Question # 101 (Multiple Choice) You are called for an assault victim. You arrive to find a manapproximately 20 years of age lying on his side in an alley. Examination reveals the patient has bloodoozing from the right side of his nose. The patient's right cheek appears flattened and there is discolorationaround his eyes. The patient states his cheek and nose feel numb. You suspect:

A) mandibular fracture

B) basilar skull fracture

C) parotid fracture

D) zygomatic fracture

Question # 102 (Multiple Choice) You are on the scene of a car-pedestrian crash. A 63-year-old womanwas crossing the street when she was struck by a car traveling approximately 45 miles per hour. The patientwas thrown approximately 20 feet. The decision to "load-and-go" or continue stabilization at the scene willbe primarily based on:

A) local triage protocols

B) national trauma guidelines.

C) employer policies & physical findings

D) mechanism of injury & physical findings.

Question # 103 (Multiple Choice) Select the correct statement regarding an epidural hematoma.

A) In an epidural hematoma, bleeding occurs between the dura and arachnoid mater.

B) An epidural hematoma develops slowly, producing symptoms hours or days after theinjury.

C) In an epidural hematoma, bleeding occurs between the cranium and the dura

D) An epidural hematoma is most often associated with venous bleeding

Question # 104 (Multiple Choice) A "Halo" test is a check for

A) cervical injury

B) CSF leaks

C) Priapism

D) Brain damage

Question # 105 (Multiple Choice) The METTAG system is one method of triaging patients. When usingthis system, a black tag identifies a patient who is:

A) dead or unexpected survival.

B) non-life or limb-threatening.

C) less critically injured.

D) the most critically injured.

Question # 106 (Multiple Choice) Responsibilities of the incident commander include:

A) working with the communication center and hospitals to obtain medical facility status andtreatment capabilities.

B) evaluating the resources required for patient treatment and providing suitable "immediate"and "delayed" treatment areas.

C) determining the resources necessary to extricate trapped patients and delivering them tothe treatment sector.

D) rapidly assessing the situation, requesting additional resources as necessary, anddeveloping a plan of action for management of the incident.

Question # 107 (Multiple Choice) The START method of triage uses a 60-second assessment thatevaluates:

A) pulses, motor, sensation

B) airway, breathing, circulation

C) ventilation, perfusion, mental status

D) level of consciousness, tenderness, crepitation

Question # 108 (Multiple Choice) The METTAG system is one method of triaging patients. When usingthis system, a green tag identifies a patient who is:

A) dead or unexpected survival.

B) non-life or limb-threatening.

C) less critically injured.

D) the most critically injured.

Question # 109 (Multiple Choice) The START method of triage classifies victims as:

A) immediate, delayed, nonsalvageable/dead

B) delayed, non-life or limb-threatening, dead

C) the most critically injured, walking wounded, dead D) walking wounded, nonsalvageable, the most critically injured

Question # 110 (Multiple Choice) The sector responsible for directing emergency vehicles at the scene of amajor incident is the:

A) staging sector

B) treatment sector

C) extrication sector

D) transportation sector

Question # 111 (Multiple Choice) A 27-year-old man has suffered a blow to the right side of the head. Hisinjury may cause compression of the oculomotor cranial nerve resulting in:

A) dilation of the ipsilateral pupil.

B) dilation of the contralateral pupil.

C) constriction of the ipsilateral pupil.

D) constriction of the contralateral pupil.

Question # 112 (Multiple Choice) You are called for an unconscious man. On arrival you find anunresponsive male, approximately 20 years of age, lying supine in a parking lot. Bystanders state he was thevictim of a gang fight and has been struck in the head and shoulders with a baseball bat. Examinationreveals contusions to the left temporal area and over the shoulders. There is a small amount of bleedingfrom the left nostril. The patient's blood pressure is 118/74, pulse 90 and regular, respiratory rate 12/min.Which of the following represents the MOST IMPORTANT intervention you can perform for this patient tohelp minimize cerebral edema?

A) Hyperventilate the patient.

B) Apply the pneumatic antishock garment.

C) Placing the patient in Trendelenburg position.

D) Establish two large-bore IVs of normal saline and infuse wide open.

Question # 113 (Multiple Choice) The Glasgow Coma Scale evaluates:

A) motor response, gag reflex, verbal response.

B) eye opening, motor response, verbal response.

C) eye opening, pupillary response, motor response.

D) verbal response, pupillary response, motor response.

Question # 114 (Multiple Choice) A patient who opens his eyes in response to pain, makes no verbalresponse, but withdraws from pain has a Glasgow Coma Score of:

A) 3

B) 5

C) 7

D) 11

Question # 115 (Multiple Choice) Cushing's triad is associated with

A) cardiac tamponade

B) tension pneumothorax

C) massive hemothorax

D) increased intracranial pressure

Question # 116 (Multiple Choice) Which of the following signs are associated with Cushing's triad?

A) decreasing blood pressure, decreasing pulse rate, change in respiratory pattern

B) increasing blood pressure, decreasing pulse rate, change in respiratory pattern

C) increasing blood pressure, increasing pulse rate, change in respiratory pattern

D) decreasing blood pressure, increasing pulse rate, change in respiratory pattern

Question # 117 (Multiple Choice) Select the most appropriate statement that should be used to describe apatient's level of consciousness

A) The patient is obtunded

B) The patient appears drowsy

C) The patient is semiconscious

D) The patient withdraws from a painful stimulus

Question # 118 (Multiple Choice) All of the following patients are victims involved in a motor vehiclecrash. Which patient should be rapidly extricated?

