Exam (elaborations)
EMT FISDAP FINAL PRACTICE EXAM
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EMT FISDAP FINAL PRACTICE EXAM
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EMT FISDAP FINAL PRACTICE EXAM1. A 4-Year-old female tracheostomy pt has pulled out her tracheostomy tube. The opening is partially
obstructed with skin. You should
A. Use a soft tip catheter and suction until clear
B. Insert a nasal airway into stoma
C. Wipe the area clean and perform mouth to stoma ventilation
D. Cut the skin away from the stomaRIGHT ANS>>Use a soft tip catheter and suction until clear
2. To protect yourself from injury when lifting a stretcher you should
A. keep the weight as close to your body as possible
B. use two additional ppl for the lift
C. lean forward toward the stretcher RIGHT ANS>>keep the weight as close to your body as possible
3. An unresponsive 10 year old male was hit by a car and is bleeding heavily from an open leg fracture.
After securing his airway and manually stabilizing c-spine, you should
A. place the patient in Tredelenburg position
B. perform a rapid trauma assessment
C. control bleeding from the leg wound
D. immobilize the extremity using a ladder splint RIGHT ANS>>control bleeding from the leg wound *
4. The strongest portion of the heart that is responsible for circulating blood to the entire body is the
A. Left atrium
B. Right atrium
C. Left ventricle
D. Right ventricleRIGHT ANS>>Left ventricle
5. A 46 y/o female was involved in a bar fight and has an obvious open neck wound. You should dress
this wound with a/ an
A. Occlusive dressing
B. Sterile gauze dressing
C. Pressure dressing
D. Moist gauze dressingRIGHT ANS>>Occlusive dressing *
6. When assessing a pulse, you are feeling the(ANSWER)
A. relaxation of the atria
B. contraction of the left ventricle
C. contraction of the left atrium
D. relaxation of both ventriclesRIGHT ANS>>contraction of the left ventricle*
,7. A 60 y/o female has chest pain. She has not taken her prescribed nitro you should
A. Determine what type of cardiac problem the pt has, and assist her with taking the nitro
B. Immediately attached the AED and begin transport to hospital
C. Administer aspirin only and withhold the nitro
D. Consult medical direction with regard to assisting the pt in taking the nitroRIGHT ANS>>Determine
whattype of cardiac problem the pt has, and assist her with taking the nitro
8. Which of the following is the best definition of hypoperfusion?
A. Less blood reaching capillary beds
B. Inadequate oxygen delivery to cells
C. Lowered heart rate and BP
D. Blood vessel dilation causing distal poolingRIGHT ANS>>Inadequate oxygen delivery to cells
9. You are ventilating an apneic asthmatic patient with a BVM, but notice there is inadequate chest
rise. What should you do?
A. reassess the airway for an obstruction
B. increase the ventilation pressure
C. switch to an O2 powered ventilation device
D. increase the rate of the ventilationsRIGHT ANS>>reassess the airway for an obstruction *
10. For which of the following patients would an OPA be most appropriate?
A. A 19 y/o with a mandible fracture who is only responsive to pain
B. Unresponsive 25 y/o with a suspected spinal injury
C. Unresponsive five-year-old with a suspected airway obstruction
D. Semiconscious 76 y.o old who is gasping for airRIGHT ANS>>Unresponsive 25 y/o with a suspected
spinal injury
11. Your patient is pale, diaphoretic, and complains of chest pressure. Her vitals are R 18 P 58, and
BP 88/50. You should suspect
A. Unstable angina
B. A thoracic aneurysm
C. Cardiogenic shock
D. Pulmonary embolismRIGHT ANS>>Cardiogenic shock
12. A 66 y/o male is confused. He has a history of substance abuse and falls. His breath smells of
alcoholic beverage. He is alert and refusing service. You should
A. Obtain consent from his family and transport
B. Document his refusal and recommend that he see his doctor
,C. Speak calmly to him and convince him to accept transport
D. Have the police transport the pt to detox unitRIGHT ANS>>Speak calmly to him and convince him
toaccept transport
13. Your 12 yr old patient has a penetrating wound to the abdomen. You may provide care based on
A. informed consent
B. expressed consent
C. implied consentRIGHT ANS>>implied consent
14. A victim of smoke inhalation has developed difficulty breathing. He does not like the smell of the
mask you are using to deliver O2. You should
A. Switch to a NC set to deliver O2 @ 6 LPM
B. Restrain the pt and continue administering O2 via NRB
C. Explain that the mask is very important and continue its use
D. Administer blow-by O2 via Simple maskRIGHT ANS>>Explain that the mask is very important
andcontinue its use
15. A 23 y/o construction worker twisted his foot climbing up a ladder. He has an obvious deformity on
the right leg just below the knee. The lower leg and foot are cyanotic and pulseless. You should
A. Apply an air splint and transport
B. Apply spinal immobilization and elevate the leg
C. Pull gentle traction and apply a splint
D. Apply a traction splint and transportRIGHT ANS>>Pull gentle traction and apply a splint
16. Which of the following is TRUE about the insertion of an OPA?
A. the OPA is always rotated 360 degrees as it is inserted
B. if properly inserted, the OPA will keep the tongue out of the way
C. the OPA should be inserted until the flange rests below the patient's teethRIGHT ANS>>the OPA
shouldbe inserted until the flange rests below the patient's teeth*
17. While ventilating a near drowning pt, you suddenly feel increased resis- tance in the airway. You
should
A. Perform abdominal thrust
B. Place pt in lateral recovery position
C. Attempt to reposition the head
D. Apply firm pressure to the abdomenRIGHT ANS>>Attempt to reposition the head
18. A 28 y/o female who is 12 weeks pregnant has twisted her left knee while walking. She states the
pain is 10/10 in severity. You should
A. Apply a traction splint and immobilize with a long spine board
B. Transport on her left side and hold manual stabilization until she gets the
, hospital
C. Splint with the stretcher and straps and transport her on her left side
D. Splint using board splints and cravats and transport sittingRIGHT ANS>>Splint using board splints
andcravats and transport sitting
19. A 20 yr old female complains of severe abdominal pain. She is in the fetal position. After your
primary assessment, you should
A. transport immediately to hospital
B. palpate all 4 quadrants of abdomen
C. obtain baseline vital signsRIGHT ANS>>obtain baseline vital signs*
20. An intoxicated 33 y/o female was fighting with police. You note some minor scrapes on the pt's leg
and face. The pt is being verbally abusive to you. The police want your approval to take the pt to jail.
You should
A. Ask the officer to transport her to the hospital in a squad car for safety
B. Request that the officers arrest the patient prior to transport
C. If vital signs are within normal limits, release the pt to the police
D. Restrain and transport the pt with police escortRIGHT ANS>>Restrain and transport the pt with
policeescort
21. First responder has delivered a baby. The infant is blue and lethargic; the pulse is 90 you should
A. Transport after placenta is delivered
B. Dry, stimulate and apply oxygen
C. Transport and administer CPR enroute
D. Transport to closest hospitalRIGHT ANS>>Dry, stimulate and apply oxygen
22. A patient has been kicked in the chest. One section of ribs is moving separately during
respirations. You should
A. Transport emergently
B. Listen for lung sounds
C. Initiate PPV
D. Place a sandbag on the injuryRIGHT ANS>>Initiate PPV
23. A 56 y/o male is complaining of severe CP. He took Viagra two hours ago and has been physically
active. You should
A. Assist the pt in taking his nitro and apply O2
B. Administer O2 and request an ALS intercept
C. Monitor vitals, if BP is above 100 systolic, administer nitro and apply oxygen
D. Assure an open airway and continue gathering historyRIGHT ANS>>Assure an open airway
andcontinue gathering history
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