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A series of multiple-choice questions and verified answers related to emergency medical services (ems). It covers a wide range of scenarios and conditions encountered in pre-hospital care, including patient assessment, treatment protocols, and medical knowledge. The questions address topics such as respiratory distress, shock, trauma, obstetrics, and various medical emergencies. This material is useful for emt students and professionals preparing for certification exams or seeking to reinforce their understanding of essential ems concepts. The content is structured as a practice exam, providing a valuable resource for self-assessment and review.
Typology: Exams
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(ANSWER) Pelvic inflam- matory disease Are administering oral glucose to a known diabetic. What should you be most concerned about? (ANSWER) The smell of acetone on breath 45 year old is 34 weeks pregnant.she complains of a severe headache, sensitivity to light, and swollen feet. Vitals signs are BP 130/88, P104, R 24 what should you suspect? (ANSWER) Preeclampsia A 10 month old is choking, what should you do? (ANSWER) Back blows First step with a sexually assaulted patient? (ANSWER) Reassure patient
2 year old has been vomiting for 12 hours and has decreased oral intake. She does not track your movements. What type of shock should you sus- pect? P150 R 24. Cool skin w/ mottling .(ANSWER) Hypovolemic 50 year old female states she has "the worst headache of her life". The onest was 20 minutes ago and it was abrupt. Vitals BP 180/90 P56 and R 20. You should suspect ?(ANSWER) Subarachnoid hemorrhage 32 y/o female. 18 weeks pregnant. Lower ab pain w/vaginal bleeding. You should suspect? (ANSWER) Spontaneous abortion 70 y/o with SOB "I woke up and felt like i was drowning". He has been recently sleeping with extra pillows under his head. Bp 160/80 P 98 and irregular. R 24. Spo2 86%. (ANSWER) Left heart failure Request additional resources for which victim? (couldnt find all the options (ANSWER) Foot wedged in pedal
EMS displays a "Free BP Check" sign on the window. This is a sign of? (ANSWER) Community relations Which the following will only occur in the 1st trimester of pregnancy ANSWER) - Ectopic pregnancy 36 yo M complains of nausea, vomiting and ab pain. Homeless and admits to chronic alcohol use. VS Bp 92/54 P122 R8. You suspect? (ANSWER) Pancreatitis 62 yo M with history of COPD ran out of Home O2. SOB and dry lung nonproductive cough, clear lung sounds. You suspect? (ANSWER) Emphysema 28 yo F has severe pain after slipping in the shower. 31 wks pregnant has bright red vaginal bleeding. Suspect? (ANSWER) Abruption placenta Previous ambulance crew failed to clean backboard properly. Dried blood under the edges.
(ANSWER) Wash board with disinfectant 24 yo F complains of right lower ab pain that radiates to the back with slight vaginal bleeding. Last period was 2 weeks prior. Suspect? (ANSWER) Ruptured ovarian cyst When lifting a stretcher into the ambulance using power grip, you should? (ANSWER) Position hands 10 apart Complications with precipitous delivery (ANSWER) Perineum tearing 54 yo F tells you she drank bleach to kill herself. You should? (ANSWER) Contact poison control
Delivery of newborn has central cyanosis covered in thick greenish fluid. You should?(ANSWER) Inspect oropharynx 46 yo F. fever & lower ab pain that moves to lower back when she walks. Abnormal vaginal discharge for 2 days. VS 144/88 P98 R16. you should suspect? (ANSWER) Pelvic inflammatory disease 12 yo M bleeding uncontrollably from deep laceration to palm. He is a hemophiliac (ANSWER) Hemostatic agent Which body is responsible for protection, temp, excretion? (ANSWER) Integumen- tary An unconscious male is cyanotic and actively vomiting you have been suctioning him for at least a minute. (ANSWER) Open airway, check pulse 32 yo F was involved in a car crash and complains of a tearing pain in her back. Her left radial pulse is stronger than her right radial pulse.
(ANSWER) Aortic dissection 48 year old male in vehicle responsive to verbal only. You see smoke in the vehicle. (ANSWER) Rapid extrication You are delivering a baby and the amniotic sac is still in place. You should? (ANSWER) Tear amniotic sac 54 year old female tells you that she drank bleach to kill herself/. You should? (ANSWER)Contact poison control Newborn infant with pink torso and blue extremities, you should? (ANSWER) Dry him off 36 year old ventilator dependent, called 911 because the ventilator warn- ing. What should you do? (ANSWER) Look for rise and fall 22 year old fem is choking.She is in her 3rd trimester of pregnancy she is standing up leaning over a chair drooling unable to speak or cough. You should? (ANSWER) Perform chest thrust 8 year old with ecchymosis to ULQ. you should suspect? (ANSWER) Splenic injury
Unconscious 28 year old male has a puncture wound in his left forearm. You also see multiple scars on the backs of both his hands. What type of overdose should you suspect? (ANSWER) Narcotic You have just assisted in the delivery of a newborn. She has central cyanosis and is covered in a thick greenish fluid. You should. (ANSWER) Inspect the oropharynx 48yo M involved in a car crash is slumped over the steering wheel & un- responsive to loud stimuli. You smoke inside the vehicle & airbag deployed. You should? (ANSWER) Perform emergency extrication Which vessels carries oxygenated blood back to the heart? (ANSWER) Pulmonary veins Which part of the heart is responsible for causing pulmonary edema. (ANSWER) Left ventricle A 59 year old male complains of distress and crushing chest. He is diaphoretic, pale cool. You should (ANSWER) Assist with self administer Rex nitro immediately after the delivery of vigorous newborn, you should. (ANSWER) Suction oropharynx with bulb 19 year old fem is found by her friend staring blankly at the wall. She is awake but slow to answer questions. What is most likely the cause? (ANSWER) Seizure
23 year is 30 weeks pregnant and complains of abdominal cramps. She tells you that she has had normal prenatal health care and no vaginal discharge. Vitals signs are Bp 102/74, P 112, R22 and labored. You should?- (ANSWER) Administer oxygen You have just delivered an infant with a pink torso and blue extremities. He is crying and moving his arms and legs. You should. (ANSWER) Vigorous dry off with towel Where in your PCR should you document that you placed the patient on o2 at 15lm by nrb? (ANSWER) Plan Which conditions will only occur during the 1st trimester of pregnancy?- (ANSWER) Ectopic pregnancy A newborn head has just been delivered. You should? (ANSWER) Inspect for meconi- um A 66 year old female has regained a pulse after shock with an AED? She is moving her extremities and has a R 8. You should? (ANSWER) Assis her ventilations
An 8 year old male was hit by a car and is unresponsive. He has ecchy- mosis to his left upper quadrant. You should suspect. (ANSWER) Splenic injury What should you do to prevent the spread of this infection. (ANSWER) Clean your stethoscope with a germicide 67 yo female is unconscious and her family members are performing poor CPR. You should (ANSWER) 2 min CPR While performing a primary assessment on a Suicidal 35 year old M he becomes verbally abusive. You should ANSWER) Calmly attempt to de escalate him 62 Year old complains of chest pain & shortness of breath with a long history of Angina. Vital signs are BP 90/50 P 100 R22 SPO2 90% what should you do? (ANSWER) Administer 02 Securing pregnant patient to long spine board, you should tilt the board to the left to prevent (ANSWER) Hypotension 78 yo male tells you "I feel sick & can't walk" bed is dirty w/ urine and feces. He request transport, but daughter does not want him to be transported to the hospital. What should you do? (ANSWER) Transport him to hospital
42 year old is apneic. Suddenly grabbed throat while eating and col- lapsed (ANSWER) Start compressions A 10 month old F withdraws to painful stimuli. She had an ear infection and fever the passed three days, and she has a bulging fontanelle. (ANSWER) Meningitis Which of the following patients have a right to refuse transport. (ANSWER) A 52 year old man with tightness in the chest and wheezing Family members poor cpr. You should (ANSWER) Perform 2 minutes of CPR Bleeding from dialysis shunt you should (ANSWER) Apply direct pressure to the shunt A 12 year old male was kicked in the chest by a horse. He has distend- ed neck veins and tracheal deviations. What should you suspect? (ANSWER) Tension pneumothorax 58 Year old with fever and chills. Lung sounds reveals rales and rhonchi in lower right lung (ANSWER) Pneumonia 24 y F is 23 weeks pregnant and she tells you that she feels weak and been vomiting for the passed 3 days she also tells you that she is scared to go to the hospital in the ambulance. V/S 84/52 P 110 R SPO2 98% on room air temp. You should. (ANSWER) Monitor her vitals signs and transport
53 year old male with a history of coronary artery disease had a sudden onset of tearing abdominal pain that radiates to back he is ashen and diaphoretic states that he needs to use the bathroom vs bp 110/ p 100 R20 you should(ANSWER) Explain the need for immediate transport 92 year old female complains of a headache and trouble breathing. She is on home O2. What is the most important question you should ask(ANSWER) When did SOB Start A 16 y/o male tripped and landed on his elbow. It is swollen with obvious deformities and he is screaming in pain. You should(Answer)(ANSWER) Splint in position found A 58 year old male complains of general weakness and tells you that he had severe chest pain and shortness of breath the day before. You hear rales at the base of both lungs. His skin is pale, cool, and clammy. Vital signs are BP 70/40, P 110, R 28. You should suspect(Answer)(ANSWER) Cardiogenic SK 24 year old female complains of right lower quadrant abdominal pain that radiates to her back with slight vaginal bleeding(ANSWER) Ruptured ovarian cyst Cough producing thick mucus in tripod w/barrel chest(ANSWER) Chronic Bronchitis An alert 62 yo male complains of chest pain, short of breath and long history of angina. Vital signs are BP 90/50, P100, R22, SP02 90%. What should you do?(ANSWER) Administer o A 450 lb patient has a 6 inch lacerating to the right upper arm & a fracture left ankles. He is on the 3rd floor. You should(Answer)(ANSWER) Apply a pressure dressing to the arm A 22 fem was in a bicycle accident and struck her chest on the handlebar. She is short of breath and you notice small section of her chest move asymmetrically. You should suspect?(ANSWER) Flail segment What organ is responsible for the exchange of oxygen, food, and waste between the mother and fetus?(ANSWER) Placenta After delivering a shock with an AED to an unresponsive 49 year old male you should(ANSWER) Resume chest compressions
Periumbilical pain radiates to Right Lower Quadrant(ANSWER) Appendicitis 2 year old male had a seizure following the onset of a high fever what should you recommend to the parent?(ANSWER) Transport to hospital Your EMS base displays a free blood pressure check sing on the door this is an example of? (ANSWER) Community relaxations In which zone would you triage patients during a hazardous materials emergency?(ANSWER) Cold A 58 year old female has a fever with chills. Lung sounds reveal rales and rhonchi in the lower right lung field. What should you suspect(ANSWER) Pneumonia A 45 year old female 34 weeks pregnant she complains of severe headache sensitive to light and swollen feet vs are blood pressure 130/88 pulse 104 and respirations 24 would you suspect? (ANSWER) Preeclampsia 20 year old male has supraclavicular retractions and is slow to respond to questions. He has expiratory wheezes in all lung fields with minimal chest wall movement. You should(ANSWER) Assist pt. In taking prescribed (MDI) meter dose inhaler 21 year old female has an open femur fracture after falling off horse, you should(ANSWER) check distal pulse An unresponsive 19yo F is supine on the bed next to several empty beer cans, her 3yo son is running around the house. Vital signs are BP 80/40, P 110, R 6 & shallow. You should(ANSWER) Transport. Her & her son to the hospital A 66 year old female complains of shortness of breath. You notice several tissues beside her that contain bloody sputum. You should(ANSWER) Don an N95 mask and ask her if she has experienced night sweats or cough
36 year old complains of the fever abdominal pain moves to lower back bp 114/88 p 98 R16(ANSWER) Kidney stones An unconscious 28 year old male has a puncture wound in his left forearm. You also see multiple scars on the backs of both his hands. What type of overdose should you suspect?(ANSWER) Narcotic What is a system of internal and external reviews called?(ANSWER) Quality im- provement Which part of the heart is responsible for causing pulmonary edema?- (ANSWER) Left ventricle 51 Year old male is unresponsive with agonal respirations. You should- (ANSWER) Check for pulse what is the normal breathing rate for a 6 year old?(ANSWER) 18 - 30 A 70 year old male complains of shortness of breath he tells you "I woke up and felt like I was drowning." He has recently been sleeping with extra pillows under his head. Vital signs are BP 166/80, P 98 and irregular, R 24, SpO2 86%. What should you suspect?(ANSWER) Left side heart failure Sexually assaulted and bleeding from vagina.(ANSWER) Place sanitary pad over vaginal opening Which cardiac rhythm prompts you to shock?(ANSWER) V-tach A 35 year old has shortness of breath after being shot in abdomen and legs. Vital signs are P 122 R 24 and labored(ANSWER) Apply 02 by non rebreather 45 year old male hypothermic after night camping. You should?(ANSWER) Move him to warm environment Patient has been shot in the chest after cutting off the patient's blood soaked shirt you should place it in(ANSWER) Biohazards disposal bag Which statistic about EMS calls would support a community's request to reduce the speed limit in the neighborhood?(ANSWER) 15% of calls for car crashes have at least one victim dead on scene
A 72 y/o female has a nose bleed after a fall. You should.(ANSWER) Lean forward 54 year old female drank bleach to kill herself.
Lifting a 26 year old male out of crash onto long board. Complaints shortness of breath and anxious. You should(ANSWER) Apply 02 A confused 22 - year-old male weak pulse of 122 distended abdomen pale and clammy(ANSWER) Internal bleeding Unresponsive 22 year old is breathing 6/min after motorcycle crash(ANSWER) Be- gin ventilation with BVM / 76 Year old female with fever, cough w/green sputum for 3 days. Lung sounds Rhonchi(ANSWER) Pneumonia 28 year old 31 weeks prego falls in shower. Severe abdominal pain, bright red vaginal bleeding. Suspect(ANSWER) Abruption placenta A 25 - year-old stabbed in the chest occlusive dressing was applied prior to arrival Vital signs are 90/62 pulse 122 respiration 28 and labor you should(ANSWER) Lift one side of the occlusive dressing 42 yo is apneic suddenly grabbed throat while eating and collapse. You should(ANSWER) Compressions 40 year old with open ankle fracture with blood. Standard Precautions- (ANSWER) Gloves and goggle and surgical mask