JIBC Emergency Medical Responder Care 2 — Questions and Answers
Question 1: When assessing an unresponsive adult patient, what is the correct order of the primary survey steps?
- Airway, Breathing, Circulation, Disability, Expose (Correct answer)
- Breathing, Airway, Circulation, Expose, Disability
- Circulation, Airway, Breathing, Disability, Expose
- Disability, Airway, Breathing, Circulation, Expose
Correct answer: Airway, Breathing, Circulation, Disability, Expose
The primary survey follows the ABCDE sequence: Airway, Breathing, Circulation, Disability, and Expose.
Question 2: A patient presents with a blood pressure of 88/60 mmHg, rapid weak pulse, and pale clammy skin. Which condition does this most likely indicate?
- Hypertensive crisis
- Hemorrhagic shock (Correct answer)
- Anaphylaxis
- Diabetic ketoacidosis
Correct answer: Hemorrhagic shock
Hypotension, rapid weak pulse, and pale clammy skin are classic signs of hemorrhagic (hypovolemic) shock.
Question 3: Which of the following is the MOST appropriate position for a conscious patient in respiratory distress?
- Supine with legs elevated
- Semi-Fowler's (sitting upright at 45°) (Correct answer)
- Left lateral recovery position
- Prone position
Correct answer: Semi-Fowler's (sitting upright at 45°)
Sitting the patient upright at 45° reduces the work of breathing by allowing the diaphragm to descend more freely.
Question 4: An EMR finds a patient with a suspected spinal injury who is vomiting. What should the EMR do?
- Keep the patient supine and suction the airway
- Log-roll the patient to a lateral position while maintaining spinal alignment (Correct answer)
- Sit the patient upright immediately
- Place the patient in Trendelenburg position
Correct answer: Log-roll the patient to a lateral position while maintaining spinal alignment
Log-rolling to a lateral position while maintaining spinal alignment protects the airway without compromising the spine.
Question 5: The normal adult respiratory rate at rest is:
- 6–10 breaths per minute
- 12–20 breaths per minute (Correct answer)
- 22–28 breaths per minute
- 30–36 breaths per minute
Correct answer: 12–20 breaths per minute
A normal adult respiratory rate at rest is 12–20 breaths per minute; rates outside this range indicate abnormal breathing.
Question 6: Which type of burn involves destruction of the epidermis and dermis but spares deeper structures, presents as moist, red, and blistered?
- Superficial (first-degree) burn
- Partial-thickness (second-degree) burn (Correct answer)
- Full-thickness (third-degree) burn
- Fourth-degree burn
Correct answer: Partial-thickness (second-degree) burn
Partial-thickness (second-degree) burns affect epidermis and dermis, causing blisters, moisture, and significant pain.
Question 7: When performing a jaw-thrust maneuver, what is the primary purpose compared to the head-tilt/chin-lift?
- It provides a better seal for BVM ventilation
- It opens the airway without extending the cervical spine (Correct answer)
- It is faster to perform in an emergency
- It prevents vomiting during airway management
Correct answer: It opens the airway without extending the cervical spine
The jaw-thrust maneuver opens the airway while keeping the cervical spine in a neutral position, making it preferred when spinal injury is suspected.
When assessing an unresponsive adult patient, what is the correct order of the primary survey steps?