2. When assessing the patient for arm drift, you should ask the patient to - ANSWER-hold their arms out palms up, eyes closed
3. 68 yo patient reports abdominal pain, vomiting, and a loss of appetite, as well as black, tarry stools. you should suspect - ANSWER-upper gi bleed
4. You are called to ...
1. Which statement strongly indicates syncope? - ANSWER-I blacked out for a few
seconds
2. When assessing the patient for arm drift, you should ask the patient to -
ANSWER-hold their arms out palms up, eyes closed
3. 68 yo patient reports abdominal pain, vomiting, and a loss of appetite, as well as
black, tarry stools. you should suspect - ANSWER-upper gi bleed
4. You are called to an outdoor garden center on a hot, humid day. Your patient is
pale, wheezing, and has hives. you should suspect - ANSWER-bee sting
5. you have been dispatched to a behavioral emergency. The police are on the
scene and have asked you to evaluate the patient. you should - ANSWER-restrain
the pt. to your cot and transport to the nearest hospital
6. a pt. was cleaning a bathroom when he came out gagging and coughing. his eyes
are red and watering and he is complaining of dyspnea. you should - ANSWER-
move the pt to a well ventilated area
7. 38 yo pt. has a history of hypothyroidism. she is hypertensive, tachycardic, and
hyperthermic. you find an empty bottle of Synthroid nearby. You should - ANSWER-
contact the poison center or medical command.
8. a pt's family member reports a glucometer reading of 57 mg/dL. how should you
interpret this reading? - ANSWER-low
9. a worker at a fertilizer plant has spilled lye all over his upper body. you should -
ANSWER-brush the powder off the pt.
10. to assess a possible stroke pt for abnormal speech, you should - ANSWER-ask
the pt to repeat a common phrase
11. a pt was stung by a bee. you should - ANSWER-apply ice cold compress to the
affected area
12. 72 yo male has weak hand grips, blurred vision, and is unable to tell you the day
of the week. he is a type 2 diabetic. what should you do - ANSWER-evaluate for
facial droop
13. which of the following meds helps the body transport sugar into the cells -
ANSWER-insulin
14. an unconscious patient has one pupil that is significantly larger than the other
and not reactive to light. the most likely cause is - ANSWER-stroke
15. where would you expect to find pain in a pt with suspected appendicitis -
ANSWER-right lower quadrant
16. when assessing a pt for facial droop, you should - ANSWER-ask pt to smile or
show his teeth
17. which of the following assessment findings suggests a gi bleed - ANSWER-bright
red blood from the rectal area
18. you are assessing an unresponsive medical patient. what should be your primary
focus - ANSWER-chief complaint
19. a patient has a headache. how should you position him on the cot - ANSWER-90
degree fowler
, 20. 50 yo male who recently completed renal dialysis is bleeding profusely from his
shunt. how should you classify this bleeding - ANSWER-a life-threatening problem
that requires immediate surgical intervention
21. a 28 yo pt is outside at a concert and appears confused. he is unable to answer
your questions. you should - ANSWER-look for a medical identification necklace or
bracelet
22. a car battery exploded in your pt's face. he denies any breathing difficulty. you
should - ANSWER-irrigate eyes with water
23. a patient is having a tonic-clonic seizure. he is not breathing. you should -
ANSWER-prevent the pt from further injury
24. your first priority whe. dealing with a pt who is exhibiting behavior issues is to -
ANSWER-ensure the safety of yourself and your partner
26. 78 yo M alzheimers pt has bruising on his back, neck, and stomach. when you
ask the pt what happened, his caregiver insists "he fell getting out of bed" what
should you do
a. ask on of the family members to ride in the back with him
b. ask the caregiver why the pt required restraint
c. immediately notify law enforcement to take a report
d. move him into the ambulance so you can talk to him alone - ANSWER-c. notify
law enforcement to take a report
25. according to the Cincinnati prehospital stroke scale, which of the following should
be assessed - ANSWER-facial droop
27. A 32-year-old patient is found unconscious in the snow. You cannot detect a
pulse or respiration rate within 10 seconds. What should you do? - ANSWER-assess
her pulse for 30-45 seconds
28. An 80 y/o male complains of a headache and nausea. He is confused with hot,
dry skin. His house is hot and humid. VS are BP 90/55, P 96, R 18, SpO2 88% and
BGA 88 mg/dL. What should you do? - ANSWER-Begin active cooling measures
(signs of heat stroke, also think of fluid replacement due to dehydration)
29. A 28 y/o female complains of sudden onset of dyspnea while eating in a
restaurant. Her tongue is swelling and she has urticaria on her neck. VS are BP
86/44, P 116, R 18 with wheezing. What should you administer? - ANSWER-
Epinephrine .3 to .5 IM 1:1000 (should suspect anaphylactic shock)
30. While spraying pesticide on his crops, a 51 y/o male started to feel lightheaded
and had trouble breathing with excessive saliva production. What should you
administer? - ANSWER-Atropine (cholinergic response with the signs of SLUDGE,
need to use a anticholinergic drug which is atropine, which blocks the effects of the
accumulating acetylcholine)
31. An adult male is sitting alone in a dark room, rocking back and forth. he mutters
to his sock puppet "are you feeling sad?" what should you do? - ANSWER-introduce
yourself and start an assessment
32. A mother of a 17 y/o male called EMS because her son has a depressed affect.
While assessing him, he states "I'm not sure if I can take this anymore." What should
you do? - ANSWER-Inquire about his suicidal ideations (his statement is a warning
sign that he may be thinking of suicide)
33. A febrile 54 y/o female complains of nausea and vomiting with pain around her
umbilicus. Her abdominal tenderness increases on palpation. VS are BP 80/40 and
P 130. What should you suspect? - ANSWER-Ruptured appendix (rebound
tenderness and febrile)
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