EMERGENCY |MEDICAL
|DISPATCH
EMD 197 FINAL EXAM , EMD TEST EXAM
(EVERYTHING ON EMERGENCY MEDICAL DISPATCH
COVERED) EMD FINAL EXAM QUESTIONS AND
CORRECT ANSWERS
A 65-year-old male who has a history of congestive heart failure is slumped in a chair
| | | | | | | | | | | | | | |
not responding to you. His wife tells
| | | | | | |
you that his difficulty breathing started an hour ago and has been getting worse. He is
| | | | | | | | | | | | | | |
tachypneic, and you auscultate rales
| | | | |
inall fields.You should first: >ANSWER: Assist his ventilation.
| | | | | | | | | |
Patients who have chronic bronchitis may have which of the following? > ANSWER:
| | | | | | | | | | | |
Persistent productive cough, thickening of walls of bronchioles, excessive mucus
| | | | | | | | | |
production.
|
A 70-year-old male has difficulty breathing. When assessing him, which of the
| | | | | | | | | | |
following should influence your decision to
| | | | | |
assist his ventilation with a BVM? >ANSWER:A decrease in his mental status.
| | | | | | | | | | | | |
You are assisting the ventilation of a 57-year-old female who is in respiratory failure.
| | | | | | | | | | | | |
Her initial vital signs were P 102, R32,
| | | | | | | |
BP 142/84, and SpO2 was 88% on room air.After five minutes of assisted ventilation,
| | | | | | | | | | | | | |
her vital signs are P 96, R 18 assisted
| | | | | | | | |
with slight chest rise, BP 108/80, and SpO2 is 95% on oxygen 15 L/minute by BVM.
| | | | | | | | | | | | | | |
You should: > ANSWER: Decrease your ventilation rate.
| | | | | | | |
,EMERGENCY |MEDICAL
|DISPATCH
An 86-year-old female who has a history of emphysema complains of chest pain.
| | | | | | | | | | | |
Her initial SpO2 was 92% on home
| | | | | |
oxygen by nasal cannula, 3 L/minute. You administered oxygen by non-rebreather, 12
| | | | | | | | | | |
L/minute. Her SpO2 is now 100%,
| | | | | |
and her chest pain is resolved after aspirin and nitroglycerin administration. You
| | | | | | | | | | |
should next: > ANSWER: Switch to a simple face mask.
| | | | | | | | | |
Which of the following prevents the over-inflation of the lungs during normal
| | | | | | | | | | |
respiration? > ANSWER: Stretch receptors.
| | | | |
Which of the following sounds indicates an upper airway obstruction in a child who
| | | | | | | | | | | | |
is in respiratory distress? > ANSWER: Stridor.
| | | | | | |
A 16-year-old female complains of a runny nose and a low-grade fever. She has a burst
| | | | | | | | | | | | | | |
of rapid coughing with an
| | | | |
inspiratory whooping sound. While she is coughing her skin becomes cyanotic.
| | | | | | | | | |
After she stops coughing her skin color
| | | | | |
returns to normal. You should suspect: > ANSWER: Pertussis.
| | | | | | | |
What causes the prolonged expiratory phase of the respiratory cycle in a patient who is
| | | | | | | | | | | | | |
having an asthma attack? > ANSWER: Bronchiole constriction.
| | | | | | | |
A 64-year-old male is having an asthma attack. Which class of medication can help
| | | | | | | | | | | | |
improve his alveolar ventilation? > ANSWER: Beta2 Agonist.
| | | | | | | |
,EMERGENCY |MEDICAL
|DISPATCH
Which of the following respiratory conditions in children over 2 years old has similar
| | | | | | | | | | | | |
lung sounds to an infant who has
| | | | | | |
bronchiolitis? >ANSWER: Asthma | | |
A47-year-old male complains of difficulty breathing, and he cannot stop coughing.
| | | | | | | | | | |
His conjunctivae are pale and moist. He
| | | | | |
hasa 40 pack-year smoking history.You should first: >ANSWER: Administer oxygen.
| | | | | | | | | | | |
A 77-year-old female complains of difficulty breathing. She tells you she has had a
| | | | | | | | | | | | |
productive cough for several years. You
| | | | | |
auscultate coarse rhonchi in the bases of her lungs. You observe her mucous
| | | | | | | | | | | |
membranes are cyanotic. Her vital signs are
| | | | | | |
P 96, R 26 and labored, BP 148/92, and SpO2 is 88% on home oxygen 3 L/minute by
| | | | | | | | | | | | | | | | |
nasal cannula. You should: > ANSWER: Administer oxygen by non-rebreather
| | | | | | | | | |
mask.
|
A febrile 69-year-old male complains of body aches and decreased appetite. He tells
| | | | | | | | | | | |
you he has had the flu for a week.
