Region VIII July 2016 EMS CE Post-Test

Respiratory

  1. Which of the following is the new term that encompasses spinal immobilization and backboard use in Region VIII?
  2. Cervical Spine Clearance
  3. Spinal Immobilization Assessment
  4. Spinal Motion Restriction
  5. C-spine evaluation
  6. Which of the following is the new term that will replace Continuous Positive Airway Pressure (CPAP)?
  7. Non-Invasive Positive Pressure ventilation (NIPPV)
  8. Bi-Level Positive Airway Pressure (BiPAP)
  9. Demand Valve ventilation (DVV)
  10. Positive Pressure Airway Support Device (PPASD)
  1. EMS is called for a 19 y/o female with difficulty breathing. Patient reports she has had a cold for the last few days with an increase in difficulty breathing and a history of asthma. Assessment reveals patient is awake, alert and oriented, respiratory rate of 30, no accessory muscle use, and SpO2 of 90%. Patient finds her inhaler as EMS arrives. What are the next steps is caring for this patient?
  2. IMC, five abdominal thrusts, back blows and rescue breaths
  3. IMC, Albuterol nebulizer or assist with prescribed inhaler
  4. A diet high in low density lipoprotein
  5. Father died at age 52 from ACS
  1. EMS is called for the patient with altered mental status. Upon arrival the patient presents with a decrease in LOC, snoring respirations and an intact gag reflex. After manual airway maneuvers which of the following would be the most appropriate action to maintain the patient’s airway?
  2. Place an oral airway
  3. Insert a nasal airway
  4. Insert a King LT
  5. Elevate the head of the stretcher 90 degrees
  1. Angioedema involves only the facial area of the patient
  2. True
  3. False
  1. Causes of immediate onset of dyspnea include:
  2. Pneumonia, bronchitis,
  3. Asthma , heart failure
  4. Influenza, whooping cough.
  5. Foreign body, pulmonary embolism
  1. Risk factors for someone to develop a secondary pneumothorax include:
  2. History of asthma, smoking
  3. Measles COPD
  4. Trauma
  5. Down Syndrome
  1. Asthma is a chronic inflammation of:
  2. Alveoli
  3. Bronchi
  4. larynx
  5. Esophagus
  6. Hyperventilation syndrome is a respiratory disorder involving breathing too deeply or to rapidly. There are two forms of this syndrome. They are known as
  7. Common and uncommon
  8. Sudden and everyday
  9. Sudden and prolonged onset
  10. Known and unknown
  1. Status asthmaticus is a severe, life threatening asthma attack which can be caused by:
  2. Staying indoors for prolonged periods
  3. cancer
  4. ASA or NSAID ingestion
  5. Well controlled asthma

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  1. The role of CPAP in the asthma/COPD patient is
  2. Decrease oxygenation
  3. Increase in fatigue
  4. There is no proven use in these conditions
  5. Splinting of larger airways and bronchioles
  1. Chest pain associated with hyperventilation syndrome
  2. Tends to last minutes instead of hours
  3. Is provoked by exercise
  4. Usually has atypical features
  5. Is relieved by nitroglycerine
  1. Beyond approximately 22 weeks (uterus growth passes the umbilicus), the fetus can contribute to maternal supine hypotension syndrome by putting pressure on which of the following?
  2. Diaphragm
  3. Superior vena cava
  4. Inferior vena cava
  5. Pulmonary artery
  1. Which of the following is the correct IV and IN mg/kgdosing for versed in the pediatric patient?
  2. 0.1/0.1mg/kg
  3. 0.2/0.2mg/kg
  4. 0.2/0.1mg/kg
  5. 0.1/0.2mg/kg
  1. Changes in the capnography waveform provide the earliest indication of
  2. Air entering the pleural space which cannot escape
  3. Hyperinflation of the lung tissue
  4. Apnea, upper airway obstruction
  5. Is not objective
  1. Which of the following is the maximum dosing for Versed in the pediatric patient?
  2. 6mg for age <5 years and 10 mg for ages 6 and older
  3. 10 mg for all ages
  4. 0.2mg/kg
  5. There is no limit
  1. All Epinephrine labeling, as of May 2016, will be 0.1mg/ml for all concentrations
  2. True
  3. False
  1. The leading cause of drug induced angioedema in the United States
  2. Beta-Blockers
  3. ASA, NSAIDS
  4. Birth control pills
  5. ACE Inhibitors
  1. Per the Adult Allergic Reaction/Anaphylaxis SOP, Epinephrine should be administered to the patient having signs of a multisystem reaction with signs of hypo perfusion. After starting a fluid bolus the correct dose and route of administration of Epinephrine is?
  2. 1:10,000 0.5mg slow IV/IO or 1:1000 0.5mg IM
  3. 1;1000 0.5mg IV/IO or 1:10,000 0.5mg IM
  4. 1:1000 0.3 mg IM may repeat x1
  5. 1:1000 1mg/kg slow IV push
  1. Upper Airway conditions that may cause dyspnea include
  2. Epiglottis, pneumonia, COPD
  3. Foreign body obstruction, anaphylaxis
  4. COPD, asthma, croup
  5. Croup, COPD, Pneumonia
  1. You are called for the 25 y/o male with sudden onset of dyspnea. Patient states he was playing basketball when he felt a sharp, stabbing pain in his chest with pain increasing upon deep inspiration. You note your patient to be approximately 75 inches tall and 145 lbs. You suspect your patient has suffered a:
  2. Air embolism
  3. Myocardial infarction
  4. Spontaneous pneumothorax
  5. Exacerbation of asthma
  1. An asthma exacerbation may be classified as severe if the patient exhibits the following may classified as severe if the patient exhibits the following
  2. Breathlessness while walking
  3. Prefers sitting to lying down
  4. Can talk in complete sentences
  5. Speaks in one word sentences
  1. CPAP use in the COPD patient has been shown to
  2. Decrease work of breathing and increase oxygenation
  3. Increase oxygenation and work of breathing
  4. Increase the need for intubation
  5. Does not work in the COPD patient
  1. You are called for the 45 year old female complaining of swelling to the left side of her face and tongue. You note the affected area to have localized erythema and it feels warm to the touch. The patient denies itching but complains of a burning sensation to the area. She states she took 400mg of Ibuprofen approximately 60 minutes ago for a headache. You suspect your patient may be suffering from?
  2. Zika virus
  3. Emotional upset
  4. Adult onset acne
  5. Angioedema
  1. You respond to the scene of a domestic dispute. Once the scene is safe you find a female patient complaining of weakness, and states she feels like she wants to pass out. Your assessment reveals numbness and tingling to the patient’s arms and cramping to the hands and feet. Her vital signs are 146/76, 108, 40 and O2 saturation of 98%. You place her on your monitor and her capnography waveform is below. What is your next steps in caring for this patient

a. Administer low flow oxygen at 2L per nasal cannula, monitor, and transport

b. Monitor, ask patient to breath in paper bag,transport

c. Call a stroke alert and initiate rapid transport

d. Monitor, transport

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