1. An 18 year old female patient complains of lower left abdominal pain.
She notes the pain is sharp and came on acutely. There is no history of
trauma. Which one of the following would be the most important question to
include in your patient history?: Are you sexually active?
2. Which one of the following would be the most appropriate violence
prevention strategy?: Decide on safety roles with your partner.
3. Which one of the following areas would be the most appropriate for a
helicopter landing zone?: 100' x 100' field with a seven-degree slope next to the
school
4. A 71 year old female has fallen and complains of left hip pain. On
examination, you note her left foot is rotated laterally. This finding most
likely indicates a(n): femur fracture.
5. Which one of the following best describes the responsibilities of the
staging supervisor at a multiple casualty incident?: Overseeing ambulances
and personnel
6. You are called to the bedside of a hospice patient who slipped into a
coma. His family became scared and called EMS. Shortly after your arrival,
the hospice worker also arrives. Given this situation, what is the best course
of action?: Discuss the best course of action with the hospice worker.
7. A three year old female requires airway management. To insert an
oropharyngeal airway, you should: use a tongue depressor and insert it straight
in.
8. A 69 year old male is in cardiac arrest. When you bare his chest to
attach your AED, you note an implanted pacemaker below his left shoulder.
What should you do next?: Offset the position of the AED pad to avoid placing it
over the pacemaker.
9. A 3 month old female presents with difficulty breathing. The mother
states this problem has been getting worse for three days, and the baby may
have a fever. The baby is active but has audible wheezes and accessory
muscle use. The mother also notes that other children in the house have
recently had a cold. What is the most likely cause of this infant's respiratory
distress?: Bronchiolitis
10. You have been called to a residence where an 18 month old has
reportedly fallen a few feet from a bed. On initial presentation, the patient is
lethargic, has a slowing pulse, one pupil is larger than the other, and the
patient has raccoon eyes and Battle's sign. The caregiver (the mother's
boyfriend) tells you the child just fell off the bed, hit his head, and is "not
, acting right." Based on this information, what is the most accurate summary
of the problem?: Head trauma secondary to possible child abuse
11 How can the EMT help minimize the amount of gastric pressure that may
occur secondary to providing positive pressure ventilation: Apply cricoid
pressure.
12. An 81 year old male complains of shortness of breath. He is alert and in
moderate respiratory distress with a respiratory rate of 38. You assess
crackles when you auscultate lung sounds. As you attempt to place a non-
rebreather mask, he states he does not want a mask on his face and pushes
you away. You should: attempt to utilize a nasal cannula.
13. A patient is found lying on the ground. As you approach, you ask the
patient if she is okay but she does not respond. When you shout, she opens
her eyes. Using the AVPU scale based on this information, what is the
patient's level of responsiveness?: V
14. You and your partner are lifting a large patient on a backboard. Which
one of the following best describes the lifting technique you should use?:
Squat, lock your back, and keep the weight close to your body.
15. You are treating a geriatric patient who you suspect is having a heart
attack. Of all the classic findings consistent with a heart attack seen in
younger patients, which one of the complaints listed below may not be
present in this age bracket?: Chest pain
16. Upon arrival at a "man down" call, you find a 35 year old female on the
ground who responds only to painful stimuli. Your assessment reveals
cyanosis and the following vital signs: P 50, R 8, and BP 90/60. Based on these
findings, which one of the following is the patient's significant presenting
problem?: Hypoxia
17. You approach a vehicle that has struck a utility pole and notice that
power lines are down on the car. The occupants of the vehicle are yelling for
you to help them. You should: stage away from the vehicle and await power
company personnel.
18. Your 83 year old female patient awoke with a severe stomach ache and
nausea. She reports that she got out of bed and then experienced two
episodes of emesis in which there were "large amounts of blood and blood
clots". She now is lightheaded, has cool, moist skin, and her conjunctiva is
pale. Which of the vital signs below would probably be the least reliable in
demonstrating hemodynamic changes due to this blood loss?: Heart rate
19. A five year old child was improperly restrained in the front seat of a
vehicle involved in a front-end collision. The air bag was deployed. Based on
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