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This exam features: 250+ multiple-choice ques & Ans
1. You arrive to find a 48 year old male complaining that his chest feels heavy.
The patient is awake and talking to you. During your assessment, you note that his skin is pale, cool, and clammy. Your first step is to:
A. apply your AED
B. administer supplemental oxygen
C. obtain a past medical history
D. assist the patient in taking his neighbor's nitroglycerin
Ans: B (Your first step is to administer supplemental oxygen. When treating chest pain, it is important to get oxygen to the patient as soon as possible to help alleviate damage to the heart muscle.)
2. Which of the following is the correct flow of blood through the heart and
lungs?
A. inferior/superior vena cavae, lungs, right atrium, right ventricle, left venntri-
cle, aorta
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B. inferior/superior vena cavae, left atrium, left ventricle, lungs, right atrium,
left ventricle, aorta
C. inferior/superior vena cavae, lings, aorta, left atrium, left ventricle, right
atrium, left ventricle
D. inferior/superior vena cavae, right atrium, right ventricle, lungs, left ventri-
cle, aorta Ans: D
3. The mitral or bicuspid valve,
A. prevents blood from back flowing into the left atrium
B. prevents blood from back flowing into the right atrium
C. prevents the blood from back flowing into the lungs
D. is located between the left atrium and the right ventricle
Ans: A (The mitral or bicuspid valve is located between the left atrium and the left atrium and the left ventricle. It prevents the blood from back flowing into the left atrium.)
4. Which of the following is NOT true of the treatment of an impaled object?
A. remove if blocking the airway
B. stabilize in place
C. remove to accommodate transport of the patient
D. control the bleeding
Ans: C
C. sinoatriual node
D. bundle of his
Ans: C
6. You are treating a patient that has been involved in a motor vehicle accident.
You can lift a flap of skin on the patient's head. This type of injury would e referred to as a(n):
A. avulsion
B. laceration
C. evisceration
D. puncture
Ans: A (A puncture is created by an object that is typically sharp and pointed. A laceration is defined as a jagged cut. An evisceration is typically referred to as organs protruding.)
7. Ligaments connect:
A. muscle to bone
B. bones to tendon
C. bone to bone
D. muscle to tendons
Ans: C
8. Which of the following heat emergencies is considered a true emergency?
A. heat cramps
B. heat exhaustion
C. heat infarction
D. heat stroke
Ans: D (Heat strokes are considered a true life threatening emergency. A heat stroke typically occurs after a patient as experienced heat cramps and heat exhaustion.)
9. You are treating a patient who has overdosed on a narcotic. The greatest
risk for this patient is:
A. respiratory depression
B. seizures
C. hypertension
D. hyperactivity
Ans: A
10. Which of the following is NOT an imminent sign that birthing is going to
occur?
A. crowning has occurred
B. contractions are 5 minutes apart
C. the patient feels the infant's head moving down her birth canal
D. the patient's abdomen is very hard
Ans: B
11. Which of the following patient characteristics does NOT represent a poten-
tial for violence?
A. quick irregular movements
B. threatening posture
D. loss of consciousness
Ans: C
15. You arrive on the scene of an incident where a 16 year old male fell
approximately 12 feet. That would be considered: A. a trauma alert B. a significant mechanism of injury C. not a significant mechanism of injury D. a case with a load 'n' go patient Ans: C (A patient over the age of 8 is considered an adult for most medical care purposes. A fall of greater than 20 feet is considered a significant injury in adults. If this had been an infant or child, it would have been a significant mechanism of injury since any fall greater than 10 feet would be considered a significant mechanism of injury.)
16. When assessing a 35 year old patient complaining she is short of breath, you
note that her breathing is in excess of 28 times per minute. This is considered:
A. neuropnea
B. apnea
C. bradypnea
D. tachypnea
Ans: D (Respiratory rates greater than 20 breaths per minute are considered tachypnea. Less than 12 breaths per minute is bradypnea and absent breathing is apnea.)
17. You arrive on the scene of a patient who fell from a ladder.You should open
the patient's airway by using:
A. head-tilt/chin-lift
B. jaw thrust maneuver
C. neck-lift/head-tilt
D. head-tilt/jaw-thrust
Ans: B
18. You arrive on the scene, finding an unconscious patient.There are no other
individuals in the vicinity to give any other information or permission to treat the patient. Even though the patient cannot give you consent to treat him, you begin to do so because of"
A. expressed consent
B. implied consent
C. advanced directives
D. emergency consent
Ans: B
19. The AED is used to treat patients in:
A. asystole
B. ventricular tachycardia with a pulse
C. ventricular fibrillation
D. pulseless electrical activity
Ans: C
23. During your assessment of a patient's chest you note that the left side of the
chest moves opposite to the right. This is called:
A. crepitus
B. paradigmal motion
C. subcutaneous emphysema
D. paradoxical movement
Ans: D
24. A minute after a baby is born, the heart rate is less than 60 beat per minute.
You should:
A. blow by oxygen
B. attempt to stimulate the newborn
C. aggressively warm the newborn
D. begin chest compressions
Ans: D
25. You arrive on the scene to find an unresponsive female patient who is in her
car in the garage. The car is still running and the door is closed. Looking through an outside window, your next action would be to:
A. attempt and immediate rescue
B. open the large garage door and any other outside openings
C. wait for the car to run out of gas
D. shut the car off immediately and remove the patie
Ans: B
26. When you listen to the lungs of an asthma patient you would expect to
hear:
A. wheezes
B. rales
C. stridor
D. rhonchi
Ans: A
27. Tidal volume is best defined as the:
A. volume of air inhaled on a single breath
B. volume of air that remains in the upper airway
C. total volume of air that the lungs are capable of holding
D. volume of air moved in and out of the lungs each minute
Ans: A (average is 500 ml)
28. During transport of a patient with a head injury, what assessment factor
will provide you with the most information regarding the patient's condition?
