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A paramedic should wear a properly fitted HEPA mask when evaluating a patient exhibiting signs and symptoms of:


A) influenza.
B) asthma.
C) COPD.
D) tuberculosis.

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Which of the following is an abnormal finding of the pupils?


A) Constriction when focusing on a near object
B) Both pupils constricting when a penlight is shone in one eye
C) Slow but equal reaction to light
D) Less than 2 mm difference in size with normal reaction to light

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Your patient is unresponsive to painful stimulus and has snoring respirations. What is your next action?


A) Check for a pulse.
B) Perform a head-tilt, chin-lift maneuver.
C) Administer oxygen at 15 lpm.
D) Suction.

Correct Answer

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Forming a general impression as part of your primary assessment helps you to:


A) determine baseline mental status.
B) determine general clinical status and priority.
C) make a determination about stabilization of the cervical spine.
D) estimate vital signs.

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Asking a patient, "What were you doing when this problem began?" represents what part of the OPQRST question format?


A) P
B) Q
C) O
D) R

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Which of the following statements regarding stridor is TRUE?


A) Stridor originates in the lower airways.
B) Stridor is seldom of clinical significance.
C) The correct treatment of stridor depends on the underlying problem.
D) The presence of stridor requires immediate intubation.

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You can test the oculomotor, trochlear, and abducens nerves by:


A) shining a light into the pupils and observing constriction of the pupils.
B) conducting a visual acuity test.
C) evaluating the patient's extraocular movements.
D) closing one nostril while presenting a strong smell under the other nostril.

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An example of a primary problem is:


A) myocardial infarction.
B) leg pain.
C) nausea.
D) shortness of breath.

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All of the following actions can help make taking a history on a sensitive subject easier EXCEPT:


A) attending a lecture or seminar on these sensitive subjects to learn more about them.
B) using euphemisms and metaphors to ask embarrassing questions.
C) asking some opening question to these subjects as practice.
D) observing experienced clinicians ask these types of questions.

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Components of a general survey include all of the following EXCEPT:


A) cardiac monitoring.
B) blood pressure.
C) medical history.
D) the patient's appearance.

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The best method for determining responsiveness to painful stimuli in an infant is to:


A) pinch his cheeks.
B) pinch his fingernails.
C) rub his sternum.
D) flick the soles of his feet.

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Which of the following best describes why you should call for additional assistance when dealing with multiple patients?


A) Risks to each provider decrease as more responders arrive on the scene.
B) You are responsible only for command and triage.
C) You cannot safely and effectively treat all the patients.
D) Fair distribution of workload is required by most unions.

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A scene size-up is performed for all of the following reasons EXCEPT:


A) to assess the mechanism of injury.
B) to assess a baseline mental status.
C) to provide information that will guide your medical care.
D) to assess the need for additional resources.

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Which of the following qualities should characterize your verbal interaction with a patient when obtaining the history?


A) Speak softly.
B) Speak loudly.
C) Use a calm, reassuring voice.
D) Demand the patient's attention.

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You are assessing an adult patient. When you palpate her wrist to locate a pulse, you do not feel one. You should immediately palpate for a ________ pulse.


A) brachial
B) femoral
C) apical
D) carotid

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The valve between the right atrium and right ventricle is the ________ valve.


A) bicuspid
B) pulmonic
C) tricuspid
D) aortic

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Rebound tenderness in the abdomen is a sign of potential:


A) kidney stone.
B) full urinary bladder.
C) peritoneal irritation.
D) food poisoning.

Correct Answer

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Your patient is complaining of numbness and hand pain that wakes him. Of the following, which is most likely?


A) Carpal tunnel syndrome
B) Chondromalacia
C) Bursitis
D) Plantar fasciitis

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Asking your patient to recall what he had for a meal earlier in the day would test:


A) recent memory.
B) remote memory.
C) immediate memory.
D) long-term memory.

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Which of the following best describes when you should perform a scene size-up?


A) Once you arrive at the patient's side
B) Throughout your time on the scene
C) When you initially arrive at the scene
D) As you are leaving the scene

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