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Module 4

Multiple Choice
Identify the choice that best completes the statement or answers the question.
 

 1. 
You are called to the scene of a rape. The victim is unwilling to talk to a male EMT. Which of the following is an appropriate tool in assessing this patient?
a.
 Place all evidence in a plastic bag.
b.
 Arrange for a female EMT to complete the assessment if possible.
c.
 Do not gather any evidence; that is the responsibility of the police.
d.
 Ask specific questions about the assault.
 

 2. 
You arrive on scene to find the police talking with a 24-year-old male. He is afraid to come out of his room because he believes aliens are going to take him for experiments. Which of the following best describes this condition?
a.
 Domestic violence
b.
 Delusion
c.
 Hallucination
d.
 Mania
 

 3. 
You arrive on scene to find a patient who is not breathing. The appropriate term for this condition is which of the following?
a.
 Apnea
b.
 Orthopnea
c.
 Dyspnea
d.
 Hypoxia
 

 4. 
At a basketball game a player develops acute onset of shortness of breath. You notice that he is scared. Which of the following signs would indicate that he is demonstrating inadequate breathing?
a.
 Eupneic breathing
b.
 Lack of breath sounds on auscultation over the right lung
c.
 Tidal volume of about 500 L
d.
 Respiratory rate of 12 to 20 breaths per minute
 

 5. 
Which of the following is a foreign substance that causes the immune system to recognize it as foreign?
a.
 Antigen
b.
 Immune system
c.
 Antibody
d.
 Histamine
 

 6. 
You are on scene with a 7-year-old who is pulseless and apneic. Which of the following is the most appropriate action?
a.
 Apply the AED.
b.
 Open the airway.
c.
 Contact medical control.
d.
 Administer oxygen via a nonrebreather mask.
 

 7. 
Your patient just completed a 10 K run. He complains of painful cramps in the abdomen and legs. Which of the following is the most appropriate treatment?
a.
 Provide salt tablets.
b.
 Hold all fluids.
c.
 Move him to a cooler environment.
d.
 Have him continue exercising.
 

 8. 
A patient has a reaction after eating peanuts. He has a known allergy to all nuts. His past medical history is significant for acute myocardial infarction, appendectomy, and bowel obstruction. Which of the following is the appropriate action?
a.
 Use the EpiPen.
b.
 Provide supportive care.
c.
 Administer nitroglycerin.
d.
 Administer oral glucose.
 

 9. 
You arrive on scene, where you find a 78-year-old female who is leaning forward. She can speak in short phrases and has rapid respirations. Which of the following is the most appropriate first action?
a.
 Perform an advanced assessment with OPQRST.
b.
 Assist with a BVM delivering 6 liters per minute.
c.
 Apply a nonrebreather mask delivering 15 liters per minute.
d.
 Contact medical control.
 

 10. 
Which of the following is a solid organ?
a.
 Spleen
b.
 Small bowel
c.
 Stomach
d.
 Esophagus
 

 11. 
On scene with a 44-year-old female known to have emphysema, you notice that the patient has a respiratory rate of 44 breaths per minute, her lips are pursed, and she is sitting in an upright position. Which of the following is the appropriate action?
a.
 Do not provide supplemental oxygen.
b.
 Administer oxygen.
c.
 Contact medical control.
d.
 Continue with your history.
 

 12. 
You arrive on scene to find a child with a high fever, drooling, difficulty breathing, and wheezing. Which of the following is the most appropriate action?
a.
 Insert an oropharyngeal airway.
b.
 Perform a detailed examination of the airway.
c.
 Place the patient in the supine position.
d.
 Place the patient in the sitting position.
 

 13. 
Your crew is called to assist the fire department with a carbon monoxide alarm. You arrive to find one patient. Which of the following signs or symptoms would you expect with this gas?
a.
 Euphoria
b.
 Problems with coordination
c.
 Jaundice
d.
 Abdominal pain
 

 14. 
A patient has been very depressed over the loss of his wife. He states that he took 45 extra strength acetaminophen tablets. Which of the following organs is at risk with this ingestion?
a.
 Stomach
b.
 Liver
c.
 Spleen
d.
 Gallbladder
 

 15. 
Which of the following chemicals would be considered an inhalant poison?
a.
 Chlorine
b.
 Acetaminophen
c.
 Heroin
d.
 Aspirin
 

 16. 
Which anatomic structure filters the air that is inhaled?
a.
 Cilia
b.
 Larynx
c.
 Cricoid cartilage
d.
 Epiglottis
 

 17. 
What is the mechanism of activated charcoal?
a.
 It causes vomiting.
b.
 It causes a chemical reaction.
c.
 It absorbs the toxin.
d.
 It has no effect on poisons.
 

 18. 
You arrive on scene to find a patient who has been beaten by his wife. You notice dark circles around his eyes. Which of the following behavioral emergencies is this?
a.
 Depression
b.
 Disorientation
c.
 Domestic violence
d.
 Psychosis
 

 19. 
Which of the following vessels carries deoxygenated blood?
a.
 Pulmonary artery
b.
 Pulmonary vein
c.
 Alveoli
d.
 Arterioles
 

 20. 
You arrive at an elementary school, where a 5-year-old is seizing. He is having muscle movement, and he has lost control of his bladder. Which of the following is the most appropriate action?
a.
 Hold the patient down.
b.
 Place a bite block, such as an oral airway, in the patient’s mouth.
c.
 Wait for the seizure to stop.
d.
 Administer oxygen if possible.
 

 21. 
Which of the following best describes the rationale for early defibrillation?
a.
 Improved survival
b.
 Decreased pain
c.
 Decreased loss of brain function
d.
 Improved neurologic outcome
 

 22. 
Your patient just jogged 7 miles preparing for a race. He then sat down on the side of the road. He states that he feels dizzy, nauseous, and tired. You notice that he has goose bumps and appears pale. His condition correlates with which of the following illnesses?
a.
 Heat cramps
b.
 Heat exhaustion
c.
 Heatstroke
d.
 Acute mountain sickness
 

 23. 
Which of the following is the most common cause of an altered level of consciousness?
a.
 Overdose
b.
 Hypoglycemia (decreased blood sugar to the brain)
c.
 Decreased blood flow to the brain
d.
 Alcohol ingestion
 

 24. 
Which of the following is the appropriate term for a sudden, temporary loss of consciousness without residual neurologic deficits?
a.
 Seizure
b.
 Coma
c.
 Hypoglycemia
d.
 Syncope
 

 25. 
You are on scene with a 42-year-old male who is having severe chest pain. He is shaking, sweating, and short of breath. He asks you to assist him with his medications. Which of the following medications can the EMT assist with the administration?
a.
 Nitroglycerin
b.
 Experimental drug
c.
 Blood pressure medication
d.
 Any medication
 

 26. 
You have just finished delivering a baby. Which of the following is the most appropriate next action?
a.
 Wipe the baby dry and keep the infant warm.
b.
 Cut the umbilical cord.
c.
 Administer oxygen to the baby.
d.
 Deliver the placenta.
 

 27. 
You arrive on scene to find a 44-year-old male who has a history of seizures, diabetes, and hypertension. He is having trouble speaking and has weakness on the right side of his body. He appears to be unable to move anything on the right side, and his face is drooping on that side. Which of the following is the most likely cause of his symptoms?
a.
 Seizure
b.
 Hyperglycemia
c.
 Hypoglycemia
d.
 Stroke
 

 28. 
You are called to the scene, where a 24-year-old male is experiencing a seizure. His family is concerned because this is going on longer than normal. He has been seizing for 30 minutes. He stops briefly and then seizes again without regaining consciousness. Which of the following is the most important course of action?
a.
 Request ALS services.
b.
 Provide oral glucose.
c.
 Place an AED on the patient.
d.
 Provide C-spine stabilization.
 

 29. 
Which of the following is the largest artery of the body?
a.
 Aorta
b.
 Vena cava
c.
 Iliac artery
d.
 Carotid artery
 

 30. 
A pregnant patient is in a car accident. She was wearing her seat belt. You want to transport her to the hospital. Which of the following is the best position for transport?
a.
 Supine
b.
 Fowler position
c.
 Trendelenburg position
d.
 Left lateral decubitus position
 

 31. 
You arrive on scene to find a patient who had been lost while hunting. You notice that he has no pupillary reaction, his pulse is slow and weak, and he has stiff joints. Which of the following best describes his state of hypothermia?
a.
 Mild
b.
 Moderate
c.
 Moderate to severe
d.
 Severe
 

 32. 
A patient is 39 weeks pregnant. She is having abdominal contractions. Which of the following would indicate that delivery is imminent?
a.
 Contractions that last 15 seconds
b.
 Contractions that are 5 minutes apart
c.
 Contractions that are 2 minutes apart
d.
 Contractions that last 30 seconds
 

 33. 
You are on scene with a woman who states that she is delivering her baby. You notice that part of the umbilical cord is protruding from her vaginal opening. Which of the following is the most appropriate course of action?
a.
 Place the cord back into the birth canal.
b.
 Cut the cord and prepare for delivery.
c.
 Use your gloved hand to relieve pressure on the cord.
d.
 Contact ALS for assistance.
 

 34. 
You are delivering an infant. The head has been delivered, and you have suctioned the mouth and nose. You notice that the umbilical cord is wrapped around the infant’s neck. Which of the following is the most appropriate action?
a.
 Cut the cord.
b.
 Continue the delivery.
c.
 Slip the cord from around the infant’s neck.
d.
 Contact medical control.
 

 35. 
A patient has been working on a farm. He has been handling chemicals with his bare hands and now has altered mental status. By which of the following routes has he been exposed?
a.
 Dermal route
b.
 Inhalation
c.
 Injection
d.
 Ingestion
 

 36. 
You arrive on scene, a party where bystanders state that your patient has been drinking large amounts of alcohol. You notice that he has an altered mental status. Which of the following is the most important consideration?
a.
 Falls
b.
 Airway
c.
 Trauma
d.
 Cervical spine
 

 37. 
Which of the following is part of the first stage of labor?
a.
 The passage of small amounts of mucus and blood from the vagina
b.
 The passage of the fetus
c.
 The passage of the placenta
d.
 Crowning
 

 38. 
You arrive on scene to find an unresponsive patient. You notice that she has decreased respirations and constricted pupils. With which of the following categories of drugs is this most consistent?
a.
 Stimulants
b.
 Benzodiazepines
c.
 Opiates
d.
 Ethanol
 

 39. 
A 25-year-old male having an allergic reaction is becoming cyanotic and having severe shortness of breath. Which of the following is the most appropriate treatment?
a.
 Epinephrine IM, 0.3 cc of 1:1000
b.
 Epinephrine IM, 0.3 cc of 1:10000
c.
 Epinephrine IM, 0.15 cc of 1:1000
d.
 Epinephrine IM, 0.15 cc of 1:10000
 

 40. 
Which of the following drugs is an opiate?
a.
 Cocaine
b.
 Amphetamine
c.
 Heroin
d.
 Ecstasy
 

 41. 
You are on scene with a 59-year-old female who is having difficulty breathing. You notice pink, frothy sputum when she coughs. With which of the following conditions is this associated?
a.
 Asthma
b.
 COPD
c.
 Emphysema
d.
 Pulmonary edema
 

 42. 
Which of the following is a cause of seizure?
a.
 Fever
b.
 Hyperglycemia
c.
 Toxic fumes
d.
 Food products
 

 43. 
A family calls EMS for their son, who is constantly staring off into space. He does not respond to the EMT, but he has no muscle movement or twitching. To which of the following conditions is this most closely related?
a.
 Hypoglycemia
b.
 Hyperglycemia
c.
 Seizure
d.
 Trauma
 

 44. 
During a prolonged heat wave in your city, you arrive on scene to find a patient who is confused and whose skin is red. Which of the following illnesses is this?
a.
 Heat cramps
b.
 Heat exhaustion
c.
 Heatstroke
d.
 Heat damage
 

 45. 
A patient is having an allergic reaction to shellfish. The patient used his autoinjectable epinephrine pen. Which of the following is an expected physiologic change associated with epinephrine?
a.
 Decreased blood pressure
b.
 Decreased respiration
c.
 Increased cardiac function
d.
 Increased bronchoconstriction
 

 46. 
You arrive on scene to find a 75-year-old male who is doubled over with abdominal pain. He states that his pain radiates to his back. He has a history of hypertension. Which of the following is the diagnosis that causes the most concern with regard to his pain?
a.
 Abdominal aortic aneurysm
b.
 Kidney stone
c.
 Gallbladder attack
d.
 Pancreatitis
 

 47. 
Which of the following is the correct definition of ectopic pregnancy?
a.
 A spontaneous miscarriage
b.
 A pregnancy with multiple fetuses
c.
 A pregnancy in the uterus
d.
 A pregnancy that occurs outside the uterus
 

 48. 
You are on scene at a possible overdose. You assess and treat the patient. You notice several bottles next to the patient. Which of the following would be appropriate in the management of this patient?
a.
 Contact the media.
b.
 Take the bottles to the hospital.
c.
 Count tablets on the scene.
d.
 Question neighbors.
 

 49. 
A patient has no pulse, but the AED readout indicates “No Shock.” The machine appears to be functioning appropriately. Which of the following may be the cause of the “No Shock” readout?
a.
 The patient is in ventricular fibrillation.
b.
 The machine’s battery is not working.
c.
 The wrong button was pushed.
d.
 The patient is in asystole.
 

 50. 
You receive a call for a 35-year-old female who is having shortness of breath. When you arrive, she states that she cannot catch her breath. She has a history of smoking, and she takes birth control pills. For which of the following conditions is this patient at risk?
a.
 Heart failure
b.
 Pneumonia
c.
 Pulmonary embolism
d.
 Pulmonary edema
 

 51. 
Which of the following best describes the action of the defibrillator?
a.
 It starts the heart.
b.
 It interrupts the chaotic electricity.
c.
 It paces the heart.
d.
 It recharges the heart.
 

 52. 
Which of the following is a true statement regarding envenomation by a scorpion?
a.
 No pain or tingling is felt.
b.
 Convulsions may occur.
c.
 Most toxic effects manifest within 5 minutes.
d.
 Warm compresses should be applied at the site.
 

 53. 
You are on scene with a 41-year-old female who is having a severe allergic reaction. You are about to place the EpiPen syringe against her thigh. Which of the following is the correct position?
a.
 Needle side to the thigh at a 30-degree angle
b.
 Needle side to the thigh at a 90-degree angle
c.
 Safety mechanism to the thigh at a 45-degree angle
d.
 Safety mechanism to the thigh at a 20-degree angle
 

 54. 
A patient complains of chest pain and shortness of breath. You notice that he is cool and clammy, and his skin is cyanotic. If this patient is in cardiogenic shock, which of the following would you expect to find on your physical examination?
a.
 Warm, pink skin
b.
 Strong, regular pulses
c.
 Increased blood pressure
d.
 Rapid, weak pulse
 

 55. 
You are on scene with a trauma victim. He points to the left upper quadrant as the location of his pain. Which of the following organs may be damaged?
a.
 Bladder
b.
 Liver
c.
 Gallbladder
d.
 Spleen
 

 56. 
You arrive on scene to find a patient who fell through the ice while skating on a lake. The person was immediately pulled from the water. Which of the following is an accurate description of what occurs when the body is exposed to freezing water?
a.
 Blood is shunted to the periphery to protect internal organs.
b.
 Blood temperature falls evenly throughout the body.
c.
 Superficial blood vessels constrict.
d.
 The heart pumps faster, attempting to shunt cooler blood.
 

 57. 
A patient has just suffered a traumatic injury to his skull. He is having trouble breathing, and his respirations are beginning to get very slow. Which of the following structures in the brain has most likely been injured?
a.
 Cerebellum
b.
 Cerebral hemisphere
c.
 Pons
d.
 Medulla oblongata
 

 58. 
A patient is experiencing an allergic reaction. He develops swelling and shortness of breath. Which of the following is responsible for this reaction?
a.
 Urticaria
b.
 Anaphylaxis
c.
 Histamine
d.
 White blood cells
 

 59. 
You are on scene with an 18-year-old male who is unresponsive and apneic. Which of the following is the your most important step?
a.
 Apply the AED.
b.
 Open the airway.
c.
 Start CPR.
d.
 Turn on the AED.
 

 60. 
You arrive on scene, where you find a 29-year-old male who states that he ate soup that he believes had seafood mixed into the broth. He states that he is allergic to seafood. Your partner tells you that the patient is having a moderate to severe allergic reaction. Which of the following would you expect to find in this patient if your partner’s assessment is accurate?
a.
 Warm, dry skin
b.
 Edema of the face
c.
 Capillary refill of less than 2 seconds
d.
 Clear respirations
 

 61. 
Which of the following is the most commonly abused drug?
a.
 Ethanol
b.
 Heroin
c.
 Cocaine
d.
 Marijuana
 

 62. 
Which of the following is a contraindication to use of an AED?
a.
 Age over 90 years
b.
 Weight under 90 kg
c.
 Age under 55 years
d.
 Weight under 55 lb
 

 63. 
Which is the appropriate term for a medication used to counteract a poison?
a.
 Antipyretic
b.
 Anticholinergic
c.
 Activated charcoal
d.
 Antidote
 

 64. 
On scene, a firefighter is performing CPR on a pulseless patient. You apply the AED patches. Which of the following is the most important next step?
a.
 Contact medical control.
b.
 Provide supplemental oxygen.
c.
 Hold CPR while the AED analyzes the heart rhythm.
d.
 Continue CPR, analyze the heart rhythm, and shock if indicated.
 

 65. 
A patient awoke this morning with a blister that has a bull’s eye appearance. The center is black and sunken. Which of the following most likely caused this lesion?
a.
 Scorpion
b.
 Black widow spider
c.
 Brown recluse spider
d.
 Needle from drug use
 

 66. 
A patient is stung by an insect and shortly afterward experiences shortness of breath, edema, increased lacrimation, and vomiting. Which of the following is the most appropriate treatment?
a.
 Apply a nasal cannula that delivers oxygen at 2 liters per minute.
b.
 Contact medical control.
c.
 Provide sublingual nitroglycerin.
d.
 Administer autoinjectable epinephrine (EpiPen).
 

 67. 
A patient has a severe asthma attack. He has taken his nebulized treatment. Which of the following best describes this route of medication administration?
a.
 Transdermal
b.
 Intravenous
c.
 Oral
d.
 Inhalation
 

 68. 
A 33-year-old female is acting confused and in an inappropriate manner. Her family states that she has had diabetic ketoacidosis in the past. This is associated with which condition?
a.
 Hypoglycemia
b.
 Hyperglycemia
c.
 Increased insulin use
d.
 Increased oral medication use
 

 69. 
Which of the following reproductive organs is the site of fetal development?
a.
 Ovaries
b.
 Uterus
c.
 Fallopian tube
d.
 Cervix
 

 70. 
You arrive on scene to find a patient with chest pain. He has a pulse. Which of the following explains why an AED should not be placed on this patient?
a.
 It may pace a rhythm too quickly.
b.
 The battery may wear down.
c.
 It may cause an increase in the patient’s heart rate.
d.
 It may cause a normal heart to go into ventricular fibrillation.
 

 71. 
A 13-year-old patient is found unresponsive in the garage. Which of the following ingestions should you suspect in this patient?
a.
 Aspirin
b.
 Acetaminophen
c.
 Ethylene glycol
d.
 Heroin
 

 72. 
A patient has just returned from scuba diving. He complains of pain in his shoulder and elbow. Which of the following conditions does this patient have?
a.
 High altitude pulmonary edema
b.
 Decompression sickness
c.
 Near drowning
d.
 Pneumothorax
 

 73. 
A 78-year-old male is suffering from an acute allergic reaction. You have contacted medical control, and they recommend the pediatric dose of the autoinjectable EpiPen Jr. Which of the following is the correct dose?
a.
 Epinephrine 0.3 cc of 1:1000
b.
 Epinephrine 0.3 cc of 1:10000
c.
 Epinephrine 0.15 cc of 1:1000
d.
 Epinephrine 1.5 cc of 1:1000
 

 74. 
Which of the following is the body’s primary source of energy?
a.
 Insulin
b.
 Glucose
c.
 Fat
d.
 Fluid
 

 75. 
Which of the following is a sign or symptom detected in the upper respiratory system?
a.
 Hoarseness
b.
 Bronchospasm
c.
 Wheezing
d.
 Decreased respiratory sounds
 

 76. 
You arrive on scene, where you find a 64-year-old male with chest pain and shortness of breath. He states that he has significant swelling of his legs and abdomen. Which of the following is the most likely cause of his symptoms?
a.
 Heart failure
b.
 Asthma
c.
 COPD
d.
 Cancer
 

 77. 
A patient states that he has type I diabetes. Which of the following would be an accurate statement regarding his disease?
a.
 His body produces too much glucose.
b.
 His body does not produce enough glucose.
c.
 His insulin receptors are defective.
d.
 His pancreas does not produce enough insulin.
 

 78. 
You are called to a scene where a 15-year-old female has collapsed. Her friends state that she was breathing rapidly and complained of numbness around her lips. Which of the following is a true statement about her condition?
a.
 She has excess carbon dioxide.
b.
 She has decreased carbon dioxide.
c.
 She has asthma.
d.
 She has pneumonia.
 

 79. 
Which of the following is a true statement regarding defibrillator maintenance?
a.
 The device usually fails because of overuse.
b.
 Battery failure is the most common problem.
c.
 An AED should be checked once a month.
d.
 An AED requires no maintenance.
 

 80. 
A patient has been diagnosed with bipolar disorder. His wife calls EMS because he is running around the house. His mood is elevated, he will not stop talking, and his activity has increased. Which of the following conditions is associated with these symptoms?
a.
 Schizophrenia
b.
 Hysteria
c.
 Mania
d.
 Depression
 

 81. 
You arrive on scene to find a patient who is threatening to kill his wife and then himself. Which of the following might be required in treating this patient?
a.
 Restraints
b.
 Medication
c.
 Physical violence
d.
 Mediated discussion
 

 82. 
Which of the following is the best term for a life-threatening allergic reaction?
a.
 Sensitization
b.
 Urticaria
c.
 Anaphylaxis
d.
 Histamine
 

 83. 
A patient has been taking PCP regularly. Which of the following signs or symptoms would you expect him to exhibit?
a.
 Hallucinations
b.
 Respiratory depression
c.
 Bradycardia
d.
 Extreme fatigue
 

 84. 
You arrive on scene, where your patient is a 14-year-old who just ate fruit salad. His respirations are somewhat increased, and he has a red, itchy rash. He is awake and alert. Which of the following is your most important action?
a.
 Contact medical control.
b.
 Assist ventilations with a bag-valve-mask.
c.
 Inspect the airway for signs of edema.
d.
 Auscultate abdominal sounds.
 

 85. 
A patient’s symptoms include euphoria, anxiety, paranoia, agitation, and delirium. You should suspect that the patient has taken a drug from which of the following classes?
a.
 Stimulants
b.
 Benzodiazepines
c.
 Opiates
d.
 Ethanol
 

 86. 
A patient is in her third trimester of pregnancy. She states that she is having terrible cramping and bleeding. She also states that she has just done crack cocaine. This patient most likely has which of the following conditions?
a.
 Placenta previa
b.
 Abruptio placentae
c.
 Pre-eclampsia
d.
 Eclampsia
 

 87. 
You are on scene with a 78-year-old male whose chief complaint is severe chest pain. His blood pressure is 94/76. Which of the following is your most appropriate action?
a.
 Provide sublingual nitroglycerin.
b.
 Provide oxygen via a mask.
c.
 Assist ventilations with a bag-mask device.
d.
 Apply the AED.
 

 88. 
You arrive on scene to find a 5-year-old male with a seal-bark cough and wheezing. Which of the following treatments might help this child’s condition?
a.
 Lying supine
b.
 Dry, warm air
c.
 Lying prone
d.
 Cool, moist air
 

 89. 
Which of the following is a sign or symptom of anxiety?
a.
 Panic attack
b.
 Feelings of despair
c.
 Isolation
d.
 Weight gain
 

 90. 
Which of the following primarily controls the rate of respiration?
a.
 Oxygen in the blood
b.
 Carbon monoxide in the blood
c.
 Nitrogen in the blood
d.
 Carbon dioxide in the blood
 

 91. 
A patient complains of numbness in her toes after walking through a creek. Which of the following is an appropriate treatment?
a.
 Use dry heat, such as a furnace.
b.
 Freeze-thaw-refreeze helps tissue healing.
c.
 Aspirin should never be used.
d.
 Warm water (104º to 108º F [40º to 42º C]) should be used.
 

 92. 
A patient has an inhaler medication and it has the name Ventolin on the label. Which of the following is a generic name for this medication?
a.
 Metaproterenol
b.
 Nitroglycerin
c.
 Epinephrine
d.
 Albuterol
 

 93. 
Which of the following is an accurate statement about arteries and veins?
a.
 Arteries always carry oxygenated blood.
b.
 Veins always carry deoxygenated blood.
c.
 Arteries carry blood away from the heart.
d.
 Arteries carry blood to the heart.
 

 94. 
You are on scene with a diabetic patient. His wife states that his glucometer read, “Low” You carry oral glucose in your medical box. Which of the following describes the best technique for administering glucose?
a.
 Place it in a glass and allow the patient to drink it.
b.
 Use a tongue depressor to get it into the cheeks.
c.
 Force it into the mouth.
d.
 Squeeze the tube forcefully into the side of the mouth.
 

 95. 
A patient describes a past medical history that includes an acute myocardial infarction. Which of the following best describes this condition?
a.
 Decreased oxygen to the heart muscle
b.
 A complete or partially blocked blood vessel in the heart
c.
 Chest discomfort
d.
 Artery spasm
 

 96. 
You have successfully used the AED to convert to a heart rhythm with a pulse. You are in the back of the ambulance with the patient, who suddenly becomes pulseless en route to the hospital. Which of the following is the most important step?
a.
 Stop the ambulance and reanalyze the patient.
b.
 Continue to the hospital and start CPR.
c.
 Analyze the rhythm but keep the ambulance moving.
d.
 Wait 1 minute and reanalyze the pulse.
 

 97. 
You are working on the medical floor of a hospital, and a nurse asks you to obtain postural vitals on a patient who has severe abdominal pain. Which of the following would be a concern for hypovolemia?
a.
 Sitting BP 110/90, standing 115/90
b.
 Sitting BP 180/80, standing 170/70
c.
 Sitting BP 150/76, standing 100/80
d.
 Sitting BP 120/80, standing 140/80
 

 98. 
A patient is found unresponsive at home. He has a history of diabetes, hypertension, and pneumonia. Which of the following is an immediate concern with this patient?
a.
 Hypoglycemia
b.
 Hyperglycemia
c.
 Pneumonia
d.
 Hypertension
 

 99. 
A 45-year-old female is experiencing right upper quadrant pain. You suspect this might be a gallbladder attack. Which of the following would be consistent with your initial suspicion?
a.
 An empty stomach
b.
 Decreased urination
c.
 Vaginal discharge
d.
 A fatty meal as a provocation
 

 100. 
You notice a patient who has chronic fatigue, poor hygiene, failure to manage medical conditions, and poor nutrition. Which of the following illnesses presents with these physical symptoms?
a.
 Anxiety
b.
 Psychosis
c.
 Depression
d.
 Hysteria
 



 
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