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The standard sequence for examining the chest is:


A) palpate, percuss, auscultate, inspect.
B) inspect, palpate, auscultate, percuss.
C) inspect, palpate, percuss, auscultate.
D) inspect, auscultate, percuss, palpate.

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The fourth heart sound, S4, is:


A) an atrial gallop sound.
B) a ventricular gallop sound.
C) a high-pitched sound at the base of the heart.
D) the "dub" of "dee-lub-dub."

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Paramedics treat patients with the same techniques as other clinicians, EXCEPT that they:


A) perform these procedures in uncontrollable and unpredictable environments.
B) are far less trained than other practitioners.
C) treat life-threatening emergencies only.
D) are not allowed to make independent decisions.

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Nasal flaring is an indication of:


A) dysfunction of cranial nerve I.
B) respiratory distress.
C) hypoxia.
D) rhinitis.

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Lesions found on the lips may indicate:


A) dehydration.
B) anemia.
C) allergic reaction.
D) skin cancer.

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Your patient is not alert but is responsive to painful stimulus. His airway is patent. He is breathing at eight times per minute. Your next action should be to administer oxygen via a:


A) nasal cannula.
B) simple face mask.
C) nonrebreather mask.
D) bag-valve-mask device.

Correct Answer

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A patient with skin described as "clammy" has ________ skin.


A) cool and dry
B) warm and dry
C) warm and moist
D) cool and moist

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As you survey the scene, you are gathering information about your patient and the scene. This step in the critical decision-making process is called:


A) forming a concept.
B) reflecting on the incident.
C) evaluating results.
D) interpreting the data.

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Which of the following cardiac enzymes and biomarkers is NOT measured and analyzed to help confirm a myocardial infarction?


A) Creatine kinase (CK-II MB)
B) Myoglobin
C) Troponin I
D) B-natriuretic peptide (BNP)

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During the abdominal exam, areas that are known to be painful or tender should be examined:


A) only by a physician.
B) at the beginning and end of the exam.
C) first.
D) last.

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An arterial blood gas analysis includes all of the following EXCEPT:


A) perfusion.
B) ventilation.
C) electrolyte balance.
D) acid-base balance.

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You respond to a scene where gunshots have been heard, and there is a report of a "man down." You should enter the scene when:


A) you arrive on the scene.
B) dispatch informs you the scene is safe.
C) you observe the gunman fleeing the scene.
D) police officers arrive and secure the scene.

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Which of the following sounds is produced when the tricuspid and mitral valves close during systole?


A) S4
B) S3
C) S1
D) S2

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Which of the following guidelines should be observed when examining a one- to three-year-old child?


A) Restrain the child if necessary.
B) Do not distract the toddler with toys.
C) Do the most invasive procedure first in order to get it out of the way.
D) Focus on the vital areas as indicated by the chief complaint.

Correct Answer

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Conditions that can cause an inaccurate pule oximetry ready include all EXCEPT?


A) The presence of methemoglobinemia
B) Hyperfusion
C) Anemia
D) Shivering

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Your patient remains unresponsive after a painful stimulus is applied. The family reports that the patient was found unconscious in bed after complaining of a "terrible headache." Which of the following represents the correct sequence of actions in this situation? 1) Obtain a brief history from the family. 2) Conduct a rapid secondary assessment. 3) Perform a detailed exam. 4) Determine vital signs. 5) Perform a primary assessment.


A) 5, 2, 3, 1
B) 5, 1, 2, 4
C) 5, 1, 3, 4
D) 5, 2, 1, 4

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Steps in assessing circulation during a primary assessment include all of the following EXCEPT:


A) controlling major bleeding.
B) determining the blood pressure.
C) checking for skin signs.
D) checking for a radial pulse.

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Skin color is best evaluated by observing the:


A) limbs and torso.
B) dorsum of the hand.
C) nail beds and conjunctiva.
D) face.

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Your patient is a three-year-old who presents with a fever. His parents state that he has had diarrhea and vomiting for two days. The patient has not eaten in 24 hours. To best evaluate the patient's peripheral perfusion status, you should evaluate his:


A) respiratory rate.
B) fingertip sensation.
C) capillary refill.
D) blood pressure.

Correct Answer

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Critical thinking is a thought process used to:


A) defend one's actions in a CQI review process.
B) establish credibility with an emergency physician.
C) analyze and evaluate.
D) focus on a situation's most important aspect.

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