Demo Test

1. 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

2. 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.

3. You and your partner Amy arrive on scene to find a woman with hives over much of her body. She is wheezing and complaining of difficulty breathing. Her husband says she was stung by a hornet and has no prior history of allergies. What would be the best course of action?

Use an autoinject epinephrine pen and administer to the patient's thigh. Obtain signed transport refusal.

Make sure blood pressure is above 100 mmHg and inject her with epinephrine 1/1000.

Get her BP, pulse, and respirations and then inject her with epinephrine only if her vitals are within normal limits.

High flow O₂ and rapid transportation if the patient appears to be going into anaphylaxis.

4. 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

5. You arrive on scene with your partner Rico to aid with a mass casualty. Rico has begun tending c-spine to a patient in a crushed vehicle while you begin to manage the airway of the unconscious patient. While you are getting an oral airway out of your bag you see that one of the other cars in the crash is that of your cousin. You go to the car and find him in respiratory distress with shallow respirations and he can barely talk. You put him on high flow O2 and put a collar on him telling him to stay put until you get back. What just happened?

You applied proper triage knowledge to a mass casualty

You abandoned your first patient

You made a judgment call

You were making the best decision

6. 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

7. 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

8. 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

9. 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

10. 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

Airway, Respiration and Ventilation: