EMS Treatment Planning & Management 3

Question 1

A patient is found unconscious with pinpoint pupils, slow respirations (6/min), and cyanosis. After establishing the airway, what is the NEXT priority treatment?

Accepted Answer

Administer naloxone (Narcan) per protocol

Answer

Naloxone rapidly reverses opioid-induced respiratory depression and is indicated for this classic opioid toxidrome presentation.

Question 2

When managing a patient with anaphylaxis, which medication is the FIRST-LINE treatment?

Accepted Answer

Epinephrine 0.3 mg IM (1:1000)

Answer

Epinephrine 1:1000 administered IM into the anterolateral thigh is the first-line and life-saving treatment for anaphylaxis.

Question 3

A trauma patient is immobilized on a long backboard in cold weather. After 30 minutes, which complication becomes a priority concern?

Accepted Answer

Hypothermia

Answer

Trauma patients lose heat rapidly due to exposure, impaired thermoregulation, and wet clothing, making hypothermia prevention critical during transport.

Question 4

For a pediatric patient in respiratory distress, which finding indicates immediate need for positive pressure ventilation?

Accepted Answer

Inadequate chest rise with severe retractions

Answer

Inadequate chest rise despite significant accessory muscle use indicates respiratory failure requiring immediate BVM ventilation.

Question 5

Which intervention is CONTRAINDICATED when managing a patient with suspected epiglottitis?

Accepted Answer

Attempting to visualize the oropharynx with a tongue depressor

Answer

Examination of the oropharynx in epiglottitis can cause complete laryngospasm and total airway obstruction.

(EMS) Emergency Medical Services Certified Practice Test

(EMS) Emergency Medical Services Certified Practice Test

EMS Treatment Planning & Management 3