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Emergency Medicine and Patient Assessment Quiz

Total questions: 99

Worksheet time: 50mins

Name
Class
Date
1.

At a school when a child is injured and unresponsive, you have consent to treat based upon which principle?

a)

Informed consent

b)

Implied consent

c)

Expressed consent

d)

Parental consent

2.

A 48-year-old woman is in a darkened room with nausea and diaphoresis, complaining of a severe headache that is worse than others. She can wrinkle her face on request. What should you suspect?

a)

Migraine headache

b)

Stroke

c)

Sinus infection

d)

Tension headache

3.

A tennis player was hit in the eye with a tennis ball and is in great pain. What should you look for when examining his eye?

a)

Blood present in the iris

b)

Swelling of the eyelid

c)

Retinal detachment

d)

Foreign object in the eye

4.

Intracerebral bleeding that causes a stroke most likely occurs when which of the following ruptures?

a)

Aneurysm

b)

Artery

c)

Vein

d)

Capillary

5.

Which sign would most likely indicate that the airway of a patient may soon be blocked?

a)

Stridor

b)

Wheezing

c)

Coughing

d)

Sneezing

6.

Which of the following, when imbalanced in the bloodstream, causes the fastest alteration in mental status?

a)

Oxygen

b)

Glucose

c)

Sodium

d)

Potassium

7.

A man complains of blurred vision, headache, and nausea, and other family members have the same symptoms. What should you suspect?

a)

Carbon monoxide poisoning

b)

Food poisoning

c)

Influenza

d)

Allergic reaction

8.

When a patient continues to provide many specifics regarding their disease, how can you best develop empathy, respect, and open communication with them?

a)

Reflection

b)

Interrogation

c)

Confrontation

d)

Avoidance

9.

A 48-year-old male complains of severe, intermittent epigastric pain after eating a breakfast of sausage, biscuits, and bacon. What should you suspect?

a)

Upper GI bleeding

b)

Appendicitis

c)

Peptic ulcer

d)

Gallbladder disease

10.

When performing chest compressions on an adult, what part of the body should you compress?

a)

The abdomen

b)

The chest

c)

The neck

d)

The back

11.

A 19-year-old male is unconscious after snorting cocaine, with BP 118/88, P 160 and irregular, R 24 and irregular. What should you prepare for?

a)

Stroke

b)

Cardiac arrest

c)

Hypoglycemia

d)

Allergic reaction

12.

Which of the following would require you to transport a patient in spite of their statements regarding refusal of care?

a)

Mild headache

b)

Threat of suicide

c)

Sore throat

d)

Minor cut

13.

A 56-year-old man complains of chest pain for the past hour, took nitroglycerin without relief, and has BP 104/78, P 118, R 16, SpO2 96%. What should you do?

a)

Give more nitroglycerin

b)

Prepare for transport

c)

Give insulin

d)

Advise rest at home

14.

A pregnant female transitions from pre-eclampsia to eclampsia when she:

a)

Develops a rash

b)

Has a seizure

c)

Experiences nausea

d)

Has high blood pressure

15.

You find an 84-year-old female in a nursing care facility, hot to touch, with a fever, BP 104/84, P 96, R 22 and shallow, communicating with moans. What should you do?

a)

Give her water

b)

Assist her ventilations with a BVM

c)

Give her insulin

d)

Let her rest

16.

A 26-year-old female collapsed at a youth football game, is cold, clammy, and does not answer questions appropriately. She has a diabetic bracelet, BP 116/82, P 90, R 16, SpO2 95%. What should you suspect?

a)

Stroke

b)

Hypoglycemia

c)

Heart attack

d)

Asthma

17.

You took a man's blood pressure at a health fair and found a diastolic pressure of 96 mmHg. What should you advise him to do?

a)

Ignore the result

b)

See his family physician

c)

Take aspirin

d)

Exercise immediately

18.

What is the first action you should take as the first EMS provider to arrive on scene at a roll-over accident of a tour bus?

a)

Begin triage of patients

b)

Implement the Incident Command System

c)

Start CPR on any unresponsive patient

d)

Call for additional ambulances

19.

A patient who doesn't know their name, location, or the time of day is documented as:

a)

Unconscious

b)

Disoriented

c)

Stable

d)

Responsive

20.

If your team leader is about to administer a drug to a patient and you think it is incorrect, what should you do?

a)

Ignore and let him proceed

b)

Repeat the drug name and confirm he wants to give it

c)

Administer the drug yourself

d)

Call for another team member

21.

How can you maintain traction on a mid-shaft humerus fracture?

a)

By applying a tourniquet

b)

By splinting it with a sling and swathe

c)

By massaging the area

d)

By elevating the arm

22.

A 64-year-old woman collapsed at home with headache and left-sided weakness, unable to lift her left arm. What should you do after administering oxygen?

a)

Wait for her to recover

b)

Prepare for immediate transport

c)

Give her pain medication

d)

Ask her to walk around

23.

A 20-year-old male with a gunshot wound to the left chest has low blood pressure and shallow respirations. You suspect the loss of BP is due to:

a)

Heart attack

b)

Loss of venous return to the heart

c)

Stroke

d)

Allergic reaction

24.

After starting CPR on a 58-year-old man, the AED indicates "no shock advised" and the medic intubates him. You are told to ventilate while chest compressions continue. How many ventilations per minute should you provide?

a)

2 to 4

b)

8 to 10

c)

12 to 15

d)

20 to 25

25.

A child who interrupts communication, stares with a blank face for a few minutes, and then returns to full consciousness is likely experiencing:

a)

Grand mal seizure

b)

Petit mal seizure

c)

Panic attack

d)

Sleepwalking

26.

A young man fell from a ladder and is holding his lower leg in pain with visible angulation. What is the first thing you should do?

a)

Apply a splint immediately

b)

Palpate his dorsalis pedis pulse

c)

Give him pain medication

d)

Move him to a stretcher

27.

What is the recommended immediate action for a man struck on the head with a tire iron who is bleeding profusely from a 3" laceration with bone fragments visible?

a)

Apply digital pressure directly over the bleeding arteriole.

b)

Clean the wound with antiseptic and wait for medical help.

c)

Cover the wound with a dry cloth and do nothing else.

d)

Give the patient water to drink and monitor his pulse.

28.

A 32-year-old man with asthma is wheezing despite taking his prescribed medications and has an SpO2 of 88% on room air. After providing oxygen, what should you do next?

a)

Administer another dose from his inhaler.

b)

Give him aspirin.

c)

Ask him to rest and monitor his breathing.

d)

Provide intravenous fluids.

29.

A 26-year-old man is anxious, hot, has dry skin, and a sweet smell on his breath. What condition should you suspect?

a)

Hyperglycemia

b)

Hypothermia

c)

Asthma attack

d)

Stroke

30.

Why is aspirin provided to a patient complaining of chest pain?

a)

It disrupts clotting factors.

b)

It lowers blood pressure.

c)

It increases heart rate.

d)

It relieves muscle cramps.

31.

An 18-year-old unconscious male was ejected from a car crash and has a scalp laceration, an angled leg, and a hematoma over the right parietal area of his skull. What should be your priority of care?

a)

Rapid transport

b)

Splint the leg first

c)

Clean the scalp wound

d)

Monitor his pulse for 10 minutes

32.

A 42-year-old male with sickle cell disease has severe joint pain. What should you do first?

a)

Administer oxygen by non-rebreather mask.

b)

Give him aspirin.

c)

Apply a cold compress to the joint.

d)

Ask him to walk around.

33.

At a restaurant, you encounter an anxious but conscious man who is exhibiting the international sign for choking and you hear stridor with each inhalation. What should you do?

a)

Perform a series of abdominal thrusts.

b)

Give him water to drink.

c)

Ask him to cough forcefully.

d)

Pat him on the back gently.

34.

You are demonstrating positive community relations when you:

a)

Work at a bicycle safety camp.

b)

Ignore community events.

c)

Refuse to answer questions from the public.

d)

Avoid interacting with children.

35.

A 72-year-old man awoke with a dramatic change in his mental status and his wife called 9-1-1. Which of the following questions should be the most beneficial to you when you arrive?

a)

Can you tell me what he was like yesterday?

b)

What did he eat for breakfast?

c)

Has he traveled recently?

d)

What is his favorite hobby?

36.

A 62-year-old man with a history of heart disease complains of chest pain and tells you he has been prescribed nitroglycerin. What should you do first?

a)

Establish a set of vital signs.

b)

Give him water.

c)

Administer nitroglycerin immediately.

d)

Ask him to rest.

37.

Which of the following is a principle to use when carrying a patient down a flight of stairs?

a)

Secure the patient's hands in the device being used.

b)

Allow the patient to hold onto the railing.

c)

Carry the patient without any device.

d)

Let the patient walk down with assistance.

38.

A 6-year-old boy fell from his bicycle striking his head against a curb. He was wearing a helmet. On arrival, he is unconscious and has irregular breathing. You find a large hematoma on the top of his head and his bike helmet is broken in two. What should you do first?

a)

Administer oxygen by non-rebreather mask.

b)

Give him water.

c)

Remove the helmet and let him rest.

d)

Apply ice to the hematoma.

39.

Dysuria and a penile discharge that is yellow in color are symptoms of:

a)

A sexually transmitted disease.

b)

A urinary tract infection.

c)

Diabetes.

d)

Kidney stones.

40.

A 4-year-old drowning victim is apneic and pulseless. You give two rescue breaths and then:

a)

Administer 30 chest compressions at a 2" depth.

b)

Wait for the victim to respond.

c)

Call for help and do nothing else.

d)

Place the victim in the recovery position.

41.

A 24-year-old grabbed a family valuable from flames and suffered a full thickness burn of his right hand and partial thickness burns of his right lower arm. His scalp hair is slightly burned. You should consider this a:

a)

Critical burn.

b)

Minor burn.

c)

Superficial burn.

d)

Non-serious burn.

42.

Where is the primary origin of a pulmonary embolism?

a)

Lower leg

b)

Upper arm

c)

Abdomen

d)

Neck

43.

A 26 year old man crashed his motorcycle and is unconscious with snoring respirations. What should you do first?

a)

Insert a nasopharyngeal airway

b)

Give him water

c)

Start chest compressions

d)

Apply a cervical collar

44.

After treating a car crash victim with a scalp laceration who refuses care, what should you do next?

a)

Determine if he is competent

b)

Force him to accept care

c)

Leave the scene immediately

d)

Call for police assistance

45.

A 19 year old male develops jugular vein distention and clear breath sounds after a stab wound to the chest. What should you suspect?

a)

Cardiac tamponade

b)

Tension pneumothorax

c)

Pulmonary embolism

d)

Asthma attack

46.

When assisting a patient with an EpiPen auto-injector, what dose of epinephrine are you administering?

a)

0.3 mg

b)

1.0 mg

c)

0.1 mg

d)

2.0 mg

47.

Which abdominal disorder is most likely to cause colicky, intermittent pain?

a)

Renal stones

b)

Appendicitis

c)

Gastric ulcer

d)

Pancreatitis

48.

When arriving at a scene where CPR is being administered to an apneic and pulseless man, what should you do first?

a)

Attach the AED

b)

Start IV fluids

c)

Give oxygen

d)

Check blood pressure

49.

A 29 year old male with sudden chest pain and weakness has a rapid, irregular pulse and SpO2 of 96%. What should you do first?

a)

Transport him in a position of comfort

b)

Start chest compressions

c)

Give aspirin

d)

Administer nitroglycerin

50.

What is the primary cause of hypotension in a patient with cardiogenic shock?

a)

Left ventricular failure

b)

Right atrial enlargement

c)

Pulmonary hypertension

d)

Renal failure

51.

What should you do next for a 32 year old woman involved in a head-on car crash with an open right femur fracture and possible left femur dislocation or fracture?

a)

Perform a rapid extraction.

b)

Apply ice and transport routinely.

c)

Administer pain medication and wait for further instructions.

d)

Immobilize the patient and wait for advanced support.

52.

A 10 year old boy was hit in the ear with a baseball and has a large hematoma developing in the soft tissue of the ear. What is the recommended management?

a)

Apply ice and transport routinely.

b)

Perform a rapid extraction.

c)

Administer antibiotics immediately.

d)

Drain the hematoma on site.

53.

A 20 year old male overdosed on a hallucinogenic drug and is combative after being "hog tied" by law enforcement. What should you report this patient as?

a)

Agitated delirium.

b)

Cardiac arrest.

c)

Syncope.

d)

Spontaneous pneumothorax.

54.

When providing a report to the hospital on a hand held radio, what is the best way to speak into the radio?

a)

Speak into the radio from about 2" away and have the antenna held upright.

b)

Hold the radio 12" away and speak loudly.

c)

Speak directly into the antenna.

d)

Whisper into the radio from a distance.

55.

An 86 year old man has a syncopal episode and you find his abdominal pulsations match his heart rate. What should you manage him for?

a)

An aortic dissection.

b)

Spontaneous pneumothorax.

c)

Agitated delirium.

d)

Palpitations.

56.

What is the most reliable method to assess the effectiveness of your ventilations?

a)

Observe the rise and fall of the chest.

b)

Check the patient’s pulse.

c)

Measure blood pressure.

d)

Listen for breath sounds only.

57.

A 26 year old male reports his heart feels like "it's pounding so hard it's going to burst through my chest." What is the most likely symptom he is experiencing?

a)

Palpitations.

b)

Syncope.

c)

Spontaneous pneumothorax.

d)

Agitated delirium.

58.

A 19 year old male playing basketball is found sweating, in a tripod position, with increased breath sounds over his right lung. What should you suspect?

a)

Spontaneous pneumothorax.

b)

Aortic dissection.

c)

Palpitations.

d)

Agitated delirium.

59.

A 29 year old gravida 6, para 2 is in the third trimester of pregnancy. She has gained a lot of weight, has evidence of edema in her ankles, and shortness of breath. Her vital signs are BP 186/96, P 96, R 20 and her SpO2 is 96% on room air. What should you suspect?

a)

pre-eclampsia

b)

gestational diabetes

c)

placenta previa

d)

hyperemesis gravidarum

60.

A gas field worker was struck by lightning. When you arrive he is unconscious and lying on the ground. The storm continues and you see lightning nearby. What should you do?

a)

wait for the storm to pass

b)

immediately start CPR

c)

move him to your vehicle

d)

call for backup

61.

A 42 year old male says he has chest pain that began when he was working out at the gym 15 minutes ago. Which of the following questions would be one of the first you should ask?

a)

Does any member of your family have heart disease?

b)

Have you eaten anything unusual today?

c)

Do you have a history of allergies?

d)

Did you drink enough water before exercising?

62.

A middle aged woman is found by law enforcement sitting in front of a coffee shop at 4:00 AM. She tells you she is waiting for President Obama to tell her why America uses drones to kill people. She says she knows him because she was Secretary of Defense. What should you suspect?

a)

schizophrenia

b)

bipolar disorder

c)

dementia

d)

panic disorder

63.

If present, which of the following sounds should cause you the most concern in a victim who was rescued from a fire?

a)

Hoarse voice

b)

Rapid breathing

c)

Coughing

d)

Sneezing

64.

The most common problem associated with a failure to obtain a proper mask seal when ventilating a patient is due to

a)

not maintaining an open airway on the patient

b)

using the wrong size mask

c)

not enough oxygen flow

d)

patient movement

65.

A 26 year old female runner has right side flank pain. She is unable to lay in a comfortable position. The pain is severe and intermittent in nature. What should you suspect?

a)

renal calculi

b)

appendicitis

c)

muscle strain

d)

ovarian cyst

66.

You see a dark green fluid on a newborn boy's face right after delivery. What should you do?

a)

clean the fluid off him

b)

call for a pediatrician

c)

give oxygen immediately

d)

start chest compressions

67.

