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

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?

3. 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?

4. 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?

5. Use of an SpO2 monitor on a person suffering from carbon monoxide poisoning will be inaccurate because ___________.

6. 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?

7. 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?

8. 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?

9. A child between 3-5 would have normal vitals if they were?

10. 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?