1. Which statement strongly indicates syncope? - ANS-I blacked out for a few seconds
10. to assess a possible stroke pt for abnormal speech, you should - ANS-ask the pt to
repeat a common phrase
11. a pt was stung by a bee. you should - ANS-apply ice cold compress to the affected area
12. 72 yo male has weak hand grips, blurred vision, and is unable to tell you the day of the
week. he is a type 2 diabetic. what should you do - ANS-evaluate for facial droop
13. which of the following meds helps the body transport sugar into the cells - ANS-insulin
14. an unconscious patient has one pupil that is significantly larger than the other and not
reactive to light. the most likely cause is - ANS-stroke
15. where would you expect to find pain in a pt with suspected appendicitis - ANS-right lower
quadrant
16. when assessing a pt for facial droop, you should - ANS-ask pt to smile or show his teeth
17. which of the following assessment findings suggests a gi bleed - ANS-bright red blood
from the rectal area
18. you are assessing an unresponsive medical patient. what should be your primary focus -
ANS-chief complaint
19. a patient has a headache. how should you position him on the cot - ANS-90 degree
fowler
2. When assessing the patient for arm drift, you should ask the patient to - ANS-hold their
arms out palms up, eyes closed
20. 50 yo male who recently completed renal dialysis is bleeding profusely from his shunt.
how should you classify this bleeding - ANS-a life-threatening problem that requires
immediate surgical intervention
21. a 28 yo pt is outside at a concert and appears confused. he is unable to answer your
questions. you should - ANS-look for a medical identification necklace or bracelet
22. a car battery exploded in your pt's face. he denies any breathing difficulty. you should -
ANS-irrigate eyes with water
23. a patient is having a tonic-clonic seizure. he is not breathing. you should - ANS-prevent
the pt from further injury
24. your first priority whe. dealing with a pt who is exhibiting behavior issues is to -
ANS-ensure the safety of yourself and your partner
25. according to the Cincinnati prehospital stroke scale, which of the following should be
assessed - ANS-facial droop
26. 78 yo M alzheimers pt has bruising on his back, neck, and stomach. when you ask the pt
what happened, his caregiver insists "he fell getting out of bed" what should you do
a. ask on of the family members to ride in the back with him
b. ask the caregiver why the pt required restraint
c. immediately notify law enforcement to take a report
d. move him into the ambulance so you can talk to him alone - ANS-c. notify law
enforcement to take a report
, 27. A 32-year-old patient is found unconscious in the snow. You cannot detect a pulse or
respiration rate within 10 seconds. What should you do? - ANS-assess her pulse for 30-45
seconds
28. An 80 y/o male complains of a headache and nausea. He is confused with hot, dry skin.
His house is hot and humid. VS are BP 90/55, P 96, R 18, SpO2 88% and BGA 88 mg/dL.
What should you do? - ANS-Begin active cooling measures (signs of heat stroke, also think
of fluid replacement due to dehydration)
29. A 28 y/o female complains of sudden onset of dyspnea while eating in a restaurant. Her
tongue is swelling and she has urticaria on her neck. VS are BP 86/44, P 116, R 18 with
wheezing. What should you administer? - ANS-Epinephrine .3 to .5 IM 1:1000 (should
suspect anaphylactic shock)
3. 68 yo patient reports abdominal pain, vomiting, and a loss of appetite, as well as black,
tarry stools. you should suspect - ANS-upper gi bleed
30. While spraying pesticide on his crops, a 51 y/o male started to feel lightheaded and had
trouble breathing with excessive saliva production. What should you administer? -
ANS-Atropine (cholinergic response with the signs of SLUDGE, need to use a anticholinergic
drug which is atropine, which blocks the effects of the accumulating acetylcholine)
31. An adult male is sitting alone in a dark room, rocking back and forth. he mutters to his
sock puppet "are you feeling sad?" what should you do? - ANS-introduce yourself and start
an assessment
32. A mother of a 17 y/o male called EMS because her son has a depressed affect. While
assessing him, he states "I'm not sure if I can take this anymore." What should you do? -
ANS-Inquire about his suicidal ideations (his statement is a warning sign that he may be
thinking of suicide)
33. A febrile 54 y/o female complains of nausea and vomiting with pain around her
umbilicus. Her abdominal tenderness increases on palpation. VS are BP 80/40 and P 130.
What should you suspect? - ANS-Ruptured appendix (rebound tenderness and febrile)
34. a 42-year-old man complains of difficulty breathing and pain in his chest and shoulders.
he recalls feeling a sharp pinprick on his arm while cleaning out his basement. what type of
spider bite is this man most likely suffering from? - ANS-black widow
35. a car battery exploded in your patient's face. he denies breathing difficulty. you should? -
ANS-begin irrigating eyes with clean water
36. a 19-year-old female is unresponsive after taking a whole bottle of her sleeping medicine
about 4 hours ago. you should? - ANS-apply high-flow oxygen
37. a 32-year-old male complains of photophobia (sensitivity to light) and vomiting. the most
likely cause is? - ANS-migraine
38. a patient tells you he had anemia, you should expect him to present with? - ANS-pallor
39. your epileptic patient complains of a persistent metallic taste in her mouth. you should
suspect: - ANS-a seizure may occur
4. You are called to an outdoor garden center on a hot, humid day. Your patient is pale,
wheezing, and has hives. you should suspect - ANS-bee sting
40. A patient is having a tonic-clonic seizure and is not breathing. you should: - ANS-prevent
patient from further injury
41. a patient has severe groin pain radiating to the flank area and can't sit still - ANS-kidney
stones (renal calculi)
42. A nursing home patient, an older lady has various colors of bruising on her cheek and
wrist. what should you suspect? - ANS-abuse
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