What is the primary use of a prehospital care report form?

a)

Continuum of care

b)

Billing purposes

c)

Legal documentation only

d)

Training new EMTs

68.

Which of the following is the earliest sign of a possible head injury?

a)

Altered mental status

b)

Severe headache

c)

Vomiting

d)

Loss of consciousness

69.

A 19 year old male was stabbed in the right chest. Ten minutes later, he is in respiratory distress, has cyanosis in capillary beds, and jugular vein distention. His vital signs are BP 96/88, P 108, R 24 and labored. What should you suspect?

a)

Tension pneumothorax

b)

Cardiac tamponade

c)

Pulmonary embolism

d)

Asthma attack

70.

An EMT responded to a 9-1-1 call, assessed a patient, assisted with an improper medication, and rapidly transported his patient to the hospital. Legally, this EMT could be prosecuted for:

a)

Negligence

b)

Assault

c)

Battery

d)

Malpractice

71.

A young woman has a fever, is weak, has nausea, foul smelling vaginal discharge, and low abdominal pain on palpation. What should you suspect?

a)

Pelvic inflammatory disease

b)

Urinary tract infection

c)

Appendicitis

d)

Ovarian cyst

72.

After a serious call in which children lost their lives, what should the supervisor do to help the crews on the scene?

a)

Conduct emotional diffusion

b)

Immediately send everyone home

c)

Ignore the incident and continue working

d)

Assign new tasks without discussion

73.

What is the major complication of irregular chest wall movement after a car accident?

a)

Underlying pulmonary contusion

b)

Broken arm

c)

Head injury

d)

Internal bleeding

74.

For victims in cardiac arrest, what does an excessive number of ventilations cause?

a)

A decrease in venous return and cardiac output

b)

An increase in blood pressure

c)

Improved oxygenation

d)

Faster recovery

75.

When dispatched to a shooting in a high crime neighborhood, what should you do upon arrival?

a)

Park away until law enforcement calls you

b)

Enter the area immediately

c)

Start treating victims before police arrive

d)

Call for backup and wait in your vehicle

76.

A 10-year-old boy collapses after being struck in the sternum by a baseball. Bystanders are doing chest compression only CPR. What should you do first?

a)

Attach the AED

b)

Check for a pulse

c)

Call for advanced help

d)

Start mouth-to-mouth resuscitation

77.

A 19-year-old male involved in a car crash has scalp laceration, rib fractures, and a fractured right upper leg. What should your management focus on?

a)

Hypoperfusion

b)

Pain management

c)

Immobilization

d)

Airway clearance

78.

Which splint provides the best pain relief for a fractured clavicle?

a)

Figure eight bandage

b)

Air splint

c)

Traction splint

d)

SAM splint

79.

Given the choice between ground transport (30 minutes to local hospital, 2 hours to trauma center) and helicopter (25 minutes to trauma center), which situation should cause you to call the helicopter?

a)

When the trauma center is 2 hours away by ground and 25 minutes by air

b)

When the local hospital is 30 minutes away by ground

c)

When the patient is stable and can wait

d)

When the weather is bad

80.

When should you assist a patient with nitroglycerin based on their heart rate?

a)

If the patient's heart rate is below 100

b)

If the patient's heart rate is above 100

c)

If the patient's heart rate is exactly 100

d)

Regardless of the patient's heart rate

81.

A 26 year old male who is unconscious, breathing deeply, incontinent of urine, and wearing a necklace indicating epilepsy is most likely in which state after a seizure?

a)

Preictal

b)

Postictal

c)

Interictal

d)

Febrile

82.

What is the most important airway management step for a man with facial burns and tachypnea after escaping a burning building?

a)

Suctioning the airway

b)

Monitoring airway for edema

c)

Giving oral fluids

d)

Placing in recovery position

83.

What is a recommended method for maintaining the airway of an infant?

a)

Placing a towel under the neck

b)

Using a towel below the shoulders

c)

Tilting the head back

d)

Using a chin lift

84.

