EMTB QUIZ 13

You are sent to a possible motor-vehicle crash at a busy intersection. Questions 1-13 pertain to that incident: The first part of your patient assessment is to:

Your answer:
size up the scene
open the airway
check for responsiveness
interview bystanders

When identifying a dange zone at a motor-vehicle crash, you must consider:

Your answer:
downed lines
a vehicle on fire
hazardous materials
all the the above

As you approach the scene you notice that the crash involves a mini-van and a tanker truck that appears to be leaking fluid. The tanker has a placard, but is not close enough to read. At this point you should

Your answer:
place your vehicle downwind and downhill
assume that the liquid is a hazardous material
all of the above
park your vehicle at least 50 feet away

Which of the following provides a 24-hour information hotline for haz-mat incidents?

Your answer:
the Chemical Transportation Emergency Center
the United States Department of Transportation
the National Forestry Service
the Environmental Protection Agency

If gases, or fumes, are involved you should park your vehicle:

Your answer:
on the same level
none of the above
upwind and uphill
downhill and downwind

If you suspect that a scene involves violence, and weapons are visible you should:

Your answer:
focus our efforts on the patient
retreat and wait for the police
enter the scene carefully
blow your siren to scare the perpetrators away

As you approach the scene, you notice that the victims in the mini-van are bleeding and appear to be seriously hurt. Which body-isolation procedures would be appropriate?

Your answer:
gloves
goggles
eyewear
all of the above

You would need an N95 or high-efficiency particulate (HEPA) air respirator if your patient has:

Your answer:
hepatitis A
influenza B
AIDS
TB

The foce that produced the injury is known as the:

Your answer:
laws of inertia
index of suspicion
anatomical injury mechanics (AIMS)
mechanism of injury

The law of inertia states that:

Your answer:
none of the above
a body in motion will tend to remain in motion
force equals mass times acceleration
injuries tend to be greater when the size of the vehicle is large

In any collision there are three impacts. They are the:

Your answer:
up-and-over impact, down-and-under impact, and back- and front impact
airbag impact, seat inpact, and interior impact
read-end impact, side impact, and rollover
vehicle impact, body impact, and organ impact

It now appears that the driver of the mini-van took the up-and-over pathway. You should suspect that he will bave sustained injuries to the:

Your answer:
head and neck
chest
lungs and heart
all of the above

You also notice that the steering wheel is bent and that the driver was wearing a seatbelt. Now you strongly suspect possible:

Your answer:
bilateral femur fractures
pelvic fractures
ruptured lumbar spine disk
serious chest injuries

What factor will determine the severity of a fall injury?

Your answer:
the height of the fall
the surface that patient fell onto
the body part that hits first
all of the above

Your patient was shot with a handgun from about 25 feet away. This is considered a _______velocity injury.

Your answer:
medium
high
super-high
low

The temporary pressure wave caused by a high-velocity bullet is known as:

Your answer:
dilatation
effacement
cavitation
profile

The primary objective of your initial assessment is to:

Your answer:
determine treatment priorities
identify immediate life-threats
correct life-threathening conditions
all of the above

Which of the following interventions is NOT a component of the initial assessment?

Your answer:
opening the airway
beginning CPR
appling a traction splint
controlling arterial bleeding

Your general impression of a patient is based on:

Your answer:
he environment
the patient's appearance
your physical senses
all of the above

The chielf complaint is:

Your answer:
the patient's description of the problem
your prehospital diagnosis
the patient's most serious medical problem
the call-taker's classification of the patient's complaint

In maintaining cervical-spine stabilization in a trauma patient you should:

Your answer:
maintain gentle traction on the head
let go after applying a cervical collor
hold the neck and lower jaw of the patient
maintain the neck in the in-line, neutral position

Your patient is alert and knows who he is, where he is, and what day it is. He receives ______ on the AVPU exam.

Your answer:
A
V
P
U

Your patient only responds when you pinch his fingernail beds. He responds by moaning. He receives ________ on the AVPU exam.

Your answer:
A
V
P
U

Your patient opens his eyes and mumbles when you call his name. He receives _______ on the AVPU exam

Your answer:
A
V
P
U

Your paient does not respond at all to any stimuli. He receives _____ on the AVPU exam.

Your answer:
A
V
P
U

Your partner informs you that the patients's respiratory rate is 6 per minute and shallow. You should:

Your answer:
check your patient's oxygen saturation
place your patient in the recovery position
provide ventilations assistance
administer 10-15 lpm oxygen via nonrebreather mask

Which of the following patients requires immediate transport?

Your answer:
ankle fracture with normal vital signs
responsive, but confusted, patient
uncomplicated childbirty
moderate pain from a first-degree burn

Which of the following mnemonics represents the elements of taking a patient's history

Your answer:
AVPU
SAMPLE
AEIOUS-TIPS
MOX3

The normal pulse rate for a health adult is _____ beats per minute.

Your answer:
80-120
60-80
60-100
40-80

A rapid and hready pulse is indicative of:

Your answer:
head injury
high blood pressure
bradycardia
blood loss

Which of the following usually results in a slow heart rate?

Your answer:
exertion
fright
shock from blood loss
head injury

Where is the most reliable place to palpate the pulse in an infant 1 year old or less?

Your answer:
femoral artery
carotid artery
radial artery
brachial artery

The normal respiratory rate for a healthy adult is _____ breaths per minute.

Your answer:
12-24
12-20
10-20
16-30

Which of the following can influence the respiratory rate?

Your answer:
emotional state
physical condition
age
all of the above

If our patient is snoring, your immediate corrective action would be to:

Your answer:
use a manual maneuver to open the airway
perform bag-valve-mask ventilations
transport
suction the airway

If your patient is gurgling, your immidate corrective action would be to:

Your answer:
transport
use a manual maneuver to open the airway
suction the airway
perform bag-valve-mask ventilations

If your patient is srowing, your immediate corrective action would be to:

Your answer:
perform bag-valve-mask ventilations
transport
use a manual maneuver to open the airway
suction the airway

If your patient is breathing slow and shallow, your immediate corrective action would be to:

Your answer:
administer 100% oxygen via mask
transport
use a manual maneuver to open the airway
perform bag-valve-mask ventilations

Which of the following sign indicate a patient who is having trouble moving air?

Your answer:
retractions
accessory muscle use
nasal flaring
all of the above

If your patient's trunk is warm, but his left arm is cold, you should suspect:

Your answer:
a circulatory problem in his left arm
shock
a cardiac problem
general hypothermia

Which of the following is important when evaluating your patient's puplis?

Your answer:
reactivity
all of the above
equality
size

The systolic blood pressure is the measure of the pressure exerted against the arterial walls during:

Your answer:
relaxation of the ventricles
contraction of the atria
relaxation of the atria
contraction of the ventricles

The diastolic blood pressure is the measure of the pressure exerted against the arterial walls during:

Your answer:
contraction of the ventricles
contraction of the atria
relaxation of the atria
relaxation of the ventricles

The proper size for a blood pressure cuff is ______ the length of the upper arm.

Your answer:
one-half
two-thirds
one-third
three-quarters

Stable patients require repeat vital signs every _____ minutes. Unstable patients require repeat vital signs every _____ minutes.

Your answer:
15, 5
10, 5
10, 10
5, 10

Which of the following is NOT considered a significant mechanism of injury?

Your answer:
falls greater than 10 feet or twice the patient's height
penetrating wounds of the hest
vehicle rollover
vehicle-pedestrian collision

Which statement is true regarding spinal immobilization?

Your answer:
Once a cervical-spine collar is applied, you may release manual stabilization
Large patients require large collars
Complete immobilization should be done before the rapid assessment is completed
Maintain in-line immobilization until the patient is completely immobilized to a backboard

Your patient has paradoxical chest motion. This means that:

Your answer:
the sternum sways back and forth as the patient breathes
the chest wall is paralyzed nd only his belly moves when he breathes
the intercostal spaces suck in when he exhales
a part of the chest wall moves in the opposite direction to the rest of the chest

Trending means:

Your answer:
making optimal use of your time
the most current medical procedures in the field
taking the most conservative approach
changes in a patient's condition over time

Which of the following statments is true regarding anatomical differences in children?

Your answer:
Their fontanelles remain open until the age of 3 years
They depend less on their diaphragms for breathing
Their heads are proportionally smaller and lighter than an adult's
Their airways are narrower and less rigid than the adult's