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Mod 5 Mock Test
| Question | Answer |
|---|---|
| Why is it important to keep patients at rest when they are hypothermic? | Since the blood is coldest in the extremities, exercise or unnecessary movement could quickly circulate the cold blood and lower the core body temperature. |
| Of the following patients, which injury is the highest priority to receive bag-valve-mask ventilations? | 15 year old female who was ejected from a vehicle, struck her head on a tree, and displays decerebrate movements in response to painful stimuli |
| Soft tissue injuries are sometimes dramatic but rarely: | life threatening |
| Your patient is a 16-year-old male who was ejected from an all-terrain vehicle and struck his head on a large rock. He was not wearing a helmet. He is unresponsive with shallow, irregular respirations; a blood pressure of 170/110 mmHg; and a heart ra | insert a nasopharyngeal airway and ventilate via bag-valve-mask at 10-12 breaths per minute |
| Your patient is a 49-year-old female with complaints of shortness of breath and generalized weakness. On examination, you note that she has extensive crackles in her lungs, swelling of her feet and ankles, and difficulty in breathing when lying down. | cardiogenic shock |
| Your unresponsive adult patient has a head injury and inadequate breathing. Your bag-valve-mask ventilations should be delivered at a rate of: | 10-12 breaths per minute |
| You are dispatched to the local high school for a "person struck with a baseball." You arrive on the scene and find a 16-year-old male sitting on the bench. Apparently he was the pitcher and was struck in the abdominal area by a line drive ball that wa | Take appropriate Standard Precautions, apply high-concentration oxygen by nonrebreather mask, and transport the patient ASAP, carefully monitoring the patient during transport. |
| A respiratory rate of less than ________ in infants is a significant finding and indicates a critical patient, who should be immediately transported to a trauma center if secondary to trauma. | 20 |
| Your patient fell from the roof of a one-story building and landed flat footed and did not fall. Damage to the patient's knees would be the result of: | indirect force |
| Localized cold injury occurs due to vasoconstriction and: | ice crystal formation in the tissues |
| What is the correct procedure and order for a water rescue? | reach, throw, and tow |
| Rough handling of a hypothermic patient may lead to: | ventricular fibrillation |
| A traction splint is indicated for: | a femoral shaft fracture |
| Your unresponsive patient was injured in a boating accident. Rescuers have just removed the patient from the water. Which of the following should be your FIRST action? | cervical spine protection while beginning the primary assessment |
| An injury caused by heavy pressure to the tissues, such as when an extremity is trapped under a fallen tree, that results in damage to muscle cells and the accumulation of waste products in the tissue is called a(n): | crush injury |
| Your 24-year-old patient was riding an ATV through the woods and impaled herself on a dead tree branch. The one-inch diameter branch went in through her mouth and out her right cheek before breaking from the tree. On your arrival, the patient is bleedi | remove the object |
| The term "golden hour" refers to the importance of getting critical trauma patients to surgery within one hour of the time when: | the injury occurred |
| Which of the following is controlled by the left side of the brain? | sensation of the right leg |
| What type of injury is likely to produce a flail segment? | blunt trauma |
| A 65-year-old man was doing some work on his roof when he lost his footing and fell to the ground, approximately 15 feet. He is unconscious but his respirations are normal. You note an obviously angulated left leg. You are more concerned about a possibl | increased blood pressure |
| Which of the following is the HIGHEST priority in managing a patient with a heat-related emergency? | move the patient to a cool environment |
| A 23-year-old male sustained a musculoskeletal injury to his leg while playing organized football. He reports that his cleated foot was planted into the field when he was hit with a force that caused him to rotate. He heard a snap at this point. What mec | twisting force |
| You respond to a 22-year-old male patient who fell while exiting the local bar. Bystanders state he drank at least 10 beers and could not keep his balance. Physical exam reveals that the patient is alert to verbal stimuli only. He has a Glasgow Coma Scal | level II trauma center |
| Which of the following is NOT considered soft tissue? | cartilage |
| Limiting time spent at a scene can be especially important if the mechanism of injury suggests that the patient could go into shock. In order to keep the time at the scene to a minimum, which of the following assessments or treatments should not be perfo | splinting swollen extremities |
| Your patient has an open abdominal wound with intestines protruding. You should: | cover the organs with moist sterile dressings |
| You respond to a construction site on a very hot summer day for a person "not acting right." You find a 38-year-old male patient seated in a work vehicle with the air conditioner on maximum. Coworkers state the patient was working for the last 2 hours | apply high-concentration oxygen and rapidly transport to the nearest medical facility |
| Jugular venous distention is most likely with: | cardiac tamponade |
| Which of the following is TRUE about the cardiovascular system in a pediatric patient that should be considered whenever trauma causes blood loss? | the blood volume of a child is far less than that of an adult |
| An incomplete fracture is called a: | greenstick fracture |
| When actively rewarming a frostbitten extremity in warm water, you should change the water when the temperature falls below ________ | 100 to 105 |
| Which of the following BEST describes an evisceration? | open wound of the abdomen from which organs protrude |
| Which of the following is used when an airtight seal is needed? | an occlusive dressing |
| Which of the following structures connect bone ends, making joints more stable? | ligaments |
| You are treating an unresponsive homeless patient found in an alley. During your assessment you notice bruising behind both ears, which is known as which of the following? | battle's signs |
| You arrive on scene at a motor vehicle crash where you notice that the patient has severe bleeding from her head with gray matter showing. This type of injury is: | an open skull fracture |
| Common signs and symptoms following an injury to a hollow abdominal organ include: | irritation and peritonitis |
| Which of the following terms describes the temperature of the surrounding air? | ambient temperature |
| Which of the following BEST explains the reason for minimizing scene-time for the trauma patient with significant hemorrhage or the potential for significant hemorrhage? | studies have indicated that trauma patients who receive surgery within 1 hour of injury have better chances of survival |
| In treating a puncture wound of the eye, it is important to bandage both eyes because: | you want to avoid sympathetic eye movement |
| When the EMT is assessing compromise to an extremity, perhaps due to an orthopedic injury, the EMT should initially check what "six Ps"? | pain, pallor, paresthesia, pulses, paralysis, and pressure |
| What are three elements of successful trauma care that field practitioners can use which will ultimately translate into greater rates of survival? | teamwork, timing, and transport |
| When caring for a patient with an impaled object in the abdomen, the EMT should: | leave the impaled object in place and stabalize it with bulky dressings |
| How many vertebrae does the cervical spine comprise? | seven |
| Which of the following is the opening at the base of the skull? | foramen magnum |
| Which of the following organs would likely cause severe inflammation and infection if ruptured? | stomach |
| Which of the following is the leading cause of internal bleeding? | blunt trauma |
| Which of the following is the major cause of shock that the EMT will encounter? | hemorrhage |
| Which of the following statements regarding musculoskeletal injuries is correct? | many musculoskeletal injuries have a grotesque appearance, and the EMT cannot be distracted from life-threatening conditions by a deformed limb |
| You are dispatched to a multiple vehicle collision on a busy interstate highway. Your crew identifies a critical patient entrapped in a small sedan with significant intrusion into the occupant area on the front and left side. One of your crew members, dr | head, chest, and torso |
| Which of the following is TRUE about a pneumothorax? | an open chest wound called a sucking chest wound can pull air into the thoracic cavity |
| Which of the following is the process in which heat is lost from the body as wind passes over it? | convection |
| Cardiac tamponade occurs when: | blood enters the pericardial sac surrounding the heart |
| You are assessing a 30-year-old male patient who was accidentally injured by a high-pressure industrial sprayer. By the time you arrive he has been freed. The patient tells you that he does not understand why you were called, but as you inspect the inj | high-pressure injection |
| What is the Glasgow Coma Score (GCS) measurement of altered mental status, which according to CDC guidelines necessitates transport to a trauma center? | 13 |
| The mechanism of injury in which a patient's chest has struck an immovable object, such as a steering wheel, may most accurately be described as a(n): | compression injury |
| Your patient experienced blunt chest trauma. She presents with jugular venous distention and narrowing pulse pressure. You should suspect: | cardiac tamponade |
| Applying an external source of heat to the patient's body to rewarm him is called ________ rewarming. | active |
| Which of the following is NOT a major function of the skin? | regulates the pH balance of the body |
| Which patient is in the initial stages of shock? | 45-year old motor vehicle crash victim with pale, cool, skin and tachycardia |
| Paradoxical movement is caused by: | a flail segment moving in the direction opposite to the movement of the uninjured side of the rib cage |
| Which patient is the MOST critical based on trauma triage guidelines? | 31- year old male construction site fall victim ho fell approximately 2 stories and demonstrates signs and symptoms of shock |
| Your patient is a 12-year-old female who fell onto her outstretched hands while rollerblading. She has a deformity of her forearm, about 2 inches proximal to her wrist. This injury is a result of which of the following mechanisms? | indirect force |
| You arrive on scene to a private residence where you find a 56-year-old female patient sitting in her living room complaining of pain, paresthesia and pressure in her lower right leg. She states that a few days ago she slipped on her way downstairs and | compartment syndrome |
| Which of the following is most likely to keep a rescuer safe and dry during a water rescue through broken ice? | flat-bottomed aluminum boat |
| Which of the following distinguishes decompensated shock from compensated stage of shock? | low blood pressure |
| While performing a rapid trauma assessment, you note a clear fluid leaking from the patient's ears. This indicates: | a possible skull fracture |
| You are examining a 48-year-old patient who has been burned. You decide to use the rule of palm to measure the extent of the burn. What does this mean? | the palm of the patient's hand equals about 1% of the body's surface area |
| You are treating a patient who was stabbed in the right side of the anterior chest wall. He has shortness of breath, weakness, and rapid breathing. Aside from administering oxygen, what is the MOST appropriate treatment for this patient? | apply an occlusive dressing on the chest wall, and tape the dressing on three sides |
| What is the definition of multisystem trauma? | multiple injuries that affect more than one body system |
Created by:
Jazmine17