EMT-B PRACTICE REGISTRY EXAM

You and your partner are called to the home of a 75-year-old man complaining of severe pain in the chest and nausea. As the patient is being assessed, he suddenly loses consciousness. The first step in treating a patient with severe chest pain is:

• obtain a patient history

• administer oxygen

• perform a physical exam

• obtain baseline vital signs

You and your partner are called to the home of a 75-year-old man complaining of severe pain in the chest and nausea. As the patient is being assessed, he suddenly loses consciousness. The first step in treating a patient who loses consciousness is to:

• obtain a pulse

• assess breathing

• attach an AED

• open the airway

You and your partner are called to the home of a 75-year-old man complaining of severe pain in the chest and nausea. As the patient is being assessed, he suddenly loses consciousness. The best way to decrease oxygen demand in the case of cardiac compromise is to:

• transport the patient immediately, flashing lights and using siren.

• reassure the patient.

• travel at high speed but without the siren.

• give the patient nitroglycerin.

You receive a call from the mother of a 3-year-old girl. The mother believes her daughter has “swallowed something.” When you arrive, the child does not acknowledge your presence. She has a high fever and a generalized rash. Proper care for a small child with possible airway obstruction consists of:

• performing a finger sweep.

• relieving mild airway obstruction

• avoiding agitation of the child and providing transport.

• applying back blows and abdominal thrusts.

You receive a call from the mother of a 3-year-old girl. The mother believes her daughter has “swallowed something.” When you arrive, the child does not acknowledge your presence. She has a high fever and a generalized rash. When a young child does not acknowledge the presence of a stranger in his or her environment, this is indicative of:

• altered mental state

• allergic reaction

• sleep

• age appropriate behavior

You receive a call from the mother of a 3-year-old girl. The mother believes her daughter has “swallowed something.” When you arrive, the child does not acknowledge your presence. She has a high fever and a generalized rash. A child with inattentive behavior, high fever, and generalized rash should be monitored for:

• dehydration

• projectile vomiting

• cardiac failure

• seizures

In which of the following patients is rapid trauma assessment most urgently needed?

• 90-year-old woman with pain in the right upper quadrant

• A conscious 50-year-old man who fell from the roof of his home and landed on his left arm.

• A conscious 25-year-old store clerk who was stabbed in the abdomen during an attempted robbery.

• An 8-year-old boy complaining of pain in the right lower quadrant of the abdomen.

You receive a call from a young woman whose car has been struck in a shopping mall parking lot. She is concerned about the elderly man who backed into her car. On arrival at the scene, you find a conscious 88-year-old man who appears to be having an acute ischemic stroke. The most appropriate course of action would be to:

• perform a physical exam

• administer oxygen and obtain a patient history

• monitor blood pressure

• administer oxygen (if O2 <94%) and provide transport to the hospital for fibrinolytic therapy.

The husband of a pregnant 21-year-old woman calls for assistance, fearing that his wife is about to deliver “any minute.” On arrival, delivery does not appear to be imminent; however, during transport, crowning occurs. The most appropriate course of action is to:

• check for the presence of the amniotic sac

• reassure the mother and wait for arrival at the hospital.

• apply gentle pressure to the infant’s head.

• gently slide the infant back into the birth canal.

The husband of a pregnant 21-year-old woman calls for assistance, fearing that his wife is about to deliver “any minute.” On arrival, delivery does not appear to be imminent; however, during transport, crowning occurs. On delivery, the infant is not breathing adequately and the umbilical cord is pulsating. You should immediately:

• pull on the umbilical cord.

• leave the umbilical cord attached until arrival at the hospital.

• clamp and cut the umbilical cord.

• clamp the umbilical cord and await arrival at the hospital.