Answers
1.The umbilical cord is wrapped tightly around the baby's neck and you
have tried unsuccessfully to slip the cord over the head. What should your
next course of action be?
A. Push the baby's head into the vagina until the cord comes loose
B. Clamp the cord in two places and cut it in the middle
C. Support the head and suction the baby's nose and mouth
D. Massage the uterus to stimulate harder contractions to free the baby
ANS Clamp the cord in two places and cut it in the middle
2.You arrive on scene with your partner to a restaurant where a man was
reported to be choking. You enter and find an unconscious cyanotic male on
the floor. He is supine with BBQ sauce on his mouth and napkins in his
hand. What would you do for this patient?
A. Verify apnea, give two slow breaths with high flow O2, and administer
back thrusts until the object has been removed
B. Ask the bystanders what happened. Verify no pulse, and attach the AED.
Tell everyone to stand back, and hit analyze following the prompts
1/
34
,C. Administer abdominal thrusts, followed by a finger sweep and then
admin- ister high flow O2. Monitor patient while transporting
D. Head tilt, chin lift, verify apnea and begin compressions. Upon completion
of compressions, give two slow breaths looking for chest rise and fall
ANS Head tilt, chin lift, verify apnea, and begin compressions. Upon
completion of compressions give two slow breaths looking for the chest
to rise and fall
3.A 73 year old female was in her backyard gardening when she collapsed
to the ground. Her husband told 911 that "she is breathing very fast and will
not talk to me." You arrive to find the woman lying on her side in the grass.
She is breathing at 7 breaths per minute and her pulse is irregular and very
thready. Her lungs also present with crackles upon auscultation. As you are
taking blood pressure (88/66) the husband tell you that the woman has been
having jaw pain and some weakness for 3 days. What is the most likely
cause of the woman's condition and how would you treat her?
A. Hypoperfusion, High flow O2, and transportation into Fowler's position
B. Cardiac arrest, treat for shock, and rapid transport
C. Cardiogenic shock, assist ventilations, and transport
D. Septic shock, transport into a position of comfort with high flow O2
via NRB
ANS Cardiogenic shock, assist ventilations, and transport
2/
34
,4.One pupil is dilated and the other is constricted would suggest what
type of injury?
A. Cervical
B. Cerebral
C. Crovasic
D. Cellular
ANS Cerebral
5.A Transient Ischemic Attack (TIA) will usually stop after
A. 30-60 minutes
B. 1-2 days
C. Proper intervention
D. 10-15 minutes
ANS 10-15 minutes
6.Signs and symptoms of Cushing' phenomenon include all of the
following except
3/
34
, A. Hypertension
B. Tachycardia
C. Biot respirations
D. Central neurogenic hyperventilation
ANS Tachycardia
7.Which of the following choices is a normal systolic blood pressure in
a child?
A. Less than 80 mm Hg
B. 70 mm Hg
C. Greater than 70 mm Hg
D. Greater than 120 mm Hg
ANS Greater than 70 mm Hg
8.You are assessing an 84 year old man. Upon auscultation of the lungs
you discover crackles or race sounds. He is complaining of chest pain
and congestion. These signs and symptoms can indicate what?
A. An embolism
4/
34