Medical Responder Answers
Tuesday, October 1, 2024
Emergency Medical Responder
Written Examination
Today's Date
Tuesday, October 1, 2024
Name
Amber Marozin
Date of Birth
Thursday, January 20, 1994
Email Address
amarozin@yahoo.com
Please Sign
How do you take a blood pressure?
While using a stethoscope and b/p cuff, the cuff is pumped up until the pulse can be heard and then no longer heard. The provider slowly lets out the air and when the pulse starts again thats the top number. When the pulse then stops thats the buttom number.
What is the normal blood pressure for the adult patient at rest?
120 / 80
What is the normal heart rate for the adult patient at rest?
60 - 100 bpm
What is the normal respiration rate for the adult pt at rest?
20 - 40 bpm
What is the normal heart rate for the adolesent patient at rest?
80 - 130 bpm
What is the normal respiration rate for the adolescent patient at rest?
30 - 60 bpm
When trying to obtain vitals from an infant / toddler patient, it is important to remember that
You do not upset the child, as this will cause any issues to be worse, even if that means not taking any vitals
What best describes Cardiac Chest Pain?
Constant Sharp Stabbing Pain
Patient describes multiple cardiac symptoms, what is the NEXT thing you should do?
Give the Patient Aspirin after asking for their allergies
What is the proper full dosage of aspirin to give a cardiac patient?
81mg Chewable
How many times can you give aspirin to the Patient?
1
When do you withhold giving the patient aspirin?
Option 1 and 2 above
When should you provide oxygen to the Chest Pain Patient?
All of the above
What will the vitals signs be like, with a patient experiencing a cardiac event?
High B/P and Heart Rate
Your Patient presents with slurred speech, confusion, and weakness. What is the NEXT thing you do?
Option 4 then 3
What is the time w
indow for TPA admi
nistration from On
set of Stroke Symp
toms
3 hou
rs
When do you provide oxygen to a stroke patient?
When oxygen is below 95%
What are important things to obtain from the patient or family with a patient who has an altered mental status? (Select all that apply)
Patients Medical History
Recent traumatic injuries
Last known well time
How much sleep the patient got
Medications / Drugs taken (or not)
You walk in to an unconscious person, and you see a needle on the table next to them. What do you do NEXT?
Check pupils
How many doses of narcan is the EMR allowed to give?
1
How much time must pass before giving a second narcan dose?
3 minutes
What is the flow rate of oxygen for a nasal cannula?
2-6 LPM
What is the flow rate of oxygen for a Non Rebreather Mask?
6-12 LPM
What is the flow rate of oxygen for a BVM?
12-25 LPM
What is the ideal oxygen saturation in the blood?
99-100%
How long in between each rescue breath via BVM for the Adult Patient?
6-8 seconds
How long in between each rescue breath via BVM for the Pediatric Patient?
3-5 seconds
What maneuver(s) would you do for the Pediatric Patient 2 years old and younger if they were choking?
5 Chest thrusts and 5 back blows
How do you measure for an OPA (Oral Airway) insertion?
From corner of mouth to ear
How do you measure for NPA (Nasal Airway) insertion?
From tip of nose to ear
How long can you suction a patients airway for?
No longer than 10 seconds
What is the proper suction technique?
Suction both on the way in and out of the mouth
You find an adult patient unconscious on the ground. You check for breathing / pulses and find none. What do you do NEXT?
Start CPR with Compressions and Breaths
What is the compression to breath ratio for Adult CPR
15 : 2
What is the compression to breath ratio for the pediatric patient 5 years old or younger with 2 rescuers?
None of the above
What is the compression to breath ratio for a pediatric patient 5 years old or younger with only 1 rescuer?
30 : 2
You deliver a shock to the patient with the AED, what do you immediately do NEXT?
Check for pulses
What is the compression rate for all patients?
100 - 120 BPM
You arrive on scene to an unconscious patient in bed, face down. You roll the pt over, and the body moves together and is stiff. How do you continue?
Contact the police
You arrive and find an unresponsive patient on the couch. The patients family states they have a terrible headache. What do you do NEXT?
Evaluate patient for signs of life
What are signs / symptoms of anaphylaxis? (Select all that apply)
Swollen Tongue
Swollen Face
Hives
Difficulty speaking/swallowing
What is the adult (>30kg) dose of Epi?
15mg
What is the pediatric (<30kg) dose of Epi?
.15mg
How many doses of Epi can be given?
2
How much time must pass in between doses?
5 minutes
Patient is actively seizing. Family gives you oral medication that the patient has not taken yet. What do you do?
Give the medication back to the family and explain why
What is the most common cause of seizures in Pediatric Patients?
High Fever
You arrive to find a mother holding the pediatric patient who has just stopped seizing. The patient is breathing adequately. What do you do NEXT?
Check sugar
You find that the pediatric patients temperature is elevated, what is the next thing you do?
Cool the patient down with ice packs
What is the MOST important thing to do for an active seizure patient?
Protect the patients head
When applying a tourniquet, when do you stop tightening it?
When all blood and fluids stop oozing
When splinting a patient, where is the placement of the cravats securing the splint in place
1 above, 1 below, 1 over the injured area
How do you cool a patient who has been exposed to the elements? (Select all that apply)
Cold packs in between groin
Cold packs in armpits and back of the neck
How do you warm a patient who has been exposed to the elements? (Select all that apply)
Warm packs in between groin
Warm packs in armpits and back of neck
Remove wet clothing
Provide dry blankets and sheets
You arrive to find a patient with 2nd degree burns on their chest, abdomen, and front of the right arm. What do you do?
Place a dry sterile burn sheet around the patient
By the rule of 9s, what is the percentage of surface area burned based on the question above?
22.5%
A patient has partial thickness burns on their left arm, what do you do?
Apply dry sterile dressings
When is it appropriate to place a cervical collar on a patient? (Select ALL that apply)
Patient reports neck and/or back pain
Mechanism suggests significant injuries possibly present
How do you measure the proper fitment of an adjustable C-Collar to a patient?
Use fingers between patients shoulder and patients neck
A patient has a foreign object impaled in their right eye. What is your treatment? (select all that apply)
Cover the right eye with a cup and left eye with gauze
Tell the patient to not look around
Tell the pt to blink as little as possible
You arrive on scen
e of a motor cycle
accident. During
your initial evalu
ation you find the
abdomen is not so
ft, but hard and R
idgid. What do you
do NEXT?
Wrap in an ab
dominal pad
During your initial assessment, you find both legs are broken, and one is an open fracture. Where should this patient go?
By ground to the nearest facility
You're in charge of triage. You have 5 patients. 1 adult that is conscious, breathing, with arterial bleeds, 3 adult patients have a broken bone, and a toddler with no signs of life. Who do you have your crew start care on first?
The adult with the arterial bleed
You are dispatched for a multi vehicle collision. You arrive on scene and find 4 cars with a total of 12 patients. What do you do NEXT?
Begin Triage of the patients
When should a PCR (Pre-Hospital/Patient Care Report) be filled out?
On any and all calls that require EMS response or assistance to any person may have been needed.
You are dispatched for a medical alarm with no voice contact. You arrive and the alarm holder is in their garden and in good health. They relate that they did not know they activated their alarm. What is this considered?
Patient contact was made
You are dispatched for a medical call. You arrive on scene, but the family will not let you in the house because they only wanted an ambulance for transport. What do you do?
Calmly explain the possibilities to the family, if they still refuse, standby outside for EMS
What are required fields on a PCR? (Select all that apply)
Patient medical history and medications
Patients allergies
Vital signs (with patient care)
Last oral intake
Last known well time
How old must a patient be to sign their own RMA
18
What conditions makes it legally okay for any patient to sign an RMA? (Select ALL that apply)
Patient is 18+ years old
Patient clears all capacity assessments
Medical control clears it
You are dispatched for a minor School bus accident. Onboard the bus is 40 children (2 per seat). There are no injuries to the children however New York State law says all minors must go to the hospital without a parent/guardian present to sign off on the RMA. Select all statements that must be present for any ONE CHILD to not be transported. (Select ALL that apply)
School Representative is present to sign
Parents have been contacted directly via phone / are on scene
The child is not injured and has been assessed
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