2019 NALS Exam

1. Automated External Defibrillators (AEDs) make a significant difference in patient outcome in the pre-hospital setting?

True

False

2. When a patient gets pulses back during CPR there is a danger they could arrest again and as such their pulse should be monitored continually until EMS takes over patient care?

True

False

3. All team members should be in the loop when it comes to office emergencies?

True

False

4. The "M" in SAMPLE stands for?

Mental status

Medications

Multiple symptoms

Meal time

5. Patients who present with GI symptoms may well be having a myocardial infraction?

True

False

6. Quality of the "Pain" is extremely important when applying differential diagnosis to a patient?

True

False

7. When using "FAST" as an assessment tool for strokes, the "S" stands for?

Seeing double

Smile

Sensation in extremities

Speech

8. Typically the presence of a "Radial" pulse is consistent with a systolic blood pressure of at least?

70

60

100

80

9. A patient's ability to speak can help determine if they are having difficulty breathing based on how many words they can say prior to having to take a breath.

True

False

10. Attila the Hun died of a nose bleed?

True

False

11. When applying "AVPU" to an unconscious patient, the "P" stands for?

Presents as

Provoked

Pain

Pulses

12. In "TIPSAEIOU" the "A" stands for?

Asthma

Arrhythmia

Alcohol

Anaphylaxis

13. Oxygen should be given if the patient's PSAO2 is less than 94% on room air?

True

False

14. You are treating a patient who has a history of "Stable angina" amongst other things. Upon questioning she\he mentions to you that they now have to take three shots of Nitro spray after a walk, as opposed to the one they used to take. Your thoughts regarding their "Angina" could be?

It is quite normal for a patient to have to increase their doses of Nitro spray.

They should walk shorter distances.

It sounds like it could becoming unstable.

None of the above.

15. You can get in trouble for using an AED if you are not trained to do so?

True

False

16. When checking for breathing it is sufficient to watch for chest rise only as an indicator they are breathing?

True

False

17. It is beneficial to have a patient relate their current symptoms to a previous event and compare the two. An example might be the pain is worse than when they had kidney stones.

True

False

18. When osculating a patient's chest, you hear a "Prolonged expiratory phase", this would most like be associated with?

COPD

Asthma

CHF

A tension pneumothorax

19. Oxygen should be given to all patients presenting with chest pain or chest discomfort?

True

False

20. Please select the patients who often do not have chest pain or discomfort when having a heart attack? (Please select all that apply)

Insulin dependant diabetics

Heavy smokers

Women

Hemophiliacs

Submit

21. Which of the following should be treated as a medical emergency? (Please chose two)

Asthma

Stable COPD

Unstable angina

General malaise

Submit

22. What steps are important when dealing with an emergency in your office? (Please select all that apply)

An organized response kit

Working without a plan

Practice some drills at least once a year

Clear calm communication

Submit

23. The R in "OPQRST" means> (Please select all that apply)

Region

Relief

Relative history to the complaint

Robust

Submit

24. Patients, who present with very rapid pulses (very difficult to count) will often require drug therapy as a first line treatment?

True

False

25. Which of the following is the most important consideration when dealing with an emergency?

How did it happen?

Are there any hazards?

How many patients?

What sort of help will we need to deal with this?

26. Please select the two most important things to deal with when dealing with a "Cardiac arrest" patient?

Chest compressions

Use of an AED

Airway management

Changing out the folks doing compressions every four minutes.

Submit

27. What is the maximum number of CPR compressions a patient should get in a minute?

There is no maximum

120

100

That depends on their age

28. In "TIPSAEIOU" the "I" stand for? (please check all that apply)

Infection

Incontinent

Insulin (high or low)

Ideo-ventricular

Submit

29. Please check off the steps listed for preparing for an emergency. (Please select all that apply)

Having knowledge about emergency treatments

Having a plan

Posting the number for 911

Having appropriate equipment

Submit

30. Which conditions below should be treated as a "Heart attack"? (Please select all that apply)

Unstable angina

All unconscious patients

All diaphoretic patients

Patients who are short of breath

2019 Nals Exam