Demo Test

1. You are treating a female patient who is complaining of chest pain. She is diaphoretic with a blood pressure of 98/50. You have her medications on board which includes a prescription for nitroglycerin. Medical control has instructed you to administer 1 nitroglycerin tablet sublingually. How would you respond?

Respectfully disagree and state that you feel it is in the best interest of the patient with a blood pressure so low to not lower it any further by administering nitroglycerin

Administer 1 nitroglycerin tablet as instructed

Instruct medical control to get out the protocol books and look under contraindications for nitroglycerin administration

Repeat the vital signs to medical control and ask if they still wish to have you administer the nitroglycerin with the blood pressure that low

2. You arrive on scene with your partner to a call of "man down". You pull into the driveway of the house in a very exclusive part of town. In the driveway a man is lying face up with his eyes closed. After making sure the scene is safe, what actions will help you gather the most information in the shortest period of time?

Check his pulse with your hand and look at his nose for flaring

Start bagging him with high flow O2 and supplemental oxygen

Look for the responsible party and question them about the events then put the AED on the patient

Check his pulse with your hand while you put your ear near his mouth and look down at the sternum for chest rise

3. Which of the following choices is a normal systolic blood pressure in a child?

Less than 80 mm Hg

70 mm Hg

Greater than 70 mm Hg

Greater than 120 mm Hg

4. A 57 year old woman is complaining of chest pain. Her blood pressure is 109/88 and her respirations are at 22 per minute. What condition does the patient's blood pressure indicate?

Paradoxical pressure

Systolic transcardiac eschemia

Martiners Rule

Low pulse pressure

5. During an assessment of a 78 year old woman you find her skin to be cool, moist, and pale. What would you suspect?

Hypoperfusion

Hyperthermia

Vasovagal

Hyperglycemia

6. You arrive on scene with your partner to a multiple vehicle accident where you are the 2nd ambulance to arrive. Scene size up indicates there are 7 patients in 2 cars, none requiring extrication. In the first car is a 45 year old woman who is 28 weeks pregnant and unconscious, 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 no other signs or symptoms. In the second car is a 70 year old man who is slumped against the steering wheel. There is heavy damage to the front end of his vehicle. In the backseat are 3 teenagers. The two on the impact side are complaining of nausea and appear to have an altered level of consciousness. Also in the back seat is a girl who said she was having a seizure and was vomiting earlier and that her grandfather had been taking her to the hospital. She was wearing her seat belt and has no sign of injury. What may have happened to the 70 year old man?

Cardiac tamponade

Had a heart attack while driving

Driving under the influence

All of the above

7. You and your partner whom you have been working with for two years are called to a house where a woman is having chest pain and complaining of shortness of breath. She is diaphoretic and has a pulse of 110, respirations of 22, and a blood pressure of 140/80. She says she has no cardiac or respiratory history. You should?

Put her in the ambulance and transport as rapidly as possible

Call medical control and ask permission to administer some of her husband's nitro

Perform your assessment, put her on O2 at 15 lpm, and transport

Get her sample history and try to determine the cause of the respiratory problem

8. You are called to the scene of a man down. Dispatch reports the man is pulseless and bystanders are doing CPR. According to the NREMT Cardiac Arrest Management/AED skill sheet, which of the following sequences is appropriate?

Check for responsiveness, Assess for breathing, Check carotid pulse , put your gloves on

Question the bystanders, direct them to stop CPR , check for pulse and then attach the AED, Begin chest compressions

Turn on power to AED, open the patient's airway, insert an adjunct and then analyze the rhythm

Complete one cycle of CPR, Attach the AED, Have everyone stand clear during rhythm check

9. 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

10. The three basic causes of shock are?

Poor perfusion, poor mentation, and poor respiratory function

Poor pump function, fluid loss, and vessel dilation

Vessel constriction, poor vessel function, and poor respiratory function

Trauma, cardiac event, and seizure

Cardiology and Resuscitation,