Questions 1 to 3 pertain to the following scenario:
You and your partner are called to the home of a 75-year-old man complaining of severe pain in the chest and nausea. As the patient is being assessed, he suddenly loses consciousness.
The first step in treating a patient with severe chest pain is:
a. obtain a patient history.
b. administer oxygen.
c. perform a physical exam.
d. obtain baseline vital signs.
2. The first step in treating a patient who loses consciousness is to:
a. obtain a pulse.
b. assess breathing.
c. attach an automated external defibrillator.
d. open the airway.
3. The best way to decrease oxygen demand in the case of cardiac compromise is to:
a. transport the patient immediately, flashing lights and using siren.
b. reassure the patient.
c. travel at high speed but without the siren.
d. give the patient nitroglycerin.
Questions 4 to 6 pertain to the following scenario:
You receive a call from the mother of a 3-year-old girl. The mother believes her daughter has “swallowed something.” When you arrive, the child does not acknowledge your presence. She has a high fever and a generalized rash.
4. Proper care for a small child with possible airway obstruction consists of:
a. performing a finger sweep.
b. relieving mild airway obstruction.
c. avoiding agitation of the child and providing transport.
d. applying back blows and abdominal thrusts.
5. When a young child does not acknowledge the presence of a stranger in his or her environment, this is indicative of:
a. altered mental state.
b. allergic reaction.
d. age-appropriate behavior.
6. A child with inattentive behavior, high fever, and generalized rash should be monitored for:
b. projectile vomiting.
c. cardiac failure.
7. In which of the following patients is rapid trauma assessment most urgently needed?
a. A 90-year-old woman with pain in the right upper quadrant.
b. A conscious 50-year-old man who fell from the roof of his home and landed on his left arm.
c. A conscious 25-year-old store clerk who was stabbed in the abdomen during an attempted robbery.
d. An 8-year-old boy complaining of pain in the right lower quadrant of the abdomen.
8. You receive a call from a young woman whose car has been struck in a shopping mall parking lot. She is concerned about the elderly man who backed into her car. On arrival at the scene, you find a conscious 88-year-old man who appears to be having an acute ischemic stroke. The most appropriate course of action would be to:
a. perform a physical exam.
b. administer oxygen and obtain a patient history.
c. monitor blood pressure.
d. administer oxygen and provide transport to the hospital for fibrinolytic therapy.
Questions 9 and 10 refer to the following scenario:
The husband of a pregnant 21-year-old woman calls for assistance, fearing that his wife is about to deliver “any minute.” On arrival, delivery does not appear to be imminent; however, during transport, crowning occurs.
9. The most appropriate course of action is to:
a. check for the presence of the amniotic sac.
b. reassure the mother and wait for arrival at the hospital.
c. apply gentle pressure to the infant’s head.
d. gently slide the infant back into the birth canal.
10. On delivery, the infant is not breathing adequately and the umbilical cord is pulsating. You should immediately:
a. pull on the umbilical cord.
b. leave the umbilical cord attached until arrival at the hospital.
c. clamp and cut the umbilical cord.
d. clamp the umbilical cord and await arrival at the hospital.
Questions 11 to 13 pertain to the following scenario:
The manager of a fast-food restaurant calls to report that an elderly woman is choking. On arrival, you find an 80-year-old woman in a wheelchair in obvious respiratory distress. On breathing assessment, you observe that the patient’s dentures are loose and ill-fitting. She then begins to make gurgling sounds.
11. The first step in evaluating the airway of an elderly person is to:
a. extend the head and flex the neck.
b. thrust the jaw forward to pull the tongue out of the airway.
c. find a radial pulse.
d. suction for 30 seconds.
12. While evaluating the airway, you notice there may be some difficulty in ventilating the patient. You should proceed by:
a. removing the patient’s dentures.
b. suctioning for 30 seconds.
c. initiating the gag reflex.
d. offering high-concentration oxygen.
13. The presence of gurgling sounds in this patient indicates that:
a. the patient is in cardiac arrest.
b. the patient is in an altered mental state.
c. the patient requires suctioning.
d. the patient is having an acute ischemic attack.
14. You arrive at the home of a 75-year-old woman who has had a fall. In addition to assessing potential injuries, you should:
a. assess mental status.
b. oxygenate the patient.
c. assess potential causes of the fall.
d. assess circulation.
15. Which of the following drugs are most often carried on an ambulance?
d. Oral glucose
16. Which of the following drugs can an EMT-B assist a patient in taking?
Questions 17 to 19 pertain to the following scenario:
You are called to the scene of a traffic accident involving a mother and her 2-year-old son. On arrival, both mother and child are bleeding from the head. The mother is conscious and alert and informs you that while she has sustained “just a scratch,” her son is “seriously hurt.” The boy has a laceration on the top of his head. On examination, he exhibits signs of hypoperfusion.
17. One of the most common causes of hypoperfusion in infants and children is:
a. heart failure.
b. blood loss.
c. a stressful event.
d. lack of oxygen.
18. Which of the following is a sign of hypoperfusion in children?
b. Rapid pulse.
c. Rapid respiratory rate.
d. Increased urinary output.
19. The best course of care for this child is to:
a. wait for signs of decompensated shock.
b. perform airway clearance.
c. monitor blood pressure.
d. keep the child warm.
20. The most likely cause of cardiac arrest in a child is:
a. respiratory failure.
c. mitral valve prolapse.
d. asthma attack.
Questions 21 to 23 pertain to the following scenario:
The morning after a snow storm, the ski patrol discover the wreckage of an automobile on the road to a ski lodge. A 70-year-old man is trapped inside. He is disoriented but conscious and has suffered a broken hip. He exhibits severe muscular rigidity and has no memory of the events before or after the accident. The patient’s wife had reported the man missing the previous night after he became intoxicated and was ejected from a local bar.
21. In addition to a broken hip, this patient is suffering from:
b. inadequate circulation.
d. psychiatric disorder.
22. To prevent heat loss in an injured patient, you should:
a. perform active rewarming techniques.
b. massage the extremities.
c. administer a stimulant.
d. use blankets to provide a barrier to the outside.
23. Body heat loss is often associated with:
a. alcohol intoxication.
b. head trauma.
c. cardiac events.
d. altered mental status.
24. The signs and symptoms of carbon monoxide poisoning most closely resemble those of:
a. smoke inhalation.
c. food poisoning.
d. drug overdose.
25. You receive an urgent call from the mother of a 15-year-old-boy who has accidentally splashed disinfectant in his eye while performing his weekly chore of cleaning the bathroom. The best way to treat the boy is to
a. irrigate the eye with clean water for 20 minutes if an alkali or 10 minutes if an acid.
b. irrigate the eye with diluted vinegar.
c. irrigate the eye with baking soda and water.
d. transport the patient to the hospital immediately.