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Which of the following patients should the EMT identify as having the most adequate breathing?


A) 61-year-old confused female breathing at a rate of 8 breaths per minute
B) 34-year-old male with abdominal pain who is alert and oriented with good chest rise and fall
C) 19-year-old male breathing 16 times per minute with slight wheezing in the lungs
D) 67-year-old female breathing 26 times per minute with good chest rise and fall

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The "S" in SAMPLE stands for:


A) Significance
B) Severity
C) Sign
D) Seriousness

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Forming the general impression is started during which phase of patient assessment?


A) Reassessment
B) Secondary assessment
C) Primary assessment
D) Care transfer in the emergency department

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You have been dispatched to an apartment for an elderly male complaining of shortness of breath. When do you start the process of forming a general impression about this patient?


A) As you and your partner approach him
B) After completing the primary assessment
C) As soon as you obtain his chief complaint
D) Following the completion of vital signs

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When performing a secondary assessment on an alert and oriented female with a deformed left leg, the EMT should:


A) describe to the patient your findings and injuries as you encounter them.
B) reassure the patient that she will be okay and the injury is nothing to worry about.
C) inform the patient that if you assess her, she must submit to all treatment by EMS.
D) explain to the patient what you are doing before and during assessment.

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When assessing breath sounds during the secondary assessment, the EMT shows he is employing a correct technique when he listens:


A) at the left second intercostal space followed by the right second intercostal space.
B) first to the apex and base of the right lung and then to the apex and base of the left lung.
C) to the base of the lung by placing the stethoscope at the third intercostal space laterally.
D) over the left and right lateral wall while instructing the patient to breathe shallowly and fast.

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An Emergency Medical Responder informs you that a 59-year-old female is responsive to verbal stimuli. Which one of the following presentations should you expect?


A) She is able to answer all questions appropriately when asked.
B) She cannot be awakened when her name is called.
C) Her eyes are closed, but she will wiggle her fingers if told.
D) She is awake, but having difficulty telling you her name and where she is.

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En route to the hospital, you start the reassessment of a 22-year-old trauma patient. You should begin this assessment by:


A) rechecking vital signs.
B) repeating the primary assessment.
C) checking all interventions.
D) assessing for additional injuries.

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Which one of the following patients should receive supplemental oxygen with a nonrebreather mask or nasal cannula?


A) 39-year-old male with a sprained ankle and breathing 16 times per minute
B) 18-year-old who overdosed on a drug and is unresponsive and breathing 6 times a minute
C) 42-year-old female who is confused, weak, and dizzy, and adequately breathing 14 times per minute
D) 61-year-old male who is unresponsive with a foreign body airway obstruction that cannot be removed with abdominal thrusts

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What is the purpose of assessing the pulse on an unresponsive patient during the primary assessment?


A) Calculate the precise heart rate.
B) Decide if the breathing is adequate.
C) Determine the presence of a heartbeat.
D) Establish if the patient requires oxygen.

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You have been called to the side of a 37-year-old female whose chief complaint is confusion, anxiety, and chest tightness. Assessment shows her airway to be patent, respirations 46 per minute, heart rate 134, blood pressure 128/54 mmHg, and SpOâ‚‚ at 93%. In regards to the respiratory rate, you would recognize:


A) it will result in too much air being placed in the lungs.
B) it is not a concern because the patient is still getting oxygen.
C) it does not allow the lungs enough time to adequately fill.
D) it will cause damage to the lungs if not corrected.

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A 43-year-old male has called 911 with the complaint of difficulty breathing. On scene you note he is breathing at a rate of 18 breaths per minute. He also exhibits intercostal retractions and nasal flaring. The EMT should document this patient's breathing as:


A) dyspneic.
B) apneic.
C) tachypneic.
D) bradypneic.

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You are by the side of a patient complaining of shortness of breath with a history of heart problems, including congestive heart failure (CHF) . When assessing the airway, which one of the following observations best indicates that it is patent?


A) She easily tells you that she is having chest pain.
B) She is sitting in an upright position because she cannot lie flat.
C) She can only speak in extremely short sentences.
D) She is lethargic and confused to person, place, and time.

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When assessing a sick or injured patient, which of the following indicates the appropriate order?


A) Primary assessment; reassessment, secondary assessment
B) Scene size-up, secondary assessment, primary assessment
C) Scene size-up, primary assessment, secondary assessment
D) Scene size-up, history, secondary assessment, primary assessment

Correct Answer

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A 44-year-old male was cutting limbs from high in a tree when he fell. He is found to be unresponsive with snoring respirations. His breathing is inadequate at a rate of 8 per minute and his carotid pulse is weak and difficult to locate. Following the primary assessment and initial management of life threats, which of the following actions will the EMT complete while performing the secondary assessment?


A) Obtain vital signs and get a past medical history from the family.
B) Start positive pressure ventilation with a bag-valve mask.
C) Place an oral airway and cervical collar on the patient.
D) Perform a trauma jaw-thrust to open the airway.

Correct Answer

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The EMT shows she understands the importance and reason for forming a general impression when she states:


A) "The general impression permits a rapid diagnosis of the patient's problem."
B) "Forming a general impression allows me to fully assess the emergency situation."
C) "The general impression enables me to rule out any life-threatening conditions."
D) "Forming a general impression provides me with a rough idea of the patient's overall status."

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A 31-year-old male is complaining of left-side flank pain that radiates into his groin. He is alert and oriented and the primary assessment reveals no life-threatening conditions. Given the patient's status, your next step should be to:


A) gather medical information from the family.
B) perform a rapid head-to-toe exam.
C) obtain a medical history from the patient.
D) repeat the primary assessment.

Correct Answer

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A 36-year-old patient who has overdosed on an unknown drug presents with his eyes closed, even when his name is loudly called. Which one of the following should the EMT do first?


A) Check the patient's vital signs.
B) Check the mental status.
C) Assess for a radial pulse.
D) Determine what drug was taken.

Correct Answer

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The EMT determines the medications a patient takes during which phase of the patient assessment?


A) Primary assessment
B) OPQRST exam
C) Chief complaint
D) History

Correct Answer

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When you assess the lower back of an elderly patient who fell, he grimaces and tells you that it hurts when you palpate the injury site. You should recognize which one of the following conditions?


A) Pain
B) Tenderness
C) Crepitus
D) Ecchymosis

Correct Answer

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