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1. The left ventricle has the thickest walls

Pumps blood all the way
be- cause it
around the body
2. The primary purpose for splinting a
Prevent further injury
muscu- loskeletal injury is to

3. The jaw-thrust maneuver is used to open

cervical injury
the airways of patients with suspected

4. At the onset of an acute asthma at-

expiratory wheezing
tack, patients commonly experience
difficul- ty breathing and

5. An adult at rest should have a respiratory

rate that ranges between 12-20 bpm

6. Which of the following is an indication

of imminent birth? Crowning

7. Solid abdominal organs include the spleen, kidney, and pan-

creas.

8. A 30-year-old male presents with acute admits

shortness of breath, widespread hives, and to being
facial swelling. He denies any past medical noncompliant with
history and takes no medications. During her antihyper- tensive
your assessment, you hear wheezing over medications. When
all lung fields. His blood pressure is 90/50 you assess her,
mm Hg and his heart rate is 110 beats/min.
In addition to giving him 100% oxygen, the
MOST important treatment for this patient
is:

9. . A 66-year-old woman presents with a

stab- bing pain in the middle of her chest
that radiates to her back. She tells you that
the pain suddenly began about 30 minutes
ago and has been severe since the onset.
She has a history of hypertension, but
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epinephrine

Dissecting aortic aneurysm

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you find that her blood pressure is signifi-
cantly higher in her left arm than it is in her
right arm. What are her signs and
symptoms MOST indicative of?

10. A 21-year-old male was thrown over the Bind legs together on back-
han- dlebars of his motorcycle when he board, keep warm, rapid
rear-end- ed a car that was stopped at a red transport
light. He was wearing a helmet, which he
removed prior to your arrival. He is
conscious, but restless, and has closed
deformities to both of his femurs. His skin
is pale, his heart rate is rapid and weak,
and his respirations are rapid and shallow.
In addition to applying high-flow oxygen
and protecting his spine, you should:

11. . You are dispatched to a local high school Move him into the cooled
track and field event for a 16-year-old male ambulance.
who fainted. The outside temperature is ap-
proximately 95°F (35°C) with high humid-
ity. Upon your arrival, the patient is con-
scious, alert, and complains of nausea and
a headache. His skin is cool, clammy, and
pale. You should:

12. A patient who is possibly experiencing a has bleeding in the brain

stroke is NOT eligible for thrombolytic
thera- py if he or she

13. A 47-year-old male presents with severe be alert of s/sx of shock

abdominal pain of 3 hours' duration. His
abdomen is distended and guarded. Your
MOST important consideration for this pa-
tient should be to:

14. Name the structures of the upper airway Nose, nasal cavity, mouth,
pharynx, and larynx.

15. 15.

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Name the s/sx suggestive of a ruptured Sudden, severe headache.
cere- bral artery? Paralysis on one side of face,
loss of consciousness.
16. The AED has delivered a shock to an Reassess airway, breath-
elderly male in cardiac arrest. Following 2 ing, and treat accordingly.
minutes of CPR, you reanalyze the patient's
cardiac rhythm and receive a "no shock
advised" message. After further
resuscitation, you re- store a palpable
carotid pulse. Your next ac- tion should be
to:
Insert an NPA and begin as-
17. You are dispatched to an apartment sisted ventilation.
complex where a 21-year-old female has
apparently overdosed on several narcotic
medications. She is semiconscious and has
slow, shallow respiration. You should:

18. Clinical signs of compensated shock include Weak or thready pulse.

Shallow, rapid breathing.
Clammy skin, altered men-
tal status.

19. Elderly patients with abdominal problems Age-related deterioration of

may not exhibit the same pain response their sensory systems.
as younger patients because of:

20. The disruption of a joint in which the Dislocation.

bone ends are no longer in contact are

21. During your primary assessment of a Suction mouth for up to 15

19-year-old unconscious male who experi- seconds
enced severe head trauma, you note that
his respirations are rapid, irregular, and
shallow. He has bloody secretions draining
from his mouth and nose. You should:

22. Neurogenic shock occurs when Damage to the central ner-

vous system, such as spinal

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cord injury.

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23. The presence of tachycardia following a Should be assumed to be a

sig- nifigant abdominal injury because sign of shock.
24. The most basic functions of the body, brain stem
such as breathing, blood pressure, and
swallow- ing are controlled by the

25. The three stages of labor are Dilation of the cervix, deliv-
ery of the infant, and deliv-
ery of the placenta.

26. Sounds that indicate swelling of the Stridor

upper airway include

27. Prompt transport of a patient with a Pt. may be able to receive

suspect- ed AMI is important because thrombolytic therapy.
28. A 19-year-old male is unresponsive, apneic, V-Fib, impact occured dur- ing
and pulseless after being struck in the the critical portion of car- diac
center of the chest with a softball. Based on cycle.
the mechanism of injury, what MOST likely
oc- curred? Describe this lethal rhythm

29. You receive a call for a 70-year-old female Assist ventilation with a bag
with respiratory distress. Her husband tells mask device.
you that she has congestive heart failure;
however, he does not think that she has
been taking her medications as prescribed.
The patient is laboring to breathe, appears
tired, and has cyanosis around her lips.
You should:

30. You respond to a residence for a child who Transport child to hospital
is having a seizure. Upon arrival at the and reassure mother.
scene, you enter the residence and find the
moth- er holding her child, a 2-year-old
male. The child is conscious and crying.
According to the mother, the child had been
running a high

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fever and then experienced a seizure that
lasted approximately 3 minutes. You should
31. A temporary loss or alteration of part or all cerebral concussion
of the brain's abilities to function without
physical damage to the brain most
accurate-
ly describes a

32. Cells require what three things to survive Glucose, water, oxygen
33. Insulin shock will most likely develop if a Takes too much of their in-
patient sulin.

34. A conscious and alert 29-year-old female Determine if she has been
with a history of asthma complains of diffi- prescribed a beta-agonist
culty breathing that began after her morn- inhaler.
ing jog. The temperature outside is 40°F
(5°C). On exam, you hear bilateral
expiratory
wheezing. After providing 100% oxygen,
you
should

35. When caring for a patient whose arm is cov- Brush away the chemical
ered in dry chemical, you should before flushing with water

36. Signs of early and late heat illness: A- Thirst, weakness,

A) Early- headache.
B-Late B-Pale, dry skin. Altered
mental.

37. You are dispatched to a residence for a Initiate CPR and attach an
66-year-old male who, according to family AED.
members, has suffered a massive stroke.
Your primary assessment reveals that the
patient is unresponsive, apneic, and pulse-
less. You should:

38. Angina pectoris occurs when: Heart muscle doesn't get as

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much blood as it needs.

39. Cheyne-Stokes respiration

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Irregular respirations characterized by an piratory rate is 8
in- creasing rate of depth of breathing breaths/min, her
followed by periods of apnea are called breathing is shallow,
her heart rate is 40
40. During your visual inspection of a beats/min,
19-year-old-woman in labor, you see the
baby's head crowning at the vaginal
open- ing. What should you do?

41. The most accurate method for determining

if you are providing adequate tidal volume
to a child during bag-mask ventilations is to

42. . You respond to a movie theater for a

70-year-old male who is confused. His wife
tells you he has type 2 diabetes but
refuses to take his pills. Your assessment
reveals that the patient is diaphoretic,
tachycardic, and tachypneic. Initial
management for this patient should
include:

43. The MOST common and significant compli-

cation associated with fractures or disloca-
tions of the knee is:

44. The most significant risk factor for a

hemor- rhagic stroke is

45. Nitroglycerin relieves cardiac-related

chest pain by

46. Which of the following is a major

difference between angina pectoris and
AMI?

47. You receive a call to a residence where

a man found his wife unconscious on the
couch. The patient is unresponsive, her res-

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Apply gentle pressure to baby's head as delivering.

Observe for adequate chest rise.

Apply nonrebreather at 15 lpm.

