1. You must suction frothy secretions from the mouth and pharynx of a 31-year-old male patient whose respiration rate is 4 breaths/min. Which process to do so is most appropriate given the patient's condition?

2. While assisting with the review of airway skills with new EMT hires, which of these statements from a new EMT demonstrates he knows how to properly size an oral airway prior to placement?

3. A 2-year-old boy who just seized must have his airway opened. When performing the head- tilt, chin-lift airway maneuver, the EMT must remember:

4. Why is the jaw-thrust maneuver indicated for a patient with a possible spinal injury?

5. Which statement about the bag-valve mask (BVM) is true?

6. Which of these statements best describes the EMT's understanding of oxygen?

7. Which of these statements about an automatic transport ventilator (ATV) is true?

8. To receive treatment with continuous positive airway pressure (CPAP), the patient must exhibit:

9. Which of these patients is most likely to lose neurologic control and regulation of the respiratory system?

10. Which oxygen administration systems will provide the patient with the greatest amount of oxygen?

11. You are assessing a young male patient who was ejected from an automobile at a high rate of speed. He responds to painful stimuli by posturing and displays agonal breathing. His pulse is weak and thready, and his skin is cool and diaphoretic. When addressing this patient's airway and breathing, the EMT must immediately:

12. Which statement made by an EMT with whom you are working for the first time shows he understands the use of the pocket mask?

13. Which of these sequences best describes the path that oxygen must travel to get into the cells of the body?

14. While a 61-year-old female patient in cardiac arrest receives emergency care, you note that her abdomen grows larger with each ventilation provided from a bag-valve mask. Which instructions should you provide to your partner?

15. You are using an automatic transport ventilator (ATV) for a patient who has an insufficient respiratory effort. What is the best indicator of adequate artificial ventilation by the ATV?

16. A patient complaining of shortness of breath and a history of asthma has the following vital signs: pulse, 96; respirations, 20 breaths/min; blood pressure, 132/86 mmHg; and SpO2, 92% on room air. Mild wheezing is noted bilaterally, and the patient states that she has run out of her rescue inhaler (albuterol). Regarding the patient's respiratory status, how should you initially administer oxygen?

17. After 2 minutes of continuous positive airway pressure (CPAP) at 4 cmH2O, you see no improvement in the patient's respirations or SpO2 level. What is your next step?

18. Which statement about the flow-restricted, oxygen-powered ventilation device is true?

19. You are artificially ventilating an adult male patient who is in respiratory arrest with a bag- valve mask. Which finding would demonstrate that you are ventilating this patient properly?

20. Assessment findings on an elderly patient with congestive heart failure indicate that her failing heart is causing fluid to collect and fill her alveoli. Based on this pathophysiology, for which pulmonary complication should the EMT treat the patient?

21. Your paramedic partner has applied continuous positive airway pressure (CPAP) to a patient in respiratory distress from congestive heart failure (CHF). As an EMT, you realize that this treatment should benefit the patient by:

22. The EMT is properly applying continuous positive airway pressure (CPAP) when he:

23. The EMT shows that she understands how to use an oropharyngeal airway when she states:

24. Your medical director is holding an in-service program focusing on the prehospital management of adult patients with respiratory complaints. He asks the group to explain how they can determine if the patient is breathing adequately. Which response is most appropriate?

25. You arrive at work and note that the portable oxygen tank in the ambulance is now yellow instead of green, as during the previous shift. As a knowledgeable EMT, you should: