Quiz 8

You respond at 11:30 hours to a 50-year-old male c/o SOB. SAMPLE reveals: S - cannot catch breath (onset - sudden, provocation - sitting up feel better, quality - tightness, radiation - around chest, severity - 1 O, time - within minutes). A - none. M - vitamins. P - broken hip one month prior. L - breakfast, cereal. E - got out of chair and had trouble breathing. Vitals: B/P 140/70, P 120 reg, Resp. 28 shallow and clear bilaterally, Temp 98.9, Skin moist, warn.

1. What is the patient's most likely condition?
a. Cardiac tamponade

b. Myocardial Infarction

c. Pulmonary embolism

d. Traumatic asphyxia

e. Pneunothorax

2. Which of the following treatments is not correct regarding care for this patient.

a. Oxygen at high flow via nasal cannula

b. Position of comfort

c. Rapid transport

d. Vitals every 5 minutes

You respond to a 55-year-old male diabetic patient. The victim is unresponsive upon arrival. The spouse of the patient states he took his insulin and had breakfast as usual and then moved some furniture. Vitals: 100/60, p 140, resp 8, temp 99.2, skin warn and clammy. Detail exam reveals a hematoma to the right temporal region.

3. For this patient which condition is most likely?
a. Insulin shock

b. Diabetic coma

c. Diabetic Ketoacidosis

d. Hyperglycemia

4. For this patient your treatment includes all the following except.
a. Oral airway

b. BVM at one ventilation per 5 seconds

c. Oral glucose 25 mg oral

d. C-spine precautions

5. What type of breathing pattern is observed with hyperglycemia?
a. Rales

b. Kussmauls

c. Agonal

d. Hyperventilation

Your next patient lives in a home with a basement. She is 60 years old and has fallen down the basement stairs and is lying in a prone position on the ground. Unknown how long she has been there. She is unresponsive upon arrival. Vitals: B/P 80/40, resp 10 shallow, P 36 reg, temp 88.2, skin cold and moist abdominal area. Detail exam reveals no s/s of trauma other than the fall. Pupils are equal but sluggish to respond.

6. For this victim what is most likely her problem?

a. Head injury

b. Generalized hypothermia

c. Localized hypothermia

d. Fractured bones


7. For this victim your treatment priorities include all the following except?

a. C-spine precautions

b. Handle patient with care avoid rough movements

c. Remove clothing to prevent heat loss

d. Check the pulse for 30-45 seconds

Your next patient was at a pool party and was drinking large amounts of alcohol. The victim is a 24 year old male that upon arrival is unresponsive. B/P 80/60, P 78 reg, Resp 24 reg. Friends state that they found him at the bottom of the pool and was submerged for less than 3 minutes.

8. For this patient you should treat for all the following except?
a. C-spine

b. Hypothermia

c. Hypoglycemia

d. Hypoxia


9. What type of shock is this person experiencing?
a. Cardiogenic

b. Neurogenic

c. Septic

d. Psychogenic

10. What is one of the first s/s of a head injury?
a. Increased blood pressure

b. Combativeness

c. Altered mental status

d. Dilated pupils

11. You respond to a MVC. You find the patient's neck veins distended. This may indicate all of the following except?
a. Traumatic asphyxia

b. Cardiac tamponade

c. Simple pneumothorax

d. Tension pneumothorax

12. The next patient presents with a foreign body obstruction of the upper airway who is experiencing inspiratory stridor, respiratory difficulty, but has a weak cough.  You should?

a. Leave the patient alone and see if he/she can dislodge it without help

b. Apply abdominal thrusts to dislodge the object

c. Use magill forceps and laryngoscope to clear the airway

d Ventilate with high pressure ventilations

13. In which two of the following five are PASG contraindicated.
a. Pelvic fracture

b. Intra-abdominal bleeding

c. Pulmonary edema

d. Multiple long bone fractures

e. Congestive heart failure

14. In shock, the first organ in which blood is diverted away from is:
a. Brain

b. Kidneys

c. Liver

d. Skin

e. Heart

15. General s/s of hypovolemic shock include all the following except:
a. Changes in level of consciousness

b. Weak, thready pulse

c. Dry, warm skin

d. Increased respirations

16. The type of seizure that is characterized by dysfunction of one area of the body is called?

a. Petit mal

b. Focal motor

c. Psychomotor

d. Grand mal

17. If a medication is ordered by the doctor and the EMT knows that this medication is contraindicated the EMT should first:

a. Refuse to administer the drug
b. Give the drug because the doctor is liable for the order
c. Look up the drug in a reference book for a double check
d. Question the order by repeating it before any other activity
e. Allow the other EMT to administer the drug

