Question 1

``` H-1) Lacerations are cuts that​ are: A. penetrating or perforating. B. a tearing away or off. C. smooth or jagged. D. crushing or fracturing. ```

Accepted Answer

C. smooth or jagged

Question 2

``` H-2) A puncture wound that is shallow or deep is​ a: A. fracturing puncture wound. B. penetrating puncture wound. C. crushing puncture wound. D. perforating puncture wound. ```

Accepted Answer

B. penetrating puncture wound A penetrating puncture wound is an open wound that tears through the skin and destroys underlying tissues. A penetrating puncture wound can be shallow or deep. A perforating puncture wound has both an entrance and an exit wound

Question 3

``` H-3) Which of the following is a function of the​ skin? A. Digestion B. Circulation C. Sensation D. Respiration ```

Accepted Answer

C. Sensation It is important to remember that the skin plays a fundamental role in our interactions each day. Nerve endings provide us with sensory input in the form of tactile​ (touch) stimulation. We sense temperature and pleasurable and painful stimuli.

Question 4

``` H-4) The structures within the dermis​ include: A. muscle cells. B. sweat glands. C. periosteum. D. adipose tissue. ```

Accepted Answer

B. sweat glands

Question 5

``` H-5) A wound under the skin that involves the collection of blood from injury to a large blood vessel is called​ a: A. contusion. B. crush injury. C. hematoma. D. concussion. ```

Accepted Answer

C. hematoma A hematoma is similar to a contusion except that hematomas involve a larger amount of tissue​ damage, including damage to larger blood vessels with greater internal blood loss. Whereas a contusion may cause some minor injury to small blood​ vessels, a hematoma is characterized by much more severe internal bleeding and the collection of a larger volume of blood beneath the skin.

Question 6

H-6) Crush injuries often can be identified by​ what? A. Finding of bleeding from the nose or ears B. Swelling or deformity C. Mechanism of injury D. Palpation of the wound

Accepted Answer

B. Swelling or deformity Crush injuries may be difficult or impossible to identify during​ assessment, so you must rely on the MOI. Patients with a significant MOI should be considered to have internal bleeding and shock until they are ruled out in the emergency department.

Question 7

``` H-7) Possible injury to the cervical spine or brain could be indicated by​ a(n): A. contusion to the trunk. B. avulsion of an extremity. C. penetration of the sternum. D. bruise on the head or neck. ```

Accepted Answer

D. bruise on the head or neck

Question 8

``` H-8) Abdominal bruising should be considered a sign of​ possible: A. internal organ damage. B. pneumothorax. C. pelvic fracture. D. head injury. ```

Accepted Answer

A. internal organ damage

Question 9

``` H-9) A simple scratch or scrape of the outer layer of the skin is called​ a(n): A. contusion. B. abrasion. C. laceration. D. avulsion. ```

Accepted Answer

B. abrasion The classification of abrasion includes simple scrapes and scratches in which the outer layer of the skin is damaged but not all the layers are penetrated. Even though an abrasion is considered a superficial​ injury, it often is extremely painful because of the presence of exposed nerve endings. In most​ cases, blood will ooze from the wound​ (capillary bleeding), which can be controlled easily with direct pressure.

Question 10

``` H-10) A degloving injury is an example of​ a(n): A. amputation. B. avulsion. C. bite. D. hand fracture. ```

Accepted Answer

B. avulsion A special type of avulsion is the degloving injury. In this​ wound, the mechanism of injury tears the skin off the underlying​ muscle, connective​ tissue, blood​ vessels, and bone.

Question 11

H-11) 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. You can see both ends of the penetrating branch. On your​ arrival, the patient is bleeding heavily into her mouth and is struggling to breathe unless she is leaning forward. To gain control of the​ patient's bleeding and thereby her​ airway, you​ should: A. sacrifice spinal immobilization and transport the patient in a sitting​ position, leaning forward. B. insert a nasopharyngeal airway. C. pack the​ patient's mouth full of gauze and tell her to breathe through her nose. D. attempt to remove the object.

Accepted Answer

D. attempt to remove the object You may remove an object that is impaled in the cheek if you find perforation and you can see both ends of the object. Pull it out in the direction it entered the cheek. If this cannot be easily​ done, leave the object in place

Question 12

H-12) To stabilize an object impaled in an​ eye, you​ should: A. place a roll of​ 3-inch gauze bandage or folded 4x4s on either side of the​ object, along the vertical axis of the​ head, in a manner that will stabilize the object. B. place a paper cup over the impaled object and secure in place with a​ self-adherent roller bandage. C. snap off as much of the object as you can and then seal the eye with an occlusive dressing before bandaging it with a​ self-adherent roller bandage. D. wrap a roll of​ 3-inch gauze bandage around the entirety of the​ patient's head along the horizontal​ axis, covering the eyes.

Accepted Answer

A. place a roll of​ 3-inch gauze bandage or folded 4x4s on either side of the​ object, along the vertical axis of the​ head, in a manner that will stabilize the object

Question 13

H-13) The emotional and psychological damage from burn​ injuries: A. usually occurs only with the most severe injuries. B. begins at the emergency scene. C. typically is not​ long-lasting. D. is not a concern for EMTs.

Accepted Answer

B. begins at the emergency scene. In addition to the physical damage caused by​ burns, patients often suffer emotional and psychological problems that begin at the emergency scene and may last a lifetime.

Question 14

H-14) Singed nasal hairs in a burned patient are an ominous sign​ because: A. the smell can be overpowering. B. they are very painful. C. they could indicate airway damage. D. they make it difficult to administer oxygen.

Accepted Answer

C. they could indicate airway damage.

Question 15

H-15) A way of identifying the seriousness of a burn is by its degree. Which of the following statements is​ true? A. A​ first-degree burn is the most serious and the deepest. B. A​ second-degree burn is characterized by​ red, dry, smooth skin. C. A superficial burn is also called a​ second-degree burn. D. A​ full-thickness burn is also known as a​ third-degree burn

Accepted Answer

D. A​ full-thickness burn is also known as a​ third-degree burn The older description of burns was by degrees. In that classification​ system, a​ third-degree burn has the same characteristics as a​ full-thickness burn, as both represent injuries that involve all three layers of the skin.

Question 16

H-16) Which of the following statements about a​ partial-thickness burn is​ true? A. The formation of blisters is common. B. ​Partial-thickness burns are not very​ painful, because of the nerve ending damage. C. A​ partial-thickness burn involves only the epidermis. D. The damaged skin of a​ partial-thickness burn is called eschar.

Accepted Answer

A. The formation of blisters is common. A​ partial-thickness burn involves not only the epidermis but also portions of the dermis. Blisters are an indication of a​ partial-thickness burn.

Question 17

