EMD TEST, FINAL EXAM, PRACTICE EXAM AND STUDYGUIDE LATEST 2024 ACTUAL EXAM 650 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+(EVERYTHING ON EMERGENCY MEDICAL DISPATCH) EMD TEST, FINAL EXAM A 58-year-old female was sexually assaulted. Her only complaint is minor vaginal bleeding and lower pelvic pain. She reluctantly agrees to go to the hospital with you but wants to use the bathroom first. Her vital signs are P 84, R 16, BP 132/86, and SpO2 is 98% on room air. You should: - ANSWER- Explain why she should wait to use the bathroom until she gets to the hospital. A 73-year-old female complains of pain in her lower abdomen and pelvis. She tells you the pain increases during intercourse. Recently, she has had a foul-smelling vaginal discharge. You should suspect: - ANSWER- Pelvic inflammatory disease. A 37-year-old female who is pregnant with identical twins is in labor. You have already delivered the first neonate, and your partner is assessing him. As she has a contraction, you observe the second neonate's buttock beginning to deliver. You should: - ANSWER- Support the neonate and assist with the delivery. A 24-year-old male has a single episode of tonic/clonic seizure activity. He is awake when you arrive and is unaware of what happened. He tells you he ran out of his seizure medication. His vital signs are P 72, R 16, BP 138/68, and SpO2 is 95% on room air. You should: - ANSWER- Monitor his vital signs and transport. A 78-year-old male is having difficulty breathing. He has a history of dementia and COPD. His daughter tells you his breathing gets worse when he walks up the steps. He tells you that he is fine and doesn't want to go to the hospital. He is dyspneic and unable to identify his daughter. You should: - ANSWERAdminister oxygen and transport him. An unresponsive 28-year-old female has hot, clammy skin and a foulsmelling vaginal discharge. Her lungs are clear to auscultation, and you observe good chest rise. Her vital signs are P 110, R 24, BP 86/58, and SpO2 is 92% on room air. You should: - ANSWER- Administer oxygen. An 86-year-old female complains of pain in her sacral area. You observe a four-centimeter decubitus ulcer in the area. Her son tells you that she is bedridden and that he cares for her. Her bedding is wet and smells like urine. You should suspect: - ANSWER- Physical neglect. Why can a 4-year-old female who is in sickle cell crisis experience chest pain? - ANSWER- Her pulmonary microcirculation is occluded. A 37-year-old female is 36 weeks pregnant. She tells you that she has a severe headache and blurred vision. She describes decreased fetal activity today. Her vital signs are P 86, R 14, BP 138/90, and SpO2 is 96% on room air. You should transport her: - ANSWER- On her left side. A confused 32-year-old female tells you she took several lorazepam tablets to help her sleep. Her level of consciousness is slightly decreased, and her speech is slurred, but she is arousable to voice. Her pupils are three millimeters, and you observe rapid movement of her eyes. Her vital signs are P 80, R 12, BP 128/82, and SpO2 is 92% on room air. You should: - ANSWER- Administer oxygen. The wife of an unresponsive 74-year-old male was unable to wake him this morning. She tells you his only complaint when he went to bed last night was increased chronic pain. He takes medication for hypertension and chronic pain. You observe myosis, and his skin is cyanotic. His vital signs are P 68, R 8 and shallow, BP 136/86, and SpO2 is 90% on room air. You should suspect a(n): - ANSWER- Opioid overdose. Which of the following is least dependent on insulin to move glucose into the cells? - ANSWER- Brain. A 70-year-old female complains of lower abdominal pain. She tells you she has frequently been urinating, and that it burns when she urinates. She denies any other complaints. You should suspect: - ANSWER- Urinary tract infection. An unresponsive 23-year-old male is lying in bed. His mother tells you that he has been getting sicker all week and not taking his medication. He has a history of type 2 diabetes. His skin is warm and dry. His vital signs are P 98, R 24 and deep, BP 112/84, and SpO2 is 98% on room air. You should suspect: - ANSWER- Hyperglycemia. A 54-year-old male complains of pain in his right flank. He tells you the pain is so severe he feels like he is going to vomit. He tells you he was sitting in a chair watching TV when it started. You should suspect: - ANSWER- Renal calculi.