EMT FISDAP FINAL PRACTICE EXAM
Questions and Answers (2023/2024)
(Verified Answers)
A 4-Year-old female tracheostomy pt has pulled out her tracheostomy tube. The
opening is partially obstructed with skin. You should
A. Use a soft tip catheter and suction until clear
B. Insert a nasal airway into stoma
C. Wipe the area clean and perform mouth to stoma ventilation
D. Cut the skin away from the stoma - answersUse a soft tip catheter and suction until
clear
To protect yourself from injury when lifting a stretcher you should
A. keep the weight as close to your body as possible
B. use two additional ppl for the lift
C. lean forward toward the stretcher - answerskeep the weight as close to your body as
possible
An unresponsive 10 year old male was hit by a car and is bleeding heavily from an open
leg fracture. After securing his airway and manually stabilizing c-spine, you should:
A. place the patient in Tredelenburg position
B. perform a rapid trauma assessment
C. control bleeding from the leg wound
D. immobilize the extremity using a ladder splint - answerscontrol bleeding from the leg
wound *
The strongest portion of the heart that is responsible for circulating blood to the entire
body is the
A. Left atrium
B. Right atrium
C. Left ventricle
D. Right ventricle - answersLeft ventricle
A 46 y/o female was involved in a bar fight and has an obvious open neck wound. You
should dress this wound with a/ an
A. Occlusive dressing
B. Sterile gauze dressing
,C. Pressure dressing
D. Moist gauze dressing - answersOcclusive dressing *
When assessing a pulse, you are feeling the:
A. relaxation of the atria
B. contraction of the left ventricle
C. contraction of the left atrium
D. relaxation of both ventricles - answerscontraction of the left ventricle*
A 60 y/o female has chest pain. She has not taken her prescribed nitro you should
A. Determine what type of cardiac problem the pt has, and assist her with taking the
nitro
B. Immediately attached the AED and begin transport to hospital
C. Administer aspirin only and withhold the nitro
D. Consult medical direction with regard to assisting the pt in taking the nitro -
answersDetermine what type of cardiac problem the pt has, and assist her with taking
the nitro
Which of the following is the best definition of hypoperfusion?
A. Less blood reaching capillary beds
B. Inadequate oxygen delivery to cells
C. Lowered heart rate and BP
D. Blood vessel dilation causing distal pooling - answersInadequate oxygen delivery to
cells
You are ventilating an apneic asthmatic patient with a BVM, but notice there is
inadequate chest rise. What should you do?
A. reassess the airway for an obstruction
B. increase the ventilation pressure
C. switch to an O2 powered ventilation device
D. increase the rate of the ventilations - answersreassess the airway for an obstruction *
For which of the following patients would an OPA be most appropriate?
A. A 19 y/o with a mandible fracture who is only responsive to pain
B. Unresponsive 25 y/o with a suspected spinal injury
C. Unresponsive five-year-old with a suspected airway obstruction
D. Semiconscious 76 y.o old who is gasping for air - answersUnresponsive 25 y/o with a
suspected spinal injury
Your patient is pale, diaphoretic, and complains of chest pressure. Her vitals are R 18 P
58, and BP 88/50. You should suspect
A. Unstable angina
B. A thoracic aneurysm
C. Cardiogenic shock
D. Pulmonary embolism - answersCardiogenic shock
,A 66 y/o male is confused. He has a history of substance abuse and falls. His breath
smells of alcoholic beverage. He is alert and refusing service. You should
A. Obtain consent from his family and transport
B. Document his refusal and recommend that he see his doctor
C. Speak calmly to him and convince him to accept transport
D. Have the police transport the pt to detox unit - answersSpeak calmly to him and
convince him to accept transport
Your 12 yr old patient has a penetrating wound to the abdomen. You may provide care
based on
A. informed consent
B. expressed consent
C. implied consent - answersimplied consent
A victim of smoke inhalation has developed difficulty breathing. He does not like the
smell of the mask you are using to deliver O2. You should
A. Switch to a NC set to deliver O2 @ 6 LPM
B. Restrain the pt and continue administering O2 via NRB
C. Explain that the mask is very important and continue its use
D. Administer blow-by O2 via Simple mask - answersExplain that the mask is very
important and continue its use
A 23 y/o construction worker twisted his foot climbing up a ladder. He has an obvious
deformity on the right leg just below the knee. The lower leg and foot are cyanotic and
pulseless. You should
A. Apply an air splint and transport
B. Apply spinal immobilization and elevate the leg
C. Pull gentle traction and apply a splint
D. Apply a traction splint and transport - answersPull gentle traction and apply a splint
Which of the following is TRUE about the insertion of an OPA?
A. the OPA is always rotated 360 degrees as it is inserted
B. if properly inserted, the OPA will keep the tongue out of the way
C. the OPA should be inserted until the flange rests below the patient's teeth -
answersthe OPA should be inserted until the flange rests below the patient's teeth*
While ventilating a near drowning pt, you suddenly feel increased resistance in the
airway. You should
A. Perform abdominal thrust
B. Place pt in lateral recovery position
C. Attempt to reposition the head
D. Apply firm pressure to the abdomen - answersAttempt to reposition the head
A 28 y/o female who is 12 weeks pregnant has twisted her left knee while walking. She
states the pain is 10/10 in severity. You should
A. Apply a traction splint and immobilize with a long spine board
,B. Transport on her left side and hold manual stabilization until she gets the hospital
C. Splint with the stretcher and straps and transport her on her left side
D. Splint using board splints and cravats and transport sitting - answersSplint using
board splints and cravats and transport sitting
A 20 yr old female complains of severe abdominal pain. She is in the fetal position. After
your primary assessment, you should
A. transport immediately to hospital
B. palpate all 4 quadrants of abdomen
C. obtain baseline vital signs - answersobtain baseline vital signs*
An intoxicated 33 y/o female was fighting with police. You note some minor scrapes on
the pt's leg and face. The pt is being verbally abusive to you. The police want your
approval to take the pt to jail. You should
A. Ask the officer to transport her to the hospital in a squad car for safety
B. Request that the officers arrest the patient prior to transport
C. If vital signs are within normal limits, release the pt to the police
D. Restrain and transport the pt with police escort - answersRestrain and transport the
pt with police escort
First responder has delivered a baby. The infant is blue and lethargic; the pulse is 90
you should
A. Transport after placenta is delivered
B. Dry, stimulate and apply oxygen
C. Transport and administer CPR enroute
D. Transport to closest hospital - answersDry, stimulate and apply oxygen
A patient has been kicked in the chest. One section of ribs is moving separately during
respirations. You should
A. Transport emergently
B. Listen for lung sounds
C. Initiate PPV
D. Place a sandbag on the injury - answersInitiate PPV
A 56 y/o male is complaining of severe CP. He took Viagra two hours ago and has been
physically active. You should
A. Assist the pt in taking his nitro and apply O2
B. Administer O2 and request an ALS intercept
C. Monitor vitals, if BP is above 100 systolic, administer nitro and apply oxygen
D. Assure an open airway and continue gathering history - answersAssure an open
airway and continue gathering history
You're transporting a 62 yr old patient complaining of chest pain. Vital signs are: BP
88/40, P 90, R 12. Online medical control orders you to assist the patient in taking his
prescribed nitro. You should
A. check the expiration date then administer the nitro
,B. assist the patient w/administering his nitro
C. repeat the vital signs and confirm the order - answersrepeat the vital signs and
confirm the order *
Which of the following is the build-up of fatty deposits on the inner walls of an artery?
A. Coronary artery disease
B. Thrombus
C. Aneurysm
D. Atherosclerosis - answersAtherosclerosis
A 60-year-old pt with stoma is apneic. You have been suctioning pink frothy sputum for
10 seconds and you continue to get more material. You should
A. continue suctioning and have a partner ventilate through the pt's mouth
B. suction until airway is clear
C. stop suctioning and give a breath
D. use a saline solution to moisten secretions and continue suctioning - answersstop
suctioning and give a breath
A pulseless and apneic 68 year old male has an implanted pacemaker in his right
shoulder Without delaying defibrillation, where should you apply the AED pads?
A. anterior chest and back (between shoulder blades)
B. nipple line under the left and right armpits
C. left shoulder (to avoid pacemaker) and lower right chest
D. right shoulder (directly over the pacemaker) and the left lower chest -
answersanterior chest and back (between shoulder blades)
You are transporting a patient who has been restrained due to hostile behavior. He is
complaining that he has no feeling in his hands and is threatening to sue you if you don't
remove the restraints. You should:
A. place padding between the restraint and the patient's skin
B. loosen the restraints
C. assess the patient's distal circulation frequently
D. remove the restraints - answersassess the patient's distal circulation frequently*
During a birth the baby's head was delivered. You should:
A. suction the mouth and nose with a bulb syringe
B. insert a Delee suction catheter in the mouth
C. suction the mouth only with a bulb syringe
D. suction for 15 seconds with a pediatric suction device - answerssuction the mouth
and nose with a bulb syringe*
Your patient is a 65 year old male complaining of chest pain. Which of the following
would be a contraindication for assisting with the administration of sublingual
nitroglycerin?
A. Heart rate >100
B. Heart rate <100
,C. SBP >100
D. SBP <100 - answersSBP <100
What are the two manual methods of opening a patient's airway?
A. head tilt-chin lift and jaw thrust
B. head tilt-chin lift and nasopharyngeal airway
C. jaw thrust and finger sweep
D. head tilt-chin lift and oropharyngeal airway - answershead tilt-chin lift and jaw thrust
Your patient is in labor. As the baby's head delivers, you notice the amniotic sac has not
broken. You should:
A. use your gloved finger to puncture the membrane
B. place mom on her knees to take the pressure off the sac
C. place mom on O2 to prevent fetal distress
D. have mom pant - answersuse your gloved finger to puncture the membrane
A conscious 7 year old patient has chemical burns around her mouth from ingesting
drain cleaner. Her breathing is adequate. You should:
A. evaluate the patient's airway
B. flush burns with water
C. contact medical control
D. administer activated charcoal - answersContact medical control
Your patient is allergic to bee stings. She suddenly began having watery eyes and
itching in her arms. She does not remember being stung. Vital signs: BP 130/80, P 110,
R 16. You should:
A. apply O2 and transport
B. monitor airway, encourage family to transport
C. attempt to find the stinger and remove it immediately
D. assist the patient in self-administering her Epi-pen - answersapply O2 and transport*
A 45 year old male farmer has been working with dry lime. The patient has large
amounts of this powder on both legs. You should:
A. gently brush off excess powder and transport
B. use vinegar to dilute and transport
C. wash off the powder with water and transport
D. use milk to dilute - answersgently brush off excess powder and transport
An unbelted driver struck a tree with his vehicle. Upon examination of the chest you see
bruising to the right side. Your initial vitals are BP 88/76, P 128, R 20. You should
suspect:
A. liver laceration
B. cardiac tamponade
C. neurogenic shock
D. multiple rib fractures - answerscardiac tamponade
,Five minutes after delivery of a newborn, your patient is moving all extremities, has pink
sin, a weak cry, is grimacing and has a pulse of 96. The APGAR score is
A. 10
B. 6
C. 8
D. 4 - answers
When responding to an incident involving an unidentified hazardous material, the most
appropriate place to position the ambulance is:
A. downwind and uphill
B. downwind and downhill
C. upwind and uphill
D. upwind and at the level of the incident - answersupwind and uphill
A 30 year old male has been struck by a car. You note a contusion and pain to his left
hip. There is no crepitous on exam. Vital signs are: BP 110/60, P 72, R 12; You should
suspect:
A. ecchymosis
B. fractured pelvis
C. neurogenic shock
D. long bone contusion - answersfractured pelvis
A patient with chest discomfort becomes unresponsive during transportation to the
hospital. What is the most appropriate action?
A. start CPR while you assess for pulselessness and apnea, then apply AED and shock
if necessary
B. stop vehicle, confirm pulselessness and apnea, apply an AED, and shock if
necessary
C. confirm pulselessness, apply an AED, and advise partner to drive vehicle emergently
D. confirm pulselessness, initiate CPR, stop the vehicle and apply an AED -
answersconfirm pulselessness, initiate CPR, stop the vehicle and apply an AED**
Which of the following statements regarding suctioning of an adult is true?
A. you should insert the suction catheter only as far as you can visualize
B. you should start ventilations if suction cannot clear the airway
C. you should only suction for a maximum of 30 seconds
D. you should remove the suction catheter with the suction machine turned off -
answersYou should insert the suction catheter only as far as you can visualize
When driving an ambulance, operators must drive with the safety of others in mind. This
is known as driving:
A. defensively
B. with privileges
C. with due regard
D. offensively - answerswith due regard
,A patient is in respiratory distress after eating soup brought by her neighbor. Her
neighbor states "She was eating and suddenly her throat got tight." She is sitting bolt
upright in a tripod position. You should suspect
A. Anaphylaxis
B. Choking
C. Emphysema
D. Asthma - answersAnaphylaxis
A 23 y/o patient is lethargic. The patient just finished mowing the lawn. He is drooling
and sweating profusely. You should suspect
A. Hyperglycemia
B. Hypoglycemia
C. Heat stroke
D. Intoxication - answershypoglycemia
Your 18-mo. old pt has pale cool skin, decreased mental status, and delayed cap refill.
The mother tells you that the child's diaper has been dry for most of the day. First
responders have applied oxygen. You should
A. position the child on his side and transport
B. rapidly transport and monitor vital signs
C. ventilate with BVM and transport rapidly
D. transport rapidly and apply wet towels enroute - answersrapidly transport and
monitor vital signs
After delivering a shock with an AED the patient begins to move and speak. You should
A. begin BVM ventilations
B. immediately remove AED pads to avoid accidental shock
C. perform a sternal rub to assess LOC
D. assess vital signs and begin transport - answersassess vital signs and begin
transport
You should ventilate a newborn once every:
A. 4 seconds
B. 2 seconds
C. 3 seconds
D. 5 seconds - answers3 seconds
What is the amount of air moved with one normal breath called?
A. minute volume
B. tidal volume - answerstidal volume
Which of the following is the most appropriate way to measure for an oropharyngeal
airway adjunct?
A. From the patient's earlobe to angle of the jaw
B. From the center of pt's mouth to earlobe
C. From the corner of the pt's mouth to the earlobe
,D. From the tip of pt's nose to earlobe - answersFrom the corner of the pt's mouth to the
earlobe
Your patient has spilled a dilute alkali solution into his eyes. You should first
A. irrigate with clean water
B. cover both eyes and transport
C. cover the affected eye and transport
D. irrigate with dilute ammonia - answersirrigate with clean water *
Your patient has a fork impaled into his cheek. He is having trouble breathing. You
should
A. carefully remove the fork from his cheek
B. insert a nasal airway and apply oxygen
C. stabilize the fork with bulky dressings - answerscarefully remove the fork from his
cheek *
Which of the following BEST describes a bipolar patient?
A. They often have hallucinations
B. They do not have a history of manic-depressive disorder
C. They appear psychotic during manic phases - answersThey appear psychotic during
manic phases
A 2 year old conscious and alert patient has ingested an unknown quantity of aspirin.
You call medical control and may be advised to
A. administer activated charcoal by mouth
B. administer syrup of ipecac by mouth
C. perform several abdominal thrusts - answersadminister activated charcoal by mouth
*
Your 23 year old male patient is acting erratically. Which of the following would be most
important to relay to the ER?
A. medications
B. last doctor visit
C. allergies - answersmedications *
Your patient complains of itching and difficulty breathing after a bee sting. He reports no
known allergies. His vitals are: BP 136/86, P 118, R 20. You should
A. administer O2 via nasal cannula and transport immediately
B. administer O2 via NRM and transport immediately
C. recommend the patient take an oral antihistamine and contact his physician -
answersadminister O2 via NRM and transport immediately *
Which of the following is an anatomical difference between an adult and an infant
airway?
A. The infants trachea is more rigid
B. The infants trachea is softer
, C. The adults tongue is proportionally larger
D. The adults mouth is proportionally smaller - answersThe infants trachea is softer
Your 36 y/o pt is unresponsive upon attempting to insert an OPA, the patient gags, You
should
A. Insert a nasal airway
B. Suction the oropharynx
C. Reattempt using a smaller oral adjunct
D. Insert a dual lumen airway - answersInsert a nasal airway
An alert and oriented patient is complaining of severe chest pain, but he refuses
transportation against medical advice. You should
A. insist that he be transported by ambulance
B. accept his right to refuse care and leave the scene
C. contact law enforcement for assistance
D. contact law enforcement for assistance - answersaccept his right to refuse care and
leave the scene *
You respond to car accident on a busy city street. You are the first emergency vehicle
on scene. Which of the following best describes where you should park the ambulance?
A. directly in front of the wreckage to have quick access to medical supplies
B. downhill or downwind from the wreckage so you can smell any hazards
C. in front of the wreckage to warn oncoming vehicles - answersin front of the wreckage
to warn oncoming vehicles*
Your 90 year old nursing home patient is pulseless and apneic. The nurse shows you a
note in the patient's chart stating "Do not resuscitate". The note is signed by a doctor.
You should
A. call the patient' doctor to confirm the order
B. call on-line medical control
C. consult with the family - answerscall on-line medical control*
Your patient has been submerged underwater for an unknown period and is in cardiac
arrest. After taking c-spine precautions, you should
A. begin CPR immediately
B. apply pressure to the abdomen
C. dry the patient off
D. ventilate the patient - answersbegin CPR
How should you ventilate an apneic adult patient?
A. ventilate with a flow restricted positive pressure ventilator at 12-20 breaths per
minute
B. ventilate once every 3 seconds with a BVM
C. ventilate once every 5-6 seconds with a BVM - answersventilate once every 5-6
seconds with a BVM
Questions and Answers (2023/2024)
(Verified Answers)
A 4-Year-old female tracheostomy pt has pulled out her tracheostomy tube. The
opening is partially obstructed with skin. You should
A. Use a soft tip catheter and suction until clear
B. Insert a nasal airway into stoma
C. Wipe the area clean and perform mouth to stoma ventilation
D. Cut the skin away from the stoma - answersUse a soft tip catheter and suction until
clear
To protect yourself from injury when lifting a stretcher you should
A. keep the weight as close to your body as possible
B. use two additional ppl for the lift
C. lean forward toward the stretcher - answerskeep the weight as close to your body as
possible
An unresponsive 10 year old male was hit by a car and is bleeding heavily from an open
leg fracture. After securing his airway and manually stabilizing c-spine, you should:
A. place the patient in Tredelenburg position
B. perform a rapid trauma assessment
C. control bleeding from the leg wound
D. immobilize the extremity using a ladder splint - answerscontrol bleeding from the leg
wound *
The strongest portion of the heart that is responsible for circulating blood to the entire
body is the
A. Left atrium
B. Right atrium
C. Left ventricle
D. Right ventricle - answersLeft ventricle
A 46 y/o female was involved in a bar fight and has an obvious open neck wound. You
should dress this wound with a/ an
A. Occlusive dressing
B. Sterile gauze dressing
,C. Pressure dressing
D. Moist gauze dressing - answersOcclusive dressing *
When assessing a pulse, you are feeling the:
A. relaxation of the atria
B. contraction of the left ventricle
C. contraction of the left atrium
D. relaxation of both ventricles - answerscontraction of the left ventricle*
A 60 y/o female has chest pain. She has not taken her prescribed nitro you should
A. Determine what type of cardiac problem the pt has, and assist her with taking the
nitro
B. Immediately attached the AED and begin transport to hospital
C. Administer aspirin only and withhold the nitro
D. Consult medical direction with regard to assisting the pt in taking the nitro -
answersDetermine what type of cardiac problem the pt has, and assist her with taking
the nitro
Which of the following is the best definition of hypoperfusion?
A. Less blood reaching capillary beds
B. Inadequate oxygen delivery to cells
C. Lowered heart rate and BP
D. Blood vessel dilation causing distal pooling - answersInadequate oxygen delivery to
cells
You are ventilating an apneic asthmatic patient with a BVM, but notice there is
inadequate chest rise. What should you do?
A. reassess the airway for an obstruction
B. increase the ventilation pressure
C. switch to an O2 powered ventilation device
D. increase the rate of the ventilations - answersreassess the airway for an obstruction *
For which of the following patients would an OPA be most appropriate?
A. A 19 y/o with a mandible fracture who is only responsive to pain
B. Unresponsive 25 y/o with a suspected spinal injury
C. Unresponsive five-year-old with a suspected airway obstruction
D. Semiconscious 76 y.o old who is gasping for air - answersUnresponsive 25 y/o with a
suspected spinal injury
Your patient is pale, diaphoretic, and complains of chest pressure. Her vitals are R 18 P
58, and BP 88/50. You should suspect
A. Unstable angina
B. A thoracic aneurysm
C. Cardiogenic shock
D. Pulmonary embolism - answersCardiogenic shock
,A 66 y/o male is confused. He has a history of substance abuse and falls. His breath
smells of alcoholic beverage. He is alert and refusing service. You should
A. Obtain consent from his family and transport
B. Document his refusal and recommend that he see his doctor
C. Speak calmly to him and convince him to accept transport
D. Have the police transport the pt to detox unit - answersSpeak calmly to him and
convince him to accept transport
Your 12 yr old patient has a penetrating wound to the abdomen. You may provide care
based on
A. informed consent
B. expressed consent
C. implied consent - answersimplied consent
A victim of smoke inhalation has developed difficulty breathing. He does not like the
smell of the mask you are using to deliver O2. You should
A. Switch to a NC set to deliver O2 @ 6 LPM
B. Restrain the pt and continue administering O2 via NRB
C. Explain that the mask is very important and continue its use
D. Administer blow-by O2 via Simple mask - answersExplain that the mask is very
important and continue its use
A 23 y/o construction worker twisted his foot climbing up a ladder. He has an obvious
deformity on the right leg just below the knee. The lower leg and foot are cyanotic and
pulseless. You should
A. Apply an air splint and transport
B. Apply spinal immobilization and elevate the leg
C. Pull gentle traction and apply a splint
D. Apply a traction splint and transport - answersPull gentle traction and apply a splint
Which of the following is TRUE about the insertion of an OPA?
A. the OPA is always rotated 360 degrees as it is inserted
B. if properly inserted, the OPA will keep the tongue out of the way
C. the OPA should be inserted until the flange rests below the patient's teeth -
answersthe OPA should be inserted until the flange rests below the patient's teeth*
While ventilating a near drowning pt, you suddenly feel increased resistance in the
airway. You should
A. Perform abdominal thrust
B. Place pt in lateral recovery position
C. Attempt to reposition the head
D. Apply firm pressure to the abdomen - answersAttempt to reposition the head
A 28 y/o female who is 12 weeks pregnant has twisted her left knee while walking. She
states the pain is 10/10 in severity. You should
A. Apply a traction splint and immobilize with a long spine board
,B. Transport on her left side and hold manual stabilization until she gets the hospital
C. Splint with the stretcher and straps and transport her on her left side
D. Splint using board splints and cravats and transport sitting - answersSplint using
board splints and cravats and transport sitting
A 20 yr old female complains of severe abdominal pain. She is in the fetal position. After
your primary assessment, you should
A. transport immediately to hospital
B. palpate all 4 quadrants of abdomen
C. obtain baseline vital signs - answersobtain baseline vital signs*
An intoxicated 33 y/o female was fighting with police. You note some minor scrapes on
the pt's leg and face. The pt is being verbally abusive to you. The police want your
approval to take the pt to jail. You should
A. Ask the officer to transport her to the hospital in a squad car for safety
B. Request that the officers arrest the patient prior to transport
C. If vital signs are within normal limits, release the pt to the police
D. Restrain and transport the pt with police escort - answersRestrain and transport the
pt with police escort
First responder has delivered a baby. The infant is blue and lethargic; the pulse is 90
you should
A. Transport after placenta is delivered
B. Dry, stimulate and apply oxygen
C. Transport and administer CPR enroute
D. Transport to closest hospital - answersDry, stimulate and apply oxygen
A patient has been kicked in the chest. One section of ribs is moving separately during
respirations. You should
A. Transport emergently
B. Listen for lung sounds
C. Initiate PPV
D. Place a sandbag on the injury - answersInitiate PPV
A 56 y/o male is complaining of severe CP. He took Viagra two hours ago and has been
physically active. You should
A. Assist the pt in taking his nitro and apply O2
B. Administer O2 and request an ALS intercept
C. Monitor vitals, if BP is above 100 systolic, administer nitro and apply oxygen
D. Assure an open airway and continue gathering history - answersAssure an open
airway and continue gathering history
You're transporting a 62 yr old patient complaining of chest pain. Vital signs are: BP
88/40, P 90, R 12. Online medical control orders you to assist the patient in taking his
prescribed nitro. You should
A. check the expiration date then administer the nitro
,B. assist the patient w/administering his nitro
C. repeat the vital signs and confirm the order - answersrepeat the vital signs and
confirm the order *
Which of the following is the build-up of fatty deposits on the inner walls of an artery?
A. Coronary artery disease
B. Thrombus
C. Aneurysm
D. Atherosclerosis - answersAtherosclerosis
A 60-year-old pt with stoma is apneic. You have been suctioning pink frothy sputum for
10 seconds and you continue to get more material. You should
A. continue suctioning and have a partner ventilate through the pt's mouth
B. suction until airway is clear
C. stop suctioning and give a breath
D. use a saline solution to moisten secretions and continue suctioning - answersstop
suctioning and give a breath
A pulseless and apneic 68 year old male has an implanted pacemaker in his right
shoulder Without delaying defibrillation, where should you apply the AED pads?
A. anterior chest and back (between shoulder blades)
B. nipple line under the left and right armpits
C. left shoulder (to avoid pacemaker) and lower right chest
D. right shoulder (directly over the pacemaker) and the left lower chest -
answersanterior chest and back (between shoulder blades)
You are transporting a patient who has been restrained due to hostile behavior. He is
complaining that he has no feeling in his hands and is threatening to sue you if you don't
remove the restraints. You should:
A. place padding between the restraint and the patient's skin
B. loosen the restraints
C. assess the patient's distal circulation frequently
D. remove the restraints - answersassess the patient's distal circulation frequently*
During a birth the baby's head was delivered. You should:
A. suction the mouth and nose with a bulb syringe
B. insert a Delee suction catheter in the mouth
C. suction the mouth only with a bulb syringe
D. suction for 15 seconds with a pediatric suction device - answerssuction the mouth
and nose with a bulb syringe*
Your patient is a 65 year old male complaining of chest pain. Which of the following
would be a contraindication for assisting with the administration of sublingual
nitroglycerin?
A. Heart rate >100
B. Heart rate <100
,C. SBP >100
D. SBP <100 - answersSBP <100
What are the two manual methods of opening a patient's airway?
A. head tilt-chin lift and jaw thrust
B. head tilt-chin lift and nasopharyngeal airway
C. jaw thrust and finger sweep
D. head tilt-chin lift and oropharyngeal airway - answershead tilt-chin lift and jaw thrust
Your patient is in labor. As the baby's head delivers, you notice the amniotic sac has not
broken. You should:
A. use your gloved finger to puncture the membrane
B. place mom on her knees to take the pressure off the sac
C. place mom on O2 to prevent fetal distress
D. have mom pant - answersuse your gloved finger to puncture the membrane
A conscious 7 year old patient has chemical burns around her mouth from ingesting
drain cleaner. Her breathing is adequate. You should:
A. evaluate the patient's airway
B. flush burns with water
C. contact medical control
D. administer activated charcoal - answersContact medical control
Your patient is allergic to bee stings. She suddenly began having watery eyes and
itching in her arms. She does not remember being stung. Vital signs: BP 130/80, P 110,
R 16. You should:
A. apply O2 and transport
B. monitor airway, encourage family to transport
C. attempt to find the stinger and remove it immediately
D. assist the patient in self-administering her Epi-pen - answersapply O2 and transport*
A 45 year old male farmer has been working with dry lime. The patient has large
amounts of this powder on both legs. You should:
A. gently brush off excess powder and transport
B. use vinegar to dilute and transport
C. wash off the powder with water and transport
D. use milk to dilute - answersgently brush off excess powder and transport
An unbelted driver struck a tree with his vehicle. Upon examination of the chest you see
bruising to the right side. Your initial vitals are BP 88/76, P 128, R 20. You should
suspect:
A. liver laceration
B. cardiac tamponade
C. neurogenic shock
D. multiple rib fractures - answerscardiac tamponade
,Five minutes after delivery of a newborn, your patient is moving all extremities, has pink
sin, a weak cry, is grimacing and has a pulse of 96. The APGAR score is
A. 10
B. 6
C. 8
D. 4 - answers
When responding to an incident involving an unidentified hazardous material, the most
appropriate place to position the ambulance is:
A. downwind and uphill
B. downwind and downhill
C. upwind and uphill
D. upwind and at the level of the incident - answersupwind and uphill
A 30 year old male has been struck by a car. You note a contusion and pain to his left
hip. There is no crepitous on exam. Vital signs are: BP 110/60, P 72, R 12; You should
suspect:
A. ecchymosis
B. fractured pelvis
C. neurogenic shock
D. long bone contusion - answersfractured pelvis
A patient with chest discomfort becomes unresponsive during transportation to the
hospital. What is the most appropriate action?
A. start CPR while you assess for pulselessness and apnea, then apply AED and shock
if necessary
B. stop vehicle, confirm pulselessness and apnea, apply an AED, and shock if
necessary
C. confirm pulselessness, apply an AED, and advise partner to drive vehicle emergently
D. confirm pulselessness, initiate CPR, stop the vehicle and apply an AED -
answersconfirm pulselessness, initiate CPR, stop the vehicle and apply an AED**
Which of the following statements regarding suctioning of an adult is true?
A. you should insert the suction catheter only as far as you can visualize
B. you should start ventilations if suction cannot clear the airway
C. you should only suction for a maximum of 30 seconds
D. you should remove the suction catheter with the suction machine turned off -
answersYou should insert the suction catheter only as far as you can visualize
When driving an ambulance, operators must drive with the safety of others in mind. This
is known as driving:
A. defensively
B. with privileges
C. with due regard
D. offensively - answerswith due regard
,A patient is in respiratory distress after eating soup brought by her neighbor. Her
neighbor states "She was eating and suddenly her throat got tight." She is sitting bolt
upright in a tripod position. You should suspect
A. Anaphylaxis
B. Choking
C. Emphysema
D. Asthma - answersAnaphylaxis
A 23 y/o patient is lethargic. The patient just finished mowing the lawn. He is drooling
and sweating profusely. You should suspect
A. Hyperglycemia
B. Hypoglycemia
C. Heat stroke
D. Intoxication - answershypoglycemia
Your 18-mo. old pt has pale cool skin, decreased mental status, and delayed cap refill.
The mother tells you that the child's diaper has been dry for most of the day. First
responders have applied oxygen. You should
A. position the child on his side and transport
B. rapidly transport and monitor vital signs
C. ventilate with BVM and transport rapidly
D. transport rapidly and apply wet towels enroute - answersrapidly transport and
monitor vital signs
After delivering a shock with an AED the patient begins to move and speak. You should
A. begin BVM ventilations
B. immediately remove AED pads to avoid accidental shock
C. perform a sternal rub to assess LOC
D. assess vital signs and begin transport - answersassess vital signs and begin
transport
You should ventilate a newborn once every:
A. 4 seconds
B. 2 seconds
C. 3 seconds
D. 5 seconds - answers3 seconds
What is the amount of air moved with one normal breath called?
A. minute volume
B. tidal volume - answerstidal volume
Which of the following is the most appropriate way to measure for an oropharyngeal
airway adjunct?
A. From the patient's earlobe to angle of the jaw
B. From the center of pt's mouth to earlobe
C. From the corner of the pt's mouth to the earlobe
,D. From the tip of pt's nose to earlobe - answersFrom the corner of the pt's mouth to the
earlobe
Your patient has spilled a dilute alkali solution into his eyes. You should first
A. irrigate with clean water
B. cover both eyes and transport
C. cover the affected eye and transport
D. irrigate with dilute ammonia - answersirrigate with clean water *
Your patient has a fork impaled into his cheek. He is having trouble breathing. You
should
A. carefully remove the fork from his cheek
B. insert a nasal airway and apply oxygen
C. stabilize the fork with bulky dressings - answerscarefully remove the fork from his
cheek *
Which of the following BEST describes a bipolar patient?
A. They often have hallucinations
B. They do not have a history of manic-depressive disorder
C. They appear psychotic during manic phases - answersThey appear psychotic during
manic phases
A 2 year old conscious and alert patient has ingested an unknown quantity of aspirin.
You call medical control and may be advised to
A. administer activated charcoal by mouth
B. administer syrup of ipecac by mouth
C. perform several abdominal thrusts - answersadminister activated charcoal by mouth
*
Your 23 year old male patient is acting erratically. Which of the following would be most
important to relay to the ER?
A. medications
B. last doctor visit
C. allergies - answersmedications *
Your patient complains of itching and difficulty breathing after a bee sting. He reports no
known allergies. His vitals are: BP 136/86, P 118, R 20. You should
A. administer O2 via nasal cannula and transport immediately
B. administer O2 via NRM and transport immediately
C. recommend the patient take an oral antihistamine and contact his physician -
answersadminister O2 via NRM and transport immediately *
Which of the following is an anatomical difference between an adult and an infant
airway?
A. The infants trachea is more rigid
B. The infants trachea is softer
, C. The adults tongue is proportionally larger
D. The adults mouth is proportionally smaller - answersThe infants trachea is softer
Your 36 y/o pt is unresponsive upon attempting to insert an OPA, the patient gags, You
should
A. Insert a nasal airway
B. Suction the oropharynx
C. Reattempt using a smaller oral adjunct
D. Insert a dual lumen airway - answersInsert a nasal airway
An alert and oriented patient is complaining of severe chest pain, but he refuses
transportation against medical advice. You should
A. insist that he be transported by ambulance
B. accept his right to refuse care and leave the scene
C. contact law enforcement for assistance
D. contact law enforcement for assistance - answersaccept his right to refuse care and
leave the scene *
You respond to car accident on a busy city street. You are the first emergency vehicle
on scene. Which of the following best describes where you should park the ambulance?
A. directly in front of the wreckage to have quick access to medical supplies
B. downhill or downwind from the wreckage so you can smell any hazards
C. in front of the wreckage to warn oncoming vehicles - answersin front of the wreckage
to warn oncoming vehicles*
Your 90 year old nursing home patient is pulseless and apneic. The nurse shows you a
note in the patient's chart stating "Do not resuscitate". The note is signed by a doctor.
You should
A. call the patient' doctor to confirm the order
B. call on-line medical control
C. consult with the family - answerscall on-line medical control*
Your patient has been submerged underwater for an unknown period and is in cardiac
arrest. After taking c-spine precautions, you should
A. begin CPR immediately
B. apply pressure to the abdomen
C. dry the patient off
D. ventilate the patient - answersbegin CPR
How should you ventilate an apneic adult patient?
A. ventilate with a flow restricted positive pressure ventilator at 12-20 breaths per
minute
B. ventilate once every 3 seconds with a BVM
C. ventilate once every 5-6 seconds with a BVM - answersventilate once every 5-6
seconds with a BVM
