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1. A 30 year old climber is experiencing sever shortness of breath after reaching an elevation of
12000feet. The PT is very anxious and has rales noted to all quadrants but is otherwise healthy.
He is not accustomed to high altitudes. What should you do? ✔✔Administer oxygen while
descending to a lower altitude.
2. A 26 year old female does not respond to verbal stimuli but moans in response to pain. A
friend states the patient has ingested approx 150 amitriptyline tables. Vital Signs are BP 88/50
R16. You establish IV access and administer a fluid challenge. En route to the hospital her ECG
shows a widening QRS. You should administer ✔✔Sodium Bicarbonate.
3. You PT experienced trauma yesterday and you are transferring her to a larger facility. She has
been experiencing progressive hypoxia. You notice coarse crackles in all lung fields on
ventilation. Vital signs are BP 90/50 and SPO2 90%. You should ✔✔Transport emergency and
continue ventilation.
4. An alert 22 year old male was just disentangled from debris in a house collapse. He denies
head or neck pain, but complains of server hip pain. Vital signs are BP 88/40. P120 R 16 you
should administer. ✔✔sodium bicarbonate
,5. Braxton Hicks contractions ✔✔occur in the second trimester and are false labor.
6. A 40 year old male crashed his motorcycle. He had a brief loss of consciousness, woke up and
walked home. You find him 2 hours later at home unconscious. You should suspect. ✔✔epidural
hematoma
7. A 47 year old male who was found unconscious on the side of the road respond only to painful
stimulus. When you attempt to establish IV access he stiffens his arms and legs. He has minor
abrasions all over his body. Vital signs are BO 178/122 P56 R irregular ETCO2 30. What should
you do? ✔✔Assist ventilations at 12 breaths per minHg.
8. A 28 year old female has a sudden onset of tightness in her chest and server difficulty
breathing. Her tongue face and neck appear swollen and she has red itchy hives on her torso. Her
signs are BP 80/40 P 130. You should administer ✔✔Epinephrine 0.3mg
9. You are asked to set up a patient treatment area after a box labeled "radio active" was found
unattended in a park. Which of the following would be the best location. ✔✔Building in the park
,10. You are at a house fire with multiple patients. Which patient should be transported First to a
burn center? ✔✔52 year old with second degree burns to face and right hand
11. What is the most common cause of status epilepticus in adults. ✔✔Failure to take prescribed
medications
12. A 58 year old male with history of renal failure complains of dizziness lethargy and difficulty
breathing. He says he missed his last dialysis appointment. Vital signs are BP 160/90 P 100 R 28
with rales heard in the basses. SPO2 92% you should suspect. ✔✔Fluid Overload.
13. A 12 year old girl is seizing. Her mom tells you that her daughter has been feeling tired for
days. Her skin is dry and she has been very thirsty. Vital signs are BP 118/80 P115 R26 you
should suspect. ✔✔Diabetic ketoacidosis
14. A 42 year old female has fallen down a flight of stairs. She appears anxious her skin is cool
and clammy her radial pulses are weak at 112 beats per min and she complains of abdominal
pain in the left upper quadrant with radiation to the left scapula. You should suspect. ✔✔Torn or
lacerated spleen.
, 15. Emergency medical responders are ventilating an apneic medical patient with a bag valve
mask. You note abdominal distention and minimal chest rise. What should you do?
✔✔Reposition the head.
16. A 6 month old male was found lying face down in the crib. He is cyanotic and apneic. A
weak
brachial pulse is present. You are unable to see a chest rise with your second attempt at rescue
breathing after repositioning the head. What should you do. ✔✔Start CPR
17. You have just been called to a dialysis clinic for a 58 year old male in cardiac arrest. The
online physician may order you to administer which of the following medications. ✔✔Sodium
Bicarbonate.
18. A 27 year old male has been assaulted with a pen in the supraclavicular area. He is anxious
and pale and his vital signs are BP 80/42 P 128 R 32 and shallow. First responders have sealed
the wound with a bandage. Assessment reveals lung sounds on the right and poor chest rise what
should you do. ✔✔Burp dressing
19. A 50 pound child is unresponsive pulseless and apneic. The cardiac monitor displays
ventricular fibrillations. CPR is in progress. The initial defibrillator should be at. ✔✔50 joules.