| | | | | | | | |
His skin is cyanotic and diaphoretic.You auscultate rhonchi and decreased lung sounds
| | | | | | | | | | | |
over his left lower lung. His vital
| | | | | | |
signs are P 102, R 26, BP 116/90, and SpO2 is 91% on room air. You should suspect: >
| | | | | | | | | | | | | | | | | |
ANSWER: Pneumonia.
| |
, EMERGENCY |MEDICAL
|DISPATCH
Why can pulmonary embolisms cause a V/Q mismatch? >ANSWER: They block
| | | | | | | | | | |
pulmonary arterial blood flow.
| | | |
Why would a 46-year-old male who inhaled steam from a malfunctioning boiler have
| | | | | | | | | | | |
stridor in his upper airway and
| | | | | |
wheezes in his lower airway? >ANSWER: Steam can burn both upper and lower
| | | | | | | | | | | | |
airways causing edema.
| | |
An unresponsive 88-year-old male was found by nursing home staff having difficulty
| | | | | | | | | | |
breathing. His skin is pale and febrile.
| | | | | | |
You auscultate diminished lung sounds throughout his chest and faint rhonchi in his
| | | | | | | | | | | |
upper chest. His vital signs are P 104,
| | | | | | | |
R 26 and shallow, BP112/86, and SpO2 is 89 % on room air. You should: > ANSWER:
| | | | | | | | | | | | | | | | |
Assist his ventilation.
| | |
A 70-year-old male who has a history of emphysema complains of difficulty
| | | | | | | | | | |
breathing. He has four-word dyspnea, and you
| | | | | | |
auscultate a slight wheeze in his lower lung fields. His vital signs are P 102, R 22, and
| | | | | | | | | | | | | | | | |
BP 152/88. His SpO2 is 92% on
| | | | | | |
home oxygen 2 L/minute by nasal cannula attached to 100 feet of extension tubing.
| | | | | | | | | | | | |
You should: > ANSWER: Increase his home oxygen flow rate to 4 L/minute.
| | | | | | | | | | | | |
A 25-year-old female complains of difficulty breathing. She tells you she took her
| | | | | | | | | | | |
inhaler without relief. Her mucous
| | | | |
membranes are pale.You auscultate decreased lung sounds in the bases and wheezes in | | | | | | | | | | | | |
her upper lungs. Her vital signs
| | | | | |
|DISPATCH
EMD 197 FINAL EXAM , EMD TEST EXAM
(EVERYTHING ON EMERGENCY MEDICAL DISPATCH
COVERED) EMD FINAL EXAM QUESTIONS AND
CORRECT ANSWERS
A 65-year-old male who has a history of congestive heart failure is slumped in a chair
| | | | | | | | | | | | | | |
not responding to you. His wife tells
| | | | | | |
you that his difficulty breathing started an hour ago and has been getting worse. He is
| | | | | | | | | | | | | | |
tachypneic, and you auscultate rales
| | | | |
inall fields.You should first: >ANSWER: Assist his ventilation.
| | | | | | | | | |
Patients who have chronic bronchitis may have which of the following? > ANSWER:
| | | | | | | | | | | |
Persistent productive cough, thickening of walls of bronchioles, excessive mucus
| | | | | | | | | |
production.
|
A 70-year-old male has difficulty breathing. When assessing him, which of the
| | | | | | | | | | |
following should influence your decision to
| | | | | |
assist his ventilation with a BVM? >ANSWER:A decrease in his mental status.
| | | | | | | | | | | | |
You are assisting the ventilation of a 57-year-old female who is in respiratory failure.
| | | | | | | | | | | | |
Her initial vital signs were P 102, R32,
| | | | | | | |
BP 142/84, and SpO2 was 88% on room air.After five minutes of assisted ventilation,
| | | | | | | | | | | | | |
her vital signs are P 96, R 18 assisted
| | | | | | | | |
with slight chest rise, BP 108/80, and SpO2 is 95% on oxygen 15 L/minute by BVM.
| | | | | | | | | | | | | | |
You should: > ANSWER: Decrease your ventilation rate.
| | | | | | | |
,EMERGENCY |MEDICAL
|DISPATCH
An 86-year-old female who has a history of emphysema complains of chest pain.
| | | | | | | | | | | |
Her initial SpO2 was 92% on home
| | | | | |
oxygen by nasal cannula, 3 L/minute. You administered oxygen by non-rebreather, 12
| | | | | | | | | | |
L/minute. Her SpO2 is now 100%,
| | | | | |
and her chest pain is resolved after aspirin and nitroglycerin administration. You
| | | | | | | | | | |
should next: > ANSWER: Switch to a simple face mask.
| | | | | | | | | |
Which of the following prevents the over-inflation of the lungs during normal
| | | | | | | | | | |
respiration? > ANSWER: Stretch receptors.
| | | | |
Which of the following sounds indicates an upper airway obstruction in a child who
| | | | | | | | | | | | |
is in respiratory distress? > ANSWER: Stridor.
| | | | | | |
A 16-year-old female complains of a runny nose and a low-grade fever. She has a burst
| | | | | | | | | | | | | | |
of rapid coughing with an
| | | | |
inspiratory whooping sound. While she is coughing her skin becomes cyanotic.
| | | | | | | | | |
After she stops coughing her skin color
| | | | | |
returns to normal. You should suspect: > ANSWER: Pertussis.
| | | | | | | |
What causes the prolonged expiratory phase of the respiratory cycle in a patient who is
| | | | | | | | | | | | | |
having an asthma attack? > ANSWER: Bronchiole constriction.
| | | | | | | |
A 64-year-old male is having an asthma attack. Which class of medication can help
| | | | | | | | | | | | |
improve his alveolar ventilation? > ANSWER: Beta2 Agonist.
| | | | | | | |
,EMERGENCY |MEDICAL
|DISPATCH
Which of the following respiratory conditions in children over 2 years old has similar
| | | | | | | | | | | | |
lung sounds to an infant who has
| | | | | | |
bronchiolitis? >ANSWER: Asthma | | |
A47-year-old male complains of difficulty breathing, and he cannot stop coughing.
| | | | | | | | | | |
His conjunctivae are pale and moist. He
| | | | | |
hasa 40 pack-year smoking history.You should first: >ANSWER: Administer oxygen.
| | | | | | | | | | | |
A 77-year-old female complains of difficulty breathing. She tells you she has had a
| | | | | | | | | | | | |
productive cough for several years. You
| | | | | |
auscultate coarse rhonchi in the bases of her lungs. You observe her mucous
| | | | | | | | | | | |
membranes are cyanotic. Her vital signs are
| | | | | | |
P 96, R 26 and labored, BP 148/92, and SpO2 is 88% on home oxygen 3 L/minute by
| | | | | | | | | | | | | | | | |
nasal cannula. You should: > ANSWER: Administer oxygen by non-rebreather
| | | | | | | | | |
mask.
|
A febrile 69-year-old male complains of body aches and decreased appetite. He tells
| | | | | | | | | | | |
you he has had the flu for a week.
| | | | | | | | |
His skin is cyanotic and diaphoretic.You auscultate rhonchi and decreased lung sounds
| | | | | | | | | | | |
over his left lower lung. His vital
| | | | | | |
signs are P 102, R 26, BP 116/90, and SpO2 is 91% on room air. You should suspect: >
| | | | | | | | | | | | | | | | | |
ANSWER: Pneumonia.
| |
, EMERGENCY |MEDICAL
|DISPATCH
Why can pulmonary embolisms cause a V/Q mismatch? >ANSWER: They block
| | | | | | | | | | |
pulmonary arterial blood flow.
| | | |
Why would a 46-year-old male who inhaled steam from a malfunctioning boiler have
| | | | | | | | | | | |
stridor in his upper airway and
| | | | | |
wheezes in his lower airway? >ANSWER: Steam can burn both upper and lower
| | | | | | | | | | | | |
airways causing edema.
| | |
An unresponsive 88-year-old male was found by nursing home staff having difficulty
| | | | | | | | | | |
breathing. His skin is pale and febrile.
| | | | | | |
You auscultate diminished lung sounds throughout his chest and faint rhonchi in his
| | | | | | | | | | | |
upper chest. His vital signs are P 104,
| | | | | | | |
R 26 and shallow, BP112/86, and SpO2 is 89 % on room air. You should: > ANSWER:
| | | | | | | | | | | | | | | | |
Assist his ventilation.
| | |
A 70-year-old male who has a history of emphysema complains of difficulty
| | | | | | | | | | |
breathing. He has four-word dyspnea, and you
| | | | | | |
auscultate a slight wheeze in his lower lung fields. His vital signs are P 102, R 22, and
| | | | | | | | | | | | | | | | |
BP 152/88. His SpO2 is 92% on
| | | | | | |
home oxygen 2 L/minute by nasal cannula attached to 100 feet of extension tubing.
| | | | | | | | | | | | |
You should: > ANSWER: Increase his home oxygen flow rate to 4 L/minute.
| | | | | | | | | | | | |
A 25-year-old female complains of difficulty breathing. She tells you she took her
| | | | | | | | | | | |
inhaler without relief. Her mucous
| | | | |
membranes are pale.You auscultate decreased lung sounds in the bases and wheezes in | | | | | | | | | | | | |
her upper lungs. Her vital signs
| | | | | |
