Demo Test

1. A respiration rate would be considered within normal limits for an adult at____ per minute, for a 6-12 year old child at ____ per minute, and for an infant at____ per minute.

22 - 32 - 42

16 - 25 - 40

20 - 40 - 60

10 - 20 - 40

2. You arrive on scene to find a man in his 20's lying in a pool of vomit. You can see that he is breathing at about 16 breaths per minute and the depth of respiration is adequate. He has a small laceration on his forehead. You try getting a response by calling "Hey man can you hear me?" but he does not answer. Your partner gives him a quick sternal rub and his eyes pop open along with a whimper under his breath and then they close again. You ask him to perform several motor functions but he does not comply. He does not answer any of your questions. This man has a GCS of what?

14

9

4

7

3. You are assessing an 84 year old man. Upon auscultation of the lungs you discover crackles or rale sounds. He is complaining of chest pain and congestion. These signs and symptoms can indicate?

An embolism

Collapse of the vena cava

Right ventricular failure

Left ventricular failure

4. 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

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 Amy arrive on scene to find a woman with hives over much of her body. She is wheezing and complaining of difficulty breathing. Her husband says she was stung by a hornet and has no prior history of allergies. What would be the best course of action?

Use an autoinject epinephrine pen and administer to the patient's thigh. Obtain signed transport refusal.

Make sure blood pressure is above 100 mmHg and inject her with epinephrine 1/1000.

Get her BP, pulse, and respirations and then inject her with epinephrine only if her vitals are within normal limits.

High flow O₂ and rapid transportation if the patient appears to be going into anaphylaxis.

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

Cardizem

Dextrose

Etomidate

Sodium Bicarbonate

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 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.

10. Not only does Epinephrine stimulate cardiac function, but it also has Beta II properties that cause what?

Decrease in blood pressure

Decrease oxygen demand on the heart

Dilation of bronchioles

Decrease in cerebral perfusion pressure

Airway, Respiration and Ventilation: