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 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

3. You arrive on scene with your partner Elija to a multiple vehicle accident where you are the 2nd ambulance to arrive. Scene size up indicates there are 7 patients in 3 cars all requiring extrication. In the first car is a 27 year old woman who is 32 weeks pregnant, conscious, and crying, a 12 year old girl who is screaming and complaining of back pain, and an 8 year old boy who has a facial laceration and open fracture of the tibia who is also conscious but breathing very shallow. In the second car is an 86 year old man who is slumped against the steering wheel with no pulse and has a piece of metal impaled through his head. In the third car are 3 teenagers 17 years of age. The two in the front seat are complaining of neck pain and appear to have an altered level of consciousness. Neither of them were wearing a seatbelt and both have contusions on their foreheads. In the back seat is the last occupant, a girl who said she was having a seizure and vomiting earlier so her friends were taking her to the hospital. She was wearing her seat belt and has no sign of injury. Who should be receiving treatment first?

The pregnant woman

The 8 year old boy

The 86 year old man

The vomiting teenager

4. 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

5. 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.

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. 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

8. 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

9. 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

10. 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

Airway, Respiration and Ventilation: