Fisdap Exit Aemt Final Exam 2024

FISDAP EXIT AEMT FINAL EXAM 2024 1. 96. An alert 20 year old male's legs have been trapped under a fallen tree truck for 8 hours. Vital signs are BP 106/56, P 114, R 20 and SpO2 94%. What should you do before removing the tree from his legs?: Administer oxygen by non-rebreather mask 2. 1. A 24 year old male diaphoretic, anxious, and lying in the fetal position. He has right lower quadrant tenderness on palpitation. What should you suspect?: Appendicitis 3. 2. A 21 year old female is crying and wants to kill herself. She has an extensive psychiatric history. She is worried that she will never leave the hospital. Law enforcement has secured the scene. What should you do?: Calmly reassure the patient. 4. 3. What abdominal infection presents with guarding and increased pain on movement?: Peritonitis 5. 4. A 20 year old male is febrile and complains of a headache. He has blurred vision and neck pain. What should you suspect?: Meningitis 6. 5. A 55 year old male complains of tearing abdominal pain. Peripheral pulses are weak and unequal. What should you suspect?: Aortic aneurysm 7. 6. A 64 year old male complaining of chest pain suddenly becomes unconscious. What should you do?: Assess for a carotid pulse 8. 7. A 40 year old female has a psychiatric history with what should you do?: Return the ambulance 9. 8. A 58 year old male complains of shortness of breath. His skin is ashen and he has clubbed fingers. Vital signs are bp 168/86, p 119 r 30 and labored, SpO2 89%. What is the most likely cause?: COPD 10. 9. A 24 year old female was ejected in a car crash. She has shallow respirations and a scalp laceration that is bleeding into her eye. What should you do?: Manually stabilize her spine 11. 10. A 60 year old male complains of chest pain. Vital signs are bp 180/90. P 112, and irregular, R 18, SpO2 92%. What is the 1 / 27 lOMoARcPSD|35287698 initial medication you should administer?: Aspirin 12. 11. What transports oxygenated blood from the lungs to the heart?: Pul- monary veins 13. 12. What does the phrenic nerve control?: Diaphragm 14. 13. What is the term for the amount of resistance felt during ventilation with a bag valve mask?: Compliance 15. 14. Why do COPD patients develop polycythemia?: Chronic hypoxia 16. 15. Which is a reactive airway disease?: Asthma 2 / 27 lOMoARcPSD|35287698 17. A 25 year old male is diaphoretic and hot to the touch. He has active hemoptysis and tells you he has had a cough for 2 weeks. What should you do?: Don an N95 mask 18. A 56 year old female complains of an acute onset of shortness of breath after coughing vigorously. What should you suspect?: Pneumothorax 19. A 55 year old male is confused and cyanotic. He is a smoker with a cardiac history. Vital signs are BP 158/ 102, P 110, R 26 with rhonchi, SpO2 84%. What should you suspect?: COPD exacerbation 20. 19. An 18 year old male has a hoarse voice and a forceful cough. He says "im choking". What should you do?: Monitor his airway 21. 20. An unconscious 92 year old male is lying supine in his bed. He has a decelerate posture, snoring respirations, and a respiratory rate of 8. What should you do?: Perform a head tiltchin lift. 22. 21. An unconscious 22 year old male is lying prone on a bathroom floor. His face is lying in a pool of vomit. What should you do?: Log roll him into a supine position 23. 22. A 56 year old female complains of sharp, left-sided chest pain. She has been confined to a bed for the past 2 weeks because of a femur fracture. Vital signs are BP 120/76, P 110, R 24, SpO2 88%. What should you administer?: - Oxygen 24. 23. A 44 year old female is unconscious after coughing up bright, red blood. She has a history of alcohol abuse. What should you do?: Suction her airway 25. 24. Where does external respiration occur?: Pulmonary capillaries 26. 25. What regulates the rate of ventilations?: Carbon dioxide levels 27. 26. What does Beta 2 medication stimulate in the lungs?: Smooth muscle relaxation 28. 27. While ventilating a patient, air is escaping from the face mask. What should you do?: Reposition the face mask 3 / 27 lOMoARcPSD|35287698 29. 28. How many times per minute should you ventilate an adult patient in respiratory arrest?: 10 30. 29. A 56 year old female is in tripod position and has pink, frothy sputum on both sides of her mouth. What should you suspect?: Pulmonary edema 31. 30. A 54 year old female with a history of emphysema complains of chest tightness. Vital signs are BP 140/76, P 92, R 18 and wheezing, SpO2 95% on room air. What should you do?: Administer an albuterol nebulizer 32. 31. A 30 year old male in respiratory distress has a fever with chills, a chronic cough, and hemoptysis. What should you suspect?: Tuberculosis 4 / 27 lOMoARcPSD|35287698 33. 32. A 49 year old female tells you she has dull chest pain that started 20 minutes ago and had cardiac stents placed 6 years ago. Vital signs are BP 110/82, P 92, R 16. What should you suspect?: Myocardial infarction 34. 33. What is the intrinsic heart rate?: 60-100 35. 34. Where does the electrical impulse travel after is leaves the sinoatrial node?: Atrioventricular node 36. 35. An unconscious 65 year old male is slumped over the toilet. He has loud, snoring respirations but you are unable to palpate a carotid pulse. What should you do?: Position him supine on the floor 37. 36. A 63 year old female complains of "fluttering" in her chest that started 10 minutes ago. Vital signs BP 90/40, P 190, R 18, SpO2 92%. What should you suspect?: Cardiogenic shock 38. 37. A 56 year old male complains of epigastric pain and shortness of breath. He tells you that he takes insulin and has a cardiac history. Vital signs are BP 110/56, P 50, R 14, SpO2 96%, blood glucose analysis 88 mg/dL. What should you administer?: Aspirin 39. 38. A 62 year old female complains of lower leg pain that started 8 hours ago. Her leg is swollen with slight warmth upon palpitation. She also states the pain increases when she walks. What should you suspect?: Deep vein thrombosis 40. 39. A 72 year old female complains of shortness of breath that awoke her in the middle of the night. Vital signs are BP 182/102, P 92 and irregular, R 26 with crackles, SpO2 86%. What should you suspect?: Pulmonary edema 41. 40. A 67 year old male is unresponsive and has agonal respirations. What should you do?: Palpate a carotid pulse 42. 41. A 47 year old male is sitting in the fowlers position on your stretcher. After administration of on nitroglycerin, he complains of a headache and no longer speaks clearly. Vital signs are BP 76/38, P 90, R 16, SpO2 99%. What should you do?: Lay him supine 43. 42. A 47 year old female complains of difficulty breathing. 5 / 27 lOMoARcPSD|35287698 She has distend- ed neck veins and edema in her lower extremities. Vital signs are BP 164/90, P 120, R36 with crackles. What should you suspect?: Congestive heart failure 44. 43. How does right sided heart failure present?: Tachycardia and peripheral edema 45. 44. A 56 year old male complains of chest pain and shortness of breath. He is anxious and has pale, cool, and clammy skin. Vital signs are BP 66/40, P 98 and irregular, R 24 with crackles. What should you suspect?: Cardiogenic shock 6 / 27 lOMoARcPSD|35287698 46. 45. A 60 year old female lost consciousness, her friend reports that she was only unconscious for a few seconds, and she is now alert and oriented. Vital signs are BP 92/60, P 160, R 18. What should you suspect?: Cardiac dysrhythmia 47. 46. Why is it important to provide effective chest compressions during CPR?: To restore critical blood flow 48. 47. What 2 electrolytes are primarily responsible for creating cardiac action potential?: Sodium and potassium 49. 48. What delivers blood from the myocardium to the right atrium?: Coronary sinuses 50. 49. What is the term for the amount of blood that is pumped out of the left ventricle with each heart beat?: Stroke volume 51. 50. A 19 year old male was struck in the chest and immediately went into ventricular fibrillation. What should you suspect?: Commotion cordis 52. 51. A 68 year old male is pulseless and apneic with an unknown down time. Your partner is working on attaching the AED. What should you do?: Start CPR 53. 52. A diaphoretic 45 year old male complains of shortness of breath and chest pain. Vital signs are BP 106/68, P 64, R 18, SpO2 88%. What medication should be administered?: Oxygen 54. 53. A 40 year old female is responsive to painful stimuli. Vital signs are BP 132/76, P 120, R 10 and snoring, and blood glucose analysis 32 mg/dL. What should you administer?: Dextrose 55. 54. A 24 year old male has lip swelling, urticarial, and is unable to speak. What should you do?: Administer epinephrine 56. 55. A 36 year old male is unresponsive, vital signs are BP 110/70, P 124, R 32, sPo2 98%, blood glucose analysis high. what should you do?: Administer a fluid bolus 57. 56. A 56 year old female complains of generalized weakness. She has a history of high blood pressure and tells you "my ears are ringing". Vital signs are BP 210/112, P 82, R 16. What is the most likely cause?: . Hypertensive crisis 58. 57. A 38 year old female collapsed after exercising outside 7 / 27 lOMoARcPSD|35287698 on a hot day. She is unable to follow your commandsand her skin is hot and dry. Vitals P 110, R 20. What should you do?: Begin active cooling 59. 58. A 44 year old female complains of a sudden onset of severe epigastric pain that radiates to her back. She is a chronic alcoholic. Vital signs are BP 112/64, P 110, R 18. What should you suspect?: Pancreatitis 60. 60. A 50 year old male is short of breath and dizzy. He is diabetic and is on dialysis. Vital signs are BP 88/46, P 92 and irregular, R 24 with crackles, SpO2 86%. What should you do?: Apply high-flow oxygen 8 / 27 lOMoARcPSD|35287698 61. 59. A 66 year old male complains of dizziness, fatigue, and diarrhea. He tells you that his bowel movements have been loose and dark. What should you suspect?: GI bleed 62. 61. A 17 year old male is holding a large knife. He warns you that if you come any closer he will cut you. What should you do?: Leave the scene 63. 62. A 38 year old male complains of left flank pain that radiates to his groin. He tells you that he has had increased urgency and small frequent bouts of urination. What is the most likely cause?: Ureteral calculi 64. 63. A 71 year old male is unable to follow your commands and is hot to the touch. His left foot was amputated 5 days ago. Vital signs are BP 92/56, P 90, R 22, blood glucose analysis 212 mg/dL. What should you suspect?: Sepsis 65. 64. A 23 year old female is having a tonic-clonic seizure. She has been seizing for 5 minutes without regaining consciousness. She is cyanotic and apneic. What should you do?: Assist her ventilations 66. 65. A 19 year old male complains of sharp leg pain that radiates to his abdomen. He tells you "This feels like sickle cell pain." What treatment should you provide?: High-flow oxygen and an IV 67. 66. A 44 year old male complains of stomach pain and shortness of breath. His skin is jaundice and he has abdominal ascites. What should you suspect?: Cirrhosis 68. 67. A sleepy 56 year old female is supine in her bed and cool to the touch. She has multiple fentanyl patches on her shoulders. She has a past history of chronic back pain and depression. Vital signs are BP 96/64, P 64, R 14. What should you do?: Remove the fentanyl patches 69. 68. A 26 year old female is an unresponsive diabetic. You are unable to establish IV access. Vital signs are BP / ,P 92, R 15, blood glucose analysis 44 mg/dL. What medication should you administer?: Glucagon 70. 69. A 19 year old female just ate dinner. She is anxious, has a 9 / 27 lOMoARcPSD|35287698 hoarse voice, and her lips are swollen. Vital signs are BP /_ 8, P 80, R 22 with stridor, SpO2 96%. What medication should you administer?: Epinephrine 71. 70. Which body systems does Cystic Fibrosis primarily target?: Respiratory and digestive 72. 71. A 67 year old female is unable to speak and has unilateral paralysis. Her husband states that she woke up like that _ minutes ago. Vital signs BP 188/112, P 56, R 18. What should you suspect?: Hemorrhagic stroke 73. 72. A 30 year old female has had 3 live births and 2 spontaneous abortions. How would this be documented?: G5, P3 10 / 27 lOMoARcPSD|35287698 74. 73. A 24 year old female complains of abdominal and shoulder discomfort. Last night she was dizzy and felt weak. Vital signs are BP 82/58, P 128, R 24. What should you administer?: Fluid bolus 75. 74. Which is a sign that delivery will be required in the prehospital setting?: Bulging perineum 76. 75. A 25 year old female is in active labor. The infants head appears and then retracts into the birth canal after each contraction. What should you suspect?: Shoulder dystocia 77. 76. During delivery, the infant has a tight nuchal cord. What should you do?: . Insert 2 fingers to create an airway 78. 77. What protein that coats the alveoli in the lungs do premature infants commonly lack?: Surfactant 79. 78. Compression of what vessel causes supine hypotensive syndrome?: Inferior vena cava 80. 79. Regarding pregnancy, what does the term "lightening" mean?: Fetus descends into the pelvis 81. 80. year old female is 36 weeks pregnant and complains of blurred vision. Vital signs are 140/90, P80, R_. what should you suspect?: Preeclampsia 82. 81. When does abruptio placentae typically occur?: 3rd trimester 83. 82. year old female is 30 weeks pregnant and complains of tearing abdominal pain. Vital signs are BP 70/40, P _, R _. What should you suspect?: Abruptio placentae 84. 83. year old female is 32 weeks pregnant and had a 2 minute tonicclonic seizure. Vitals are BP 150/94, P _, R _. What should you suspect?: Eclampsia 85. 84. s a physiologic change that occurs during normal pregnancy?: Decreased heart rate 86. 85. A 50 year old male lost 500 mL of blood. He weighs 165 lbs. how much crystalline solution should be administered?: 500mL 11 / 27 lOMoARcPSD|35287698 87. What is a pathognomonic sign of neurogenic shock?: Vasodilation 88. 87. year old male has a sucking chest wound to his right anterior chest. What should you do?: Apply non-porous dressing 89. 89. year old male was kicked in the left side of his face. He tells you that he cannot look up or feel his cheek, nose, or upper lip. Which type of fracture should you suspect?: Orbital 90. 88. What is the hallmark sign of compartment syndrome?: Disproportionate pain for the injury 91. 90. year old male opens his eyes when you pinch his shoulder. He has no verbal response and withdrawls . What is his GCS score?: 7 12 / 27 lOMoARcPSD|35287698 92. 91. A 37 year old female fell 10 feet off a ladder. She is sitting upright and complains of dizziness with nausea. How should she be transported?: Immo- bilized on a long spine board 93. 92. year old female was in a car crash and is hemorrhaging from her neck. Vitals are BP 72/40, P 120, R _. What should you do?: administer IV fluids at 20 mL/kg 94. 93. A 32 year old male has unequal pupils, trismus, and irregular respira- tions. What should you suspect?: brain herniation 95. 94. a 32 year old male was in a head on car crash. He complains of chest pain and dizziness. Vital signs are BP 100/60, P 128 and irregular, R 28 and labored. He has ecchymosis on his chest. What should you suspect?: Cardia tamponade 96. 95. What is the most appropriate treatment for a sucking chest wound?: Apply an occlusive dressing 97. 97. A 30 year old male was stabbed in the stomach with a knife and has an evisceration. What should you do?: Apply a moist dressing and cover with an occlusive dressing 98. 98. A 19 year old female was hit in her left flank with a baseball bat. She has bruising to her left upper quadrant complains of left shoulder pain. Vital signs are BP 84/50, P 130, R 22 and labored. What should you suspect?: Spleen injury 99. 99. A 21 year old female fell off a horse and then the hoarse stepped on her. She is unresponsive and has an avulsion to her forehead and unequal chest rise. What should you do?: Manually stabilize her spine 100. 100. What phase of blast injuries causes damage to hollow organs?: Pri- mary 101. 101. A 42 year old female was the restrained passenger in a car crash with passenger side impact. She complains of shortness of breath and right sided chest pain. Vital signs are BP 84/50, P 112, R 28 with unequal breath sounds, SpO2 of 84%. What should you suspect?: Tension pneumothorax 13 / 27 lOMoARcPSD|35287698 102. 102. What is the difference between children and adult bones?: Children's bones are more pliable 103. 