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Prehospital Emergency Care Practice Test: Shock and Resuscitation
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Avg score: 14% Most missed: “You have arrived at the residence of a 66-year-old female patient who is in card…”
According to Unitek EMT, if a device advises you to, you should deliver one shock, then immediately resume CPR, starting with chest compressions, or give chest compressions only, for about two minutes. You can then use the defibrillator to check the person's heart rhythm. If necessary, the defibrillator will give another shock. You should repeat this cycle.  Shock is a clinical syndrome with four stages: initial, compensatory, progressive, and refractory. There are broadly four types of shock: distributive, cardiogenic, hypovolemic, and obstructive.  Here are some types of... Show more
Prehospital Emergency Care Practice Test: Shock and Resuscitation
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25 Questions

1. A patient has just gone into cardiac arrest. His heart is most likely in which rhythm?
2. A patient has been involved in a very serious motor vehicle collision and is in shock. Assessment findings indicate that he sustained blunt trauma to the abdominal and pelvic areas. Which type of shock is the patient most likely suffering?
3. You have applied the AED's electrodes to an obese male patient in cardiac arrest. When you press the analyze button, the AED gives you a 'check electrode' message. In looking at the patient, which of these factors would most likely be responsible for this message?
4. You are treating a patient with severe crushing chest pain. She has had two heart attacks in the past, and you believe that she is currently in cardiogenic shock. Blood pressure is 86/66 mmHg, respirations are 20 breaths/min, heart rate is 102 beats/min, and room-air pulse oximetry reading is 91%. Which intervention is the most appropriate next action in this case?
5. You have been dispatched to a residence for a male patient with a cardiac history who is complaining of chest pain. On scene, you find a 52-year-old man sitting in a chair. He is alert and oriented. He states that his chest pain feels like the last time he had a heart attack. He reports that in the hospital his heart stopped and the health care personnel had to shock him twice before it restarted. He is breathing adequately and has a strong radial pulse. Which of these actions would be appropriate in the assessment and/or management of this patient?
6. A patient with a severe gastrointestinal bleeding is in shock. Which ALS or hospital interventions would best correct the patient's underlying problem?
7. Within 2 minutes of going into cardiac arrest, an AED is applied, the patient is shocked, and a pulse is restored. The EMT should recognize that the patient's heart was in:
8. The ambulance arrives on scene at 1319 hours, and the EMTs reach the patient's side and start care at 1321 hours. After transporting the patient, the patient is transferred to the ED staff at 1346 hours. Based on that information, which of these statements would be considered correct?
9. While using the AED to treat a patient in cardiac arrest, your partner informs you that he can feel a carotid pulse. What should you do immediately?
10. A 47-year-old patient has been in cardiac arrest for 6 minutes. While you set up the AED, you would direct your partner to:
11. Which of these remarks made by the patient best reinforces your suspicion that he is in the early stages of hypovolemic shock?
12. Which activity related to the use of an AED would a medical director carry out?
13. One of the benefits of utilizing an automated chest compression device is that:
14. An unrestrained 37-year-old female patient is in cardiac arrest after her vehicle struck a tree head-on at a high rate of speed. Assessment reveals that the patient suffered massive blunt trauma to the chest and abdomen. The patient is quickly extricated from the vehicle and placed in a supine position on the ground. It is estimated that the patient has been in cardiac arrest for approximately 10 minutes, during which time CPR was not performed. At this time, the EMT would:
15. A patient has fallen down a flight of stairs, and is now restless and confused. His airway is open, and he is adequately breathing, 22 times per minute, with a pulse oximetry reading of 90%. He has a radial pulse of 92 beats/min, which is moderate in strength. Emergency Medical Responders are maintaining manual spine motion restriction. What should your next action be?
16. You have just applied the AED to a female patient in cardiac arrest and the machine is ready to analyze the heart rhythm. Which of these instructions is appropriate to give at this time?
17. Which cardiac arrest rhythm is the AED designed to shock?
18. When comparing the pediatric Chain of Survival to the adult Chain of Survival, the EMT would note that the pediatric version differs in which way?
19. The AED has just been applied to a female patient in cardiac arrest. After analyzing the heart rhythm, it provides a 'no shock advised' message. The EMT should immediately:
20. The EMT should request advanced life support (ALS) backup for a patient in cardiac arrest because:
21. Which of these actions performed by the EMT indicates appropriate care with the AED when treating a patient in cardiac arrest?
22. You are transporting a 57-year-old male patient who went into cardiac arrest at home. After two shocks and CPR, he regained a pulse, but he remains unresponsive and in respiratory arrest. During transport, your reassessment reveals the absence of a carotid pulse. What should you do first?
23. You are instructing a first-aid class at a local chemical plant. The course includes instruction regarding an AED that is to be placed in the plant. Which point would you emphasize to the employees to help them avoid the most common cause of AED failure?
24. After analyzing the heart rhythm of a patient in cardiac arrest, the AED provides a 'deliver shock' message. After clearing the patient, the EMT's next step should be to:
25. Your ambulance service director has given you permission to replace an old fully automated AED with a new semi-automated AED produced by a different manufacturer. Before making the purchase, you must receive authorization to do so from the: