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1..Carbon monoxide poisoning sign?
A)seizures
2.Who would benefit the least from intubation?
A)a runner who c/o difficulty breathing
3.Man jumps from second floor window of burning building.
A)wait until the fire department arrives
4.First rhythm strip at a rate of 140-150.
A)PSVT
5.How would you treat that rhythm?
A)vagal maneuver
6.A man sees spiders on the wall.
A)approach the patient and tell him that you are here to help and also check his blood pressure
7.What causes the hallucinations?
A)schizophrenia
8.You decide that you need to restrain the patient.
A)assign one person to each limb
9.Officer comes out and asks for your assistance with the ….
A)ask the officer if the scene is safe and make sure that you have all the necessary equipment
10.Lady is short of breath and is getting really tired like she is not going to be able to continue breathing.
A)assist her with BVM
B)(other choices albuterol, furosimide)
11.How does epi affect histamine?
A)epi is alpha and beta adrenergic
12.When does the first stage of pregnancy end?
A)when the cervix is fully dilated
13.When does the second stage of delivery end?
A)when the baby is born
14.A pediatric patient overdoses on tricyclic (I think there might have been disrhythmia involved).
A)1 meq/kg sodium bicarb
15.Who is ultimately responsible at the scene?
A)medical director
16.Patient is eviscerated.
A)wrap intestines with saline soaked bandage
17.Another rhythm strip was 2nd degree type 2 hb.
18.What is the most ominous sign of a pediatric patient is respiratory distress?
A)cyanosis
B)ALOC
19.Family states that the patient does not want to be resuscitated. What do you do?
A)continue with resuscitation
20.Perfuse bleeding question.
A)pressure bandage, immobilize, then elevate
21.How is a MI usually described?
A)crushing pain
22.Glascow question.
A)8
23.When you cut the cord, why do you keep the baby at the vagina?
A)you don’t want the baby to lose blood.
24.This is true about treating organophosphate poisoning:
A)you may need to use more than 3 mg of atropine.
25.22-year-old female has LRQ pain. What would you not expect the patient to have?
A)diverticulitis
26.Patient has PID shuffle.
A)gonorrhea and clymidia
27.Patient with hallucinations says, “I’m not going to the nut house.” Under which circumstance would you transport? (consent question)
A)involuntary commitment
28.Elderly lady keeled over in bed with sonorous respirations at…
A)head tilt chin lift (open airway)
29.Patient unconscious with head injury, resps 32
A)ventilate at 24/min
30.The easiest way to stabilize a pelvic fracture is:
A)PASG
31.With decreased insulin levels you will have:
A)increased glucose
32.What grief process does the family go through?
A)same as patient
33.Man is short of breath and he tells medic that he always gets airway infections. He also smokes 2 packs a day.
A)emphysema
B)chronic bronchitis
C)asthma
34.90 pound patient needs turbutalin .005mg/kg
A).2 mg
35.What is the definition of ventilation?
A)movement of air in and out of the lungs
36.What is the difference between a MI and angina?
A)MI pain is not relieved with nitro and rest
37.Area burned on man was 63%
38.Area burned on pediatric patient was 27%
39.Pediatric patient was burned on both legs circumferential. Why would you suspect child abuse?
A)pattern of burns
40.How would you report the child abuse?
A)notify physician
41.Diabetic ketoacidosis – why does patient have kussmauls respirations?
A)metabolic acidosis
42.You notice that you did not note on run sheet that you filled out yesterday that you gave the patient morphine. What would you do?
A)amend the run report
43.Hypothermic patient you would expect to see a J wave.
44.How would you stop the patient from further hypothermia?
A)blankets
45.A strip that shows peaked T waves
A)hyperkalemia
46.What would you do first for the hypothermic patient scenario?
A)warm the patient
47.Prolapsed cord question
A)the prolapsed cord could prohibit cord circulation
48.What is the most common reason for premature contractions
A)enhanced automaticity
49.What would be the first thing a dispatcher would need to ask a pregnant patient?
A)does she feel like she needs to move her bowels
50.A scenario with a CHF patient and what med would you give?
A)dobutamine 2-20 mgs
51.A question about a written protocol
A)standing order
52.What do you wear when you deliver a baby?
A)gloves, gown and eyewear
53.While patient is supine, his b/p is 110/80. When he sits up, it goes to 82/40.
A)keep the patient supine and elevate feet
54.Patient tells you that it is okay for you to do something.
A)expressed consent
55.How is heat lost while sitting in the house all day?
A)radiation
56.5 mg/min; 5 gm in 500 cc bag
A)30 gtts
57.Man found in front seat of truck by police with no apparent injuries. Strong alcohol smell and man not making any sense.
A)turn guy over to officer and leave
B)tell officer that the man needs medical attention and he needs to assist you *
C)have the guy sign a refusal
D)restrain guy
58.Sign not indicative of CO poisoning
A)jaundice in sclera of eye
59.Perfuse lower GI bleed
A)rapid transport
60.What respiratory illness involves reduced elasticity, increased residual volume while vital compacity remains normal?
A)emphysema
61.Patient presents with melena.
A)lower GI bleed
62.Mortality of child with burns.
A)infection
63.What is unique about the bronchioles?
A)non-cartilaginous smooth muscle
64.Ketacidosis question and what kind of fluid do you give?
