Answers
You are the first on scene of a 72 year old patient in cardiac arrest. You have your medical supply
kit, oxygen and AED. At least 4 to 6 minutes of high quality CPR has been provided by the police
officer who arrived before you. You have confirmed an open airway, apnea and pulselessness.
What should you do next? - ANSWERSApply the defibrillator pads and shock as indicated
EMTS arrive at the scene of a cardiac arrest to see a police officer beginning to defibrillate the
patient. At what point should the EMT take over? - ANSWERSAfter the shock is delivered or a
"no shock indicated" message is received
You are on the scene of a 68-year-old male patient complaining of severe chest pain for the last
20 minutes. He has a previous history of myocardial infarction and states it feels "just like the
last time." You have applied oxygen and assisted him in administering aspirin and nitroglycerin
with no reduction in the chest pain. Your nearest facility is 5 minutes away, a Level III Trauma
Center is 10 minutes away, and a hospital with cardiac catheterization capabilities is 20 minutes
away. The patient is requesting to be transported to his cardiologist's hospital, which is 30
minutes away. Which hospital is the best destination? - ANSWERSThe nearest hospital with
cardiac catheterization
You are on the scene of a 65-year-old female patient in cardiac arrest. CPR is in progress and the
AED has been applied. The AED does not advise shock. What is your next intervention? -
ANSWERSContinue CPR
You are on the scene of a 65-year-old female patient in cardiac arrest. CPR is in progress and the
AED has been applied. The AED advises shock. After defibrillating the patient, what is your next
intervention? - ANSWERSContinue cpr
,Your patient is a 44-year-old female who has collapsed while jogging. She has been
unresponsive for 4 to 5 minutes by the time you arrive. Her husband appears to be performing
high-quality CPR. Which of the following should be your FIRST action? - ANSWERSApply AED
Patient is conscious, but appears confused. His blood pressure is 98/54 mm Hg, his pulse rate is
120 beats/min and irregular, and his respirations are 24 breaths/min and labored. You should: -
ANSWERSleave him in a sitting position, keep him warm, and prepare for immediate transport
The first step in assessing a patient with a behavioral emergency is to: - ANSWERSensure your
safety
When caring for a women who is experiencing a gynecologic emergency, the EMT's main focus
should be to: - ANSWERSmaintain her ABCs and transport without delay
A 30 yo male sustained a stab wound to the neck when he was attacked outside a nightclub. You
should be most alert for - ANSWERSpotential airway compromise
a patient who is complaining of seeing flashing lights, specks, or "floaters" in his of her field of
vision has MOST likely experienced ____. - ANSWERSretinal detachment
440-lb male, c/o shortness of breath and lower bck pain. Pt. is conscious and alert, bp is 148/98,
pulse120/bpm. Your most immediate action should be to: - ANSWERSAvoid placing him in a
supine position if possible and administer oxygen
A 70-year-old female was recently discharged from the hospital following a total hip
replacement. Today, she presents with restlessness, tachycardia, and a blood pressure of 100/64
mm Hg. Her skin is warm and moist. You should be MOST suspicious that she is experiencing:
A. septic shock
B. pump failure
C. a local infection
,D. decompensated shock. - ANSWERSA - septic shock
On which of the following patients would it be MOST appropriate to use the flow-restricted,
oxygen-powered ventilation device?
A. an 8-year-old female with respiratory failure
B. a 21-year-old male with traumatic cardiac arrest
C. a 38-year-old apneic female with blunt chest trauma
D. a 59-year-old male with chronic obstructive pulmonary disease (COPD) - ANSWERSC - 21 year
old male with traumatic cardiac arrest
A 58-year-old male presents with confusion, right-sided weakness, and slurred speech. His wife
is present and is very upset. As your partner is applying oxygen, it is MOST important for you to:
A. list all of the patient's current medications.
B. obtain a complete set of baseline vital signs. C. administer glucose to rule out hypoglycemia.
D. ask his wife when she noticed the symptoms. - ANSWERSD - asked his wife when she noticed
the symptoms
When assessing the pulse of an unresponsive infant, you should palpate the ________ artery
A. radial
B. carotid
C. temporal
D. brachia - ANSWERSD - brachial
Which of the following patients is in decompensated shock?
A. a 20-year-old female with absent radial pulses and dilated pupils
, B. a 23-year-old restless male with cool, clammy skin and tachycardia
C. a 28-year-old female with pale skin and rapid, shallow respirations
D. a 32-year-old male with anxiety and systolic blood pressure of 110 mm Hg - ANSWERSA - a
20-year-old female with absent radial pulses and dilated pupils
Which of the following statements regarding an infant's vital signs is correct?
A. An infant's heart rate generally ranges between 70 and 110 beats/min.
B. An infant's normal body temperature is typically higher than a preschooler's.
C. By 6 months of age, an infant's normal tidal volume is 2 to 4 mL/kg.
D. An infant's normal heart rate increases by 10 beats/min each month. - ANSWERSB - infant
normal body temperature is typically higher than a preschoolers
ou are assessing a young male who was stung on the leg by a scorpion. He is conscious and
alert, his breathing is regular and unlabored, and his blood pressure is 122/64 mm Hg.
Assessment of his leg reveals a wheal surrounded by an area of redness. He states that he had a
"bad reaction" the last time he was stung by a scorpion and carries his own epinephrine auto-
injector. You should:
A. apply high-flow oxygen, apply a chemical cold pack directly to the injection site, and
transport at once.
B. apply high-flow oxygen, obtain approval from medical control to assist him with his
epinephrine, and transport.
C. assess his ABCs and vital signs in 15 minutes and allow him to drive himself to the hospital if
he remains stable.
D. apply oxygen as needed, clean the area with soap and water or a mild antiseptic, and
transport him to the hospital. - ANSWERSD. apply oxygen as needed, clean the area with soap
and water or a mild antiseptic, and transport him to the hospital
Which of the following sets of vital signs depicts Cushing's triad?