EMT FISDAP Paramedic Entrance Exam 2 -
Questions and Revised Correct Answers, 100%
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A patient with a closed head injury opens his eyes in response to pain, is
mumbling words that you cannot understand, and pushes your hand away when
you apply a painful stimulus. His Glasgow Coma Scale (GCS) score is:
• A:6
• B:8
• C:7
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, EMT FISDAP Paramedic Entrance Exam
• D:9 –
Correct Answer :The correct answer is D;
Reason:
The Glasgow Coma Scale (GCS) is a valuable tool used when assessing patients
with a neurological injury. It assesses three parameters: eye opening, verbal
response, and motor response. A minimum score on the GCS is 3 and a
maximum score is 15. A patient who opens his or her eyes in response to pain
would receive a score of 2. Mumbling speech, moaning, or incomprehensible
words equate to a score of 2 for verbal response. Localization of a painful
stimulus, such as pushing your hand away from the source of pain, equates to a
score of 5. Therefore, the patient has a GCS score of 9. It is important to note
that a patient's GCS score should be reassessed frequently. Review the entire
GCS in your EMT text and commit it to memory.
After restoring a pulse in a cardiac arrest patient, you begin immediate
transport. While en route to the hospital, the patient goes back into cardiac
arrest. You should:
• A:begin CPR and proceed to the hospital.
• B:tell your partner to stop the ambulance.
• C:analyze the patient's rhythm with the AED.
• D:contact medical control for further advice. –
Correct Answer :You selected B; This is correct!
Reason:
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, EMT FISDAP Paramedic Entrance Exam
If you restore a pulse in a cardiac arrest patient, the AED pads should remain
attached to the patient's chest during transport in case cardiac arrest recurs en
route to the hospital. You should, however, turn the AED off or disconnect the
pads from the AED. If cardiac arrest recurs, you should immediately tell your
partner to stop the ambulance and assist you as you begin CPR. Remember that
the AED will not analyze the cardiac rhythm if the patient is moving. Once your
partner is available to assist, you should analyze the cardiac rhythm, defibrillate if
indicated, and immediately resume CPR. Contact medical control as soon as
possible, but not before performing CPR and defibrillation.
To obtain the MOST reliable assessment of a patient's tidal volume, you should:
• A:look at the rise of the chest.
• B:assess for retractions.
• C:count the respiratory rate.
• D:listen for airway noises. –
Correct Answer :You selected A; This is correct!
Reason:
Tidal volume is the amount of air, in milliliters, breathed into or out of the lungs
in a single breath. The most effective (and practical) way to assess tidal volume
is to evaluate the rise of the patient's chest. If the patient's chest rises minimally
during inhalation, his or her respirations are shallow; shallow respirations reflect
a reduced tidal volume.
The MOST effective way to determine if you are providing adequate volume
during artificial ventilation is:
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, EMT FISDAP Paramedic Entrance Exam
• A:assessing the chest for adequate rise.
• B:checking the skin for improvement of cyanosis.
• C:assessing the pulse for an improving heart rate.
• D:checking the pupils for increased reactivity –
Correct Answer :You selected A; This is correct!
Reason:
The goal of providing artificial ventilation is to provide adequate tidal volume to
the patient so that enough oxygen is delivered to the lungs, and ultimately, the
cells of the body. The most effective way to determine if adequate tidal volume
is being delivered is to watch for the chest to rise during each ventilation. Other
signs of adequate artificial ventilation include improvement in skin color, the
return of the heart rate to a normal range, and ensuring that you are ventilating
the patient at the appropriate rate. If the adult is apneic but has a pulse, provide
10 to 12 breaths/min. If the adult is apneic and pulseless, provide 8 to 10
breaths/min after an advanced airway device (ie, ET tube, multilumen airway,
supraglottic airway) has been inserted.
What is the function of pulmonary surfactant?
• A:It facilitates the production of mucous, which is expelled during coughing.
• B:It carries fresh oxygen from the lungs to the left side of the heart.
• C:It lubricates the alveolar walls and allows them to expand and recoil.
• D:It dilates the bronchioles in the lungs and enhances the flow of air. –
Correct Answer :You selected C; This is correct!
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