PARAMEDIC JB LEARNING 2023/2024 TEST BANK|
GRADED A+
You are called for a young man choking. Upon arrival you find very scared parents
trying to dislodge a piece of hot dog from their 10 year old child's airway by
administering back blows and abdominal thrusts, The child is limp. As you take over
you discover the child is able to move a minimal amount of air. You should: -
ANSWERcontinue with back blow and abdominal thrusts until item becomes
dislodged or obstruction becomes complete
You have just intubated an adult patient. You believe you have been successful. You
are listening for sounds in the epigastric area and hear nothing. What would you do?
- ANSWERattach an ETCO2 monitoring device
What changes in blood gases occur when a patient is hyperventilating? -
ANSWERdecreased CO2; increased PaO2
First responders are applying unusually long ventilations with an oxygen resuscitator
to an apneic adult female. They are also not pausing between breaths. What
negative effects can this increased pressure create? - ANSWERincreased pulmonary
elasticity??
Percutaneous transtracheal ventilation - ANSWERneedle cricothyrotomy
You are treating a cardiac arrest patient who you have successfully resuscitated. The
patient is still unconscious, apneic, and he is endotracheally intubated. The patient
suddenly becomes cyanotic and his SpO2 decreases from 98% to 82%. His heart rate
decreases from 110 to 40. What caused these sudden changes? - ANSWERdislodged
endotracheal tube
What is the primary danger to the infant during a precipitous delivery? -
ANSWERcerebral trauma
You are treating a 26 year old male victim of an assault. The patient was struck in the
chest and abdomen with a baseball bat.
Vital Signs: P- 110, R- 6 with sonorous respirations.
The patient is place on high flow O2. While attempting an oral airway the patient
gags. The oral airway is removed. How are you attempting to secure his airway next?
- ANSWERPlace a nasopharyngeal airway and ventilate with a bag valve mask
What effects does morphine sulfate have on the venous system? - ANSWERincreases
venous pooling, resulting in reduced preload and after load
You are treating a 48 year old female with chest pain. On scene you administer
oxygen, aspirin, and two nitro tablets. En route to the hospital your patient states
her pain decreases to a 1 on a scale of 0-10. To provide the best care, you should... -
, ANSWERcontinue high flow oxygen and repeat vitals, consider 12 lead EKG if pain
persists
A 52 yom is compelling of constant, severe pain and pressure in his chest, which he
says started about 4 hours ago. The patient has bilateral rales, and his skin is cool to
the touch. Vital signs are: BP- 72/52, P- 124, R-28. No JVD or Edema in lower
extremities. What condition is most likely responsible for his signs and symptoms. -
ANSWERMyocardial infarction with cariogenic shock
Which of the following patients has the best cerebral oxygenation? - ANSWER45
yom, disoriented, BP 140/80, skin warm and dry
What term best describes the ability of cardiac cells to spontaneously depolarize
without being stimulated by a nerve? - ANSWERAutomaticity
A 72 yom with a history of atherosclerosis complains of a sudden onset of sharp pain
in his right leg and foot which has grown worse over the past 2 hours. Objective data
includes an anxious patient with vital signs: BP- 124/60, P-70, R-18. He has a pale,
waxy, cool right leg. No pedal pulses are present in the right foot. The left leg is
normal. What is the patients probable diagnosis? - ANSWERAcute arterial occlusion
What is atherosclerosis? - ANSWERThe gradual blockage of an artery due to
cholesterol and hardened deposits
Which of the following is the underlying cause of the pain associated with a sickle
cell crisis? - ANSWERTissue ischemia
Which of the following best describes the term syncope? - ANSWERsudden
temporary loss of consciousness
The correct dose of naloxone for a 6lb 8oz neonate suffering respiratory depression
secondary to in utero exposure to narcotics is - ANSWER0.3mg
Your patient is a 22 yof without a medical history. She was sitting at her office desk
where she had an acute onset of dyspnea and pleuritic type chest pain. Presently she
is awake but agitated. Upon exam you find she is pale, cool, and diaphoretic. Vital
signs are: BP- 92/40, P-142, R-36 and shallow but clear bilaterally. Only medications
are Tylenol and a BC pill. What conditions would you suspect? - ANSWERPulmonary
Embolism
Which of the following best describes the term syncope? - ANSWERsudden
temporary loss of consciousness
Which vessel provides blood supply to the SA and AV nodes in most patients? -
ANSWERright coronary artery
GRADED A+
You are called for a young man choking. Upon arrival you find very scared parents
trying to dislodge a piece of hot dog from their 10 year old child's airway by
administering back blows and abdominal thrusts, The child is limp. As you take over
you discover the child is able to move a minimal amount of air. You should: -
ANSWERcontinue with back blow and abdominal thrusts until item becomes
dislodged or obstruction becomes complete
You have just intubated an adult patient. You believe you have been successful. You
are listening for sounds in the epigastric area and hear nothing. What would you do?
- ANSWERattach an ETCO2 monitoring device
What changes in blood gases occur when a patient is hyperventilating? -
ANSWERdecreased CO2; increased PaO2
First responders are applying unusually long ventilations with an oxygen resuscitator
to an apneic adult female. They are also not pausing between breaths. What
negative effects can this increased pressure create? - ANSWERincreased pulmonary
elasticity??
Percutaneous transtracheal ventilation - ANSWERneedle cricothyrotomy
You are treating a cardiac arrest patient who you have successfully resuscitated. The
patient is still unconscious, apneic, and he is endotracheally intubated. The patient
suddenly becomes cyanotic and his SpO2 decreases from 98% to 82%. His heart rate
decreases from 110 to 40. What caused these sudden changes? - ANSWERdislodged
endotracheal tube
What is the primary danger to the infant during a precipitous delivery? -
ANSWERcerebral trauma
You are treating a 26 year old male victim of an assault. The patient was struck in the
chest and abdomen with a baseball bat.
Vital Signs: P- 110, R- 6 with sonorous respirations.
The patient is place on high flow O2. While attempting an oral airway the patient
gags. The oral airway is removed. How are you attempting to secure his airway next?
- ANSWERPlace a nasopharyngeal airway and ventilate with a bag valve mask
What effects does morphine sulfate have on the venous system? - ANSWERincreases
venous pooling, resulting in reduced preload and after load
You are treating a 48 year old female with chest pain. On scene you administer
oxygen, aspirin, and two nitro tablets. En route to the hospital your patient states
her pain decreases to a 1 on a scale of 0-10. To provide the best care, you should... -
, ANSWERcontinue high flow oxygen and repeat vitals, consider 12 lead EKG if pain
persists
A 52 yom is compelling of constant, severe pain and pressure in his chest, which he
says started about 4 hours ago. The patient has bilateral rales, and his skin is cool to
the touch. Vital signs are: BP- 72/52, P- 124, R-28. No JVD or Edema in lower
extremities. What condition is most likely responsible for his signs and symptoms. -
ANSWERMyocardial infarction with cariogenic shock
Which of the following patients has the best cerebral oxygenation? - ANSWER45
yom, disoriented, BP 140/80, skin warm and dry
What term best describes the ability of cardiac cells to spontaneously depolarize
without being stimulated by a nerve? - ANSWERAutomaticity
A 72 yom with a history of atherosclerosis complains of a sudden onset of sharp pain
in his right leg and foot which has grown worse over the past 2 hours. Objective data
includes an anxious patient with vital signs: BP- 124/60, P-70, R-18. He has a pale,
waxy, cool right leg. No pedal pulses are present in the right foot. The left leg is
normal. What is the patients probable diagnosis? - ANSWERAcute arterial occlusion
What is atherosclerosis? - ANSWERThe gradual blockage of an artery due to
cholesterol and hardened deposits
Which of the following is the underlying cause of the pain associated with a sickle
cell crisis? - ANSWERTissue ischemia
Which of the following best describes the term syncope? - ANSWERsudden
temporary loss of consciousness
The correct dose of naloxone for a 6lb 8oz neonate suffering respiratory depression
secondary to in utero exposure to narcotics is - ANSWER0.3mg
Your patient is a 22 yof without a medical history. She was sitting at her office desk
where she had an acute onset of dyspnea and pleuritic type chest pain. Presently she
is awake but agitated. Upon exam you find she is pale, cool, and diaphoretic. Vital
signs are: BP- 92/40, P-142, R-36 and shallow but clear bilaterally. Only medications
are Tylenol and a BC pill. What conditions would you suspect? - ANSWERPulmonary
Embolism
Which of the following best describes the term syncope? - ANSWERsudden
temporary loss of consciousness
Which vessel provides blood supply to the SA and AV nodes in most patients? -
ANSWERright coronary artery
