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Test 4.1 1/2 - 5.2 Flashcards | StudBud
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Test 4.1 1/2 - 5.2
Test 4.1 1/2 - 5.2
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1
You are called to a 5-yr-old complaining of abdominal pain. Which of the following is in appropriate assessment?
Listening for bowel sounds
Percussing the abdomen
Checking for rebound tenderness
Palpating the abdomen
2
What is the name for the yellowing of the eyes seen in severe cases of hepatitis?
Jaundice
Scleral icterus
Bilirubin
McBurney's sign
3
Which of the following assessments would be less critical in a medical assessment?
Lung sounds equality
Skeletal integrity
Grip strength
Pulse comparison
4
What is the purpose of using a dressing and a bandage together?
Dressings hold nonadhesive bandages in place while bandages protect
Dressings are used to protect and bandage makes an airtight seal
Bandage material is sterile and protects the wound
Dressings help enhance the clotting of wounds, while bandages hold them
5
Which of the following is the method used to open the airway of a patient with a spinal injury?
Jaw thrust while holding the neck
Tongue and jaw lift
Jaw thrust while holding the head
Head-tilt, chin-lift
6
When would the removal of an impaled object most likely be acceptable?
Through the cheek
In the chest
In the abdomen
Never
7
A 42-yr-old male is in a tripod position. Which of the following would be the MOST critical sign regarding the pt?
Elevated heart rate
Peripheral edema
Pulmonary edema
Profound diaphoresis
8
A major concept continued throughout the trauma patient assessment process is of:
Protecting the rescuers and others from harm
Beginning transport before any form of treatment is started
Investigating the mechanism of injury before assessing the patient
Providing most of the assessment en route to the hospital
9
Rhinorrhea is the medical diagnosis for which of the following?
Dry mouth
Runny nose
Sore throat
Watery eyes
10
An inflammation of the pancreas is referred to by which of the following terms?
Cholecystitis
Pancolitis
Hepatitis
Pancreatitis
11
The patient experiencing a severe headache should be re-evaluated frequently since they are prone to:
Dyspnea
Vomiting
Seizures
Paralysis
12
The pt has a fractured right femur and possible c-spine injury. How should you transfer the pt to a long board?
Log roll the patient onto his left side
Lift the patient onto the backboard
Slide the patient over onto the board
Log roll the patient onto his right side
13
You are unable to assess a blood glucose. What is the MOST appropriate reason for giving instant glucose?
The benefits of giving sugar outweigh the consequences of it
It will improve the patient's outcome either way
Medical control will order you to do so
There are no known consequences to administering glucose
14
You are called to treat a pt who is in distress as a result of an insect crawling into the ear. What is the treatment?
Flush the ear with copious amounts of water
Cover the ear with a moist sterile dressing
Place several drops of olive oil into the ear
Remove the insect with sterile forceps
15
The START triage system is unique in the fact that it has providers immediately
Find all red tag/priority 1 patients first
Search for patients that are not breathing
Address all patients that can walk away from the scene
Determine how many deceased patients are present
16
What method of entry of allergens into a patient will more likely result in anaphylaxis?
Inhalation
Ingestion
Absorption
Injection
17
One of the most common infectious agents that make other children sick during the months school is in session is:
Fungi
Lice
Protozoa
Viruses
18
Burn damage to the skin that is full thickness is also called
Epidermal
Second degree
Dermal
Third degree
19
For which patient showing signs of respiratory distress should you limit the amount of oxygen you provide?
You should initially provide oxygen for any patient in distress
A patient with emphysema
A patient with chronic bronchitis
Asthma patient
20
Which is true regarding the utilization of a short board device?
The head is secured before the torso
You should pad behind the neck to fill all of the voids
The short board can adequately immobilize the entire spine
A shoulder roll will place the patient in a better position
21
Which of the following is considered a soft tissue injury?
Laceration
Abrasion
Incision
Contusion
22
Which of the following injuries would MOST likely require an occlusive dressing?
An abdominal evisceration
A lacerated artery of an extremity
A puncture wound to the chest
A lacerated vein of an extremity
23
Which of the following is the most common cause of shock and death in the trauma patient?
Fractures
Head injuries
Burns
Hemorrhage
24
Which of the following is more likely found in a trauma assessment than in a medical one?
Unequal grip strength
Inability to repeat a simple phrase
Distracting injuries
Chief complaint
25
Which of the following assessment findings would indicate the absence of injury to the spinal cord?
Absence of any neurological deficit
Absence of pain
Severity of the mechanism of injury
Presence of shock
26
Your patient has no insurance and is refusing transport to the hospital. Choose the TRUE statement
Patient who do not have insurance should not be transported by ambulance
There is not medical need for EMS if you suspect the problem is pneumonia
The patient should be transported to the hospital by EMS
The patient will be better off if he stays at home with his wife
27
Which of the following reasons explains why we modify our behavior when treating a patient with a behavioral emergency?
You need to take time so that the hospital can prepare for the patient
The underlying cause of behavioral emergencies is psychological
Treating the patient in a hurry can make the situations worse
We may make a borderline patient suicidal
28
When transporting a patient with a severe headache, what comfort measures should be provided?
Decreasing the temperature in the patient compartment
Offering the patient warm water to drink
Increasing the heat in the ambulance
Turning the lights down low for the patient area
29
It is important to do a close-up inspection of the eyes when checking for traumatic eye injuries to find out if:
The patient has had cataract surgery
The patient has full range of motion
The contact lenses are in place and whole
The patient's vision has remained the same
30
In most cases where significant trauma caused injury to a patient in a mvc, the packaging provided for transport is
In-line stabilization
Position of comfort
C-spine immobilization
In a slight Trendelenburg position
31
Which classification of burn is also known as superficial?
Fourth degree
Second degree
Third degree
First degree
32
Which of the following patients would be best suited for a short spine board in extricating the patient from a vehicle?
An unstable patient complaining of back pain and seated in a vehicle
An unstable patient complaining of back pain and prone in a vehicle
A stable patient complaining of back pain and prone in a vehicle
A stable patient complaining of back pain and seated in a vehicle
33
Which of the following temperatures is normally indicative of heat stroke?
101
105
100.1
98.6
34
Which of the following is the MOST common route of entry of toxic substances into the body?
Injection
Ingestion
Absorption
Inhalation
35
The effectiveness of the Hepatitis B vaccination immunization is which of the following in adult patients?
75%
50%
90%
65%
36
What is the BEST way to stop the paradoxical movement of a full segment on an unresponsive patient?
Place the patient onto the flail segment
Tape a bulky dressing over the flair
Ventilate the patient
Place sand bags on the flail
37
Your pt has cholecystitis resulting in abdominal pain. What is MOST likely the pain description of the pt?
Visceral-sharp, easily localized pain
Somatic-dull, poorly localized pain
Visceral-dull, poorly localized pain
Somatic-sharp, easily localized pain
38
An injury resulting in some freezing in the epidermal tissue, with no tissue destruction, is referred to as
Frostnip
Deep frostbite
Frostbite
Trench foot
39
Careful handling of the hypothermic patient is needed to avoid causing:
Lactic acidosis
Ventricular fibrillation
Acute stroke
Myocardial infarction
40
Which device should you use to move a seated, stable pt, complaining of neck pain after a MVC?
Portable stretcher
Long spine board
Basket stretcher
Short backboard
41
The patient you are treating has a swollen, discolored left hand and fingers. Which treatment is best?
Applying a sling and swath to the extremity
Assuring the hand is splinted securely to the body
Immobilizing and applying an ice pack to the area
Soaking the hand in warm salt water
42
The pt has hives, itching, watery eyes, and a runny nose. They deny SOB and vitals are normal. What is the pt condition?
Severe allergic reaction
Inhalation poisoning
Mild allergic reaction
Anaphylactic reaction
43
What would be your priority when you find vomit in the mouth of a supine, unconscious trauma patient?
Logroll the patient on their side and clear the vomit
Check to see if the patient has a pulse
Place a c-collar and backboard the patient prior to movement
Continue with your assessment to find all life-threatening injuries
44
Most current day triage systems are based on the patient assessment of:
The patient's alertness and rate of respirations
The patient's position on overview and obvious bleeding
The patient's breathing, circulation, and level of consciousness
The patient's ability to move
45
What is most likely occurring in the trauma patient that has increasing BP, decreasing HR, and irregular RR?
Increasing intracranial pressure
Hemorrhagic shock
Decompensated shock
Neurogenic shock
46
Which of the following a true statement regarding Type 1 diabetes mellitus?
