West Coast EMT Final
A. 1% - ANS-According to the rule of thumb of palm method for estimating the extent of a
affected person's burns, the palm of the affected person's hand is same to _____ of his or
her total BSA.
A. 1%
B. 2%
C. 4%
D. 6%
A. A forty nine-yr-antique girl with diabetes and trouble respiration - ANS-You are triaging 4
sufferers who were concerned in a head-on motor automobile crash. Which of the
subsequent patients need to be assigned the highest (red) triage category?
Select one:
A. A 49-yr-antique woman with diabetes and problem breathing
B. A 29-yr-vintage male with bilaterally closed femur deformities
C. A 36-yr-antique lady with again ache and numb extremities
D. A 50-12 months-vintage male with an open head damage and no pulse
A. A coronary heart assault. - ANS-A 75-yr-vintage male with type 1 diabetes affords with
chest pain and a widespread feeling of weakness. He tells you that he took his insulin these
days and ate a everyday meal approximately 2 hours ago. You have to treat this patient as
even though he's experiencing:
Select one:
A. A coronary heart attack.
B. Hyperglycemia.
C. An acute stroke.
D. Hypoglycemia.
A. Well known that she is scared and tell her that you'll take top care of her. - ANS-You are
transporting an aged girl who has in all likelihood experienced a stroke. She is glaringly
scared however is unable to speak and can't pass the whole proper facet of her body. In
addition to supplying the medical care that she desires, you must:
A. Acknowledge that she is scared and inform her that you will take precise care of her.
B. Reassure her that once proper remedy inside the medical institution, she will be able to
regain her speech in time.
C. Tell her which you understand why she is scared and that everything will probable be ok.
D. Hold eye contact at all times and tell her that there is no need for her to be scared.
A. Acute myocardial infarction - ANS-A patient tells you that he has a left ventricular assist
device (LVAD). Which of the following conditions need to you believe you studied that he has
skilled?
Select one:
A. Acute myocardial infarction
,B. Thoracic aortic aneurysm
C. Uncontrolled hypertension
D. Obstructive lung ailment
A. Administer high-flow oxygen, area a sterile pad over her vagina, keep her warm, elevate
her lower extremities, and shipping at once. - ANS-A 26-12 months-antique girl offers with
heavy vaginal bleeding. She is aware, however restless. Her blood strain is 84/fifty four mm
Hg, her pulse is 120 beats/min and vulnerable, and her respirations are 22 breaths/min with
ok depth. She tells you that she inserted a tampon approximately 2 hours in the past. You
ought to:
Select one:
A. Administer high-drift oxygen, place a sterile pad over her vagina, maintain her heat,
elevate her lower extremities, and transport right now.
B. Administer high-waft oxygen, ask her to remove the tampon, carry out a detailed
secondary evaluation, and delivery right away.
C. Assist her ventilations with a bag-valve mask, region one sterile dressing into her vagina,
perform a rapid secondary assessment, and transport.
D. Administer high-drift oxygen, perform a detailed evaluation of her vaginal vicinity for signs
of trauma, location her on her side, and delivery.
A. Administer oxygen and delivery to the health facility. - ANS-While walking, a 19-12
months-antique male experienced an acute onset of shortness of breath and pleuritic chest
ache. He is aware and alert with stable important signs and symptoms. Your evaluation
reveals that he has dwindled breath sounds over the left side of the chest. You should:
Select one:
A. Administer oxygen and shipping to the health facility.
B. Immediately perform a speedy head-to-toe examination.
C. Circumferentially tape a dressing around his chest.
D. Recognize that he wishes a needle decompression.
A. Administer oxygen, give her 324 mg of aspirin, and assess her further. - ANS-A sixty
six-year-antique female with a history of hypertension and diabetes gives with substernal
chest stress of two hours' period. Her blood strain is 140/ninety mm Hg, her pulse is 100
beats/min and irregular, her respirations are 22 breaths/min, and her oxygen saturation is
92%. The patient does not have prescribed nitroglycerin, however her husband does. You
must:
Select one:
