NEWEST UPDATE EMGM 106 FINAL EXAM
GUIDE/ACTUAL EXAM QUESTIONS WITH 100%
VERIFIED ANSWERS.
You are performing CPR on a 30-year-old victim in cardiac arrest. Your partner has placed an
OPA and is ventilating effectively with a BVM. Per San Diego County protocols, compression to
ventilation ratio should be performed at a: - answer-:,10 to 1 ratio
Once the ETAD or King Airway is properly placed in an adult cardiac arrest victim, the EMT
should provide BVM ventilations at a rate of: - answer-:,Once every 6 seconds asynchronous to
compressions
Signs of adequate ETAD or King Airway ventilations using a BVM include all of the following
EXCEPT: - answer-:,Patient's stomach filling with air
If you find it difficult to adequately ventilate a spontaneously breathing patient in which a King
Airway has been successfully placed, the EMT should consider: - answer-:,Advance the King
Airway 1-2 cm deeper to avoid the epiglottis
You have just placed a King Airway in a patient and inflated the cuffs as appropriate. The bag-
valve mask is attached and initial ventilations are being delivered successfully. Auscultation
reveals that breath sounds are absent in the epigastrium and present in the lungs. You would
next check? - answer-:,Carbon dioxide detector; noting numeric value and color.
You are transporting a 25-year-old male with swelling and pain to his right ankle. The patient is
alert and completely oriented, and vital signs are stable. The patient has requested transport to
, Kaiser Zion Hospital. Based upon the patient's presentation, what hospital do you contact when
making your radio report? - answer-:,Kaiser Zion Hospital using the BLS radio frequency.
A patient in anaphylactic shock requires an additional dose of epinephrine. To obtain medical
direction for a second dose what type of hospital would you need to make radio contact with? -
answer-:,A base hospital and talk to a mobile intensive care nurse (MICN).
The husband of a 27-year-old female calls 911 after finding his wife in respiratory distress. EMS
crews arrive to find the patient unresponsive, with ineffective labored respirations and a "silent
chest". The patient is an asthmatic and has been out of her MDI medication for a few days.
EMT's have inserted a properly-sized OPA, but find it difficult to ventilate the patient effectively
with a BVM due to her severe bronchiole constriction. The patient's hypoxia is increasing and
EMT's fear the patient is close to going into cardiac arrest. What should the EMT's do to
improve the effectiveness of their BVM ventilations to this patient? - answer-:,Remove the OPA
and insert a properly-sized King Airway
Fire Department EMT's are transporting a 65-year-old patient for "crushing" 10/10 chest pain
from his home in Oceanside. The patient is alert and fully oriented with labored breathing. His
chest pain has not resolved after the administration of three nitroglycerin doses and one dose
of aspirin, and a reassessment finds the patient with increasing respiratory distress and
decreasing oxygen saturation levels. The patient is demanding to be transported to Kaiser Zion
Hospital in San Diego. Based upon the patient's presentation and requested hospital, what type
of hospital do you need contact when making your radio report? - answer-:,A Base Hospital to
determine the best destination for this patient.
A paramedic (ALS) ambulance crew is on scene with a 57-year-old male complaining of chest
pain that developed after the police officers arrested him for an outstanding felony warrant.
Medics call for a BLS-Downgrade; requesting EMT's to transport their patient to the hospital.
The patient is alert and fully oriented, and his vital signs are stable. The patient has a history of
hypertension, diabetes, and has previously had two heart attacks. Why should the EMT crew
not transport this patient? - answer-:,Due to the patient's medical history and current
symptoms, paramedic intervention is indicated.
GUIDE/ACTUAL EXAM QUESTIONS WITH 100%
VERIFIED ANSWERS.
You are performing CPR on a 30-year-old victim in cardiac arrest. Your partner has placed an
OPA and is ventilating effectively with a BVM. Per San Diego County protocols, compression to
ventilation ratio should be performed at a: - answer-:,10 to 1 ratio
Once the ETAD or King Airway is properly placed in an adult cardiac arrest victim, the EMT
should provide BVM ventilations at a rate of: - answer-:,Once every 6 seconds asynchronous to
compressions
Signs of adequate ETAD or King Airway ventilations using a BVM include all of the following
EXCEPT: - answer-:,Patient's stomach filling with air
If you find it difficult to adequately ventilate a spontaneously breathing patient in which a King
Airway has been successfully placed, the EMT should consider: - answer-:,Advance the King
Airway 1-2 cm deeper to avoid the epiglottis
You have just placed a King Airway in a patient and inflated the cuffs as appropriate. The bag-
valve mask is attached and initial ventilations are being delivered successfully. Auscultation
reveals that breath sounds are absent in the epigastrium and present in the lungs. You would
next check? - answer-:,Carbon dioxide detector; noting numeric value and color.
You are transporting a 25-year-old male with swelling and pain to his right ankle. The patient is
alert and completely oriented, and vital signs are stable. The patient has requested transport to
, Kaiser Zion Hospital. Based upon the patient's presentation, what hospital do you contact when
making your radio report? - answer-:,Kaiser Zion Hospital using the BLS radio frequency.
A patient in anaphylactic shock requires an additional dose of epinephrine. To obtain medical
direction for a second dose what type of hospital would you need to make radio contact with? -
answer-:,A base hospital and talk to a mobile intensive care nurse (MICN).
The husband of a 27-year-old female calls 911 after finding his wife in respiratory distress. EMS
crews arrive to find the patient unresponsive, with ineffective labored respirations and a "silent
chest". The patient is an asthmatic and has been out of her MDI medication for a few days.
EMT's have inserted a properly-sized OPA, but find it difficult to ventilate the patient effectively
with a BVM due to her severe bronchiole constriction. The patient's hypoxia is increasing and
EMT's fear the patient is close to going into cardiac arrest. What should the EMT's do to
improve the effectiveness of their BVM ventilations to this patient? - answer-:,Remove the OPA
and insert a properly-sized King Airway
Fire Department EMT's are transporting a 65-year-old patient for "crushing" 10/10 chest pain
from his home in Oceanside. The patient is alert and fully oriented with labored breathing. His
chest pain has not resolved after the administration of three nitroglycerin doses and one dose
of aspirin, and a reassessment finds the patient with increasing respiratory distress and
decreasing oxygen saturation levels. The patient is demanding to be transported to Kaiser Zion
Hospital in San Diego. Based upon the patient's presentation and requested hospital, what type
of hospital do you need contact when making your radio report? - answer-:,A Base Hospital to
determine the best destination for this patient.
A paramedic (ALS) ambulance crew is on scene with a 57-year-old male complaining of chest
pain that developed after the police officers arrested him for an outstanding felony warrant.
Medics call for a BLS-Downgrade; requesting EMT's to transport their patient to the hospital.
The patient is alert and fully oriented, and his vital signs are stable. The patient has a history of
hypertension, diabetes, and has previously had two heart attacks. Why should the EMT crew
not transport this patient? - answer-:,Due to the patient's medical history and current
symptoms, paramedic intervention is indicated.