It can usually be treated with a modification in diet
It typically has a juvenile onset
It is more common than Type 2 diabetes
Obesity plays a role in development of the diease
47
You are assessing an 18-year-old female complaining of abdominal pain. What question should you aviod asking?
When did you last have sexual intercourse?
Do you take oral contraceptives?
Are you, or could you, be pregnant?
When was your last menstrual period?
48
A victim has serious bleeding from a stab wound and his pulse is thready and difficult to palpate. Describe the pulse
His pulse is regular
His pulse is strong
His pulse is irregular
His pulse is weak
49
Which of the following bandages would be the MOST appropriate for a circumferential pressure dressing of a limb?
Gauze bandage
Adhesive bandage
Self-adherent roller bandage
Elastic bandage
50
Which of the following injuries would you expect to see with a patient struck on the forehead?
A contrecoup injury to the frontal lobe causing vision changes
A coup injury to the occiput causing vision changes
A contrecoup injury to the occiput causing personality changes
A coup injury to the frontal lobe causing personality changes
51
Which of the following would be MORE common in a dislocation than in a closed mid-shaft long bone fracture
Pain
Swelling
Deformity
Absence of distal pulses
52
Fluid or blood loss in children is significant because:
Children generally have limited fluid reserves
A child's heart cannot pump as fast as an adult's
Children are smaller than adults
The child's blood vessels cannot change size rapidly
53
What is the primary reason we administer an inhaler?
To increase the patient's heart rate
To decrease upper and lower airway secretions
To calm and reassure the patient
To provide immediate bronchodilation
54
Which of the following would you MOST likely expect to observe in a patient with a ruptured urinary bladder?
Urinary incontinence
Firm, distended abdomen
Small amount of blood at the urethra
Rigid, board-like abdomen
55
Which initial hemorrhage assessment finding should concern you the MOST?
A lacerated radial artery with a strong spurting of bright red blood
A lacerated face with dark, flowing blood
A lacerated femoral artery with a weak spurting of bright red blood
A lacerated saphenous vein with flowing, dark red blood
56
Which of the following signs would be the most consistent with a 45-year-old who has an isolated closed head injury?
Equal and reactive pupils
A slightly elevated blood pressure
Paralysis from the nipple-line down
An elevated heart rate
57
Which of the following is the MOST immediate concern for a patient with a major facial injury?
Hemorrhage
Airway compromise
Spinal injury
Brain injury
58
When restraining a patient, which of the following is MOST likely to harm a patient and should be avoided?
Cravats
Spider straps
Roller gauze
Handcuffs
59
You have a patient who has just completed hemodialysis and now has profound hypotension. Why does the pt need transport?
Monitoring for seizures
Renal failure monitoring
Fluid replacement
Renal diagnostics
60
When should you apply manual stabilization of the cervical spine of an apparently unresponsive trauma patient?
After you have completed your circulatory assessment
Prior to obtaining your general impression
During the assessment of the patient's breathing status
As you are assessing the patient's mental status
61
Choose the sign(s) that would match a situation indicating breathing is most likely adequate?
Skin that is warm and dry
Cyanosis around the lips
Crowing type respirations
Dimished lung sounds
62
Peritonitis is typically caused by which of the following?
Infarction
Distention
Inflammation
Ischemia
63
You are treating a patient with epistaxis who also requires back boarding. What is your greatest concern?
Blood loss
Assisting ventilations
Vomiting
Airway management
64
You are called to a suspected narcotic overdose. You should be alert for which of the following?
Allergic reaction
Hallucinations
Respiratory distress
Hypertensive crisis
65
Which of the following is a LATE sign of the anaphylactic reaction?
Increase in gastric motility
Wheezing
Urticaria
Decrease in blood pressure
66
Where should you place your hands to manually stabilize a cervical spine?
On the head and shoulders
On the facial bones and mandible
On the neck
On the cranium and facial bones
67
The major concern for the patient with end-stage renal disease is that the kidneys are:
Prone to hemorrhaging into the retro peritoneum
Unable to circulate blood back to the heart
Unable to remove wastes from the blood
Infected and that may spread throughout the body
68
Your patient appears pale and is breathing at 16 times per minute. What sign would you see if breathing was inadequate?
Shallow breathing
Good breath sounds
Slow heart rate
Weak pulse
69
Which of these is the proper dose of epinephrine to give to an adult with anaphylaxis?
0.3 mg
0.05 mg
1.0 mg
0.01 mg/kg
70
When a patient is experiencing trouble breathing, our first concern is to rule out the presence of:
Hyperventilation
Hypoxia
Hypocarbia
Peripheral ischemia
71
Which of the following signs would indicate a lower airway respiratory problem?
Gurgling
Crackles
Snoring
Stridor
72
Which of the following is the correct order for water rescue?
Throw, reach, row, and go
Row, throw, reach, and go
Reach, throw, row, and go
Go, throw, reach, and row
73
Which of the following best explains why we avoid rubbing a frostbitten extremity?
Rubbing will increase the release of toxins into the circulation
Ice crystals within the tissue may cause further injury
Rubbing will increase the likelihood of systemic hypothermia
Ice crystals will become dislodged and enter the circulation
74
You have just completed applying a pressure dressing to an extremity. What is the NEXT step after taping the bandage
Elevating the injured extremity
Checking for a distal pulse
Splinting or immobilizing the limb
Documenting findings
75
What would be the most expected finding with a patient that has suffered a ruptured appendix?
Severe somatic pain throughout the abdomen
Severe visceral pain throughout the abdomen
Severe somatic pain in the lower right quadrant
Severe visceral pain in the periumbilical region
76
Which of the following describes the action of an inhaler such as albuterol?
Reduces swelling in the airway
Dilates the bronchioles
Dilates the bronchi
Decreases secretions in the airway
77
Which of the following BEST describes angina pectoris?
When chest pain is relieved with nitroglycerin or rest
Chest pain that results when the heart's demand exceeds the blood available
When coronary vasospasms decrease blood supply to the heart
When cerebral tissue perfusion is temporarily decreased
78
Which of the following would be the BEST way to receive directions regarding the proper treatment for a poisoning?
Contact medical control
Memorize the treatment for each poison
Call the poison control center
Read the directions on the package of the poison
79
You have an adult pt with an accidental petroleum poisoning. Which of the following is the MOST expected route?
Absorbed
Inhaled
Ingested
Injected
80
Select the term that BEST describes an open soft tissue injury
Concussion
Hematoma
Contusion
Avulsion
81
Select the BEST way of obtaining the breathing rate on a conscious patient you suspect is having a heart attack
Casually rest your hand on the patient's abdomen during pulse evaluation
Have the patient count to 10, determine the RR and multiply it by 6
Tell the patient to stop talking while you determine RR
Place a gloved hand in front of the patient's mouth
82
Which of the following would be the BEST way to reduce the likelihood of renal calculi?
Drink plenty of water
Avoid foods high in calcium
Exercise regularly
Maintain a diet high in oxalates
83
During a radio report, an EMS provider may properly describe a burn by
Partial thickness
Deep layer burn
Painful
Mild
84
What is a major concern with the patient who has sustained a traumatic head or facial injury?
Involves multiple critical injuries that are a higher priority
Typically involves a spinal cord injury and should be treated as such
Removes the need to perform an evaluation for a cervical spinal cord injury
Rarely involves a spinal cord injury but it should be treated as such
85
Polydipsia, polyphagia, and polyuria are all symptoms of which of the following?
Hypoglycemia
Hyperglycemia
Insulin shock
Cerebral hypoglycemia
86
Which of the following would BEST represent the definition of triage?
To treat
To locate
To prioritize
To sort
87
Which of the following injuries has the highest risk of air embolism involving the heart or lungs?
Lacerated jugular vein
Lacerated femoral artery
Lacerated carotid artery
Lacerated popliteal vein
88
Which of the following BEST defines a behavioral emergency?
When a person laughs at something that you do not find humorous
When a person exhibits an abnormal behavior that is unacceptable
When a person is depressed after finding out about a loved one's death
When a person is acting off or eccentric
89
What letters are used regarding the assessment of patient's mental status?
OPQRST
ABC
AVPU
DCAP-BTLS
90
Select the BEST reason on completely a primary assessment right away following a scene size-up
It helps you decide if the scene is safe and secure
It identifies any other complaints that may have a higher priority
It identifies life-threatening problems that require immediate attention
It guides you down a path to determine if this is truly an MI or not
91
What is the action of the drug atropine?
Reduces the risk of seizures
Slows the heart rate down
Improves the cell's ability to use oxygen
Dries secretions in the lungs and airway
92
A good way to explain what sickle-cell anemia is, would be to state it is an abnormal:
Amount of white blood cells
Hemoglobin in red blood cells
Number of red blood cells
Shaped white blood cells
93
After you have addressed life-threatening problems on an unresponsive patient, what do you do next?
A rapid secondary assessment (rapid physical survey)
A complete secondary assessment (detailed exam)
Delay any further assessment and transport
A modified secondary assessment (focused exam)
94
Regarding a medical assessment, which component falls under the determination of the nature of illness?
Observing the corner of a cabinet with blood on it
Finding a bucket next to the patient's bed containing vomit
Determining if more help is needed at the scene
Identifying whether a scene is unsafe
95
Which of the following is true regarding the sizing of a cervical collar?
Measure a collar from the trapezius at the base of the neck to the chin
A no-neck fits everyone
A properly sized c-collar will prevent any neck movement
You cannot properly immobilize the c-spine without a c-collar
96
An adult male has been found to have an object inserted into his penis. This must be handled the same as a:
Standard call
Sexual assault victim
Psychiatric case
Potential suicide
97
When charting a full thickness burn, you might use which of the following descriptions?
The burn has distinct edges and the depth of the burn seems superficial
The source of injury appears to be an accidental scalding from a shower
The thermal injury appears to have damaged the pt skin, muscle, and bone
The skin appears intact, red, and swollen with blistering
98
Why do we apply a cervical collar to a patient with a suspected spinal injury?
To place the patient in a hyper-extended position for airway management
To fully immobilize the cervical spine
To secure the head and neck in a neutral position to maximize the airway
To remind the patient and us not to move the patient's head and neck
99
An exaggerated, life-threatening, allergic reaction to a foreign protein or other substance would best fit:
Anaphylaxis
Allergy
Hypersensitivity
Primary response
100
Who don't we just use the straps on the cot, rather than using the strapping on the backboard?
We would not be able to transfer the patient at the hospital
The patient could fall off the board while transferring to the cot
The cot straps would not restrict movement
The cot strap placement is usually over the abdomen
101
Which of the following injuries would have the highest priority for treatment and transport?
An impaled object in the arm
A lacerated wrist with venous bleeding
A lacerated arm with arterial bleeding
A puncture would to the mid-thigh
102
Which of the following describes the action of an inhaler such as albuterol?
Decreases secretions in the airway
Reduces swelling in the airway
Dilates the bronchioles
Dilates bronchi
103
A child has fallen on the sidewalk. There is an open knee wound that is 'oozing' fluid and blood. This injury is
An abrasion
An avulsion
A contusion
A hematoma
104
Which of the following situations poses the greatest risk factor for suicide?
Alcohol or drug abuse
Divorce
Depression
Living alone
105
You arrive at the home of a pt who smells of alcohol and has fallen down a flight of stairs. What is the priority?
Determine how much the patient has had to drink
Obtain consent before the patient is unable to speak
Determine any suicidal tendencies
Obtain history of the event before the patient goes unresponsive
106
Which of the following is the principal reason we perform a rapid secondary assessment in the critical trauma patient?
To identify internal injuries
To quickly identify immediate life threats
To quickly identify every injury
To determine the patient's neurological status
107
Why do we restrict the motion of the spine of a trauma patient complaining of back pain?
To reduce the pain the patient is experiencing
To prevent a closed injury from becoming an open injury
To minimize damage to the spinal cord
To control bleeding
108
How should you determine the responsiveness of an infant?
By pinching between the thumb and the forefinger
By performing a sternal rub
By flicking the soles of the feet
By shouting loudly
109
Which of the following signs would indicate a spinal cord injury?
The presence of diaphragmatic breathing
Altered mental status
An increase in blood pressure
Unequal pupils and a decreasing heart rate
110
Why is re-assessment of the patient with a spinal cord injury so important?
Changes in the level of consciousness may appear
The type of cord injury will typically present itself
Loss of airway control is very common
As swelling occurs with an injury, a neurological deficit can appear
111
Which of the following is the most common cause of spinal cord injury?
Falls
Sports injuries
Motor vehicle crashes
Assaults
112
Which of the following is considered a symptom of a heart attack?
Dizziness
Vomiting
Irregular pulse
Cyanotic skin
113
Which of the following symptoms would you expect to find if the patient is experiencing a heatstroke?
