EMT Final Practice Fisdap
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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 - correct answersUse 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 - correct answerskeep 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 - correct answerscontrol 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 - correct answersLeft 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 - correct answersOcclusive 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 - correct answerscontraction 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 - correct
answersDetermine 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 - correct answersInadequate 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 - correct answersreassess 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 - correct answersUnresponsive 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 - correct answersCardiogenic 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 - correct answersSpeak 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 - correct answersimplied 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
B. Restrain the pt and continue administering O2 via NRB
C. Explain that the mask is very important and continue its use
D. Administer blow-by O2 via Simple mask - correct answersExplain that the mask is very
important and continue its use
A 23 y/o construction worker twisted his foot climbing up a ladder. He has an obvious deformity
on the right leg just below the knee. The lower leg and foot are cyanotic and pulseless. You
should
A. Apply an air splint and transport
B. Apply spinal immobilization and elevate the leg
C. Pull gentle traction and apply a splint
D. Apply a traction splint and transport - correct answersPull gentle traction and apply a splint
Which of the following is TRUE about the insertion of an OPA?
A. the OPA is always rotated 360 degrees as it is inserted
B. if properly inserted, the OPA will keep the tongue out of the way
C. the OPA should be inserted until the flange rests below the patient's teeth - correct
answersthe OPA should be inserted until the flange rests below the patient's teeth*
While ventilating a near drowning pt, you suddenly feel increased resistance in the airway. You
should
A. Perform abdominal thrust
B. Place pt in lateral recovery position
C. Attempt to reposition the head
D. Apply firm pressure to the abdomen - correct answersAttempt to reposition the head
A 28 y/o female who is 12 weeks pregnant has twisted her left knee while walking. She states
the pain is 10/10 in severity. You should
A. Apply a traction splint and immobilize with a long spine board
Save
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 - correct answersUse 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 - correct answerskeep 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 - correct answerscontrol 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 - correct answersLeft 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 - correct answersOcclusive 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 - correct answerscontraction 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 - correct
answersDetermine 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 - correct answersInadequate 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 - correct answersreassess 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 - correct answersUnresponsive 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 - correct answersCardiogenic 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 - correct answersSpeak 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 - correct answersimplied 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
B. Restrain the pt and continue administering O2 via NRB
C. Explain that the mask is very important and continue its use
D. Administer blow-by O2 via Simple mask - correct answersExplain that the mask is very
important and continue its use
A 23 y/o construction worker twisted his foot climbing up a ladder. He has an obvious deformity
on the right leg just below the knee. The lower leg and foot are cyanotic and pulseless. You
should
A. Apply an air splint and transport
B. Apply spinal immobilization and elevate the leg
C. Pull gentle traction and apply a splint
D. Apply a traction splint and transport - correct answersPull gentle traction and apply a splint
Which of the following is TRUE about the insertion of an OPA?
A. the OPA is always rotated 360 degrees as it is inserted
B. if properly inserted, the OPA will keep the tongue out of the way
C. the OPA should be inserted until the flange rests below the patient's teeth - correct
answersthe OPA should be inserted until the flange rests below the patient's teeth*
While ventilating a near drowning pt, you suddenly feel increased resistance in the airway. You
should
A. Perform abdominal thrust
B. Place pt in lateral recovery position
C. Attempt to reposition the head
D. Apply firm pressure to the abdomen - correct answersAttempt to reposition the head
A 28 y/o female who is 12 weeks pregnant has twisted her left knee while walking. She states
the pain is 10/10 in severity. You should
A. Apply a traction splint and immobilize with a long spine board
