EMT Final Practice Fisdap
__________________ is a cardiac arrhythmia characterized by a complete disorganization of
electrical activity
A. Ventricular tachycardia
B. Pulseless electrical activity
C. Ventricular fibrillation
D. Atrial fibrillation - ANS-Ventricular fibrillation
A 10-year-old male complains of a stiff neck and a fever. He is very confused and complains of
extreme fatigue and headache. You should suspect
A. Febrile seizure
B. Epilepsy
C. Meningitis
D. Diabetic reaction - ANS-Meningitis
a 11 year old male has crashed his bicycle. The patient's baby sitter is requesting to know the
extent of his injuries. You should reply
A. "You will have to wait and talk with his parents"
B. "I cannot tell you, this would be a violation of patient privacy and confidentiality"
C. "His leg appears to be broken, do you have a phone number for his parents?" - ANS-"You will
have to wait and talk with his parents" **
A 16 y/o football player received a blow to his left femur. You can see deformity and the patient
is in extreme pain. He does not remember how the injury happened. You should.
A. Apply a board splint
B. Immediately stabilize the C-spine
C. Apply a long spine board and rapidly transport
D. Apply a traction splint to injured leg - ANS-Immediately stabilize the C-spine
A 17 y/o pt has been assaulted. He is lying prone and responds to painful stimuli. There is a
screwdriver impaled in his shoulder. He is breathing at a rate of 12 and deep. You should
A. Begin ventilations with a BVM
B. Insert an oral airway without moving pt
C. Carefully remove the screwdriver and roll the patient onto his back
D. Stabilize screwdriver and roll pt onto side - ANS-Stabilize screwdriver and roll pt onto side
A 19-year-old sexual assault victim is bleeding from an external vaginal laceration. You should
A. Apply direct pressure to the wound and transport in fowlers position
B. Keep anything from touching the injury
C. Have the patient apply a sterile dry dressing to the wound
D. Pack the vagina with sterile dressing moistened with saline - ANS-Have the patient apply a
sterile dry dressing to the wound
A 2 y/o pt who has been sick all day, now has a barking cough. You should suspect
A. Epiglottitis
B. Asthma
,C. Croup
D. Chronic laryngospasm - ANS-Croup
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 - ANS-administer activated charcoal by mouth *
A 2-year-old boy has a circumferential burn to his hand up to the wrist. The mother tells you a
pot of boiling water spilled onto the boy. You should
A. Reassure the mother and treat the burn with moist dressing
B. Transport and inform the ER that you suspect abuse
C. Talk to the boy separately and ask if he is being abused
D. Confront the boy's mother about possible abuse - ANS-Transport and inform the ER that you
suspect abuse
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 - ANS-obtain baseline vital signs*
A 22-year-old male was hit in the head with a shovel. He has the following signs and symptoms:
altered mental status, increasing BP, decreased pulse and unequal pupils. What should you
suspect?
A. Increased intracranial pressure
B. Blowout orbital fracture
C. Decompensated hemorrhagic shock
D. Basilar skull fracture - ANS-Increased intracranial pressure
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 - ANS-Pull gentle traction and apply a splint
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 - ANS-hypoglycemia
A 24 y/o male with a history of asthma has stopped breathing. Which ventilation rate would be
most appropriate?
A. 30 breaths per minute
B. 20 breaths per minute
C. 10 breaths per minute
, D. 24 breaths per minute - ANS-10 breaths per minute
A 24 year old female has been stabbed and the police state she is deceased. You note blood all
over her clothing. You should
A. do not disturb the crime scene
B. assess the airway and check for a pulse
C. remove her clothing and determine the extent of the wounds - ANS-assess the airway and
check for a pulse *
A 24-year-old male has been stabbed in the right chest. Which of the following signs should you
expect?
A. Increased respiratory effort
B. Spontaneous pneumothorax
C. Paradoxical chest movement
D. Decreased heart rate - ANS-Increased respiratory effort
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 - ANS-Splint using board splints
and cravats and transport sitting
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 - ANS-fractured pelvis
A 32 y/o female amputated her index finger in a table saw accident. How should you care for the
amputated finger?
A. Wrap an occlusive dressing around the finger and place it in a bag
B. Soak the part in saline and place in a bag of ice
C. Place the finger in a plastic bag and place the bag in icy water
D. Wrap it with moist sterile gauze, place in a plastic bag and keep it cool - ANS-Wrap it with
moist sterile gauze, place in a plastic bag and keep it cool
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 - ANS-Use a soft tip catheter and suction until clear
A 40 y/o male complains of abdominal pain after being assaulted. His abdomen is rigid and
tender on assessment. Vital signs are BP 108/68, P 116, R 26. You should suspect
A. Compensated shock
B. A ruptured diaphragm
C. Decompensated shock
__________________ is a cardiac arrhythmia characterized by a complete disorganization of
electrical activity
A. Ventricular tachycardia
B. Pulseless electrical activity
C. Ventricular fibrillation
D. Atrial fibrillation - ANS-Ventricular fibrillation
A 10-year-old male complains of a stiff neck and a fever. He is very confused and complains of
extreme fatigue and headache. You should suspect
A. Febrile seizure
B. Epilepsy
C. Meningitis
D. Diabetic reaction - ANS-Meningitis
a 11 year old male has crashed his bicycle. The patient's baby sitter is requesting to know the
extent of his injuries. You should reply
A. "You will have to wait and talk with his parents"
B. "I cannot tell you, this would be a violation of patient privacy and confidentiality"
C. "His leg appears to be broken, do you have a phone number for his parents?" - ANS-"You will
have to wait and talk with his parents" **
A 16 y/o football player received a blow to his left femur. You can see deformity and the patient
is in extreme pain. He does not remember how the injury happened. You should.
A. Apply a board splint
B. Immediately stabilize the C-spine
C. Apply a long spine board and rapidly transport
D. Apply a traction splint to injured leg - ANS-Immediately stabilize the C-spine
A 17 y/o pt has been assaulted. He is lying prone and responds to painful stimuli. There is a
screwdriver impaled in his shoulder. He is breathing at a rate of 12 and deep. You should
A. Begin ventilations with a BVM
B. Insert an oral airway without moving pt
C. Carefully remove the screwdriver and roll the patient onto his back
D. Stabilize screwdriver and roll pt onto side - ANS-Stabilize screwdriver and roll pt onto side
A 19-year-old sexual assault victim is bleeding from an external vaginal laceration. You should
A. Apply direct pressure to the wound and transport in fowlers position
B. Keep anything from touching the injury
C. Have the patient apply a sterile dry dressing to the wound
D. Pack the vagina with sterile dressing moistened with saline - ANS-Have the patient apply a
sterile dry dressing to the wound
A 2 y/o pt who has been sick all day, now has a barking cough. You should suspect
A. Epiglottitis
B. Asthma
,C. Croup
D. Chronic laryngospasm - ANS-Croup
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 - ANS-administer activated charcoal by mouth *
A 2-year-old boy has a circumferential burn to his hand up to the wrist. The mother tells you a
pot of boiling water spilled onto the boy. You should
A. Reassure the mother and treat the burn with moist dressing
B. Transport and inform the ER that you suspect abuse
C. Talk to the boy separately and ask if he is being abused
D. Confront the boy's mother about possible abuse - ANS-Transport and inform the ER that you
suspect abuse
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 - ANS-obtain baseline vital signs*
A 22-year-old male was hit in the head with a shovel. He has the following signs and symptoms:
altered mental status, increasing BP, decreased pulse and unequal pupils. What should you
suspect?
A. Increased intracranial pressure
B. Blowout orbital fracture
C. Decompensated hemorrhagic shock
D. Basilar skull fracture - ANS-Increased intracranial pressure
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 - ANS-Pull gentle traction and apply a splint
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 - ANS-hypoglycemia
A 24 y/o male with a history of asthma has stopped breathing. Which ventilation rate would be
most appropriate?
A. 30 breaths per minute
B. 20 breaths per minute
C. 10 breaths per minute
, D. 24 breaths per minute - ANS-10 breaths per minute
A 24 year old female has been stabbed and the police state she is deceased. You note blood all
over her clothing. You should
A. do not disturb the crime scene
B. assess the airway and check for a pulse
C. remove her clothing and determine the extent of the wounds - ANS-assess the airway and
check for a pulse *
A 24-year-old male has been stabbed in the right chest. Which of the following signs should you
expect?
A. Increased respiratory effort
B. Spontaneous pneumothorax
C. Paradoxical chest movement
D. Decreased heart rate - ANS-Increased respiratory effort
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 - ANS-Splint using board splints
and cravats and transport sitting
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 - ANS-fractured pelvis
A 32 y/o female amputated her index finger in a table saw accident. How should you care for the
amputated finger?
A. Wrap an occlusive dressing around the finger and place it in a bag
B. Soak the part in saline and place in a bag of ice
C. Place the finger in a plastic bag and place the bag in icy water
D. Wrap it with moist sterile gauze, place in a plastic bag and keep it cool - ANS-Wrap it with
moist sterile gauze, place in a plastic bag and keep it cool
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 - ANS-Use a soft tip catheter and suction until clear
A 40 y/o male complains of abdominal pain after being assaulted. His abdomen is rigid and
tender on assessment. Vital signs are BP 108/68, P 116, R 26. You should suspect
A. Compensated shock
B. A ruptured diaphragm
C. Decompensated shock
