Core EMT FISDAP Exam [ Version] UPDATED!!

Core EMT FISDAP Exam [ Version] UPDATED!! A 4-Year-old female tracheostomy pt has pulled out her tracheostomy tube. The opening is partially obstructed with skin. You should A. Use a soft tip catheter and suction until clear B. Insert a nasal airway into stoma C. Wipe the area clean and perform mouth to stoma ventilation D. Cut the skin away from the stoma *Ans* Use a soft tip catheter and suction until clear To protect yourself from injury when lifting a stretcher you should A. keep the weight as close to your body as possible B. use two additional ppl for the lift C. lean forward toward the stretcher *Ans* keep the weight as close to your body as possible An unresponsive 10 year old male was hit by a car and is bleeding heavily from an open leg fracture. After securing his airway and manually stabilizing c-spine, you should: A. place the patient in Tredelenburg position B. perform a rapid trauma assessment C. control bleeding from the leg wound D. immobilize the extremity using a ladder splint *Ans* control bleeding from the leg wound * The strongest portion of the heart that is responsible for circulating blood to the entire body is the A. Left atrium B. Right atrium C. Left ventricle D. Right ventricle *Ans* Left ventricle A 46 y/o female was involved in a bar fight and has an obvious open neck wound. You should dress this wound with a/ an A. Occlusive dressing B. Sterile gauze dressing C. Pressure dressing D. Moist gauze dressing *Ans* Occlusive dressing * When assessing a pulse, you are feeling the: A. relaxation of the atria B. contraction of the left ventricle C. contraction of the left atrium D. relaxation of both ventricles *Ans* contraction of the left ventricle* A 60 y/o female has chest pain. She has not taken her prescribed nitro you should A. Determine what type of cardiac problem the pt has, and assist her with taking the nitro B. Immediately attached the AED and begin transport to hospital C. Administer aspirin only and withhold the nitro D. Consult medical direction with regard to assisting the pt in taking the nitro *Ans* Determine what type of cardiac problem the pt has, and assist her with taking the nitro Which of the following is the best definition of hypoperfusion? A. Less blood reaching capillary beds B. Inadequate oxygen delivery to cells C. Lowered heart rate and BP D. Blood vessel dilation causing distal pooling *Ans* Inadequate oxygen delivery to cells You are ventilating an apneic asthmatic patient with a BVM, but notice there is inadequate chest rise. What should you do? A. reassess the airway for an obstruction B. increase the ventilation pressure C. switch to an O2 powered ventilation device D. increase the rate of the ventilations *Ans* reassess the airway for an obstruction * For which of the following patients would an OPA be most appropriate? A. A 19 y/o with a mandible fracture who is only responsive to pain B. Unresponsive 25 y/o with a suspected spinal injury C. Unresponsive five-year-old with a suspected airway obstruction D. Semiconscious 76 y.o old who is gasping for air *Ans* Unresponsive 25 y/o with a suspected spinal injury Your patient is pale, diaphoretic, and complains of chest pressure. Her vitals are R 18 P 58, and BP 88/50. You should suspect A. Unstable angina B. A thoracic aneurysm C. Cardiogenic shock D. Pulmonary embolism *Ans* Cardiogenic shock A 66 y/o male is confused. He has a history of substance abuse and falls. His breath smells of alcoholic beverage. He is alert and refusing service. You should A. Obtain consent from his family and transport B. Document his refusal and recommend that he see his doctor C. Speak calmly to him and convince him to accept transport D. Have the police transport the pt to detox unit *Ans* Speak calmly to him and convince him to accept transport Your 12 yr old patient has a penetrating wound to the abdomen. You may provide care based on A. informed consent B. expressed consent C. implied consent *Ans* implied consent A victim of smoke inhalation has developed difficulty breathing. He does not like the smell of the mask you are using to deliver O2. You should A. Switch to a NC set to deliver O2 @ 6 LPM