Question 1

A 12-lead ECG that reveals ST elevation in all of the precordial leads most indicates myocardial:

Accepted Answer

A)   injury to the right ventricle, left ventricle, and septum.
B)   injury to the right ventricle and septum.
C)   infarction to the left and right ventricles.
D)   ischemia to the left ventricle and septum.E) C) and D)
F) A) and B)

Question 2

When the ECG paper is traveling at the standard rate of 25 mm/sec, a large box in the horizontal direction equals:

Accepted Answer

A)   0.08 seconds.
B)   0.12 seconds.
C)   0.20 seconds.
D)   0.24 seconds.E) C) and D)
F) All of the above

Question 3

A 45-year-old man is alert and oriented, complaining of chest pain. He describes a two-day history of worsening pain, described as a burning sensation below his left breast that radiates across his chest. He states that the pain seems to get better right after eating, but then worsens again. Medical history includes myocardial infarction, hypertension, and type 2 diabetes. His medications include Inderal, Vasotech, Glucotrol, and Lopid. Physical examination reveals cool, dry skin; clear lungs; and no JVD or peripheral edema. HR = 102, BP = 132/86, RR = 12, SaO2 = 98%. The patient is on oxygen by nasal cannula at 4 liters per minute. Which of the following should be done next?

Accepted Answer

A)   Give 81 mg aspirin by mouth.
B)   Start precautionary IV of normal saline and transport.
C)   Give 0.4 mg nitroglycerin sublingually.
D)   Do a 12-lead ECG.E) A) and B)
F) A) and C)

Question 4

The SA and AV nodes are perfused by the ________ artery.

Accepted Answer

A)   anterior descending
B)   right coronary
C)   left coronary
D)   circumflex coronaryE) B) and C)
F) A) and C)

Question 5

To assess an infant's airway, you should:

Accepted Answer

A)   perform a tongue-jaw lift.
B)   hyperextend the head and lift the chin.
C)   perform a jaw-thrust maneuver.
D)   carefully extend the head and neck.E) All of the above
F) A) and B)

Question 6

Which of the following statements is FALSE regarding the S3 heart sound?

Accepted Answer

A)   It is commonly heard in children.
B)   It is a high-pitched sound heard at the end of diastole.
C)   It is the "dee" part of the "lub-dub-dee" cadence.
D)   It can develop with ventricular failure or ventricular volume overload.E) A) and C)
F) B) and C)

Question 7

ETCO2 is recorded during phase ________ of the capnogram.

Accepted Answer

A)   I
B)   II
C)   III
D)   IVE) B) and C)
F) A) and C)

Question 8

A sign or symptom that causes a patient or bystander to request medical help is known as the:

Accepted Answer

A)   primary problem.
B)   present illness.
C)   associated symptom.
D)   chief complaint.E) B) and C)
F) A) and C)

Question 9

You are treating a 27-year-old asthmatic patient outside a bar when a growing crowd becomes hostile and unruly. To protect yourself, your crew, and your patient, you should:

Accepted Answer

A)   move the patient into the bar.
B)   use your vehicle to disperse the crowd.
C)   exit the scene, leaving the patient behind.
D)   remove yourselves and the patient from the scene.E) A) and D)
F) A) and C)

Question 10

Which of the following can be determined by lead II cardiac monitoring?

Accepted Answer

A)   Positive deflection
B)   Chamber enlargement
C)   Axis deviation
D)   Presence of a myocardial infarction, but not its locationE) B) and C)
F) All of the above

Question 11

You are evaluating a patient who was a restrained driver of a motor vehicle that crashed into the median barrier at 40 mph. He is awake, alert, and oriented, complaining of neck and back pain. There is a bruise across his upper abdomen in the shape of the seat belt. Based on this information, you should assume he is a ________ trauma patient, and transport him to ________.

Accepted Answer

A)   major; the closest hospital
B)   minor; the closest hospital
C)   minor; the patient's hospital of choice
D)   major; a trauma centerE) A) and D)
F) A) and C)

Question 12

One of the best ways to minimize patient anxiety during a physical exam is to:

Accepted Answer

A)   never expose any of the patient's body parts.
B)   use a calm, professional approach.
C)   limit your exam to procedures that do not cause the patient anxiety.
D)   warm your hands and instruments before use.E) B) and D)
F) C) and D)

Question 13

You are called to a scene at which a pedestrian has fallen on the sidewalk. When you arrive, the man is sitting up and appears alert and responsive. However, as you attempt to start your interview in your normal manner, you note that he is reluctant to speak with you. How should you proceed?

Accepted Answer

A)   Try to develop rapport by reviewing the reason you were dispatched on the call.
B)   Call the medical direction physician and allow the patient to speak to him or her.
C)   Confront the patient with your inability to help him if he does not tell you what is going on.
D)   Ask the patient to sign a refusal of treatment and transport form.E) C) and D)
F) A) and D)

Question 14

The first step in critical thinking is to:

Accepted Answer

A)   form a concept.
B)   conduct a focused exam.
C)   ascertain the chief complaint.
D)   determine statistically significant conditions.E) C) and D)
F) None of the above

Question 15

Echoing a patient's message back to him in your own words is a technique known as:

Accepted Answer

A)   explanation.
B)   facilitation.
C)   reflection.
D)   clarification.E) B) and C)
F) B) and D)

Question 16

You have just percussed the patient's chest and heard a loud, booming, low-pitched sound. This indicates:

Accepted Answer

A)   atelectasis.
B)   a normal lung field.
C)   a hypoinflated lung field.
D)   a hyperinflated lung field.E) B) and C)
F) A) and C)

Question 17

Which of the following is usually the best source of information about an alert and oriented patient?

Accepted Answer

A)   The patient
B)   Visual cues
C)   Diagnostic tests
D)   Family membersE) B) and D)
F) None of the above

Question 18

A complete neurologic exam includes assessment of mental status and speech, the motor and sensory systems, reflexes, and the:

Accepted Answer

A)   speed of peripheral nervous conduction.
B)   tympanic membrane.
C)   cranial nerves.
D)   visual acuity.E) None of the above
F) A) and D)

Question 19

Pain or tenderness on palpation of the tragus could suggest:

Accepted Answer

A)   Ménière's disease.
B)   mastoiditis.
C)   cerumen impaction.
D)   perforated tympanic membrane.E) A) and B)
F) B) and C)

Question 20

En route to the hospital, your patient says, "You know, I haven't had a date since my spouse died six years ago. Why don't you take down my phone number and call me?" Which of the following is an appropriate response?

Accepted Answer

A)   "I'm sure you understand my situation. I'm here to provide you with medical care and transportation to the hospital. It isn't proper for me to have anything but a professional relationship with you."
B)   "That is an inappropriate request, and I expect that you'll not make any further suggestions that we might become personally involved."
C)   "It isn't that I don't find you attractive; I certainly do, but it isn't proper for me to have a personal relationship with a patient."
D)   "I can't call you because of professional ethics, but my phone number is listed in the book."E) None of the above
F) A) and B)

Exam 2: Scene Size-Up

Which of the following is usually the best source of information about an alert and oriented patient?

Correct Answer
verified

Pain or tenderness on palpation of the tragus could suggest:

Correct Answer
verified

Which of the following can be determined by lead II cardiac monitoring?

Correct Answer
verified

Which of the following statements is FALSE regarding the S3 heart sound?

Correct Answer
verified

To assess an infant's airway, you should:

Correct Answer
verified

Echoing a patient's message back to him in your own words is a technique known as:

Correct Answer
verified

Correct Answer
verified

ETCO₂ is recorded during phase ________ of the capnogram.

Correct Answer
verified

You have just percussed the patient's chest and heard a loud, booming, low-pitched sound. This indicates:

Correct Answer
verified

You are called to a scene at which a pedestrian has fallen on the sidewalk. When you arrive, the man is sitting up and appears alert and responsive. However, as you attempt to start your interview in your normal manner, you note that he is reluctant to speak with you. How should you proceed?

Correct Answer
verified

You are treating a 27-year-old asthmatic patient outside a bar when a growing crowd becomes hostile and unruly. To protect yourself, your crew, and your patient, you should:

Correct Answer
verified

The first step in critical thinking is to:

Correct Answer
verified

A sign or symptom that causes a patient or bystander to request medical help is known as the:

Correct Answer
verified

The SA and AV nodes are perfused by the ________ artery.

Correct Answer
verified

En route to the hospital, your patient says, "You know, I haven't had a date since my spouse died six years ago. Why don't you take down my phone number and call me?" Which of the following is an appropriate response?

Correct Answer
verified

A complete neurologic exam includes assessment of mental status and speech, the motor and sensory systems, reflexes, and the:

Correct Answer
verified

A 12-lead ECG that reveals ST elevation in all of the precordial leads most indicates myocardial:

Correct Answer
verified

Correct Answer
verified

One of the best ways to minimize patient anxiety during a physical exam is to:

Correct Answer
verified

When the ECG paper is traveling at the standard rate of 25 mm/sec, a large box in the horizontal direction equals:

Correct Answer
verified

Exam 2: Scene Size-Up

Which of the following is usually the best source of information about an alert and oriented patient?

Correct AnswerverifiedShow Answer

Pain or tenderness on palpation of the tragus could suggest:

Correct AnswerverifiedShow Answer

Which of the following can be determined by lead II cardiac monitoring?

Correct AnswerverifiedShow Answer

Which of the following statements is FALSE regarding the S3 heart sound?

Correct AnswerverifiedShow Answer

To assess an infant's airway, you should:

Correct AnswerverifiedShow Answer

Echoing a patient's message back to him in your own words is a technique known as:

Correct AnswerverifiedShow Answer

Correct AnswerverifiedShow Answer

ETCO2 is recorded during phase ________ of the capnogram.

Correct AnswerverifiedShow Answer

You have just percussed the patient's chest and heard a loud, booming, low-pitched sound. This indicates:

Correct AnswerverifiedShow Answer

You are called to a scene at which a pedestrian has fallen on the sidewalk. When you arrive, the man is sitting up and appears alert and responsive. However, as you attempt to start your interview in your normal manner, you note that he is reluctant to speak with you. How should you proceed?

Correct AnswerverifiedShow Answer

You are treating a 27-year-old asthmatic patient outside a bar when a growing crowd becomes hostile and unruly. To protect yourself, your crew, and your patient, you should:

Correct AnswerverifiedShow Answer

The first step in critical thinking is to:

Correct AnswerverifiedShow Answer

A sign or symptom that causes a patient or bystander to request medical help is known as the:

Correct AnswerverifiedShow Answer

The SA and AV nodes are perfused by the ________ artery.

Correct AnswerverifiedShow Answer

En route to the hospital, your patient says, "You know, I haven't had a date since my spouse died six years ago. Why don't you take down my phone number and call me?" Which of the following is an appropriate response?

Correct AnswerverifiedShow Answer

A complete neurologic exam includes assessment of mental status and speech, the motor and sensory systems, reflexes, and the:

Correct AnswerverifiedShow Answer

A 12-lead ECG that reveals ST elevation in all of the precordial leads most indicates myocardial:

Correct AnswerverifiedShow Answer

Correct AnswerverifiedShow Answer

One of the best ways to minimize patient anxiety during a physical exam is to:

Correct AnswerverifiedShow Answer

When the ECG paper is traveling at the standard rate of 25 mm/sec, a large box in the horizontal direction equals:

Correct AnswerverifiedShow Answer

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

ETCO₂ is recorded during phase ________ of the capnogram.

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
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Correct Answer
verified

Correct Answer
verified

Correct Answer
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Correct Answer
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