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WorksheetsAEMT
Total questions: 98
Worksheet time: 49mins
You arrive to a trauma patient with shallow breathing at 6/min and poor chest rise. What is the BEST first intervention?
Nasal cannula 6 L/min
NRB 15 L/min
BVM with high-flow O2
OPA with no ventilations
While ventilating an unresponsive patient, you feel increasing resistance and the stomach begins to distend. Your BEST next action is to:
Ventilate faster
Apply more pressure
Reposition airway and reduce rate
Insert OPA
A patient with wheezes, increased work of breathing, and prolonged expirations MOST likely needs:
CPAP
Suction
Albuterol
Epinephrine 1:1,000 IM
You are ventilating a trauma patient who suddenly becomes hypotensive after you apply a BVM with PEEP. Why?
Airway swelling
Increased intrathoracic pressure reduces venous return
Tension pneumothorax spontaneously resolved
Increased preload
A patient with facial trauma and blood in the airway is gurgling. What is the FIRST priority?
NRB
Suction
Albuterol
Rapid transport
A patient with stridor after a burn injury to the face is MOST likely experiencing:
Bronchitis
Epiglottic swelling
Hypovolemia
Pneumonia
A conscious hypoxic patient refuses CPAP. You should:
Force application
Apply nasal cannula
Apply NRB
Contact medical direction
Which airway adjunct is acceptable for a semi-conscious patient with a gag reflex?
OPA
NPA
BVM
Supraglottic airway
A trauma patient with jaw pain cannot open his mouth. You need to ventilate. Best option?
OPA
Jaw thrust
NPA
Two-person BVM
A patient with COPD suddenly becomes cyanotic. Which oxygen delivery method is the BEST immediate option?
CPAP
NRB 15 L/min
Nasal cannula
Venturi mask
When is CPAP contraindicated?
Patient is awake
Patient has wheezes
Systolic BP 84
RR 24
A bag-mask ventilation complication MOST likely in pediatrics is:
Gastric distension
Hypertension
Metabolic acidosis
Severe bradycardia
During airway assessment, snoring indicates:
Tongue obstruction
Fluid obstruction
Lung collapse
Partial bronchospasm
Which patient MOST requires immediate ventilation?
RR 28 shallow, SpO2 92%
RR 6 irregular, altered LOC
RR 20 with wheezes
RR 22 with nasal flaring
A patient with severe facial trauma and profuse bleeding into the airway. Your BEST airway management is:
OPA
BVM with two providers
Aggressive suction and BVM
CPAP
Which finding MOST suggests cardiogenic shock?
Warm skin
Bounding pulses
Pulmonary edema
High BP
A patient with chest pain and diaphoresis is most concerning for:
Hypoglycemia
MI
COPD
Stroke
A hypoglycemic patient who is unresponsive should receive:
Oral glucose
Dextrose IV
Albuterol
Naloxone
A diabetic patient with fruity odor on breath most likely has:
Hypoglycemia
DKA
Stroke
Alcohol intoxication
A patient collapses with no pulse. Defibrillator recommends shock. Rhythm?
Asystole
PEA
V-fib
Sinus tachycardia
A patient in anaphylaxis with wheezing and hypotension MOST needs:
Albuterol
Epinephrine IM
DPIs
Steroids
A 70-year-old in CHF has rales and respiratory distress. Best management?
CPAP
NRB
Suction
Albuterol
Stroke symptoms for 25 minutes. The MOST important intervention?
High-flow O2
Maintain airway, rapid transport to stroke center
CPR
Narcan
Hypovolemic shock typically presents with:
Bradycardia
Warm skin
Tachycardia
Hypertension
A dialysis patient is short of breath with JVD and crackles following missed session. Most likely?
Volume overload
Pneumonia
DKA
Anemia
Which is MOST dangerous in a patient on clopidogrel?
Nosebleed
Head trauma
Leg laceration
Finger cut
A confused, sweaty, pale patient with normal respirations most likely has:
Anaphylaxis
Hyperglycemia
Hypoglycemia
Anxiety
A patient with sepsis is MOST likely to present with:
Hypertension
Bradypnea
Tachycardia and warm skin early
Cold skin early
A patient with pinpoint pupils and slow respirations likely needs:
Albuterol
Narcan
Epinephrine
Dextrose
A patient with nausea, vomiting, and LUQ pain after alcohol binge may have:
Appendicitis
Pancreatitis
Cholecystitis
AAA
A patient with bright red hematemesis likely has bleeding from:
Stomach
Lower intestines
Rectum
Esophagus
Hyperventilation in sepsis often causes:
Respiratory acidosis
Respiratory alkalosis
Metabolic alkalosis
CO poisoning
A patient with a history of CHF and BP 90/60 should NOT receive:
CPAP
Oxygen
IV fluids
Positioning
Narcan should be titrated to:
Fully awaken patient
Reverse respiratory depression
Ensure withdrawal
Increase pain
A patient with paradoxical chest movement likely has:
Pneumonia
Flail chest
COPD
Hyperventilation
A patient with JVD, hypotension, and muffled heart sounds has:
Tension pneumothorax
Cardiac tamponade
Chest contusion
Flail chest
A gunshot wound to the abdomen with stable vitals. BEST care?
Remove protruding objects
Cover eviscerations with moist sterile dressing
Apply direct pressure to belly
Position supine and transport
A patient with inadequate breathing after blunt chest trauma suddenly loses pulses during ventilation. Suspect:
Pneumonia
Tension pneumothorax
Asthma
CHF
Pain, pallor, paresthesia, pulselessness, and paralysis suggest:
Strain
Sprain
Compartment syndrome
Dislocation
Pelvic fracture blood loss potential:
250 mL
500 mL
1 L
Up to 3 L
A severe burn patient’s FIRST priority is preventing:
Infection
Hypothermia
Scarring
Pain
An avulsed tooth should be transported:
In ice water
In milk or saline
Wrapped dry
In a plastic glove
A patient with flank ecchymosis likely has:
Intraperitoneal bleeding
Retroperitoneal bleeding
Rib fracture
Liver injury
Traumatic asphyxia occurs after:
Airway obstruction
Sudden chest compression
Fall injury
Hypoxia over time
The MOST destructive organ when ruptured is the:
Liver
Pancreas
Spleen
Stomach
Evisceration management includes:
Pushing organs back
Moist sterile dressing
Dry dressing
Direct pressure
Knee dislocations are dangerous because of potential injury to:
Tibial nerve
Popliteal artery
Femoral artery
Ulnar nerve
Shoulder dislocations are generally:
High-risk for vascular damage
Low-risk and more easily reduced
Rare
Usually open injuries
A patient with RUQ pain after trauma likely injured the:
Liver
Spleen
Pancreas
Kidney
A patient with LLQ pain after blunt trauma may have injury to:
Liver
Appendix
Colon
Spleen
Fluid management in hemorrhage focuses on maintaining systolic BP:
60
70
80–90
100–120
A patient with ear drainage after head trauma likely has:
Ear infection
Basilar skull fracture
Ruptured TM only
Sinusitis
Burns to face, hands, and feet are:
Minor
Moderate
Critical
Non-traumatic
A chest wound with bubbling during breathing indicates:
Solid organ injury
Sucking chest wound
Flail chest
Cardiac tamponade
Eye impalement management:
Remove object
Stabilize, cover both eyes
Cover only injured eye
Use pressure
Blood loss for tib-fib fracture:
Minimal
250 mL
500 mL
1,000 mL
Traction splints are used for:
Femoral neck fracture
Midshaft femur fracture
Pelvic fracture
Ankle fracture
Diaphragmatic breathing suggests:
Rib fracture
Chest wall paralysis
Hyperventilation
Drug overdose
A patient with Cullen’s sign likely has:
Liver injury
Intraperitoneal bleeding
Kidney injury
Rib fracture
Grey Turner’s sign indicates:
Chest injury
Pancreatitis or retroperitoneal bleed
Spinal cord injury
Lung contusion
Severe burns increase risk of:
Hyperthermia
Hypothermia
Hypokalemia
Hypoglycemia
Chemical burns should be managed by:
Neutralizing agent
Immediate flushing
Dry cooling
Dressing first
Partial-thickness burns present with:
No pain
Blisters and pain
Charring
Eschar only
Subcutaneous emphysema indicates:
Airway obstruction
Air leakage into soft tissues
Chest wall swelling
Cardiac tamponade
The most immediate complication of rib fractures is:
Infection
Atelectasis
Pneumonia
Bleeding
Murphy’s sign indicates:
Appendix
Gallbladder inflammation
Liver laceration
Kidney stone
A tension pneumothorax MOST classically presents with:
Equal breath sounds
Deviation of trachea away from injured side
Bradycardia
Hypertension
A trauma patient with normal vitals may still have serious abdominal injuries because:
Abdomen has no vessels
Early signs can be subtle
Pain always appears immediately
Bleeding always causes visible bruising
A newborn with HR <60 despite drying and stimulation should receive:
Narcan
BVM ventilation
Chest compressions only
Oxygen blow-by
Children lose heat primarily through:
Conduction
Evaporation
Radiation due to large surface area
Convection
A pediatric burn patient is at greatest risk for:
High fever
Hypothermia
Hypertension
Bradycardia
A child with stridor and drooling most likely has:
Asthma
Croup
Epiglottitis
Allergic reaction
Pediatric airway differences include:
Larger tongue proportion
Wider airway
Rigid trachea
Small occiput
A full-term newborn breathing 30/min with cyanosis and limp appearance needs FIRST:
CPR
Ventilations
Warming and suction
NRB
A pregnant trauma patient should be positioned:
Supine
Prone
Left lateral
Right lateral
A prolapsed cord requires:
Push cord back
Lift baby’s head off cord
Apply pressure to abdomen
Push baby back in
A newborn is not breathing but has a HR of 120. Best action:
CPR
BVM
Suction only
Passive O₂
A child with 10% partial-thickness burns needs:
IV fluids
Oral fluids
No transport
Immediate intubation
A pediatric airway obstruction showing poor air movement should be treated with:
Cough encouragement
Back blows and chest thrusts
Abdominal thrusts
NRB
A pregnant patient with abdominal trauma may lose large amounts of blood before showing symptoms because:
Increased blood volume
Smaller uterus
No pain
Placental protection
APGAR is evaluated at:
1 and 5 minutes
10 and 20 minutes
2 and 4 minutes
Immediately after birth only
A child with a suspected epiglottitis should NOT receive:
Humidified O₂
Calm environment
Airway manipulation
Transport
A pediatric patient with 30% burns MOST needs:
Ice
Immediate fluid resuscitation
Oral hydration
Antibiotics
The MOST important scene safety consideration is:
Patient condition
Number of bystanders
Personal safety
Weather
During triage, a patient who is not breathing until you open their airway is tagged:
Green
Yellow
Red
Black
Most proper lift is with:
Back muscles
One hand
Legs
Arms only
You are exposed to blood. First action:
Tell patient
Wash immediately
Finish call
Report to supervisor after shift
The best way to avoid EMT-provider injury in lifting is:
Bend at waist
Keep weight close
Twist while lifting
Lift fast
A violent patient requires:
Immediate restraint
Police assistance
Four-point EMT restraint
No intervention
You have two critical patients, limited help, and a fire nearby. First step?
Triage
Begin care
Move patients
Evacuate self
A rigid C-collar is applied for:
Isolated ankle fracture
Neck pain after trauma
Isolated rib fracture
Flu symptoms
A patient on scene says they refuse care repeatedly but appears confused. Best action:
Allow AMA
Obtain signature
Determine capacity
Leave scene
HIPAA MOST applies to:
Billing only
Patient privacy
Ambulance cleaning
Radio communication
Best method to document trauma timing is:
Approximate
Use bystander reports
Exact times and objective findings
General statements
In a hazmat event, EMS should stage in:
Hot zone
Warm zone
Cold zone
Contamination corridor
When radioing the hospital, you should:
Give full patient history
Only include relevant info
Provide personal opinion
Speak casually
For a helicopter landing zone, minimum size is:
10×10 ft
50×50 ft
100×100 ft
200×200 ft
The BEST predictor of successful resuscitation is:
Provider skill
Early CPR and defibrillation
Patient age
EMS arrival time only
