JIBC - Justice Institute of British Columbia Emergency Medical Responder Care Questions and Answers

Question 1

You arrive on scene to find an adult male who was stabbed in the right lateral chest.
He is anxious, has a respiratory rate of 28, and complains of shortness of breath.
During your primary survey, you note absent breath sounds on the right side.
Which of the following is the MOST critical immediate intervention?

Accepted Answer

Apply an occlusive dressing over the stab wound.

Answer

Apply a high-flow oxygen mask and prepare for transport.

Answer

Perform a detailed secondary assessment to check for other injuries.

Answer

Obtain a full set of vital signs, including a blood pressure reading.

Question 2

Which of the following is a primary contraindication for the use of an oropharyngeal airway (OPA)?

Accepted Answer

The patient has an intact gag reflex.

Answer

The patient is unresponsive to painful stimuli.

Answer

The patient has a suspected spinal injury.

Answer

The patient is breathing spontaneously at a rate of 6 breaths per minute.

Question 3

You are assessing a known diabetic patient who is confused, has pale and sweaty skin, and is behaving aggressively. Which condition should you MOST suspect?

Accepted Answer

Hypoglycemia

Answer

Hyperglycemia

Answer

Anaphylactic shock

Answer

A cerebrovascular accident (stroke)

Question 4

You are managing a patient with an isolated, closed, mid-shaft femur fracture. The patient is pale, has a heart rate of 120 bpm, and a blood pressure of 90/60 mmHg. After controlling any external bleeding, what is the MOST appropriate next step in managing this patient's condition?

Accepted Answer

Treat for hypovolemic shock with high-flow oxygen and keeping the patient warm.

Answer

Focus solely on splinting the femur to reduce pain.

Answer

Administer oral fluids to increase blood volume.

Answer

Apply a traction splint immediately to realign the bone.

Question 5

When assessing a patient's complaint of chest pain, the 'P' in the OPQRST mnemonic is used to investigate which aspect of the pain?

Accepted Answer

What makes the pain better or worse.

Answer

The patient's past medical history.

Answer

The precise location of the pain.

Answer

The perceived severity on a scale of 1-10.

Question 6

An adult patient is experiencing a severe anaphylactic reaction with respiratory distress and hypotension after a bee sting. According to BCEHS guidelines, what is the primary and most critical treatment an EMR can provide?

Accepted Answer

Administering epinephrine via auto-injector.

Answer

Administering an antihistamine like diphenhydramine.

Answer

Assisting the patient with their prescribed salbutamol inhaler.

Answer

Applying a cold pack to the sting site to slow venom absorption.