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You have inserted an oral airway and are ventilating an apneic woman with a bag-mask device.
She suddenly begins regurgitating large amounts of vomit. You should:
A. ask your partner to apply cricoid pressure.
B. remove the oral airway and suction her oropharynx.
C. roll her onto her side and remove the oral airway.
D. perform a finger sweep of her mouth. C. roll her onto her side and remove the oral airway.
A 17-year-old male was shot in the right anterior chest during an altercation with a gang
member. As your partner is applying 100% oxygen, you perform a rapid secondary assessment
and find an open chest wound with a small amount of blood bubbling from it. You should:
A. apply an occlusive dressing to the wound and continue your assessment.
B. control the bleeding from the wound and prepare to transport at once.
C. direct your partner to assist the patient's ventilations with a bag-mask device.
D. place a sterile dressing over the wound and apply direct pressure. A. apply an occlusive
dressing to the wound and continue your assessment.
Acute coronary syndrome (ACS) is a term used to describe:
A. the warning signs that occur shortly before a heart attack.
B. a severe decrease in perfusion caused by changes in heart rate.
C. a group of symptoms that are caused by myocardial ischemia.
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,D. the exact moment that a coronary artery is completely occluded. C. a group of symptoms that
are caused by myocardial ischemia.
Cardiogenic shock following AMI is caused by:
A. widespread dilation of the systemic vasculature.
B. decreased pumping force of the heart muscle.
C. hypovolemia secondary to severe vomiting.
D. a profound increase in the patient's heart rate. B. decreased pumping force of the heart
muscle.
An oropharyngeal airway should not be used in children who have ingested a caustic or
petroleum-based product because it may:
A. result in airway swelling.
B. result in a soft-tissue injury.
C. cause the child to vomit.
D. depress the gag reflex. C. cause the child to vomit.
What is the minimum number of chest compressions that should be delivered per minute to a 4-
month-old infant?
A. 100
B. 90
C. 110
D. 120 A. 100
A 27-year-old male was stabbed in the chest during a disagreement at a poker game. As you
approach him, you see that a knife is impaled in his chest. Before you make physical contact
with the patient, it is MOST important to:
A. ask bystanders what happened.
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,B. call for an ALS ambulance.
C. follow standard precautions.
D. form a general impression. C. follow standard precautions.
Your EMS team is performing CPR on a 60-year-old male in cardiac arrest. You connect the
AED, push the analyze button, and receive a "no shock advised" message. You should:
A. immediately assess the patient's airway.
B. reanalyze the patient's cardiac rhythm.
C. determine if a palpable pulse is present.
D. perform CPR for 2 minutes and reassess. D. perform CPR for 2 minutes and reassess.
A history of pelvic inflammatory disease or tubal ligations increases a woman's risk for:
A. placenta previa.
B. preeclampsia.
C. an ectopic pregnancy.
D. gestational diabetes. C. an ectopic pregnancy.
You have assessed an unresponsive middle-aged female and determined that she is in cardiac
arrest. When you apply the AED pads, you note that she has a medication patch over the same
area where one of the AED pads will be placed. You should:
A. continue CPR until you can determine the name of the medication contained in the patch.
B. apply the AED pad at least 1″ away from the medication patch to avoid skin burns.
C. remove the medication patch, wipe away any medication residue, and apply the AED pads.
D. move the patch to another area of the patient's chest and then properly apply the AED pads.
C. remove the medication patch, wipe away any medication residue, and apply the AED
pads.
A 30-year-old woman with a history of alcoholism presents with severe upper abdominal pain
and is vomiting large amounts of bright red blood. Her skin is cool, pale, and clammy; her heart
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, rate is 120 beats/min and weak; and her blood pressure is 70/50 mm Hg. Your MOST immediate
action should be to:
A. protect her airway from aspiration.
B. keep her supine and elevate her legs.
C. give her high-flow supplemental oxygen.
D. rapidly transport her to the hospital. A. protect her airway from aspiration.
A 19-year-old male complains of "not feeling right." His insulin and a syringe are on a nearby
table. The patient says he thinks he took his insulin and cannot remember whether he ate. He is
also unable to tell you the time or what day it is. The glucometer reads "error" after several
attempts to assess his blood glucose level. In addition to administering oxygen, you should:
A. transport only with close, continuous monitoring en route.
B. assist him with his insulin injection and reassess him.
C. contact medical control and administer oral glucose.
D. request a paramedic ambulance to administer IV glucose. C. contact medical control
and administer oral glucose.
A 29-year-old male with a head injury opens his eyes when you speak to him, is confused as to
the time and date, and is able to move all of his extremities on command. His Glasgow Coma
Scale (GCS) score is:
A. 10.
B. 12.
C. 13.
D. 14. C. 13.
You respond to a local lake where a diver complains of difficulty breathing that occurred
immediately after rapidly ascending from a depth of approximately 30′. On assessment, you note
that he has cyanosis around his lips and has pink froth coming from his nose and mouth. You
should:
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