EMT FISDAP Final Exam (Latest 2023 / 2024) 4 - 20215326

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A 4-Year-old female tracheostomy pt has pulled out her tracheostomy tube. The opening is partially obstructed with skin. You should A. Use a soft tip catheter and suction until clear B. Insert a nas... al airway into stoma C. Wipe the area clean and perform mouth to stoma ventilation D. Cut the skin away from the stoma - -Use a soft tip catheter and suction until clear -To protect yourself from injury when lifting a stretcher you should A. keep the weight as close to your body as possible B. use two additional ppl for the lift C. lean forward toward the stretcher - -keep the weight as close to your body as possible -An unresponsive 10 year old male was hit by a car and is bleeding heavily from an open leg fracture. After securing his airway and manually stabilizing c-spine, you should: A. place the patient in Tredelenburg position B. perform a rapid trauma assessment C. control bleeding from the leg wound D. immobilize the extremity using a ladder splint - -control bleeding from the leg wound * -The strongest portion of the heart that is responsible for circulating blood to the entire body is the A. Left atrium B. Right atrium C. Left ventricle D. Right ventricle - -Left ventricle -A 46 y/o female was involved in a bar fight and has an obvious open neck wound. You should dress this wound with a/ an A. Occlusive dressing B. Sterile gauze dressing C. Pressure dressing D. Moist gauze dressing - -Occlusive dressing * -When assessing a pulse, you are feeling the: A. relaxation of the atria B. contraction of the left ventricle C. contraction of the left atrium D. relaxation of both ventricles - -contraction of the left ventricle* -A 60 y/o female has chest pain. She has not taken her prescribed nitro you should A. Determine what type of cardiac problem the pt has, and assist her with taking the nitro B. Immediately attached the AED and begin transport to hospital C. Administer aspirin only and withhold the nitro D. Consult medical direction with regard to assisting the pt in taking the nitro - -Determine what type of cardiac problem the pt has, and assist her with taking the nitro -Which of the following is the best definition of hypoperfusion? A. Less blood reaching capillary beds B. Inadequate oxygen delivery to cells C. Lowered heart rate and BP D. Blood vessel dilation causing distal pooling - -Inadequate oxygen delivery to cells -You are ventilating an apneic asthmatic patient with a BVM, but notice there is inadequate chest rise. What should you do? A. reassess the airway for an obstruction B. increase the ventilation pressure C. switch to an O2 powered ventilation device D. increase the rate of the ventilations - -reassess the airway for an obstruction * -For which of the following patients would an OPA be most appropriate? A. A 19 y/o with a mandible fracture who is only responsive to pain B. Unresponsive 25 y/o with a suspected spinal injury C. Unresponsive five-year-old with a suspected airway obstruction D. Semiconscious 76 y.o old who is gasping for air - -Unresponsive 25 y/o with a suspected spinal injury -Your patient is pale, diaphoretic, and complains of chest pressure. Her vitals are R 18 P 58, and BP 88/50. You should suspect A. Unstable angina B. A thoracic aneurysm C. Cardiogenic shock D. Pulmonary embolism - -Cardiogenic shock -A 66 y/o male is confused. He has a history of substance abuse and falls. His breath smells of alcoholic beverage. He is alert and refusing service. You should A. Obtain consent from his family and transport B. Document his refusal and recommend that he see his doctor C. Speak calmly to him and convince him to accept transport D. Have the police transport the pt to detox unit - -Speak calmly to him and convince him to accept transport -Your 12 yr old patient has a penetrating wound to the abdomen. You may provide care based on A. informed consent B. expressed consent C. implied consent - -implied consent -A victim of smoke inhalation has developed difficulty breathing. He does not like the smell of the mask you are using to deliver O2. You should A. Switch to a NC set to deliver O2 @ 6 LPM B. Restrain the pt and continue administering O2 via NRB C. Explain that the mask is very important and continue its use D. Administer blow-by O2 via Simple mask - -Explain that the mask is very important and continue its use -A 23 y/o construction worker twisted his foot climbing up a ladder. He has an obvious deformity on the right leg just below the knee. The lower leg and foot are cyanotic and pulseless. You should A. Apply an air splint and transport B. Apply spinal immobilization and elevate the leg C. Pull gentle traction and apply a splint D. Apply a traction splint and transport - -Pull