EMR Practice Quiz

The Paramedic Association of Canada and the Canadian Medical Association define four national levels of pre-hospital care. Sort these levels from the lowest to the highest.

What is Medical Control?

A Standing Order allows an EMR to provide certain types of care or treatments without a physician being on scene, or without talking to a physician first.

Place the following steps of the Patient Assessment Model in the correct order.

Why is it important to determine the Mechanism of Injury?

What is the purpose of a Primary Survey?

Which technique should you use to open the airway of an unconscious NON trauma patient?

How do you open the airway of an unconscious patient who fell 20′ onto concrete?

On inspection the patient’s mouth is full of blood and liquid vomitus.  Now what?

How far into the patient’s mouth do you insert the suction catheter?

How long do you suction for?

A patient requires an oral airway when they are unresponsive to both verbal and painful stimuli.

How do you measure an Oral Airway?

If the Oral Airway measured is too short the tongue can still fall back and obstruct the upper airway.

You have attempted to insert an Oral Airway and the patient gags.  What do you do next?

When measuring a patient for a nasopharyngeal Airway you should measure from the  ________ to the _________.

Under normal circumstances what triggers your body to breath?

During the primary survey we assess the patient’s breathing for an approximation of rate and quality.

During your primary survey your adult patient’s breathing rate is found to be 4/minute.  The breaths are shallow and the patient is blueish at the lips.  What should you do?

Sort these ventilatory rates into the correct order for adult patients, and for pediatric patients.

Sort the following choices into the correct order for which pulse we use on the following patients:

• Conscious adult patient
• Unconscious adult patient
• Baby

The textbook definition of cardiac arrest is unconscious with no breathing and no pulse.

What is the correct Compression : Ventilation ratio for one rescuer CPR?

What is the correct Compression : Ventilation Ratio for Two Rescuer CPR on a 6 year child?

The encircling thumb technique, if it can be correctly performed, is the preferred compression method for two rescuer CPR on an infant.

What patient ages can we use an AED on?  Check all that apply.

Who is the best person to operate the AED?

We should compress the chest of the patient when the AED is analyzing.

After the initial pulse check confirming cardiac arrest, when should you re-assess the pulse?

What do we do immediately after delivering a shock, or immediately after receiving a “no shock advised” from the AED?

You are transporting a 76 year old male having chest pain, and are alone in the back of the ambulance (your partner is driving) when the patient goes into cardiac arrest. After confirming the patient is unresponsive with no normal respirations and no carotid pulse you should:

What types of injuries are we looking for during the Rapid Body Survey?  Check all that may apply.

What is the first step in controlling bleeding?

A patient has a significant bleed to his left lower leg.  You have applied direct pressure with gauze and bandaged it in place.  A few minutes later you see the bandage is now soaking through.  What is your next action?

When do we apply a tourniquet to control bleeding?

A patient has a severe leg injury, with bone protruding from the thigh.  There is profuse bleeding from the open wound.  Which of the following would be the best initial method of controlling the bleed?

The correct definition of shock is inadequate tissue perfusion.

What do we do for a patient showing signs of shock (i.e. pale, cool, clammy skin, elevated heart rate, lower blood pressure, thirst, anxiety)?  Tick all that apply.

The term used to describe low levels of oxygen in the cells of the body is:

Arrange the following oxygen flow rates in the following order:

• Nasal Cannula
• Simple Face Mask
• Non Rebreather Face Mask
• Bag Valve Mask

When should you change an O2 tank?

You should always place an unconscious person in the 3/4 prone (recovery) position by the end of the primary survey except for when which two conditions are present:

Which of the following Mechanisms of Injury would place the patient in the Rapid Transport Category?  Select ALL that apply.

Which of the following Primary Survey findings place the patient in the Rapid Transport Category?  Select ALL that apply.

Which of the following injuries place the patient in the Rapid Transport Category?  Select ALL that apply.

Place the steps of the Secondary Survey in the correct order.

OPQRST is used to investigate pain complaints.  True or False, OPQRST stands for:

• Onset
• Provocation
• Quality
• Region / Radiate / Relief
• Severity
• Timing

You are called out for an unconscious diabetic.  While taking the patient’s vital signs you note the patient’s eyes flicker open when pain stimuli is applied.  No verbal sounds are made, however the patient’s arm withdraws from the pain stimuli.  This patient’s GCS is:

In measuring blood pressure, two different numbers are usually recorded.

The first number reflects the pressure in the __________ when the heart is contracting.  This is called the __________ blood pressure.

The second number reflects the pressure in the arteries when the hear is __________ .  This is called the ___________ blood pressure.

During the head to toe we expose and examine the distal end of each extremity for what three things?  Choose the answer that best applies.

According to your sample EMR Chest Pain protocol for licensed EMRs in the province of BC:   An EMR could administer nitroglycerin to which of the following patients:

Nitroglycerin works by:

You have administered 3 doses of Nitro to a chest pain patient, bringing the chest pain complaint from 8/10 down to 4/10 after the 3rd dose.  The patient’s blood pressure, however, is now 85/52.  What can you do now?

Emphysema and Chronic Bronchitis are the most common conditions in the _______ family.

What are Battles Signs?

What is a flail chest?

True or false:  To treat a flail segment you need to stabilize the area with a pad folded to the size of the flail segment.

You are called for a patient with a lower leg injury.  During the RBS you feel deformity though the clothing at the mid thigh, and the patient tells you there is sharp pain in that area.  List all the actions you could take for this fracture during the Rapid Body Survey (in the Primary Survey).  Check ALL that apply.

In order to properly apply a Sager traction splint the patient should be in the following position:

You are treating a patient with a closed, mid 1/3 femur fracture.  The patient is 5′ 10″ tall and weighs 175 pounds.  How much traction would you apply?

What is the primary treatment for a patient with major burns?

Define the rule of 9s below:

True or False:  Mildly hypothermic patients will shiver, but the shivering will stop as the patient becomes more moderately and severely hypothermic.

What is the skin of a heat stroke patient like?

What is the main treatment for a patient in heat stroke?  Tick all that apply.

A patient on scene is suicidal and refusing your assistance.  Under what law can the police arrest this person and transport them to the hospital for help?

True or False:  It is a legal requirement that Responders working within the 911 system fill out a complete patient care report on ALL patients they treat.

In the Incident Command System the person in charge of the scene is called the:

You care called code 3 for a 4 year old who is short of breath.  Upon arrival at the residence you are met by the patient’s mother, who leads you into the living room.  The patient is sitting upright on the couch, short of breath, with a loud “seal bark” cough.  You are told the child has been ill for a few days with cold like symptoms and a low grade fever.

This patient is most likely suffering from:

You are called for a patient found unconscious in a private residence. On exam the patient is not responsive to verbal or painful stimuli, has a clear airway, is breathing at a rate of 6 shallow breaths per minute, is cyanotic, and has pinpoint pupils.

You suspect that the patient is suffering from an overdose of:

Which of the following cardiac rhythms are shockable (select all that apply):

When assessing a possible stroke it is important to use the FAST exam, which consists of:

Face: Does the patient have any facial droop or paralysis in their face.
Arm: Does the patient have any weakness or paralysis on one side of their body (assessed by having the patient squeeze both hands or by having them close their eyes and hold both arms out for 10 seconds).
Speech: Is there any slurred or confused speech.
Time: When did the symptoms start?

You are transporting a stable patient between hospitals for a medical procedure. The patient has an IV of normal saline running at a rate of one drip every second (360mL/hour). Your transport time is two hours and you will be required to replace the bag of normal saline during the trip. When should you do this?

Match each of the IV therapy complications with their definitions by dragging the answer down to the correct spot: