Chapters 1-41 EMT final
a 20 year old male was pulled from cold water by his friends. the length of his submission is
not known and was not witnessed. you perform a primary assessment and determine that
the patient is apneic and has a slow, weak pulse. you should:
A. ventilate with a bag-valve mask, appy a rigied cervical collar, remove his wet clothing and
transport rapidly
B. provide rescue breathing, remove his wet clothing, immobilize his entire spine, keep him
warm, and transport carefully
C. apply high-flow ocygen via nonrebreathing mask, immobiize his spine, keep him warm,
and transport rapidly
D. suction his airway for 30 seconds, provide rescue breathing, keep him warm, and
transport at once - ANS-B. provide rescue breathing, remove his wet clothing, immobilize his
entire spine, keep him warm, and transport carefully
\a 21- year- old male was thrown over the handlebars of his motorcycle when he rear-ended
a car that was stopped at a red ligh. he was wearing a helmet, which he removed prior to
your to your arrival. he is concious, but restless, and has closed deformities to both of his
femurs. his skin is pale, his heart rate is rapid and weak, and his respirations are rapid and
shallow. you should
A. bind his legs togather onto he backboard, keep him warm, and transport without delay
B. splint each of his deformed femurs with air splints, elevate his lower extremities, and
transport
C. apply traction splints to both of his legs keep him warm, and transport without delay
D. splint each of his deformed femurs with long board splints and transport without delay -
ANS-A. bind his legs togather onto he backboard, keep him warm, and transport without
delay
\a 22 year-old male was kicked in the abdomen several times. you find him lying on his left
side with his kness drawn up. he is conscious and alert and complains of increased pain and
nausea when he tries to strighten his legs. his blood pressure is 142/82 mm Hg, his pulse
rate is 110 beats/min and strong and his respirations are 22 breaths/min and regualr. in
addition to adminitering high-flow oxygen, you should.
A. apply full spinal motion restriction precautions
B. place him supine but allow him to keep his knees bent
C. transport him in the position in which you found
,D. keep him on his side but gently straighten his legs - ANS-C. transport him in the position
in which you found
\a 30 year-old female was robbed and assaulted as she was leaving a nightclub. she has
massive facial trauma and slow, gurgling respirations. as your partner manually stabilizes
her head, you should
A. visualize her mouth for obvious wounds
B. apply oxygen via a nonrebreathering mask
C. suction her oropharynx for 15 seconds
D. begin immediate ventilatory assistance - ANS-C. suction her oropharynx for 15 seconds
\A 33 year-old male sustained an abdominal eviceration to the left lower quadrant of his
abdomen after he was cut by a large knife. after appropriatley managing his ABCs and
assesing him for other life- threatening injuries, how should you care for his wound?
A. carefully replace the exposed bowel into the abdomen and transport
B. cover the exposed bowel and keep his legs in a straight position
C. irrigate it with sterile water and cover it with dry dressing
D. cover it with moist, sterile gauze and secure with an occlusive dressing - ANS-D. cover it
with moist, sterile gauze and secure with an occlusive dressing
\a 40 year old understrained female impacted the steering wheel of her vehicle with her
chest when she hit a tree while traveling 45 mph. she is concious and alert, but is
experencing significant chest pain and shortness of breath. which of the following injuries is
the LEAST likely?
A. pulmonary contusion
B. head injury
C. multiple rib fractures
D. cardiac contusion - ANS-B. head injury
\A 50-year-old male was stung by a honeybee approximately 15 minutes ago. He presents
with respiratory distress, facial swelling, and hypotension. After placing him on oxygen and
administering his epinephrine via auto-injector, you note that his breathing has improved.
Additionally, his facial swelling is resolving and his blood pressure is stable. Your next action
should be to
A. reassess his breathing and blood pressure in 15 minutes
B. notify medical control of the patients response to your treatment
, C. visualize his airway to assess for orophraryngeal swelling
D. record the time and dose of the injection and transport promptly - ANS-D. record the time
and dose of the injection and transport promptly
\a 56 year-old male has an incomplete avulsion to his right forearm. after controlling any
bleeding from the wound, you should
A. replace the avulsed flap to its original position and cover it with a sterile dressing
B. carefully remove the avulsed flap and wrap it in a mosit, sterile trauma dressing
C. throuroghly irrigate the wound with sterile water and cover it with a sterile dressing
D. carefully probe the wound to determine if the bleeding is venous or arterial - ANS-A.
replace the avulsed flap to its original position and cover it with a sterile dressing
\a 60 year old man is found to be unresponsive, pulseless and apneic you should
A. begin CPR until an AED is available
B. withhold CPR until he is defibrilated
C. determine if he has a valid living will
D. start CPR and transport immediatley - ANS-A. begin CPR until an AED is available
\a 67 year- old female with severe chest pain becomes unresponsive, pulseless, and apneic
during transport. you should:
A. alert the receiving hospital and perform CPR for the duration of the transport
B. stop the ambulance, begin CPR, attach the AED as soon as possible
C. defibrillate with the AED while continuing transport to the hospital
D. perform CPR for 1 to 2 minutes and then analyze her rhythm with an AED - ANS-B. stop
the ambulance, begin CPR, attach the AED as soon as possible
\a person who routinely missuses a substance and requires increasing amounts to achieve
the same effect is experiencing
A. withdrawl
B. tolerance
C. dependence
D. addiction - ANS-B. tolerance
\a specific legal document that directs relatives and caregivers regarding the medical
treatment tha may be given to patients who cannot speak for themselves is called an
a 20 year old male was pulled from cold water by his friends. the length of his submission is
not known and was not witnessed. you perform a primary assessment and determine that
the patient is apneic and has a slow, weak pulse. you should:
A. ventilate with a bag-valve mask, appy a rigied cervical collar, remove his wet clothing and
transport rapidly
B. provide rescue breathing, remove his wet clothing, immobilize his entire spine, keep him
warm, and transport carefully
C. apply high-flow ocygen via nonrebreathing mask, immobiize his spine, keep him warm,
and transport rapidly
D. suction his airway for 30 seconds, provide rescue breathing, keep him warm, and
transport at once - ANS-B. provide rescue breathing, remove his wet clothing, immobilize his
entire spine, keep him warm, and transport carefully
\a 21- year- old male was thrown over the handlebars of his motorcycle when he rear-ended
a car that was stopped at a red ligh. he was wearing a helmet, which he removed prior to
your to your arrival. he is concious, but restless, and has closed deformities to both of his
femurs. his skin is pale, his heart rate is rapid and weak, and his respirations are rapid and
shallow. you should
A. bind his legs togather onto he backboard, keep him warm, and transport without delay
B. splint each of his deformed femurs with air splints, elevate his lower extremities, and
transport
C. apply traction splints to both of his legs keep him warm, and transport without delay
D. splint each of his deformed femurs with long board splints and transport without delay -
ANS-A. bind his legs togather onto he backboard, keep him warm, and transport without
delay
\a 22 year-old male was kicked in the abdomen several times. you find him lying on his left
side with his kness drawn up. he is conscious and alert and complains of increased pain and
nausea when he tries to strighten his legs. his blood pressure is 142/82 mm Hg, his pulse
rate is 110 beats/min and strong and his respirations are 22 breaths/min and regualr. in
addition to adminitering high-flow oxygen, you should.
A. apply full spinal motion restriction precautions
B. place him supine but allow him to keep his knees bent
C. transport him in the position in which you found
,D. keep him on his side but gently straighten his legs - ANS-C. transport him in the position
in which you found
\a 30 year-old female was robbed and assaulted as she was leaving a nightclub. she has
massive facial trauma and slow, gurgling respirations. as your partner manually stabilizes
her head, you should
A. visualize her mouth for obvious wounds
B. apply oxygen via a nonrebreathering mask
C. suction her oropharynx for 15 seconds
D. begin immediate ventilatory assistance - ANS-C. suction her oropharynx for 15 seconds
\A 33 year-old male sustained an abdominal eviceration to the left lower quadrant of his
abdomen after he was cut by a large knife. after appropriatley managing his ABCs and
assesing him for other life- threatening injuries, how should you care for his wound?
A. carefully replace the exposed bowel into the abdomen and transport
B. cover the exposed bowel and keep his legs in a straight position
C. irrigate it with sterile water and cover it with dry dressing
D. cover it with moist, sterile gauze and secure with an occlusive dressing - ANS-D. cover it
with moist, sterile gauze and secure with an occlusive dressing
\a 40 year old understrained female impacted the steering wheel of her vehicle with her
chest when she hit a tree while traveling 45 mph. she is concious and alert, but is
experencing significant chest pain and shortness of breath. which of the following injuries is
the LEAST likely?
A. pulmonary contusion
B. head injury
C. multiple rib fractures
D. cardiac contusion - ANS-B. head injury
\A 50-year-old male was stung by a honeybee approximately 15 minutes ago. He presents
with respiratory distress, facial swelling, and hypotension. After placing him on oxygen and
administering his epinephrine via auto-injector, you note that his breathing has improved.
Additionally, his facial swelling is resolving and his blood pressure is stable. Your next action
should be to
A. reassess his breathing and blood pressure in 15 minutes
B. notify medical control of the patients response to your treatment
, C. visualize his airway to assess for orophraryngeal swelling
D. record the time and dose of the injection and transport promptly - ANS-D. record the time
and dose of the injection and transport promptly
\a 56 year-old male has an incomplete avulsion to his right forearm. after controlling any
bleeding from the wound, you should
A. replace the avulsed flap to its original position and cover it with a sterile dressing
B. carefully remove the avulsed flap and wrap it in a mosit, sterile trauma dressing
C. throuroghly irrigate the wound with sterile water and cover it with a sterile dressing
D. carefully probe the wound to determine if the bleeding is venous or arterial - ANS-A.
replace the avulsed flap to its original position and cover it with a sterile dressing
\a 60 year old man is found to be unresponsive, pulseless and apneic you should
A. begin CPR until an AED is available
B. withhold CPR until he is defibrilated
C. determine if he has a valid living will
D. start CPR and transport immediatley - ANS-A. begin CPR until an AED is available
\a 67 year- old female with severe chest pain becomes unresponsive, pulseless, and apneic
during transport. you should:
A. alert the receiving hospital and perform CPR for the duration of the transport
B. stop the ambulance, begin CPR, attach the AED as soon as possible
C. defibrillate with the AED while continuing transport to the hospital
D. perform CPR for 1 to 2 minutes and then analyze her rhythm with an AED - ANS-B. stop
the ambulance, begin CPR, attach the AED as soon as possible
\a person who routinely missuses a substance and requires increasing amounts to achieve
the same effect is experiencing
A. withdrawl
B. tolerance
C. dependence
D. addiction - ANS-B. tolerance
\a specific legal document that directs relatives and caregivers regarding the medical
treatment tha may be given to patients who cannot speak for themselves is called an
