Download FISDAP Paramedic Final Exam Testbank: 200 Questions with Detailed Answers and more Quizzes Medicine in PDF only on Docsity!
FISDAP PARAMEDIC FINAL EXAM 2024/
PARAMEDIC FISDAP FINAL EXAM TESTBANK
EXAM COMPLETE 200 QUESTIONS WITH
DETAILED VERIFIED ANSWERS (100% CORRECT
ANSWERS) /ALREADY GRADED A+
"You are called to a nursing home on a hot summer day for a 88 year old male. The nurse tells you he missed his dialysis appointment because he was complaining of nausea vomiting headache and running
a fever. Which differential diagnosis should you consider first. - CORRECT ANSWER=> Sepsis and
hyperkalemia" "You have just administered adenosine to a 62 year old patient with narrow complex tach. The ECG shows an irregular rate of 50 then steadily climbs back to a rate of 169. What would should suspect -
CORRECT ANSWER=> rapid atrial fibrillation."
"A 63 year old male is having a diabetic emergency. He is unresponsive R12 glucometer 28. You cannot
establish IV access. You should - CORRECT ANSWER=> administer glucagon IM"
"When setting up a night time landing zone for a helicopter what is the recommended area needed. -
CORRECT ANSWER=> 100x100"
"A 67 year old with hypo-tension and bradycardia has no responded to pacing or atropine. You should -
CORRECT ANSWER=> administer dopamine infusion"
"A 19 year old male has suffered blunt trauma on his left chest. He complains of server dyspnea and pain over the affected area. Vital signs are BP 92/60 P 128 R 32. Breath sounds are very diminished over the
left chest. You should - CORRECT ANSWER=> perform needle thoracostomy"
"A 44 year old patient has a persistent cough and occasional spits up bloody sputum. He has been living
in a a shelter for the past three weeks and he smells like alcohol you should. - CORRECT ANSWER=>
Put on N95 mask and eye protection." "While treating a patient with suspected TB. What type of personal protective equipment is essential -
CORRECT ANSWER=> HEPA respirator"
"A 2 year old male has been sick over the last 48 hours with a low grade fever runny nose and upper respiratory infection. He has a seal bark cough. The patient is using accessory muscles to breath and
appears fatigued his upper airway has stridours sounds. His lung sounds appear clear. SPO2 92% how
would you treat the patient. - CORRECT ANSWER=> Oxygen nebulized racemic epinephrine transport."
"78 year old male lying unresponsive in his bed vital signs are BP unobtainable. R 12 and normal depth
radial pulse rate matches ECG below ECG bradycardia - CORRECT ANSWER=> Perform transcutaneous
pacing." "A 48 year old patient is chocking on a hot dog. He is unresponsive apneic and has a strong pulse. Chest
compression are infective at relieving the obstruction. You should. - CORRECT ANSWER=> use lagosopy
and magill forceps to remove the object." "87 year male is complaining of dizziness. Physical exam revals pale cool and diaphoretic skin. Pulse
matches ECG bradycardia. You should - CORRECT ANSWER=> administer atropine"
"A 14 year old patient was pulled form a indoor pool. She is pulseless and apneic. You should - CORRECT
ANSWER=> perform CPR endotracheal intubation establish an IV and administer epinephrine"
"A trauma patient has lost approx 500ml of blood the amount of crystalloid solutions needed to replace
this blood loss is - CORRECT ANSWER=> 1500 ml of saline ( 3 to 1 rule)"
"A 43 year old female has been stuck in the chest with a baseball bat. There is a large bruise over her sternum. She is obversely in pain an states her heart feels like it is beating funny Vital signs are BP 109/80 P 124 and irregular R 22 The ECG show sinus tachycardia with ST elevation and frequent PVC's.
