Author: Anonymous

(3 of 3)A 9-month-old presents with respiratory distress. The infant has low tone and limited interactivity with their surroundings. History reveals cold-like symptoms for several days with a runny nose, loss of appetite, persistent cough w/ mucous, and mild fever. RR is rapid, the upper airway is patent. VS: P 80; RR 60 and shallow; SpO2 88%; EtCO2 48, wheezing, retractions, prolonged expiration w/ air trapping, and increasing exhaustion. Which of these would be most helpful to add to the patients treatment plan?

An awake and oriented adult with a history of asthma presents with severe dyspnea and speaking in one syllable words. Exam: accessory muscle use; breath sounds have diffuse wheezing; skin is warm and dry. VS: BP 134/80; P 100; R 28 labored; SpO2 89%; EtCO2 55 with wave form. IMC with vascular access is complete. What actions are of highest priority? Select 2 options

Choose the correct hypothesis for each clinical presentation below:

(1 of 2)A patient suffered blunt trauma to the head with a penetrating injury to the neck. Assessment finds an open neck wound which has blood oozing from it.Select 2 options:Priority care measures:Select 1: A, B or CWound care dressing:Select 1: D or E

(5 of 6)En RouteAn ALS EMS ambulance and BLS engine crew are dispatched at night for a “man down” in an area known for high interpersonal violence. There are reports of blood visible on the sidewalk near a sharp object. Law enforcement has cleared the area for any active threats. SceneAn unresponsive adult presents with a patent airway, spontaneous breathing w/ adequate depth & rate, and a rapid radial pulse. There is no visible bleeding and skin is pale, cool and moist. The sharp object has been revealed as a hypodermic needle/syringe, which caused a small amount of blood to trickle on the sidewalk. Bystanders report seeing the patient “self-inject” himself prior to the incident. The syringe is labeled “insulin.”Given the latest scene update, which of these is the most important action to take next?

(3 of 5)En RouteEMS is dispatched to a high-priority motor vehicle collision at a street intersection. A sedan has been T-boned by a pickup truck, and the sedan is badly deformed. Patient A (the driver of the sedan) is entrapped in the driver side seat with multiple severe injuries. Patient B (the driver of the truck) is not injured and refusing assessment. The intersection is slightly backed up with the road partially blocked. Fire Department is en route for extrication. Police are at the scene for traffic control. Time of Day: 2:45 PM, a clear and sunny afternoon with temperatures around 75°F (24°C).SceneEMS finds the patient conscious, anxious and distressed. The patient is c/o pain in the LUQ that radiates to the left shoulder; nausea. Pt states that he “feels so cold.” Breath sounds are present and clear bilaterally. There is a contusion over the left lateral chest, the abdomen is rigid with left upper quadrant (LUQ) guarding and bowel sounds are diminished. All extremities move in response to command. VS: BP 92/78, P 112, R 24, SpO2 93%; skin is cool, pale, and moist. Pupils are bilaterally dilated, equal and reactive to light. What organ is likely to have been damaged/ruptured?

Which STD is characterized early by a painless chancre in the genital area and later with a fever and bilateral and symmetrical rash on the palms of the hands and soles of the feet?

Select 2 optionsVaginal bleeding in placenta previa is most often: Select 1: A or BThe pain response in placenta previa is typically: Select 1: C or D

(2 of 5)En RouteParamedics staffing an ALS ambulance are dispatched at 0840 to a nursing home for an elderly patient who is experiencing trouble breathing and a persistent cough. ETA is 5 minutes. An ALS FD engine is dispatched with the ambulance. Skies are clear and road traffic is minimal. Temperature is 70 F (21 C). Nearest hospital is 6 minutes by ground.SceneAn awake and alert elderly adult is found exhausted, sitting up and using accessory muscles to breathe, using 1-2 word responses. When you arrive at the patient, what type of question(s) would be most appropriate to ask?

What drug should be added to the treatment of a patient with renal failure in cardiac arrest?