A. Administer oxygen, deliver her 324 mg of aspirin, and examine her similarly.
B. Deliver her one nitroglycerin and reconsider her systolic blood pressure.
C. Acquire a SAMPLE history and phone scientific manipulate for recommendation.
D. Provide her high-go with the flow oxygen, attach the AED, and shipping immediately.
A. Endorse the dispatcher which you are out of service and to send every other unit. -
ANS-You have simply delivered a main trauma affected person to the hospital. Shortly after
departing the medical institution, dispatch advises you of any other name. The lower back of
the ambulance is contaminated with bloody dressings and is in disarray, and you're in need
of airway gadget and numerous other supplies. You must:
Select one:
,A. Suggest the dispatcher which you are out of service and to send every other unit.
B. Quickly proceed to the call and clean and restock the ambulance afterwards.
C. Have your partner quick clean the ambulance as you continue to the decision.
D. Continue to the call, functioning most effective as an emergency scientific responder.
A. After receiving approval from the incident commander. - ANS-When functioning at the
scene of a motor vehicle crash wherein a affected person would require complex extrication,
you have to input the car and offer care to the affected person:
Select one:
A. After receiving approval from the incident commander.
B. Handiest if the patient has experienced a primary injury.
C. After rescue employees have cut the battery cables.
D. Simplest once you accept as true with the vehicle has been stabilized.
A. Permit you to swiftly and visually shape a popular impression of the kid. - ANS-The motive
of the pediatric evaluation triangle (PAT) is to:
Select one:
A. Assist you to swiftly and visually form a popular affect of the kid.
B. Accumulate essential records by way of acting a speedy palms-on assessment of the kid.
C. Decide if the child's vital symptoms are within the age-suitable limits.
D. Facilitate a speedy head-to-toe assessment of the child through visualization most
effective.
A. Apply mild manual traction consistent with the limb and reassess for a pulse. -
ANS-During your evaluation of a 29-12 months-antique woman with widespread deformity to
her left elbow, you're not able to palpate a radial pulse. Your transport time to the health
facility is approximately 40 mins. You must:
Select one:
A. Observe gentle guide traction in keeping with the limb and reconsider for a pulse.
B. Make or three tries to restore distal move with the aid of manipulating the elbow.
C. Splint the elbow within the role of deformity and shipping right now.
D. Carefully straighten the injured arm and stable it with padded board splints.
A. Making use of direct strain with a dry, sterile dressing. - ANS-A 54-yr-vintage male skilled
an avulsion to his penis when his foreskin were given caught within the zipper of his pants.
He changed into able to unzip his pants and cast off the foreskin prior to your arrival. Your
evaluation well-knownshows that he's in excessive pain and that the avulsion is bleeding
reasonably. The MOST suitable treatment for this patient consists of:
Select one:
A. Making use of direct stress with a dry, sterile dressing.
B. Administering 100% oxygen through a nonrebreathing mask.
C. Covering the avulsion with moist, sterile dressings.
D. Soliciting for a paramedic to administer pain medicinal drug.
A. Atropine and pralidoxime chloride. - ANS-Multiple humans in a small metropolis began
experiencing abdominal cramps, immoderate salivation and urination, and muscle twitching
shortly after a small crop duster aircraft made numerous passes over the community. As you
are assessing the sufferers, you in addition decide that most of them are bradycardic and
, have miosis. In addition to excessive-waft oxygen, the MOST appropriate treatment for those
patients includes:
Select one:
A. Atropine and pralidoxime chloride.
B. Epinephrine and hyperbaric oxygen.
C. Activated charcoal and glucose.
D. Amyl nitrate and naloxone.
A. Bind his legs together on the backboard, maintain him warm, and delivery straight away. -
ANS-A 21-12 months-antique male become thrown over the handlebars of his motorbike
while he rear-ended a automobile that become stopped at a purple mild. He changed into
carrying a helmet, which he eliminated previous to your arrival. He is conscious, however
stressed, and has closed deformities to both of his femurs. His skin is faded, his coronary
heart price is fast and susceptible, and his respirations are rapid and shallow. You must:
A. Bind his legs collectively on the backboard, keep him heat, and shipping at once.
B. Follow traction splints to both of his legs, keep him warm, and shipping right now.
C. Splint every of his deformed femurs with long board splints and shipping without delay.
D. Splint each of his deformed femurs with air splints, raise his decrease extremities, and
delivery.
A. Brain and spinal twine. - ANS-The significant frightened machine (CNS) consists of the:
Select one:
A. Brain and spinal wire.
B. Cerebellum and brain.
C. Meninges and spinal cord.
D. Cerebrum and meninges.
A. Brush away the chemical before flushing with water. - ANS-When caring for a patient
whose arm is protected with a dry chemical, you need to:
Select one:
A. Brush away the chemical earlier than flushing with water.
B. Quickly irrigate the arm with large amounts of water.
C. Use forceful streams of water to eliminate the chemical.
D. Deactivate the chemical with a five% vinegar answer.
A. Cover it with moist, sterile gauze and stable with an occlusive dressing. - ANS-A 33-yr-old
male sustained an stomach evisceration to the left lower quadrant of his stomach after he
become cut with a large knife. After correctly handling his ABCs and assessing him for
different existence-threatening accidents, how you should care for his wound?
Select one:
A. Cover it with wet, sterile gauze and steady with an occlusive dressing.
B. Carefully update the uncovered bowel into the abdomen and delivery.
C. Cover the exposed bowel and maintain his legs in a directly role.
D. Irrigate it with sterile water and cover it with a dry dressing.
A. Diabetic ketoacidosis - ANS-A affected person with an altered intellectual fame; high
blood glucose ranges; and deep, fast breathing may have a circumstance referred to as
__________.
A. 1% - ANS-According to the rule of thumb of palm method for estimating the extent of a
affected person's burns, the palm of the affected person's hand is same to _____ of his or
her total BSA.
A. 1%
B. 2%
C. 4%
D. 6%
A. A forty nine-yr-antique girl with diabetes and trouble respiration - ANS-You are triaging 4
sufferers who were concerned in a head-on motor automobile crash. Which of the
subsequent patients need to be assigned the highest (red) triage category?
Select one:
A. A 49-yr-antique woman with diabetes and problem breathing
B. A 29-yr-vintage male with bilaterally closed femur deformities
C. A 36-yr-antique lady with again ache and numb extremities
D. A 50-12 months-vintage male with an open head damage and no pulse
A. A coronary heart assault. - ANS-A 75-yr-vintage male with type 1 diabetes affords with
chest pain and a widespread feeling of weakness. He tells you that he took his insulin these
days and ate a everyday meal approximately 2 hours ago. You have to treat this patient as
even though he's experiencing:
Select one:
A. A coronary heart attack.
B. Hyperglycemia.
C. An acute stroke.
D. Hypoglycemia.
A. Well known that she is scared and tell her that you'll take top care of her. - ANS-You are
transporting an aged girl who has in all likelihood experienced a stroke. She is glaringly
scared however is unable to speak and can't pass the whole proper facet of her body. In
addition to supplying the medical care that she desires, you must:
A. Acknowledge that she is scared and inform her that you will take precise care of her.
B. Reassure her that once proper remedy inside the medical institution, she will be able to
regain her speech in time.
C. Tell her which you understand why she is scared and that everything will probable be ok.
D. Hold eye contact at all times and tell her that there is no need for her to be scared.
A. Acute myocardial infarction - ANS-A patient tells you that he has a left ventricular assist
device (LVAD). Which of the following conditions need to you believe you studied that he has
skilled?
Select one:
A. Acute myocardial infarction
,B. Thoracic aortic aneurysm
C. Uncontrolled hypertension
D. Obstructive lung ailment
A. Administer high-flow oxygen, area a sterile pad over her vagina, keep her warm, elevate
her lower extremities, and shipping at once. - ANS-A 26-12 months-antique girl offers with
heavy vaginal bleeding. She is aware, however restless. Her blood strain is 84/fifty four mm
Hg, her pulse is 120 beats/min and vulnerable, and her respirations are 22 breaths/min with
ok depth. She tells you that she inserted a tampon approximately 2 hours in the past. You
ought to:
Select one:
A. Administer high-drift oxygen, place a sterile pad over her vagina, maintain her heat,
elevate her lower extremities, and transport right now.
B. Administer high-waft oxygen, ask her to remove the tampon, carry out a detailed
secondary evaluation, and delivery right away.
C. Assist her ventilations with a bag-valve mask, region one sterile dressing into her vagina,
perform a rapid secondary assessment, and transport.
D. Administer high-drift oxygen, perform a detailed evaluation of her vaginal vicinity for signs
of trauma, location her on her side, and delivery.
A. Administer oxygen and delivery to the health facility. - ANS-While walking, a 19-12
months-antique male experienced an acute onset of shortness of breath and pleuritic chest
ache. He is aware and alert with stable important signs and symptoms. Your evaluation
reveals that he has dwindled breath sounds over the left side of the chest. You should:
Select one:
A. Administer oxygen and shipping to the health facility.
B. Immediately perform a speedy head-to-toe examination.
C. Circumferentially tape a dressing around his chest.
D. Recognize that he wishes a needle decompression.
A. Administer oxygen, give her 324 mg of aspirin, and assess her further. - ANS-A sixty
six-year-antique female with a history of hypertension and diabetes gives with substernal
chest stress of two hours' period. Her blood strain is 140/ninety mm Hg, her pulse is 100
beats/min and irregular, her respirations are 22 breaths/min, and her oxygen saturation is
92%. The patient does not have prescribed nitroglycerin, however her husband does. You
must:
Select one:
A. Administer oxygen, deliver her 324 mg of aspirin, and examine her similarly.
B. Deliver her one nitroglycerin and reconsider her systolic blood pressure.
C. Acquire a SAMPLE history and phone scientific manipulate for recommendation.
D. Provide her high-go with the flow oxygen, attach the AED, and shipping immediately.
A. Endorse the dispatcher which you are out of service and to send every other unit. -
ANS-You have simply delivered a main trauma affected person to the hospital. Shortly after
departing the medical institution, dispatch advises you of any other name. The lower back of
the ambulance is contaminated with bloody dressings and is in disarray, and you're in need
of airway gadget and numerous other supplies. You must:
Select one:
,A. Suggest the dispatcher which you are out of service and to send every other unit.
B. Quickly proceed to the call and clean and restock the ambulance afterwards.
C. Have your partner quick clean the ambulance as you continue to the decision.
D. Continue to the call, functioning most effective as an emergency scientific responder.
A. After receiving approval from the incident commander. - ANS-When functioning at the
scene of a motor vehicle crash wherein a affected person would require complex extrication,
you have to input the car and offer care to the affected person:
Select one:
A. After receiving approval from the incident commander.
B. Handiest if the patient has experienced a primary injury.
C. After rescue employees have cut the battery cables.
D. Simplest once you accept as true with the vehicle has been stabilized.
A. Permit you to swiftly and visually shape a popular impression of the kid. - ANS-The motive
of the pediatric evaluation triangle (PAT) is to:
Select one:
A. Assist you to swiftly and visually form a popular affect of the kid.
B. Accumulate essential records by way of acting a speedy palms-on assessment of the kid.
C. Decide if the child's vital symptoms are within the age-suitable limits.
D. Facilitate a speedy head-to-toe assessment of the child through visualization most
effective.
A. Apply mild manual traction consistent with the limb and reassess for a pulse. -
ANS-During your evaluation of a 29-12 months-antique woman with widespread deformity to
her left elbow, you're not able to palpate a radial pulse. Your transport time to the health
facility is approximately 40 mins. You must:
Select one:
A. Observe gentle guide traction in keeping with the limb and reconsider for a pulse.
B. Make or three tries to restore distal move with the aid of manipulating the elbow.
C. Splint the elbow within the role of deformity and shipping right now.
D. Carefully straighten the injured arm and stable it with padded board splints.
A. Making use of direct strain with a dry, sterile dressing. - ANS-A 54-yr-vintage male skilled
an avulsion to his penis when his foreskin were given caught within the zipper of his pants.
He changed into able to unzip his pants and cast off the foreskin prior to your arrival. Your
evaluation well-knownshows that he's in excessive pain and that the avulsion is bleeding
reasonably. The MOST suitable treatment for this patient consists of:
Select one:
A. Making use of direct stress with a dry, sterile dressing.
B. Administering 100% oxygen through a nonrebreathing mask.
C. Covering the avulsion with moist, sterile dressings.
D. Soliciting for a paramedic to administer pain medicinal drug.
A. Atropine and pralidoxime chloride. - ANS-Multiple humans in a small metropolis began
experiencing abdominal cramps, immoderate salivation and urination, and muscle twitching
shortly after a small crop duster aircraft made numerous passes over the community. As you
are assessing the sufferers, you in addition decide that most of them are bradycardic and
, have miosis. In addition to excessive-waft oxygen, the MOST appropriate treatment for those
patients includes:
Select one:
A. Atropine and pralidoxime chloride.
B. Epinephrine and hyperbaric oxygen.
C. Activated charcoal and glucose.
D. Amyl nitrate and naloxone.
A. Bind his legs together on the backboard, maintain him warm, and delivery straight away. -
ANS-A 21-12 months-antique male become thrown over the handlebars of his motorbike
while he rear-ended a automobile that become stopped at a purple mild. He changed into
carrying a helmet, which he eliminated previous to your arrival. He is conscious, however
stressed, and has closed deformities to both of his femurs. His skin is faded, his coronary
heart price is fast and susceptible, and his respirations are rapid and shallow. You must:
A. Bind his legs collectively on the backboard, keep him heat, and shipping at once.
B. Follow traction splints to both of his legs, keep him warm, and shipping right now.
C. Splint every of his deformed femurs with long board splints and shipping without delay.
D. Splint each of his deformed femurs with air splints, raise his decrease extremities, and
delivery.
A. Brain and spinal twine. - ANS-The significant frightened machine (CNS) consists of the:
Select one:
A. Brain and spinal wire.
B. Cerebellum and brain.
C. Meninges and spinal cord.
D. Cerebrum and meninges.
A. Brush away the chemical before flushing with water. - ANS-When caring for a patient
whose arm is protected with a dry chemical, you need to:
Select one:
A. Brush away the chemical earlier than flushing with water.
B. Quickly irrigate the arm with large amounts of water.
C. Use forceful streams of water to eliminate the chemical.
D. Deactivate the chemical with a five% vinegar answer.
A. Cover it with moist, sterile gauze and stable with an occlusive dressing. - ANS-A 33-yr-old
male sustained an stomach evisceration to the left lower quadrant of his stomach after he
become cut with a large knife. After correctly handling his ABCs and assessing him for
different existence-threatening accidents, how you should care for his wound?
Select one:
A. Cover it with wet, sterile gauze and steady with an occlusive dressing.
B. Carefully update the uncovered bowel into the abdomen and delivery.
C. Cover the exposed bowel and maintain his legs in a directly role.
D. Irrigate it with sterile water and cover it with a dry dressing.
A. Diabetic ketoacidosis - ANS-A affected person with an altered intellectual fame; high
blood glucose ranges; and deep, fast breathing may have a circumstance referred to as
__________.