You should suspect - CORRECT ANSWER=> myocardial contusion"
"A 28 year female is speaking very quickly and stating that she is going see the president of the united states after she buys all her family members a new car. She has not slept in four days because she does not need sleep. She usually takes lithium but ran out of her prescription about a week ago. vitals 144/
P 128 R 28 you should suspect. - CORRECT ANSWER=> manic phase of bipolar disorder"
"A restrained 23 year old pregnant female is her third trimester was involved in a head on motor vehicle collision. She complains of abdominal pain. initial vital signs are BP 110/70 P 90 R 20. After rapid extrication and spinal immobilization via long spine board her vital signs are BP 90/40 P 110 R 28 what is
the most likely explanation for her change in vitals. - CORRECT ANSWER=> Supine hypotensive
syndrome" "A 3 month old infant who weighs 6kg has a history of congenital heart disease. Vital signs are R60 the ECG hows a narrow complex tachycardia at a rate or 240 cyandic nail beds and spo2 at 88% what should
you administer. - CORRECT ANSWER=> 0.6 or adenosine IV"
"A 44 year old male fell from a ladder and is now complaining of pain in the middle of his back at the level of his shoulders blades. He responds to verbal stimulus and vitals signs are BP 70/50 P64 R 20. The
patient is most likely suffering from - CORRECT ANSWER=> neurogenic shock"
"You have just converted a 318 lb cardiac arrest patient into a normal sinus rhythm. She is hypotensive and you have been ordered to start the an epinephrine drip at 3mcg/min using a 60 drip
set. You have mixed a 4:1 concentration of epinephrine and should set the drip rate at - CORRECT
ANSWER=> 45 drops/min (clock)"
"You are assisting with a deliver and the infants head has been deviled. You notice the umbilical cord is
wrapped around the infants neck. You should - CORRECT ANSWER=> gently slip the cord over the
infants head or clamp the cord in two places and cut between the clamps to release the cord." “A 50 year old male is complaining of a chronic cough. He has lost his appetite and has had hot flashes and periods of sweating during the night. He has noticed some red specks in his sputum when he
coughs. You should suspect - CORRECT ANSWER=> Tuberculosis"
"A patient has surfaced rapidly from a deep dive and is now complaining of difficultly breathing and
extreme muscle and joint pain. You should - CORRECT ANSWER=> Transport rapidly to the nearest
hyperbaric chamber." "It is mid-December and a 13 month old child is awakened in the middle of the night with barking cough and inspiratory stridor. The child has been ill for a few days with chills and congestion. You should
suspect - CORRECT ANSWER=> croup"
"An 80 year old male has just collapsed. Vital signs are BP 90/40 pulse matches ECG 3 degree block R 20
What should you do? - CORRECT ANSWER=> Apply transcutaneous pacing."
"A patient involved in a motor vehicle crash has an obvious open femur fracture and an angulated right forarm. He is bleeding servery from a scalp laceration. His left arm is guarding his chest and he gasps "i
cant breath". You should be MOST concerned by the - CORRECT ANSWER=> respiratory difficulty"
"A 37 year male is chocking and has become unconscious. Attempts to ventilate are unsuccessful. you
should - CORRECT ANSWER=> perform chest compressions"
"An unconscious 78 year old male post cardiac arrest is being actively ventilated with a bag valve mask. Initial vitals are BP 98/40 P 82 and irregular. After several minutes reassessment of vital signs are etco
22 BP 68/28 and irregular spo2 92 you should - CORRECT ANSWER=> decrease the rate of respirations"
"An 86 year old female presents with a rhythm in the ECG she is immobile due to server arthritis and has
a history or atherosclerosis and hypertension. What should you suspect - CORRECT ANSWER=> Left
ventricular hypertrophy LVH" "A 37 year old suicidal male is bing violent. Police has pinned him in a prone position but he
continues to struggle and fight. You should - CORRECT ANSWER=> sedate the patient and place him
supine on the stretcher in soft restraints"
"The termination of pregnancy for maternal health reasons is called a - CORRECT ANSWER=>
therapeutic abortion" "While using the START system at a major incident you encounter a patient not breathing. After
positioning the airway the patient breaths 16 a min. You should catagorize him as? - CORRECT
ANSWER=> Immediate"
"69. You are transporting the victim of a major trauma which occurred yesterday to a larger facility. This patient has been experiencing progressive hypoxemia. You hear coarse crackles blatantly during auscultation of the lungs and the pulse oximetry reading is falling in spite of the patent being intubated.
You should suspect - CORRECT ANSWER=> that acute respiratory distress syndrome has developed"
"70. A 19 year old female is 25 weeks pregnant. She has server headache blurred vision and edema she has not regularly seen a doctor during her pregnancy. What other symptom should you expect. -
CORRECT ANSWER=> hypertension"
"71. Which of the following is a cause of multifocal atrial tachycardia - CORRECT ANSWER=> Electrolyte
imbalance" "72. After receiving Narcan. A patient is waking up quickly and pulling at the airway you have placed.
