1. 14 yo shooting victim is pulseless and apneic. Pupils are fixed and lividity is present.
What should you do?
2. Protect against scene intrusion/ CPR/ search for pt identification/ search for other
victims - ANS-Protect against scene intrusion
3. 18 yo pt has gunshot wound in the arm during a fight. Become increasingly anxious
and pushes hands away during primary assessment. What would you do?
4. Verify with law that pt has been searched/ obtain vitals and trans immediately/
reassess scene for additional pts/ continue with pri assess away from the police -
ANS-Verify with law that pt has been searched
5. 2 days after a call you realize you forgot to document that you checked a pts blood
glucose prior to him refusing trans and signing refusal form. You should?
6. Add an addendum to report with correct info, current date and initials/ disregard the
mistake since the pt was not transported to hospital and medical director knew about
reading/ inform supervisor of error and let him know that it won't happen again/
complete now refusal and return to pt residence to have him resign - ANS-Add an
addendum to report with correct info, current date and initials
7. 2 yo F with flu like symptoms. She is in care of a babysitter and her parents can't be
reached by phone. What should you do?
8. Treat and release with babysitters consent/ contact law enforcement for temporary
custody/ stay on scene until parents can be contacted/ *trans under implied consent -
ANS-trans under implied consent
9. 20 yo pt is reluctant to answer questions pertaining to abdominal discomfort?
10. Reassure her that you are there to help her/ ask family for her medical history/ repeat
question in firm but pleasant tone/ advise that she needs to be truthful -
ANS-Reassure her that you are there to help her
11. 23 yo F sudden onset of diff breathing while gardening. BP 90/ 60, P 144, R 26 and
labored, wheezing in all lung fields. She has a prescribed epinephrine auto injector.
What should you do?
12. Admin o2 and contact medical control/ admin o2 via nasal cannula and reassess/ ask
if she knows what insect stung her/ assist with metered dose inhaler - ANS-Admin o2
and contact medical control/
13. 26 yo pt complains of chest pain, productive cough, and not feeling well over last 2
days. "he just flew back from Africa last week." You should?
14. Put on n95 mask on yourself/ listen to lung sounds/ take vitals/ HEPA mask on pt -
ANS-Put on n95 mask
15. 58 yo heavy chest pressure. Ask you what is cause. You should?
16. Hospital staff will explain/ heart not getting enough O2/ acute MI/ can't explain bc
HIPAA - ANS-Hospital staff will explain
17. 6 yo child fell at the park. No adult around. Type of consent?
18. Implied/ legal/ expressed/ pediatric - ANS-Implied
19. 80 yo Spanish speaking patient not responding to questions alert and choking?
, 20. Simple hand gestures/ find interpreter/ speak louder/ check for hearing aids -
ANS-Simple hand gestures
21. A dying pt has signed a DNR, you should?
22. Contact medical control before providing care/ clear the scene once the order has
been verified/ treat the pt since the DNR orders only apply to hospital care/ provide
emotional support to the pt and fam members - ANS-provide emotional support to the
pt and fam members
23. A medical director issues permanent written orders that allow you to treat patients
under certain circumstances. This is known as:
24. Standing order/ online medical direction/ advance directive/ designated agent -
ANS-Standing order
25. A pulseless, apneic infant has rigor mortis. The infant is still dressed in sleepwear
you should
26. Tell the mom there is nothing you can do and offer to call the funeral home / perform
CPR and transport the hospital staff will be better able to inform the mother of her
loss / offer the mother time alone with the infant while you contact the appropriate
agencies / question the mom about medical history and age of the infant to rule out
SID's - ANS-offer the mother time alone with the infant while you contact the
appropriate agencies
27. After a call, you are frustrated, you write in report patient was "nuts" and "something
seriously wrong with him" you could be found guilty of
28. Slander / libel / vilification / perjury - ANS-libel
29. After assess you determine pt is dead. Police suspect foul play. What should you do?
30. Avoid disturbing the scene/ leave area immediately/ document time of death/ take
pics for documentation - ANS-Avoid disturbing the scene
31. Alert 67 yo refuses care and requests to release form? What should you do?
32. Explain risks/ restrain and trans/ provide supportive care and allow refusal/ ask PD to
place in protective custody - ANS-Explain risk
33. Appropriate method to obtain pts medical history?
34. Remain at eye level and ask open ended questions/ multitask while gathering info/
stand over the pt and maintain authoritative appearance/ provide choices following
each question - ANS-Remain at eye level and ask open ended questions
35. Arrive large fight, pointed to stab victim. You should?
36. Drive away and stage/ quickly load and tran/ treat and request ALS/ treat and request
police - ANS-Drive away and stage
37. BSI procedures?
38. Are the responsibility of each individual/ only required when blood is visible/ are not
required in the care of children/ does not include the wearing of a mask - ANS-Are
the responsibility of each individua
39. Considering scene safety, priorities from most to least?
40. You, your crew, other rescuers, bystanders, the pt/ your crew, the pt, equipment,
other rescuers/ the pt, your partner, you, bystanders - ANS-You, your crew, other
rescuers, bystanders, the pt
41. Cpr in progress and family member state's pt didn't wish to be revived. You should?
42. Continue with resuscitation/ call pts physician/ cease resus effort/ contact medical
control - ANS-Continue with resuscitation
43. Defamation in writing - ANS-Libel
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