RFD Protocol Test 2023 Questions and Answers;Solved
correctly
You have a patient who has just given birth and has a SBP of 65 after a 500ml bolus.
Your next action should be to:
Repeat fluid bolus (pg. 44)
You have an adult patient in non-traumatic shock. No obvious bleeding and SBP <90
after 2 boluses of 500ml each of NS and Trendelenburg positioning. What is the total
amount that may be administered?
2 liters (pg. 53)
You have an adult pregnant patient with a SBP of 168 and complaining of a severe
headache. As you were talking to the patient, she begins to seize. What is your first line
drug and dose for this seizing patient?
Magnesium Sulfate 4-5 Grams (pg. 56)
After administering mag sulfate to a seizing pregnant patient, she is awake and talking
to you. But now she begins to answer questions very slowly, her RR is now 8/min, and
her SPB has dropped to 80. What is your next treatment?
Contact OLMCP for calcium chloride 1 gram (pg. 56)
You respond to a call for a pregnant patient complaining of abdominal pain. Your patient
is holding her abdomen and crying out in pain. She describes the pain as sharp and
severe. Upon examination you find no crowning present, but there is slight dark red
blood present. What OB emergency is she most likely experiencing?
Abruptio Placenta (pg. 44)
True or False: According to the needle thoracostomy (chest decompression) protocol, a
bilateral tension pneumothorax is very common.
False (pg. 74)
True or False: According to the cardiac arrest - VF/Pulseless VT protocol, for a pedi
patient with an advanced airway in place, ventilations should be at a rate of 10-12 per
minute without pausing compressions for ventilations.
False, 8-10 ventilations per minute (pg. 41)
Calculate a LAMS score for the following patient: Facial droop, arm drifts slowly and has
no grip strength.
4 (pg. 60)
True or False: According to the general trauma management protocol, for suspected
pericardial tamponade in an adult, you should administer a 500ML bolus.
True (pg. 62)
According to the Universal Patient Care Guidelines for Trauma Patients, which of the
following is NOT part of the primary survey?
A. Manually control C spine
B. Assess ABCs and intervene as necessary
C. Obtain a SAMPLE history
D. Assess mental status using AVPU
C. Obtain a sample history (pg. 15)
, True or False: According to the RFD Patient Transport Guidelines, all major burns
(Adult and Pediatric) should be taken to Parkland Hospital.
False; Adult major burns = Medical City Plano, Pedi major burns = Parkland (pg. 17)
According to the Patient Transport Reference, which of the following facilities does NOT
have Hyperbaric Chamber for treatment of CO poisoning?
A. Baylor Dallas
B. Baylor Plano
C. THR Dallas
D. Medical City Plano
B. Baylor Plano (pg. 19)
True or False: According to the Patient Transport Reference, any time a tourniquet is
applied to a patient to stop bleeding, they must be transported to a Level I or Level II
trauma center.
True (pg. 22)
True or False: According to the Drowning/Submersion Injuries Protocol, the term "near-
drowning" is no longer recognized. The most correct way to report these events are as
"fatal" or "nonfatal" drowning.
True (pg. 46)
For pediatric Epiglottitis/Croup, treatment includes Empinephrine ____ mg/ml of
1:________ nebulized.
A. 0.1 mg/ml of 1:1,000
B. 0.01 mg/ml of 1:10,000
C. 0.1 mg/ml of 1:10,000
D. 0.01 mg/ml of 1:1,000
C. 0.1 mg/ml of 1:10,000 (pg. 47)
According to the Heat and Cold related Disorders Protocol, cardiac arrest may occur as
a result of hypothermia when body temperatures are below ___° F.
90 F (pg. 49)
True or False: According to the Nausea/Vomiting Protocol, for Ondansetron/Zofran to
be administered to a pediatric patient <1 year of age, OLMCP must be contacted.
True (pg. 51)
According to the Neonatal Resuscitation Protocol, the goal for post-birth oxygen
saturation at 4 minutes is _________________.
75% - 80% (pg. 52)
According to the Pain Management Protocol, what is the initial dose of Fentanyl (using
max dose) for a pediatric burn patient weighing 20 kg?
40mcg (pg. 55)
According to the Pre-Eclampsia/Eclampsia Protocol, Eclampsia may occur up to _____
days postdelivery.
30 (pg. 56)
According to the Seizure Protocol, Status Epilepticus has many effects including
massive release of _____________ resulting in hypertension, tachycardia,
dysrhythmias, hyperglycemia, hyperthermia, and/or acidosis from muscle rigidity and
poor ventilation.
Catecholamines (pg. 57)
correctly
You have a patient who has just given birth and has a SBP of 65 after a 500ml bolus.
Your next action should be to:
Repeat fluid bolus (pg. 44)
You have an adult patient in non-traumatic shock. No obvious bleeding and SBP <90
after 2 boluses of 500ml each of NS and Trendelenburg positioning. What is the total
amount that may be administered?
2 liters (pg. 53)
You have an adult pregnant patient with a SBP of 168 and complaining of a severe
headache. As you were talking to the patient, she begins to seize. What is your first line
drug and dose for this seizing patient?
Magnesium Sulfate 4-5 Grams (pg. 56)
After administering mag sulfate to a seizing pregnant patient, she is awake and talking
to you. But now she begins to answer questions very slowly, her RR is now 8/min, and
her SPB has dropped to 80. What is your next treatment?
Contact OLMCP for calcium chloride 1 gram (pg. 56)
You respond to a call for a pregnant patient complaining of abdominal pain. Your patient
is holding her abdomen and crying out in pain. She describes the pain as sharp and
severe. Upon examination you find no crowning present, but there is slight dark red
blood present. What OB emergency is she most likely experiencing?
Abruptio Placenta (pg. 44)
True or False: According to the needle thoracostomy (chest decompression) protocol, a
bilateral tension pneumothorax is very common.
False (pg. 74)
True or False: According to the cardiac arrest - VF/Pulseless VT protocol, for a pedi
patient with an advanced airway in place, ventilations should be at a rate of 10-12 per
minute without pausing compressions for ventilations.
False, 8-10 ventilations per minute (pg. 41)
Calculate a LAMS score for the following patient: Facial droop, arm drifts slowly and has
no grip strength.
4 (pg. 60)
True or False: According to the general trauma management protocol, for suspected
pericardial tamponade in an adult, you should administer a 500ML bolus.
True (pg. 62)
According to the Universal Patient Care Guidelines for Trauma Patients, which of the
following is NOT part of the primary survey?
A. Manually control C spine
B. Assess ABCs and intervene as necessary
C. Obtain a SAMPLE history
D. Assess mental status using AVPU
C. Obtain a sample history (pg. 15)
, True or False: According to the RFD Patient Transport Guidelines, all major burns
(Adult and Pediatric) should be taken to Parkland Hospital.
False; Adult major burns = Medical City Plano, Pedi major burns = Parkland (pg. 17)
According to the Patient Transport Reference, which of the following facilities does NOT
have Hyperbaric Chamber for treatment of CO poisoning?
A. Baylor Dallas
B. Baylor Plano
C. THR Dallas
D. Medical City Plano
B. Baylor Plano (pg. 19)
True or False: According to the Patient Transport Reference, any time a tourniquet is
applied to a patient to stop bleeding, they must be transported to a Level I or Level II
trauma center.
True (pg. 22)
True or False: According to the Drowning/Submersion Injuries Protocol, the term "near-
drowning" is no longer recognized. The most correct way to report these events are as
"fatal" or "nonfatal" drowning.
True (pg. 46)
For pediatric Epiglottitis/Croup, treatment includes Empinephrine ____ mg/ml of
1:________ nebulized.
A. 0.1 mg/ml of 1:1,000
B. 0.01 mg/ml of 1:10,000
C. 0.1 mg/ml of 1:10,000
D. 0.01 mg/ml of 1:1,000
C. 0.1 mg/ml of 1:10,000 (pg. 47)
According to the Heat and Cold related Disorders Protocol, cardiac arrest may occur as
a result of hypothermia when body temperatures are below ___° F.
90 F (pg. 49)
True or False: According to the Nausea/Vomiting Protocol, for Ondansetron/Zofran to
be administered to a pediatric patient <1 year of age, OLMCP must be contacted.
True (pg. 51)
According to the Neonatal Resuscitation Protocol, the goal for post-birth oxygen
saturation at 4 minutes is _________________.
75% - 80% (pg. 52)
According to the Pain Management Protocol, what is the initial dose of Fentanyl (using
max dose) for a pediatric burn patient weighing 20 kg?
40mcg (pg. 55)
According to the Pre-Eclampsia/Eclampsia Protocol, Eclampsia may occur up to _____
days postdelivery.
30 (pg. 56)
According to the Seizure Protocol, Status Epilepticus has many effects including
massive release of _____________ resulting in hypertension, tachycardia,
dysrhythmias, hyperglycemia, hyperthermia, and/or acidosis from muscle rigidity and
poor ventilation.
Catecholamines (pg. 57)