Before removing it you should - CORRECT ANSWER=> prepare to begin suctioning"
"73. A 66 year old male complains of server dyspnea. His has breath sounds on the right and diminished on the left. He has a long history of cigarette smoking. Vital signs are BP 80/30 P124 R 26 and shallow
SPO2 88% on 4 lpm What should you suspect? - CORRECT ANSWER=> Emphysema exacerbation"
"74. A patient is complains of left calf pain. The left leg is cool to the touch and paler than the right leg.
You should suspect - CORRECT ANSWER=> Arterial occlusion"
"75. After placing a combitube bilateral breath sounds are present and chest rise is equal. You notice
quiet gurgling in the stomach with each ventilation. You should. - CORRECT ANSWER=> add air to the
distal cuff" "76. A seven month old is breathing at a rate of 60 per min. He has nasal flaring and intercostal
retractions. You hear stridorous noises on inspiration. This is most likely caused by a - CORRECT
ANSWER=> foreign body obstruction the upper airway"
"77. A 28 year old suffered a head injury. Vital signs a BP 140/120 P 55 R 30 and irregular. Which of the
following signs would you expect to see in this patient. - CORRECT ANSWER=> Decerebrate posturing"
"78. During transportation you PT becomes very upset complaining about her medical expenses. How
should you respond? - CORRECT ANSWER=> You seem angry is there any way hat i can help"
"90. You are treating an unresponsive elderly male from a nursing home. He has a surgical incision on his right hip that is is red and warm to the touch. You notice widespread deep purple bruising on his body.
Vitals sings are BP 80/40 P116 R 10 spo2 89%. You should suspect - CORRECT ANSWER=> disseminated
intravascular coagulation" "91. When arriving on a potential HAZMAT incident on the highway you should stage the emergency
apparatus. - CORRECT ANSWER=> Uphill and upwind"
"92. After delivery of a newborn she cries weakly with stimulation and moves all extremities P140 R 18
and irregular her body is pink but the extremities are blue. What is her APGAR. - CORRECT ANSWER=>
"93. A 21 year old male is intoxicated he was struck in the head with a bat 3 hours prior to arrival. He has suddenly began acting aggressive towards his friends. A police officer on scene states " i want to arrest
him" you should - CORRECT ANSWER=> suspect hypoxia and head injury and transport the patient to a
hospital" "94. A 5 year old has a sudden onset of high fever score throat and pain on swallowing. His voice is
muffled and he is drooling. You should suspect - CORRECT ANSWER=> epiglottis"
"95. A 19 year old intoxicated female is distraught after being involved in a MVC she is complaining of pain in her head and multiple superficial facial lacerations. Vitals 88/40 P 128 R 28 you should suspect -
CORRECT ANSWER=> neurogenic shock or Hypovolemia do to bleeding from other injury's"
"96. You are working during inclement weather in a remote location. The nearest hospital is more than two hours away. Your patient just delivers a healthy baby boy but has inverted her uterus. What orders
you expect from an online physician - CORRECT ANSWER=> Replace the inverted uterus with a gloved
hand" "97. A 67 year old female with a history of diabetes complainants of nausea and began vomiting an hour ago. She denies any pain her blood glucoses is 208 her skin is cool and pale vital signs are BP 146/88 R 24
P 126 and irregular. What should you suspect - CORRECT ANSWER=> Myocardial infarction"
"98. A 34 year old female crashed her motorcycle while wearing an open face helmet. She is unconsciousness her facial bones and soft tissue are missing from the nose to the upper part of her neck. You are having difficulty ventilating her and you can see bubbles coming from the center of a large
mass of tissues when she exhales. You should - CORRECT ANSWER=> insert an ET at the site of the
bubbles" "99. A 14 year old female is crying and complain of knee pain after a soccer injury. The knee is
deformed and obviously angulated. Distal pulses are intact. You should - CORRECT ANSWER=> apply
ice split in position found and transport"
"100. A 53 year old man fell from a ladder. he has multiple abrasions and localized swelling on his head. You have oratorically intubated him. His ETOC2 is 30 his pupils are midpoint and reactive how many
times per minute should you ventilate - CORRECT ANSWER=> 10"
"102. A patient involved in a fist fight. He complains of point tenderness in the right upper abdominal
quadrant. You should suspect injury to the - CORRECT ANSWER=> liver"
