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Pt is 8 months old and is found pulseless and apneic in her crib by her parents.
Rigor Mortis is present. Pt has no medical history, pt's mother states the she was
fine when pt was put to bed last night and asks how did this happen. the best
reply is... - ANSWER- I have no idea
Why does a child's rib cage not protect the intrathoracic organs as effectively as an
adult? - ANSWER- ribs are more pliable
4 year-old pt is supine on a kitchen floor. You determine the he is pulseless and
apneic. You and your partner should immediately... - ANSWER- begin CPR at
15:2 ratio
You have assessed a 13 month old pt and determined the need for a spinal
immobilization. You do not have a cervical collar that fits the pt. You should... -
ANSWER- use a towel or other padding as an improvised cervical collar
68 year-old male states that his heart is beating fast. He has a weak, irregular radial
pulse of 190 and a rr of 12 bpm with adequate tidal volume. He has history of atrial
fibrillation, and heart attack. He tales an aspirin a day and had been prescribed
nitroglycerin. You should... - ANSWER- administer O2
You just defibrillated a cardiac arrest pt, after 2 mins of CPR he's now breathing
and you find a carotid pulse. You're attempting to obtain a BP when you note that
he stops breathing. You should... - ANSWER- Check for a pulse
Pt complains of dizziness and a headache. He has a history of angina that is
treated with nitroglycerin and high BP. He has not been taking his prescribed
meds. His BP is 230/164 mm Hg, his HR is 84, and RR is 16 bpm. You should...
- ANSWER- administer O2 via nasal cannula
,23 year-old male is conscious and alert, supine on the ground with an obvious
abdominal evisceration. Bystanders tell you that he fell from a second story
balcony and struck an iron fence. You should first... - ANSWER- do cervical
spine stabilization
Pt is unconscious with a metal rod impaled through her jaw. Respirations are slow
and shallow; she is cyanotic. Because of the rod, you can't form an adequate seal
with the bag valve mask. You should... - ANSWER- remove the object
Pt presents with a screwdriver impaled through his pants, into his thigh. You
should immediately... - ANSWER- manually stabilize the object
(Then use bulky dressing)
Pt was kicked repeatedly in the chest and head during an assault. As you
approach, you see him lying on the ground, moaning, with paradoxical motion of
the chest. His breathing is rapid and deep. You should first... - ANSWER- have
your partner hold cervical spine stablization
Pt has a fractured pelvis. He has a BP of 132/84 mm Hg and a HR of 108. You
should... - ANSWER- wrap pelvis with a sheet
Pt is walking around, anxious and disoriented, after an assault. You note that he
has an obviously fractures left humerus, a weak and rapid radial pulse, and his
skin is cool, pale, and diaphoretic. You should first... - ANSWER- manually
stabilize the cervical spine
What exam finding indicates the greatest potential for harm in a pt with a
head
injury? - ANSWER- High BP (Cushing's
reflex)
Pt has severe eye pain after being struck in the face with a bat. Your exam
reveals
a ruptured globe in his right eye. Proper care of the injury includes... -
ANSWER-
placing an eye shield over both
eyes
,Which nervous system mechanism is responsible for bradycardia and
hypotension associated with neurogenic shock? - ANSWER- Interruption of the
sympathetic nervous system
Your pt is having a grand mal seizure in a cluttered living room. Bystanders have
placed a bite block in her mouth. You should first.. - ANSWER- remove the bite
block
A pt who has experienced a syncopal episode will most often - ANSWER- regain
consciousness after being positioned supine
Pt is alert , with right-sided arm and leg weakness and slurred speech. Family
members state that the symptoms began 12 hours ago. He has a bp of 182/118
mm Hg, a HR of 82 , RR of 12 per min, treatment includes... - ANSWER- oxygen
via nasal cannula
Your pt presents responsive to pain by withdrawing, and muttering
incomprehensible sounds. His Glasgow Coma Scale score is... - ANSWER- 8
A 4 year-old female presents in bed, postictal, after a grand mal seizure. Her
mother states that she has had a high fever this afternoon. Her skin is hot and
dry. You should... - ANSWER- provide supplemental O2
Pt has difficulty breathing. He has a history of renal failure and receives dialysis
three times a week. Which of the following questions will give you the most info
regarding his condition? - ANSWER- Have you missed a scheduled dialysis
treatment?
Pt has a history of renal failure and has missed his past two scheduled dialysis
treatments. What findings would you most expect? - ANSWER- Pulmonary edema
What is a correct statement in regard to evaluating female pts with abdominal
pain? - ANSWER- evaluate pts defecation and urination habits
, The presence of bright red blood in feces is called? - ANSWER- hematochezia
What would best confirm a suspicion of an abdominal aortic aneurysm? -
ANSWER- Asses pedal pulses
While transporting a pt with a vaginal hemorrhage, you note the the sanitary napkin
that was placed over her vagina has become saturated with blood. Your best next
step would be... - ANSWER- replace the old napkin with a new one
Hypotension associated with anaphylaxis occurs because of... - ANSWER-
increased capillary permeability
Pt is confused but is able to follow orders. His wife states that he may have taken
too much insulin. His pulse is 102 per min, BP is 128/90 mm Hg, RR is 14 with
noticeable chest rise and fall. Your next step is to... - ANSWER- administer oral
glucose
a 62-year old type 2 diabetic female is in a nursing home. Staff reports that the pt
has had a four-day history of declining mental status, with increased thirst and
urine output over the same time period. He is most likely suffering from... -
ANSWER- hyperglycemia
34 year-old female complains of chest tightness and difficulty breathing. She states
that she has history of anxiety disorder but has been noncompliant with her meds.
RR is 30 per min. You should... - ANSWER- administer O2
Pt is severely agitated, paranoid, and hyper-alert. His pupils are dilated
bilaterally, and his skin is warm and diaphoretic. His HR is 104, BP 148/100 mm
Hg, RR is 22 bpm with normal tidal volume. What drugs has he most likely been
using? - ANSWER- Methamphetamine
How do you drive an ambulance in due regard to? - ANSWER- Disregard certain
traffic laws based on driving environment
What traits would best allow you to communicate with family members? -
ANSWER- Ability to listen