the pts breathing and pulse
,9. A pt has sustained multiple traumatic injuries. In a "load and go: situation,
the fastest, most appropriate method of splinting would be securing
The entire body to a spine board
The injured limb to an uninjured limb
Pulse oximetry readings after splinting
A KED
ANS: The injured limb to an uninjured limb
10. When giving the hospital a radio report, you should
Provide a complete medical history
Speak quickly and be brief
Only report life threatening conditions
Maintain a clear and steady tone
ANS: Maintain a clear and steady tone
11. 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
Encourage active rehydration
Observe the pt and transport routine to the hospital Apply
high concentration oxygen and transport rapidly
Ask if she could have ingested a poison
ANS: Apply high concentration oxygen andtransport rapidly
12. A semi- conscious trauma pt with a suspected cervical spine injury has
a significant amount of blood in her mouth. You should
Perform jaw thrust Fully
immobilize the pt
Suction using a rigid catheter
Insert an OPA
ANS: Suction using a rigid catheter
, 13. The best treatment for a pt exposed to an absorbed poison is to
Remove the poison from the skin
Administer activated charcoal
"Neutralize" the poison with vinegar
Apply a tourniquet
ANS: Remove the poison from the skin
14. Signs and symptoms of early hypoperfusion can include
Decreased blood pressure
Bradycardia
Anxiousness
Unresponsiveness
ANS: Decreased blood pressure
15. A female is unresponsive due to being hit in the head with a board.
Shehas a large hematoma on her forehead. You should
Assess her airway
Check for a pulse
Obtain consent to treat
Manually stabilize the spine
16. Which is the BEST way to assess breathing in an unconscious patient?
Watch for chest rise
Apply a pulse oximeter
Check for capillary refill
Examine the skin color
17. 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
Ventilations by bvm and oxygenA
blind finger sweep
Highly concentrated oxygen blow-by
1. Which of the following signs would you expect in a pt with a stab wound
on the right side of the chest
Increased respiratory effort
Spontaneous pneumothorax
Decreased heart rate
Paradoxical chest movement
2. 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
Apply direct pressure to the wound
Perform rapid sweep of the mouth
Administer high flow oxygen
Open the airway and suction
3. A 68 year old pt complains of chest pain. Vital signs are BP 146/90, P 92,
R 20. You should
Provide supplemental oxygen via BVM
Administer oxygen via nasal cannula at 6 lpm
Administer oxygen via non-rebreather mask at 6lpm
Use flow restricted oxygen powered ventilation device
4. Your motorcycle accident victim is anxious, short of breath and tachy-
cardic, with unequal chest expansion. There are no wounds present. Your
administration of high flow oxygen does not seem to be helping.You suspect,
A pleural rub
Neurogenic shock
An open pneumothorax
A flail chest
,5. 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
Extinguish burning clothing
Open the pts airway Ventilation
via bag-valve mask
Begin to administer oxygen
ANS: Extinguish burning clothing
6. You have just assisted in the delivery of a healthy newborn girl. Which of
the following is the most important?
Wrap the newborn in a blanket to keep her warm
Note the exact time and location of birth
Give the newborn high concentrated oxygen via non rebreather
mask
Give the newborn to her mother to begin binding
ANS: Wrap the newborn in ablanket to keep her warm
7. A 20 year old male collapsed while eating a hot dog. He appears cyanotic.
You should
Begin abdominal thrusts
Open his airway
Begin chest compressions
Check responsiveness
ANS: Check responsiveness
8. Your patient is unconscious. The nurse on scene states : " the pt is
bradycardic, please attach your AED and transport." what should you do?
Explain that use of an AED is not appropriate at this time
Assess the pts breathing and pulse
Obtain vital signs and request the nurses order in writing
Apply the AED and transport immediately
ANS: Assess the pts breathing and pulse
,9. A pt has sustained multiple traumatic injuries. In a "load and go: situation,
the fastest, most appropriate method of splinting would be securing
The entire body to a spine board
The injured limb to an uninjured limb
Pulse oximetry readings after splinting
A KED
ANS: The injured limb to an uninjured limb
10. When giving the hospital a radio report, you should
Provide a complete medical history
Speak quickly and be brief
Only report life threatening conditions
Maintain a clear and steady tone
ANS: Maintain a clear and steady tone
11. 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
Encourage active rehydration
Observe the pt and transport routine to the hospital Apply
high concentration oxygen and transport rapidly
Ask if she could have ingested a poison
ANS: Apply high concentration oxygen andtransport rapidly
12. A semi- conscious trauma pt with a suspected cervical spine injury has
a significant amount of blood in her mouth. You should
Perform jaw thrust Fully
immobilize the pt
Suction using a rigid catheter
Insert an OPA
ANS: Suction using a rigid catheter
, 13. The best treatment for a pt exposed to an absorbed poison is to
Remove the poison from the skin
Administer activated charcoal
"Neutralize" the poison with vinegar
Apply a tourniquet
ANS: Remove the poison from the skin
14. Signs and symptoms of early hypoperfusion can include
Decreased blood pressure
Bradycardia
Anxiousness
Unresponsiveness
ANS: Decreased blood pressure
15. A female is unresponsive due to being hit in the head with a board.
Shehas a large hematoma on her forehead. You should
Assess her airway
Check for a pulse
Obtain consent to treat
Manually stabilize the spine
16. Which is the BEST way to assess breathing in an unconscious patient?
Watch for chest rise
Apply a pulse oximeter
Check for capillary refill
Examine the skin color
17. 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
Ventilations by bvm and oxygenA
blind finger sweep
Highly concentrated oxygen blow-by