A. pupil size
B. heart rate
C. mental status
D. blood pressure
Ans: C
29. Which of the following would findings would be most significant during an
assessment of a patient with a severe headache?
33. The scene size-up includes all of the following components, except:
A. determining scene safety
B. applying personal protective gear
C. assessing the need for assistance
D. evaluating the mechanism of injury
Ans: B
34. Which of the following actions should be carried out during the initial
assessment?
A. assessing the skin
B. palpating the cranium
C. auscultating the lungs
D. obtaining a blood pressure
Ans: A
35. Firefighters have rescued a man from his burning house. He is conscious
and in considerably respiratory distress. He has a brassy cough and singed nasal hairs. The most immediate threat to this patient's life is:
A. hypothermia
B. severe burns
C. severe infection
D. closure of the airway
Ans: D
(Because of the signs and symptoms that this patient is exhibiting, you must be immediately concerned with the potential for closure of the airway and be prepared to assist ventilations. Signs of airway burns include respiratory distress, singed nasal hairs, a brassy cough, difficulty breathing and coughing up soot sputum. Infection, the burns themselves and hypothermia should concern you; however, airway problems are the greatest threat to human life.)
36. Immediately upon delivery of a newborn's head, you should first:
A. dry the face
B. cover the eyes
C. suction the nose
D. suction the mouth
Ans: D
37. Which of the following conditions would most likely cause flushed skin?
A. shock
B. hypoxia
C. exposure to heat
D. low blood pressure
Ans: C (Flushed or red skin commonly is seen in patients who are exposed to heat. Fever can also cause flushed skin. Shock and low blood pressure generally cause the skin to become pale, and hypoxia causes cyanosis, a bluish-gray tint to the skin.)
38. After a patient has a seizure, they will have a gradual state of awakening.
This phase of a seizure is called:
A. the tonic phase
B. the postictal phase
are indicative of an air embolism. Divers who suffer from decompression sickness, or the bends, typically do not develop signs and symptoms of the bends for 12 to 24 hours after their dive. Barotrauma usually occurs as the diver is ascending or descending.)
41. You are called to the home of a 20-year-old male who is depressed. The
patient states he is going to kill himself. Your first step in treating this patient after the scene is safe is to:
A. restrain the patient to prevent him from hurting himself
B. ask the patient why he wants to do something so stupid
C. ask the patient how he plans t kill himself
D. turn the scene over to law enforcement
Ans: C (At this point, the scene is safe and the patient does not appear to be a threat to anyone. Restraining him would not be appropriate. No matter how you feel about what the patient is going to do, it is inappropriate for you to say that the patient is going to do something stupid. You should continue your treatment of the patient and not turn the scene over to law enforcement.)
42. The patient is bleeding severely from the lower leg.You have applied direct
pressure and elevated the leg. Your next step is to:
A. apply a tourniquet
B. apply direct pressure
C. apply pressure at the pressure point
D. elevate the arm
Ans: C
43. When treating an eye injury involving an impaled object, it is important to:
A. cover both eyes and stabilize the object
B. cover the affected eye and stabilize the object
C. stabilize the object and do not cover either eye
D. remove the object and cover both eyes
Ans: A
44. You have successfully converted your cardiac arrest patient out of v-fib with
your AED. The patient has a pulse and respirations are 6 per minute. You should:
A. continue CPR
B. monitor patient
C. administer 15 LPM via NRB
D. continue to assist the patient with ventilations via a BVM and oxygen
Ans: D
45. Which of the following arryhythmias should be shocked using an AED?
A. asystole
B. ventricular tachycardia
C. pulseless electrial activity
D. atrial
fibrillation Ans: B
D. orally
Ans: B (Albuterol is a bronchodilator)
50. You arrive on the scene of a tanker truck carrying a hazardous material.
You should position your vehicle:
A. 2,000 feet from the tanker truck
B. uphill
C. upwind
D. all of the above
Ans: D
51. You are treating a 35 year old conscious choking victim. The patient sud-
denly goes unresponsive. Your next step is to:
A. attempt to ventilate the patient
B. perform CPR
C. deliver 5 abdominal thrusts
D. deliver 5 chest thrusts
Ans: B
52. You are the triage officer at the scene of a mass casualty incident. Which of
the following patients should be treated first?
A. A 37-year-old female patient who is unresponsive
B. An 18-year-old male patient who is not breathing and has no pulse
C. A 29-year-old male patient with a femur fracture
D. An 8-year-old patient who is conscious but is having trouble breathing
Ans: A
53. When treating children, all of the following are important considerations
except:
A. the fact that they are more susceptible to hypothermia
B. the padding is needed when immobilizing
C. that they should be treated just like adults
D. that they have smaller airways
Ans: C
54. When established a landing zone for a medical helicopter, the minimum
area secured should be
A. 100' x 100'
B. 200' x 200'
C. 50' x 50'
D. 60' x 60'
Ans: A
55. A 20-year-old patient was sexually assaulted. The patient states that she is
hemorrhaging profusely from the vagina. You should
A. do nothing and transport immediately
B. apply a sterile sanitary napkin
C. pack the vagina with sterile dressings
D. have the patient squeeze her leg together and transport immediately
Ans: B
