1. 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?
2. 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?
3. You have just arrived on scene to a call of man down. A man is lying prone on the sidewalk outside of a bar and there are several bystanders who say they witnessed him just fall over forward. As you check his pulse and respirations you find that he is breathing shallow at about 8 per minute and his pulse is 112. What would be the proper choice of action?
4. 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.
5. Which of the following patients has adequate respirations?
6. 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.
7. You arrive on scene to find a man in his 20's lying in a pool of vomit. You can see that he is breathing at about 16 breaths per minute and the depth of respiration is adequate. He has a small laceration on his forehead. You try getting a response by calling "Hey man can you hear me?" but he does not answer. Your partner gives him a quick sternal rub and his eyes pop open along with a whimper under his breath and then they close again. You ask him to perform several motor functions but he does not comply. He does not answer any of your questions. This man has a GCS of what?
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. 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?
10. 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?
