PBCFR ALS/BLS Protocols 2009 ALS Pretest

Transcription

1 1. In the patient with a blood glucose of 300mg/dL or higher without signs or symptoms of dehydration should receive how much normal saline? Pg 61 a. 250cc b. 500cc c. 20cc/kg d. None 2. The adult dose of Zofran is. Pg 69 a. 4mg over 30 seconds IV/IO b. 4mg over 1 minute c. 2mg over 1 minute IV/IO d. 2 mg IM 3. Zofran may be given all of the following routs except. Pg 69 a. IM b. IV c. IO d. ET 4. The pediatric dose of Zofran is. Pg 69 a. 0.1mg/kg over 1 minute b. 0.2mg.kg over 1 minute c. 0.3mg/kg over 1 minute d. 4mg over 1 minute 5. The pediatric dose of a medication should never exceed the adult dose. Pg The pediatric dose of Etomidate is. Pg 55 a. 0.2mg/kg b. 0.3mg/kg c. 0.02mg/kg d. There is no pediatric dose 7. The maximum total dose of Valium in the actively seizing adult or child is. Pg 114 a. 5mg b. 10mg c. 20mg d. There is no maximum dose

2 8. Hypoglycemia in the newborn is described as. Pg 61 a. <20mg/dL b. <30mg/dL c. <40mg/dL d. <60mg/dL 9. Upon receiving approval by medical control the infant dose of Morphine is. Pg 67 a. 0.01mg/kg b. 0.03mg/kg c. 0.05mg/kg d. 0.5mg/kg 10. In the pain management protocol, Morphine may be administered to a patient with an O 2 saturation below 95%. Pg A newborn is less than days old. Pg 49 a. 28 b. 29 c. 30 d The adult dose of Etomidate is. Pg 55 a. 30mg b. 0.3mg/kg c. 20mg d. Both A and B 13. If resuscitation efforts are started on a trauma patient by an EMS organization you may discontinue efforts at any time. Pg The adult patient may refuse care based upon their. Pg 23 a. Competence b. Capacity c. Compassion d. Both A and B

3 15. Any patient that receives Narcan may refuse care. Pg In the event that a Law Enforcement Officer is refusing a patient to be transported to the hospital against our advice, an EMS Captain be contacted. Pg 26 a. Shall b. Should c. Can d. Won t 17. In the adult patient, Morphine may be given as long as the blood pressure is equal to or greater than mmhg. Pg 67 a. 80 b. 90 c. 100 d When administering the CYANOKIT, all of the following drugs may not be given in the same IV line except. Pg 72 a. Valium b. Nitroglycerine c. Lasix d. Dobutamine 19. Total dose of Albuterol is. Pg 76 a. 2.5mg b. 5mg c. 7.5mg as long as the heart rate is below 140 d. There is none as long as the heart rate is below The dose of Lasix in CHF is. Pg 77 a. 1mg/kg not to exceed 60mg b. Only given once c. Given if the systolic BP is greater than or equal to100mmhg d. All of the above 21. We no longer pace in asystole. Pg 79

4 b. Fase 22. If the patient has a denervated heart, administer instead of atropine in symptomatic bradycardia. Pg 81 a. Sodium bicarb b. Dopamine c. Calcium chloride d. Nitroglycerine 23. Which one of the following is not one of the H s in narrow complex tachycardia. Pg 82 a. Hypovolemia b. Hydrogenated c. Hypoglycemia d. Hypothermia 24. The next course of treatment for a patient that is suffering from stable narrow complex tachycardia and has received a total of 30mg of Adenosine is. Pg 84 a. 100 joules b. 200 joules c. Cardizem 0.25 mg/kg d. Rapid transport 25. An initial dose of Adenosine is indicated for the stable patient with known atrial fibrillation or flutter. Pg For hypotension or bradycardia induced by an administration of Cardizem, the treatment of choice is. Pg 121 a. Atropine b. Pace c. Calcium Chloride d. Dopamine 27. In order to give Nitroglycerine to the patient experiencing chest pain in a suspected AMI, the blood pressure must be equal to or above mmhg. Pg 95 a. 80 b. 90 c. 100 d. 110

5 28. If a patient is experiencing chest pain with ST elevation in the inferior leads and V 4 R is positive you may administer Nitroglycerine SL. Pg In the altered mental status protocol, the dose of Narcan for the patient with a depressed mental status and respirations is. Pg 112 a. 0.4mg b. 0.5mg c. 2mg d. 2mg/min 30. If a patient is conscious and in control of their airway with a blood glucose lower than 60mg/Dl they may drink all of the following except. Pg 113 a. D50 b. Orange juice c. Soda d. None of the above 31. When documenting the time of onset for a stroke patient, you should also document the. Pg 115 a. Name of the last person to have contact with them b. Phone number of the last person that had contact with them c. The social security number of the last person to have contact with them d. Both A and B 32. After intubating a patient that is unconscious and unresponsive you find that they may be suffering from an opiate overdose. The correct dose of Narcan would be. Pg 118 a. None b. 0.4mg c. 0.5mg d. 2mg 33. In a mild allergic reaction the maximum dose of Benadryl in a pediatric patient is. Pg 129 a. 12.5mg b. 25mg c. 50mg d. 100mg

6 34. The EpiPen Jr. is used for the patient between and kg. Pg 130 a b c d e. 35. To avoid a dystonic reaction to Haldol, you must also administer. Pg 134 a. Benadryl b. Valium c. Narcan d. All of the above 36. Never restrain a patient in the position. Pg 137 a. Supine b. Left lateral c. Prone d. Recovery 37. After applying a restraint device, you must. Pg 137 a. Give Valium b. Monitor distal circulation c. Drive code 3 to the hospital d. None of the above 38. The dose of Labetolol in a hypertensive patient who meets criteria is. Pg 100 a..25mg/kg slow over 5 minutes b. 25mg slow over 2 minutes c. 20mg IV slow over 2 minutes d. 20 mg IV or IM over 5 minutes 39. PBCFR EMTs and Paramedics can remove dart firing stun gun probes. Pg Reporting suspected child abuse and suspected venerable adult abuse is required by law. Pg 140

7 41. In the eclamptic patient, the first drug of choice to stop the seizure is. Pg 107 a. Magnesium Sulfate b. Labetolol c. Calcium Chloride d. Valium 42. In the complications of labor and delivery protocol, the only two times you place a gloved hand in the vagina is during and. Pg 104 a. Prolapsed cord, breech birth b. Limb presentation, shoulder dystocia c. Breech birth, limb presentation d. Shoulder dystocia 43. Before transport of a barotrauma patient that is showing signs of a stroke after a dive, you must. Pg 150 a. Transport to the nearest hospital b. Call ahead and check availability of a dive chamber c. Place the patient on a nasal cannula d. None of the above 44. Sickle cell anemia patients experiencing extreme joint pain should receive. Pg 151 a. NS 20cc/kg IV b. Morphine c. Magnesium Sulfate d. Both A and B 45. Valium may take as long as minutes to work when given IV. Pg 169 a. 5 b. 10 c. 15 d Which of the following is not a conclusive sign of death? Pg 11 a. Injuries incompatible with life b. Rigor mortis c. Fixed and dilated pupils d. Lividity

8 47. Pregnant women in their third trimester should be placed during treatment or transport. Pg 65 a. Prone b. On their left side c. Supine d. On their right side 48. All pregnant women greater than 20 weeks gestation and are Trauma Alerts transported by air should go to. Pg 65 a. St. Mary s b. Delray Medical Center c. Boca Community Hospital d. Everglades Memorial Hospital 49. Which of the following sequences is the correct order regarding the initial steps in newborn resuscitation? Pg 108 a. Dry/warm, position the patient to open the airway, clear the airway, stimulate b. Clear the airway, position the airway, dry/warm, stimulate c. Suction, stimulate, ventilate, dry/warm d. None of the above 50. Which of the following is not a presumptive sign of death? Pg 11 a. Unresponsiveness b. Apenic c. Cold to touch d. Pulseless