EMT Exam 2 Study Center > Simulated NREMT Tests > EMT Exam 2 Step 1 of 50 2% A 47-year-old male fell 10 feet from scaffolding. He complains of right shoulder pain. Which of the following additional findings would indicate the need for spinal precautions?*The patient is nauseatedThe patient is intoxicatedThe fall was more than two times the patient’s heightThe shoulder pain radiates to the side of the patient’s neck A 70-year-old male with a history of hypertension complains of acute onset, severe upper abdominal pain that radiates through to his back. He notes the pain is tearing in nature and states that it is a “ten” on a “one through ten” scale. These findings most likely indicate*spontaneous pneumothorax.acute coronary syndrome.abdominal aortic aneurism.acute appendicitis. A 20-year-old female is in labor and actively pushing. When you assess the perineum, you note that a loop of umbilical cord has presented. You should next*initiate immediate transport.insert a gloved hand to take pressure off the cord.place the mother in Trendelenburg position.encourage the mother to push. You arrive first to the scene of an 80-year-old male who has collapsed suddenly while walking. You identify cardiac arrest and begin chest compressions. Moments later a second rescuer arrives with an AED. You should*only attach the AED if compressions are unsuccessful.wait until the two-minute cycle of compressions has been completed to attach the AED.continue compressions while the second rescuer immediately attaches the AED.stop chest compressions immediately and assist with the placement of AED pads. The diastolic blood pressure is directly related to which of the following?*Cardiac OutputSystemic Vascular ResistancePreloadTidal Volume You have a 45-year-old female with complaint of upper mid-abdominal pain for the past 2 hours. She presents with high blood pressure and tachycardia. What should you do?*Assist with nitroglycerin administrationAsk about her last oral intakeAdminister 325 mg aspirinProvide high flow oxygen You are at the scene of a mass casualty incident and are tasked with monitoring responders for stress. Which supervisory role do you report to?*Rehabilitation supervisorTriage supervisorEMS branch directorStaging supervisor You are transporting a 30-year-old female car crash victim who is 29 weeks gestation. During transport, she becomes short of breath and experiences lower abdominal cramps. What should you do?*Auscultate breath soundsPlace the patient on her left sidePerform a rapid trauma examObtain the patient’s blood pressure You are treating a 3-year-old female in respiratory distress. Her mother states that the patient had a recent upper respiratory infection and worsening dyspnea at night. Which other clinical finding should you expect?*Seal-like barking coughExcessive droolingPainful swallowingSeverely high temperature A 78-year-old male has fallen and struck his head. He attempted to get up, but soon thereafter lost consciousness and collapsed. The patient has a pulse and breathes when his airway is manually opened, however breathing stops when you take your hands away. You should next*initiate positive pressure ventilations with a bag-valve mask device.insert an oropharyngeal airway.immediately auscultate lung sounds.administer high concentration oxygen via a non-rebreather mask. You are treating an unresponsive and apneic trauma patient who has a tracheostomy tube. What should you do to manage his airway?*Seal the nose and mouth during ventilations if necessaryPerform a jaw-thrust maneuverVentilate with an infant mask over the stomaPlace a nasal cannula on the patient during ventilations A 30-year-old male has been shot. As you approach him, you note he has gurgling respirations and massive bleeding coming from his left armpit. After assuring that the scene is safe, you should next*apply direct pressure to the bleeding.administer high concentration oxygen.apply an occlusive dressing over the wound.suction his airway. You are on scene with a conscious, 25-year-old female with a knife wound near the inferior vena cava. Which physical exam finding do you expect?*Bilateral shoulder painPeriumbilical ecchymosisAbdominal distentionBruising to the flanks You have been tasked with lifting a 250-pound patient from the bed to a stretcher. Which of the following lifting techniques would provide the most safety when executing the lift?*Bear weight with your legs, not your backMake sure to bend at the waistKeep the weight as far from the body as possiblePull rather than push when possible You are assessing a 5-year-old car crash victim who is anxious and crying. Which finding best demonstrates his ability to compensate for internal hemorrhage?Shallow respirations at 22/minSystolic pressure of 96Heart rate of 60Awake but lethargic mental status Which of the following actions would be considered a public health role of emergency medical services?*Restocking the ambulance after callsPatient assessmentProviding emotional careInjury prevention You note that over the last few weeks your veteran partner has become irritable, withdrawn and seemingly depressed. He discloses to you that he has been having trouble sleeping over the last few weeks. These findings strongly suggest*exhaustion from poor sleeping habits.acute mental illness.a cumulative stress reaction.an acute stress reaction. A five-year-old female has lost her hand in a lawnmower accident. Upon arrival you observe a complete amputation bleeding severely and the hand laying several feet away. You should first*keep the amputated hand moist and cool for transport.lay the patient in shock position.stop the patient’s bleeding.perform a detailed assessment to identify additional injuries. A 40-year-old male had a sudden onset of altered mental status. He has an impaired gait, is slurring his speech and is profoundly sweaty. Your assessment reveals he has an insulin pump on his belt. You should suspect*hypoglycemia.a stroke.hyperglycemia.a seizure. You are ventilating a 52-year-old unresponsive male with a bag-valve mask when you note a rapid pulse and a significant drop in blood pressure. What complication might this patient be experiencing?*Decreased preload due to positive intrathoracic pressureVagal nerve stimulation due to positive intrathoracic pressureTransition from a pneumothorax to tension pneumothoraxGastric distention from over-ventilation You are on scene at a roll-over car crash. The vehicle is on its roof in the street. Which equipment should be used to stabilize the vehicle?*Hook with cableRope and chains4x4 wood cribbingWheel chocks You are part of an ambulance crew dispatched to a multiple casualty incident after triage is complete. You are assigned to begin treatment. Which patient should you treat first?*Adult with partial-thickness burns to both armsPediatric with possible spinal cord damagePediatric with partial-thickness burns to abdomen and right armAdult with labored respirations and wheezing A 60-year-old male complains of chronic cough, weight loss and night sweats. He notes his primary residence is a local homeless shelter. Which of the following personal protective devices would specifically address the risk associated with the pattern of findings noted in your assessment?*An N-95 maskGlovesA gownA surgical mask Your trauma patient has distended neck veins. He is most likely suffering from*PneumothoraxCardiac tamponadeTransected aortaHemothorax You approach a high-speed motor vehicle crash on a highway. Incident command waves your ambulance in to the crash scene. Which of the following locations would be most appropriate to park the ambulance?*Adjacent to the crash, blocking trafficAfter the crash, behind fire apparatusJust prior to the crashOn the opposite side of the road from the crash A 6-year-old female has developed a rash over her entire body, abdominal cramping and diarrhea after eating a cookie. Family states she has an allergy to nuts. Her vital signs are P 110, R 24, BP 102/60. You should*assist the patient with the administration of diphenhydramine.immediately administer epinephrine.administer epinephrine only if breathing difficulties are observed.monitor the rash and transport. You are on scene with an alert and oriented 27-year-old female patient. Her friend states that the patient became suddenly confused with a hollow stare for approximately 2 minutes. The patient’s skin is warm and dry. She has no memory of the event. Which option best identifies the cause of her altered state?*Ingestion of a narcoticErratic electrical brain activityDrop in normal blood glucose levelSeizure in the frontal lobe A 65-year-old male complains of a squeezing sensation in his chest. He notes it came on suddenly and was accompanied by shortness of breath. He is alert, slightly sweaty and his vital signs are P 100, R 22, BP 168/100. His pulse oximetry reads 91% on room air. You should*administer 325 mg of aspirin orally.assist the patient with his small volume nebulizer.administer a metered dose of albuterol via an inhaler.only administer oxygen if the pulse oximetry drops below 90%. A 31-year-old male has overdosed on heroin. You find him unconscious with a respiratory rate of 4 breaths per minute. He is profoundly cyanotic but has a pulse. You should first*administer an epinephrine auto-injector.initiate positive pressure ventilations.administer 2 mg of naloxone via the intranasal route.package the patient for immediate transport. While transporting a 27-year-old female victim of a gunshot wound to the chest she becomes short of breath with shallow respirations. What should you do?*Place the patient in the recovery positionRemove the occlusive dressing for a few secondsSuction the patient’s airwayAssist ventilations with a bag-valve mask Your 9-year-old asthma patient now needs positive pressure ventilations. Which of the following is the most appropriate method to ventilate this patient?*Use an adult bag-valve mask with encircling techniqueCoordinate with a second rescuer to ensure proper “E-C” techniqueConsult a color-based tape to determine appropriate bag-valve maskVentilate with a pediatric bag-valve mask A 4 year old male is awake, upset, and presents with inspiratory stridor. You observe a small plastic toy in the back of his airway. What should you do?*Encourage the child to cough.Perform five back blows.Perform five abdominal thrusts.Manually extract the toy. You are on scene with a critical trauma patient. There are multiple musculoskeletal fractures as well as facial trauma. The patient is lethargic with shallow respirations and diaphoretic skin. You should*call for immediate transport.open the airway with a jaw thrust.assess distal circulation and motor function.suction the patient’s mouth with a rigid tube. A 22-year-old female was burned after throwing gasoline onto a camp fire. You note second degree burns to her face and chest. She denies trouble breathing, but 10 minutes into the call develops a very hoarse voice and notes she has trouble speaking. You should next*administer high concentration oxygen with humidified saline.immediately initiate transport and intercept with advanced life support.insert a nasopharyngeal airway.initiate positive pressure ventilations. A 3-year-old male is in cardiac arrest. Bag-valve mask ventilations have been ongoing for the last 15 minutes. The rescuer using the bag-valve mask device notes that it is becoming increasingly difficult to ventilate and tells you the patient’s belly has become very swollen. This condition is most likely caused by*upper airway obstruction.pneumothorax.lower airway obstruction.gastric distension. A 78 year old female suddenly collapsed while in line at the store. She is now unresponsive and apparently not breathing. You should first*check her pulse.begin chest compressions.deliver two rescue breaths.insert an oropharyngeal airway. You are assessing an 11-year-old car crash victim with pulse, motor, and sensory function intact in all 4 extremities. While evaluating his upper extremities, you note slight weakness in his right hand. Which of the following should you suspect?*Transection of the anterior spinal cordBeginning stages of spinal shockSpinal injury due to whiplashWeakness due to hemorrhagic stroke You are assessing a 52-year-old male with fever, chills, and nausea for the past 4 days. He complains of lower left abdominal pain. What do you think is causing this?*Bacteria in the appendixBacteria in a diverticulaInflammation of the pancreasCrystallized solutes in the gallbladder You are treating an unresponsive 46-year-old female with deep, rapid respirations. What other exam finding do you expect to see?*Ipsilateral pupil dilationElevated blood glucoseBradycardiaConstricted pupils A 6-year-old male has been having an asthma attack for about 2 hours. He is breathing with significant effort. When listening to his chest, you are unable to hear lung sounds. He is semi-conscious and his vital signs are: P 74, R 40, BP 102/64. You should first*initiate positive pressure ventilations.begin chest compressions.insert an oropharyngeal airway.administer high concentration oxygen via a non-rebreather mask. A 53 year old male has just been freed from an industrial machine after being entrapped for nearly an hour. He is responsive only to painful stimuli. His airway contains large amounts of dark red blood and his respirations are 6 and shallow. He has multiple soft tissue injuries with minor bleeding. You should*Immobilize the spine with a c-collar and long spine boardcontrol bleeding of soft tissue injuriessuction the oropharynxopen the airway with a head-tilt, chin-lift maneuver After performing CPR, you stop compressions so the AED can analyze the rhythm. The AED appears to lose power. You should*Troubleshoot the AEDResume compressionsCheck pad placement and adhesion to the patientCheck the pulse You arrive on scene to a 3-year-old male with nausea and vomiting. As you enter the scene, what assessment should you perform?*Check the patient’s capillary refillObtain the patient’s chief complaint from the parentObserve the patient’s work of breathingWatch how the patient interacts with the environment A 60-year-old male complains of chest pain and shortness of breath. He tells you he has an implanted defibrillator in his chest and felt it discharge just prior to your arrival. The patient suddenly loses consciousness and your partner states that he has no pulse. You should next*begin chest compressions.clear the patient in case the implanted defibrillator discharges.administer two rescue breaths.attach your AED. You are transporting a 4-year-old male patient in respiratory distress after an asthma attack when you notice increased lethargy and decreased respiratory effort. You should*check the patient’s pulse.Administer high flow oxygen.ventilate with a bag-valve mask.provide a second dose of albuterol. You are treating a patient that was exposed to burning freon at a factory fire. What physical exam finding do you expect see?*Formation of large blistersPulmonary edema hours after exposureSeizures during exposureExcessive tearing and emesis A 19-year-old female complains of acute onset, lower quadrant abdominal pain on only her left side. She denies being sick, but notes that her menstrual period is a month late. You should suspect*ectopic pregnancy.appendicitis.placental abruption.aortic aneurism. A junior member of your resuscitation team has been tasked with performing chest compressions on a cardiac arrest victim. You note his current rate of compressions is 130 per minute. As team leader you should suggest that he*slow his rate slightly to between 100 and 120 per minute.speed his rate up to between 150 and 180 per minute.slow his rate to below 100 per minute.keep his rate exactly where it is. You are treating a 4-year-old with possible croup. He refuses oxygen via non-rebreather mask. What should you do?*Secure O2 tubing to a stuffed animal and place close to the patient’s faceAttempt to oxygenate with a nasal cannulaExplain how the mask will help his breathingHold O2 tubing close to the patient’s face Your 38-year-old female patient complains of neck stiffness, visual disturbances, and nausea over the past few days. Vital signs are within normal limits for her age and her oral temperature is 98.7. You suspect*hyperglycemia.meningitis.subarachnoid hemorrhage.stroke.