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A mother has called 911 because her 2-year-old daughter is fussy and not eating. When assessing the toddler, which one of the following is the best indication of her perfusion status?


A) Heart rate
B) Skin color and temperature
C) Palpated blood pressure
D) Auscultation of breath sounds

E) A) and B)
F) C) and D)

Correct Answer

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When assessing a patient's pupils, the EMT should:


A) shine a light in one eye and watch for the pupil to dilate.
B) cover one eye and shine a light in the other, watching for changes to the size of the pupil.
C) determine the size of the pupil and then look for a change in pupillary size as you shine a light in the eye.
D) instruct the patient to blink several times and observe the size of the pupils.

E) C) and D)
F) None of the above

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You cannot obtain a reading on the pulse oximeter after applying the sensor to the patient's finger. Which one of the following would be the most likely reason for this?


A) The patient's pulse is faster than 100 beats per minute.
B) The patient's hands are cold.
C) The patient is hypertensive.
D) The patient's oxygen saturation is below 90%.

E) A) and C)
F) B) and C)

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Which one of the statements listed below indicates an appropriate understanding of palpating a blood pressure?


A) "A palpated blood pressure is recorded when the brachial pulse returns as the BP cuff is deflated."
B) "Palpated blood pressures are the technique of choice when the patient has a cardiac complaint."
C) "A palpated blood pressure is typically falsely lower than a blood pressure obtained by auscultation."
D) "It is best to determine a palpated blood pressure using a stethoscope and pulse oximeter."

E) A) and C)
F) C) and D)

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Medical command has asked that you obtain orthostatic vital signs for a 54-year-old female complaining of dizziness and weakness. Her baseline vitals obtained while she was sitting in a chair were: pulse 84, respirations 26, blood pressure 118/62 mmHg, and SpOâ‚‚ 95%. Which one of the following would indicate that the patient has a positive orthostatic test?


A) Supine blood pressure of 100/64 mmHg and respirations of 22
B) Standing blood pressure of 92/54 and heart rate of 106
C) Standing pulse of 88 with the additional complaint of nausea
D) Standing SpOâ‚‚ 88% and heart rate of 96 beats per minute

E) None of the above
F) A) and B)

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You have been called to a bar for a patient who was involved in an altercation and is complaining of abdominal pain. Law enforcement is present, the patient has been handcuffed, and he is sitting on the sidewalk. He has an odor of alcohol on his breath, his speech is slurred, and he is angrily yelling at the police officers. Which one of the following would be most appropriate when talking to the patient?


A) Maintain eye contact to establish a rapport.
B) Place your hand on his shoulder to keep him subdued.
C) Stand and communicate with the patient from four feet away.
D) Stand above the patient to establish authority.

E) B) and C)
F) A) and B)

Correct Answer

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The EMT recognizes which one of the following heart rates (beats per minute) as normal for a 24-year-old male?


A) 54
B) 62
C) 110
D) 124

E) A) and B)
F) A) and C)

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The EMT is correctly using a noninvasive blood pressure monitor when she:


A) auscultates a blood pressure before applying and activating the device.
B) alternates arms for each blood pressure that is obtained with the device.
C) confirms each reading on the device by palpating a pressure in the opposite arm.
D) places the cuff of the noninvasive BP monitor on the patient's forearm.

E) A) and B)
F) All of the above

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Which one of the pulses listed below is palpated in the groin area?


A) Carotid
B) Inguinal
C) Pedal
D) Femoral

E) A) and D)
F) All of the above

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Which one of the following pieces of information would be obtained when getting a history using the SAMPLE mnemonic?


A) Pulse 144, respiration 16, BP 132/88
B) No life threats to the airway, breathing, or circulation
C) Reason for calling for an ambulance
D) Sensation of dizziness prior to falling

E) A) and B)
F) A) and C)

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You have assisted the patient in taking one of his nitroglycerin tablets. Five minutes later, you note the blood pressure is 108/74 mmHg. To determine if the nitroglycerin has affected the blood pressure, the EMT should:


A) take another blood pressure in five minutes.
B) compare to the baseline blood pressure.
C) ask the patient if he feels his blood pressure has changed.
D) retake the blood pressure and compare it to a normal BP of 120/80 mmHg.

E) B) and D)
F) C) and D)

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After you apply the pulse oximeter to a patient complaining of chest discomfort, she asks you what you are assessing. You would respond by telling her that the pulse oximeter:


A) provides the most accurate evaluation of the heart rate.
B) is a tool used to see if the airway needs to be opened.
C) measures the amount of oxygen circulating in the blood.
D) can tell how much carbon dioxide she is exhaling.

E) All of the above
F) A) and B)

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Where would the EMT palpate for a popliteal pulse?


A) Posterior ankle
B) Upper arm
C) Behind the knee
D) Top of foot

E) B) and C)
F) A) and C)

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When assessing a patient who does not speak the same language as you or your partner, the best approach in the immediate care of the patient is to:


A) contact medical direction to get physician input.
B) transport the patient to a hospital with interpreters for her language.
C) try to find a neighbor who speaks the patient's language.
D) request that a family member act as an interpreter.

E) B) and C)
F) A) and D)

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When using the OPQRST mnemonic, the EMT is getting information as it applies to the "P" category when she asks:


A) "Do you feel more short of breath when you are lying down?"
B) "Does the chest pain spread to your back?"
C) "What time did the symptoms start?"
D) "Can you rate the pain on a scale of 1 to 10?"

E) A) and B)
F) A) and C)

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Your partner is having a difficult time determining what a normal and abnormal blood pressure is for a child. Which one of the following statements will help him most?


A) "Since pediatric emergencies are less common than adult emergencies. It is best to call medical direction and ask what is normal."
B) "Any systolic blood pressure of less than 100 mmHg in a child is an emergency."
C) "A normal systolic pressure can be estimated by doubling the child's age and adding it to 80."
D) "It is helpful to ask the parent or caregiver what is normal for the child and compare your reading to that."

E) C) and D)
F) A) and C)

Correct Answer

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When obtaining vital signs on a 67-year-old male with dizziness and nausea, your partner states that the pulse seems to disappear periodically when the patient takes a deep breath. As a knowledgeable EMT, your best response would be:


A) "Given the patient's age, that is a typical finding and not an immediate concern."
B) "That is an important finding. We will have to let the doctor know of this."
C) "Let's move him to the stretcher for transport. That is an early sign of cardiac arrest."
D) "That is important in that it suggests the radial artery is partially blocked."

E) C) and D)
F) None of the above

Correct Answer

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In the prehospital care report, the EMT should recognize that a blood pressure has been palpated when she sees:


A) Palp: 178/118 mmHg.
B) P / 118.
C) 118/178 (palpated) .
D) 178 / P.

E) A) and B)
F) None of the above

Correct Answer

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An EMT has an accurate understanding of the diastolic blood pressure when she tells you that the diastolic pressure:


A) is the pressure in the arteries when the heart is not contracting.
B) can be estimated as one-third of the systolic blood pressure.
C) can be easily obtained by palpating the blood pressure.
D) should always be rounded to the nearest 10.

E) All of the above
F) B) and D)

Correct Answer

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An EMT has accurately checked the skin color of a patient. Which one of the following indicates correct documentation?


A) "Warm skin noted on the upper arm."
B) "Forehead and face show pink skin color."
C) "Pale color noted to the conjunctiva."
D) "Thoracic and abdominal skin normal in color."

E) B) and D)
F) None of the above

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