Demo Test

1. 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

2. Which of the following patients has adequate respirations?

55 year old woman with paradoxical chest expansion at 22 per minute

A 31 year old man breathing at 20 per minute and slightly irregular

A 6 month old child who is breathing at 22 per minute

A 10 year old who is breathing with accessory muscles at 30 per minute

3. 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.

4. You have just arrived at the scene to find a 27-year-old female complaining of anxiety and breathing difficulties. Which of the following questions would be most appropriate to ask first?

What is your name?

What day is today?

Do you have a history of panic attacks?

How long have you been having trouble breathing?

5. A child between 3-5 would have normal vitals if they were?

35 breaths a minute, pulse of 88, and Systolic BP of 100

24 breaths a minute, pulse of 76, and Systolic BP of 98

20 breaths a minute, pulse of 120, and Systolic BP of 120

20 breaths a minute, pulse of 100, and Systolic BP of 110

6. 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

7. 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.

8. 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

9. The patient is a 6 year old girl whose mother says has been sick for a few days and then started having breathing problems this morning. Upon assessment, you notice the child is flaring her nostrils and has a hoarse voice when talking. What is she most likely suffering from and what should you do?

She could have croup and needs to be transported with a nasal cannula at 4 lpm

She could have tonsillitis and will require transport to the hospital in a position of comfort

She could have epiglottitis and needs to be transported with high flow O₂ on an NRB

She could have SARS and should be transported wearing a HEPA mask

10. Use of an SpO2 monitor on a person suffering from carbon monoxide poisoning will be inaccurate because ___________.

The oxygen has stronger bonding properties than the CO2 molecule

CO2 is odorless and tasteless so the monitor cannot detect it

Carbon monoxide has a weaker bond with the hemoglobin

The carbon monoxide molecule displaces the oxygen molecule inhibiting oxygen delivery

Airway, Respiration and Ventilation: