EMT-B AAOS Final Test - Questions with Verified Answers A 29-year-old female presents with confusion and disorientation. Her respirations are rapid and
... [Show More] shallow and her pulse is 120 beats/min and thready. She is markedly diaphoretic and has an oxygen saturation of 89%. You should: A. transport immediately. B. treat her for hyperglycemia. C. administer oral glucose. D. provide ventilatory support. An 11 month old crying female has swallowed a piece of a hot dog. She is coughing and you can hear a high pitched sound coming from the throat. You should: a. administer back blows and chest thrusts b. provide high concentration of oxygen by blow by mask c. perform a blind finger sweep to attempt removal of the object d. provide ventilations by BVM and oxygen Which of the following veins is located inferior to the trunk? A. axillary B. cephalic C. saphenous D. subclavian A microdrip administration set delivers 1 mL of fluid after every ______ drops. A. 80 B. 60 C. 40 D. 20 If hydroplaning of the ambulance occurs, the driver should: A. slowly pump the brakes until he or she regains vehicle control. B. slowly move the steering wheel back and forth. C. gradually slow down without jamming on the brakes. D. quickly jerk the steering wheel. A 19-year-old female was stung multiple times on the legs by fire ants. She states that she is allergic to fire ants, but does not carry her own epinephrine. The patient is conscious and alert and complains of pain to the area of the bites. Her blood pressure is 122/70 mm Hg, her pulse is 100 beats/min and strong, and her respirations are 18 breaths/min and unlabored. You should: A. advise her to see her physician as soon as possible. B. position her legs well above the level of her heart. C. request a paramedic unit to administer epinephrine. D. administer oxygen and transport her to the hospital. You are dispatched to a convenience store for a patient who passed out. Upon arriving at the scene, you find two bystanders performing CPR on the patient, a 58-year-old male. Your initial action should be to: A. quickly attach the AED and push the analyze button. B. assess the effectiveness of the bystanders' CPR. C. request a paramedic unit and quickly attach the AED. D. have the bystanders stop CPR and assess the patient. A 52-year-old male presents with a fever of 102.5°F and a severe headache. As you assess him, you note the presence of multiple blisters on his face and chest, which are all identical in shape and size. This patient's clinical presentation is MOST consistent with: A. cutaneous anthrax. B. yellow fever virus. C. smallpox. D. sarin toxicity. You have just delivered a baby boy. His body is pink, but his hands and feet are blue. His heart rate is approximately 110 beats/min and his respirations are rapid and irregular. He has a weak cry when stimulated and resists attempts to straighten his legs. His Apgar score is: A. 9 B. 8 C. 7 D. 6 A 12-lead ECG: A. may identify myocardial ischemia or injury. B. is only performed in the hospital setting. C. does not indicate the heart's primary pacemaker. D. is used by the EMT to diagnose a heart attack. A 58-year-old male presents with confusion, right-sided weakness, and slurred speech. His wife is present and is very upset. As your partner is applying oxygen, it is MOST important for you to: A. administer glucose to rule out hypoglycemia. B. ask his wife when she noticed the symptoms. C. list all of the patient's current medications. D. obtain a complete set of baseline vital signs. Which of the following statements regarding nitroglycerin is correct? A. A maximum of five nitroglycerin doses should be given to a patient. B. The potency of nitroglycerin is increased when exposed to light. C. Nitroglycerin usually relieves anginal chest pain within 5 minutes. D. Nitroglycerin should be administered between the cheek and gum. Braxton-Hicks contractions are characterized by: A. a rupture of the amniotic sac just before the contractions begin. B. pink or red bloody show in conjunction with the contractions. C. regular contractions of progressively increasing intensity. D. alleviation of pain with movement or changing positions. A 22-year-old male with a history of clinical depression called 9-1-1 and stated that he has attempted to kill himself. Your unit and law enforcement officers arrive at the scene simultaneously. You find the patient lying supine on the living room floor. He is unconscious and cyanotic. An empty bottle of hydromorphone (Dilaudid) is found on an adjacent table. You should: A. wait for the police to examine him before providing care. B. ask the police to handcuff the patient for safety purposes. C. provide care after determining what Dilaudid is used for. D. open the patient's airway and assess his respirations. You have just delivered a full-term infant. His respirations are rapid and irregular, and he has a strong cry. What should you do next? A. Allow the mother to hold her baby. B. Assess the brachial or umbilical pulse. C. Clamp and cut the umbilical cord. D. Begin assisting the newborn's breathing. In which of the following situations would a direct ground lift be the MOST appropriate method of moving a patient? A. an unconscious patient with a possible ischemic stroke B. a pedestrian with back pain after being struck by a car C. a conscious patient complaining of abdominal pain D. a patient who complains of hip pain following a fall In an unconscious patient, the most common airway obstruction is caused by: a. oral secretions b. dentures c. the tongue d. foreign objects While eating dinner, your partner suddenly grabs his throat and has a panicked look on his face. He has a weak cough, faint inspiratory stridor, and cyanosis around the lips. You should: A. stand behind him and administer abdominal thrusts. B. place him in a supine position and open his airway. C. deliver up to five back blows and reassess him. D. encourage him to cough as forcefully as he can. A 51-year-old female presents with a sudden onset of difficulty breathing. She is conscious and alert and able to speak in complete sentences. Her respirations are 22 breaths/min and regular. You should: A. perform a secondary assessment and then begin treatment. B. insert a nasal airway in case her mental status decreases. C. assist her breathing with a bag-mask device and 100% oxygen. D. administer 100% oxygen via a nonrebreathing mask. A 66-year-old woman presents with a stabbing pain in the middle of her chest that radiates to her back. She tells you that the pain suddenly began about 30 minutes ago and has been severe since the onset. She has a history of hypertension, but admits to being noncompliant with her antihypertensive medications. When you assess her, you find that her blood pressure is significantly higher in her left arm than it is in her right arm. What are her signs and symptoms MOST indicative of? A. dissecting aortic aneurysm B. hypertensive emergency C. AMI D. unstable angina A 29-year-old male complains of a severe headache and nausea that has gradually worsened over the past 12 hours. He is conscious, alert, and oriented and tells you that his physician diagnosed him with migraine headaches. He further tells you that he has taken numerous different medications, but none of them seem to help. His blood pressure is 132/74 mm Hg, his pulse is 110 beats/min and strong, and his respirations are 20 breaths/min and adequate. In addition to high-flow oxygen, further treatment should include: A. placing him in a supine position and transporting with lights and siren to a stroke
center. B. applying warm compresses to the back of his neck and transporting with lights and siren. C. dimming the lights in the back of the ambulance and transporting without lights and siren. D. assisting him with his migraine medication and transporting without lights and siren. A 4-year-old male ingested an unknown quantity of acetaminophen (Tylenol). The child's mother states that the ingestion occurred approximately 20 minutes ago. The child is conscious and alert and in no apparent distress. After contacting medical control, you should: A. administer up to 25 g of activated charcoal. B. induce vomiting with syrup of ipecac. C. transport the child for definitive care. D. give the child cold milk to absorb the Tylenol. A 19-year-old male is unresponsive, apneic, and pulseless after being struck in the center of the chest with a softball. Based on the mechanism of injury, what MOST likely occurred? A. asystole secondary to massive intrathoracic hemorrhage due to traumatic rupture of the aorta B. fracture of the sternum that caused a rupture of the myocardium and led to a cardiac dysrhythmia C. collapse of both lungs due to fractured ribs that perforated the lung tissue and caused cardiac arrest D. ventricular fibrillation when the impact occurred during a critical portion of the cardiac cycle A 47-year-old male presents with severe abdominal pain of 3 hours' duration. His abdomen is distended and guarded. Your MOST important consideration for this patient should be to: A. transport him in a supine position. B. assess his blood pressure to determine perfusion adequacy. C. be alert for signs and symptoms of shock. D. determine the exact location and cause of his pain. Advanced airway management techniques are performed ONLY after: A. basic airway techniques have been completed. B. the patient is assessed as being apneic. C. the upper airway has been thoroughly suctioned. D. the patient has been delivered to the hospital. [Show Less]