Bradycardia
Hot, dry skin
Constricted pupils
Slurred speech
114
What is the purpose of checking vital signs every five minutes in the head injured patient?
To evaluate any signs of increasing intracranial pressure
To decide what type of head injury is present
To determine whether any scarring will be present
To follow standard protocol
115
In the patient with head and spinal injuries, what is true regarding airway management?
All of the above
A head injury can cause a patient to lose their gag reflex
A cervical spine injury can cause a patient to lose their gag reflex
A c-spine injury can cause the patient to lose the ability to breathe
116
Which of the following would BEST represent a trade name for aspirin?
ASA
Tylenol
Aspirin USP
Bayer
117
Which of the following assessment findings would you expect with a hemothorax?
Absent lung sounds, flat neck veins, hyperresonant
Diminished lung sounds, distended neck veins, dull to percussion
Absent lung sounds, distended neck veins, hyperresonant
Diminished lung sounds, flat neck veins, dull to percussion
118
You are transporting a 27-yr-old who has experienced a generalized seizure. Why is it important to eval every 3-5 min?
A decreased level of consciousness may follow
She may wake up and be frightened
The patient may bite her lip
She may wake up and refuse transport
119
Which of the following would be the best way to reduce the likelihood of becoming frostbitten?
Get plenty of rest
Dress warmly
Eat appropriately
Eat at regular intervals
120
What does the abbreviation D&C represent?
Dilation and curettage
Dysmenorrhea and cervivalitis
Dusting and cleaning
Dyspareunia and coitus
121
Which of the following BEST describes the term aphasia?
The patient cannot speak
The patient cannot feel one side
The patient cannot swallow
The patient is weak on one side
122
Which of the following thoracic injuries is associated with paradoxical movment?
Chest wall contusion
Flail chest
Rib fracture
Sternal dislocation
123
Your pt is complaining of an achy/colicky pain that is poorly localized and felt deep within the body. BEST describes:
Somatic/parietal pain located in hollow structures
Visceral pain located in hollow structures
Referred pain located in solid structures
Somatic/parietal pain located in solid structures
124
Trauma to the male genitalia can be a true emergency because the soft tissue in this area is:
Very slow to heal
Prone to infection
Very vascular
Limited in blood supply
125
Where is the proper placement for lead V4 in a standard 12-lead?
5th intercostal space mid-axillary line
5th intercostal space mid-clavicular line
4th intercostal space mid-clavicular line
4th intercostal space mid-axillary line
126
Which of the following signs/symptoms would differentiate the route in which poison was absorbed?
Respiratory depression
Dilated or constricted pupils
Burns around the mouth
Nausea/vomiting
127
The proper management of a tibia/fibula fracture would include:
Immobilization from the proximal tibia/fibula to the distal tibia/fibula
Immobilization from the distal femur to the distal tibia/fibula
Immobilization from the proximal tibia/fibula to the foot
Immobilization from the fistal femur to the foot
128
You have a patient who opens his eyes to pain, speaks incomprehensible words, and withdraws from pain. What is the GCS
8
3
12
6
129
Which of the following plays a part in the body's immune system?
The liver
White blood cells
Hormones
Adrenal glands
130
Why do we immobilize the entire spine when an isolated cervical spine injury is suspected
The cervical spine injury could mask other spinal injuries
We need to restrain the patient because he may start seizing
The cervical spine is difficult to damage so
The patient will be easier to move
131
Which glucose level event is most likely to present as a medical emergency?
High blood glucose slow in onset
Low blood glucose slow in onset
High blood glucose rapid in onset
Low blood glucose rapid in onset
132
Which of the following would be your HIGHEST priority when assessing a patient complained of SOB with JVD?
Blood pressure
Pulse rate
Pulse oximetry
Lung sounds
133
A patient that is vomiting blood most likely has:
An ulceration in the upper GI tract
A kidney or liver problem
Ingested too much alcohol
Ingested a toxin
134
Which of the following is one of the EARLIEST sign and/or symptom a patient has inadequate ventilations?
Increased respiratory rate
Anxiety or decreased LOC
Increased capillary refill time
Poor skin color
135
Which of the following may affect your ability to accurately evaluate a spinal cord injury?
Long bone injuries
Recently ingested aspirin
Just eaten a meal
Frequent motor vehicle crashes
136
Inflammation of the gallbladder is known as?
Cholecystitis
Appendicitis
Peptic ulcer disease
Gastroenteritis
137
The concern for the disease progression of muscular dystrophy is the eventual:
Respiratory failure
Affects on PNS
Widespread decubitus
Loss of mobility
138
Which of the following would be the MOST definitive sign of a fractured extremity?
Pain upon palpation
A mid-shaft angulation
Swelling in the mid-shaft area
An absent distal pulse
139
Which of the following is the BEST indicator of effective ventilations?
The patient's stomach begins expanding with ventilations
The patient's chest rises and falls with ventilations
The patient's color changes from cyanotic to mottled
The patient becomes quiet and stops breathing on his own
140
Which of the following terms is used to refer to diving injuries that occur as a result of change in pressure?
Arterial embolism
Barotrauma
The bends
Nitrogen narcosis
141
Which of the following structures within the pulmonary system is responsible for the trapped air in an asthmatic?
Trachea
Alveoli
Bronchi
Bronchioles
142
Which of the following would be the MOST serious injury?
An abrasion of the entire left leg
A lacerated femoral vein
A lacerated radial artery
A lacerated carotid artery
143
Which type of O2 therapy would be appropriate for a pt suffering from a TIA and complains of SOB?
Assisted ventilations
Advanced airway
Non-rebreather mask
Nasal cannula
144
Which of the following is true regarding the management of a patient with a helmet and shoulder pads on?
You should remove the shoulder pads first and then the helmet
You should hold the skull and not let the head drop if removing the helmet
If the helmet is removed the shoulder pads should be left on
You should always leave the helmet and shoulder pads on
145
How should you transport a patient who has just had a syncopal episode and is now alert but weak?
Semi Fowler's
In a lateral recumbent position
Prone with the head down
Fowler's
146
What critical injury can be produced for the driver of a vehicle because of air bag expansion?
Fractured wrist
Chest abrasion
Collapsed lung
Facial burns
147
Avulsions are best defined by which description?
Open wounds to the skin with a partially attached flap of tissue
A lacertaion caused by a blunt object like a baseball bat
Any wounds in which bleeding is impossible to control
All open and closed wounds to the abdomen and/or genitalia
148
Why should we contact medical direction early concerning a poisoning or overdose patient?
The hospital will need additional time to prepare for the patient
Some substances can be minimized or neutralized with common household items
So the hospital can acquire the antidote in a timely fashion
So the hospital can give you information regarding the expected effects
149
Which of the following would be the MOST reliable sign that a responsive patient has a spinal cord injury?
Back pain with movement
Back pain without movement
Tenderness upon palpation of the spine
Paralysis of the extremities
150
Which of the following assessments would allow you to BEST differentiate a pneumothorax vs a hemothorax?
Lung sounds
Chest percussion
Blood pressure
Breathing difficulty
151
Your patient is vomiting copious amounts of bright red blood. What is your HIGHEST concern?
Protecting the airway
Providing adequate ventilations
Controlling the bleeding
Performing a rapid physical exam
152
Which of the following assessments are the MOST important when performing the complete secondary assessment?
Identifying any non life-threatening injuries
Identifying any life-threatening injuries not previously identified
The complete secondary assessment should not be interrupted for treatment
Assessing the cervical spine
153
The visible indication of a patient's mood is termed:
Affect
Psychosocial status
Mental status
Mood
154
A rescuer is handed a bandage while treating a trauma patient. What are they likely doing at that moment?
Securing a dressing
Covering a closed soft injury
Creating an airtight seal over the wound
Applying a constricting bandage
155
Back pain prevents a patient from getting up off the floor. In your assessment, it is important to question FIRST:
Time of last bowel movement
Last phsycial evaluation
Time of last meal
New pain v chronic pain
156
How should you position an alert patient who presents with slurred speech, facial droop, and right side paralysis?
Position them to protect their airway and paralyzed limbs
Position them supine with their head down 30 degrees
Place them prone with their head elevated 25 degrees
Place them in a shock position
157
When a patient is experiencing trouble breathing, our first concern is to rule out the presence of:
Peripheral ischemia
Hypocarbia
Hyperventilation
Hypoxia
158
Which of the following would be the appropriate care for a patient with inadequate breathing?
Apply high-concentration oxygen
Place him on a nasal cannula
Ventilate with room air
Ventilate with supplemental oxygen
159
You have responded to a patient with angina pectoris. Which of the following medications is indicated for this?
Metered-dose inhaler
Oxygen
Auto-injected epinephrine
Nitroglycerin
160
When a patient is having a generalized seizure, the phase where the muscle tension is continuous is called?
Postical
Dystonic
Tonic
Clonic
161
What water temperature is utilized when a frostbitten part must be rewarmed?
94-96 degrees F
108-112 degrees F
98-100 degrees F
102-106 degrees F
162
You discover a fist-sized hematoma has begun to form over the left lower leg. What treatment would you initiate?
Splint the limb to reduce damage
Elevate the leg 6-12 inches immediately
Start emergency mode transport
Apply a sterile dressing to the site
163
Where is the typical injection site for an adult epinephrine auto-injector?
On the lateral aspect of the thigh midway between the knees and waist
On the medical aspect of the thigh midway between the knees and waist
On the anterior aspect of the thigh midway between the knees and waist
On the lateral aspect of the arm midway between the shoulder and elbow
164
What is the primary concern for a patient in the postictal phase of a seizure?
Loosening restrictive clothing
Preventing further injury
Protecting the airway
Assessing the patient
165
When moving a patient to a long spine board, you should:
Have the patient lean forward
Let the person at teh chest control the move
Cross the legs of the patient first
Roll the victim toward you
166
Which of the following people would be the MOST knowledgeable about safely removing a football player's helmet?
The sport's trainer
You
The coach
A physician at the game
167
Which of these would BEST indicate a patient has a problem as a result of inadequate breathing?
A slow respiratory rate or very shallow breathing
A low rapid heart rate
A low blood pressure
A poor pulse oximetry reading
168
Which of the following types of helmets is most likely to have a non-removable, full-face component?
Motorcycle
Bicycle
Hockey
Football
169
Choose the MOST common complication of applying a splint, bandage, or tourniquet improperly
Causing skin necrosis
Impairing circulation
Increasing infection risk
Neurological damage
170
Why would we use atropine and pralidoxime in the emergency setting?
Reverse anaphylaxis
Counteract nerve agents
Reverse cyanide poisoning
Improve circulation during shock
171
When assessing a patient having an allergic reaction, which of the following should be your HIGHEST priority?
Skin condition
Lung sounds
Blood pressure
Pulse
172
Simple myalgia is most often caused by:
Prolonged pressure on specific muscle
Lack of muscle use
Muscle infection
Over use of a specific muscle
173
Which of the following BEST describes the purpose and function of the Divers Alert Network (DAN)?
A consultation and referral service for dive emergencies
A system organized to provide care for injured divers
A referral service for the location of popular dive areas
A governmental regulatory agency for divers
174
When the brain has been bruised from trauma, it is called a:
Contusion
Hematoma
Concussion
Hemorrhage
175
Which of the following procedures MUST be performed when dealing with a patient found unresponsive, face down in a pool
Manual stabilization of the head
Deep nasal suctioning
Active rewarming
The Heimlich maneuver
176
Which of the following organs, if injured, would be the MOST likely to cause chemical peritonitis?
Spleen
Pancreas
Kidney
Liver
177
Which of these is the most influential for maintaining good blood glucose levels for the diabetic patient?
Eating a balanced meal on time
Getting a good night's rest
Exercising daily
Avoiding any alcohol consumption
178
Which of these skin assessment findings would be the MOST consistent with cardiac compromise?
Cyanotic
Mottled
Red
Pale
179
Which of the following defines hypothermia?
A low body temperature in comparison to ambient air
A core body temperature 35 degress Celsius or less
A body temperature where shivering occurs
A body temperature greater than 98.6 degrees
180
Which of the following would be the MOST expected assessment finding with a dislocated joint?
Absent distal pulses
Fixed in place
Crepitus
Swelling
181
Which of the following would lead you to believe the cause of a problem is spontaneous pneumothorax vs exacerbation?
Unequal lung sounds
Jugular venous distension
Unilateral hyperresonance
Hemoptysis
182
Which of the following is the primary reason we splint a broken extremity?
To place the bone ends back together
To stop the pain the patient is experiencing
To minimize further injury
To allow the bone to heal
183
When a chest wound is found to be sucking air, the dressing applied must be:
Occlusive
Sterile
Bulky
Soft yet stable
