EMS 1055 – MIDTERM QUESTION AND ANSWERS
You initiate treatment of an injured patient. You are waiting for help to arrive, but are in
a huge hurry. You decide to leave before handing over care to an equal or higher level
provider. This is called?
perfectly legal
neglect
abandonment
really mean - Answers - neglect
You are assessing the pupils of a patient with a significant head injury. You notice that
one pupil is dilated while the other appears normal (ipsilateral pupil dilation). What
condition do you suspect?
cerebral herniation
sympathetic response
skull fracture
respiratory distress - Answers - cerebral herniation
Which blood pressure is considered hypotensive in an adult?
180/100
102/88
120/80
90/60 - Answers - 90/60
Which of the following patients is experiencing tachypnea?
a patient with a respiratory rate of 12 bpm
a patient with a respiratory rate of 16 bpm
a paientt with a respiratory rate of 20 bpm
a patient with a respiratory rate of 25 bpm - Answers - a patient with a respiratory rate of
25 bpm
The respiratory pattern that is fast and deep, often associated with metabolic acidosis
secondary to diabetic ketoacidosis (DKA) is called?
Biot's
Apneustic
Eupnea
Kussmal's - Answers - Kussmal's
,Which of the following is defined by only performing skils and treatments that fall within
your certification and training?
standard of care
scope of practice
implied consent
neglect - Answers - scope of practice
Which skin condition is an indication of shock?
red, hot, and dry
warm, pink, and dry
cyanotic
pale, cool, diaphoretic - Answers - pale, cool, diaphoretic
You ask an adult patient for consent to treat them and they verbally respond that you
can. What kind of consent is this?
deliverate
implied
expressed
minor - Answers - expressed
You palpate using a radial pulse and it is present. You know that the systolic blood
pressure is at least?
70 mmHg
80 mmHg
60 mmHg
90 mmHg - Answers - 80 mmHg
Which patients should you portect yourself with BSI precautions?
all patients
only patients who look sick
only patients who are bleeding
only patients with a productive cough - Answers - all patients
Which of the following is not a sign of inadequate breathing?
tachypnea
accessory muscle usage
cyanosis
tripoding - Answers - tachypnea
Which nare of the nose is typically larger and should be used for NPA insertion?
,they are equal
left
impossible to know
right - Answers - right
You place a patient on a SpO2 monitor. You know from lecture that you should place
oxygen on any patient with a reading lower than what value?
80%
94%
88%
90% - Answers - 94%
You are assessing AVPU on a patient. The patient's eyes are closed and they do not
respond to your voice. You perform a light sternal rub and the patient groans. What
score do you give on the AVPU scale?
unresponsive
voice
alert
pain - Answers - pain
An OPA is measured from?
the angle of the mouth to the earlobe
the middle of the mouth to the earlobe
edge of the mouth to the angle of the jaw
middle of the mouth to the angle of the jaw - Answers - edge of the mouth to the angle
of the jaw
How much oxygen flow should you set for a BVM?
20-25 LPM
5 LMP
10-15 LPM
20 LPM - Answers - 10-15 LPM
Which pulse point, when palpated, can cause a vagal response and/or cause a stroke?
femoral
carotid
brachial
radial - Answers - carotid
How much oxygen should you flow for a patient on a NRBM?
, 10-15 LPM
15-20 LPM
5-10 LPM
5 LPM - Answers - 10-15 LPM
How much oxygen flow should you set for a patient on a nasal cannula?
1-2 LPM
10 LPM
5-10 LPM
2-6 LPM - Answers - 2-6 LPM
Which adjunct airway is best used in a patient with an intact gag reflex?
king tube
none of these
OPA
NPA - Answers - NPA
A 52 y/o female presents with an acute onset of crushing chest pain and diaphoresis.
You should:
obtain vital signs and a SAMPLE history
assist in administreing 400 mg ASA
place the patient in a Trendelenberg to reduce the symptoms of shock
asses adequacy of her respirations - Answers - assess adequacy of her respirations
A patient has a blood pressure of 160/82. What is their pulse pressure?
82
242
160
78 - Answers - 78
A patient has a blood pressure of 160/82. What is their MAP?
