EMT Assessment (Pre-OB Lecture Assessment)

You encounter a 72-year-old female experiencing respiratory distress. During your physical examination you hear sounds of stridor. Stridor is indicative of which of the following?

• Wheezing

• Lower airway obstruction

• Upper airway obstruction

• An asthmatic episode

You respond to the community pool for a cardiac arrest. After attaching the AED, you notice that the patient is wet and is lying in a puddle of water. You should?

• Dry off the patient with a towel and defibrillate

• Move the patient to a dry area, wipe down the patient's chest and reattach the AED

• Defibrillate the patient in the puddle while he is wet

• Start CPR

You have been dispatched for a possible anxiety attack. Your patient is a 48-year-old male who has become extremely agitated after learning of a family member's death. He is breathing rapidly, looking around wildly, and clenching his hands. He does not appear to be aware of your presence in the room. The patient stands up suddenly and starts to pace back and forth. What should you do?

• Confront the patient

• Attempt to restrain the patient

• Continue to assess the patient

• Retreat and request law enforcement

In the human body, what occurs when a person is in shock?

• The cells are getting glucose and other nutrients, but not oxygen.

• The amount of oxygen to the cells is adequate, but CO ₂ is not being eliminated.

• The blood has an adequate amount of oxygen, but not enough nutrients for cell survival.

• The cells are not getting enough oxygen and waste products are accumulating.

You are treating a 27 yom patient who suffered a blunt head injury. The patient is presenting with a BP of 196/112, HR 50, RR of 6 and irregular. During your exam you note the patient has unequal pupils. Your partner states that you should ventilate the patient with a BVM at an increased rate of 20 breaths per minute. Do you agree with your partner?

• Yes

• No

A patient has suffered an abdominal evisceration. There is no evidence of spinal injury. How should you place the patient on the stretcher?

• Supine, with knees flexed to his chest

• Lateral recumbent with legs extended

• Semi-Fowler's, to promote adequate breathing

• Prone, to maintain pressure on the abdomen

You are assessing an unresponsive patient who was ejected from an ATV. During your primary assessment you identify that the patient has a weak radial pulse and his skin is pale, cool and diaphoretic. Which of the following should you do immediately?

• Open the airway using the head-tilt, chin-lift and begin ventilations with the bag-valve mask.

• Immobilize him to a long spine board, and then place on a NRB.

• Administer oxygen at 15 lpm with a nonrebreather face mask.

• Perform the jaw-thrust and begin artificial ventilations with the bag-valve mask.

An alert and oriented 45-year-old female patient is complaining of shortness of breath. Although her respiratory volume and rate are satisfactory, you note cyanosis in her fingertips and an SpO2 of 92%. Which one of the following should be your next action?

• Assist respirations with the bag-valve mask.

• Move to the stretcher for immediate and rapid transport.  Oxygen is not needed.

• Administer supplemental oxygen via nasal cannula.

• Place a nasopharyngeal airway and assist respirations with a BVM.

An Emergency Medical Responder tells you that a female patient is responsive to verbal stimuli. Which one of the following presentations should you expect?

• She is awake but having difficulty answering questions

• She cannot be awakened when her name is called

• She is able to answer all questions appropriately when asked

• She opens her eyes when spoken to

All of the following are types of distributive shock except:

• Anaphylaxis

• Sepsis

• Neurogenic hypotension

• Tension Pneumothorax