A)fluid bolus
65.If you use an adult sized b/p cuff on a child, how will it affect results?
A)it will be inaccurate
66.Guy has severe jaw trauma. What would be the best way to open an airway?
A)orally intubate
67.How does aspirin help a cardiac patient?
A)helps break clots
68.APGAR question is 8
69.How many veins and arteries in cord?
A)2 arteries and 1 vein
70.Pediatric question where patient wheezes and fever (I think)
A)bronchiolitis
71.Follow up question asks what causes that condition.
A)viral
72.Trauma patient with hyperresonanse.
A)tension pneumothorax
73.PaO2 question
A)deep and rapid
74.What is deep and rapid respiration called?
A)kussmauls
75.Drowning patient in v-fib.
A)defibrillate at 200j
76.What is the difference between crystalloids and colloids (or plasma)?
A)osmolarity
77.What bleeding is easiest to control?
A)arterial 70/palp
78.What system sends and receives info at the same time?
A)duplex
79.What are the signs and symptoms of detecting shock early?
A)narrowed pulse pressure
80.What would you give instead of epi?
A)vassopressin 40 units
81.What do you need to watch out for in cheyne-stokes respirations?
A)tidal volume
82.Patient hit with baseball bat.
A)cardiac contusion
83.CISD question – what is the importance of CISD?
A)to openly talk about the…
84.How do you apply the selic maneuver?
A)push down on the ring just below the adam’s apple
85.Who can you discuss patient info with?
A)receiving physician or nurse
86.Which BVM would you need for a child?
A)one with pop-off valve
87.Elderly patient is susceptible to spinal injury because?
A)answer with spondolysis
88.Respond to an unconscious rape victim
A)establish airway and spinal immobilization
89.Fracture of radius
A)check neurological status, immobilize wrist and elbow, neurological status
90.What is your first concern with a burn patient?
A)hypovolemia
91.What would you do for trauma patient enroute (most important)?
A)reaccess primary
B)2 large bore Ivs
92.Unlawfully touching someone without consent is:
A)battery
93.Pain during a MI is the result of?
A)ischemia
94.Patient presents with abdominal distention. What would you not do?
A)give 15mg of morphine
95.After you suction, try to stimulate, and warm and dry the …. not responding. What do you do?
A)chest compressions
B)blow by oxygen
C)assist in ventilating with BVM *
96.Patient now has a pulse of 55. What do you do?
A)start compressions
97.Air in the plural space is making it difficult to breathe.
A)decompress
98.What is a reason that the body temperature would drop?
A)hypothyroidism
99.Chest pain with high blood pressure.
A)nitro
100.Patient lying on concrete in pool of vomit. What do you do first?
A)clear airway
101.Question with all s/s leading to the answer of depression.
102.Why would you place pregnant patient on left side?
A)left lateral recumbent position so fetus does not slow circulation
103.DKA question.
A)give fluids and provide supportive care
104.2 follow up questions on the 2nd degree type 2 rhythm strip
105.What is the least important info?
A)patient had an appendectomy 5 years ago
106.Question about a patient being shot in the chest. What is the most important info?
A)type of weapon used
107.Another prolapsed cord question. What would you not do?
A)put the cord back in the vagina
108.DKA scenario. What would you do first and second.
109.As you approach an accident scene, your heart rate goes up as does your b/p. What is this indicative of?
A)natural anxiety
110.B/p starts at 160 then goes down to 120 and back again.
A)pulsus parodoxis
111.What should you be most concerned about when ventilating patient?
A)tidal volume
112.Small child SOB. How would you access.
A)let mother hold baby while you access
113.What could be a contraindication of exposing a patient?
A)environmental condition
114.Blisters on burn.
A)2nd degree burn
115.Trauma patient with no distal pulse on leg.
A)rotate knee till you get a pulse
116.What is the worst thing that could happen for a distal injury?
A)lost pulse of extremity
117.What could be a possible complication of giving more than one arrhythmia drug or too much?
A)cause more arrhythmias
118.Patient is showing s/s of stroke. What is the most important to consider before giving thrombolytics?
A)time of onset
119.What are the 3 hormones secreted by the pancreas?
A)insulin, glucagons, somastasin
120.What do you need to address quickest?
A)narrowed pulse pressure 40 hgmm
121.Female that was in severe crash is ambulatory at scene with tingling.
A)calm her down and continue with assessment
122.How does body compensate for low b/p?
A)post capillary sphincters dilate
123.Acute coronary syndrome question
124.Question about bronchialitis, croup or epiglottis and giving humidified oxygen.
125.Diabetic patient hypoglycemic and acting strange. What did not lead to this?
A)gastrointestinal infection
126.Which IV access would you not use in a pediatric patient?
A)internal jugular
127.Pediatric patient with a febrile seizure. What do you do first?
A)give 5mg diazepam rectally
B)take off wet clothes and blankets
128.Pitcher gets hit with baseball. What is the most important … in his injury?
A)velocity
129.Burn patient who withdraws from pain – how would you classify?
A)purposeful movement
130.25 pound patient who is hypovolemic. How much for fluid bolus?
A)200cc
131.Patient has glucose of 30. You give him D50 and he states that he wants to leave. Tries to take out IV. Not fully alert.
A)restrain patient
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