
Paramedic Test - Airway/Breathing
1. You are auscultating the lungs of a 23 year old female patient in good respiratory health. You would expect to find what type of lung sounds?
  Vesicular breath sounds
  Bronchovesicular breath sounds
  Bronchial breath sounds
  Moist breath sounds
2. Which of the following would be the best indication that a patient is suffering from hypoxia?
  They are breathing shallow and fast
  Their oxygen saturation is 87% while you have them on O2 at 15 LPM
  They are cool and moist
  Their pulse is rapid and their skin is pale
3. A Macintosh blade is inserted into the______________ and the epiglottis is elevated to visualize the chords during endotracheal intubation.
  Glottic Opening
4. The newest AHA CPR guidelines specify that the tidal volume for rescue breaths should __________________.
  be 500 ml for everyone except infants
  make the chest rise
  be increased
  be between 500 ml and 800 ml
5. Which breath sounds would you likely hear from a person who's alveoli contain fluid?
6. Your 57 year old patient was a chain smoker for 35 years and is pursing their lips during exhalation. This is likely to?
  Create a back pressure on collapsed alveoli
  Force air out of the lungs faster
  Demonstrate their lung control
  Cause them to hyperventilate
7. Hyperventilation lowers the levels of?
  CO2 in the body
  Hemoglobin in the body
  Ketones in the body
  Oxygen in the body
8. Albuterol is classified as a_______________.
9. During intubation you should use the teeth as a ______________.
  place to align the mark on a Combitube
  marker for bulb inflation
  support for your elbow
10. After the baby has crowned during delivery you should?
  Suction the mouth and nose then check for prolapsed cord
  Suction the mouth and nose and wait for the mother to push the rest of the baby out
  Support the head and gently pull the baby out
  Put the mother on high flow O2 and have a cigar with the father
11. You and your partner Larry are dispatched to the call of a man with sever stomach pain. When you arrive on scene you find him lying on the floor of the kitchen in the fetal position. There is vomit on his face and he says he is going to throw up again. He denies falling and says the only thing wrong is that his stomach is killing him. Assessing his abdomen you find it to be very tender to the touch and he moans when you palpate his stomach. He is also breathing very fast at 30 a minute. What other signs and symptoms might you find with this patient
  Tachycardia - hypotension - fever
  Bottle of poison - cyanosis and crepitus
  Broken ribs - hypertension and deep rapid breathing
  Rebound tenderness - metabolic acidosis
12. Your patient is a 69 year old female who has a history of diabetes. She is breathing very deeply and very rapidly in a state of respiratory acidosis. Her husband said he woke up to her breathing like this and she would not wake up. You know that this woman is most likely in?
  Respiratory rebound stage
  A diabetic coma
  Diabetic shock
  Respiratory alkalosis
13. Paradoxical motion of the chest during exhalation is often caused by what type of injury?
  Clavicle break
  Flail chest
14. You arrive on scene to find a 57 year old man who is sitting on a couch appearing to stare at the wall. His breathing is labored and you can hear wet breath sounds that are producing a pink foam dripping from his mouth. You get no response when you try to get his name. Your requests for him to move his arm go without response. His pulse 105 and his BP is 92/40. You do not see any edema, swelling or JVD. This patient likely has ____________.
  left sided CHF
  right sided CHF
15. Why is the needle inserted on top of the rib during chest decompression?
  To avoid the bundle of His
  To avoid nerves - veins and arteries
  To give the syringe something to rest on
  To ensure proper lung inflation

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