SCRIPT COMPLETE QUESTIONS AND
SOLUTIONS GRADED A+
◉ You and your EMT partner arrive at the residence of a 50-year-old
man who complains of weakness. Your primary assessment reveals
that he is critically ill and will require aggressive treatment. The
closest hospital is 25 miles away. You should:
perform a detailed secondary assessment, assess his vital signs, and
then transport rapidly.
manage all threats to airway, breathing, and circulation and consider
requesting an ALS unit.
administer oxygen via nonrebreathing mask and obtain as much of
his medical history as possible.
load him into the ambulance, begin transport, and perform all
treatment en route to the hospital. Answer: b
,◉ ou have just completed your primary assessment of a 48-year-old
man with crushing chest pain. The patient has been given 324 mg of
aspirin and is receiving high-flow oxygen via nonrebreathing mask.
As you begin your secondary assessment, you note that his mental
status has deteriorated and he is now bradycardic. You should:
continue with your secondary assessment.
prepare the patient for immediate transport.
insert a nasal airway and assist his breathing.
request an ALS unit to respond to the scene. Answer: b
◉ A 33-year-old female presents with lower abdominal quadrant
pain. She is conscious and alert, but in moderate pain. While your
partner is asking her questions about her medical history, you take
her vital signs. When you assess her radial pulse, you are unable to
locate it. You should:
,assess the rate, regularity, and quality of her carotid pulse.
advise your partner that the patient's blood pressure is low.
immediately take her blood pressure to see if she is hypotensive.
conclude that she is perfusing adequately since she is conscious.
Answer: a
◉ Ten days after treating a 34-year-old patient with tuberculosis,
you are given a tuberculin skin test, which yields a positive result.
This MOST likely indicates that:
you are actively infected with tuberculosis and should be treated
immediately.
the disease is dormant in your body, but will probably never cause
symptoms.
you contracted the disease by casual contact instead of exposure to
secretions.
, you were exposed to another infected person prior to treating the
34-year-old patient. Answer: d
◉ Which of the following statements regarding the human
immunodeficiency virus (HIV) is correct?
HIV is far more contagious than hepatitis B and is easily transmitted
in the health care setting.
The risk of HIV infection is high, even if an infected person's blood
comes in contact with your intact skin.
The risk of HIV infection is greatest when deposited on a mucous
membrane or directly into the bloodstream.
Most patients who are infected with HIV experience chronic
symptoms that vary in duration and severity. Answer: c
◉ A 58-year-old man complains of chest discomfort and nausea. He
is conscious and alert. His blood pressure is 140/90 mm Hg, his
pulse is 104 beats/min, and his respirations are 16 breaths/min.