EXAM) with complete solutions
During the management of a patient known to have sickle cell anemia, the patient is
complaining of shortness of breath. This could be due to what change in her red blood cells?
a. Inability to carry oxygen
b. Inability for the heart to pump the sickle-shaped cells
c. Inability for the lungs to take in oxygen and produce carbon dioxide
d. Inability of the red blood cells to use oxygen for energy production - correct answer ✔✔a.
Inability to carry oxygen
The mnemonic OPQRST is used to assess:
a. Onset, quantity, radiation, sensation, time
b. Onset, provocation/palliation, quality, radiation, severity, time
c. Onset, pain, quality, radiation, sensation, time
d. Onset, provocation, quantity, radiation, sensation, time - correct answer ✔✔b. Onset,
provocation/palliation, quality, radiation, severity, time
Which of the following medical patients will the EMT perform a rapid physical exam on?
a. An 86-year-old unresponsive diabetic patient
b. A 9-year-old boy with asthma who is scared
c. A 32-year-old male with respiratory distress
d. A 60-year-old psych patient threatening to kill himself - correct answer ✔✔a. An 86-year-old
unresponsive diabetic patient
,Of the following mechanisms of entry for a poison to enter the body, which is most likely to
occur to the pediatric patient?
a. Injection
b. Ingestion
c. Inhalation
d. Absorption - correct answer ✔✔b. Ingestion
You arrive on the scene and find a 74-year-old male who collapsed at home. As you approach
him, you note that his eyes are not open, you hear a loud gurgling noise, and it appears that he
is breathing at about six times per minute. You should immediately:
a. Assess the radial and then the carotid pulse
b. Begin bag valve mask ventilation with supplemental oxygen and assess his mental status
c. Apply a nonrebreather mask and assess the blood pressured. d.Suction the mouth until it is
clear and then begin positive pressure ventilation - correct answer ✔✔d.Suction the mouth
until it is clear and then begin positive pressure ventilation
When assessing a patient suspected of suffering from a behavioral emergency, EMS provider
should:
a. Tell the patient to calm down until he can be trusted to behave rationally
b. Surround the patient to show support and establish control of the situation
c. Allow only one provider to interact with the patient and limit visual and audible stimuli
d. Tell the patient he must be transported to the hospital, so it will be easier if he goes willingly -
correct answer ✔✔c. Allow only one provider to interact with the patient and limit visual and
audible stimuli
Patients suffering from hypothermia should be handled gently to prevent:
,a. Bradycardia
b. Ventricular fibrillation
c. Frostbite
d. Apnea - correct answer ✔✔b. Ventricular fibrillation
You are completing a PCR on an anaphylactic patient you just transported to the hospital.
During transport, you had to assist the patient with the administration of her Epi-Pen®. As you
complete this task, what adult dose of drug would you document for the epinephrine?
a. 0.15 mg
b. 0.30 mg
c. 0.45 mg
d. 0.60 mg - correct answer ✔✔b. 0.30 mg
A diabetic patient takes her insulin medication regularly and watches what she eats. However,
one day she is not feeling well and she vomits a few times after breakfast. What medical
emergency related to diabetes could this cause?
a. Hypertension
b. Hypotension
c. Hypoglycemia
d. Hyperglycemia - correct answer ✔✔c. Hypoglycemia
You arrive at the scene of a medical patient. You are shown to the patient's bedroom where the
patient is found lying on the bed. You immediately see the patient wearing a CPAP mask. Given
this, what is one expected medical diagnosis you'll probably see in the patient's history?
a. Sleep apnea
b. Hypertension
, c. Severe pneumonia
d. Neuromuscular disorder - correct answer ✔✔a. Sleep apnea
Upon initial questioning of a patient, the patient is complaining of multiple things: chest pain,
dyspnea, and abdominal pain. What should be the next course of action for the EMT?
a. Ask the patient which thing bothered him first
b. Ask the patient which thing is bothering him the most
c. Treat the patient as if he has three chief complaints
d. Assume that the chest pain is the chief complaint due to its potential severity - correct
answer ✔✔b. Ask the patient which thing is bothering him the most
Documenting signs or symptoms that were not found during the assessment would be referred
to as a:
a. Pertinent negative
b. Negative complaint
c. Reverse symptom
d. Compound complaint - correct answer ✔✔a. Pertinent negative
The administration of epinephrine to an anaphylactic patient will not have any effect on which
of the following clinical conditions?
a. Wheezing
b. Airway edema
c. Itching and hives
d. Low blood pressure - correct answer ✔✔c. Itching and hives