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You respond to an 18 year old male who has been assaulted with a baseball bat.
He was hit in the chest. He is unresponsive, apneic, and pulseless. The condition
is likely related to:
A. shock
B. commotio cordis
C. MI
D. PE - ANSWER-B. commotio cordis
During your assessment of a patient with blunt chest trauma, you note that the
patient has shallow breathing and paradoxical movement of the left chest wall.
You should:
A. administer oxygen by NRB
B. monitor him and transport
C. transport rapidly
D. assist ventilations with a BVM - ANSWER-D. assist ventilations with a
BVM
A car pulls up to your ambulance with an unresponsive 1 year old female who is
apneic and pulseless in the back seat. While your partner notifies dispatch and
retrieves the AED, you should start CPR, providing:
A. 2 ventilations followed by 30 compressions
,B. 30 chest compressions followed by 2 ventilations - ANSWER-B. 30 chest
compressions followed by 2 ventilations
A 68 year old male is experiencing lower abdominal pain and says he frequently
goes to the bathroom but seems he cant "empty" his bladder. You should
suspect:
A. urinary retention
B. UTI
C. uretitis
D. kidney stones - ANSWER-A. urinary retention
A 12 year old male tells you he ate peanut butter by mistake. He has audible
wheezes and his skin is pale. His pulse is weak and rapid. You should suspect:
A. extrinsic asthma
B. distributive shock
C. respiratory failure
D. obstructive shock - ANSWER-B. distributive shock
A 64 year old female has difficulty breathing after being kicked by a horse. You
observe paradoxical left chest wall movement. Her initial vital signs are P 108,
R 18, BP 110/84, and SpO2 is 95% on oxygen by nasal cannula. As you prepare
to transport her, you observe her respiratory rate is increasing while her SpO2 is
decreasing. Which of the following should be the goals of your treatment?
Select the two answer options which are correct.
A. assisting her ventilation
B. placing her in recumbent position
C. increase oxygen
D. administer nitro for pain
E. stabilize chest wall - ANSWER-A. assisting her ventilation and C. increase
oxygen
,A 7 year old is being cared for at home with a ventilator. When you arrive, the
ventilator alarm is going off. Your partner reports her pulse rate is 40. You
should:
A. troubleshoot the settings
B. increase the volume of ventilations given by her machine
C. assist her ventilations with a BVM
D. increase the number of ventilations on machine - ANSWER-C. assist her
ventilations with a BVM
- patient is showing signs of hypoxia, so best option is BVM
A 2 year old female was eating grapes and began to choke. When you arrive,
she is unresponsive and not breathing. You should first:
A. perform a series of abdominal thrusts
B. lift her by the feet and perform back slaps
C. begin chest compressions
D. inspect the airway, possibly a finger sweep - ANSWER-C. begin chest
compressions
- she is unresponsive and not breathing, so chest compressions would be the
best answer
You have a patient who is vomiting large amounts of bright red blood. No
complaints of pain in the abdomen. He has difficulty breathing, pale, cool,
clammy and jaundiced skin. His pulse rate is 128. You should suspect:
A. ruptured hernia
B. esophageal varices
C. esophageal tear
D. ulcer ruptured - ANSWER-B. esophageal varices
, A 31 year old female who has a history of diabetes collapses suddenly. When
you arrive, she is unresponsive, and her vital signs are P 90, R 6, BP 108/78.
You should:
A. administer glucose
B. administer oxygen
C. assist her ventilations
D. place her in recovery position - ANSWER-C. assist her ventilations
Administration of epinephrine by autoinjector is dependent upon the:
A. knowledge of the patient on how to use it
B. type of allergen the patient was exposed to
C. BP of the patient at the time of admin
D. device having a functional spring plunger - ANSWER-D. device having a
functional spring plunger
A 42 year old female who has a history of type II diabetes has an altered level
of consciousness. You should provide her:
A. oxygen by NRB
B. coffee with two packets of non-dairy creamer
C. orange juice with 2 tbsp sugar added
D. soda sipped through straw - ANSWER-C. orange juice with 2 tbsp sugar
added
Which of the following is most likely to cause septic shock?
A. bacteremia
B. stroke
C. hepatitis
D. renal failure - ANSWER-A. bacteremia