EMS 131 EXAM 2 (SECTION 2 & 3) -
x x x x x x x x
ALL QUESTIONS WITH EXPERT-
x x x x
APPROVED SOLUTIONS x
Thexhigh-pitchedxsoundxcausedxbyxanxupperxairwayxobstructionxisxknownxas:
x Stridor.x
x Snoring.x
x Gurgling.x
x Hoarseness.x-xanswerxStridor.
Yourxpatientxisxbreathingx4xshallowxbreathsxperxminutexduextoxoverdosingxonxhisxpainxmedi
cationxbutxhexhasxaxpalpablexradialxpulse.xHexvomitedxpriorxtoxyourxarrivalxandxisxchoking.xY
ouxshould:
x Movexthexpatientxtoxthexambulancexandxsuction.x
x Rollxhimxontoxhisxsidextoxclearxthexairway.x
x Insertxanxoropharyngealxairwayxandxventilate.x
x Performxchestxthrustsxtoxclearxthexlungs.x-
x answerxRollxhimxontoxhisxsidextoxclearxthexairway.
Thexjaw-
thrustxmaneuverxisxthexonlyx________xairwayxprocedurexforxanxunconsciousxpatientxwithxp
ossiblexhead,xneck,xorxspinexinjuryxorxanxunknownxmechanismxofxinjury.
x Discouragedx
x Recommendedx
x Requiredx
x Prohibitedx-xanswerxrecommended
Youxarexventilatingxaxcardiacxarrestxpatientxwhenxhexbeginsxtoxvomitxcopiousxamountsxofxla
rgexpiecesxofxundigestedxfood.xWhichxofxthexfollowingxwouldxbexmostxeffectivexinxclearingxt
hexairway?
,x Usingxaxrigidxpharyngealxsuctionxtipx
x Usingxlargexborexsuctionxtubingxwithoutxaxtipxorxcatheterxattachedx
x Usingxax14xFrenchxsuctionxcatheterx
x Irrigatingxthexmouthxwithxsterilexwaterxtoxdilutexthexmaterialxbeforexsuctioningx-
x answerxUsingxlargexborexsuctionxtubingxwithoutxaxtipxorxcatheterxattached
Youxhavexperformedxaxheadxtilt-chinxliftxmaneuverxonxax17-month-
oldxboyxandxarexattemptingxtoxventilatexhimxwithxaxbag-
valvexmask.xYouxarexexperiencingxaxlotxofxresistancexwithxeachxbreathxandxthexchestxisxbar
elyxrising.xPriorxtoxattemptingxventilationsxagain,xyouxshould:
x Tiltxthexheadxbackxfurther.x
x Easexthexheadxforwardxaxlittle.x
x Performxchestxthrusts.x
x Fingerxsweepxthexairway.x-xanswerxEasexthexheadxforwardxaxlittle.
Youxarexventilatingxanx85-year-
oldxmalexwithoutxdifficulty.xAxnursextellsxyouxthatxthexpatientxhasxdentures.xToxensurexaxgoo
dxmaskxseal,xyouxshould:
x Tapexthexdenturesxinxplace.x
x Removexthexdentures.x
x Usexanxinfantxmaskxoverxthexnose.x
x Leavexthexdenturesxinxplace.x-xanswerxLeavexthexdenturesxinxplace.
Whatxsignsxandxsymptomsxwouldxindicatexinadequatexbreathingxinxaxpatient?
x Increasedxeffortxtoxbreathe,xincreasedxdepthxofxrespiration,xnormalxskin,xnormalxmentalxst
atusx
x Decreasedxdepthxofxrespiration,xdecreasedxratexofxbreathing,xclammyxskin,xnormalxmental
x statusx
x Rapidxbreathing,xpalexskin,xandxnormalxmentalxstatusx
x Increasedxeffortxtoxbreathe,xcyanosis,xclammyxskin,xalteredxmentalxstatusx-
x answerxIncreasedxeffortxtoxbreathe,xcyanosis,xclammyxskin,xalteredxmentalxstatus
, Thexprocessxofxairxmovingxinxandxoutxofxthexchestxisxcalled:
x Tidalxvolume.x
x Inhalation.x
x Ventilation.x
x Respiration.x-xanswerxVentilation.
Thexnormalxurgextoxbreathexisxstimulatedxbyxchemoreceptorsxthatxmeasurexchangingxlevel
sxofxwhatxtwoxgases?
x Carbonxmonoxidexandxoxygenx
x Hydrogenxandxcarbonxmonoxidex
x Hydrogenxandxcarbonxdioxidex
x Carbonxdioxidexandxoxygenx-xanswerxCarbonxdioxidexandxoxygen
Ax21-year-
oldxpatientxpresentsxwithxlaboredxbreathingxandxaudiblexwheezes,xheartxratexofx124,xrespir
ationx36.xHexhasxsignificantlyxalteredxmentation.xWhatxisxthextreatmentxforxthisxpatient?
x Ventilatexwithxaxbag-valvexmaskxwithxhighxoxygenxorxFROPVD.x
x Supplementxthexbreathsxwithxhigh-concentrationxoxygenxthroughxaxnonrebreatherxmask.x
x Givexmouth-to-
mouthxbreathingxwithxaxnasalxcannula,xprovidingxthexpatientxwithxanxincreasexofxoxygen.x
x Usexaxpocketxmask,xwhichxwillxprovidexadequatexoxygenxtoximprovexthexpatient'sxcondition
.x-xanswerxVentilatexwithxaxbag-valvexmaskxwithxhighxoxygenxorxFROPVD.
Yourxpatientxisxax65-year-
oldxmalexwithxaxhistoryxofxCOPD.xHexisxsittingxupxandxcomplainingxofxaxseverexshortnessxofx
breath.xYouxshould:
x Administerx4xlpmxofxoxygenxviaxnasalxcannula.x
x Applyxaxnonrebreatherxmaskxgivingx15xlpmxofxoxygen.x
x Suctionxthexairwayxwithxaxrigidxsuctionxcatheter.x
x x x x x x x x
ALL QUESTIONS WITH EXPERT-
x x x x
APPROVED SOLUTIONS x
Thexhigh-pitchedxsoundxcausedxbyxanxupperxairwayxobstructionxisxknownxas:
x Stridor.x
x Snoring.x
x Gurgling.x
x Hoarseness.x-xanswerxStridor.
Yourxpatientxisxbreathingx4xshallowxbreathsxperxminutexduextoxoverdosingxonxhisxpainxmedi
cationxbutxhexhasxaxpalpablexradialxpulse.xHexvomitedxpriorxtoxyourxarrivalxandxisxchoking.xY
ouxshould:
x Movexthexpatientxtoxthexambulancexandxsuction.x
x Rollxhimxontoxhisxsidextoxclearxthexairway.x
x Insertxanxoropharyngealxairwayxandxventilate.x
x Performxchestxthrustsxtoxclearxthexlungs.x-
x answerxRollxhimxontoxhisxsidextoxclearxthexairway.
Thexjaw-
thrustxmaneuverxisxthexonlyx________xairwayxprocedurexforxanxunconsciousxpatientxwithxp
ossiblexhead,xneck,xorxspinexinjuryxorxanxunknownxmechanismxofxinjury.
x Discouragedx
x Recommendedx
x Requiredx
x Prohibitedx-xanswerxrecommended
Youxarexventilatingxaxcardiacxarrestxpatientxwhenxhexbeginsxtoxvomitxcopiousxamountsxofxla
rgexpiecesxofxundigestedxfood.xWhichxofxthexfollowingxwouldxbexmostxeffectivexinxclearingxt
hexairway?
,x Usingxaxrigidxpharyngealxsuctionxtipx
x Usingxlargexborexsuctionxtubingxwithoutxaxtipxorxcatheterxattachedx
x Usingxax14xFrenchxsuctionxcatheterx
x Irrigatingxthexmouthxwithxsterilexwaterxtoxdilutexthexmaterialxbeforexsuctioningx-
x answerxUsingxlargexborexsuctionxtubingxwithoutxaxtipxorxcatheterxattached
Youxhavexperformedxaxheadxtilt-chinxliftxmaneuverxonxax17-month-
oldxboyxandxarexattemptingxtoxventilatexhimxwithxaxbag-
valvexmask.xYouxarexexperiencingxaxlotxofxresistancexwithxeachxbreathxandxthexchestxisxbar
elyxrising.xPriorxtoxattemptingxventilationsxagain,xyouxshould:
x Tiltxthexheadxbackxfurther.x
x Easexthexheadxforwardxaxlittle.x
x Performxchestxthrusts.x
x Fingerxsweepxthexairway.x-xanswerxEasexthexheadxforwardxaxlittle.
Youxarexventilatingxanx85-year-
oldxmalexwithoutxdifficulty.xAxnursextellsxyouxthatxthexpatientxhasxdentures.xToxensurexaxgoo
dxmaskxseal,xyouxshould:
x Tapexthexdenturesxinxplace.x
x Removexthexdentures.x
x Usexanxinfantxmaskxoverxthexnose.x
x Leavexthexdenturesxinxplace.x-xanswerxLeavexthexdenturesxinxplace.
Whatxsignsxandxsymptomsxwouldxindicatexinadequatexbreathingxinxaxpatient?
x Increasedxeffortxtoxbreathe,xincreasedxdepthxofxrespiration,xnormalxskin,xnormalxmentalxst
atusx
x Decreasedxdepthxofxrespiration,xdecreasedxratexofxbreathing,xclammyxskin,xnormalxmental
x statusx
x Rapidxbreathing,xpalexskin,xandxnormalxmentalxstatusx
x Increasedxeffortxtoxbreathe,xcyanosis,xclammyxskin,xalteredxmentalxstatusx-
x answerxIncreasedxeffortxtoxbreathe,xcyanosis,xclammyxskin,xalteredxmentalxstatus
, Thexprocessxofxairxmovingxinxandxoutxofxthexchestxisxcalled:
x Tidalxvolume.x
x Inhalation.x
x Ventilation.x
x Respiration.x-xanswerxVentilation.
Thexnormalxurgextoxbreathexisxstimulatedxbyxchemoreceptorsxthatxmeasurexchangingxlevel
sxofxwhatxtwoxgases?
x Carbonxmonoxidexandxoxygenx
x Hydrogenxandxcarbonxmonoxidex
x Hydrogenxandxcarbonxdioxidex
x Carbonxdioxidexandxoxygenx-xanswerxCarbonxdioxidexandxoxygen
Ax21-year-
oldxpatientxpresentsxwithxlaboredxbreathingxandxaudiblexwheezes,xheartxratexofx124,xrespir
ationx36.xHexhasxsignificantlyxalteredxmentation.xWhatxisxthextreatmentxforxthisxpatient?
x Ventilatexwithxaxbag-valvexmaskxwithxhighxoxygenxorxFROPVD.x
x Supplementxthexbreathsxwithxhigh-concentrationxoxygenxthroughxaxnonrebreatherxmask.x
x Givexmouth-to-
mouthxbreathingxwithxaxnasalxcannula,xprovidingxthexpatientxwithxanxincreasexofxoxygen.x
x Usexaxpocketxmask,xwhichxwillxprovidexadequatexoxygenxtoximprovexthexpatient'sxcondition
.x-xanswerxVentilatexwithxaxbag-valvexmaskxwithxhighxoxygenxorxFROPVD.
Yourxpatientxisxax65-year-
oldxmalexwithxaxhistoryxofxCOPD.xHexisxsittingxupxandxcomplainingxofxaxseverexshortnessxofx
breath.xYouxshould:
x Administerx4xlpmxofxoxygenxviaxnasalxcannula.x
x Applyxaxnonrebreatherxmaskxgivingx15xlpmxofxoxygen.x
x Suctionxthexairwayxwithxaxrigidxsuctionxcatheter.x