"103. Successful intubation of a newborn is more successful by placing padding under the - CORRECT
ANSWER=> shoulders"
"104. For the past 5 min you have been providing ventilations to an intubated patient and performing CPR it is becoming progressively more difficult to ventilate and the chest is moving less during
inspiration. What should you suspect - CORRECT ANSWER=> tension pneumothorax"
"105. An elderly pt is complaining of dyspnea that woke her from sleep about an hour ago. She denies chest pain. Auscultation reveals wheezing and crackles in both lower lobes of her lungs. Vitals signs are
158/108 P 128 and irregular R 32 and slightly labored what should you administer - CORRECT
ANSWER=> albuterol"
"106. A 59 year old pt is lethargic with shallow respiration he has a valid DNR order during transport his
respiratory rate diminishes to 8 breaths a min you should - CORRECT ANSWER=> begin assisting with a
bvm" "107. a 89 year old nursing home pt is in respiratory distress. She is on 3 lpm of oxygen by nasal cannula. She has a history of COPD asthma and diabetic and you note wheezing in all lung fields. Vitals
BP 146/84 P 114 R 24 you should - CORRECT ANSWER=> place her on 15 lpm or oxygen via
nonrebreather mask" "108. you are performing Orotracheal intubation with a mac blade. You can see the cords when you
notice the top of the blade is in the vellicula you should - CORRECT ANSWER=> pass an ET through the
cords" "109. A confused 34 year old male is ambulatory ofter crashing his car. Airbags were deployed he complains of extreme wrist pain and double vision. You note deformity and superficial burns on his writs
what should you do - CORRECT ANSWER=> cspine"
"110 A patient with server closed head injury vitals 180/112 P 48 R 8 and irregular immediate treatment
should include - CORRECT ANSWER=> intubate and ventilate at 20 breaths per min"
"110 A 22 year old pregnant patient is experiencing a significant amount of painless bleeding shorty after
sexual intercourse. The most likely cause is - CORRECT ANSWER=> placenta previa"
"111. An elderly patient has been ill for last few days and has been vomiting. He reports chest
"124. A 38 year old male has been sick for a few days he is now complaining of sharp mid chest pain vitals 118/69 pulse 124 and regular and R 24 and slight laberod temp 102. You should suspect? -
CORRECT ANSWER=> pericarditis"
"125 46 year old male is alert oriented and complains of a headache. He has tremors in his hands he has been in the detox unit for 32 hours. Vitals signs are BP 210/100 P100 R 25. He has a history of
alcoholism and seizures. He takes tegretol you should administer - CORRECT ANSWER=> 20mg
diazepam" "126. You are reliving a crew form a 24 hour shift before you compete the ambulance check you are dispatched to a cardiac arrest with CPR in progress. what should you do before leaving for the call? -
CORRECT ANSWER=> ensure essential equipment is present and the ECG monitor is functional"
"127. A pregnant patient is experiencing contractions upon examination you notice that the infantst head is bulging from the premium and the patent has the urge to push what stage of labor is this? -
CORRECT ANSWER=> two"
"128. you are dispatched to a playground for a patent with difficulty breathing. Upon arrival you find a five year old male who appears anxious with noted cyanosis and intercostal retraction BP 85/pb P
R24 with swelling of the upper airway. You should suspect - CORRECT ANSWER=> anaphylaxis"
"129. A 28 year old female is 34 weeks pregnant and experiences sudden sharp tearing pain in her
abdomen and developers a rigid abdomen what should you suspect - CORRECT ANSWER=> abruptio
placenta" "130. After a prehospital delivery the mother should be allowed to breastfeed her newborn because -
CORRECT ANSWER=> breast feeding helps constrict the uterus and reduce bleeding"
"131. A two year old male has been ill for several days with a respirator tract infection. Yesterday he
developed server headache high fever and extreme lethargy. You should suspect. - CORRECT
ANSWER=> meningitis"
"132. When starting an external jugular IV the needle should point - CORRECT ANSWER=> toward the
feet" "133. while using the backwards upward right pressure BURP maneuver during an orotracheal
intubation you patient begins to vomit. What should you do? - CORRECT ANSWER=> Stop the
intubation attempt and suction" "134. You have just assisted with the delivery of a 32 week old infant. She is apneic and has a pulse of 64.
What should you do? - CORRECT ANSWER=> open the airway ventilate with a bag valve mask for 30
seconds and reassess"
"135. During a yearly heath screening a clinic discovered your patient has the heart rhythm shown below (bradycardia). She alert and oriented but scared because the clinic call for an ambulance Vital signs bp
114/50 R12 spo2 99%. You should administer - CORRECT ANSWER=> atropine"
"136. A 18 year old male was 40 miles into a long distance bike race when he had a syncopal episode and fell off his bike. He responds to painful stimulation BP 60/40 P160 skin cool and diaphoretic. You should
administer? - CORRECT ANSWER=> lactated ringers"
"137 An 18 year old male suffered second degree burns to his entire head and neck anterior chest and both arms while removing a radiator cap from his overheated engine. Using the rule of nines what
percentage of his body is burned? - CORRECT ANSWER=> 36%"
"138 You are unable to ventilate a trauma patient with extreme facial trauma using advanced airway
maneuvers. You should - CORRECT ANSWER=> insert a 14 g needle in cricothyroid membrane 45
degree angle."
"139. Which of the following is a prehospital medication given for compartment syndrome - CORRECT
ANSWER=> sodium bicarbonate"
"140. which of the following would be an indication for the use of needle cricothyrotomy? - CORRECT
ANSWER=> Inability to ventilate"
"141. A pale diaphoretic patient complains of chest pain at a level of 6 on 1-20 BP 132/88 you see the
following ECG (ST elevation) You have established oxygen and an IV you should give? - CORRECT
ANSWER=> ASA and admin nitroglycerin"
"142. Identify this rhythm - CORRECT ANSWER=> paced rhythm"
"143 A 25 year old female was bitten by something while hiking 12 hours ago. She has slurred speech double vision and excessive salivation her boyfriend states she had a seizure about 20 min ago. You
should: - CORRECT ANSWER=> thoroughly wash and immobilize the wound and start an IV"
"144. An obese 77 year old woman called EMS complaining of dyspnea cough with hemoptysis and diaphoresis. You note tachypnea tachycardia crackles and wheezing. She also has varicose veins. Find
significance differences in BP between the right and left arms. You should suspect. - CORRECT
ANSWER=> aortic aneurysm"
"145. A 76 year old patient is lying in soiled sheets with diarrhea and vomit. Both the stools and emesis
look thick black and tarry similar to coffee grounds What should you suspect? - CORRECT ANSWER=>
upper gastrointestinal bleeding"
"146. Your 3 lead ECG is shown below. You correctly identity the rhythm as? - CORRECT ANSWER=> 1st
degree"
"157. A container of hydro-flouric acid has spilled at a local metal plant. The hazmat team is responding and you are asked to stage at the front gate of the business where the company safety manger is waiting
for you. What info would ou expect his manger to have - CORRECT ANSWER=> material safety data
sheet MSDA" "158. A 33lbs child is experiencing fever poor appetite purpura and vomiting. His cap refill is 3
seconds he is tachycardic you should administer - CORRECT ANSWER=> 300ml of crystalloid solution"
"159. Your crew is the first unit to arrive for a suspected radiation emergence after a box labeled recitative material was found unattended in a park. What three principals should you follow? -
CORRECT ANSWER=> time distance and shielding"
"160. A 19 year old male has suffered a significant blunt trauma to his left anterior chest. He is in obvious respiratory distress vital signs are BP 80/p P 140 R 32 lung sounds are diminished and there is dullness to
percussion over the left side of the chest. You should suspect - CORRECT ANSWER=> hemothorax"
"161. Side effects of oral contraceptives include - CORRECT ANSWER=> pulmonary embolism and
stroke." "162. You are first on scene of a car crash. You partner stops the ambulance a safe distance from a single vehicle that crashed into a concrete barrier. Black smoke is coming from underneath the hood. The
vehicles only occupant screams for assistance you should? - CORRECT ANSWER=> rapidly extricate the
occupant without a cervical collar" "163. A 50 year old female is experiencing chest pressure her ECG is ( sinus tack) she becomes unresponsive while you are obtaining iv access her ECG changes to the rhythm below.
What should you do? - CORRECT ANSWER=> asses for a pulse"
"164. A 50 year old female is experiencing chest pain then goes into ventricular fibrillation. What should
you do? - CORRECT ANSWER=> Defibrillate"
"165 The medications prepreanolol atenolol and metoproloe are examples of? - CORRECT ANSWER=>
beta adrengic blockers" "165 A 17 year old male alert was struck in abdomen with large wrench vitals 90/78 P128 weak R 22 skin
is pale and cool and diaphoretic. The abdomen is bruised and rigid you should? - CORRECT ANSWER=>
rapidly transport to a level one" "166. A 14 year old male is found in an intoxicated condition. His friends report he admitted to drinking alcohol taken from his fathers workshop. The container is marked methanol not for human consumption.
Definitive treatment for his condition is administration of - CORRECT ANSWER=> ethanol"
"167. A 74 year old patent is short of breath he has had a slight fever since yesterday and he suffers from frequent urinary track infections. Lung sounds are present with rhonchi and slight crackles in all fields.
Vitals 110/80 P100 R30 temp 102 you should suspect? - CORRECT ANSWER=> pneumonia"
"168. The ECG of a post cardiac arrest adult shows sinus tachycardia at a rate of 120 with bp 60/40 you
should give? - CORRECT ANSWER=> dopamine 5-20"
"169 One year old has been ill with multiple episodes of emesis and diarrhea. Asses shows a lethargic 35 pond child who has mottled skin dry mucous membranes cap >2 sounds P 220. After securing airway you
providing high consultation oxygen and establishing an IV you should? - CORRECT ANSWER=> give 320
cc fluid bolus" "170. A 79 year old female complains of labored respirations she is cyanotic and has a history of CHF
identify the following rhythm (sinus tach) and appropriate treatment - CORRECT ANSWER=> sinus
tachycardia administer nitroglycerin"
"171. A patient who complains of pain in left upper quadrant is most likely suffering from - CORRECT
ANSWER=> pancreatitis"
"172. A 28 year old woman complains of sudden onset severe abdominal pain that radiates to her shoulder 88/60 P 100 R 20 skin cool pale and clammy states her last menstrual period was 8-10 weeks
ago you should suspect - CORRECT ANSWER=> ectopic pregnancy"
"173. You have just fished a stressful shift. you are frustrated and angry with how some of your calls
resolved you should - CORRECT ANSWER=> talk to an internal critical incident stress counselor"
"174. A 78 year old female is lying supine in an nursing home bed with labored respiration she is semi- conscious cyanotic and the nurse tells you she has a history of CHF 80/40 spo2 90 pulse is ventricular
tachycardia you should? - CORRECT ANSWER=> perform sync cardiovert"
"175 An adult has a foot laceration from a farming accident he is alert and refusing treatment his
religious beliefs do not permit medical you should - CORRECT ANSWER=> document the patient
wishes" "176. A 50 year old female tripped down four steps. Her airway is patent radial P 100 R 16 what other
initial information do you need to decide if she is unstable? - CORRECT ANSWER=> mental status"
"177. Management of all newborns includes - CORRECT ANSWER=> prevent heat loss opening the
airway and evaluating of the infant" "178 A 6 year old female has suffered blunt trauma to her upper right quadrant she responds to painful
stimulation BP 50/30 P110 you should most likely suspect damage to her? - CORRECT ANSWER=> liver"
"191. You have been assigned to triage at an MCI a patent complains of small laceration on his forearm
R24 and absent radial pulses using start triage you should assign this person as? - CORRECT
ANSWER=> immediate"
"192. A 26 year old female has been involved in an explosion at a chem lab. She has first and second degree burns to her face. Witnesses state that her shirt had been on fire and stopped burning you
should suspect? - CORRECT ANSWER=> extensive airway burns"
"A 3 year old female has surfed burns to both her hands after grabbing a hot exhaust pipe the injured
area shows dark chard skin. These burns should be considered? - CORRECT ANSWER=> critical"
"A 200 pound woman is having difficulty breathing which of the following devices is most appropriate for
carrying her down stars.? - CORRECT ANSWER=> stair chair"
"A patient has polymorphic ventricular fibrillation you would give? - CORRECT ANSWER=> mag"
"A 65 year old female is short of breathe clear lungs and no jvd she has a significant cardiac history what
should you admin? - CORRECT ANSWER=> oxygen and 12 lead"
"An 18 month has a seizure for first time and according to the parents she has become increasing ill over the last few hours and her current temp is 104 they describe the patent arms curling toward her chest and her legs straightening and pointing together. The parents do not want to go to the hospital tonight.
