Demo Test

1. Which of the following is false regarding the use of isoproterenol?

Isoproterenol can cause ventricular irritability

Isoproterenol is perpetuated by alkaline solutions

External pacing should be considered before the use of isoproterenol

Isoproterenol should be used with caution for patients with recent MI

2. You arrive on scene with your partner to a restaurant where a man was reported to be choking. You enter and find an unconscious cyanotic male on the floor. He is supine with BBQ sauce on his mouth and a napkin in his hand. What would you do for this patient?

Verify apnea, give two slow breaths with high flow O2, and administer back thrusts until the object has been removed.

Ask the bystanders what happened. Verify no pulse, and attach the AED. Tell everyone to stand back, and hit analyze, following the prompts.

Administer abdominal thrusts, followed by a finger sweep, and then administer high flow O2. Monitor patient while transporting.

Head tilt, chin lift, verify apnea and begin Compressions. Upon completion of the compressions, give two slow breaths looking for chest rise and fall.

3. The correct initial dosage for Racemic Epinephrine for a pediatric patient with croup experiencing stridor at rest is?

0.25 ml

1.0 ml

0.5 mg/kg

5 mg

4. Because Epinephrine can be deactivated by alkaline solutions, it should not be mixed with?

Cardizem

Dextrose

Etomidate

Sodium Bicarbonate

5. You are intubating a 53 year old woman who is unconscious and has no gag reflex. Just after placing the tube and inflating the cuff you auscultate the epigastrum and lungs. You are unsure if tube placement is correct as there were conflicting sounds in the epigastrum. You should?

Remove the tube and check to see if the bulb is inflated still

Deflate the cuff and take the ET tube out

Inflate the cuff a little more to secure the airway

Deflate the cuff and retract .25 inches

6. You and your partner Larry are dispatched for a call to a man with severe stomach pain. When you arrive on scene you find him lying on the floor of the kitchen in the fetal position. There is vomit on his face and he says he is going to throw up again. He denies falling and says the only thing wrong is that his stomach is killing him. Assessing his abdomen you find it to be very tender to the touch and he moans when you palpate his stomach. He is also breathing very fast at 30 a minute. What other signs and symptoms might you find with this patient?

Tachycardia - hypotension - fever

Bottle of poison, cyanosis, and crepitus

Broken ribs, hypertension, and deep, rapid breathing

Rebound tenderness - metabolic acidosis

7. The pediatric assessment triangle is composed of three elements:

Level of Consciousness, Quality of Respirations, General Appearance

Muscle Tone, Respiratory depth and rate, Perfusion

Circulation, Appearance, Work of Breathing

Blood pressure, Pulse rate, Respiratory Rate

8. What are diuretics like Furosemide used for?

Increase levels of chloride and reduce levels of sodium

Increase the levels of sodium and chloride in the body

Remove fluids and prevent the reabsorption of sodium in the body

Remove fluid, sodium, and chloride from the body

9. You are intubating a female patient with assistance from your partner Rudy. After inserting the ET tube and inflating the cuff Rudy auscultates and finds breath sounds in the right lung only. This is a sign for you to?

Pull back on the tube slightly with the stylet

Continue ventilating as one lung is better than none

Deflate the cuff and insert it another .5 inch

Deflate the cuff and retract the tube about a half inch

10. If someone is having breathing problems as a result of atelectasis...

They have a serious respiratory infection that is best treated with antibiotics

Initial treatment should include high flow O2, IV fluid bolus, and rapid transport

They have a serious cardiac condition that needs to be corrected immediately

The alveoli are collapsed as a result of inadequate surfactant

Airway, Respiration and Ventilation: