NREMT-
Airway, Respiration and Ventilation, b b b
EMT final test with complete solution
b b b b b
s
1. B. High pitched sounds like stridor on inspiration
b b b b b b b
(Rationale: Upper airway obstructions are characterized by high pitched so
b b b b b b b b b
unds when the patient inhales.): An upper airway obstruction may producesoun
b b b b b b b b b b b
ds like:
b
A. Biots breathing b
B. High pitched sounds like stridor on inspiration
b b b b b b
C. Eronchli Ventalotis b
D. Crackles
2. A.They are blood vessels that begin as capillary surrounding each alveolus,a
b b b b b b b b b b b b
nd with adequate blood volume and blood pressure, the vessels return oxygen
b b b b b b b b b b b
ated blood to the heart.
b b b b
(Rationale: The Pulmonary capillary beds are blood vessels that begin asc
b b b b b b b b b b b
apillary surrounding each alveolus and with adequate blood volume andbl
b b b b b b b b b b
ood pressure, the vessels return oxygenated blood to the heart.): Whichstat
b b b b b b b b b b b
ement best describes the Pulmonary capillary beds?
b b b b b b
A. They are blood vessels that begin as capillary surrounding each alveolus, and withad
b b b b b b b b b b b b b
equate blood volume and blood pressure, the vessels return oxygenated blood tothe h
b b b b b b b b b b b b b
eart.
B. They are airways that begin as capillary surrounding each alveolus, and with adeq
b b b b b b b b b b b b
uate blood volume and blood pressure, the airways return oxygenated blood tothe hea
b b b b b b b b b b b b b
rt.
C. They are airways that begin as capillary surrounding each alveolus and withad
b b b b b b b b b b b b
1b/b20
, NREMT-
Airway, Respiration and Ventilation, b b b
EMT final test with complete solution b b b b b
s
equate blood volume and blood pressure, they remain open through smoothmus
b b b b b b b b b b b
cle tone. b
D. They are blood vessels that begin as capillary surrounding each alveolus, and arem
b b b b b b b b b b b b b
ade up of millions of thin walled sacs.
b b b b b b b
3. A. He has COPD b b b
(Rationale: A pile of cigar butts and lighters in the person's home, plus the factth
b b b b b b b b b b b b b b b
at they are in the tripod position and using accessory muscles to breath, shoul
b b b b b b b b b b b b b
d lead you to assume that they suffer from COPD.): You arrive on scene with your
b b b b b b b b b b b b b b b
bpartner Nelson to find a 49 year old male complaining of shortness of breath. He is in t
b b b b b b b b b b b b b b b b b
he tripod position sitting on a lounge chair. As you kneel down besidehim you notice an a
b b b b b b b b b b b b b b b b b
shtray filled with cigar butts and a 10 pack of lighters. From thisscene size up informati
b b b b b b b b b b b b b b b b
on, you might assume that:
b b b b
A. He has COPD b b
B. He is a cigarette smoker b b b b
2b/b20
, NREMT-
Airway, Respiration and Ventilation, b b b
EMT final test with complete solution b b b b b
s
C. He has an upper airway obstruction
b b b b b
D. He was exercising b b
4. A. The patient is unresponsive
b b b b
(Rationale:The Sellick's maneuver should not be used if:The patient is vomit-
b b b b b b b b b b b b
ing or starts to vomit, the patient is responsive, or if an endotracheal tube hasbe
b b b b b b b b b b b b b b b b
en placed by advanced level providers.): You are preparing to use the Sellick'sman
b b b b b b b b b b b b b
euver. Which of the following is an indication that it would be appropriate?
b b b b b b b b b b b b
A. The patient is unresponsive
b b b
B. The patient is vomiting or starts to vomit
b b b b b b b
C. The patient is responsive b b b
D. An endotracheal tube has been placed by advanced level providers
b b b b b b b b b
5. B. The woman, because the injury is a penetrating wound to the lung area
b b b b b b b b b b b b b
(Rationale: A stab wound in the upper right quadrant would likely puncturea l
b b b b b b b b b b b b b
ung. Difficulty breathing would further heighten your suspicion.): You andyour
b b b b b b b b b b
bpartner Paulina are called to the scene of a stabbing. There are two patients
b b b b b b b b b b b b b
reported. A woman with a stab wound to the URQ and a man with a stab wound tothe
b b b b b b b b b b b b b b b b b b b
LRQ. The woman with the wound in the URQ is having problems breathing andhas a p
b b b b b b b b b b b b b b b b
ulse of 103, respirations of 35, and they are shallow. The patient with the stab wound t
b b b b b b b b b b b b b b b b
o the LRQ is complaining of severe abdominal pain and has a pulse of60 and a respira
b b b b b b b b b b b b b b b b b
tion rate of 24. Which patient probably has a pneumothorax? Why?
b b b b b b b b b b
A. The man, because his injury is in the thorax
b b b b b b b b
B. The woman, because the injury is a penetrating wound to the lung area
b b b b b b b b b b b b
C. The woman, because high respirations and pulse will cause her pressure to drop
b b b b b b b b b b b b
D. Neither injury is indicative of a pneumothorax
b b b b b b
6. C. Begin transport while giving blow-
b b b b b
by oxygen. Continue to monitor thestatus of the child's airway en route to th
b b b b b b b b b b b b b b
e hospital.
b
(Rationale:The best choice is to begin transport while giving blow-
b b b b b b b b b b
by oxygen.As the child's airway is not completely occluded and he is still exch
b b b b b b b b b b b b b b
3b/b20
, NREMT-
Airway, Respiration and Ventilation, b b b
EMT final test with complete solution b b b b b
s
anging air, you should begin moving toward definitive care while providing addi
b b b b b b b b b b b
tionaloxygen. Using a mask to provide oxygen to a patient with a foreign body air
b b b b b b b b b b b b b b b
wayobstruction is contraindicated.): You are dispatched to an amusement park whe
b b b b b b b b b b b
rea 16-month-
b b
old boy is reported to have something wedged in his throat. Dispatch says that the chi
b b b b b b b b b b b b b b b
ld is breathing, but it sounds very noisy like a whistle. Upon arrivalyou can see that the
b b b b b b b b b b b b b b b b b
child is breathing with stridor, is pale, and is beginning to turnblue around the lips. Wh
b b b b b b b b b b b b b b b b b
at is the best treatment plan for this patient?
b b b b b b b b
A. Try to see the object in the child's throat and remove with your fingers if possible.
b b b b b b b b b b b b b b b
4b/b20
Airway, Respiration and Ventilation, b b b
EMT final test with complete solution
b b b b b
s
1. B. High pitched sounds like stridor on inspiration
b b b b b b b
(Rationale: Upper airway obstructions are characterized by high pitched so
b b b b b b b b b
unds when the patient inhales.): An upper airway obstruction may producesoun
b b b b b b b b b b b
ds like:
b
A. Biots breathing b
B. High pitched sounds like stridor on inspiration
b b b b b b
C. Eronchli Ventalotis b
D. Crackles
2. A.They are blood vessels that begin as capillary surrounding each alveolus,a
b b b b b b b b b b b b
nd with adequate blood volume and blood pressure, the vessels return oxygen
b b b b b b b b b b b
ated blood to the heart.
b b b b
(Rationale: The Pulmonary capillary beds are blood vessels that begin asc
b b b b b b b b b b b
apillary surrounding each alveolus and with adequate blood volume andbl
b b b b b b b b b b
ood pressure, the vessels return oxygenated blood to the heart.): Whichstat
b b b b b b b b b b b
ement best describes the Pulmonary capillary beds?
b b b b b b
A. They are blood vessels that begin as capillary surrounding each alveolus, and withad
b b b b b b b b b b b b b
equate blood volume and blood pressure, the vessels return oxygenated blood tothe h
b b b b b b b b b b b b b
eart.
B. They are airways that begin as capillary surrounding each alveolus, and with adeq
b b b b b b b b b b b b
uate blood volume and blood pressure, the airways return oxygenated blood tothe hea
b b b b b b b b b b b b b
rt.
C. They are airways that begin as capillary surrounding each alveolus and withad
b b b b b b b b b b b b
1b/b20
, NREMT-
Airway, Respiration and Ventilation, b b b
EMT final test with complete solution b b b b b
s
equate blood volume and blood pressure, they remain open through smoothmus
b b b b b b b b b b b
cle tone. b
D. They are blood vessels that begin as capillary surrounding each alveolus, and arem
b b b b b b b b b b b b b
ade up of millions of thin walled sacs.
b b b b b b b
3. A. He has COPD b b b
(Rationale: A pile of cigar butts and lighters in the person's home, plus the factth
b b b b b b b b b b b b b b b
at they are in the tripod position and using accessory muscles to breath, shoul
b b b b b b b b b b b b b
d lead you to assume that they suffer from COPD.): You arrive on scene with your
b b b b b b b b b b b b b b b
bpartner Nelson to find a 49 year old male complaining of shortness of breath. He is in t
b b b b b b b b b b b b b b b b b
he tripod position sitting on a lounge chair. As you kneel down besidehim you notice an a
b b b b b b b b b b b b b b b b b
shtray filled with cigar butts and a 10 pack of lighters. From thisscene size up informati
b b b b b b b b b b b b b b b b
on, you might assume that:
b b b b
A. He has COPD b b
B. He is a cigarette smoker b b b b
2b/b20
, NREMT-
Airway, Respiration and Ventilation, b b b
EMT final test with complete solution b b b b b
s
C. He has an upper airway obstruction
b b b b b
D. He was exercising b b
4. A. The patient is unresponsive
b b b b
(Rationale:The Sellick's maneuver should not be used if:The patient is vomit-
b b b b b b b b b b b b
ing or starts to vomit, the patient is responsive, or if an endotracheal tube hasbe
b b b b b b b b b b b b b b b b
en placed by advanced level providers.): You are preparing to use the Sellick'sman
b b b b b b b b b b b b b
euver. Which of the following is an indication that it would be appropriate?
b b b b b b b b b b b b
A. The patient is unresponsive
b b b
B. The patient is vomiting or starts to vomit
b b b b b b b
C. The patient is responsive b b b
D. An endotracheal tube has been placed by advanced level providers
b b b b b b b b b
5. B. The woman, because the injury is a penetrating wound to the lung area
b b b b b b b b b b b b b
(Rationale: A stab wound in the upper right quadrant would likely puncturea l
b b b b b b b b b b b b b
ung. Difficulty breathing would further heighten your suspicion.): You andyour
b b b b b b b b b b
bpartner Paulina are called to the scene of a stabbing. There are two patients
b b b b b b b b b b b b b
reported. A woman with a stab wound to the URQ and a man with a stab wound tothe
b b b b b b b b b b b b b b b b b b b
LRQ. The woman with the wound in the URQ is having problems breathing andhas a p
b b b b b b b b b b b b b b b b
ulse of 103, respirations of 35, and they are shallow. The patient with the stab wound t
b b b b b b b b b b b b b b b b
o the LRQ is complaining of severe abdominal pain and has a pulse of60 and a respira
b b b b b b b b b b b b b b b b b
tion rate of 24. Which patient probably has a pneumothorax? Why?
b b b b b b b b b b
A. The man, because his injury is in the thorax
b b b b b b b b
B. The woman, because the injury is a penetrating wound to the lung area
b b b b b b b b b b b b
C. The woman, because high respirations and pulse will cause her pressure to drop
b b b b b b b b b b b b
D. Neither injury is indicative of a pneumothorax
b b b b b b
6. C. Begin transport while giving blow-
b b b b b
by oxygen. Continue to monitor thestatus of the child's airway en route to th
b b b b b b b b b b b b b b
e hospital.
b
(Rationale:The best choice is to begin transport while giving blow-
b b b b b b b b b b
by oxygen.As the child's airway is not completely occluded and he is still exch
b b b b b b b b b b b b b b
3b/b20
, NREMT-
Airway, Respiration and Ventilation, b b b
EMT final test with complete solution b b b b b
s
anging air, you should begin moving toward definitive care while providing addi
b b b b b b b b b b b
tionaloxygen. Using a mask to provide oxygen to a patient with a foreign body air
b b b b b b b b b b b b b b b
wayobstruction is contraindicated.): You are dispatched to an amusement park whe
b b b b b b b b b b b
rea 16-month-
b b
old boy is reported to have something wedged in his throat. Dispatch says that the chi
b b b b b b b b b b b b b b b
ld is breathing, but it sounds very noisy like a whistle. Upon arrivalyou can see that the
b b b b b b b b b b b b b b b b b
child is breathing with stridor, is pale, and is beginning to turnblue around the lips. Wh
b b b b b b b b b b b b b b b b b
at is the best treatment plan for this patient?
b b b b b b b b
A. Try to see the object in the child's throat and remove with your fingers if possible.
b b b b b b b b b b b b b b b
4b/b20