A) 26-year-old female front seat passenger complaining of a headache. Laceration present onright forehead. BP 138/80, P 92, R 16

B) 19-year-old male back seat passenger complaining of pain in right femur. Swelling anddiscoloration noted over right thigh. BP 128/74, P 88, R 14

C) 30-year-old male driver complaining of difficulty breathing. Unable to palpate radialpulse, carotid weak, rate 120. Respiratory rate 44 and labored

D) 24-year-old female back seat passenger complaining of abdominal pain. Seatbelt markingsnoted over chest and abdomen. BP 118/82, P 76, R 16

Question # 119 (Multiple Choice) The MOST important sign in the evaluation of a head-injured patient is:

A) tachycardia

B) blood pressure

C) tachypnea

D) level of consciousness

Question # 120 (Multiple Choice) LORAZAPAM (ATIVAN) is classified as an

A) benzodiazepine

B) vasodilator

C) anit-inflammatory agent

D) anticholinergic

Question # 121 (Multiple Choice) The patient in the "I Feel So Ejected" case was given ATIVAN at thehospital for

A) reducing brain swelling

B) reducing hypotenison

C) reducing seizure activity

D) reducing PVC's

Question # 122 (Multiple Choice) The correct adult dosage of ATIVAN is

A) 0.5 - 2.0 mg IV

B) 1-2 g diluted in 10 ml of D5W

C) 2-4 g IV

D) 1.5 -2.0 g/kg IV

Question # 123 (Multiple Choice) The Mannitol dose for an adult is

A) 1.5 -2.0 g/kg IV

B) 25-50 mg IV

C) 0.5 mg/lb to 0.8 mg/lb IM, SQ

D) 0.2 ml in 2.5 ml saline

Question # 124 (Multiple Choice) MANNITOL (OSMOTROL) is an osmotic diuretic that inhibits sodiumand water absorption in the kidneys. It would most likely be used for

A) GI bleeds

B) acute cerebral edema

C) kidney injury

D) Loop of Henley dysfunction

Question # 125 (Multiple Choice) Select the correct statement regarding an epidural hematoma.

A) In an epidural hematoma, bleeding occurs between the dura and arachnoid mater.

B) n epidural hematoma develops slowly, producing symptoms hours or days after the injury.

C) In an epidural hematoma, bleeding occurs between the cranium and the dura.

D) An epidural hematoma is most often associated with venous bleeding.

Question # 126 (Multiple Choice) Signs and symptoms of a basilar skull fracture may include: 1.Cerebrospinal fluid draining from the nose. 2. Ecchymosis in the mastoid region. 3. Periorbital ecchymosis.

A) a. 1, 2 only.

B) b. 1, 3 only.

C) c. 2, 3 only.

D) d. 1, 2, 3.

Question # 127 (Multiple Choice) Nitroglycerin may not be given if the patient

A) has used two tablets of nitroglycerin

B) has a systolic blood pressure less than 90

C) has a diastolic blood pressure less than 90

D) has taken one tablet with no relief

Question # 128 (Multiple Choice) OPQRST are letters used to help you remember which questions to askpatients during your assessment. What does the "P" stand for?

A) proximity

B) pulse

C) pain

D) provocation

Question # 129 (Multiple Choice) A 45-year-old patient complains of breathing difficulty and and chestpain. He will not tolerate a non-rebreather mask. You should

A) use a nasal cannula

B) move the mask to a position of comfort

C) provide artificial ventilation with a bag-valve mask

D) use a pocket mask with supplemental oxygen

Question # 130 (Multiple Choice) Your 40-year-old male patient complains of mild chest discomfort. As anEMT-B you should:

A) decide whether or not the patient has a heart problem

B) decide what type of heart problem it might be

C) treat as if the patient has cardiac compromise.

D) all of the above

Question # 131 (Multiple Choice) Cardiac compromise commonly includes all of the following signs orsymptoms EXCEPT

A) difficulty breathing.

B) warm, dry skin.

C) nausea or vomiting.

D) epigastric pain

Question # 132 (Multiple Choice) Your adult patient with chest pain has a blood pressure of 92/54, a pulseof 112 and has a history of angina. You should

A) transport the patient promptly.

B) administer the patient's prescribed nitroglycerin

C) quickly begin CPR/full resuscitation efforts

D) apply an automated external defibrillator and monitor the patient's cardiac rhythm

Question # 133 (Multiple Choice) Which of the following is a shockable rythum?

A) sinus rhythm

B) ventricular fibrillation

C) pulseless electrical activity

D) third degree block

Question # 134 (Multiple Choice) Which of the following cardiac arrest patients should you defibrillate?

A) a 12-year-old who weighs less 90 lbs

B) a 14-year-old who weighs 110 lbs

C) a 12-year-old trauma patient who weighs 120 lbs

D) an infant experiencing sudden infant death syndrome

Question # 135 (Multiple Answer) All of the following are effects of nitroglycerin (multi answer)

A) it dilates the blood vessels

B) it allows more blood to remain in the capillaries

C) it reduces the heart's work load

D) it increases the blood pressure

Question # 136 (Multiple Answer) Which of the following are contraindications for the use ofnitroglycerin? (multi answer)

A) The patient has a history of cardiac problems

B) The patient complains of chest pain

C) The patient has also has a head injury

D) The patient took Viagra 3 hours ago

Question # 137 (Multiple Choice) The cardiac conduction system disturbance that most commonly resultsin cardiac arrest is

A) pulseless electrical activity

B) ventricular fibrillation

C) ventricular tachycardia

D) asystole.

Question # 138 (Multiple Choice) The EMT-B requests prehospital advanced cardiac life support for thecare of the cardiac arrest patient because

A) early ACLS intervention provides for higher survival rates

B) ACLS personnel must be present when EMT-Bs perform defibrillation.

C) only paramedics can transport cardiac arrest patients

D) the EMT-B is not adequately trained to manage cardiac arrest

Question # 139 (Multiple Choice) Nitroglycerin is a medication that is administered:

A) as a slurry

B) as an injection

C) sublingually.

D) by inhalation

Question # 140 (Multiple Choice) Why is nitroglycerin effective for patients with recurrent chest pain?

A) It enlarges bronchial tubes

B) It constricts the blood vessels

C) It dilates coronary blood vessels

D) All of the above

Question # 141 (Multiple Choice) Your 55-year-old female patient has chest pain and a blood pressure of110/80. You give nitroglycerin. You recheck her blood pressure and are unable to obtain a reading. Herresponse to the nitroglycerin is called:

A) a side effect

B) an indication

C) a contraindication

D) a characteristic

Question # 142 (Multiple Choice) Your 55-year-old female patient has chest pain and a blood pressure of102/70. You assist with one tablet of nitroglycerin. You recheck her blood pressure and it is 80/50 andbecome semi- consciousness. A an EMT B, you should

A) place her in the Fowlers position

B) place her in the semi reverse Trendelenburg position

C) place her in the semi Fowlers position

D) place her in the Trendelenburg position

Question # 143 (Multiple Choice) Study the picture, and then identify: Structure number 1

A) Inferior vena cava

B) Superior vena cava

C) Aorta

D) Right ventricle

Question # 144 (Multiple Choice) Study the picture, and then identify: Structure number 5

A) Right ventricle

B) Aorta

C) Inferior vena cava

D) Left ventricle

Question # 145 (Multiple Choice) Using the picture, which number indicates- The first chamber whereblood returns to the heart

A) 1

B) 2

C) 5

D) none of the above

Question # 146 (Multiple Choice) If there are no contraindications, ___ mg of ASA should be given to thechest pain patient.

A) 362

B) 324

C) 400

D) 320

Question # 147 (Multiple Choice) The ST segment in lead II and II is

A) depressed

B) elevated

C) normal

D) isoelectric

Question # 148 (Multiple Choice) A lateral left ventricular myocardial infarction is due to the occlusion of:

A) Perforating arteries

B) Right coronary artery

C) Right marginal branch

D) Left anterior descending

E) Left circumflex artery

Question # 149 (Multiple Choice) Whichbest refers to the filling and emptying of the heart:

A) Blood Brain Barrier

B) Starlings Law

C) Einthoven's Triangle

D) Angle of Louis

E) Poiseulle's Law

Question # 150 (Multiple Choice) The formation of a thrombus

A) is the result of rupture of the artery wall

B) a thinning of the artery wall

C) is the result of myocardial cells becoming ischemic

D) can lead to an embolism obstructing blood flow in the artery

Question # 151 (Multiple Answer) The left coronary artery supplies (multi answer)

A) LEFT VENTRICLE

B) ANTERIOR 2/3 OF THE INTERVENTRICULAR SEPTUM

C) VARIABLE PORTIONS OF THE RIGHT VENTRICLE

D) ATRIOVENTRICULAR NODE

Question # 152 (Multiple Answer) The right coronary artery supplies (multi answer)

A) POSTEROLATERAL SURFACE OF THE HEART

B) SINOATRIAL NODE

C) POSTERIOR 1/3 OF THE INTERVENTRICULAR SEPTUM

D) LEFT VENTRICLE

Question # 153 (Multiple Choice) A myocardial infarction occurs when

A) a heart valve does not close completely

B) a heart valve does not open fully

C) there is a blockage in a coronary artery

D) the electrical impulses of the heart become irregular

Question # 154 (Multiple Choice) All of the following are complications of myocardial infarction except

A) Cor pulmonale

B) Cerebral emboli

C) Cardiac tamponade

D) Dissecting aortic aneurysm

Question # 155 (Multiple Choice) The reciprocal ST that matches the previous answer is seen in leads

A) aVL and V2

B) I, aVL and V2

C) aVL, V5 and V6

D) aVF, aVL and V2

Question # 156 (Multiple Choice) Deep and slurred S waves can be seen in leads

A) I, aVL, V5 and V6

B) V1 to V4

C) I, aVL and V2

Question # 157 (Multiple Choice) Poor R wave progression in the precordial leads along with ST elevationin V1 could suggest

A) the presence of a septal infarction

B) the presence of an anterior infarction

C) the presence of an aortic tear

D) the presence of Cor pulmonale

Question # 158 (Multiple Choice) Patients with poor cardiac output post nitrogylcerin administration mayneed to be treated with an inotropic drug, such as

A) lidocaine

B) atropine

C) dobutamine

D) mag sulfate

Question # 159 (Multiple Choice) Patients with poor cardiac output post nitrogylcerin administration mayneed to be treated for symptomatic bradycardia with

A) lidocaine

B) atropine

C) dobutamine

D) mag sulfate

Question # 160 (Multiple Choice) BONUS QUESTION: Thyroid hyperfunction leads to:

A) Mitral stenosis

B) Marked tachycardia

C) Decreased cardiac output

D) Right-sided heart failure

E) Increased peripheral vascular resistance

Question # 161 (Multiple Choice) 1. The currently recognized cause for cat scratch disease is:

A) prion

B) rickettsia

C) fungus

D) virus

Question # 162 (True/False) 2. True or false, Cat Scratch disease is more common patients under the age of21

A) True

B) False

Question # 163 (True/False) 3. Lymphadenopathy in the adult is frequently a sign of metastatic cancer

A) True

B) False

Question # 164 (Multiple Choice) Cats

A) Tularemia

B) Anthrax

C) Plague

D) Brucellosis

E) Toxiplasmosis

Question # 165 (Multiple Choice) Rats

A) Tularemia

B) Anthrax

C) Plague

D) Brucellosis

E) Toxiplasmosis

Question # 166 (Multiple Choice) Cattle

A) Tularemia

B) Anthrax

C) Plague

D) Brucellosis

E) Toxiplasmosis

Question # 167 (Multiple Choice) Sheep

A) Tularemia

B) Anthrax

C) Plague

D) Brucellosis

E) Toxiplasmosis

Question # 168 (True/False) 5. Lymphadenopathy in children is most commonly associated with infection

A) True

B) False

Question # 169 (True/False) 6. Declawing of cats is a proper prophylaxis for CSD

A) True

B) False

Question # 170 (True/False) 7. Humans may acquire CSD directly via bites from infected fleas.

A) True

B) False

Question # 171 (Multiple Choice) 8. Using the pneumonic AEIOU TIPS as a guide for evaluation of coma,what does the letter A stand for?

A) Acidosis

B) Alkalosis

C) Akestenia

D) Amyloidosis

Question # 172 (Multiple Choice) 9. Causes of seizure GENERALLY include all of the following,EXCEPT:

A) hypoxia

B) hypoglycemia

C) infection

D) pre-eclampsia

Question # 173 (True/False) 10. Cat bites are more commonly the cause of CSD than scratches

A) True

B) False

Question # 174 (Multiple Choice) A 54-year-old male patient has been thrown through a window. Glass hascaused an open neck wound. You should dress this wound with:

A) an occlusive dressing

B) a sterile gauze dressing

C) a moist gauze dressing

D) butterfly bandages

Question # 175 (Multiple Choice) Your patient has been exposed to an unknown chemical which hassoaked his clothing. You should flush the patient with

A) water

B) a neutralizing solution

C) vinegar

D) a baking soda solution

Question # 176 (Multiple Choice) Shock absorption and insulation are the major functions of which layer ofthe skin?

A) dermis

B) subcutaneous layer

C) epidermis

D) dura.

Question # 177 (Multiple Choice) The major problem caused by electrical shock is often not the burn itself.The most serious problem to consider is

A) shock

B) hypothermia

C) cardiac arrest

D) brain damage

Question # 178 (Multiple Choice) A 23-year-old male patient has been involved in a knife fight and has anopen abdominal injury with protruding bowel. Your treatment of the injury should include

A) replacing the exposed bowel

B) application of the PASG for the abdominal injury

C) covering the exposed bowel with a sterile dressing moistened with saline, then anocclusive dressing

D) covering the bowel with dry sterile gauze prior to transport

Question # 179 (Multiple Choice) Because it can become a constricting band,______ should NOT use tohold dressings in place.

A) a triangular bandage

B) an elastic bandage

C) strips of adhesive tape

D) self-adherent roller gauze

Question # 180 (Multiple Choice) A 4-year-old male patient was running in the school hall. You find apencil impaled in his upper arm. Your should

A) apply a tourniquet to control bleeding

B) remove the pencil and bandage the wound

C) cut the exposed portion of the pencil off to ease bandaging and transport

D) stabilize the pencil with a bulky dressing

Question # 181 (Multiple Choice) A 32-year-old female patient has amputated her index finger in a tablesaw accident. You have bandaged her hand. The best way to transport the amputated finger is by

A) wrapping the finger in gauze, placing it in a plastic bag, and keeping it cool

B) placing the finger directly in a container sterile saline

C) wrapping the finger well in an occlusive dressing

D) placing the finger directly on dry ice

Question # 182 (Multiple Choice) A patient has had his lower legs burned. The area is charred black butyour patient states he has little pain. This burn would be classified as

A) minor

B) partial thickness

C) superficial

D) full thickness

Question # 183 (Multiple Choice) Acceptable care for a superficial burn may include all of the followingEXCEPT

A) apply a burn ointment

B) cool the burn with water

C) keep the patient warm

D) keep the burn site clean

Question # 184 (Multiple Choice) When force is transmitted to the body's internal structures causinginternal organs to rupture or bleed internally, or small bone fractures to occur is called a(n):

A) crush injury

B) concussion

C) avulsion

D) contusion.

Question # 185 (Multiple Choice) A bruise may be an indication of internal injuries and internal bleeding. Itis important for you to monitor your patient for any signs and symptoms of

A) infection

B) shock

C) low blood sugar

D) d. hypothermia

Question # 186 (Multiple Choice) Formation of blood clots would be this mans job :-)

A) White Knight Luke

B) Plumber Platelet

C) Erythrocyte Erythmic

D) Plasma Pooler

Question # 187 (Multiple Choice) If a patient is in shock, you would expect the skin to be

A) cool and clammy

B) warm and dry

C) hot and dry

D) none of the above

Question # 188 (Multiple Choice) What does the "D" in "DCAP-BTLS" stand for?

A) dislocations

B) distal function

C) dyspnea

D) deformities

Question # 189 (Multiple Choice) A teen male patient has a gunshot wound to the chest. Your detailedphysical exam on this patient

A) will begin immediately after the initial assessment

B) will begin before the initial assessment

C) may never begin due to the seriousness of the chest injury

D) will be delayed until an ALS provider is on the scene

Question # 190 (Multiple Choice) External bleeding that is a steady flow of dark red blood is from a(n):

A) artery

B) vein

C) capillary

D) all of the above

Question # 191 (Multiple Choice) A late sign of internal bleeding is:

A) bruising

B) painful, swollen extremities

C) signs of shock

D) bright red vomitus

Question # 192 (Multiple Choice) Early signs and symptoms of hypoperfusion include

A) cool, clammy skin

B) bradycardia

C) hypertension

D) constricted pupils.

Question # 193 (Multiple Choice) You arrive at the scene of a bar fight. A 25-year-old man has beenstabbed and is bleeding severely. The assailant is still on the scene and is holding a knife. What should youdo first?

A) Shoot the assailant

B) Stay behind your partner

C) Order the assailant to go away

D) Run to the rig

Question # 194 (Multiple Choice) A 34-year-old female patient has suffered a partial thickness burn to herforearm. Your treatment should include:

A) applying a burn ointment

B) applying ice

C) puncturing blisters

D) applying a dressing

Question # 195 (Multiple Choice) Regarding abruptio placenta

A) Blood loss is confined within the amniotic sack

B) Internal bleeding is generally minimal.

C) Blood loss may be concealed between the uterine wall and Blood loss may be concealedbetween the uterine wall and the placenta

D) There is always excessive external vagina bleeding

Question # 196 (Multiple Choice) Your patient has been crushed between a loading dock and a forklift. Hepresents with severe dyspnea, distended neck veins, absent breath sounds on the right side and diminishedbreath sounds on the left. You are able to palpate slight tracheal deviation toward the left. You shouldinitially initial management of this patient includes immediate:

A) perform a pericardiocentesis

B) perform a needle decompression of the right side

C) institute rapid transport

D) perform transtracheal jet insufflation

Question # 197 (Multiple Choice) Your homeless patient presents with bright red rectal bleeding,tachycardia and hypotension. This is most likely caused by

A) bleeding ulcers

B) esophageal varicies

C) lower GI bleed

D) upper GI bleed

Question # 198 (Multiple Choice) Your patient has a third trimester bleed. You should

A) perform the internal vaginal exam wearing sterile gloves

B) pack the vagina cavity with gauze

C) transport the patient on her left side

D) perform a c-section at the scene

Question # 199 (Multiple Choice) Which of the following forms of hepatitis is generally NOT chronic?

A) Hepatitis A.

B) Hepatitis B

C) Hepatitis C

D) Hepatitis D

Question # 200 (Multiple Choice) Pale, sweaty skin, a rapid thready pulse and a delayed capillary refill timeindicate:

A) ICP

B) hypoperfusion

C) a nervous intern

D) over exertion

Question # 101 (Multiple Choice) You are called for an assault victim. You arrive to find a manapproximately 20 years of age lying on his side in an alley. Examination reveals the patient has bloodoozing from the right side of his nose. The patient's right cheek appears flattened and there is discolorationaround his eyes. The patient states his cheek and nose feel numb. You suspect:Answer: (D) zygomatic fracture

Question # 102 (Multiple Choice) You are on the scene of a car-pedestrian crash. A 63-year-old womanwas crossing the street when she was struck by a car traveling approximately 45 miles per hour. The patientwas thrown approximately 20 feet. The decision to "load-and-go" or continue stabilization at the scene willbe primarily based on:Answer: (D) mechanism of injury & physical findings.

Question # 103 (Multiple Choice) Select the correct statement regarding an epidural hematoma.Answer: (C) In an epidural hematoma, bleeding occurs between the cranium and the dura

Question # 104 (Multiple Choice) A "Halo" test is a check forAnswer: (B) CSF leaks

Question # 105 (Multiple Choice) The METTAG system is one method of triaging patients. When usingthis system, a black tag identifies a patient who is:Answer: (A) dead or unexpected survival.

Question # 106 (Multiple Choice) Responsibilities of the incident commander include:Answer: (D) rapidly assessing the situation, requesting additional resources as necessary, and developing aplan of action for management of the incident.

Question # 107 (Multiple Choice) The START method of triage uses a 60-second assessment thatevaluates:Answer: (C) ventilation, perfusion, mental status

Question # 108 (Multiple Choice) The METTAG system is one method of triaging patients. When usingthis system, a green tag identifies a patient who is:Answer: (B) non-life or limb-threatening.

Question # 109 (Multiple Choice) The START method of triage classifies victims as:Answer: (A) immediate, delayed, nonsalvageable/dead

Question # 110 (Multiple Choice) The sector responsible for directing emergency vehicles at the scene of amajor incident is the:Answer: (A) staging sector

Question # 111 (Multiple Choice) A 27-year-old man has suffered a blow to the right side of the head. Hisinjury may cause compression of the oculomotor cranial nerve resulting in:Answer: (A) dilation of the ipsilateral pupil.

Question # 112 (Multiple Choice) You are called for an unconscious man. On arrival you find anunresponsive male, approximately 20 years of age, lying supine in a parking lot. Bystanders state he was thevictim of a gang fight and has been struck in the head and shoulders with a baseball bat. Examinationreveals contusions to the left temporal area and over the shoulders. There is a small amount of bleedingfrom the left nostril. The patient's blood pressure is 118/74, pulse 90 and regular, respiratory rate 12/min.Which of the following represents the MOST IMPORTANT intervention you can perform for this patient tohelp minimize cerebral edema?Answer: (A) Hyperventilate the patient.

Question # 113 (Multiple Choice) The Glasgow Coma Scale evaluates:Answer: (B) eye opening, motor response, verbal response.

Question # 114 (Multiple Choice) A patient who opens his eyes in response to pain, makes no verbalresponse, but withdraws from pain has a Glasgow Coma Score of:Answer: (C) 7

Question # 115 (Multiple Choice) Cushing's triad is associated withAnswer: (D) increased intracranial pressure

Question # 116 (Multiple Choice) Which of the following signs are associated with Cushing's triad?Answer: (B) increasing blood pressure, decreasing pulse rate, change in respiratory pattern

Question # 117 (Multiple Choice) Select the most appropriate statement that should be used to describe apatient's level of consciousnessAnswer: (D) The patient withdraws from a painful stimulus

Question # 118 (Multiple Choice) All of the following patients are victims involved in a motor vehiclecrash. Which patient should be rapidly extricated?Answer: (C) 30-year-old male driver complaining of difficulty breathing. Unable to palpate radial pulse,carotid weak, rate 120. Respiratory rate 44 and labored

Question # 119 (Multiple Choice) The MOST important sign in the evaluation of a head-injured patient is:Answer: (D) level of consciousness

Question # 120 (Multiple Choice) LORAZAPAM (ATIVAN) is classified as anAnswer: (A) benzodiazepine

Question # 121 (Multiple Choice) The patient in the "I Feel So Ejected" case was given ATIVAN at thehospital forAnswer: (C) reducing seizure activity

Question # 122 (Multiple Choice) The correct adult dosage of ATIVAN isAnswer: (A) 0.5 - 2.0 mg IV

Question # 123 (Multiple Choice) The Mannitol dose for an adult isAnswer: (A) 1.5 -2.0 g/kg IV

Question # 124 (Multiple Choice) MANNITOL (OSMOTROL) is an osmotic diuretic that inhibits sodiumand water absorption in the kidneys. It would most likely be used forAnswer: (B) acute cerebral edema

Question # 125 (Multiple Choice) Select the correct statement regarding an epidural hematoma.Answer: (C) In an epidural hematoma, bleeding occurs between the cranium and the dura.

Question # 126 (Multiple Choice) Signs and symptoms of a basilar skull fracture may include: 1.Cerebrospinal fluid draining from the nose. 2. Ecchymosis in the mastoid region. 3. Periorbital ecchymosis.Answer: (D) d. 1, 2, 3. Question # 127 (Multiple Choice) Nitroglycerin may not be given if the patientAnswer: (B) has a systolic blood pressure less than 90

Question # 128 (Multiple Choice) OPQRST are letters used to help you remember which questions to askpatients during your assessment. What does the "P" stand for?Answer: (D) provocation

Question # 129 (Multiple Choice) A 45-year-old patient complains of breathing difficulty and and chestpain. He will not tolerate a non-rebreather mask. You shouldAnswer: (A) use a nasal cannula

Question # 130 (Multiple Choice) Your 40-year-old male patient complains of mild chest discomfort. As anEMT-B you should:Answer: (C) treat as if the patient has cardiac compromise.

Question # 131 (Multiple Choice) Cardiac compromise commonly includes all of the following signs orsymptoms EXCEPTAnswer: (B) warm, dry skin.

