Question 1

Your patient is a 62-year-old woman with a history of COPD. She is slightly more short of breath than usual today. She is alert and speaks three to four words between breaths. Her SpO2 is 93 percent on room air. Which of the following devices should be used for the administration of oxygen to this patient?

Accepted Answer

A)   Nonrebreather mask
B)   Nasal cannula
C)   CPAP
D)   BVM

Question 2

A patient experienced a brief loss of consciousness following a blow to the head. During your questioning, she describes a series of events that do not match what observers had noted before the trauma. This might be an example of:

Accepted Answer

A)   delusion.
B)   incoherence.
C)   mania.
D)   confabulation.

Question 3

Which of the following conditions is NOT typically associated with wheezing?

Accepted Answer

A)   Foreign bodies in the small airways
B)   Asthma
C)   Bronchospasm
D)   Upper airway swelling

Question 4

You respond to a patient complaining of lower abdominal pain. Upon your arrival, you find a 25-year-old man who also complains of groin pain. After inspecting the penis and scrotum, your next step would be to:

Accepted Answer

A)   inspect the glans.
B)   lift the scrotum and inspect for swelling or lumps.
C)   palpate the testicles.
D)   take a urine sample.

Question 5

Signs of inadequate breathing include all of the following EXCEPT:

Accepted Answer

A)   presence of bronchovesicular breath sounds.
B)   retractions of intercostal and supraclavicular tissues.
C)   nasal flaring.
D)   accessory muscle use.

Question 6

Which of the following is TRUE concerning the assessment of an unresponsive medical patient?

Accepted Answer

A)   The approach is the same as for responsive medical patients.
B)   You should perform a rapid medical assessment.
C)   A comprehensive history is performed prior to assessment.
D)   You should perform a detailed physical exam prior to transporting the patient.

Question 7

Which of the following problems is it NOT critical to find during the primary assessment?

Accepted Answer

A)   Scalp hematoma
B)   Bright red blood spurting from a thigh wound
C)   Respiratory distress
D)   Foreign body airway obstruction

Question 8

In infants, capillary refill is a good incicatior of adequate circulation and can be checked in the:

Accepted Answer

A)   limbs.
B)   dorsum of the hand.
C)   torso.
D)   face.

Question 9

At standard speed, a 1 mm box on ECG paper represents ________ seconds.

Accepted Answer

A)   0.12
B)   0.04
C)   0.08
D)   0.1

Question 10

Which of the following may result in a failure of communication between a paramedic and a patient?

Accepted Answer

A)   External distractions
B)   Prejudice
C)   Lack of privacy
D)   All of the above

Question 11

The ability to critically evaluate a patient's condition and formulate a treatment plan rests on all of the following EXCEPT:

Accepted Answer

A)   an excellent working knowledge of anatomy and physiology.
B)   identifying and dealing with medical ambiguity.
C)   strictly following protocols.
D)   the ability to focus on large amounts of data.

Question 12

In an infant, the heart rate is best detected by either palpating the brachial artery or:

Accepted Answer

A)   auscultating the carotid pulse.
B)   palpating the femoral pulse.
C)   palpating the carotid pulse.
D)   auscultating the apical pulse.

Question 13

You are caring for a sick five-year-old child in the emergency department. The ED physician has ordered some intravenous medication to stop the child from vomiting. Which of the following is the best way to approach the child with the issue of starting an IV?

Accepted Answer

A)   "I'm going to give you some medicine in your arm to help you stop throwing up. If you're a good boy and hold really still, it's not going to hurt a bit."
B)   "I'm going to give you some medicine to help you stop throwing up, but the medicine has to go through a tube and into your arm. So it's going to feel like you're getting a shot, but it will just take a second, and then the medicine will make you feel better."
C)   "I'm going to start an IV in your arm so I can give you some Phenergan for your nausea and vomiting. Be a big boy and don't cry, okay?"
D)   Say nothing about the procedure. Once you have everything set up, tell the child, "Let me see your arm," then quickly perform the procedure.

Question 14

Which of the following questions gathers information about a patient's current health status?

Accepted Answer

A)   "Where does the pain go?"
B)   "Do you also feel nauseous?"
C)   "When did you have your appendix removed?"
D)   "How many cigarettes do you smoke a day?"

Question 15

During a musculoskeletal exam, you find redness of the skin over a nontraumatized joint. Which of the following is LEAST likely to be the cause?

Accepted Answer

A)   Rheumatic fever
B)   Dislocation
C)   Gout
D)   Arthritis

Question 16

Which of the following actions can you take to establish rapport with a patient early in the interview?

Accepted Answer

A)   Ask as many questions as possible.
B)   Maintain control of the interview at all times.
C)   Respond to her condition with empathy.
D)   Do not show emotion.

Question 17

Asking a patient, "Can you rate your pain on a 0 to 10 scale?" represents what part of the OPQRST question format?

Accepted Answer

A)   S
B)   T
C)   R
D)   Q

Question 18

Pleural effusion is characterized by the presence of:

Accepted Answer

A)   fluid in the pleural space.
B)   atelectasis in the affected area.
C)   secretions in large airways.
D)   increased friction between the pleural layers.

Question 19

When you detect an inconsistency in a patient's story, which of the following techniques should you use?