18. You have a 27 y/o female that was struck by a car while riding her bike. Vitals: B/P 90/58, P 130, Resp. She is extremely bruised in the RUQ of her abdomen. What organ would most likely be bleeding?
a. Spleen

b. Stomach

c. Gall bladder

d. Liver

19. All of the following are s/s of a cardiac tamponade except?
a. Muffled heart tones

b. Distended neck veins

c. Tracheal deviation

d. Narrowing pulse pressure

e. Hypoxia

20. Which of the following would lead the EMT to suspect possible damage to the urinary bladder or kidneys following blunt trauma?
a. Presence of a pelvic fracture

b. Blood in urine

c. Bruising of the flank area

d. Fracture of the lower posterior ribs

e. All of the above

21. Epinephrine is indicated for the treatment of anaphylaxis, what effects are produced when administered?
a. Bronchodilation / Tachycardia

b. Bronchodilation / Bradycardia

c. Bronchoconstriction / Tachycardia

d. Bronchoconstiction / Bradycardia

22. General management of a patient with an abdominal evisceration would include:

a. Cover the area with sterile dry dressing

b. Apply sterile saline dressing over the viscera and cover with a loose bulky dry dressing

c. Replace the organ with sterile dry dressing

d. Wrap with dry dressing and secure with abdominal binder

23. The most reliable s/s of a spinal cord injury is:
a. Paralysis

b. Swelling or hematoma of the spine area

c. Pins and needles sensation

d. None of the above

24. Of the following chest injuries, which injury will require immediate paramedic chest decompression:
a. Cardiac tamponade

b. Spontaneous pneumothorax

c. Spontaneous hemothorax

d. Tension pneumothorax

25. _____ is found in Red Blood Cells (RBC) and has the ability to unite with oxygen.

a. Hematocrit

b. Hemoglobin

c. Leukocyte (white blood cells)

d. Plasma

26. What effects are seen with a patient who takes a "beta blocker" drug?
a. Increased heart rate

b. Increased cardiac output

c. Decreased heart rate

d. Bronchodilation

27. The Glasgow Coma Scale incorporates all the following categories except:
a. Best respiratory response

b. Eye opening response

c. Verbal response

d. Best motor response

28. You have a 37 y/o male with 3rd degree burns to his entire chest/abdomen and entire right leg. What percent of burns does he have?
a. 18

b. 27

c. 36

d. 45

e. 54

29. A 40 year old male c/o abdominal muscle pain and spasms, nausea, and pain / swelling to his right arm. He tells you he was working in his garage cleaning out some cabinets when he thinks he was bitten by something. What was it?
a. Black widow

b. Brown recluse

c. Yellow jacket wasp

d. Scorpion

e. Fire ants

30. The tough fibrous sac around the heart is the:
a. Myocardium

b. Endocardium

c. Pericardium

d. Peritoneum

31. Blood flows from the right atrium to the right ventricle through the:
a. Mitral valve

b. Tricuspid valve

c. Aortic valve

d. Pulmonic valve

32. The most common cause of status epilepticus seizures in an adult is:

a. Alcohol withdrawal

b. Recent history of head trauma

c. Sudden elevation of body temperature

d. Failure to take prescription medications

33. All of the following are s/s of an abdominal aortic aneurysm except:

a. Palpable pulsating mass

b. Rigid abdominal wall

c. S/S of shock

d. Pain radiating to the back

e. Hypertension

34. Hypoglycemia can result from all the following except:

a. Administering too much insulin

b. Not eating after insulin administration

c. Vigorous physical activity

d. Not taking the prescribed insulin

Match the following (may only be used once)

Match the following (may only be used once)