A 7 y/o child has an altered mental status, high fever, and a

generalized rash. You perform your assessment and initiate

oxygen therapy. En route to the hospital, you should be most alert
for:
a. Vomiting
b. Seizures
c. Combativeness
d. Respiratory distress

Initial steps in the management of newly newborn include:

a. Opening the airway and blowing over the newborn’s nose
b. Prevention of heat loss, opening the airway, and evaluation
of the infant
c. Opening the airway and administering oxygen by bag-valve mask
d. Prevention of heat loss, opening the airway, performing chest
compression

You are dispatched for a sick child with high fever. On arrival, you
find a 4 y/o female sitting on the living room couch. She is leaning
slightly forward and drooling because she says it “hurts too much
to swallow”. Her mother tells you she has a sore throat and fever,
which developed relatively quickly. You are concerned because by
now you suspect:
a. Foreign body airway obstruction
b. Meningitis
c. Epiglotitis
d. Strep throat

How much energy is used in initial biphasic defibrillation of a

70kg adult?
a. 360 joules
b. 150 joules
c. Maximum output
d. 300 joules

The most common cause for seizures in the child is:

a. Ventricular fibrillation
b. Elevated temperature
c. Bronchiolitis
d. Inadequate tissue perfusion
Which of the following is true regarding the hazard of oxygen
therapy?
a. Premature infants may develop eye damage if given too
much damage
b. High flow oxygen can stimulate hyperactivity in our children
c. Patients with COPD may go to respiratory arrest after only a short
time on high concentration oxygen
d. All of the above

What is the percentage of oxygen in inhaled air?

a. 17%
b. 14%
c. 78%
d. 21%

What is the average total volume of cerebrospinal fluid in and

around the brain and spinal cord of an adult?
a. 250 ml
b. 200 ml
c. 150 ml
d. 125 ml

Which if the following non hemorrhagic cause of acute abdomen?

a. Ulcer
b. Esophageal Varices
c. AAA
d. Appendicitis

When dealing with hostile aggressive patient you should:

a. Place the patient between you and the nearest exit
b. Attempt to restrain the patient by yourself with gauge bandages
c. Attempt to talk to the patient on a non-threatening manner
d. Politely ask the patient if he is having thoughts of destructive
behaviour

You are called to a residence for a ‘sick’ 5 y/o child. When you
arrive and begin your assessment, you note that the child is
unconscious with respiratory rate of 8 breaths/min and a heart
rate of 50 beats/min. Management of this child should consist of
a. 100% oxygen via NRM and transport
b. Positive pressure ventilations with a BVM device and rapid transport
c. Chest compression, artificial ventilation and transport
 d. Back blows and chest thrust while attempting artificial ventilations

A 7 y/o child has an altered mental status, high fever and

generalized rash. You perform your assessment and initiate
oxygen therapy. En route to the hospital, you should be most alert
for
a. Vomiting
b. Seizures
c. Combativeness
d. Respiratory distress

Which of the following techniques represents the most

appropriate method of opening the airway of an infant with no
suspected neck injury?
a. Lift up the chin and hyperextend the neck
b. Tilt the head back without hyper extending the neck
c. Gently lift the chin while maintaining slight flexion of the neck
d. Perform the techniques as you would for a older child or adult

You are called to a local park where a 12 y/o boy was

skateboarding and fell. You arrive to find the boy sitting on the
sidewalk supporting his left wrist with his right arm. In this
situation you should:
a. Control medical control for direction
b. Immediately perform a detailed physical examination
c. Immediately load the patient before any other activity
d. After a rapid trauma assessment, perform a focused physical
examination

Which of the following is not a sign and symptoms of a potential

spine injury?
a. Numbness, weakness or tingling of the extremities
b. Soft tissue injury of the shoulder, back or abdomen
c. Unequal pupils or pupils that do not respond to light
d. Pain in the lower legs and independent of movement

A 34 y/o woman who is 36 weeks AOG is having a seizure. After

you protect the airway and ensure adequate ventilation. You
should transfer her:
a. Supine position
b. Knee chest
c. Fowler’s position
d. On her left side
You are called to a scene of a reported rape. Police officers are on
the scene. Which of the following statements is correct regarding
this situation?
a. Items at the scene should not be moved unless emergency
cares requires it
b. Allow the patient to wash before transporting to the closest
appropriate facility
c. Document anything unusual at the scene before initiating contact
with the patient
d. Instruct the patient to change clothing before transporting to the
closest appropriate facility

Which of the following statements regarding consent is true?

a. Responsive and unresponsive patients can provide consent
b. Use implied consent to treat the unresponsive patient
c. Use implied consent to treat children whose parents do not want
them to be treated
d. The patient cannot withdraw his or her consent once it is given

EMT-Bs are best defined as

a. Responders who stabilize the patient until advanced help arrives
b. Providers of definitive care for trauma patient
c. Advanced level of pre-hospital care provider
d. Providers of primary care before the patient reach the
hospital

During the rapid trauma assessment, assess the abdomen for

DCAP-BTLS and
a. Paradoxical motion
b. Crepitation
c. Distention
d. Instability

Which of the following is found in an obstetrical kit?

a. Infant BVM
b. Bulb syringe
c. Magil forceps
d. Browselow tape

How should you treat a patient with a impaled object in the cheek
that is obstructing the airway?
a. Leave the impaled object as found
 b. Remove the impaled object
c. Stabilize the object from inside the mouth
d. Stabilize the object from outside the mouth

Prior to delivery, the mother is in supine position she may develop

dizziness and drop in blood pressure is called
a. Eclampsia
b. Pregnancy shock
c. Suspine hypotensive syndrome
d. Pre-labor syndrome

All of the following are signs of spinal cord injury except:

a. Loss of bowel or bladder control
b. Priapism
c. Increasing BP from vessel constriction
d. Posturing

The major symptoms of chest injury include:

a. Surgical emphysema, hemoptysis and cynosis
b. Flail chest, contusion and tracheal deviation
c. Chest pain, shortness of breath and respiratory distress
d. Chest wall contusion, distended neck veins and tracheal deviation

Once you have completed your focused physical examination of

your patient, you will:
a. Splint all injuries
b. Package and transport the patient
c. Begin your detailed physical examination
d. Set baseline vital sign

A 17 y/o female was struck y a car while she was crossing the
street and is displaying signs of shock. During your assessment,
you note a contusion on the left hypochondria. Which of the
following organs has most likely been to injured?
a. Stomach
b. Liver
c. Intestines
d. Spleen

In an asthmatic child which of the following would be considered

a bad sign?
a. Use of accessory muscle of respiration
b. Wheezing
c. Inability to speak in few sentences
 d. Sleepiness and drowsiness

During a soccer game, an 18 y/o man injured his knee. You note
that the knee is in the flexed position and obviously deformed.
Your action should be to:
a. Assess the neurovascular status
b. Straighten the knee to facilitate immobilization
c. Manually stabilize the leg above and below the joint
d. Immobilize the knee in the position in which it was found

As you are assessing an elderly man who is complaining of severe

chest pain, the patient loses consciousness. Your first step in
caring of this patient is:
a. Attach AED
b. Assess for a pulse
c. Assess for breathing
d. Open the airway

Which of the following is a sign of cardiac compromise?

a. Chest pain
b. Headache
c. Indigestion
d. Abnormal pulse rate

Which of the following would confirm “flail chest”?

a. Pain, especially on respiration
b. Slow deep respirations
c. Rapid, deep respirations
d. Paradoxical chest movement

The blood pressure is of limited value and not usually worth

taking in children less than:
a. 2 years
b. 6 years
c. 3 years
d. 9 years

An oropharyngeal airway should be considered in which of the

following patients?
a. A 37 y/o female who responds to painful stimuli
b. A 28 y/o male patient who goes in and out of consciousness
c. A 66 y/o diabetic patient with GCS 6
d. A 70 year old male patient who is having a seizure
Which of the following blood vessels carries oxygenated blood?
a. Inferior vena cava
b. Superior vena cava
c. Pulmonary artery
d. Pulmonary vein

A woman’s OB history shows she has 3 pregnancies and 2 live

births, which of the following would be recorded on your report
a. G3 P3
b. G3 P2
c. P3 G2
d. P2 G3

When behavioral changes occur in trauma patients you most likely

think it is attributed to
a. Psychological disorder
b. Hypoxia
c. The patient may a violent sociopath
d. Suicide tendencies

You are called to a scene where a 12 y/o girl fell from her bicycle
injuring her left lower extremity. To evaluate the presence of
swelling in this extremity you should:
a. Ask the patient is she can feel pinch in her toes
b. Ask the patient to point her toes upward and downward
c. Compare the lower extremity to the uninjured lower
extremity
d. Compare the lower extremity to the upper extremity on the same
side of the body.

A large collection of blood beneath the skin is called:

a. A contusion
b. A laceration
c. A hematoma
d. An abrasion

The most significant problem resulting from hypoglycemia is

a. Loss of consciousness
b. Damage to pancreas
c. Damage to liver
d. Hunger
Which the following is true regarding treating behavioral
emergency patient?
a. Show you are listening by re-phrasing or repeating part of
what the patient has said.
b. Let the patient know that telling you what is wrong is not important
c. In a calm reassuring manner, explain that he or she has a
behavioral problem
d. Apply physical restraints, then inform the patient you will remove it
if he or she cooperates to you

To determine if a child has a pulse, you should check the

________ artery
a. Brachial
b. Radial
c. Carotid
d. Femoral

Life threatening complications of femoral fractures are most often

caused by:
a. Thigh muscle contractions
b. Pressure on the femoral tendons
c. Open wounds
d. The mechanism of injury

APGAR scores should be evaluated:

a. At one and five minute after birth
b. At the time of birth and again in 5 minutes
c. At the time of birth and again in 10 minutes
d. Five minutes after birth and again in 10 minutes

Select the INCORRECT statement regarding seizures in an infant

or child.
a. Seizures may be caused by head injury
b. Inadequate breathing and/or an altered mental status may occur
following a seizure
c. The child should be restrained during a seizure to prevent
injury to himself or others
d. The child should be assessed for the presence of injuries that may
have occurred during a seizure

Once the baby’s head is delivered, if you see the umbilical cord
around the baby’s neck you should:
a. Immediately clamp and cut the cord
 b. Place the fingers on the cord and remove it from around the
baby’s neck
c. Continue to support the neck and immediately transport the mother
to the hospital
d. Allow the delivery to continue and remove the cord after the baby is
completely out

If you don’t see the patient’s chest rise and fall during ventilation
with a BVM, you should:
a. Squeeze harder on the bag
b. Switch to a different BVM
c. Perform chest compressions
d. Re-position the head

The first step in caring for a unresponsive patient in diabetic

emergency is to:
a. Begin suctioning the patient mouth
b. Provide oxygen by non-rebreathing mask
c. Make sure the airway is open
d. Place glucose gel under the tongue

The term “pulse pressure” refers to:

a. Palpation of the radial pulse
b. Taking the blood pressure by palpation
c. The difference between the systolic and diastolic blood
pressure
d. The systolic blood pressure

You are called to a local park for a 7 y/o boy with respiratory
distress. During your assessment, you find that the patient is
wheezing and has wide-spread hives and facial edema. What
should you suspect has occurred?
a. Heat emergencies
b. Allergic reaction
c. Acute asthma attack
d. Exposure to a poisonous plant

You are responding to a call for a 2 y/o child who fell from a
second-story window. With the mechanism of injury and age of
the patient in mind, you should suspect that the primary injury
occurred to the child’s
a. Head
b. Chest
c. Abdomen
 d. Lower extremities

The responsive child who is ill or injured but breathing

adequately;
a. Should receive O2 cannula at 8 lpm
b. Should be ventilated at the rate of 20 times a minute
c. Should be ventilated with an oxygen powered ventilation device
d. Should receive O2 by NRM at 8 lpm

Which of the following statements is true of normal respiratory

rates?
a. Children breath more quickly than adult
b. The oxygen needs of infants and children are less than adult
c. Adults normally breath 10 to 30 times per minute
d. Children normally breath 15-30 times per minute

Which of the following statements concerning the SAMPLE history

is correct?
a. The “A” in SAMPLE stands for allergies to medications only
b. A complete medical history should be assessed
c. A symptom is any medical condition that can be observed
d. The “E” in SAMPLE stands for events leading to the illness or
injury

Which of the following is a method of heat loss?

a. Shivering
b. Condensation
c. Conduction
d. Conversion

Which of the following statements about splinting is true?

a. Assess proximal pulse, sensation and motor function before/after
splinting
b. Splint the bone above and below the injury
c. Replace protruding bone ends before splinting
d. Leave clothing in place to minimize pain when splinting

When treating a patient with an open soft tissue injury your first
action should be:
a. Assess the patient for spinal injury
b. Take body substance isolation precaution
c. Assess the adequacy of the patient’s airway
d. Obtained a rapid trauma assessment
Which of the following considered a critical burn to a child?
a. Any superficial burn involving the chest, abdomen or thigh
b. Partial thickness burn covering 10-20% of the body surface area
c. Partial thickness burn covering less than 10% of the body surface
area
d. Any partial thickness burns covering more than 20% of the
body surface area

During an emergency childbirth, you should suction:

a. Immediately after the infant is fully delivered
b. The mouth then the nose as soon as the head is delivered
c. The nose then the mouth as soon as the head is delivered
d. Only is the infant is in respiratory distress

Which of the following situation is an example of a priority

patient?
a. A woman experiencing uncomplicated childbirth
b. A patient with a scalp wound that is oozing blood
c. A patient who is responsive, but unable to follow your
command
d. A man complaining of dizziness with a systolic blood pressure of
130 mmhg

Bleeding up to _________ is normal following normal

spontaneous delivery (childbirth)
a. 250 ml
b. 500 ml
c. 300 ml
d. 750 ml

Your patient is a 28 y/o female in her 32 weeks AOG. The

husband called because she has been complaining of severe
headache and vomiting. As you begin your evaluation you notice
her face and hands appears swollen. You took her VS reveals a BP
146/92, PR 90, RR 24. The patient most likely has;
a. Abortion
b. Abruptio placenta
c. Pre-eclampsia
d. Supine hypotension syndrome

You are called for an 85 y/o woman complaining of generalized

weakness and fatigue, you note that she has pale clammy skin
and she is diaphoretic. Your best cause of action will be to:
a. Perform a rapid head and toe assessment
 b. Perform a focused physical examination
c. Administer 100% O2 and transport immediately
d. Contact medical control for advice about how to proceed

Given the formula of estimating the weight of a child, a 5 y/o will

be;
a. 19 kgs
b. 25 kgs
c. 20 kgs
d. 15 kgs

Which pediatric respiratory emergency is most common

associated with “seal bark”.
a. Broncholitis
b. FBAO
c. Asthma
d. Croup

Which of the following is an indication of sever FBAO to a child?

a. Stridor
b. Wheezing
c. Drooling
d. Unresponsiveness

When caring for a patient with an emotional and behavioral crisis

your primary concern should be:
a. Obtaining a complete post psychiatric history
b. Gathering all patient’s medications
c. Providing safe transport to the hospital
d. You and your partner’s safety

A 3 y/o child had sudden onset of respiratory distress. The

mother denies any recent illness and fever. You should expect:
a. Croup
b. Asthma
c. Bronchiolitis
d. FBAO

Caring for an alert 4 y/o with mild airway obstruction, who has
stridor and adequate peripheral perfusion includes
a. Abdominal thrust and transport
b. Oxygen, avoiding agitation and transport
c. Assisting ventilation, backblow and transport
d. Backblow, finger sweeps and transport