Demo Test

1. 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

2. You arrive on scene with your partner Emilio to find a woman who is having problems breathing. She is speaking in 1 or 2 word bursts and is on oxygen at 3 liters per minute. There is an ashtray next to her bed loaded with cigarette butts. She says her care taker called the ambulance and she does not want you there. She says she will allow you to take her vitals but then you have to leave. Her BP is 100/60 her pulse is 48 and her respirations are 18. She says she is 89 years old and has a pacemaker and is on high blood pressure medication. "I just want to be old, please leave", she says. What should you do?

Transport her to the ER. Her vitals dictate that you must

Tell the care giver to quit calling and giving false alarms

Respect her wishes and leave, asking her to please call if she needs medical attention

Prepare to bag her and transport when she eventually passes out

3. 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

4. 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

5. 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

6. 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.

7. 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

8. What would be the correct sequence of treatment for a 76 year old female with a pulse of 142. The patient is also cyanotic around the lips and nail beds?

Ventilate her with a BVM and transport

Continue assessment to determine cause and call ALS

Continue assessing en route to the hospital and apply high flow O2

Perform a rapid trauma assessment and transport rapidly

9. 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?

10. 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.

Airway, Respiration and Ventilation: