Final Exam EMT Review | Baamboozle - Baamboozle | The Most Fun Classroom Games!

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You were called to the scene of a school where a 44-year-old teacher has been successfully resuscitated. During transport, the patient becomes unresponsive again. He has no pulse and It appears he is also not breathing. What do you do?

Check femoral pulse to confirm

Begin CPR, tell your partner to pull over

Airway adjunct and BVM

Give 2 rescue breaths and reanalyze AED

You are treating a 55-year-old male with a 4 cm laceration on his lower leg with dark blood flowing from the wound. Which of the following best describes this type of bleeding?

Venous.

Abrasion.

Arterial.

Capillary.

28-year-old male in severe shock who is breathing at a rate of 20 times per minute. Assume this patient has adequate chest rise and fall and is moving a sufficient quantity of air. Which of the following oxygen delivery devices?

Non rebreather 15 LPM

Nasal Cannula 2 LPM

Simple mask

BVM

You are called to treat a 14-year-old male who lost control of his bicycle and ended up in a bush. While assessing the patient you notice he has an impaled stick in his cheek and blood is flowing into the airway. Select the best choice.

Place the patient on his side and allow the blood to drain

Remove the stick from the cheek and control bleeding both in

Cspine

Apply pressure to the temporal artery to stop bleeding

A 65-year-old female is pulled from a burning trailer, her clothes are obviously burned and she has third degree burns to her head, chest, arms and abdomen. After stopping the burning process, your most important priority?

Cool the burns with normal saline.

Bandage the burns to prevent infection.

Estimate the percentage of burned area.

Provide oxygen at high concentrations.

You are assessing a 43-year-old female who is complaining of difficulty breathing. You have just begun listening for lung sounds by auscultating the left upper chest. You should next listen to the:

heart sound

right upper chest

back

left upper chest

At the end of a shift where you had a call involving a child in cardiac arrest, your partner states that he is not coping well. Your best option for resolving is:

Refer crew to an emotional support service

Go to the bar with the crew and drown your sorrows

Have him pick up more shifts to get over it

Go home immediately

While at the scene of a motor vehicle collision, EMT’s notice a bent steering wheel while completing the vehicle assessment as part of the scene size-up on the 1966 Ford Mustang. Identify which injury is most likely present in a 55 y/o pt?

Lower leg injuries.

Chest injuries.

Head injuries.

Lumbar spine injuries.

70-year-old male complaining of chest pain and difficulty breathing. His wife states he takes a water pill every day. As you listen to his lung sounds, you note crackles bilaterally, and pink, frothy sputum. What system is causing it?

Circulatory

Integumentary

Respiratory

Endocrine

The 17-year-old male you are caring for has amputated his right thumb while using a saw. After bandaging the injured extremity with sterile dressings, select how the amputated part should be transported.

Dry, sterile dressing and then secure it directly to a cold

Wet, sterile dressing and place it directly into cold steril

Sterile dressing, seal in a plastic bag and transport in ice

Wet, sterile dressing, wrapped in a dry dressing and placed

You are called to treat a 64-year-old male with a history of pulmonary edema and find him lying in bed on his back. His blood pressure is 124/82 and he is alert and oriented. How should you position him for transport?

on the left side

semi fowlers

Upright

supine

62-year-old female complaining of chest pain. Started 3 hours prior to your arrival. Non-radiating and rates her pain at a 6/10. She was seated when it started. What else would you suspect she present with?

Dull, as if someone was squeezing her heart.

The pain can be produced by palpating the chest.

Tightness running down both arms and back.

The pain comes and goes when coughing hard.

You have been called to the scene of a 56-year-old male complaining of tightness in his chest. He was prescribed Nitro for relief of angina. Which of the following side effects would be most expected after the patient received this medicati

Unequal Pupils

Flushed skins

Hypotension

Vomiting

Number 1 Priority for a stab wound with object still impaled?

Stabilize it in place

Ask PD to remove it

Remove it and control bleeding

Saran Wrap

You are called to a home where a domestic disagreement has occurred. You arrive to find a 28-year-old female who is complaining of discomfort in her chest. says its a 9/10, what would be concerning.

Pt states she feels like her heart is skipping a beat

Pt is Pale

Pt is restless

Non radiating chest pain

A 38 year old sleeping homeless man is A/OX3, BP of 128/60, HR 98, Sugar of 70, O2 sat of 97%, RR 20. PT is refusing TX what do you do?

Call medical control and complete proper paperwork

Inform bystander he's refusing and leave

Pt is unstable and needs transport

Call for ALS upgrade

28 yo Hits head, He is responsive to loud verbal stimuli. His breathing is at a rate of 12 times per minute and he is unresponsive to any painful stimuli from the shoulders on down. You would expect his breathing to be:

Deep from chest wall

from the diaphragm shallow

shallow and stridorous

Deep full respirations

While assessing a 52 female complaining of chest pain and difficulty breathing, you notice cyanosis, especially surrounding the mouth, and nail beds of her fingers. The patient's lung sounds reveal crackles. What else might you see?

multiple medical alert tags

edema to both ankles

decreased range of motion to upper extremities

Low blood pressure while standing

Your EMT partner is ventilating an unresponsive 14-year-old male with a bag-valve-mask device and the patient’s stomach is becoming distended. Which of the following is most likely the cause of the distension?

BVM too forcefully

Fluid retention from CHF

next is too extended

bad seal on the mask

It is just after 9 p.m. on a cold winter evening and your EMS unit has just arrived at the scene of a private residence where several family members are extremely ill. One patient in an upstairs bedroom is unresponsive. Other family members

Work together to assist the patient

Administer oxygen

Tell your partner to go assess other patients

Leave the scene with the patient

Which call will most likely require direct online support from medical control?

Car Crash

CVA

Slip and fall

Allergic reaction

You have started transport of a 52-year-old female who has been successfully resuscitated. Although she has a carotid pulse, she has stopped breathing. Which of the following is the most beneficial treatment for your patient?

Reassess the patient with the AED.

Resume chest compressions.

Apply high-flow oxygen with a non-rebreather.

Provide ventilations using a BVM.

You hear gurgling sounds coming from the patient. This is most likely?

uvula blocking airway

fluid in pharynx and upper airway

fluid in alveoli and lower airway

partial obstruction from tongue

Your on the scene of an MVC an a physician pulls over and demands control of the patient, what do you do?

Ask the patient if its ok

Ask them to leave the scene

Walk physician through the steps to assume care

Immediately hand over care

You are called to an 8-month-old male found face down in a bathtub. Assessment reveals that the patient is not breathing and does not have a pulse. Which of the following would be next in attempting to resuscitate this patient?

Perform chest compressions

Dry the patient

Attach AED

CSpine

You are assessing a 24-year-old female whose skin from her ring finger was partially avulsed as a result of the finger being caught in a door. What other assessments regarding this isolated injury should you perform?

Assess for injuries to underlying tissue and bone.

See if she can still move her injured finger.

Compare this finger to the ring finger on the good hand.

Compare radial pulses and see if they are equal.

You are called to treat a 64-year-old male with a history of pulmonary edema and find him lying in bed on his back. What other findings would you expect to find during your assessment of this patient?

Red skins hot to the touch

muffled heart sounds

Pink Frothy Sputum

Low Respiratory rate

72 y/o female smoker. Vitals signs are pulse 120 and irregular, breathing 22, labored and shallow, blood pressure 100/60 and her skin is mottled and moist with a pulse oximetry reading of 90%. What treatment should you provide this patient?

Have her drink some sweetened beverage.

Apply supplemental oxygen and reassure the patient.

Encourage her to take her insulin medication.

Place her on 2 lpm nasal cannula.

Pt complaining of chest pain. Pt has a drop in pressure 90/40, pale, cool clammy skins. O2 sat of 87%. How would you treat this patient?

put in an OPA and BVM them

give them nitro

sit them up semi fowlers

supplemental oxygen

You are assessing a 54-year-old female who was found in an easy chair and is only responsive to deep painful stimuli. You suspect she is suffering from a stroke. Identify the preferred initial method of opening this patient’s airway.

Jaw thrust

Head tilt, chin lift

OPA

NPA

It is just after 9 p.m. on a cold winter evening and your EMS unit has just arrived at the scene of a private residence where several family members are extremely ill. One patient in an upstairs bedroom is unresponsive. What is next?

32 can do

Call for FD and PD this could be CO exposure

Give patients oxygen

Company policy dictates certain pre-shift activities must be completed. Which of the following is most likely to be included in the list of pre- shift activities?

Completing a vehicle and gear inspection

clean interior and exterior

Visit dispatch center

Reading the newspaper of current events

67 YO with substernal chest pain. After three minutes, the patient is totally pain free. From the previous assessment findings, which would be the largest factor in why this patient may not be having a myocardial infarction?

Angina is best described as pain for 3 minutes

Pt is pain free after 3 minutes.

Angina pain does not radiate and subsides with walking

Myocardial infarction patients will often pass out

You have a stable patient with 10 minutes remaining in transport, what should you do?

complete documentation

Continue talking with patient, good bedside manner

Start cleaning your ambulance and restocking

Reassess vitals every 5 minutes until arrival

You're at a homeless shelter for a 42-year-old female that has chest tightness and shortness of breath. The patient tells you that she can’t sleep at night because she starts sweating and develops a moist, bloody, productive cough. What PPE

Gloves and gown

Turn AC on high in ambulance

HEPPA mask

don't go near the patient

Unresponsive patient With loud gurgling respirations, what do you do?

Head tilt

Jaw thrust

semi fowlers

Roll on their side

24 male is clutching his left chest and stating that he can not catch his breath. He is breathing at a rate of 30 times per minute and his jugular veins are distended. Which of the following assessments should be performed next?

Partial rebreather

Check for equal breath sounds

Nasal cannula

listen to muffled heart tones

You have a pt with SOB and chest pain. Pt has a fever, body aches, chills, lethargy over the past week and pain is located to the left pectoral. What would concern you involving his chest pain?

It is now constant. Even without coughing or heavy breathing

The patient’s pain lasting more than a day is highly suggest

Pts age is a concern with any chest pain complaint

Left sided chest pain is the most significant symptom relat

You have a minor trauma, an MCI plane crash has just been dispatched how does this change your transport decision?

convince pt to take the bus

pull over and kick patient out, more hurt patients need you

Continue non- code to destination hospital

Code 3 to get to the hospital quicker

During resuscitation of a 28-year-old male in cardiac arrest, a paramedic attempts to hand you a needle that has been used for an injection. How should the EMT best handle this situation?

Bring it to the hospital for inspection

Throw it in the trash

Give it back to the bystander

Immediately put it in a sharps container

You see two teenagers floating facedown in a lake mid December. What is most important

Consider C spine stabilization

Good scene survey for hazards

Call PD for scene control for suspicion of a crime.

Safely enter the water

After establishing the lack of responsiveness in a 17-year-old male with an open skull fracture, your next priority is:

Backboard the patient with full spinal precautions.

Assess for and control major bleeding.

Bandage the open skull fracture to prevent infection.

Assess airway and support ventilations.

Which item poses the most serious risk to the EMS providers and needs to be disposed of in a red biohazard bag?

Dirty uniform covered in vomit

Pts clothing with urine

Blood glucose needle prick

4X4 with blood on it

A 45-year-old male collapsed at a local restaurant. After confirming cardiac arrest, you perform CPR and apply an AED and after one shock the machine indicates that no shock is needed during the next analyze phase. Your first action should

assist ventilations

stop CPR it must have detected pulse

analyze again

continue CPR

You are dispatched to a funeral home for a 18-year-old male patient with a chief complaint of difficulty breathing. You note that he is breathing deeply at 30 times per minute and his hands and wrists appear to be spasming. How do you treat

2 LPM via NC

have them breath into a paperbag

have patient attempt to slow breathing

assist ventilations via BVM

You are dispatched to a 22-year-old male patient who will not wake up. Upon arriving at the scene, you find him in a lateral position on the couch and he does not respond when you call his name. You should next:

open the airway

check breathing

move him to the floor

Check a carotid pulse

You have a 18 year old hanging patient. Parents cut her down, when you arrive she has fixed dilated pupils, warm skins, pulseless and axenic. What do you do?

Don't ruin crime scene

Pronounce, obvious death

Call for BLS support

CPR, could be an organ donor

a 16-year-old chemistry student was accidentally splashed by acid and received a painful chemical burn. After removing the student's clothing, which of the following is the recommended care for this patient?

Rub the chemical off with a damp towel.

Flush the burn area with water.

Add a base to counteract the acid.

Wrap the patient in a wet blanket.

You are treating a 18-year-old female who fell off a balcony and injured her chest. She is short of breath with pale skin and upon chest exam you find a flail segment with paradoxical movement on the left side. What do you do?

Insert a basic airway adjunct and carefully begin assisted v

Tightly wrap elastic bandages completely around the chest to

Call ALS to the scene for an immediate chest decompression

Stabilize the flail segment by taping a bulky dressing over

You are treating a 28-year-old male with an intestinal evisceration of the abdomen with no bleeding. The recommended care for this patient includes:

Cover the organs with a dry sterile dressing/ replace them

Apply a pressure dressing to control internal bleeding.

Cover with a dry dressing and try to reinsert

Apply a moistened dressing and cover with an occlusive dress

You are dispatched to the home of a 54-year-old male complaining of difficulty breathing. Upon assessing the patient, you observe cyanosis around the lips, nose, ears and fingers. He has labored breathing at a rate of 20 times per min, RX?

High Flow o2 15 LPM

BVM at room air

Nasal Cannula at 4 LPM

Lie him flat

You go to a bar for a 38 year old male who collapsed in the bathroom. Pt is pulseless and apneic, how would you treat this patient?

load and rapid transport

try a round of narcan to see response

CPR and AED when ready

check for family for a medical HX