You should? - CORRECT ANSWER=> have the parents speak with an online physician"
"A 44 year old female has sustained server blunt trauma to the chest she responds to painful stimulation and her vitals are 88/76 P 130 R 24 muffled heart sounds and flat neck veins. The definitive treatment for
this patient is - CORRECT ANSWER=> pericardiocentesis"
"A 12 year old becomes ill yesterday and has become progressively sicker. His temp is 103F and he has small specks on his chest the patient appears to be unable to turn his head you should suspect? -
CORRECT ANSWER=> meningitis"
"A 65 year old male with emphysema is sitting in a chair he is lethargic and struggling to keep his head
up his skin is ashen vital sings a {P 134 R 30 and shallow what should you do? - CORRECT ANSWER=>
assist ventilation with a bag valve mask" “A 30 year old climber is experiencing sever shortness of breath after reaching an elevation of 12000feet. The PT is very anxious and has rales noted to all quadrants but is otherwise healthy. He is not
accustomed to high altitudes. What should you do? - CORRECT ANSWER=> Administer oxygen while
descending to a lower altitude." "A 26 year old female does not respond to verbal stimuli but moans in response to pain. A friend states the patient has ingested approx 150 amitriptyline tables. Vital Signs are BP 88/50 R16. You establish IV
access and administer a fluid challenge. En route to the hospital her ECG shows a widening QRS. You
should administer - CORRECT ANSWER=> Sodium Bicarbonate."
"You PT experienced trauma yesterday and you are transferring her to a larger facility. She has been experiencing progressive hypoxia. You notice coarse crackles in all lung fields on ventilation. Vital signs
are BP 90/50 and SPO2 90%. You should - CORRECT ANSWER=> Transport emergency and continue
ventilation." "An alert 22 year old male was just disentangled from debris in a house collapse. He denies head or neck pain, but complains of server hip pain. Vital signs are BP 88/40. P120 R 16 you should administer. -
CORRECT ANSWER=> sodium bicarbonate"
"Braxton Hicks contractions - CORRECT ANSWER=> occur in the second trimester and are false labor."
"A 40 year old male crashed his motorcycle. He had a brief loss of consciousness, woke up and
walked home. You find him 2 hours later at home unconscious. You should suspect. - CORRECT
ANSWER=> epidural hematoma"
"A 47 year old male who was found unconscious on the side of the road respond only to painful stimulus. When you attempt to establish IV access he stiffens his arms and legs. He has minor abrasions
all over his body. Vital signs are BO 178/122 P56 R irregular ETCO2 30. What should you do? - CORRECT
ANSWER=> Assist ventilations at 12 breaths per minHg."
"A 28 year old female has a sudden onset of tightness in her chest and server difficulty breathing. Her tongue face and neck appear swollen and she has red itchy hives on her torso. Her signs are BP 80/40 P
130. You should administer - CORRECT ANSWER=> Epinephrine 0.3mg"
“You are asked to set up a patient treatment area after a box labeled "radio active" was found
unattended in a park. Which of the following would be the best location. - CORRECT ANSWER=>
Building in the park" "You are at a house fire with multiple patients. Which patient should be transported First to a burn
center? - CORRECT ANSWER=> 52 year old with second degree burns to face and right hand"
"What is the most common cause of status epilepticus in adults. - CORRECT ANSWER=> Failure to take
prescribed medications" "A 58 year old male with history of renal failure complains of dizziness lethargy and difficulty breathing. He says he missed his last dialysis appointment. Vital signs are BP 160/90 P 100 R 28 with
rales heard in the basses. SPO2 92% you should suspect. - CORRECT ANSWER=> Fluid Overload."
"To successfully accomplish nasotracheal intubation you should advance the endotracheal tube though
the glottic opening to coincide with patient - CORRECT ANSWER=> Inhalation"
"An alert 23 year old male presents with a sudden onset of shortness of breath and chest pain after
running upstairs. Breath sounds are diminished in the right side. The most likely cause is. - CORRECT
ANSWER=> Spontaneous pneumothorax"
"First responders are treating an apneic adult female. You notice that they are applying frequent long
ventilations with an oxygen resuscitator. What effects with their actions create. - CORRECT ANSWER=>
Increased capillary elasticity."
