Demo Test

1. 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

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. 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

4. According to the current AHA Guidelines how many milliliters of tidal volume should you deliver via BVM to an adult patient who is apneic?

80ml-100ml

100ml-500ml

500ml-1000ml

Just enough to give adequate chest rise

5. Your patient is an 18 month old boy who, as reported by his mother, is "acting strange". You arrive to find the child reclined in his mother's arms. "I don't know what's wrong with him," she says. "I came out of the bathroom and he started making odd sounds and had spit running out of his mouth." What is the first thing you should do?

Roll the child into a recovery position and begin suctioning the oropharynx.

Notify the pediatric ward at the hospital of the situation and do a rapid transport with high flow O2 via NRB.

Insert a properly measured OPA to secure the airway. Pad the child's shoulders to align the airway.

Get a general impression of the child by visually assessing the quality of his respirations, his skin color, and his appearance.

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. 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

8. You are called to the scene of a structure fire. Upon arrival you notice several people staggering down the block away from the fire with soot marks around their mouths. You should?

Tell them to stay where they are and wait until you come back

Call for additional ambulances and continue to assess the scene

Treat them immediately and find out if there are others in the building

Get ready for the building to explode because it could be a meth lab

9. The umbilical cord is wrapped tightly around the baby's neck and you have tried unsuccessfully to slip the cord over the head. What should your next course of action be?

Push the baby's head into the vagina until the cord comes loose

Clamp the cord in two places and cut it in the middle

Support the head and suction the baby's nose and mouth

Massage the uterus to stimulate harder contractions to free the baby

10. 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?

Airway, Respiration and Ventilation: