Interactive MCQs
1. Synovial joints are freely moving joints. _____ is an example of synovial joint.
1. 2nd Cervical
2. Elbow
3. Shoulder
4. All of above
2. A patient has Dyspnea. ________ Position is best recommended in ambulance while transportation.
1. Trendelenburg
2. Upright
3. Recumbent
4. Supine
3. Heart is located in centre of chest cavity called:
1. Sternum
2. Peritoneum
3. Mediastinum
4. Pleura
4. There are ____ pair of spinal nerves.
1. 30
2. 31
3. 32
4. 33
5. Circulation of brain is via:
1. Coronary circulation
2. Circle of willis
3. Systemic Response
4. Systemic circulation
6. With ageing, calcium absorption declines in aged people.
1. True
2. False
7. Rubbing skin of patient in hypothermia may cause:
1. Vasodilation
2. Worsening hypothermia
3. Increased interstitial fluid
4. All of above
8. If contaminated blood has been injected into the patient, it may spread infection _____
1. Directly
2. Indirectly
3. By means of water
4. All of above
9. If an infant fell on the road, you should palpate brachial pulse with your thumb to find out exact heart rate.
1. True
2. False
10. Veins have thicker blood vessels because they carry blood at low pressure than arteries.
1. True
2. False
11. When you are called to assist a patient who is uncooperative and verbally abusive, you should:
1. Treat the patient in a similar manner to gain control of the situation.
2. Leave the scene and go back in service.
3. Threaten the patient with force if they don't calm down.
4. Treat the patient with respect and call for law enforcement assistance.
12. According to Dr. Kubler-Ross, the stage of the grieving process identified by the open expression of grief, hopelessness, and the desire to die is:
1. Denial.
2. Acceptance.
3. Bargaining.
4. Depression.
13. Never share patients' information with:
1. Bystanders
2. Relatives
3. Media
4. All of above
14. Antibiotics are used to treat ____ infection.
1. Bacterial
2. Viral
3. Both
4. None
15. What ratio should 2-person CPR on a child be done at?
1. 30:2
2. 15:2
3. 30:5
4. 15:5
16. Placement of pregnant women:
1. Place the patient on the left side; this prevents uterus compression
2. Place the patient on the right side; this prevents aortic compression
3. Place the patient on the left side; this prevents aortic compression
4. Place the patient on the right side; this prevents uterus compression
17. What kind of consent is taken from the patient with altered level of consciousness?
1. Informed
2. Implied
3. All
4. None
18. A patient bystander calls and informs about situation like numbness, arm weakness and facial weakness. What is the expected time for an ambulance to reach?
1. 8 minutes
2. 15 minutes
3. 30 minutes
4. 60 minutes
19. A rescuer faces difficulty in communicating with a patient crying with pain. What kind of barrier is this?
1. Cultural barrier
2. Social barrier
3. Emotional barrier
4. Language barrier
20. If fire breaks in any vehicle, always take the following measures:
1. Open car bonnet and spill water
2. Use fire extinguisher via grills of car
3. Switch on the ignition
4. All of above
21. The aspect of natural ventilation that involves the diaphragm contracting and the chest wall expanding is:
1. Metabolism
2. Inhalation
3. Exhalation
4. Airway expansion
22. What is the difference between the head-tilt-chin-lift maneuver and the jaw-thrust maneuver?
1. The head tilt is for trauma patients and the jaw thrust is for medical patients.
2. The mechanism of injury or nature of illness determines which technique is used in opening the airway.
3. The jaw thrust requires two EMTs, whereas the head tilt requires only one.
4. The head tilt opens the airway more than the jaw thrust, allowing for more effective artificial respirations.
23. Describe a patent airway:
1. An airway that is blocked and must be cleared with a series of abdominal thrusts
2. An airway that is mostly clear, but contains a small yet irremovable obstruction that does not interfere with ventilation
3. Airway that requires either the jaw thrust or the head-tilt chin lift maneuver
4. An airway that is open and clear, and that will remain so, so that air may freely pass in and out of the lungs.
24. An Oropharyngeal airway or OPA is used:
1. As a convenient way to maintain an open airway in an unconscious patient.
2. As a one size fits all piece of curved plastic inserted into the throat and designed to maintain an open airway.
3. As a small rubber device inserted into a patient's nose and down into the throat in order to maintain an open airway.
4. As a simple way to provide oxygen to the body via oxygen tubing and a non-rebreather mask.
25. ___ may cause obstruction of airway and difficulty in breathing:
1. Increased production of bronchial mucus
2. Swelling of the bronchial tube mucosal lining cells
3. Spasm and constriction of bronchial muscles
4. All of above
26. __ is a high-pitched sound which indicates upper airway obstruction:
1. Wheezing
2. Stridor
3. Rhonchi
4. Crackles
27. If you hear abnormal breathing sounds, it may be due to:
1. Chest infection
2. COPD
3. Tuberculosis
4. All of above
28. Delivery of oxygen with high inflation pressure may lead to:
1. Gastric distension
2. Vomiting
3. Air to go in lungs
4. All of above
29. A patient who is developing early stages of hypoxia may exhibit:
1. Cyanosis
2. Restlessness
3. A weak pulse
4. A pulse Oximeter reading below 80%
30. As a practitioner, it is appropriate to ask casualties to walk in a multiple casualties incident:
1. True
2. False
31. A 45-year-old man is having discomfort in the chest. After placing him in his position of comfort, your next action would be:
1. Administer oxygen by nasal cannula at 6 L/min
2. Ventilate the patient with a non-rebreather mask at 15L/min.
3. Administer oxygen by non-rebreather mask at 15L/min.
4. Ventilate the patient with a bag-valve mask at 15L/min.
32. In respiratory arrest of a 50-year-old man, manage via:
1. 2 rescue breaths
2. 2 effective breaths in 5 attempts
3. Ventilate at 10 l/min for 10 minutes
4. Administer oxygen until breath is restored
33. When using a bag-valve-mask device, the key finding to observe to assure adequate ventilation is:
1. Three seconds between squeezing the bag and lifting the mask off the face.
2. The patient's weight in kilograms.
3. Good chest rise and fall.
4. The location of the patient's cricoid cartilage.
34. A nasal cannula is meant to deliver oxygen concentrations of:
1. 2-6%
2. 4-8%
3. 8-15%
4. 24-44%
35. A 66-year-old female is in cardiac arrest and requires advanced airway management. Prior to inserting an airway tube, you should take standard precautions and then:
1. Oxygenate the patient with a bag-mask device and 100% oxygen
2. Pre-ventilate at the rate of 5l/min
3. Two rescue breaths only.
4. All of above
36. Breathing is a ___ process.
1. Automatic
2. Involuntary
3. Voluntary
4. All of above
37. A 6-year-old boy can be given rescue breaths via:
1. Nose and by pinching the mouth
2. Mouth and by pinching the mouth
3. Mouth and by pinching nose
4. Nose and by pinching the nose
38. A 5-year-old boy is struck in an explosive environment with pulse absent and respiration also not felt. Immediately:
1. Apply oxygen and start CPR
2. Give oxygen at 10 L/min flow rates
3. Rapid oxygenation and save life
4. Transport patient
39. Always use ___ flows of oxygen in patients with COPD.
1. Full
2. Moderate
3. Low
4. No flow
40. Inadequate breathing is best described as:
1. The patient complains of shortness of breath and is cyanotic around the lips
2. Shallow breathing that is too slow or too fast, diminished breath sounds, abnormal noises, cyanosis, inadequate minute volume
3. The rate of breaths per minute is 16, with cold clammy skin
4. No chest rise, no air moving in and out of lungs, no sounds
41. What is the most common reason for shock in patients?
1. Increased heartbeat
2. Dropped blood pressure
3. Diaphoresis
4. Haemorrhage
42. What is the first step you should take while treating a 75-year-old male with severe chest pain and nausea?
1. Administer oxygen
2. Perform physical examination
3. Take baseline vitals
4. None of above
43. Slow, even flow; dark to intermediate red refers to:
1. Venous bleed
2. Artery bleed
3. Capillary bleed
4. Shock
44. Common signs and symptoms of patients suffering from cardiac compromise include:
1. Crushing pain, tremulousness, lacrimation, Dyspnea and alopecia
2. Dyspnea, complaints of dull chest pain, Diarrhea, diaphoresis, cardiomyopathy
3. Dyspnea, chest pain that is described as squeezing dull or crushing, mild chest discomfort, sweating, nausea and vomiting
4. Dull aching chest pain, numbness in the extremities, cyanosis, decreased blood pressure, diminished bowel sounds
45. Capillary refill on a patient with good circulation and perfusion should be:
1. >2 seconds
2. <2 seconds
3. =2 seconds
4. Absent
46. The largest blood vessel in the body is the:
1. Aorta
2. Superior vena cava
3. Carotid
4. Saphenous
47. If the conductive system of the heart stops, ___ waves will appear in ECG.
1. Only P waves
2. QRS Complex
3. T and U waves
4. None of the above
48. If a rescuer finds a 7-month-old baby with heart rate <60 bpm and breath 7 bpm. He should immediately:
1. Start Cardiopulmonary resuscitation
2. Give high flow oxygen only
3. Transport in upright position
4. None of the above
49. If the clamp of cord is seeping blood after 3 clamps:
1. Cut the cord
2. Apply 4th clamp
3. Start CPR
4. None of the above
50. When a patient falls, both carotids are palpated simultaneously to check pulse.
1. Yes
2. No
3. I don't know
51. If a fire broke in the 20th story of a hotel, you need ___ to rescue patients.
1. Operational Commander
2. HART
3. A good rescuer
4. NILO
52. A train crash involving 189 victims was an example of:
1. Major incident
2. Mass incident
3. Catastrophic incident
4. Deliberate
53. Always park your car behind the ambulance in a blast scene to follow the ambulance later.
1. True
2. False
54. Your general impression of a 50-year-old man with acute abdominal pain reveals that he is confused and has pale, diaphoretic skin. After correcting any problems with airway, breathing, and circulation, your main focus should be on:
1. Place in supine position
2. Continue CPR and Defibrillation
3. Prompt transport to the hospital
4. Continue taking vitals after every 30 minutes
55. Abnormal skin characteristics such as paleness, coolness, or moistness may indicate:
1. Hypoperfusion
2. Hypertension
3. Jaundice
4. Coagulation
56. Excessive cooling of a burn could result in which of the following?
1. Warts
2. Infection
3. Hypothermia
4. Hyperthermia
57. What is the preferred position for a patient in hypovolemic shock?
1. Supine with legs elevated
2. Upright on trolley
3. Trendelenburg position
4. Recumbent position
58. ____ is very important to convey while handling the patient in hospital.
1. Time of incident
2. Suspected injuries
3. Mechanism of injury
4. All of above
59. What things are necessary to record after reaching the scene of an incident?
1. Position of patient body
2. Nature of scene
3. Any items near patient
4. All of above
60. Pain history of the patient is obtained via the generally used mnemonic:
1. SAMPLE
2. SOCRATES
3. ABCDE
4. All of above
61. Sphygmomanometer is used to measure oxygen saturation in the ambulance
1. Yes
2. No
3. I don’t know
62. Always discard contaminated gloves in __ box.
1. Yellow
2. Red
3. Black
4. White
63. Immediately think of ___ after suction.
1. Recovery position
2. OPA insertion
3. Rescue breathing
4. CPR
64. Nebulizers are best suitable while:
1. Delivery of aerosolized drugs
2. Asthmatic Attack
3. Nasal Congestion
4. All of Above
65. Best fitted collar allows ___ movement.
1. 0%
2. 30%
3. 70%
4. 100%
66. Do not deliver shock if the patient:
1. Pregnant
2. Has worn DNR pendant
3. Has nitroglycerin patches on chest
4. Has implanted pacemaker
67. An oropharyngeal airway or OPA is used:
1. As a one-size-fits-all piece of curved plastic inserted into the throat and designed to maintain an open airway.
2. As a small rubber device inserted into a patient's nose and down into the throat in order to maintain an open airway.
3. As a convenient way to maintain an open airway in an unconscious patient.
4. A simple way to provide oxygen to the body via oxygen tubing and a non-rebreather mask.
68. Pads placement of AED can be:
1. Antero-posterior
2. Bi-axillary
3. Posterior-lateral
4. All of above
69. The EMT can deliver a shock with an AED in manual mode:
1. Always
2. When you see VF
3. Asystole
4. Never
70. Normal physiological Oxygen saturation of a 50-year-old patient should be:
1. 80-85%
2. 87-91%
3. 94-98%
4. 100%
71. When is nitroglycerin not prescribed to the patient at all?
1. If the systolic bp is less than 90mmHg
2. If the diastolic bp is less than 90mmHg
3. If the systolic bp is more than 90mmHg
4. If the diastolic bp is more than 90mmHg
72. Entonox effects include:
1. Pain reliever
2. Increase heart rate in arrest
3. Bronchodilator
4. All of above
73. Pulse oximeter is giving wrong readings. It may be due to:
1. Poor blood perfusion
2. Nail paint on patient nails
3. Bright ambulance light
4. All of above
74. In an unconscious patient, medication may be given by all routes except:
1. Intra-osseous
2. Sub-lingual
3. Intra-venous
4. Sub-cutaneous
75. Morphine is ____
1. Analgesic
2. Bronchodilator
3. Vasoconstrictor
4. Anaesthetic
76. You met a 50-year-old man presenting with chest pain, radiating to jaw, active GIT ulcer, and shortness of breath. Immediately:
1. Give 300 mg aspirin dispersed in water
2. Transport to the hospital in comfortable position
3. Start CPR
4. All of above
77. How do you treat a chest impalement?
1. Occlusive dressing on 3 sides
2. 3 cravats over abdomen
3. Occlusive dressing on 4 sides
4. 6 cravats over abdomen
78. Epinephrine can be administered to the patient of cardiac arrest. After Epinephrine, the patient may present with:
1. Arrhythmia
2. Chest pain
3. Bradycardia
4. Hypotension
79. Entonox is a combination of:
1. Nitroglycerin and Paracetamol
2. Nitrous oxide and oxygen
3. Aspirin and Paracetamol
4. Oxygen and Nitroglycerin
80. Salbutamol is contraindicated in:
1. Bronchoconstriction
2. Known severe allergic reactions
3. Unconscious
4. All of above
81. What is the foremost thing that an EMT should do while treating a patient suffering from cardiac arrest?
1. Thump the chest to stimulate the heart
2. Administer oxygen at 15 L/m via non-rebreather mask
3. Begin CPR immediately
4. Administer early defibrillation
82. What are the immediate steps you should take in order to control bleeding?
1. Disinfect wound via iodine, direct pressure, elevate extremity, occlusion dressing, tourniquet
2. Apply iodine, elevate extremity, apply direct pressure, cold compresses, tourniquet
3. Direct pressure, elevate extremity, pressure point compression, tourniquet
4. Wrap with moistened gauze, apply direct pressure, apply ice, elevate, pressure point compression, tourniquet
83. If you are suspecting stroke, what will help you assess stroke?
1. Legs drift, smile droop
2. Unconscious, dizziness, and talkative
3. Patient shouting and complaining of headache
4. Speech, facial droop, arm drift
84. What is considered the normal acceptable range for Blood glucose in all adult patients?
1. 4-7 mmol/l
2. 8-10 mmol/l
3. 80-100 mmol/l
4. 80-120 mmol/l
85. What is the correct dose of Glucose Gel for a 5-year-old patient with Blood Glucose of 3.1mmol/L?
1. 5-10g Buccal
2. 10-15g Buccal
3. 15-20g Buccal
4. 25g Buccal
86. If ___ is left untreated for a long time, it may cause pulmonary embolism.
1. Major trauma
2. Stroke
3. Ulnar Fracture
4. All of above
87. Physiological reasons for tachycardia can be:
1. Sleep
2. Athletic trainers
3. Pain
4. Hypothermia
88. In heat exhaustion, the patient will appear:
1. Red, hot, dry skin
2. Cool, pale, clammy skin
3. Strong pulse, loss of consciousness
4. Hot, weak, pale
89. If a drowned patient is not rescued from the water, it may cause:
1. Atelectasis
2. Tachycardia
3. Diaphoresis
4. All of above
90. Always examine the placenta in a shallow dish to observe if any part has been retained in the mother after delivery.
1. True
2. False
91. Obvious blood loss in case of femur fracture is:
1. 150 ml
2. 500 ml
3. 1500 ml
4. No blood loss
92. Majority of patients may die of ___ after burns.
1. Excessive fluid loss
2. Pain and hypothermia
3. Blister formation
4. All of the above
93. A lady gives birth to an infant at the 36th week. Being a rescuer, immediately:
1. Wrap in a towel and dry the baby
2. Place in a polythene bag without drying
3. Manage C-spine of the baby considering trauma
4. Hand over to mother for nursing
94. In an incident, you find a patient whose heart rate is 110 bpm and breath rate is 42 bpm. Categorize ___ during triage.
1. Red
2. Yellow
3. Green
4. Black
95. You find a fallen patient who has bleeding, unconscious with some powder sprinkled over the patient. What will be the immediate management?
1. Manage bleeding
2. Elevate extremity immediately
3. Brush out powder
4. Splash water for 5 minutes
96. Pupil reactivity in head injury will be:
1. One constricted, one dilated
2. Both constricted
3. Both dilated
4. Both fixed dilated
97. Glasgow coma scale can be affected by:
1. Sedative drugs
2. Local injuries of limbs, mouth
3. Insertion of ETT
4. All of the above
98. If the patient has epileptic convulsions, immediately:
1. Insert spoon in mouth
2. Insert tongue bite preventer
3. Remove hazardous objects from surroundings
4. All of the above
99. A patient may go into a coma due to:
1. Cardiac arrest
2. Carbon monoxide poisoning
3. Alcohol abuse
4. All of the above
100. A patient lost both his lower limbs in a car accident. This is ___ type of paralysis.
1. Monoplegia
2. Hemiplegia
3. Quadriplegia
4. Paraplegia