121
82
108
160 - Answers - 108
Which of the following is correct?
your chest is inferior to your abdomen
yout hand is distal to your elbow
You initiate treatment of an injured patient. You are waiting for help to arrive, but are in
a huge hurry. You decide to leave before handing over care to an equal or higher level
provider. This is called?
perfectly legal
neglect
abandonment
really mean - Answers - neglect
You are assessing the pupils of a patient with a significant head injury. You notice that
one pupil is dilated while the other appears normal (ipsilateral pupil dilation). What
condition do you suspect?
cerebral herniation
sympathetic response
skull fracture
respiratory distress - Answers - cerebral herniation
Which blood pressure is considered hypotensive in an adult?
180/100
102/88
120/80
90/60 - Answers - 90/60
Which of the following patients is experiencing tachypnea?
a patient with a respiratory rate of 12 bpm
a patient with a respiratory rate of 16 bpm
a paientt with a respiratory rate of 20 bpm
a patient with a respiratory rate of 25 bpm - Answers - a patient with a respiratory rate of
25 bpm
The respiratory pattern that is fast and deep, often associated with metabolic acidosis
secondary to diabetic ketoacidosis (DKA) is called?
Biot's
Apneustic
Eupnea
Kussmal's - Answers - Kussmal's
,Which of the following is defined by only performing skils and treatments that fall within
your certification and training?
standard of care
scope of practice
implied consent
neglect - Answers - scope of practice
Which skin condition is an indication of shock?
red, hot, and dry
warm, pink, and dry
cyanotic
pale, cool, diaphoretic - Answers - pale, cool, diaphoretic
You ask an adult patient for consent to treat them and they verbally respond that you
can. What kind of consent is this?
deliverate
implied
expressed
minor - Answers - expressed
You palpate using a radial pulse and it is present. You know that the systolic blood
pressure is at least?
70 mmHg
80 mmHg
60 mmHg
90 mmHg - Answers - 80 mmHg
Which patients should you portect yourself with BSI precautions?
all patients
only patients who look sick
only patients who are bleeding
only patients with a productive cough - Answers - all patients
Which of the following is not a sign of inadequate breathing?
tachypnea
accessory muscle usage
cyanosis
tripoding - Answers - tachypnea
Which nare of the nose is typically larger and should be used for NPA insertion?
,they are equal
left
impossible to know
right - Answers - right
You place a patient on a SpO2 monitor. You know from lecture that you should place
oxygen on any patient with a reading lower than what value?
80%
94%
88%
90% - Answers - 94%
You are assessing AVPU on a patient. The patient's eyes are closed and they do not
respond to your voice. You perform a light sternal rub and the patient groans. What
score do you give on the AVPU scale?
unresponsive
voice
alert
pain - Answers - pain
An OPA is measured from?
the angle of the mouth to the earlobe
the middle of the mouth to the earlobe
edge of the mouth to the angle of the jaw
middle of the mouth to the angle of the jaw - Answers - edge of the mouth to the angle
of the jaw
How much oxygen flow should you set for a BVM?
20-25 LPM
5 LMP
10-15 LPM
20 LPM - Answers - 10-15 LPM
Which pulse point, when palpated, can cause a vagal response and/or cause a stroke?
femoral
carotid
brachial
radial - Answers - carotid
How much oxygen should you flow for a patient on a NRBM?
, 10-15 LPM
15-20 LPM
5-10 LPM
5 LPM - Answers - 10-15 LPM
How much oxygen flow should you set for a patient on a nasal cannula?
1-2 LPM
10 LPM
5-10 LPM
2-6 LPM - Answers - 2-6 LPM
Which adjunct airway is best used in a patient with an intact gag reflex?
king tube
none of these
OPA
NPA - Answers - NPA
A 52 y/o female presents with an acute onset of crushing chest pain and diaphoresis.
You should:
obtain vital signs and a SAMPLE history
assist in administreing 400 mg ASA
place the patient in a Trendelenberg to reduce the symptoms of shock
asses adequacy of her respirations - Answers - assess adequacy of her respirations
A patient has a blood pressure of 160/82. What is their pulse pressure?
82
242
160
78 - Answers - 78
A patient has a blood pressure of 160/82. What is their MAP?
121
82
108
160 - Answers - 108
Which of the following is correct?
your chest is inferior to your abdomen
yout hand is distal to your elbow