Accepted Answer

A)   Clarification
B)   Interpretation
C)   Confrontation
D)   Facilitation

Question 20

Which of the following may indicate either cardiac tamponade or tension pneumothorax?

Accepted Answer

A)   Cushing's reflex
B)   Hypertension
C)   Subcutaneous emphysema
D)   Distended neck veins

Exam 2: Scene Size-Up

Which of the following may result in a failure of communication between a paramedic and a patient?

Correct Answer
verified

Signs of inadequate breathing include all of the following EXCEPT:

Correct Answer
verified

A patient experienced a brief loss of consciousness following a blow to the head. During your questioning, she describes a series of events that do not match what observers had noted before the trauma. This might be an example of:

Correct Answer
verified

You are caring for a sick five-year-old child in the emergency department. The ED physician has ordered some intravenous medication to stop the child from vomiting. Which of the following is the best way to approach the child with the issue of starting an IV?

Correct Answer
verified

Pleural effusion is characterized by the presence of:

Correct Answer
verified

In infants, capillary refill is a good incicatior of adequate circulation and can be checked in the:

Correct Answer
verified

At standard speed, a 1 mm box on ECG paper represents ________ seconds.

Correct Answer
verified

Which of the following problems is it NOT critical to find during the primary assessment?

Correct Answer
verified

Which of the following questions gathers information about a patient's current health status?

Correct Answer
verified

Correct Answer
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Which of the following is TRUE concerning the assessment of an unresponsive medical patient?

Correct Answer
verified

Asking a patient, "Can you rate your pain on a 0 to 10 scale?" represents what part of the OPQRST question format?

Correct Answer
verified

Which of the following actions can you take to establish rapport with a patient early in the interview?

Correct Answer
verified

You respond to a patient complaining of lower abdominal pain. Upon your arrival, you find a 25-year-old man who also complains of groin pain. After inspecting the penis and scrotum, your next step would be to:

Correct Answer
verified

The ability to critically evaluate a patient's condition and formulate a treatment plan rests on all of the following EXCEPT:

Correct Answer
verified

Which of the following may indicate either cardiac tamponade or tension pneumothorax?

Correct Answer
verified

Which of the following conditions is NOT typically associated with wheezing?

Correct Answer
verified

In an infant, the heart rate is best detected by either palpating the brachial artery or:

Correct Answer
verified

During a musculoskeletal exam, you find redness of the skin over a nontraumatized joint. Which of the following is LEAST likely to be the cause?

Correct Answer
verified

When you detect an inconsistency in a patient's story, which of the following techniques should you use?

Correct Answer
verified

Exam 2: Scene Size-Up

Which of the following may result in a failure of communication between a paramedic and a patient?

Correct AnswerverifiedShow Answer

Signs of inadequate breathing include all of the following EXCEPT:

Correct AnswerverifiedShow Answer

A patient experienced a brief loss of consciousness following a blow to the head. During your questioning, she describes a series of events that do not match what observers had noted before the trauma. This might be an example of:

Correct AnswerverifiedShow Answer

You are caring for a sick five-year-old child in the emergency department. The ED physician has ordered some intravenous medication to stop the child from vomiting. Which of the following is the best way to approach the child with the issue of starting an IV?

Correct AnswerverifiedShow Answer

Pleural effusion is characterized by the presence of:

Correct AnswerverifiedShow Answer

In infants, capillary refill is a good incicatior of adequate circulation and can be checked in the:

Correct AnswerverifiedShow Answer

At standard speed, a 1 mm box on ECG paper represents ________ seconds.

Correct AnswerverifiedShow Answer

Which of the following problems is it NOT critical to find during the primary assessment?

Correct AnswerverifiedShow Answer

Which of the following questions gathers information about a patient's current health status?

Correct AnswerverifiedShow Answer

Correct AnswerverifiedShow Answer

Which of the following is TRUE concerning the assessment of an unresponsive medical patient?

Correct AnswerverifiedShow Answer

Asking a patient, "Can you rate your pain on a 0 to 10 scale?" represents what part of the OPQRST question format?

Correct AnswerverifiedShow Answer

Which of the following actions can you take to establish rapport with a patient early in the interview?

Correct AnswerverifiedShow Answer

You respond to a patient complaining of lower abdominal pain. Upon your arrival, you find a 25-year-old man who also complains of groin pain. After inspecting the penis and scrotum, your next step would be to:

Correct AnswerverifiedShow Answer

The ability to critically evaluate a patient's condition and formulate a treatment plan rests on all of the following EXCEPT:

Correct AnswerverifiedShow Answer

Which of the following may indicate either cardiac tamponade or tension pneumothorax?

Correct AnswerverifiedShow Answer

Which of the following conditions is NOT typically associated with wheezing?

Correct AnswerverifiedShow Answer

In an infant, the heart rate is best detected by either palpating the brachial artery or:

Correct AnswerverifiedShow Answer

During a musculoskeletal exam, you find redness of the skin over a nontraumatized joint. Which of the following is LEAST likely to be the cause?

Correct AnswerverifiedShow Answer

When you detect an inconsistency in a patient's story, which of the following techniques should you use?

Correct AnswerverifiedShow Answer

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