Question # 132 (Multiple Choice) Your adult patient with chest pain has a blood pressure of 92/54, a pulseof 112 and has a history of angina. You shouldAnswer: (B) administer the patient's prescribed nitroglycerin

Question # 133 (Multiple Choice) Which of the following is a shockable rythm?Answer: (B) ventricular fibrillation

Question # 134 (Multiple Choice) Which of the following cardiac arrest patients should you defibrillate?Answer: (B) a 14-year-old who weighs 110 lbs

Question # 135 (Multiple Answer) All of the following are effects of nitroglycerin (multi answer)(A) it dilates the blood vessels(C) it reduces the heart's work load

Question # 136 (Multiple Answer) Which of the following are contraindications for the use ofnitroglycerin? (multi answer)(C) The patient has also has a head injury(D) The patient took Viagra 3 hours ago

Question # 137 (Multiple Choice) The cardiac conduction system disturbance that most commonly resultsin cardiac arrest isAnswer: (B) ventricular fibrillation

Question # 138 (Multiple Choice) The EMT-B requests prehospital advanced cardiac life support for thecare of the cardiac arrest patient becauseAnswer: (A) early ACLS intervention provides for higher survival rates

Question # 139 (Multiple Choice) Nitroglycerin is a medication that is administered:Answer: (C) sublingually.

Question # 140 (Multiple Choice) Why is nitroglycerin effective for patients with recurrent chest pain?Answer: (C) It dilates coronary blood vessels

Question # 141 (Multiple Choice) Your 55-year-old female patient has chest pain and a blood pressure of110/80. You give nitroglycerin. You recheck her blood pressure and are unable to obtain a reading. Herresponse to the nitroglycerin is called:Answer: (A) a side effect

Question # 142 (Multiple Choice) Your 55-year-old female patient has chest pain and a blood pressure of102/70. You assist with one tablet of nitroglycerin. You recheck her blood pressure and it is 80/50 andbecome semi- consciousness. A an EMT B, you shouldAnswer: (D) place her in the Trendelenburg position

Question # 143 (Multiple Choice) Study the picture, and then identify: Structure number 1Answer: (B) Superior vena cava

Question # 144 (Multiple Choice) Study the picture, and then identify: Structure number 5Answer: (D) Left ventricle

Question # 145 (Multiple Choice) Using the picture, which number indicates- The first chamber whereblood returns to the heartAnswer: (D) none of the above

Question # 146 (Multiple Choice) If there are no contraindications, ___ mg of ASA should be given to thechest pain patient.Answer: (B) 324

Question # 147 (Multiple Choice) The ST segment in lead II and II isAnswer: (B) elevated

Question # 148 (Multiple Choice) A lateral left ventricular myocardial infarction is due to the occlusion of:Answer: (E) Left circumflex artery

Question # 149 (Multiple Choice) Whichbest refers to the filling and emptying of the heart:Answer: (B) Starlings Law

Question # 150 (Multiple Choice) The formation of a thrombusAnswer: (D) can lead to an embolism obstructing blood flow in the artery

Question # 151 (Multiple Answer) The left coronary artery supplies (multi answer)(A) LEFT VENTRICLE(B) ANTERIOR 2/3 OF THE INTERVENTRICULAR SEPTUM(C) VARIABLE PORTIONS OF THE RIGHT VENTRICLE

Question # 152 (Multiple Answer) The right coronary artery supplies (multi answer)(B) SINOATRIAL NODE(C) POSTERIOR 1/3 OF THE INTERVENTRICULAR SEPTUM

Question # 153 (Multiple Choice) A myocardial infarction occurs whenAnswer: (C) there is a blockage in a coronary artery

Question # 154 (Multiple Choice) All of the following are complications of myocardial infarction exceptAnswer: (D) Dissecting aortic aneurysm

Quuestion # 155 (Multiple Choice) The reciprocal ST that matches the previous answer is seen in leadsAnswer: (B) I, aVL and V2

Question # 156 (Multiple Choice) Deep and slurred S waves can be seen in leadsAnswer: (A) I, aVL, V5 and V6

Question # 157 (Multiple Choice) Poor R wave progression in the precordial leads along with ST elevationin V1 could suggestAnswer: (B) the presence of an anterior infarction

Question # 158 (Multiple Choice) Patients with poor cardiac output post nitrogylcerin administration mayneed to be treated with an inotropic drug, such asAnswer: (C) dobutamine

Question # 159 (Multiple Choice) Patients with poor cardiac output post nitrogylcerin administration mayneed to be treated for symptomatic bradycardia withAnswer: (B) atropine

Question # 160 (Multiple Choice) BONUS QUESTION: Thyroid hyperfunction leads to:Answer: (B) Marked tachycardia

Question # 161 (Multiple Choice) 1. The currently recognized cause for cat scratch disease is:Answer: (B) rickettsia

Question # 162 (True/False) 2. True or false, Cat Scratch disease is more common patients under the age of21Answer: True

Question # 163 (True/False) 3. Lymphadenopathy in the adult is frequently a sign of metastatic cancerAnswer: True

Question # 164 (Multiple Choice) CatsAnswer: (E) Toxiplasmosis

Question # 165 (Multiple Choice) RatsAnswer: (C) Plague

Question # 166 (Multiple Choice) CattleAnswer: (D) Brucellosis

Question # 167 (Multiple Choice) SheepAnswer: (B) Anthrax

Question # 168 (True/False) 5. Lymphadenopathy in children is most commonly associated with infectionAnswer: True

Question # 169 (True/False) 6. Declawing of cats is a proper prophylaxis for CSDAnswer: False

Question # 170 (True/False) 7. Humans may acquire CSD directly via bites from infected fleas.Answer: True

Question # 171 (Multiple Choice) 8. Using the pneumonic AEIOU TIPS as a guide for evaluation of coma,what does the letter A stand for?Answer: (A) Acidosis

Question # 172 (Multiple Choice) 9. Causes of seizure GENERALLY include all of the following,EXCEPT:

Answer: (D) pre-eclampsia

Question # 173 (True/False) 10. Cat bites are more commonly the cause of CSD than scratchesAnswer: False

Question # 174 (Multiple Choice) A 54-year-old male patient has been thrown through a window. Glass hascaused an open neck wound. You should dress this wound with:Answer: (A) an occlusive dressing

Question # 175 (Multiple Choice) Your patient has been exposed to an unknown chemical which hassoaked his clothing. You should flush the patient withAnswer: (A) water

Question # 176 (Multiple Choice) Shock absorption and insulation are the major functions of which layer ofthe skin?Answer: (B) subcutaneous layer

Question # 177 (Multiple Choice) The major problem caused by electrical shock is often not the burn itself.The most serious problem to consider isAnswer: (C) cardiac arrest

Question # 178 (Multiple Choice) A 23-year-old male patient has been involved in a knife fight and has anopen abdominal injury with protruding bowel. Your treatment of the injury should includeAnswer: (C) covering the exposed bowel with a sterile dressing moistened with saline, then an occlusivedressing Question # 179 (Multiple Choice) Because it can become a constricting band,______ should NOT use tohold dressings in place.Answer: (B) an elastic bandage

Question # 180 (Multiple Choice) A 4-year-old male patient was running in the school hall. You find apencil impaled in his upper arm. Your shouldAnswer: (D) stabilize the pencil with a bulky dressing

Question # 181 (Multiple Choice) A 32-year-old female patient has amputated her index finger in a tablesaw accident. You have bandaged her hand. The best way to transport the amputated finger is byAnswer: (A) wrapping the finger in gauze, placing it in a plastic bag, and keeping it cool

Question # 182 (Multiple Choice) A patient has had his lower legs burned. The area is charred black butyour patient states he has little pain. This burn would be classified asAnswer: (D) full thickness

Question # 183 (Multiple Choice) Acceptable care for a superficial burn may include all of the followingEXCEPTAnswer: (A) apply a burn ointment

Question # 184 (Multiple Choice) When force is transmitted to the body's internal structures causinginternal organs to rupture or bleed internally, or small bone fractures to occur is called a(n):Answer: (A) crush injury

Question # 185 (Multiple Choice) A bruise may be an indication of internal injuries and internal bleeding. Itis important for you to monitor your patient for any signs and symptoms ofAnswer: (B) shock

Question # 186 (Multiple Choice) Formation of blood clots would be this mans job :-)Answer: (B) Plumber Platelet

Question # 187 (Multiple Choice) If a patient is in shock, you would expect the skin to beAnswer: (A) cool and clammy

Question # 188 (Multiple Choice) What does the "D" in "DCAP-BTLS" stand for?Answer: (D) deformities

Question # 189 (Multiple Choice) A teen male patient has a gunshot wound to the chest. Your detailedphysical exam on this patientAnswer: (C) may never begin due to the seriousness of the chest injury

Question # 190 (Multiple Choice) External bleeding that is a steady flow of dark red blood is from a(n):Answer: (B) vein

Question # 191 (Multiple Choice) A late sign of internal bleeding is:Answer: (C) signs of shock

Question # 192 (Multiple Choice) Early signs and symptoms of hypoperfusion includeAnswer: (A) cool, clammy skin

Question # 193 (Multiple Choice) You arrive at the scene of a bar fight. A 25-year-old man has beenstabbed and is bleeding severely. The assailant is still on the scene and is holding a knife. What should youdo first?Answer: (D) Run to the rig Question # 194 (Multiple Choice) A 34-year-old female patient has suffered a partial thickness burn to herforearm. Your treatment should include:Answer: (D) applying a dressing

Question # 195 (Multiple Choice) Regarding abruptio placentaAnswer: (C) Blood loss may be concealed between the uterine wall and Blood loss may be concealedbetween the uterine wall and the placenta

Question # 196 (Multiple Choice) Your patient has been crushed between a loading dock and a forklift. Hepresents with severe dyspnea, distended neck veins, absent breath sounds on the right side and diminishedbreath sounds on the left. You are able to palpate slight tracheal deviation toward the left. You shouldinitially initial management of this patient includes immediate:Answer: (B) perform a needle decompression of the right side

Question # 197 (Multiple Choice) Your homeless patient presents with bright red rectal bleeding,tachycardia and hypotension. This is most likely caused byAnswer: (C) lower GI bleed

Question # 198 (Multiple Choice) Your patient has a third trimester bleed. You shouldAnswer: (C) transport the patient on her left side

Question # 199 (Multiple Choice) Which of the following forms of hepatitis is generally NOT chronic?Answer: (A) Hepatitis A.

Question # 200 (Multiple Choice) Pale, sweaty skin, a rapid thready pulse and a delayed capillary refill timeindicate:Answer: (B) hypoperfusion