- You respond to the residence of a 62-year-old male who is unresponsive. Your primary assessment reveals that he is apneic and pulseless. You should:
notify dispatch and request a paramedic ambulance.
perform CPR and transport the patient immediately.
ask the family if the patient has a terminal disease.
start CPR and attach the AED as soon as possible.
start CPR and attach the AED as soon as possible.
- In which of the following situations is a pertinent negative identified?
A 50-year-old woman states that nothing makes her chest pain better or worse.
A 53-year-old man with dizziness also tells you that he has vomited three times.
A 59-year-old man complains of crushing chest pain but denies shortness of breath.
A 56-year-old woman states that her chest hurts when she takes a deep breath.
A 59-year-old man complains of crushing chest pain but denies shortness of breath.
- Which of the following factors would MOST likely cause a patient’s pulse rate to be slower than normal?
Lack of a regular exercise routine
Beta blocker medications
Anxiety or severe stress
Internal bleeding from trauma
Beta blocker medications
- After performing a head tilt-chin lift maneuver to open the airway of an unresponsive patient who has a pulse, you should:
place him or her in the recovery position..
provide positive-pressure ventilatory assistance.
assess respiratory rate, depth, and regularity.
suction as needed and insert an airway adjunct.
suction as needed and insert an airway adjunct.
- An adult patient who is NOT experiencing difficulty breathing will:
have a respiratory rate that is between 20 and 24 breaths/min.
be able to speak in complete sentences without unusual pauses.
assume a position that will facilitate effective and easy breathing.
exhibit an indentation above the clavicles and in between the ribs.
be able to speak in complete sentences without unusual pauses.
- Which of the following pupillary changes would indicate depressed brain function?
Both pupils are sluggish with introduction of a bright light.
Both pupils-react briskly to light instead of sluggishty.
Both pupils dilate when a bright light is removed.
Both pupils constrict when a bright light is introduced.
Both pupils are sluggish with introduction of a bright light.
- Pamating factors regarding a patient’s pain involve those that:
alleviate the pain.
initiate the pain.
change the pain.
worsen the pain.
alleviate the pain.
- You are assessing a 72-year-old man with abdominal pain. The patient is sitting in a chair; he is conscious, ale and calm. As you are talking to the patient, your partner discreetly directs your attention to a handgun, which located on a nearby table. You should:
position yourself in between the patient and the gun and ask your partner to request law enforcement assistance.
document the presence of the weapon, including its specific location, and continue your assessment of the patient.
direct your partner to move the gun to a safe area and then advise the patient that his weapon has been secured.
immediately cease all patient care, carefully back out of the residence, and request law enforcement assistance.
position yourself in between the patient and the gun and ask your partner to request law enforcement assistance.
- For which of the following patients is spinal immobilization clearly indicated?
Woman in a minor motor-vehicle collision who complains of severe knee pain
Man with an arrow impaled in his leg and no pulse distal to the injury
Man with altered mental status after being exposed to blunt force trauma
Woman who fell from a standing position and has a deformed shoulder
Man with altered mental status after being exposed to blunt force trauma
- Which of the following findings indicates that your patient has a patent airway?
Inspiratory stridor
Audible breathing
Ability to speak
Unresponsiveness.
Ability to speak
- Which of the following MOST accurately describes paradoxical movement of the chest wall?
Only one section of the chest rises on inspiration, while another area falls ?
One side of the chest wall moves opposite the direction of the other
A marked decrease in chest wall movement due to abdominal breathing
Multiple rib fractures that cause a marked deformity of the chest wall
Only one section of the chest rises on inspiration, while another area falls ?
- Poor peripheral circulation will cause the skin to appear:
pink
ashen.
flushed.
cyanotic
ashen.
- You should avoid palpating a patient’s pelvis if:
the MOI suggests trauma to the pelvis.
the patient complains of pelvic pain.
the patient is older than 50 years of age.
the pelvis does not appear deformed.
the patient complains of pelvic pain.
- When evaluating a patient with multiple complaints, the EMT’s responsibility is to:
definitively rule out serious causes of each of the patient’s complaints.
assess each complaint based on the patient’s perception of its seriousness.
determine which complaint poses the greatest threat to the patient’s life.
direct his or her attention to the most obvious signs and symptoms.
determine which complaint poses the greatest threat to the patient’s life.
- A 71-year-old female slipped on a rug and fell. She is conscious but confused and complains of severe pelvic pain. Her respirations are 22 breaths/min and her heart rate is 120 beats/min. What should you do?
Transport her on her left side
Treat her for possible shock
Transport her in a seated position
Gently palpate her pelvis
Treat her for possible shock
- When assessing motor function in a conscious patient’s lower extremities, you should expect the patient to:
wiggle his or her toes on command.
feel you touching the extremity.
identify different types of stimuli.
note any changes in temperature.
wiggle his or her toes on command.
- Which of the following statements regarding the blood pressure is correct?
The systolic pressure represents ventricular relaxation.
Blood pressure is the most reliable indicator of perfusion.
Blood pressure is usually not measured in children younger than 3 years of age.
Blood pressure falls early in patients with hypoperfusion.
Blood pressure is usually not measured in children younger than 3 years of age.
- Reassessment is performed to determine all of the following, EXCEPT:
the reason why the patient called EMS.
whether or not the patient is deteriorating.
the patient’s response to your treatment.
the nature of any newly identified problems.
the reason why the patient called EMS.
- When should you take standard precautions during an EMS call?
Before exiting the ambulance and before actual patient contact.
Before you load the patient into the ambulance.
After it has been determined that the patient is bleeding.
Immediately after completion of your primary assessment.
Before exiting the ambulance and before actual patient contact.
- Which of the following signs of respiratory distress is usually observed only in pediatric patients?
Pursed-lip breathing
Seesaw breathing
Rapid respirations
Accessory muscle use
Seesaw breathing
- Which of the following patients has signs of an altered mental status?
A diabetic who has nausea and severe lightheadedness
A patient with an acute allergic reaction and dizziness
A patient with a head injury who is slow to answer questions
A patient who overdosed and tells you he tried to kill himself
A patient with a head injury who is slow to answer questions
- After performing a primary assessment, a rapid exam of the body should be performed to:
find and treat injuries or conditions that do not pose a threat to life.
identify less-obvious injuries that require immediate treatment
look specifically for signs and symptoms of inadequate perfusion.
determine the need for spinal motion restriction precautions.
identify less-obvious injuries that require immediate treatment
- Normal skin color, temperature, and condition should be:
pink, warm, and moist.
flushed, cool, and dry.
pale, cool, and moist.
pink, warm, and dry
pink, warm, and dry
- A crackling sound produced by air bubbles under the skin is called:
crepitus.
subcutaneous emphysema.
rhonchi.
Korotkoff sounds.
subcutaneous emphysema.
