Respiratory Emergencies Questions with Detailed Verified
Answers (100% Correct Answers) /Already Graded A+
You are assisting an asthma patient with his prescribed metered-dose inhaler.
After the patient takes a deep breath and depresses the inhaler, you should:
Ans: instruct him to hold his breath for as long as he comfortably can.
A 30-year-old male presents with acute shortness of breath, widespread
hives, facial swelling, and a red rash on his neck and chest. He denies any past
medical history and takes no medications. During your assessment, you hear
wheezing over all lung fields. His blood pressure is 90/50 mm Hg and his heart
rate is 110 beats/min. According to the NM EMT-Basic Scope of Practice and in
addition to giving him 100% oxygen, the MOST important medication for this
patient is:
Ans: epinephrine.
A 62-year-old man with a history of congestive heart failure presents with
severe respiratory distress and an oxygen saturation of 82%. When you
auscultate his lungs, you hear widespread rales. He is conscious and alert, is
able to follow simple commands, and can only speak in two- to three-word
sentences at a time. With all resources at your disposal, which of the following
treatment plans will benifit the patient the MOST:
Ans: apply a continuous positive airway pressure (CPAP) device, monitor his
blood
pressure, and observe him for signs of improvement or deterioration.
Harsh, high-pitched inspiratory sounds are characteristic of:
Ans: Stridor
Which of the following conditions would LEAST likely result in hypoxia (low
oxygen levlel in the blood)?
Ans: severe anxiety
Hyperventilation could be associated with all of the following, EXCEPT:
Approved By:
vPretest - Stuvia US
,2
Ans: a narcotic overdose.
Of the following choices, the onset of acute pulmonary edema would MOST
likely develop as the result of:
Ans: toxic chemical inhalation.
While auscultating an elderly woman's breath sounds, you hear low-pitched
"rattling"
sounds at the bases of both of her lungs. With which of the following
conditions is this finding MOST consistent?
Ans: aspiration pneumonia
A 59-year-old male with a history of emphysema complains of an acute
worsening of his dyspnea and pleuritic chest pain following a forceful cough.
Your assessment reveals that he has a barrel-shaped chest, unilaterally
diminished breath sounds, and tachycardia. What is the MOST likely cause of
this patient's condition?
Ans: spontaneous pneumothorax
Common signs and symptoms of acute hyperventilation syndrome include
Ans: tachypnea and tingling in the extremities.
Respiratory alkalosis is a condition that occurs when
Ans: blood acidity is reduced by excessive breathing.
According to the chart on page 479 of the EMT-Basic textbook, paroxysmal
nocturnal dyspnea (PND), rales, and dependent edema are clinical indicators
of:
Ans: congestive heart failure.
A 67-year-old male who smokes three packs of cigarettes per day complains
of a productive cough, chills, and generalized weakness. He is in mild
respiratory distress; auscultation of his lungs reveals rhonchi to the lower left
lobe. This patient's clinical presentation is MOST consistent with:
Approved By:
vPretest - Stuvia US
,3
A. pneumonia.
B. bronchitis.
C. heart failure.
Ans: A. pneumonia
You are treating a 2-year-old boy who is experiencing respiratory distress.
During your assessment, you note that the child has mild inspiratory stridor, a
barking cough, and a low-grade fever. The child is otherwise conscious, is
acting appropriate for his age, and has strong radial pulses. Treatment should
include:
A. an IV fluid bolus.
B. a beta antagonist.
C. assisted ventilation.
D. humidified oxygen.
Ans: D. humidified oxygen
When treating a patient who complains of dyspnea, it is important for the
AEMT to:
A. closely monitor the patient's cardiac rhythm.
B. be prepared to treat the patient's anxiety as well.
C. give oxygen via nasal cannula to minimize anxiety.
Approved By:
vPretest - Stuvia US
, 4
D. routinely request that a paramedic unit respond to the scene.
Ans: B. be prepared to treat the patient's anxiety as well
The respiratory syncytial virus (RSV) is a common cause of:
A. pertussis and the flu.
B. MRSA and whooping cough.
C. bronchiolitis and pneumonia.
D. asthma and chronic bronchitis.
Ans: C. bronchiolitis and pneumonia
Common side effects of inhaled medications used for acute shortness of
breath include all of the following, EXCEPT:
A. sedation.
B. tachycardia.
C. nervousness.
D. muscle tremors.
Ans: A. sedation
Cystic fibrosis is a genetic disorder that results in:
A. spontaneous collapsing of one or both lungs.
Approved By:
vPretest - Stuvia US