gentle traction and apply a splint -Which of the following is TRUE about the insertion of an OPA? A. the OPA is always rotated 360 degrees as it is inserted B. if properly inserted, the OPA will keep the tongue out of the way C. the OPA should be inserted until the flange rests below the patient's teeth - -the OPA should be inserted until the flange rests below the patient's teeth* -While ventilating a near drowning pt, you suddenly feel increased resistance in the airway. You should A. Perform abdominal thrust B. Place pt in lateral recovery position C. Attempt to reposition the head D. Apply firm pressure to the abdomen - -Attempt to reposition the head -A 28 y/o female who is 12 weeks pregnant has twisted her left knee while walking. She states the pain is 10/10 in severity. You should A. Apply a traction splint and immobilize with a long spine board B. Transport on her left side and hold manual stabilization until she gets the hospital C. Splint with the stretcher and straps and transport her on her left side D. Splint using board splints and cravats and transport sitting - -Splint using board splints and cravats and transport sitting -A 20 yr old female complains of severe abdominal pain. She is in the fetal position. After your primary assessment, you should A. transport immediately to hospital B. palpate all 4 quadrants of abdomen C. obtain baseline vital signs - -obtain baseline vital signs* -An intoxicated 33 y/o female was fighting with police. You note some minor scrapes on the pt's leg and face. The pt is being verbally abusive to you. The police want your approval to take the pt to jail. You should A. Ask the officer to transport her to the hospital in a squad car for safety B. Request that the officers arrest the patient prior to transport C. If vital signs are within normal limits, release the pt to the police D. Restrain and transport the pt with police escort - -Restrain and transport the pt with police escort -First responder has delivered a baby. The infant is blue and lethargic; the pulse is 90 you should A. Transport after placenta is delivered B. Dry, stimulate and apply oxygen C. Transport and administer CPR enroute D. Transport to closest hospital - -Dry, stimulate and apply oxygen -A patient has been kicked in the chest. One section of ribs is moving separately during respirations. You should A. Transport emergently B. Listen for lung sounds C. Initiate PPV D. Place a sandbag on the injury - -Initiate PPV -A 56 y/o male is complaining of severe CP. He took Viagra two hours ago and has been physically active. You should A. Assist the pt in taking his nitro and apply O2 B. Administer O2 and request an ALS intercept C. Monitor vitals, if BP is above 100 systolic, administer nitro and apply oxygen D. Assure an open airway and continue gathering history - -Assure an open airway and continue gathering history -You're transporting a 62 yr old patient complaining of chest pain. Vital signs are: BP 88/40, P 90, R 12. Online medical control orders you to assist the patient in taking his prescribed nitro. You should A. check the expiration date then administer the nitro B. assist the patient w/administering his nitro C. repeat the vital signs and confirm the order - -repeat the vital signs and confirm the order * -Which of the following is the build-up of fatty deposits on the inner walls of an artery? A. Coronary artery disease B. Thrombus C. Aneurysm D. Atherosclerosis - -Atherosclerosis -A 60-year-old pt with stoma is apneic. You have been suctioning pink frothy sputum for 10 seconds and you continue to get more material. You should A. continue suctioning and have a partner ventilate through the pt's mouth B. suction until airway is clear C. stop suctioning and give a breath D. use a saline solution to moisten secretions and continue suctioning - -stop suctioning and give a breath -A pulseless and apneic 68 year old male has an implanted pacemaker in his right shoulder Without delaying defibrillation, where should you apply the AED pads? A. anterior chest and back (between shoulder blades) B. nipple line under the left and right armpits C. left shoulder (to avoid pacemaker) and lower right chest D. right shoulder (directly over the pacemaker) and the left lower chest - -anterior chest and back (between shoulder blades) -You are transporting a patient who has been restrained due to hostile behavior. He is complaining that he has no feeling in his hands and is threatening to sue you if you don't remove the restraints. You should: A. place padding between the restraint and the patient's skin B. loosen the restraints C. assess the patient's distal circulation frequently D. remove the restraints - -assess the patient's distal circulation frequently* [Show More]

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