Fisdap/Nremt Final Study Guide
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A 65M is having trouble breathing. He is moderately overweight and has been
coughing up yellow phlegm. He smokes 2 packs of cigarettes a day and reports
having these episodes for many years. Which condition should you suspect -
ANSWERS✔✔Chronic Bronchitis
15M is short of breath after minor car collision. He has a history of asthma and his
vitals are R 26 and clear bilaterally. What should you do - ANSWERS✔✔coach to
slow breathing
What is the normal range of breaths/min for an adult - ANSWERS✔✔12-20
26F bride at her wedding reception in sitting in a tripod position and drooling.
Lung sounds are diminished. Obvious stridor is noted. You should suspect -
ANSWERS✔✔upper airway obstruction
What sound would a lower airway obstruction produce - ANSWERS✔✔wheezing
Which of the following can present with a sudden onset of difficulty breathing and
diminished breath sounds - ANSWERS✔✔pneumothorax
Which of the following assessment finding should cause you to suspect your pt has
a history of COPD - ANSWERS✔✔barrel shaped chest
,42 asthmatic pt complains of chest pain, SOB and violent cough that produces
brown sputum, what is most likely the cause - ANSWERS✔✔pneumonia
19F began choking after eating a hotdog, when you first arrived on scene she was
coughing and drooling. Now she is drowsy, slow to respond, and unable to cough.
What should you do - ANSWERS✔✔abdominal trusts
During the initial assessment of an adult's respiratory status you should -
ANSWERS✔✔evaluate RR and rise and fall of the chest
61F is pale diaphoretic and unable to catch her breath. You notice swelling in
lower extremities. You should suspect - ANSWERS✔✔CHF
When ventilating a pt with BVM you should - ANSWERS✔✔use 2 rescuers if
possible
Which pt would be classified as immediate during MCI - ANSWERS✔✔8F with
no respirations after 5 positive pressure ventilations
Thin 54M nonproductive cough complains of difficulty breathing. He is sitting
upright with his hands on his knees and you see retractions. You notice oxygen
tubing throughout the house. You should suspect a medical history of -
ANSWERS✔✔chronic bronchitis
Unresponsive trauma pt is gurgling. When you suction the oropharynx with a rigid
catheter the pt gags. You should - ANSWERS✔✔assess insertion depth
,16F is asthmatic in tripod position complains of increase SOB with SpO2 of 79.
You should administer oxygen at - ANSWERS✔✔10L NRB
In seconds, what is the time limit for suctioning an adult's airway -
ANSWERS✔✔10-15s
Pt is unconscious and buried to the midchest in muddy ditch. When attempting to
ventilate you should suspect increased - ANSWERS✔✔resistance
Semiconscious pt's dentures have completely loosened, you should -
ANSWERS✔✔remove the dentures
Pt is unresponsive with snoring respirations following a motorcycle accident. You
notice fluid coming from the pt's nose and ears. You should - ANSWERS✔✔open
the airway with a jaw-thrust
After assisting an asthmatic pt with their beta 2 medication, you may expect to
observe which of the following side effects - ANSWERS✔✔tachycardia
The reason for assessing the radial and the carotid pulses simultaneously is to -
ANSWERS✔✔confirm cardiac rhythm problem
Which of the following in an indication of an upper airway obstruction -
ANSWERS✔✔snoring
64M complains of dyspnea and is coughing up bloody sputum. Upon auscultation
you note crackles bilaterally, you should suspect - ANSWERS✔✔pulmonary
edema
, In which group of pts are you most likely to encounter "see-saw breathing" -
ANSWERS✔✔PEDS
In which group of pts are you most likely to encounter "see-saw breathing": PEDS
68F complains of SOB and fatigue. Symptoms worsen at night when she tries to
rest. Lung sounds are diminished in all lobes. Which indicates that the pt is
suffering form CHF rather than pneumonia - ANSWERS✔✔"I feel like I'm
drowning when I lie down"
14F SOB has cystic fibrosis. Lung sounds reveal coarse rhonchi. What is most
likely the cause of the condition - ANSWERS✔✔mucous secretions
As the diaphragm and intercostal muscles relax, the chest cavity -
ANSWERS✔✔decreases in size causing exhalation
18 febrile pt complains of malaise for several days. He is taking oral antibiotic for
upper respiratory infection. Vitals are BP 128/72, P 118 weak, R 22 with rhonchi.
You should suspect - ANSWERS✔✔bronchiolitis
Unresponsive 50M laying on the floor. You determine he is not breathing but has a
faint pulse. You should - ANSWERS✔✔ventilate with BVM
80M return of spontaneous circulation after AED use. Respirations are 8 and
shallow. You should - ANSWERS✔✔assist ventilations with BVM
You have inserted an OPA for 21M apneic. How many times per minutes should
you ventilate using the BVM - ANSWERS✔✔10-12
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