Additional random questions Flashcards
Patients with chest injuries will often present with ____
A. agonal respirations
B. tachypnea
C. Kussmaul respirations
D. Cheyenne - stokes respirations
B. Tachypnea
Closed chest injuries are typically caused by ____
A. flying debris
B. high velocity weapons
C. blunt trauma
D. Penetrating trauma
C. blunt trauma
You arrive at scene of a major motor vehicle crash. The patient, a 50 year old female was removed from her vehicle prior to your arrival. Bystanders who removed her state that she was not wearing a seatbelt. The patient is unresponsive, tachycardic, and diaphoretic. Your assessment reveals bilaterally clear and equal breath sounds, a midline trachea, and collapsed jugular veins. You should be MOST suspicious that the patient has experienced a:
A. massive hemothorax
B. laceration of the aorta
C. tension pneumothorax
D. pericardial tamponade
B. laceration of the aorta
You respond to a residence for a 40 year old female who was assaulted by her husband; the scene has been secured by law enforcement. Upon your arrival, you find the patient lying supine on the floor in the kitchen. She is semiconscious with severely labored breathing. Further assessment reveals a large bruise to the left anterior chest, jugular venous distention, and unilaterally absent breath sounds. As your partner is supporting her ventilation, you should;
A. immediately request ALS. support
B. obtain a set of baseline vital signs
C. insert an oropharyngeal airway
D. perform a focused a secondary exam
A. immediately request ALS. support
In order to avoid exacerbating a patient’s injury, it is especially important to use extreme caution when providing pressure ventilation to a patient with a :
A. flail chest
B. myocardial contusion
C. pneumothorax
D. cardiac tamponade
C. pneumothorax
An open pneumothorax occurs when:
A. extreme pleural pressure causes the lung to rupture
B. air enters the pleural space from a perforated lung
C. air enters the pleural space from outside the body
D. a fractured rib perforates the tissue of the lung
C. air enters the pleural space from outside the body
While jogging, a 19 year old male experienced an acute onset of shortness of breath and pleuritic chest pain. He is conscious and alert with stable vital signs. Your assessment reveals that he has diminished breath sounds over the left side of the chest. You should:
A. administer oxygen and transport to the hospital
B. circumferentially tape a dressing around his chest
C. immediately perform a rapid head to toe exam
D. recognize that he needs a needle decompression
A. administer oxygen and transport to the hospital
Which of the following is most likely to cause immediate death?
A. aortic rupture
B. Aortic dissection
C. Myocardial contusion
D. pulmonary contusion
A. aortic rupture
A spinal cord injury at the level of c7 would most likely result in:
A. Paralysis of all respiratory muscle
B. paralysis of the diaphragm
C. paralysis of the intercostal muscles
D. immediate cardiac arrest
C. paralysis of the intercostal muscles
A simple pneumothorax:
A. is caused by penetrating chest trauma
B. often has a nontraumatic cause
C. heals on it own without any treatment
D. is commonly caused by blunt chest trauma
D. is commonly caused by blunt chest trauma
If a patient with a chest injury is only able to inhale smalls amount of air per breath, he or she:
A. must increase his or her respiratory rate to maintain adequate minute volume
B. will eliminate more carbon dioxide than if he or she were breathing deeply
C. will maintain adequate minute volume if his or her respiratory rate stays the same
D. often breaths at a slow rate because of lung damage caused by the injury
A. must increase his or her respiratory rate to maintain adequate minute volume
Signs and symptoms of meningitis in the infant or child include all of the following EXCEPT:
A. altered mental status
B. sunken fontanelles
C. headache and fever
D. stiff or painful neck
B. sunken fontanelles
Which of the following finds is LEAST suggestive of child abuse?
A. burns to the hands or feet that involve a glove distribution
B. consistency in the method or injury reported by the caregiver
C. evidence of alcohol consumption or drug use at the scene
D. an unexplained delay in seeking medical care after the injury
B. consistency in the method or injury reported by the caregiver
Burns in children are commonly cause by all the following EXCEPT:
A. hot items on a stovetop
B. entrapment in a structural fire
C. exposure to caustic chemicals
D. scalding water in a bathtub
B. entrapment in a structural fire
A 5 year old child has a severe vomiting and diarrhea for 4 days. Which of the following assessment findings would most indicative of decompensated shock?
A. repertory rate of 30 breaths / min
B. pulse rate greater than 120 / min
C. blood pressure of 70 / 40 mm hg
D. capillary refill time of 4 seconds
C. blood pressure of 70 / 40 mm hg
The purpose of the pediatric assessment triangle (PAT) is to:
A. gather critical data by performing a rapid hands on assessment of the child
B. determine if the child’s vital signs are within the age appropriate limits
C. facilitate a rapid head to toe assessment of the child by visualization only
D. allow you to rapidly and visually form a general impression of the child
D. allow you to rapidly and visually form a general impression of the child
The first month of life after birth is referred to as the:
A. neonatal period
B. start of infancy
C. toddler period
D. premature phase
A. neonatal period
While traging patients at the scene of a motor vehicle crash, you encounter a 5 year old child is unresponsive and apneic. After positioning his airway , you should:
A. categorize him as immediate
B. categorize him as decreased
C. deliver 5 rescue breaths
D. Palpate for a carotid pulse
D. Palpate for a carotid pulse
An infant with severe dehydration would be expected to present with:
A. absent urine output
B. bulging fontanelles
C. moist oral mucosa
D. excessive tearing
A. absent urine output
You are standing by at the scene of a hostage situation when the incident commander advises you that one of his personnel has been shot. The patient is lying supine in an open area and is not moving. As the SWAT team escorts you to the patient, you should:
Select one:
A. grab him by the clothes and immediately move him to safety.
B. limit your primary assessment to airway and breathing only.
C. treat only critical injuries before moving him to a safe place.
D. perform a rapid assessment and move him to a place of safety.
A. grab him by the clothes and immediately move him to safety.
Extrication is defined as:
Select one:
A. using heavy equipment to access a patient.
B. immobilizing a patient before moving him or her.
C. dismantling an automobile to remove a victim.
D. removal from a dangerous situation or position.
D. removal from a dangerous situation or position.
Upon arrival at a trench rescue operation, you should _________.
Select one:
A. determine if rescuers are operating safely
B. park at least 500 feet from the incident
C. park as close to the incident as possible
D. assist with the rescue operation
B. park at least 500 feet from the incident
While staged at the scene of a structure fire, the EMT should _________.
Select one:
A. assess firefighters for signs of fatigue
B. remain with the ambulance
C. locate the safety officer
D. stay with the incident commander
B. remain with the ambulance
Upon arriving at the scene of a motor vehicle crash, you can see three patients, one who is entrapped in his car and two who have been ejected from their vehicle. You should:
Select one:
A. request law enforcement for traffic control.
B. begin triage to determine injury severity.
C. immediately request additional resources.
D. call medical control for further direction.
C. immediately request additional resources.