Ligament and cartilage damage.

Hypertension

Dilating coronary arter- ies and improving cardiac

blood flow.

Angina pain usually sub- sides with rest.

Initiate ventilator assis- tance.

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and her pulse is weak. The husband hands
you an empty bottle of hydrocodone (Vi-
codin), which was refilled the day before.You
should:
48. The third stage of labor begins with Baby is expelled from vagi-
na.

49. In contrast to the brown recluse spider, is large and has a red-or- ange
the black widow spider hourglass mark on its
abdomen
50. Common signs and symptoms of an Soot around mouth, singed
airway burn include nasal hair, hoarseness.
51. A construction worker fell approximately 30 Assisted ventilation, ther-
feet. He is semiconscious with rapid, mal management and ele-
shallow respirations. Further assessment vation of lower extremities.
reveals de- formity to the thoracic region of
his spine. His blood pressure is 70/50 mm
Hg, his pulse is 66 beats/min and weak, and
his skin is warm and dry. In addition to
spinal immobi- lization and rapid transport,
the MOST appro- priate treatment for this
patient includes:

52. Abruptio placenta occurs when Placenta prematurely sepa-

rates from wall.

53. What blood vessels transports All arteries except the pul-
oxygenated blood? monary artery, and the pul-
monary vein.

54. Hypoxia is most accurately defined as Inadequate oxygen to tis-

sue and cells.

55. The term primagravida refers to a is pregnant for the first time
woman who

56. Heatsroke occurs when

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the body's heat eliminat- ing
mechanisms are over-
whelmed.
57. Distributive shock occurs when Widespread dilation of the
blood vessels causes blood to
pool in the vascular beds.

58. An alert patient presents with a regular pat- Adequate air exchange
tern of inhalation and exhalation and
breath sounds that are clear and equal on
both sides of the chest. These findings are
con- sistent with:

59. You are dispatched to a residence for a Begin ventilation assis-

56-year-old male with an altered mental sta- tance.
tus. Upon arrival at the scene, the patient's
wife tells you that he complained of chest
pain the day before, but would not allow
her to call EMS. The patient is
semiconscious; has rapid, shallow
respirations; and has a thready pulse. You
should:
Perform CPR for 2 minutes
60. Your EMS team is performing CPR on a and reassess.
60-year-old male in cardiac arrest. You con-
nect the AED, push the analyze button, and
receive a "no shock advised" message.
You should:
Liver
61. Which major organ is most likely to
bleed profusely if injured?

62. The most commonly abused drug in the US Alcohol

63. The most appropriate method of opening Head tilt chin lift
the airway

64. The most common cause of dehydration Vomiting and diarrhea

in pediatric patients is

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65. A 23-year-old male experienced severe head Alternate 15 seconds of oral
trauma after his motorcycle collided with suctioning with 2 minutes of
an oncoming truck. He is unconscious, assisted ventilation.
has rapid and shallow breathing, and has
copi- ous bloody secretions in his mouth.
How should you manage his airway?

66. The purpose of defibrillation is to Stop chaotic, disorganized

contraction of cardiac cells.
67. Diabetic ketoacidosis occurs when insulin is not available in the
body

68. A tight-fitting motorcycle helmet should Interferes with assessment of

be left in place unless the airway
69. The respiratory distress that accompanies chronic stretching of alveo-
emphysema is caused by lar walls.

70. S/Sx of shock? Cold, clammy, weak & fast

pulse, fast BR, hypotension.

71. In what area of the lungs does respiration Alveoli

occur?

72. The most commonly fractured bone in clavicle

the body is the

73. A strangulated hernia is one that Loses blood supply due to

compression by local tis-
sues

74. The actual exchange of oxygen and ly discharged from

carbon dioxide occurs the hospital after
having
75. You are dispatched to a residence for a
67-year-old female who was awakened by
shortness of breath and sharp chest pain.
Her husband tells you that she was recent-

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capillaries

Acute pulmonary embolism

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hip surgery. Your assessment reveals dried
blood around her mouth, facial cyanosis, and
an oxygen saturation of 88%. This patient's
presentation is MOST consistent with:
76. The two most common signs of anaphylaxis Wheezing and widespread
urticaria

77. What is the most common cause of Tongue

airway obstruction in an unconscious
patient
Assess the unresponsive
78. You and your partner respond to a park
where several people were reportedly struck patients pulse, begin cpr. if
by lightning. When you arrive, you find pulseless= attatch AED
three patients. The first patient is lying
supine on the ground; he is unresponsive
and does not appear to be breathing. The
second pa- tient is ambulatory, appears
confused, and is holding his arm against
his chest. The third patient is sitting on the
ground holding the sides of his head. After
calling for backup, you should:

79. The principal clinical difference between Hypoglycemia- altered

a stroke and hypoglycemia= mental status

80. Pneumothorax is described as Accumulation of air in pleur-

al space

81. In contrast to AMI, a dissecting 82. Pale skin in a child

aortic aneurysm indicates that

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Often presents with pain maximal from
onset

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blood vessels near skin are
constricted

83. While jogging, a 19-year-old male experi- Administer oxygen and

enced an acute onset of shortness of transport to hospital.
breath and pleuritic chest pain. He is
conscious and alert with stable vital
signs.Your assess- ment reveals that he
has diminished breath sounds over the left
side of the chest. You should:

84. How do you care for a patient with chest pain. Giving 15 lpm by nonre-
Treatment plan? breather, determine assist- ing
with any medications, place
in position of comfort.

85. Common S/Sx of sprain Swelling, point tenderness,

ecchymosis
86. Characteristics of adequate breathing 24 bpm with with bilateral
breaths, pink skin

87. Narrowing of the coronary arteries due to Atherosclerosis

a buildup of fatty deposits is called

88. Risk factors for AMI that cannot be Family history

con- trolled

89. Major risk factors for AMI include Hypertension, diabetes,

high cholesterol.

90. Most patients with abdominal pain Lie on side w/ knee drawn to
prefer what position abdomen.

91. Dyspnea is most accurately defined as Shortness of breath

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92. The physical act of moving air into and out Ventilation
of the lungs is called

93. You are treating a 40-year-old male with Insulin

a documented blood sugar reading of 300
mg/dL. The patient is semiconscious and
breathing shallowly, and is receiving
assist- ed ventilation from your partner.
You should recognize that definitive
treatment for this patient includes:

94. A 70-year-old female was recently dis- Septic shock

charged from the hospital following a total
hip replacement. Today, she presents with
restlessness, tachycardia, and a blood
pres- sure of 100/64 mm Hg. Her skin is
warm and moist. You should be MOST
suspicious that she is experiencing

95. A 22-year-old female patient is complaining Provide reassurance and

of dyspnea and numbness and tingling in her give oxygen as needed.
hands and feet after an argument with her
fiancé. Her respirations are 40 breaths/min.
You should:

96. The venom of a brown recluse spider is for her seizures,

cy- totoxic, meaning that it

97. You arrive at a local grocery store approxi-

mately 5 minutes after a 21-year-old female
stopped seizing. She is confused and disori-
ented; she keeps asking you what
happened and tells you that she is thirsty.
Her brother, who witnessed the seizure,
tells you that she takes phenytoin (Dilantin)
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Kills cells, causing severe local tissue damage.

Monitor airway and breath- ing, assess blood glucose

level.

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but has not taken it in a few days. He also
tells you that she has diabetes. In addition
to applying high-flow oxygen, you should

98. A burn that is characterized by redness First degree

and pain is classified as

99. A 67-year-old female presents with Place in upright position

difficulty breathing and chest discomfort
that awak- ened her from her sleep. She
states that she has congestive heart failure,
has had two previous heart attacks, and
has prescribed nitroglycerin. She is
conscious and alert with adequate
breathing. Her blood pres- sure is 94/64 mm
Hg and her heart rate is 120 beats/min.
Treatment for this patient in- cludes:

100. In contrast to the sympathetic nervous Parasympathetic: controls

sys- tem, the parasympathetic nervous homeostasis and the body at
system rest and is responsible for the
body's "rest and digest"
function
Sympathetic: controls the
body's responses to a per-
ceived threat and is respon-
sible for the "fight or flight"
response.

Open, assess, and maintain

101. A man finds his 59-year-old wife uncon- airway.
scious on the couch. He states that she
takes medications for type 2 diabetes. He
further tells you that his wife has been ill
recently and has not eaten for the past 24
hours. Your primary assessment reveals
that the
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patient is unresponsive and not breathing. abdomen following
You should: blunt force trauma
is most suggestive
102. You are dispatched to a residence where a of injury to the
middle-aged man was found unconscious
in his front yard. There are no witnesses
who can tell you what happened. You find
him in a prone position; his eyes are closed
and he is not moving. Your FIRST action
should be to:

103. A 60-year-old male presents with acute res-

piratory distress. He is conscious and alert,
has pink and dry skin, and has respira-
tions of 24 breaths/min with adequate
depth. Which of the following treatment
modalities is MOST appropriate for this
patient?

104. Describe all the types of shock and give

ex- amples.

105. A 37-year-old male has an apparent foreign

body airway obstruction. He is conscious
and alert and is coughing forcefully. His
skin is pink, warm, and moist. The MOST
appro- priate treatment for this patient
includes:

106. Bruising to the right upper quadrant of the

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Log roll as a unit to supine position.

Oxygen via non re-breather and focused secondary

exam.

Hypovolemic- Loss of blood, from lacerations, ect.

Distributive- Vasodialation (anaphylaxis)
Obstructive- Physical ob- struction. Pulmonary em-
bolism & cardiac tampon- ade are viewed as forms.
Cardiogenic- Pump failure. Heart can't pump enough to
meet body's needs. Exam- ple: heart attack

Encourage to cough and transport.

Liver

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107. Eclampsia is most accurately defined as Seizures during pregnancy

from hypotension.

108. Inhalation V.S. Exhalation. Know process Inhalation- Active Process

for both Exhalation- Passive process,
muscles relax.
109. Pain that may be perceived at a distant Referred pain
point on the surface of the body, such as
the back or shoulder is called

110. The venom of a black widow spider is Nervous system

toxic to the

111. Cardiac arrest in the pediatric population Respiratory or circulatory

is most commonly the result of failure
112. Early signs of respiratory distress in the Retractions, tachypnea, ab-
child include normal airway noise.
113. Hypotension, hpoventilation, and pinpoint Oxycodone
pupils would be expected following an
over- dose of

114. A 62-year-old man with a history of conges- Apply CPAP, monitor B/P
tive heart failure presents with severe res- and observe for improve-
piratory distress and an oxygen saturation ment or deterioration
of 82%. When you auscultate his lungs, you
hear widespread rales. He is conscious and
alert, is able to follow simple commands,
and can only speak in two- to three-word
sen- tences at a time. You should:

115. A 54-year-old male accidentally shot Control bleeding and cover

himself in the leg while cleaning his gun. wound
Your as- sessment reveals a small entrance
wound to the medial aspect of his right leg.
The exit wound is on the opposite side of
the leg and is actively bleeding. The patient
complains of
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numbness and tingling in his right foot. You
should
116. A hematoma develops when Large blood vessels be-
neath the skin are dam-
aged.

117. S/Sx of a sympathomimetic drug overdose Tachycardia

118. Classic S/sx of hypoglycemia Cool, clammy skin, weak-

ness, rapid respiration.
119. You have inserted an oral airway and are ven- Roll onto side and remove
tilating an apneic woman with a bag-mask oral airway device.
device. She suddenly begins
regurgitating large amounts of vomit. You
should:
Assist ventilation with a bag
120. You and your partner are treating a mask device.
66-year-old man who experienced a sud-
den onset of respiratory distress. He is con-
scious but is unable to follow simple ver-
bal commands. Further assessment reveals
that his breathing is severely labored and
his oxygen saturation is 80%. You should:
Administer 25g of activated
121. A 3-year-old female ingested several charcoal.
leaves from a plant in the living room. The
child's mother is not sure what type of
plant it is, stating that she bought it simply
because
it was pretty. After completing your
initial assessment of the child, you
should:

122. What conditions mimic the s/sx of a stroke? Hypoglycemia

123. Type 1 VS Type 2 Diabetes Type 1- Juvenile onset

Type 2- Adult Onset

124. You respond to a local lake where a div- er complains of

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difficulty breathing that oc- curred Suction mouth and nose, high
immediately after rapidly ascending flow oxygen, position on left
side with head down

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from a depth of approximately 30. On another player and
assess- ment, you note that he has has pain to his left
cyanosis around his lips and has pink froth clav- icular area. He is
coming from his nose and mouth. You holding his arm
should: against his chest and
refuses to move it.
125. Which of the following statements Your assess- ment
regarding the pain associated with AMI is reveals obvious
correct? deformity to the mid-
shaft clavicle. After
126. A viral infection that may cause assessing distal
obstruction of the upper airway of a child is pulse, sensory, and
called motor functions, you
should:
127. A poison that enters the body by is
the most difficult to treat

128. While drinking beer with his friends near a

creek, a 31-year-old male was bitten on the
leg by an unidentified snake. The patient is
conscious and alert and in no apparent dis-
tress.Your assessment of his leg reveals
two small puncture marks with minimal
pain and swelling. In addition to
administering oxygen and providing
reassurance, further care for this patient
should include

129. When caring for a patient with documented

hypoglycemia, you should be most alert
for

130. The most reliable method of estimating

a patient's cardiac output is

131. When opening the airways of a pt with

sus- pected spinal injury, you should use
the

132. A 17-year-old football player collided with

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It can occur during exertion or when at rest.

Croup Infection

Supine positioning, splint leg and transport.

A seizure

Assess the heart rate and strength of pulse

Jaw-thrust maneuver.

Immobilize with a sling and swathe.

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133. A dissecting aortic aneurysm occurs when Inner layers of aorta be-
come separated.

134. A subluxation occurs when

135. A 5-year-old female pulled a pot of boiling 30%

water from the stove. She has superficial
and partial-thickness burns to her head
and anterior trunk. What percentage of her
body surface area has been burned?

136. You are assisting an asthma patient with Instruct to hold breath as
his prescribed metered-dose inhaler. After long as they can.
the patient takes a deep breath and
depresses the inhaler, you should:

137. Late signs of hypoxia confusion, cyanotic skin,

bradycardia

138. You are transporting a stable patient with Compression of aorta and
a possible pneumothorax. The patient is re- vena cava.
ceiving 100% oxygen and has an oxygen
sat- uration of 95%. During your
reassessment, you find that the patient is
now confused, hy- potensive, and profusely
diaphoretic. What is MOST likely causing
this patient's deteri- oration?

139. The amniotic fluid serves to Insulate and protect fetus

140. You are assessing a 49-year-old man who pressure is 78/50

complains of chest pressure that began the
night before. He is conscious, but anxious,
and tells you he has a history of angina
and hypertension. After applying high-flow
oxy- gen, you expose his chest to
auscultate his lungs and note that he has a
nitroglycerin patch on his right upper
chest. His skin is cool and pale, his blood

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Remove patch, place supine, elevate lower ex-
tremities.

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mm Hg, and his pulse is 110 beats/min
and irregular. You should:

141. The disadvantage of one-person bag- Seal around the face is not
mask device technique is? adequate
142. A 37-year-old male was pinned between a Aggressively manage air-
flatbed truck and a loading dock. On way
exam, you find bruising to the chest,
distend-
ed neck veins, bilaterally diminished
breath sounds, and bilateral scleral
hemorrhaging. You should:
Assist airway, prepare suc-
143. You respond to a skate park where a tion, apply spinal precau-
10-year-old male fell from his skateboard tions & prepare for trans-
and struck his head on the ground; he was port.
not wearing a helmet. He is responsive to
painful stimuli only and has a large
hematoma to the back of his head. After
your partner sta- bilizes his head and opens
his airway, you assess his breathing and
determine that it is slow and irregular. His
pulse is slow and bounding. You should:

144. S/sx of preeclampsia include Headache, edema, high b/p

145. A common cause of shock in an infant is Vomiting and diarrhea

146. When preparing a pregnant patient for On a firm surface, semi

deliv- ery, you should position her fowler with hips elevated.
147. Injury to a hollow abdominal organ leakage of contents into ab-
would most likely result in dominal cavity
148. A nuchal cord is defined as an umbilical Wrapped around neck
cord that

149. Diabetic coma is a life-threatening Hyperglycemia, ketoacido-

condition that results from sis and dehydration

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150. The five ways we gain and lose heat Conduction, convection, ra-
diation, evaporation, and
respiration

151. After a baby is born, it is important to Ensure it is dry & warm.

152. Rough handling of a hypothermic V-Fib

patient with a pulse may cause

153. The most ominous sign of impending car- Bradycardia

diopulmonary arrest in infants and children
is

154. You are ventilating a 40-year-old uninjured Reevaluate rate and volume of
man who is apneic but has a pulse. When ventilation
your partner reassesses his blood
pressure, he notes that it has decreased
significantly from previous readings. You
elevate the pa- tient's legs, but this action
has no effect. You should:

155. A spontaneous pnemothorax would extertion of a personal with

most likely occur as a result of congenital lung effect.
156. A 59-year-old male with a history of emphy- Spontaneous pneumotho-
sema complains of an acute worsening of his rax
dyspnea and pleuritic chest pain following
a forceful cough. Your assessment reveals
that he has a barrel-shaped chest,
unilateral- ly diminished breath sounds,
and tachycar- dia. What is the MOST likely
cause of this patient's condition?

157. Traction splints are used primarily to Femur

immo- bilize and secure fractures of the

158. Shooter Mccavin syndrome may lead to Being a golf god

159. Placenta previa is most accurately Development of placenta

defined as over cervical opening
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160. Early bruising following abdominal Red areas of the skin

trauma often manifests as

161. In order for efficient pulmonary gas Oxygen and carbon dioxide
ex- change to occur must freely diffuse in alveoli

162. Ted Musgrave disease is Driving like a grandma

163. An acute myocardial infarction occurs when Myocardial tissues die sec-
ondary to absence of oxy-
gen.

164. You are dispatched to a local nursery for thoroughly suctioning her
a 39-year-old female who is sick. When you oropharynx
arrive, you find the patient lying on the
floor. She is semiconscious, has copious
amounts of saliva coming from her mouth,
and is in- continent of urine. You quickly
feel her pulse and note that it is very slow.
Initial manage- ment for this patient should
include:
cool, moist skin, heavy
165. Common signs and symptoms of heat sweating, headache, nau-
ex- haustion include sea, vomiting, dizziness,
light headedness, weak-
ness, thirst, irritability, fast
heat beat

Apply direct pressure to the

166. You respond to a residence for a patient wound
with a severe leg injury following an
accident with a chainsaw. When you arrive,
you find the patient, a 44-year-old male,
lying supine in the backyard. He has a
partial amputation of his right lower leg that
is actively bleeding. The patient is
conscious and breathing ade- quately;
however, he is restless and his skin is
diaphoretic. You should:
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167. 167.

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CPAP is indicated for pt who have what for patients with pul- monary
con- ditions? Contraindications? edema; contraindi- cations
include low blood pressure,
inability to protect airway,
trauma to face, vom- iting,

right atrium
168. Deoxygenated blood from the body
returns to the
Perform 5 cycles of CPR &
169. You and your partner arrive at the scene apply AED
of a middle-aged man who collapsed
about 5 minutes ago. He is unresponsive,
apneic, and pulseless. Bystanders are
present, but have not provided any care.
You should: sinoatrial (SA) node
170. The electrical impulse generated by
the heart originates in the Have experienced a head
injury
171. Nitroglycerin is contraindicated in
patients who Transporting without delay
172. The MOST important treatment for a patient
with severe abdominal pain and signs of
shock includes cerebral edema
173. The most common and serious
complication of a significant head injury is stabilize with bulky dressing
174. During your assessment of a patient with
blunt chest trauma, you note paradoxical
movement of the left chest wall. As your
part- ner is administering oxygen to the
patient, you should:

175. Wilford Brimley is the spokesman for? Diabetes

176. Weakening of the airway in patients Destruction of protective

with chronic bronchitis is the result of mechanisms that remove

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foreign particles.

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177. a flail chest occurs when segment of chest detaches

from thoracic cage

178. A 40-year-old male presents with severe ab- Cover with blanket, rapid
dominal pain following blunt trauma. He is transport
diaphoretic, intensely thirsty, and has a
weak and rapid pulse. Appropriate
treatment for this patient includes?

179. A 6-year-old male presents with acute res- Encourage to cough, give
piratory distress. His mother states that oxygen and transport
she saw him put a small toy into his mouth
short- ly before the episode began. The
child is con- scious, obviously frightened,
and is cough- ing forcefully. You should

180. Acute coronary syndrome is a term used group of symptoms caused by

to describe myocardial ischemia

181. When do you reposition a fracture? when it is pulseless; you get

one chance before splinting

182. Ischemic heart disease is most accurately decreased blood flow to one
defined as or more portions of the my-
ocardium
183. Which of the following is of LEAST perti- family history of hyperten-
nence when obtaining medical history sion
infor- mation from a patient complaining of
chest discomfort?

184. Hypoxia is a result of failure at any stage in the

delivery of oxygen

185. You and your partner are caring for a criti- repositioning the
cally injured patient. Your partner is
control- ling severe bleeding from the
patient's lower extremities as you attempt
ventilations with a bag-mask device. After

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begin ventilations using mouth to mask

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mask several times, you are unable to
effec- tively ventilate the patient. You
should:
the lumen of the coro-
186. A patient with atherosclerotic heart nary artery is narrowed and
disease has chest pain because: cannot accommodate in- creased
blood flow

partially remove the dress-

187. You have sealed the open chest wound of ing
a 40-year-old male who was stabbed in
the anterior chest. Your reassessment
reveals
that he is experiencing increasing
respirato- ry distress and tachycardia, and
is develop- ing cyanosis. You should: removing sodium, and thus,
water from the body
188. The kidneys help to regulate blood
pressure by collapsed jugular veins
189. S/sx of tension pneumothorax include all
of the following EXPECT: decreased pumping force of
the heart muscle
190. cardiogenic shock following AMI is
caused by blood is shunted away from
the extremities to the body's
191. Patients with generalized hypothermia core
are at an increased risk of a local cold
injury because: 18%
192. A 21-year-old male was working in an auto
repair shop and sustained radiator burns to
the anterior aspect of both arms and to his
anterior chest. According to the rule of
nines, this patient has burns that cover of
his BSA.

193. Bradycardia in a child indicates impending cardiopul-

monary arrest

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194. You are transporting a 33-year-old male in a visually inspect the area
speedo who was involved in a motor
vehicle

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crash.You have addressed all immediate
and potentially life-threatening conditions
but he complains of groin pain. You should:

195. to assisting a patient with his or her pre- obtain auth from medical
scribed nitroglycerin, the EMT must: control

196. The MOST reliable sign of a head injury is: decreased level of con-
ciousness

197. . A pleural effusion is MOST accurately fluid accumulation outside

de- fined as the lungs.
198. Common causes of seizures in children high fever, infection, elec-
in- clude: trolyte imbalances, poison-
ing
199. . In a healthy individual, the brain stem increased carbon dioxide
stim- ulates breathing on the basis of: levels

200. insulin functions in the body by enabling glucose to enter

the cells

201. who is da best teacher duff

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