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A 17-year-old football player collided with another player and has pain to his
left clavicular area. He is holding his arm against his chest and refuses to move
it. Your
assessment reveals obvious deformity to the midshaft clavicle. After assessing
distal pulse, sensory, and motor functions, you should:
A. straighten his arm and apply a board splint.
B. perform a rapid secondary assessment.
C. immobilize the injury with a sling and swathe.
D. place a pillow under his arm and apply a sling.
C. immobilize the injury with a sling and swathe.
A child who has no recent history of illness suddenly appears cyanotic and
cannot speak after playing with a small toy. You should:
A. perform abdominal thrusts.
B. give oxygen and transport at once.
C. perform a blind finger sweep.
D. visualize the child's airway.
A. perform abdominal thrusts.
,A major benefit when using a multilumen airway device is that:
A. maintenance of a mask-to-face seal is not required.
B. the airway is better protected than with an ET tube.
C. it can be used on patients of any age and size.
D. it can be visualized as it enters the esophagus.
C. it can be used on patients of any age and size.
A patient with a head injury presents with abnormal flexion of his
extremities. What numeric value should you assign to him for motor
response?
A. 5
B. 3
C. 2
D. 4
C. 2
During the primary assessment of a semiconscious 70-year-old female, you
should:
A. immediately determine the patient's blood glucose level.
B. insert a nasopharyngeal airway and assist ventilations.
C. ensure a patent airway and support ventilation as needed.
D. ask family members if the patient has a history of stroke.
C. ensure a patent airway and support ventilation as needed.
,A 23-year-old male experienced severe head trauma after his motorcycle
collided with an oncoming truck. He is unconscious, has rapid and shallow
breathing, and has copious bloody secretions in his mouth. How should you
manage his airway?
A. Insert a nasopharyngeal airway and provide suction and assisted ventilations.
B. Provide continuous ventilations with a bag-mask device to minimize hypoxia.
C. Alternate 15 seconds of oral suctioning with 2 minutes of assisted ventilation.
D. Suction his oropharynx with a rigid catheter until all secretions are removed.
C. Alternate 15 seconds of oral suctioning with 2 minutes of assisted ventilation.
A 45-year-old male was working on his roof when he fell approximately
12′,landing on his feet. He is conscious and alert and complains of an ache in
his lower back. He is
breathing adequately and has stable vital signs. You should:
A. perform a rapid head-to-toe exam and immobilize his spine.
B. allow him to refuse transport if his vital signs remain stable.
C. obtain a Glasgow Coma Score value and give him oxygen.
D. immobilize his spine and perform a focused secondary exam.
D. immobilize his spine and perform a focused secondary exam.
If you properly assess and stabilize a patient at the scene, driving to the hospital
with excessive speed:
A. increases the patient's chance for survival.
B. is allowable according to state law.
C. is often necessary if the patient is critical.
D. will decrease the driver's reaction time.
D. will decrease the driver's reaction time.
, Which patient is breathing adequately?
a. 43 year old male, respirations are 15/min, regular chest motions
b. 18 year old male, respirations are 28/min, shallow chest movements
c. 7 year old female, respirations are 12/min, irregular rhythm, using diaphragm
primarily
d. 3 month old male; Respirations 62/min, using diaphragm and muscles in
chest and neck
a. 43 year old male, respirations are 15/min, regular chest motions
A 19-year-old male was stung multiple times by fire ants. He is experiencing
obvious signs and symptoms of anaphylactic shock. You administer 100%
oxygen and give him epinephrine via subcutaneous injection. Upon
reassessment, you determine that his condition has not improved. You
should:
A. request a paramedic unit that is stationed approximately 15 miles away.
B. consider that he may actually be experiencing an acute asthma attack.
C. repeat the epinephrine injection after consulting with medical control.
D. transport him immediately and provide supportive care while en route.
C. repeat the epinephrine injection after consulting with medical control.
A 37-year-old male is having a severe allergic reaction to penicillin. He does not
have an epinephrine auto-injector and your protocols do not allow you to carry
epinephrine on the ambulance. How should you proceed with the treatment of
this patient?
A. Administer oxygen, transport at once, and request a paramedic intercept.
B. Remain at the scene with the patient and request a paramedic ambulance.
C. Quickly determine if there are any bystanders who may carry epinephrine.
D. Ask the patient if he has any diphenhydramine (Benadryl) tablets that you can
administer.
A. Administer oxygen, transport at once, and request a paramedic intercept.