PARAMEDIC FISDAP FINAL EXAM 100 Q&As Graded A+ (2022)

  PARAMEDIC FISDAP FINAL EXAM 100 Q&As Graded A+ (2022) 1. Which of the following is most likely mistaken for seizure, in an elderly patient? A. Stroke B.Syncope C. Dementia D. Arrhythmia 2. Which of the following is part of the Emergency Medical Services system? A. Fire fighter B. Police officer C. Traffic officer D .Medical director 3. What does the ECG rhythm show (see image)? A. Asystole B. Normal sinus rhythm C. Ventricular fibrillation D. Presence of a pacemaker 4. In a 12-lead ECG, which of the following leads shows changes in the case of inferior wall myocardial infarction? A. I1, Ill and V2 B. II, Ill and V4 C. II, Ill and AVF D. II, Ill and AVL 5. What is the primary role of paramedics? A. Research B. Patient care C. Public health D. Disaster planning 6. What is the most important resource of information in malpractice cases? A. Patient B. Witnesses C. Medical record D. Clinical provider 7. Which of the following suffixes represents blood? A. Emia B. Algia C. Plasty D. Phasia 8. Which of the following medications is contraindicated in malignant hyperthermia? A. Atropine B. Epinephrine C. Succinylcholine D. Magnesium sulfate 9. Which of the following is the most appropriate action in dealing with home delivery complicated with cord prolapse? A. Ask the patient to push hard B. Try to reduce the prolapsed cord then transfer the patient C. Give the patient one dose of midazolam then transfer the patient D. Elevate the presenting fetal part to reduce the compression on the cord 10. In assessing unresponsive patients after blunt trauma. Which of the following is the first priority in management? A. Check glucose level B. Assess respiratory rate C. Perform SAMPLE history D. Determine if the CPR is needed 11. A consent to treat a pediatric patient should be obtained from which of the following? A. Patient B. Parents C. Dispatcher D. Medical director 12. The oropharyngeal airway device is indicated for which of the following patients? A. Oriented patient B. Unresponsive patient C. Patient with a short neck D . Patient with a sensitive gag reflex 13. Which of the following organs has the most important role in body heat regulation? A. Skin B. Lungs C. Kidneys D . Liver and spleen 14. Which of the following should the paramedic ask about the severity of pain? A. Ask the patient if the pain is killing him B. Ask the patient to determine the pain from a scale of 0 to 10 D. Ask the patient if he can handle the pain C. Ask the patient if the pain radiates to another Place 15. What is the concentration of oxygen gas in room air? A. 0. 10 B . 0.21 C. 0.35 D. 0.85 16. Which of the following is the most appropriate size catheter in gauge for a 2-year-old needing fluid resuscitation? A. 22 B. 18 C. 16 D. 14 17. Which of the following structure is responsible for filtering inhaled air? A. Cilia B.Trachea c. Purkinje fibers D. Right middle lobe 18. Paramedic team is dispatched to a 16-year-old woman who complains of difficulty in breathing. They suspect a severe asthma attack. Which of the following questions will determine the severity of the patient's situation? A. "Are you a smoker?" B. "Do you take your prescribed medications?" C. "Does anyone of your family have the same condition?" D. "Have you been admitted to ICU because of this condition?" 19. What is the first step in the management of burn patients? A. Stop the burning process B. Pain management with narcotics C. Start fluid therapy with ringer's solution D. Secure airway with nasotracheal intubation 20. Which of the following fractures is an indication for the use of a traction splint? A .Tibia B. Hip bone C. Fibula head D . Femur shaft 21. What is the second dose of intravenous amiodarone for an adult with cardiac arrest? A.300 mg B. 100 mg C. 150 mg D.200 mg 22. SOAP is an acronym for a method of communication. What does the "O" in it stand for? A. Order B. Onset C. Objective D. Operation 23. Which of the following drugs is used to reverse morphine related respiratory or cardiovascular depression? A. Diazepam B. Atropine C. Naloxone D. Amiodarone 24. Blockage of which of the following artery/arteries will lead to an anterior wall myocardial infarction? A. Right coronary artery B. Left anterior descending artery C. Left anterior descending and circumflex arteries D. Left coronary and left anterior descending arteries 25. What is the main cause of cardiac arrest in drowning? A. Hypoxia B. Hypothermia C. Hypovolemia D . Hypokalaemia 26. Which of the following cardiac pacemakers has an intrinsic rate of 60 to 100 beats per minute? A. Atria B. Purkinje fibers C. Sinoatrial node D. Atrioventricular Junction 27. What is the fundamental ethical question when performing a procedure on a patient? A. What does the patient want? B. Can you handle the procedure complications? C. Can this procedure have a legal consequences? D. Is the procedure done for the best interest of the patient? 28. Paramedic team is attending to a patient with a cardiac arrest. ECG was done (see image). What is the appropriate dose of epinephrine to be given? A. 1 mg B. 2 mg C. 3 mg D. 5 mg 29. Which of the following drugs is administered to a paediatric patient through an endotracheal tube during resuscitation? A. Dopamine B . Epinephrine C. Magnesium sulfate D . Sodium bicarbonate 30. Which of the following information will change the fluid resuscitation management with a cardiac patient? A. Asthma B. Morphine allergy C. Socioeconomic status D. History of congestive heart failure 31. Which of the following information must be documented in the PCR during the transference of an intubated patient? A. Tube colour B . Tube depth and size C. Tube manufacture date and origin D . Amount of lubricant used during insertion 32. Which of the following is a specific type of closed soft tissue injury? A. Avulsion B. Abrasion C . Contusion D . Laceration 33. Which of the following is a cause of medication errors in health care? A. Negligence B. Lack of knowledge C. Provider carelessness D. Medication look alike and sound a like 34. Which of the following is the commonest complication during the treatment of patients who sustain burn injuries? A. Tissue necrosis B. Brain death C. Hyperthermia D. Electrolyte imbalance 35. Which of the following conditions is most likely to show unequal pupils? A. Stroke B. Poisoning C. Cardiac arrest D. Cocaine overdose 36. What is the most common cause of cardiac arrest in pediatrics? A. Trauma B. Poisoning C. Respiratory arrest D. Ventricular fibrillation 37. A paramedic team is dispatched to a 45-year-old man who is unconscious. What should the paramedics do to maintain the airway? A. Clear and open the airway B. Insert laryngeal mask airway C. Directly intubate this patient D. Give oxygen by non-rebreather mask 38. Which of the following is the most important information to be mentioned in a radio report? A. Patient dress B. Patient address C. Patient initial rhythm D. Patient marital status 39. What is the innermost layer that encloses the brain? A. cranium B. Pia mater C. Arachnoid D. Dura mater 40. A paramedic team responds to a disaster scene with approximately 30 patients and they were the first unit on scene. What is the most appropriate course of action? A. Check scene safety B. Ask for police back up C. Start triage immediately D. Transport critical patients immediately 41. A 62-year-old man is complaining of sudden pain in the left flank. Examination reveals that he has severe 9 out of 10 colicky pain. The pain worsens when he urinates. There is left flank tenderness. He also complains of mild nausea and vomiting. Which of the following is the most likely diagnosis? A. Hepatitis B. Cholangitis C. Cholecystitis D. Renal stones 42. A 40-year-old woman is brought to the Emergency Department after being in a car accident. Her level of consciousness has decreased, the bleeding stopped, the patient is immobilized and oxygen was given. Blood pressure 85/50 mmhg Heart rate 117 /min Respiratory rate 21 /min Oxygen saturation 95% Which of the following is the most appropriate next step in management? A.1-2 litter bolus of blood products B. 1-2 litter bolus of hypotonic solutions C. 1-2 litter bolus of hypertonic solutions D. 1-2 litter bolus of isotonic crystalloid solutions 43. The Emergency Medical Services team was dispatched to a private clinic to assess a 26-year-old pregnant woman. She is 30 weeks pregnant and is complaining of regular intense uterine contraction. No vaginal bleeding. The attending doctor did a bimanual examination, her cervix is 5 cm dilated. Which of the following is the most likely diagnosis? A. False labour B. Placenta previa C. Preterm Labour D. Premature Rupture of Membranes 44. A paramedic unit was responding to a university fire. The initial report suspects more than 25 patients involved. The incident command system was established prior to the arrival of the paramedic unit. On scene, the paramedic confirmed the arrival via radio. What is the most appropriate next step? A. Start triaging patients B. Treat the closest patient C. Treat the most injured patient D. Stay with the ambulance until given an Assignment 45. A paramedic team was responding to a cardiac arrest patient who was involved in a car accident. The cardiac monitor showed a slow heart rate and narrow complex. Peripheral pulses are not palpable even after cardiopulmonary resuscitation Which of the following is the reversible cause of pulseless electrical activity? A. Toxins B. Heart thrombosis C. Pulmonary contusion D. Tension pneumothorax 46. A paramedic team was called for a 34-year-old woman who is complaining of respiratory depression. On scene, the patient was in a recent painted room, was confused, lethargic, and started to vomit. On assessment, the patient had photophobia, blurred vision and dilated and sluggish pupils. The patient was tachypnic and had shortness of breath. Which of the following intoxications is the most likely diagnosis? A. Digoxin B. Cyanide C. Narcotic D. Methanol 47. A 46-year-old patient is calling the ambulance to infuse a medication that is given by a local doctor. The medication is not within the scope of practice. Which of the following is the most appropriate action? A. Refuse to give the infusion B. Read about the drug, if confident give it C. Call the prescribing doctor for instructions D. Start the drug infusion as shown in the order 48. The Emergency Medical Services team dispatched for a 35-year-old woman complaining of severe headache. She is 32 weeks pregnant. She is also complaining of nausea, blurred vision and swelling in her lower limbs. Blood pressure 165/95 mmHg Heart rate 105 /min Respiratory rate 18 /min Temperature 36.6 .C Oxygen saturation 99 % Which of the following is the most likely diagnosis? A. Migraine B. Eclampsia C. Pre-eclampsia D. Absence seizure 49. A paramedic team was dispatched for a mass causality incident. On scene, there were more than10 patients. On triaging, the first patient could not breathe. What is the best next immediate action? A. Check the pulse B. Tag as a dead patient then move to next C. Tag as an immediate patient then move to next D. Open and re-position airway then check respiration 50. Paramedic responds to a 65-year-old woman who having generalized seizure activity. Her son says that she had a seizure that lasted about 4 minutes. After the episode, she remained unconscious for about 7 minutes and then started having another seizure activity. Examination reveals that she has peripheral cyanosis and oral secretions. Which of the following is the next most appropriate course of action? A. Give intravenous phenytoin B. Give intravenous lorazepam C. Start rapid sequence intubation D. Suctioning and start bag-valve-mask Ventilation 51. A 62-year-old man mentally competent with a history of hypertension, diabetes, and hyperlipidemia. He is complaining of a headache but he refused to go to the hospital. The ambulance crew took him by force to the hospital. Which of the following represents the definition of the ambulance crew action? A. Negligence B. Abandonment C. Intent to harm D. False imprisonment 52. The Emergency Medical Services team was dispatched to assess the delivery of a 35-year-old woman who is 40 weeks pregnant. The patient is lying in the bed screaming and she said: "the baby is coming ". The paramedic can see a pulsation cord. Which of the following most likely represents this presentation? A. False labour B. Cord prolapse C. Shoulder dystocia D. Placenta abruption 53. The ambulance team is transferring a patient with multiple abdominal stab wounds. He is conscious, alert but mildly anxious. What type of shock most likely represents his condition? A. Decompensated B. Compensated C. Irreversible D. Reversible 54. A 65-year-old woman, known to have hypothyroidism, had sudden loss consciousness. She is drowsy, has weak pulse and her skin is cold, dry with delayed capillary refill. She has generalized edema and swelling especially in the periorbital area she also complains of fatigue, constipation and generalized weakness. Blood pressure 88/49 mmHg Heart rate 56 /min Respiratory rate 8 /min Temperature 36.6 .C Oxygen saturation 95% Which of the following is the most likely diagnosis? A. Pheochromocytoma B. Hyperaldosteronism C. Myxedema coma D. Thyrotoxicosis 55. An ambulance unit was dispatched to an 18-year- man who sustained a second-degree old burn to the anterior aspect of his chest, as well as total burns to arms and legs. What is the approximate percentage of the patient's total body surface affected area? A. 18% B. 36% C. 72% D. 82% 56. A 66-year-old woman complains of increasing shortness of breath and cough for 3 days. Examination revels that she is febrile, coughing up a large amount of sputum and complain of chest pain with inspiration. On auscultation, there are crackles on the left lower lung field. Blood pressure 121/72 mmHg Heart rate 76 /min Respiratory rate 23 /min Temperature 38.7 .C Oxygen saturation 95 % Which of the following is the most likely diagnosis? A. Pneumonia B. Emphysema C. Pneumothorax D. Myocardial infarction 57. A 10-year-old boy with a history of upper respiratory infection 4 days ago complains of right-sided chest pain. He is feverish and looks ill. Chest auscultation reveals decreased air entry on the right side. Which of the following is the most likely diagnosis? A. Asthma B. Bronchitis C. Pneumonia D. Pneumothorax 58. Paramedic team is dispatched to a patient who is intubated. The patient is still in distress. Air entry can only be heard on the right lung. What is the most likely explanation for this case? O A. Left side pneumonia B. Right side pneumothorax C. Occlusion in the endotracheal tube D . Right main stem bronchus intubation 59. A 12-year-old boy presented with respiratory distress. Examination shows that the boy has cyanosed skin and a gurgling sound. Heart rate 120 /min Respiratory rate 25 /min Oxygen saturation 90% Which of the following is the most appropriate management? A. High flow O2 B. Airway suction C. Albuterol nebulization D. Epinephrine nebulization 60. The Emergency Medical Services team was called for a 24-year-old woman who is 36-weeks pregnant. the patient was supine in bed complaining of severe weakness, dizziness, and nausea. Which of the following is the first priority? A. Assess the patient's blood glucose level B. Determine the patient's SAMPLE history C. Ask the patient about the expected date of delivery D. Place the patient on her left side 61. A paramedic team is dispatched to a patient with severe shortness of breath. Examination reveals severe wheezing sounds in both lungs. The patient does not show improvement in Spo2 or respiratory rate after they gave her oxygen and 2 nebulizers of albuterol. Her level of consciousness starts to decrease. Respiratory rate 29 /min Oxygen saturation 88% What should the paramedics do for this patient? A. Initiate IV access B. Awake intubation C. Administer epinephrine IM D. Give oxygen by nasal cannula 62. A 50-year-old man presented in the Emergency Department with cardiac arrest. The patient's medical history revealed renal failure and diabetes. The monitor showed the T wave is tall and peaked and QRS is widened. Which of the following is a reversible cause of PEA? A. Hypovolemia B. Hypokalemia C. Hypothermia D Hyperkalemia 63. A 3-year-old boy presents with severe coughing and a high-grade fever for 2 days. Assessment reveals inspiratory stridor and a seal-bark cough. What is the most likely condition? A. Croup B. Epiglotticis C. Pneumonia D. Emphysema 64. A 10-month-old infant was brought to the Emergency Department by his parents with complaints of a sudden decrease in the level of consciousness. An EGC was done which showed abnormal P waves. Heart rate 230 /min Which of the following is the most likely diagnosis? A. Sinus tachycardia B. Supraventricular tachycardia C. Ventricular tachycardia polymorphic D . Ventricular tachycardia monomorphic 65. A paramedic responds to a 69-year-old diabetic man who develops drowsiness. Upon arrival, the man is unresponsive. Examination reveals that he has a pulse and breathing on his own. His skin is pale and cold. The paramedic cannot get an intravenous access to give dextrose (see lab result). Blood pressure 101/69 mmHg Heart rate 76 /min Respiratory rate 11 /min Temperature 36.6 'C Oxygen saturation 95 % Test Result Normal Value Random Glucose 2.5 3.9-5.5 mmol/L Which of the following is the most appropriate course of action? A. Give oral glucose B. Transport to the hospital C. Give intramuscular glucagon D. Give subcutaneous epinephrine 66. Paramedic team responds to a 10-year-old boy mplaining of severe shortness of breath. Upon arrival, the boy is distressed, speaks in words and is sitting in a tripod position. On auscultation, there is severe bilateral wheezing. The paramedic gives 3 nebules of salbutamol but there is no effect. Blood pressure 121/71 mmHg Heart rate 76 /min Respiratory rate 22 /min Oxygen saturation 93% What is the next appropriate course of action? A. Endotracheal intubation B. Subcutaneous corticosteroids C. Subcutaneous ipratropium sulfate D. Subcutaneous epinephrine 67. A paramedic team responded to a call for a cardiac arrest case. Chest compression was in progress and the patient was on a cardiac monitor. A few minutes later, the capnography waveform showed a sudden increase in ETCO2 (see image). What is the most likely finding? A. Ineffective ventilation B. Ineffective chest compression C. Return of spontaneous circulation D. Starting off strong chest compression 68. A 36-year-old farmer in his farm was found unconscious on a garage floor. Paramedic team found the patient drooling and diaphoretic. Which of the following is the most appropriate medicine to administer? A. Atropine B. Naloxone C. Diphenhydramine D. Methylprednisolone 69. A paramedic team is dispatched to a 65-year-old woman who complains about difficulty breathing. The dispatch informs the paramedics that the patient is unconscious. On arrival, they find the patient has a pulse but is not breathing. Which of the following is the most appropriate management at this stage? A. Start chest compression B. Immediately intubate the patient C. Apply continuous positive airway pressure D. Start ventilating the patient by bag valve mask 70. 6-year-old girl was playing in her back yard at home when she started crying. Examination revealed skin rash and swelling on her face. Blood pressure 75/34 mmHg Heart rate 130 /min Respiratory rate 40 /min Which of the following types of shock is the most likely diagnosis? A. Septic B. Neurogenic C. Cardiogenic D. Anaphylactic 71. 68-year-old with end-stage cancer. The patient is in cardiac arrest and the family informed the crew that they have a Do Not Resuscitate order but they could not find it. Which of the following is the most appropriate action? A. Call the treating physician B. Start resuscitation C. Do not attempt resuscitation D. Call dispatcher for instruction 72. A 5-year-old boy was found at his home in a tripod position. Examination revealed tachypnea and wheezing sounds. Which of the following is the most likely diagnosis? A. Lung tissue disease B. Lower airway disease C. Upper airway obstruction D. Disordered control of breathing 73. A 6-year-old girl is complaining of a left clavicle fracture. Upon examination, the patient had signs of previous burn marks and multiple contusions. Who should paramedic report to when child abuse is suspected? A. Dispatcher B. Police officer C. Child's parent D. Medical director 74. A 32-year-old with a history of preeclampsia to be transported from a small clinic to an academic medical centre. Which of the following should be done during the transfer? A. Bolus of anticonvulsant B. Bolus of diuretic medication C. Drive the ambulance without lights and sirens D. Increase the ambulance cabinet lights to the maximum 75. 69-year-old woman complains of palpitation. Examination reveals an altered mental status and hypotension (see image). Which of the following is the most appropriate management? A. Synchronized cardio version 100 joules B. Synchronized cardio version 300 joules C. Unsynchronized cardio version 100 joules D. Unsynchronized cardio version 300 joules 76. A 45-year-old man presents in a cardiac arrest. The cardiac monitor shows the ventricular fibrillation rhythm. Chest compression is in progress and oxygen is given. Which of the following is the most appropriate treatment? A. 1 mg of Epinephrine B. 300 mg of amiodarone C. 1 shock and resume CPR D. 3 shocks and resume CPR 77. A paramedic team was called for a 29-year-old man who has been bitten on the right forearm by a snake. He has excessive salivation, drowsiness and dilated pupils. There is paralysis of the tongue, hypotension and bradypnea. The paramedic has controlled the airway and provided breathing and circulatory support. What is the next immediate action? A. Incise the wound to bleed it B. Apply ice pack to the wound C. Apply electrical simulation to the right arm for reversing spread of venom D. Apply a compression bandage and keep the extremity at the level of the heart 78. A paramedic team is dispatched to transport a22-year-old man who was involved in a motor vehicle accident. On arrival, the patient is unconscious and apneic. Examination reveals a possible trauma to his spinal cord and femur. Which of the following is the most appropriate management? A. Intubate the patient B . Bag the patient and transport C. Bag the patient and take spinal precautions D. Insert Oropharyngeal Airway and bag the patient with consideration to spinal precautions 79. A paramedic team is dispatched to the scene for a10-year-old boy who has been struck by a car. Police are unable to reach his parents. What is the type of consent that will give the ability to treat the patient? A. Expressed B. Informed C. Revoked D. Implied 80. A paramedic team was dispatched to a 22-year-old man who was found on the street with a sucking chest wound after being stabbed with a sharp metal. What type of dressing should be used to cover the injury? A. Triangle bandage B. 4 X 4 gauze patch C. Pressure bandage D. Occlusive dressing 81 A paramedic team was dispatched to a 66-year-old man. The patient's wife informed them that he had cardiac surgery 7 days ago. He is experiencing sudden sharp (pinpoint) chest pain and dyspnea. Respiratory rate 33 /min Heart rate 145 /min Which of the following most likely represents this case? A. Pneumonia B. Asthma attack C. Pulmonary embolus D. Congestive heart failure 82. A 64-year-old man was trapped in his car that crashed into a lake. The patient is responsive and shouting for help. There was no specialized rescue team on the scene, and the car started to sink into the deep water. Which of the following is the most appropriate action? A. Begin extricateon B. Encourage bystanders to help C. Wait for the specialized team arrival D. Swim toward the patient and provide medical Aid 83. A paramedic team is addressing a 6-year-old child who fell from a swing and broke her left leg. Which of the following is the most appropriate way of communication with the patient's parents? A. Use medical terminology B. Separate them from their child C. Keep them informed of each action and procedure D. Police should be informed for possible domestic abuse 84. A paramedic was called in the local court for a testimony regarding a case he witnessed 9 years ago. Which of the following is the most appropriate aid for the staff to recall the incident A. Patient care report B. Dispatcher C. Emergency medical director D. Emergency medical team colleagues 85. A paramedic team is dispatched to a 2-year-old boy who complains of difficulty breathing. On arrival, the patient looks sick and stridor could be heard. According to the mother, he was playing and everything was fine. Which of the following is suspected when stridor is present? A . Asthma B. Bronchitis C. Pulmonary edema D. Upper airway obstruction 86. Paramedic team was called to attend a 50-year-old patient who fell down while he was working on his home roof. On arrival, paramedic team found the confused patient lying down in the yard. One of the curious neighbors is interested in knowing about the cause of his problem. Which of the following is the most appropriate response? A. Ignore the neighbor B. Call the police and report the neighbor C. Tell the neighbor the patient's condition D. Explain to the neighbor that it is a confidential information 87. A paramedic team is dispatched to a 25-year-old man who was involved in a motor vehicle accident. The patient responded to verbal stimuli, and the paramedics could hear abnormal respiratory sounds like snoring. His abdomen has bruising and distension. Blood pressure 83/54 mmHg Heart rate 124 /min Respiratory rate 25 /min Oxygen saturation 92% Which of the following should the paramedics perform to improve the patient's airway? A. Give oxygen B. Insert oropharyngeal airway C. Insert nasopharyngeal airway D. Intubate the patient immediately 88. While suctioning an adult patient, the paramedic notices a sudden decrease in the oxygen saturation. Which of the following actions should be done? A. Decrease the amount of negative pressure used for suctioning B. Stop the procedure and immediately administer oxygen C. Continue the procedure with no action D. Use a smaller catheter and repeat the procedure 89. A paramedic team is dispatched to an alert geriatric patient who has retention of secretions in the airway. Auscultation reveals rhonchi. The patient is on a home ventilator. What is the primary intervention required? A . Suction B . Intubation C. Insert Oropharyngeal Airway (OPA) D . Continue the vital signs monitoring 90. A paramedic responds to a disaster scene. Upon arrival, He finds about 30 people injured on the ground. The paramedic starts triage and hears gunshots at the scene. What is the most appropriate course of action? A. Continue triage then call the police B. Find out the source of the gunshots C. Stop triage, leave the scene and call the police D Stop triage and go back to the station 91. Paramedic team is dispatched to a 19-year-old Woman who complains of difficulty in breathing. On arrival, the patient is unable to say full sentences. The paramedics asked family permission to perform a physical examination but her brother refused all requests. What should the paramedics do in this situation? A. Contact police B. Transport patient C .Ask to get her vitals especially oxygen saturation D. Ignore her brother and perform a physical Examination 92. Paramedic team unit is dispatched to a 29-year-old man who sustained a burn injury. Examination reveals full-thickness burns on both of his arms. His airway is patent and chest is clear. Weight 70 kg What is the estimated amount of fluid to be given over 24 hours? A. 4 L B. 5L C. 6 L D. 7L 93.T he Emergency Medical Services team was dispatched to a 14-year-old boy who was involved in a motorbike crash. He was not wearing a helmet and is responsive to painful stimuli. He has snoring respiration and deformity in the left ankle. Which of the following should be the first step? A. Splinting the injured ankle B. Securing the patient to a long spinal board C. Open the airway using jaw thrust maneuver D .Suction the mouth and insert oropharyngeal Airway 94. What is the difference between adults and infants when using the rule of nines in a burn injury? A. Lower extremities accounts for the same in both B. Head of the infant accounts for more than adult C. Head of the infant accounts for less than adult D. Upper extremities accounts for more in adult 95. A paramedic team was called to attend a 20-year-old woman with acid burns. A 23-year-old man threw acid on her following an argument. What is the most appropriate action? A. Ask for more paramedics B. Call the police for security C. Try to find the reasons of incident D. Start treating the patient 96. The Emergency Medical Services team was called for a 24-year-old woman who is 36-weeks pregnant. The patient was supine in bed complaining of severe weakness, dizziness, and nausea. Which of the following is the first priority? A. Place the patient on her left side B. Assess the patient's blood glucose level C. Determine the patient's SAMPLE history D. Ask the patient about the expected date of Delivery 97. A paramedic team transports a 65-year-old man from a primary hospital to a hospital with ICU beds. The chief complaint for the patient is difficulty breathing. In the hospital, the doctor asks for arterial blood gases (see lab results). Test Result Normal Values ABG HCO3 22 22-28 mmol/L ABG PCO2 65 35-45 mmHg PH 7.22 7.35-7.45 ABG PO mmHg Which of the following is the most appropriate pre- hospital management? A . Give IV fluid B. Give sodium bicarbonate C. Provide high flow oxygen D. Transport patient with a basic life support crew 98. The Emergency Medical Services team was dispatched to a patient who was ejected from the car during a motor vehicle crash. The patient responds incoherently to verbal commands. Which of the following is the most appropriate next step? A. Determine the heart rate B. Asses the patient's airway C. Perform the secondary survey D. Log roll the patient into a spinal board 99. A paramedic team was dispatched to a 37-year-old man who is experiencing shortness of breath. He is a known asthmatic. Chest auscultation reveals bilateral wheezing. What is the most appropriate immediate action? A. Apply oxygen B. Call for a backup C. Give water and let him rest D. Give corticosteroid medication 100. Paramedic team responds to a disaster scene of 20 patients. Upon arrival, the paramedic starts triage and found out that the patients are more than 20. What is the most appropriate course of action? A. Transport the 20 and treat the rest on scene B. Communicate with dispatch and ask for back up C. Take 4 patients in the ambulance and go to the nearest hospital D. Communicate with the police and ask them to transport patients