A newborn with an APGAR score of 9 at one minute after delivery should be cared for with which primary goal?

a)

Preventing infection

b)

Preventing hypothermia

c)

Promoting feeding

d)

Monitoring blood pressure

85.

When interviewing a patient, what is the best way to establish rapport?

a)

Stand above them

b)

Sit beside them

c)

Be at their eye level looking into their eyes

d)

Avoid eye contact

86.

After controlling c-spine in a patient who has just stopped seizing following a car crash, what should you do next?

a)

Check blood pressure

b)

Determine if he has a gag reflex

c)

Start CPR

d)

Administer oxygen

87.

A 68 year old man with chronic bronchitis complains of increased coughing and shortness of breath. What is the most appropriate question to ask him?

a)

Have you eaten today?

b)

How many times have you used your inhaler today?

c)

Do you have chest pain?

d)

Are you allergic to any medications?

88.

What should you say to an alcoholic man who claims to see "fireflies buzzing around my head," but you see no fireflies?

a)

There are no fireflies. I don't see them.

b)

You must be imagining things.

c)

Try to ignore the fireflies.

d)

Let me look for the fireflies with you.

89.

As you approach a middle-aged man who makes a fist and points to you, what should you do?

a)

Back away and develop rapport.

b)

Move closer and try to restrain him.

c)

Ignore his gesture and continue approaching.

d)

Call for police assistance immediately.

90.

You find a 58-year-old female who is motionless and cyanotic, takes one small breath, and you cannot locate a pulse. What should you do next?

a)

Begin chest compressions.

b)

Check her blood pressure.

c)

Give her water.

d)

Wait for her to breathe again.

91.

During transport of an unconscious 74-year-old female with an irregular respiratory pattern, after inserting an airway and suctioning her, how should you position her head?

a)

Keep her head flat on the cot.

b)

Elevate her head.

c)

Turn her head to the side.

d)

Place her in a sitting position.

92.

A violent 81-year-old man with a history of Alzheimer's needs to be transported due to shortness of breath and SpO2 of 85% on room air. What should you do?

a)

Have three partners to restrain him.

b)

Transport him alone.

c)

Give him medication to calm him.

d)

Ignore his violent behavior.

93.

What is the quickest way to enter a car to reach an unconscious patient locked inside after a crash?

a)

Use a spring loaded center punch.

b)

Break the window.

c)

Open the door normally.

d)

Call for emergency services.

94.

A patient with left ventricular failure will have difficulty exchanging gases due to which of the following?

a)

Fluid in the alveoli.

b)

Airway obstruction.

c)

Bronchospasm.

d)

Pulmonary embolism.

95.

What is the most common origin of bacterial peritonitis following an open abdominal wound?

a)

Large bowel perforation

b)

Small bowel obstruction

c)

Gastric ulcer

d)

Pancreatitis

96.

A homeless man is found under an overpass, and his friends report he has been "acting funny" for two days. His GCS is 8. What should you suspect?

a)

Subdural hematoma

b)

Myocardial infarction

c)

Diabetic ketoacidosis

d)

Sepsis

97.

A 60-year-old man calls because he is having "the worst headache of his life." His BP is 186/104, P 96, R 16, and SpO2 is 98% on room air. What is the likely cause of his headache?

a)

Hypertension

b)

Migraine

c)

Sinusitis

d)

Dehydration

98.

Which of the following best describes the technique to assist ventilations?

a)

Hyperextend the head, squeeze the bag slowly when the patient inhales

b)

Flex the neck, squeeze the bag rapidly

c)

Tilt the chin down, squeeze the bag intermittently

d)

Keep the head neutral, squeeze the bag continuously

99.

A 76-year-old female with emphysema is on home oxygen at 4 Lpm via nasal cannula. Her respiratory treatments aren't working, and her SpO2 is 90% on 4 Lpm. What should you do first?

a)

Administer oxygen by non-rebreather mask

b)

Increase nasal cannula flow to 6 Lpm

c)

Start CPR

d)

Give bronchodilators