stud
bud
Sign up
Log in
Home
Library
Explore
SAT
More
Exam 5 - Chapter 26 (EMTB) Flashcards | StudBud
Explore
/
Exam 5 - Chapter 26 (EMTB)
Exam 5 - Chapter 26 (EMTB)
42 terms
·
StudBud Administration
·
11 plays
Chapter 26: Bleeding - EMSP1501
Flashcards
42 cards
F
Practice quiz
P
Host live
L
Questions
42
Answers
1
Life-threatening pelvic fracture caused by a force displacing one or both sides of the pelvis laterally and posteriorly
sacral fracture
femur fracture
open-book pelvic fracture
hip dislocation
2
Buildup of blood beneath the skin that produces a characteristic blue or black discoloration as the result of an injury
ecchymosis
laceration
abrasion
avulsion
3
If direct pressure fails to immediately stop severe bleeding from an extremity, you should apply:
digital pressure to a proximal artery
a tourniquet proximal to the injury
additional sterile dressings
a splint and elevate the extremity
4
Which of the following statements regarding the clotting of blood is correct?
a person taking blood thinners will experience slower blood clotting
direct contact with the environment prevents blood from clotting
bleeding begins to clot when the end of a damaged vessel dilates
venous and capillary blood typically do not clot spontaneously
5
After applying a pressure dressing to an arm laceration, you notice blood slowly beginning to saturate it. You should:
splint the arm and keep it below heart level
replace the dressing with another dressing
apply a tourniquet proximal to the wound
place additional dressings over the wound
6
A dressing impregnated with a chemical compound that slows or stops bleeding by assisting with clot formation
occlusive dressing
transparent film dressing
sterile gauze
hemostatic dressing
7
43yo with severe epistaxis. BP is 190/110 and his HR is 90bpm and bounding. Preferred treatment for him includes:
packing both nostrils with gauze pads unti lthe bleeding stops
placing a rolled 4x4-inch dressing between his lower lip and gum
having the patient pinch his own nostrils and then lie supine
pinching the patient's nostrils and having him lean forward
8
Which of the following findings would be the MOST significant when assessing a patient with possible internal bleeding?
the patient has not eaten in 24 hours
the patient has a history of hypertension
the patient had a stroke five years prior
the patient takes rivaroxaban (Xarelto)
9
67yo w/ weakness, dizziness, melena. No trauma. BP 90/50, HR 120 and thready. You should be MOST suspicious of:
acute appendicitis
an aortic aneurysm
gastrointestinal bleeding
intrathoracic hemorrhaging
10
A nosebleed:
hematemesis
hemoptysis
epistaxis
rhinorrhea
11
Small blood vessels connecting arterioles and venules
lymphatic vessels
capillaries
veins
arteries
12
A bruise from an injury that causes bleeding beneath the skin without breaking the skin; also see ecchymosis
contusion
avulsion
laceration
abrasion
13
Which of the following sets of vital signs is LEAST indicative of internal bleeding?
BP of 102/48, HR of 100bpm, RR of 22
BP of 100/50, HR of 120bpm, RR of 24
BP of 98/60, HR of 110bpm, RR of 28
BP of 140/90, HR of 58bpm, RR of 8
14
The quickest and MOST effective way to cnotrol external bleeding from an extremity is:
a splint
a pressure bandage
a tourniquet
direct pressure an elevation
15
48yo w/ open-book pelvic fracture. Conscious, restless, pale, diaphoretic. RR 22. HR 120. No bleeding. You should:
apply a compression device around his pelvis
elevate his legs, keep him warm, and transport
stabilize his pelvis by placing him onto his side
assess his blood pressure to detect hypotension
16
A device that provides proximal compression of severe bleeding near the axial or inguinal junction with the torso
tourniquet
junctional tourniquet
pressure bandage
hemostatic dressing
17
When caring for a patient with internal bleeding, the EMT must first:
ensure a patent airway
obtain baseline vital signs
control any external bleeding
take appropriate standard precautions
18
All of the following should be addressed during the primary assessment EXCEPT:
slow, shallow breathing
airway obstruction
capillary bleeding
severe hemorrhage
19
Which of the following is NOT considered a basic technique when controlling bleeding?
apply a tourniquet to an extremity above the level of the bleeding
pack the wound with a hemostatic impregnated gauze
apply a cervical collar and place the patient on a long backboard
apply direct pressure over the wound with a dry, sterile dressing
20
What is the approximate blood volume of an 80-kg adult male?
6.0 L
6.50 L
6.25 L
5.25 L
21
The smaller vessels the carry blood away from the heart and connect the arteries to the capillaries are called the:
venules
vena cavae
arterioles
capillary arteries
22
Which of the following is NOT a component of the cardiovascular system?
venules
lungs
plasma
heart
23
GSW. Patient semiconscious, shallow breathing, bleeding from wound. As you control the bleeding, your partner should:
obtain baseline vital signs
assist the patient's ventilations
apply a nonrebreathing mask
perform a secondary assessment
24
Black, foul-smelling, tarry stool containing digested blood
melena
hemoptysis
steatorrhea
hematochezia
25
When applying a tourniquet to an amputated arm, the EMT should:
avoid applying the tourniquet over a joint
cover the tourniquet with a sterile bandage
use the narrowest bandage possible
use rope to ensure that the tourniquet is tight
26
Perfusion is MOST accurately defined as:
the removal of adequate amounts of carbon dioxide during exhalation
circulation of blood within an organ with sufficient amounts of oxygen
the production of carbon dioxide, which accumulates at the cellular level
the intake of adequate amounts of oxygen during the inhalation phase
27
When caring for a patient with severe epistaxis, the MOST effective way to prevent aspiration of blood is to:
place the patient supine with their head in the flexed position
tilt the patient's head forward while they are learning backward
insert a nasopharyngeal airway and lean the patient back
tilt the patient's head forward while they are learning forward
28
Blood stasis, changes in the vessel wall, and certain medications affect the:
systolic blood pressure exclusively
ability of the blood to effectively clot
white blood cells' ability to fight infection
ability of the red blood cells to carry oxygen
29
A device to splint the bony pelvis to reduce hemorrhage from bone ends, venous disruption, and pain
tourniquet
pelvic binder
cervical collar
traction splint
30
39yo with large laceration to leg during a chainsaw accident. Signs and symptoms of shock. You should first:
cover the patient with a blanket
apply direct pressure to the wound
provide high-flow oxygen
obtain baseling vital signs
31
A man involved in a motorcycle crash has multiple abrasions and lacerations. Which has the HIGHEST treatment priority?
3-inch laceration to the forehead with dark red, flowing blood
1-inch laceration to the thigh with spurting, bright red blood
widespread abrasions to the back with pinkish ooze
laceration to the forearm with obvious debris in the wound
32
Which of the following occurs after tissues are injured?
red blood cells separate from plasma
red blood cells become less sticky
local blood vessels begin to dilate
platelets collect at the injury site
33
In which of the following situations would external bleeding be the MOST difficult to control?
carotid artery laceration and a systolic blood pressure of 60 mm Hg
femoral artery laceration and a blood pressure of 140/90 mm Hg
antecubital vein laceration and a blood pressure of 138/92 mm Hg
jugular vein laceration and a systolic blood pressure of 90 mm Hg
34
You arrive at the home of a 50yo female with severe epistaxis. As you are treating her, it is MOST important to recall:
many medications interfere with blood clotting
the patient might be significantly hypertensive
a detailed exam is needed to determine the cause
the patient is at risk for vomiting and aspiration
35
Which condition is likely when signs of hypotension, tachycardia, and cool, clammy skin are found?
shock
central nervous system depression
intracranial bleeding
internal bleeding
36
Controlling internal bleeding requires:
providing slow and considerate transport
applying a tourniquet
positioning the patient in the sitting position
surgery in a hospital
37
A mass of blood that has collected within damaged tissue beneath the skin or in a body cavity
edema
hematoma
hemangioma
contusion
38
Patient bleeding severely from severed femoral artery high in the groin region. Which would most likely control this?
apply a pelvic binder device to stabilize the pelvis
apply chemical ice packs to the wound and transport
apply a topical hemostatic agent with direct pressure
position the patient with his injured side down
39
Which of the following statements regarding hemophilia is correct?
hemophilia is defined as a total lack of platelets
patients with hemophilia might bleed spontaneously
approximately 25% of the population has hemophilia
hemophiliacs take aspirin to enhance blood clotting
40
39yo accidentally cut wrist while sharpening his knife. Conscious, alert, adequate RR. Bleeding significantly. You:
ensure the patient has a patent airway
apply a tourniquet proximal to the wound
apply oxygen with a nonrebreathing mask
control the bleeding with direct pressure
41
You determine that your patient is experiencing internal bleeding. What should you do first?
administer oxygen
apply cold packs
apply pressure dressings
immobilize the injury
42
An infant with a total volume of 800 mL would start showing signs of shock when as little as ___ of blood is lost
150 mL
100 mL
50 mL
200 mL