Final EMT
A female is unresponsive due to being hit in the head with a board. She has a large hematoma
on her forehead. You should
Assess her airway
Check for a pulse
Obtain consent to treat
Manually stabilize the spine - ANSManually stabilize the spine
Which is the BEST way to assess breathing in an unconscious patient?
Watch for chest rise
Apply a pulse oximeter
Check for capillary refill
Examine the skin color - ANSWatch for chest rise
A 10 month old pt has a partial foreign body obstruction due to a piece of hot dog. She is
cyanotic and has minimal air movement. Your treatment should include
Ventilations by bvm and oxygen
A blind finger sweep
Highly concentrated oxygen blow-by
Back blows and abdominal thrusts - ANSBack blows and abdominal thrusts
A 54 year old female is complaining of chest pain. The patient would like you to assist her in
taking one of her husband's nitro tablets. Vital signs are BP 140/100, P 96, R 18. What should
you do?
Monitor vital signs and transport in position of comfort
Assist the pt in self administering nitroglycerin
Administer oxygen and contact the pt physician
Check the expiration date on the nitroglycerine and comply with the patients request -
ANSMonitor vital signs and transport in position of comfort
The most common electrical disturbance the result in cardiac arrest in adults is
Ventricular tachycardia
Ventricular fibrillation
Asystole
Pulseless electrical activity - ANSVentricular fibrillation
A 35 year old female claims to have fallen. As you assess her injuries, her husband enters the
room tells you to leave. He is holding a baseball bat. You should
Remove the pt from the house as quickly as possible
Continue caring for the pt while reasoning with the husband
Leave the scene and request police assistance
,Tell the husband to drop the bat - ANSLeave the scene and request police assistance
A 91 year old male was found lying on the floor in his home. He is staring blankly and is rigid
and cool to the touch. Vital signs are BP 100/74, Temp 88F, and SPo2 93%. As you prepare for
transport, you should
Handle the pt gently
Apply heat packs and massage extremities
Massage his extremities
Apply heat packs and handle gently - ANSApply heat packs and handle gently
A pt complains of abdominal pain. Which of the following questions should you ask?
"Have you had recent constipation"
"Does the pain change when you take a deep breath"
"Is your pain sharp"
"How would you describe your pain" - ANS"How would you describe your pain"
A 90 year old female complains of shortness of breath which has been ongoing for the past few
days. It gets worse at night when she lies down. Vital signs BP 180/100. P 106, R24. breath
sounds reveal crackles bilaterally. Her most likely problem is
Acute respiratory distress syndrome (ARDS)
Pulseless electrical activity (PEA)
Chronic obstructive pulmonary disease (COPD)
Congestive heart failure (CHF) - ANSCongestive heart failure (CHF)
A 7 year old child was struck by an automobile. You note a contusion to the right chest and right
lower arm fracture with arterial bleeding. Your treatment should include
Gathering info from the driver, applying a c-collar, and performing a detailed physical exam
Administering oxygen, splinting to the right arm, and obtaining parental consent
Stabilizing the vehicle, inserting a nasal cannula, and listening to lung sounds
Applying direct pressure to the arm, applying a long backboard, and administering oxygen -
ANSApplying direct pressure to the arm, applying a long backboard, and administering oxygen
Your are called to an office building for a pt with an altered mental status. When you arrive,
several people in the parking lot tell you that a few of their coworkers began to feel ill with
headaches, nausea, and vomiting. Concerned, they left the building but think that there may still
be a dozen people inside. You should
Request a hazmat team on scene
Clear the building of all people
Begin triaging patients in the parking lot
Set up a decontamination area - ANSClear the building of all people
A 79 year old pt is in cardiac arrest. No one has started CPR. you should
Apply and AED and analyze the rhythm
Call the hospital for medial direction
,Perform several quick rescue breaths - ANSBegin CPR
A pt has a black substance around her mouth, but says that she has not been exposed to any
burning material. After initial assessment, you should
Take a sample of the substance
Ask if she knows what the substance is
Apply an N95 mask to the pt
Take the pt blood pressure - ANSAsk if she knows what the substance is
Which of the following signs would you expect in a pt with a stab wound on the right side of the
chest
Increased respiratory effort
Spontaneous pneumothorax
Decreased heart rate
Paradoxical chest movement - ANSIncreased respiratory effort
A seven year old boy was struck by a car. He is unresponsive and apneic, bleeding from the
head, nose, and mouth, with obvious deformity to his right mid-femur. You should
Apply direct pressure to the wound
Perform rapid sweep of the mouth
Administer high flow oxygen
Open the airway and suction - ANSOpen the airway and suction
A 68 year old pt complains of chest pain. Vital signs are BP 146/90, P 92, R 20. You should
Provide supplemental oxygen via BVM
Administer oxygen via nasal cannula at 6 lpm
Administer oxygen via non-rebreather mask at 6lpm
Use flow restricted oxygen powered ventilation device - ANSAdminister oxygen via nasal
cannula at 6 lpm
Your motorcycle accident victim is anxious, short of breath and tachycardic, with unequal chest
expansion. There are no wounds present. Your administration of high flow oxygen does not
seem to be helping. You suspect,
A pleural rub
Neurogenic shock
An open pneumothorax
A flail chest - ANSA flail chest
You arrive at a campsite where there has been an explosion. Your patients clothing is still
burning, and she is gasping for air. You should
Extinguish burning clothing
Open the pts airway
Ventilation via bag-valve mask
Begin to administer oxygen - ANSExtinguish burning clothing
, You have just assisted in the delivery of a healthy newborn girl. Which of the following is the
most important?
Wrap the newborn in a blanket to keep her warm
Note the exact time and location of birth
Give the newborn high concentrated oxygen via non rebreather mask
Give the newborn to her mother to begin binding - ANSWrap the newborn in a blanket to keep
her warm
A 20 year old male collapsed while eating a hot dog. He appears cyanotic. You should
Begin abdominal thrusts
Open his airway
Begin chest compressions
Check responsiveness - ANSCheck responsiveness
Your patient is unconscious. The nurse on scene states : " the pt is bradycardic, please attach
your AED and transport." what should you do?
Explain that use of an AED is not appropriate at this time
Assess the pts breathing and pulse
Obtain vital signs and request the nurses order in writing
Apply the AED and transport immediately - ANSAssess the pts breathing and pulse
A pt has sustained multiple traumatic injuries. In a "load and go: situation, the fastest, most
appropriate method of splinting would be securing
The entire body to a spine board
The injured limb to an uninjured limb
Pulse oximetry readings after splinting
A KED - ANSThe injured limb to an uninjured limb
When giving the hospital a radio report, you should
Provide a complete medical history
Speak quickly and be brief
Only report life threatening conditions
Maintain a clear and steady tone - ANSMaintain a clear and steady tone
A three year old pt has been sick for several days. Her mother tells you that she has been
vomiting and has diarrhea. The child appears tired but withdraws from you during your exam.
She is breathing quickly and looks pale. Vital signs are 90/50, P 133, R36. you should
Encourage active rehydration
Observe the pt and transport routine to the hospital
Apply high concentration oxygen and transport rapidly
Ask if she could have ingested a poison - ANSApply high concentration oxygen and transport
rapidly