Demo Test

1. 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

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. 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. 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.

5. 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

6. 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

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 and your partner Duval arrive on scene to find a woman who has suffered a blunt trauma to the chest from a swing on a carnival ride. She is having difficulty breathing and upon auscultation you hear nothing on the right side. This woman likely has a______________________ and would be suffering from_____________________as the collapsed lung is incapable of oxygenating any blood.

Flail chest / hyperventilation

Pneumothorax / hypoxia

Hemoptysis / hypoventilation

Broken jaw /severe pain

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. 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: