Multiple Choice
Identify the
choice that best completes the statement or answers the question.
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1.
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What structure is attached to the uterus and
provides the fetus with oxygen and nutrients?
a. | Ovary | b. | Womb | c. | Placenta | d. | Embryo |
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2.
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As the baby’s head delivers, you should check
around the neck for the structure that connects the fetus to the mother. This structure is called the
____.
a. | Placenta | b. | Umbilical cord | c. | Fallopian
tube | d. | Birth canal |
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3.
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The fluid-filled structure that protects the
growing fetus is called the ____.
a. | Fallopian tube | b. | Ovary | c. | Birth
canal | d. | Amniotic sac |
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4.
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Your partner assesses a pregnant patient and tells
you crowning is present. What does this mean?
a. | The baby’s head is at the vaginal
opening. | b. | The amniotic sac has
ruptured. | c. | Contractions have started. | d. | The placenta is delivering. |
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5.
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You should take all the following actions to
prepare a patient for delivery EXCEPT ____.
a. | Visually inspect the vaginal
area. | b. | Insert a gloved hand into the vagina to check for baby
positioning. | c. | Protect the
patient’s modesty by covering her with drapes. | d. | Provide emotional support to the patient and the
family. |
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6.
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Which of the following is TRUE of
standard precautions?
a. | Childbirth is a natural process so gloves are not
necessary. | b. | Clean absorbent
sheets and towels will provide the First Responder with adequate
protection. | c. | Gloves are the
only recommended protective measures necessary. | d. | Gloves, gown,
mask, and eye protection are recommended for adequate
protection. |
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7.
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Once the baby delivers, you should do which of the
following?
a. | Dry the baby and keep his or her head
covered. | b. | Complete a thorough assessment and then warm, dry, and
stimulate the baby. | c. | Initiate CPR
immediately if the baby is blue. | d. | Check a radial
pulse to evaluate circulation. |
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8.
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If the baby does not breathe immediately upon
delivery, you should do which of the following?
a. | Start CPR. | b. | Begin rescue breathing with a bag-valve-mask
device. | c. | Apply oxygen. | d. | Rub the baby’s back and suction the
baby. |
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9.
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As you assess the baby, you find the heart rate is
136, respirations are 20, and color is blue. What should you do next?
a. | Start CPR. | b. | Begin rescue breathing with a bag-valve-mask
device. | c. | Apply oxygen. | d. | Rub the baby’s back and suction the
baby. |
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10.
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You have just assisted in the delivery of a term
baby. The baby remains limp and blue. Her pulse is less than 60, respirations 6. You have tried 30
seconds of rescue breathing with no improvement. What should you do next?
a. | Start CPR. | b. | Begin rescue breathing with a bag-valve-mask
device. | c. | Apply oxygen. | d. | Rub the baby’s back and suction the
baby. |
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11.
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The baby is delivering breech. Which of the
following should be considered?
a. | The baby is presenting buttocks
first. | b. | Do not pull on the baby to deliver the
head. | c. | You may need to create an airway for the baby while the
head is still in the birth canal. | d. | All of the
above |
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12.
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You respond to a 34-year-old female who is 38 weeks
pregnant. She is complaining of a severe headache and tells you she has toxemia/pre-eclampsia.
Concerns for this patient include which of the following?
a. | Monitoring her for seizures and frequently checking her
blood pressure | b. | Treating for shock
and administering high concentration oxygen | c. | Preparing to
suction her and calling the poison control center | d. | Preparing for more than one baby and severe
bleeding |
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13.
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You respond to a premature birth. Which of the
following statements is TRUE?
a. | The baby’s respiratory system may not be well
developed. | b. | Most premature
babies weigh 5 1/2 to 7 pounds. | c. | Premature babies
usually breathe well at birth but often have cardiac problems. | d. | Since premature babies are smaller, they maintain their temperature
better. |
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14.
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Which of the following statements is
TRUE?
a. | It is easy to determine a child’s age based on the
size of a child. | b. | Children can
tolerate more force than adults because their bodies are soft and pliable. | c. | A child’s body surface area is less per unit than an
adult’s. | d. | Children
decompensate faster than adults. |
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15.
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Your patient is a 10-year-old male child with
difficulty breathing. He is awake and anxious. His breathing is labored. He uses an inhaler when he
has attacks like this. He has wheezes when you auscultate his lungs. You suspect he may have which of
the following conditions?
a. | Asthma | b. | Croup | c. | Epiglottitis | d. | Foreign body
airway obstruction |
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16.
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Your patient is a 6-year-old female with shortness
of breath. She is awake and looks very sick when you enter the room. She is sitting up and is
drooling. Her mother says she hasn’t been able to take any fluids because it hurts too much to
swallow. Her vital signs are pulse 130, respirations 32 and shallow, blood pressure 98/60,
temperature 103° F. You suspect she may have which of the following conditions?
a. | Asthma | b. | Croup | c. | Epiglottitis | d. | Foreign body
airway obstruction |
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17.
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You respond to a 6-month-old female with
intercostal retractions and head bobbing with each breath. She has a loose cough, and her lungs have
secretions when you listen. She has crusty mucus blocking both nares. Her respiratory rate is 36.
Which of the following steps should you take first?
a. | Administer high concentration oxygen and call for ALS
backup. | b. | Suction the nose with a bulb syringe and reassess her
airway. | c. | Initiate bag-valve-mask ventilation and high
concentration oxygen. | d. | Call for ALS
backup and open the airway with a jaw thrust maneuver. |
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18.
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Which of the following is the most common cause of
seizures in children?
a. | Epilepsy | b. | Fever | c. | Trauma | d. | Low blood
sugar |
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19.
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You respond to a 2-year-old child with seizures.
She has a history of the flu and has been vomiting and had diarrhea for 12 hours. Her temperature is
104° F. Care should include which of the following?
a. | Insert a bite block, suction, apply high concentration
oxygen, notify ALS. | b. | Apply high
concentration oxygen, restrain the patient for transport, help her drink cool
liquids. | c. | High concentration oxygen by blow-by, protect the
patient from injury, remove her blankets and clothing. | d. | Place ice packs in the patient’s armpits and groin to cool
her. |
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20.
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You respond to a 13-year-old male having seizures.
You hear secretions in his airway. Family tells you he has a history of seizures. Which of the
following should you do?
a. | Insert a bite block, suction, apply high concentration
oxygen, notify ALS. | b. | Apply high
concentration oxygen, restrain the patient for transport, help her drink cool
liquids. | c. | High concentration oxygen by blow-by, protect the
patient from injury, remove her blankets and clothing. | d. | Use a jaw thrust, suction mouth if open, protect from injury, apply high
concentration oxygen. |
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21.
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A 2-year-old male child was involved in a motor
vehicle crash. He was unrestrained and is lying on the back seat and is crying. Which of the
following steps should you take?
a. | Position the patient on his back and pad under the head
to immobilize him. | b. | Loosely apply a
cervical collar to prevent respiratory distress. | c. | Carefully lift the patient out of the seat and carry him away from the car to
calm him. | d. | Manually support the patient’s head and reassure
him until help arrives to remove him from the vehicle. |
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22.
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Which of the following is LEAST
likely to be considered child abuse?
a. | A 4-year-old has broken teeth and bruising to his face,
with new and old bruises to his back. He tells you he got them from falling off his bike earlier
today. | b. | A 5-year-old girl has abrasions to her knees and palms.
She tells you she fell out of the swing when her Dad was pushing her. | c. | A 7-year-old has burn marks on his feet and buttocks and refuses to talk about
the injuries. | d. | A 1-year-old is
unconscious. Mom says she fell from her swing. Mom’s boyfriend says she’ll be fine and
seems unconcerned. |
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23.
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Which of the following patients is
NOT showing signs of respiratory distress?
a. | A 2-year-old who is unresponsive with a respiratory rate
of 12 breaths per minute | b. | A 2-month-old
quietly breathing 40 times a minute | c. | A 12-year-old
breathing 42 times a minute with stridor | d. | A 3-year-old who
is sleepy and breathing 60 times per minute |
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24.
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Which of the following is appropriate to assess
circulation in a pediatric patient?
a. | Check a brachial pulse in an
infant. | b. | Check a carotid or femoral pulse in an unresponsive
child. | c. | Check a radial or brachial pulse in a responsive
child. | d. | All of the above |
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25.
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Which of the following is NOT an
issue that may complicate a pediatric assessment?
a. | Scared because of pain or
situation | b. | Younger children crying
inconsolably | c. | Ability of older
children to communicate appropriately | d. | Failure to
cooperate or follow requests |
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26.
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The period before a call for aid best describes the
____ phase of prehospital response.
a. | Preparation | b. | Dispatch | c. | En route to the
scene | d. | Arrival at the
scene |
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27.
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Driving safely to a scene and considering the type
of scene you are responding to are parts of the ____ phase of prehospital response.
a. | Preparation | b. | Dispatch | c. | En route to the
scene | d. | Arrival at the
scene |
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28.
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Sizing up the scene before you enter is an
important component of the ____ phase of prehospital response.
a. | Preparation | b. | Dispatch | c. | En route to the
scene | d. | Arrival at the
scene |
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29.
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Which of the following is NOT part of
the post-run phase of prehospital response?
a. | Checking the vehicle’s fuel
levels | b. | Restocking supplies and
equipment | c. | Providing patient care | d. | Disinfecting equipment and the inside of the
vehicle |
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30.
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Which of the following would be considered
non-medical equipment on a rescue unit?
a. | Oxygen, blood pressure cuff,
radio | b. | Radio, patient chart, protocol
book | c. | Dressings, splints, oxygen
mask | d. | AED, suction,
goggles |
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31.
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In the incident command process, First Responders
will most often be which of the following?
a. | Incident commander for large-scale
disasters | b. | Sector commander responsible for
staging | c. | Assigned to tasks within one of the
sectors | d. | In charge of triaging patients according to
severity |
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32.
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You respond to a motor vehicle crash. The car
struck a utility pole and has wires lying over it. The patient is inside the car. What should you do
when you arrive on scene?
a. | Remove the wires from the car and assess for life
threats. | b. | Encourage the patient to get out of the car if he is
awake and able to move. | c. | Keep the patient
in the car until someone trained to work with wires can move them. | d. | Stabilize the vehicle with wood cribbing to the electricity will not be
conducted. |
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33.
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Which of the following would suggest you are
responding to a multiple casualty situation?
a. | You respond to a concert with over 10,000 people in
attendance for a patient with heat emergency. | b. | You and your
partner respond to a soccer game where two players were injured when they ran into each other. One
has a severe headache and the other has a deformed forearm. | c. | You and your partner respond to a motor vehicle crash with four patients. A
24-year-old male has an open fracture to his lower leg. A 6-year-old child is unconscious and
breathing 12 times a minute. A 2-year-old child is crying and complaining of abdominal pain. A
32-year-old female is holding her chest and breathing 40 times a minute. She is pale and
diaphoretic. | d. | You are helping
with a bicycle race when there is a crash. There are six patients with abrasions to their legs, arms,
and hands. All deny problems with breathing or neck pain. No deformities are noted and all have
strong regular pulses. You have four other First Responders
available. |
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34.
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Which of the following is expected of a First
Responder in a mass casualty situation?
a. | Be prepared to assume the responsibility of Triage
Officer when paramedics are on scene. | b. | Be prepared to
treat all injuries as they are found on patients. | c. | You may be required to be the Triage Officer and receive reports from the
Incident Commander. | d. | You may have to
move tagged patients to treatment and transport staging areas after
reassessment. |
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35.
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Which of the following patients would be considered
a high priority or immediate category in a mass casualty incident?
a. | Patient with snoring
respirations | b. | Patient with burns
to arm and hand but no breathing problems | c. | Patient with pain
in the lower back with numbness in one leg | d. | Patient who is not
breathing and does not have a pulse |
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36.
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Which of the following patients would be considered
a second priority or delayed category in a mass casualty incident?
a. | Patient with a flail chest breathing shallow at 40 times
a minute | b. | Patient with open fracture to the left lower leg with
minor bleeding | c. | Patient with
lacerations and abrasions to both extremities with minor bleeding and no airway
problems | d. | Patient who is not breathing and does not have a
pulse |
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37.
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Which of the following patients would be considered
a low priority or minor category in a mass casualty incident?
a. | Patient with an open femur fracture that is bleeding
severely and difficult to control | b. | Patient with
bilateral lower leg fracture with moderate bleeding that has been
controlled | c. | Patient with a
fractured humerus without neurovascular compromise | d. | Patient who is not breathing and does not have a
pulse |
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38.
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Which of the following should you expect dispatch
to provide when you are responding to a call?
a. | Location of patient and nature of
illness | b. | Patient name, birth date, and insurance
information | c. | Response time,
scene time, and ETA | d. | ETA to closest
facility and patient history |
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39.
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Persons with physical impairments that limit one or
more major life activities are considered which of the following?
a. | Acutely ill | b. | In need of hospitalization | c. | Disabled | d. | Unable to care for
themselves |
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40.
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You are dispatched to the scene of a patient with
cerebral palsy. Which of the following statements is TRUE?
a. | Cerebral palsy is caused by damage to the spinal
cord. | b. | The extremities of cerebral palsy patients are very
flexible and easily moved into positions to make assessment easier. | c. | Cerebral palsy patients are at increased risk for airway
obstruction. | d. | Most patients are
not taking any medications because medications do not relieve the
symptoms. |
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41.
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You respond to a 66-year-old male with severe chest
pain. He tells you he is afraid he is going to die and asks you if you think he will die. His vital
signs are very unstable and he is not doing well. Which the following would be an appropriate
response?
a. | “You’ll be
fine.” | b. | “Everything
will be okay.” | c. | “Yes, you
may, things don’t look good.” | d. | “I
don’t know, but I’ll do everything I can, and I need you to work with
me.” |
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42.
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Which of the following statements is
FALSE regarding the aging process?
a. | There is a decrease in arterial
elasticity. | b. | The elderly are at
less risk for developing shock. | c. | The elderly have a
decreased ability to compensate for blood loss. | d. | The elderly are at
greater risk for developing hypertension and cardiac problems. |
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43.
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Which of the following statements is TRUE
regarding the aging process?
a. | Brain mass decreases. | b. | Nerve impulses are carried faster. | c. | Vision and hearing loss are less likely. | d. | Memory and behavior are not affected by
aging. |
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44.
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Which of the following are health risks for the
elderly?
a. | Living alone | b. | Being immobile | c. | Having an unsound
mind | d. | All of the above |
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45.
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Which of the following statements is
TRUE of cervical spine management in the elderly?
a. | Protection of the cervical spine is not as much of an
issue to the elderly. | b. | In the traumatized
elderly, use the head tilt-chin lift to open the airway. | c. | The only cause of deformity to the spine in the elderly is
trauma. | d. | Maneuvering the neck in an elderly medical patient may
cause spinal cord injury to the cervical spine. |
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46.
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Which of the following is an example of physical
abuse in the elderly?
a. | A malnourished 78-year-old female who is fed cereal once
a day | b. | Keeping an 84-year-old male in a room with no windows,
paintings, pictures, or external stimuli | c. | Cashing a
94-year-old male’s Social Security check and telling him it did not
come | d. | Yelling at and demeaning a 77-year-old man because he
tripped over a rug |
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47.
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Which of the following is an example of
psychological abuse in the elderly?
a. | A malnourished 78-year-old female who is fed cereal once
a day | b. | Keeping an 84-year-old male in a room with no windows,
paintings, pictures, or external stimuli | c. | Cashing a
94-year-old male’s Social Security check and telling him it did not
come | d. | Yelling at and demeaning a 77-year-old man because he
tripped over a rug |
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48.
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Which of the following is an example of financial
abuse in the elderly?
a. | A malnourished 78-year-old female who is fed cereal once
a day | b. | Keeping an 84-year-old male in a room with no windows,
paintings, pictures, or external stimuli | c. | Cashing a
94-year-old male’s Social Security check and telling him it did not
come | d. | Yelling at and demeaning a 77-year-old man because he
tripped over a rug |
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49.
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Which of the following patients is at greatest risk
for abuse?
a. | A 60-year-old woman who lives with her
husband | b. | A 75-year-old person with
dementia | c. | An 80-year-old person who is healthy and lives
alone | d. | A 66-year-old female who lives with her daughter and
cares for the children |
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50.
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Which of the following persons is likely to be an
elderly abuser?
a. | A daughter who is going through a divorce and caring for
her 76-year-old mother | b. | A son who cares
for his mother 7 days a week with no relief | c. | A son-in-law who
drinks heavily and is unemployed | d. | All of the
above |
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