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A 45-year-old woman calls EMS because of severe chest pain. When you arrive, she
advises you that she has taken two of her husband's nitroglycerin tablets without relief.
Her BP is 110/60 mm Hg, her pulse is 100 beats/min, her respirations are 16
breaths/min, and her oxygen saturation is 95%. You should: - CORRECT ANSWER: B)
transport the patient without delay and monitor her blood pressure en route.
A 50-year-old man presents with crushing chest pain that suddently began about 30
minutes ago. He is diaphoretic and anxious. The EMT should: - CORRECT ANSWER:
administer chewable aspirin.
A 50-year-old man with a history of hypertension began experiencing chest pressure
while mowing his lawn. After taking a baby aspirin and resting for approximately 10
minutes, the pressure in his chest completely resolved. Which of the following would
BEST explain this? - CORRECT ANSWER: The cessation of exertion decreased the
workload of the heart and blood flow around a coronary clot improved
A 50-year-old man's implanted defibrillator has fired twice within the last hour. He is
conscious and alert and complains of a "sore chest." Further assessment reveals that
his chest pain is reproducible to palpation and is localized to the area of his implanted
defibrillator. Treatment for him should include: - CORRECT ANSWER: prompt transport
with continuous monitoring en route.
A 56-year-old man is found to be pulseless and apneic. His wife states that he collapsed
about 5 minutes ago. As your partner gets the AED from the ambulance, you should: -
CORRECT ANSWER: begin CPR, starting with chest compressions.
, A 58-year-old man is found unresponsive by his wife. According to his wife, he was
complaining of a "dull ache" in his chest the day before, but refused to allow her to call
911. His blood pressure is 70/50 mm Hg, his pulse is 120 beats/min and weak, and his
respirations are 28 breaths/min and labored. Further assessment reveals that his skin is
cool, pale, and clammy. You should suspect: - CORRECT ANSWER: cardiogenic shock.
A 60-year-old man complains of chest pain and difficulty breathing. He is pale,
diaphoretic, and in severe pain. As your partner applies supplemental oxygen, you
assess his vital signs. His blood pressure is 180/90 mm Hg, pulse is 110 beats/min and
irregular, respirations are 24 breaths/min and labored, and oxygen saturation is 93%.
You ask him if has taken any nitroglycerin and he tells you that he does not have any
but his wife does. You should: - CORRECT ANSWER: complete your focused physical
examination and prepare the patient for immediate transport to an appropriate hospital.
A 60-year-old man is in cardiac arrest. You begin CPR while your partner applies the
AED. What should you do if you receive a no shock message? - CORRECT ANSWER:
Resume CPR, starting with chest compressions.
A 60-year-old woman presents with chest discomfort, confusion, and weakness. The
patient's husband tells you that she vomited twice before EMS arrival. The patient's BP
is 70/40 mm Hg, her pulse is 45 beats/min and weak, and her respirations are 14
breaths/min and unlabored. Which of the following is the MOST likely cause of her
hypotension? - CORRECT ANSWER: A) Bradycardia
A 65-year-old man has generalized weakness and chest pressure. He has a bottle of
prescribed nitroglycerin, but states that he has not taken any of his medication. The
EMT should: - CORRECT ANSWER: administer up to 325 mg of aspirin if the patient is
not allergic to it.
A 66-year-old female presents with an acute onset of confusion, slurred speech, and an
inability to move her right arm and leg. Her airway is patent and she is breathing
adequately. Which of the following is the MOST important initial information to obtain
about this patient - CORRECT ANSWER: When she was last seen normal