Esi level Test With Complete Solutions
1."I was taking my contacts out last night, and I think I scratched my cornea," reports a
27-year-old female. "I'm wearing these sunglasses because the light really bothers my
eyes." Her right eye is red and tearing. She rates her pain as 6/10. Vital signs are within
normal limits. CORRECT ANSWERS 5
2.EMS presents to the ED with an 18-year-old female with a suspected medication
overdose. Her college roommates found her lethargic and "not acting right," so they
called 911. The patient has a history of depression. On exam, you notice multiple
superficial lacerations to both wrists. Her respiratory rate is 10, and her SpO2 on room
air is 86 percent. CORRECT ANSWERS 1
3.EMS arrived with an unresponsive 19-year-old male with a single self-inflicted gunshot
wound to the head. Prior to intubation, his Glasgow Coma Scale score was 3.
CORRECT ANSWERS 1
4."I ran out of my blood pressure medicine, and my doctor is on vacation. Can someone
here write me a prescription?" requests a 56-year-old male with a history of HTN. Vital
signs: BP 128/84, HR 76, RR 16, T 97°F. CORRECT ANSWERS 5
5.A 41-year-old male involved in a bicycle accident walks into the emergency
department with his right arm in a sling. He tells you that he fell off his bike and landed
on his right arm. His is complaining of pain in the wrist area and has a 2-centimeter
laceration on his left elbow. "My helmet saved me," he tells you. CORRECT ANSWERS
3
6.A 32-year-old female presents to the emergency department complaining of shortness
of breath for several hours. No past medical history, +smoker. Vital signs: RR 32, HR
96, BP 126/80, SpO2 93% on room air, T 98.6°F. No allergies, current medications
include vitamins and birth control pills. CORRECT ANSWERS 2
7."I just turned my back for a minute," cried the mother of a 4-year-old. The child was
pulled out of the family pool by a neighbor who immediately administered mouth-to-
mouth resuscitation. The child is now breathing spontaneously but continues to be
unresponsive. On arrival in the ED, vital signs were: HR 126, RR 28, BP 80/64, SpO2
96% on a non-rebreather. CORRECT ANSWERS 1
8.A normal healthy 7-year-old walks into the emergency department accompanied by
his father, who reports that his son woke up complaining of a stomach ache. "He
refused to walk downstairs and is not interested in eating or playing." The child vomits at
triage. Vital signs: T 100.4°F, RR 22, HR 88, BP 84/60, SpO2100%. Pain 6/10.
CORRECT ANSWERS 3
, 9.A 6-year-old male tells you that he was running across the playground and fell. He
presents with a 3-centimeter laceration over his right knee. Healthy, no medications and
no allergies, immunizations are up to date. CORRECT ANSWERS 4
10."I slipped on the ice, and I hurt my wrist," reports a 58-year-old female with a history
of migraines. There is no obvious deformity. Vital signs are within normal limits, and she
rates her pain as 5/10. CORRECT ANSWERS 4
11.A 4-year-old female is transported to the ED following a fall off the jungle gym at a
preschool. A fall of 4 feet. A witness reports that the child hit her head and was
unconscious for a couple of minutes. On arrival you notice that the child is crying and
asking for her mother. Her left arm is splinted. Vital signs: HR 162, RR 38. CORRECT
ANSWERS 2
12.A 60-year-old man requests to see a doctor because his right foot hurts. On exam
the great toe and foot skin is red, warm, swollen, and tender to touch. He denies injury.
past medical history includes type 2 diabetes, and psoriasis. Vital signs: T 99.4°F, RR
18, HR 82, BP 146/70, SpO2 99%. CORRECT ANSWERS 3
13.A 52-year-old female requests to see a doctor for a possible urinary tract infection
(UTI). She is complaining of dysuria and frequency. She denies abdominal pain or
vaginal discharge. No allergies, takes vitamins, and has no significant past medical
history. Vital signs: T 97.4°F, HR 78, RR 14, BP 142/70. CORRECT ANSWERS 4
14."I called my pediatrician, and she told me to bring him in because of his fever,"
reports the mother of a 2-week-old. Vital signs: T 101°F, HR 154, RR 42, SpO2 100%.
Uncomplicated, vaginal delivery. The baby is acting appropriately. CORRECT
ANSWERS 2
15."My right breast is so sore, my nipples are cracked, and now I have a fever. Do you
think I will have to stop nursing my baby?" asks a tearful 34-year-old female. She is 3
months post partum and has recently returned to work parttime. Vital signs: T 102.8°F,
HR 90, RR 18, BP 108/60, pain 5/10. No past medical history, taking multivitamins, and
is allergic to penicillin. CORRECT ANSWERS 3
16.Paramedics arrive with a 16-year-old unrestrained driver who hit a tree while
traveling at approximately 45 miles per hour. The passenger side of the car had
significant damage. The driver was moaning but moving all extremities when help
arrived. His initial vital signs were BP 74/50, HR 132, RR 36, SPO2 99%, T 98.6°F.
CORRECT ANSWERS 1
17.EMS arrives with a 45-year-old woman with asthma who has had a cold for week.
She started wheezing a few days ago and then developed a cough and a fever of 103.