103. A 1 month old female has repeated episodes of a rhythmic sucking motion when shes not feeding. What should you suspect?: Dehydration 104. 104. Which mechanism allows children to compensate for shock longer than adults?: Peripheral vasoconstriction 105. 106. What is the most common cause of bradycardia in infants?: Hypox- emia 106. 107. What is the most common cause of cardiac arrest in pediatrics?: Respiratory failure 14 / 27 lOMoARcPSD|35287698 107. 108. A 6 year old female fell off her skateboard and hit the right side of her head. She is unresponsive to verbal or painful stimuli. What should you do?: Stabilize her c-spine and perform a jaw-thrust maneuver 108. 109. A 50 year old male has a blunt chest injury with paradoxical chest wall movements. Vital signs are BP 120/62, P_, R 22 and shallow. What should you suspect?: Flail chest 109. 110. A 7 year old female called EMS because her diabetic father is un- conscious. He is diaphoretic and supine in his bed. What allows you to treat him?: Implied consent 110. 111. How can you prevent abbreviation confusion or errors in your patient care reports?: Avoid abbreviations that are not universally accepted 111. 112. An 8 year old female was hit by a car. She is unconscious and bleeding profusely. Law enforcement cannot get in contact with her parents. What should you do?: Begin treatment with implied consent 112. 113. The motor is still running in a vehicle involved in a car crash. What is the priority for making the vehicle safe?: Turn the ignition off 113. 114. Which piece of equipment is dangerous for making a helicopter landing zone?: Flares 114. 115. What is the proper way to approach a helicopter while the blades are still rotating?: Approach in the pilots line of sight 115. 116. Who has the ultimate control of the helicopter landing zone?: Pilot in charge 116. 117. Which could be a case for negligence based on proximate cause?: A patient develops compartment syndrome after insertion of an IO 117. 118. A driver and his 3 children were in a car that hit a tree. While documenting the call, a false statement was added that the man said he had been drinking alcohol. What is this an example of?: Libel 118. 119. An 85 year old male complains of chest pain and shortness of breath. He refuses to go to the hospital. What should 15 / 27 lOMoARcPSD|35287698 you do?: Explain his condition and the consequences of refusing care 119. 120. What is an example of negligent behavior?: Administering the wrong drug and causing an injury to the patient 120. When using the START triage system, when should you designate a patient black (expectanyt)?: After repositioning the airway and the patient is still apneic 121. 122. What type of professional behavior should you model when dealing with a patient?: Maintain a nonjudgmental and compassionate attitude 16 / 27 lOMoARcPSD|35287698 122. 123. A 7 year old male is unconscious and in respiratory failure. His mother tells you he is having an asthma attack and his inhaler is empty. What should you do?: Manually assist ventilations 123. 124. Which patient is most likely suffering from metabolic acidosis?: A 35 year old male in diabetic ketoacidosis 124. 124. A 19 year old male is unresponsive and has shallow breathing after ingesting multiple narcotics. What should you suspect?: Respiratory acidosis 125. 125. A 25 year old male is unresponsive and apneic. His chest was trapped under a car for a few hours. He has chiae to his face and a weak carotid pulse. What should you do?: Ventilate him with a bag-valve mask 126. 126. A 33 year old male had a seizure prior to EMS arrival. Bystanders tell you that he has been unresponsive for the full 30 minutes with his legs and feet flexed. Vital signs are B/P 156/88, P 116, R 8, blood glucose analysis 88 mg/dL. What should you suspect?: Status epilepticus 127. 128. A 33 year old female complains of generalized weakness. She has vomited 5 times in the past 24 hours and is unable to eat or drink anything without vomiting. Vital signs are BP 82/40, P 124, R 22, SpO2 98%, blood glucose analysis 85 mg/dL. What should you do?: Administer a fluid bolus 128. 129. A 45 year old male fell down the stairs and is unresponsive and apneic. When you ventilate him, you notice his esophagus swelling and he has minimal chest rise. What should you suspect?: Tracheal disruption 129. 130. Which is a mechanism of obstructive shock?: Tension pneumothorax 130. 131. A 24 year old female was burned in a fire. She has full thickness burns to her anterior torso. She has partial thickness burns to her face, head, circumferential arms and hands. What perfect of her body is burned?: 45 131. 132. A 20 year old female was in a car crash. She complains of midline neck pain and is unable to move her 17 / 27 lOMoARcPSD|35287698 extremities. Vital signs are BP 130/80, P 90, R 16. What secondary injury should you suspect?: Swelling in the spinal cord 132. 133. A 29 year old male was the driver of a car crash and the steering wheel is deformed. He has jugular vein distention and his trachea is midline. Breath sounds are equal bilaterally and heart sounds are muffled. Vital signs are BP , P 136 and weak, R 28 and shallow. What should you suspect?: Pericardial tamponade 133. 135. A 36 year old male has a fractured tibia. After splinting you are unable to palpate a distal pulse. What should you do?: Loosen the splint and reassess for circulation 18 / 27 lOMoARcPSD|35287698 134. 134. A 19 year old male was struck in the abdomen with a metal pipe. His abdomen is bruised with tenderness and guarding in the right flank. Vital signs are BP 90/78, P 126 and weak, R 22. What organ is injured?: liver 135. 136. Which patient is most likely to suffer a bad outcome by refusing transport to the hospital?: ... year old female with signs and symptoms of unstable angina 136. 137. While raising the stretcher, your partner begins to complain of sharp back pain. What should you do?: Stop the lift 137. 139. A 40 year old male is deaf. His 9 year old daughter knows American sign language. When you attempt to establish Iv access, he pushed your hand away. What should you do?: Ask the daughter to help you communicate with him 138. 138. When driving with lights and siren you approach a car that is stopped in the middle of the narrow road. What should you do?: Slow the ambulance and proceed with caution 139. 140. A 21 year old male is coughing and complains of shortness of breath. Family members tell you that he has tuberculosis. what should you do?: Don personal protective equipment 140. 141. What is the purpose of a primary survey?: Identify any immediately life-threatening conditions 141. 142. When talking to online med control you are unable to understand the physicians orders. What should you do?: Ask the physician to repeat the order 142. 143. How should you inform parents about the death of their child?: Use straightforward language and allow them to react 143. 144. At the scene of a car crash, power lines are lying on top of an occu- pants vehicle. Two people are trapped in the car. What should you do?: Secure the area and contact the power company 144. 145. What should be placed in a red biohazard materials bag?: Blood soaked clothing 145. 146. A car is overturned and there are 3 occupants trapped inside. Fluids are leaking from the vehicle. What should you 19 / 27 lOMoARcPSD|35287698 do?: Determine scene safety 146. 147. At a crowded playground, a 10 year old male was shot in the head at close range with a shotgun. His brain matter is extruded, and he is pulseless and apneic. What should you do?: Document his injuries and preserve the scene 147. 148. Which sector is responsible for coordinating with the staging officer , loading patients into the ambulance, and Them to the hospital?: transportation 148. 149. You dispatcher requests you to "clear immediately" after a call and respond to a cardiac arrest. Your ambulance no longer has a long back board. You should: Advise dispatch of the equipment issue and respond 20 / 27 lOMoARcPSD|35287698 149. 150. Your EMS agency provides food and water for a local charity event. What is this an example of?: Community relations 150. 151. What is the process of examining a problem and implementing a solution?: Quality improvement 151. 152. How is the pediatric airway different from the adult airway?: The tongue occludes more relative space than in an adult 152. 153. A 2 day old female is unresponsive and cyanotic. Vital signs are P 184, R 72, capillary refill is greater than 4 seconds. What should you do?: Assist her ventilations 153. 154. A newborn has meconium in his mouth. He begins to cough and has a strong cry. What should you do?: Dry off the newborn 154. 155. How does placenta previa present?: No pain and bright, red bleeding 155. 156. The mother of a 5 year old male tells you that he has been complain- ing of a headache and fever. Your .... Assessment reveals nuchal rigidity and petechiae on his chest. What should you suspect?: Meningitis 156. 157. A 33 year old female complains of abdominal pain and spotting. She states her vaginal discharge has an odor. She is 18 weeks pregnant. What should you suspect?: Pelvic inflammatory disease 157. 158. A postpartum 35 year old female is short of breath and complains of vaginal bleeding 1 day after delivery. Vital signs are BP 94/40, P 110, R 18 and shallow, SpO2 90% and she is pale. What should you do?: High-flow oxygen 158. 159. How should you assist with delivering a newborn's shoulder?: Guide the head downward then upward 159. 160. A 29 year old female is pregnant and has contractions 2 minutes apart. The umbilical cord is protruding from her vagina. What should you do?: Relieve pressure on the umbilical cord with digital insertion 160. 161. A 19 year old female is in labor. You can see a foot in the birth canal. She has strong contractions and wants to push. What should you do?: Assist her breathing and transport rapidly 21 / 27 lOMoARcPSD|35287698 161. 162. A 28 year old female is 38 weeks pregnant. She complains of bright red vaginal bleeding. What should you suspect?: Placenta previa 162. 163. Where does the fetus develop?: Uterus 163. 164. What is the term for an umbilical cord that is wrapped around a newborn's neck?: Nuchal 164. 165. A 42 year old female just gave birth and has been bleeding heavily for 5 minutes. The placenta has not delivered. What should you do?: Perform a fundal massage 165. 166. A febrile 28 year old female complains of lower abdominal pain that has lasted for 1 week. The pain increases when she walks, and she has 22 / 27 lOMoARcPSD|35287698 purulent vaginal discharge. Vital signs BP 96/48, P 110, R 16. What should you suspect?: Pelvic inflammatory disease 166. 167. A 26 year old female complains of acute abdominal pain, pinpoint chest pain, and dizziness after giving birth 6 hours ago. What should you suspect?: Pulmonary embolism 167. 168. A 21 year old female complains of nausea and vomiting for the past 3 days. She is 10 weeks pregnant. Vital signs are BP 88/40, P 124, R 18, blood glucose analysis 72 mg/dL. What should you administer?: Fluid bolus 168. 169. What is the classification of albuterol?: Beta 2 agonist 169. 170. A febrile 83 year old female complains of difficulty breathing. She has had a productive cough for 1 week. You here crackling in her left lower lung field. Vital signs are BP 140/90, P 108, R 23. What should you suspect?: Pneu- monia 170. 171. An 18 year old female complains of shortness of breath. She is speaking in short sentences with diminished breath sounds. What is the most likely cause?: Bronchospasm 171. 172. What is tidal volume?: The amount of air inhaled and exhaled during 1 respiratory cycle 172. 173. Why is it important to avoid touching the back of the throat while suctioning?: The gag reflex can cause vomiting 173. 174. A 19 year old female is semi-conscious with snoring respirations. She has overdosed on benzodiazepines. Which device should you use to protect the airway?: Nasopharyngeal 174. 175. What cardiac rhythm will an AED defibrillate?: Pulseless ventricular tachycardia 175. 176. A 37 year old female is weak and lightheaded when she lies on her back. She is in the third trimester of pregnancy. What is the most likely cause?: Supine hypotensive syndrome 176. 177. An 18 year old female was sexually assaulted. She has a laceration to her hand and swelling to her lips and nose. What should you do?: Calmly reassure the patient 177. 178. A 3 year old female developed a sudden onset of stridor with minimal air exchange while playing with her toys. She is leaning forward and drooling. What should you do?: 23 / 27 lOMoARcPSD|35287698 Perform back blows 178. 179. A 16 year old male was the restrained driver of a car that crashed at highway speeds. He has ecchymosis to his abdomen and diffuse pain. Vital signs are BP 86/40, P 138, R 18. What should you suspect?: Hypovolemic shock 24 / 27 lOMoARcPSD|35287698 179. 180. An alert 4 year old female was a restrained passenger in a car crash. After securing her to a long backboard she becomes dyspneic with stridorous respirations. What should you do?: Ensure proper position of the airway 180. 181. A 7 year old female was hit by a car and thrown 10 feet. She has crepitus and absent breath sounds on the left side of her chest. Vital signs are BP 60/30, P 140, R 10. What should you suspect?: Tension pneumothorax 181. 182. A febrile 2 year old male has been vomiting for the past day and his mucous membranes are dry. Vital signs are BP 60/20, P 166, R 40, SpO2 99%, blood glucose analysis 70 mg/dL. What should you do?: Administer 20 mL/kg normal saline 182. 183. An 11 year old male has a 5 inch avulsion to the medial aspect of his thigh. Bright red blood continues to squirt out even after applying a dressing. What should you do?: Apply tourniquet 183. 184. A 9 year old male is unresponsive. Vital signs are BP 76/50, P 140, R 36, blood glucose analysis 50 mg/dL. What should you administer?: Iv dextrose 184. 185. At what heartbeat should you start CPR on a newborn?: 60 185. 186. A newborn is kicking her legs, breathing normally, and has a loud cry. Her extremities are blue and her pulse is 52. What is her apgar score?: 9 186. 187. A 3 year old male has complete airway obstruction after swallowing a marble. He is now unresponsive. What should you do?: Start CPR 187. 188. Two minutes after the delivery of a newborn, he is unresponsive and apneic and has a pulse of 54. What should you do?: Start chest compressions 188. 189. A febrile 8 month old male is slow to respond and has a weak cry. His diaper has been dry for the last 18 hours. The mom tells you that she began feeding him a new baby formula. What should you suspect?: Dehydration 189. 190. What artery should you use when checking the pulse of a 10 month old patient who is crying?: Brachial 25 / 27 lOMoARcPSD|35287698 190. 191. A febrile 8 year old male is slow to respond. His mom tells you that he has complained of nausea and vomiting for the past 3 days. Vital signs are BP 74/60, P 130, R 30, blood glucose analysis 130 mg/dL. What should you do?: Establish IV access 191. 192. A 4 year old male ingested an unknown amount of a tricyctic antide- pressants. He is unable to hold his head up or follow your commands. Vital signs are P 180, R 32. What should you do?: Transport emergently 192. 193. Why are newborns more susceptible to excessive heat loss than adults?: Proportionally larger surface area 193. 194. Immediately after delivery of a newborn her pulse is 94 beats per minute with minimal respiratory effort. What should you do?: Assist ventilations with a bag valve mask 26 / 27 lOMoARcPSD|35287698 194. 195. You are the first ambulance on scene for a single car crash where the car hit a barrier on the right shoulder. Where is the best location to position the ambulance?: Front of the car 195. 196. What best describes the difference between 800 MHz and UHF radio systems?: 800 MHz does not require a tower while UHF systems do 196. 197. What should you check before lifting a patient who is secured to a long backboard?: That your feet are flat and shoulder width apart 197. 198. An 88 year old female was being lifted to the stretcher when her blanket ripped and she fell to the floor. What should you do?: Manually stabilize her c-spine 198. 199. A tanker truck rolled over and unknown fluids are leaking out. What should you do?: Gather visual information and exit the area 199. 200. How does the release of histamine affect the body?: Increases capil- lary permeability 200. 105. What is the common name for laryngotracheobronchitis?: Croup 27 / 27