Vital signs: T 101.6°F, HR 92, RR 24, BP 148/86, SpO2 97%. CORRECT ANSWERS 3
1."I was taking my contacts out last night, and I think I scratched my cornea," reports a
27-year-old female. "I'm wearing these sunglasses because the light really bothers my
eyes." Her right eye is red and tearing. She rates her pain as 6/10. Vital signs are within
normal limits. CORRECT ANSWERS 5
2.EMS presents to the ED with an 18-year-old female with a suspected medication
overdose. Her college roommates found her lethargic and "not acting right," so they
called 911. The patient has a history of depression. On exam, you notice multiple
superficial lacerations to both wrists. Her respiratory rate is 10, and her SpO2 on room
air is 86 percent. CORRECT ANSWERS 1
3.EMS arrived with an unresponsive 19-year-old male with a single self-inflicted gunshot
wound to the head. Prior to intubation, his Glasgow Coma Scale score was 3.
CORRECT ANSWERS 1
4."I ran out of my blood pressure medicine, and my doctor is on vacation. Can someone
here write me a prescription?" requests a 56-year-old male with a history of HTN. Vital
signs: BP 128/84, HR 76, RR 16, T 97°F. CORRECT ANSWERS 5
5.A 41-year-old male involved in a bicycle accident walks into the emergency
department with his right arm in a sling. He tells you that he fell off his bike and landed
on his right arm. His is complaining of pain in the wrist area and has a 2-centimeter
laceration on his left elbow. "My helmet saved me," he tells you. CORRECT ANSWERS
3
6.A 32-year-old female presents to the emergency department complaining of shortness
of breath for several hours. No past medical history, +smoker. Vital signs: RR 32, HR
96, BP 126/80, SpO2 93% on room air, T 98.6°F. No allergies, current medications
include vitamins and birth control pills. CORRECT ANSWERS 2
7."I just turned my back for a minute," cried the mother of a 4-year-old. The child was
pulled out of the family pool by a neighbor who immediately administered mouth-to-
mouth resuscitation. The child is now breathing spontaneously but continues to be
unresponsive. On arrival in the ED, vital signs were: HR 126, RR 28, BP 80/64, SpO2
96% on a non-rebreather. CORRECT ANSWERS 1
8.A normal healthy 7-year-old walks into the emergency department accompanied by
his father, who reports that his son woke up complaining of a stomach ache. "He
refused to walk downstairs and is not interested in eating or playing." The child vomits at
triage. Vital signs: T 100.4°F, RR 22, HR 88, BP 84/60, SpO2100%. Pain 6/10.
CORRECT ANSWERS 3
, 9.A 6-year-old male tells you that he was running across the playground and fell. He
presents with a 3-centimeter laceration over his right knee. Healthy, no medications and
no allergies, immunizations are up to date. CORRECT ANSWERS 4
10."I slipped on the ice, and I hurt my wrist," reports a 58-year-old female with a history
of migraines. There is no obvious deformity. Vital signs are within normal limits, and she
rates her pain as 5/10. CORRECT ANSWERS 4
11.A 4-year-old female is transported to the ED following a fall off the jungle gym at a
preschool. A fall of 4 feet. A witness reports that the child hit her head and was
unconscious for a couple of minutes. On arrival you notice that the child is crying and
asking for her mother. Her left arm is splinted. Vital signs: HR 162, RR 38. CORRECT
ANSWERS 2
12.A 60-year-old man requests to see a doctor because his right foot hurts. On exam
the great toe and foot skin is red, warm, swollen, and tender to touch. He denies injury.
past medical history includes type 2 diabetes, and psoriasis. Vital signs: T 99.4°F, RR
18, HR 82, BP 146/70, SpO2 99%. CORRECT ANSWERS 3
13.A 52-year-old female requests to see a doctor for a possible urinary tract infection
(UTI). She is complaining of dysuria and frequency. She denies abdominal pain or
vaginal discharge. No allergies, takes vitamins, and has no significant past medical
history. Vital signs: T 97.4°F, HR 78, RR 14, BP 142/70. CORRECT ANSWERS 4
14."I called my pediatrician, and she told me to bring him in because of his fever,"
reports the mother of a 2-week-old. Vital signs: T 101°F, HR 154, RR 42, SpO2 100%.
Uncomplicated, vaginal delivery. The baby is acting appropriately. CORRECT
ANSWERS 2
15."My right breast is so sore, my nipples are cracked, and now I have a fever. Do you
think I will have to stop nursing my baby?" asks a tearful 34-year-old female. She is 3
months post partum and has recently returned to work parttime. Vital signs: T 102.8°F,
HR 90, RR 18, BP 108/60, pain 5/10. No past medical history, taking multivitamins, and
is allergic to penicillin. CORRECT ANSWERS 3
16.Paramedics arrive with a 16-year-old unrestrained driver who hit a tree while
traveling at approximately 45 miles per hour. The passenger side of the car had
significant damage. The driver was moaning but moving all extremities when help
arrived. His initial vital signs were BP 74/50, HR 132, RR 36, SPO2 99%, T 98.6°F.
CORRECT ANSWERS 1
17.EMS arrives with a 45-year-old woman with asthma who has had a cold for week.
She started wheezing a few days ago and then developed a cough and a fever of 103.
Vital signs: T 101.6°F, HR 92, RR 24, BP 148/86, SpO2 97%. CORRECT ANSWERS 3