``` H-17) If a child pulled a pot of boiling water off the stove and was burned by​ it, this burn would​ be: A. an electrical burn. B. a delayed burn. C. a thermal burn. D. a flash burn. ```

Accepted Answer

C. a thermal burn.

Question 18

``` H-18) What is the first step in removing dry chemicals from the​ body? A. Brush off the excess material. B. Vacuum off excess material. C. Pour water on the body. D. Neutralize the chemical with vinegar. ```

Accepted Answer

A. Brush off the excess material. The first step with dry chemicals on the body is to brush off any excess chemical​ first, then flush with copious amounts of water.

Question 19

``` H-19) Chemical burns to the eyes should​ be: A. bandaged shut. B. left alone. C. flushed with water. D. rinsed with a neutralizing solution. ```

Accepted Answer

C. flushed with water. Flush the eyes with​ water, being careful not to flush the chemical into the other eye.

Question 20

``` H-20) A patient with an electrical injury is least likely to present with which of the following signs and​ symptoms? A. Hypotension B. Muscle tenderness C. Visual difficulties D. Restlessness or irritability ```

Accepted Answer

A. Hypotension Hypotension is not a common sign of an electrical​ injury, but visual​ difficulties, restlessness or​ irritability, and muscle tenderness are common signs and symptoms.

Question 21

H-21) Your patient was involved in a serious industrial​ accident, and sustained critical electrical burns to both his hands when he accidentally grabbed a live wire. Despite the severity of his​ burns, the patient says he​ doesn't feel that bad. This patient will need​ to: A. have his wounds flushed with​ hot, sterilized water immediately. B. be administered​ bag-valve-mask ventilations. C. be transported as soon as possible. D. have his wounds wrapped loosely in sterile bandages with no dressings.

Accepted Answer

C. be transported as soon as possible. This patient should be transported as soon as possible. Some problems with electrical injuries have a slow onset. If there are​ burns, there also may be more serious hidden problems. In any case of electrical​ shock, heart problems may develop. The other treatments are​ inappropriate, and this patient should be administered​ high-concentration oxygen but should not be administered​ bag-valve-mask ventilations, because there are no signs of inadequate breathing.

Question 22

H-22) After treating an actively bleeding head laceration with a sterile dressing and​ bandage, you notice that the dressing has become​ blood-soaked and that blood is seeping through the bandage. You​ should: A. remove the​ blood-soaked dressing and replace it with​ new, sterile dressing. B. reapply pressure and place additional sterile dressings over the​ blood-soaked dressing. C. apply direct pressure to the​ patient's neck with both hands. D. remove the bandage and reposition the​ dressing, being sure to rewrap it tightly.

Accepted Answer

B. reapply pressure and place additional sterile dressings over the​ blood-soaked dressing. Do not remove dressings. Once a dressing has been applied to a​ wound, it must remain in place. Bleeding may restart and tissues at the wound site may be injured if the dressing is removed. If the bleeding​ continues, reapply​ pressure, apply additional hemostatic​ agent, and put new dressings over the​ blood-soaked one.

Question 23

``` H-23) It is characteristic of hemostatic dressings​ to: A. form an airtight seal. B. stop or slow bleeding. C. be bulky. D. control bleeding through pressure. ```

Accepted Answer

B. stop or slow bleeding. Many EMS systems now carry hemostatic dressings used to stop bleeding. Hemostatic dressings facilitate clotting through a chemical process.

Question 24

``` PT-1) When a flap of tissue is traumatically​ removed, this condition is called​ a(n): A. puncture. B. avulsion. C. incision. D. laceration. ```

Accepted Answer

B. avulsion.

Question 25

``` PT-2) The layer of skin that is rich with blood​ vessels, nerves, and specialized structures is​ the: A. subcutaneous. B. fascia. C. dermis. D. epidermis. ```

Accepted Answer

C. dermis.

Question 26

PT-3) A patient who was injured by lightning is awake on your arrival but is not able to hear what you are saying. He can​ talk, and is frightened because he does not know what happened. The patient was in a picnic area at a park and was thrown several feet to the ground when the lightning struck near him. Which of the following steps has the highest priority in this​ patient's assessment and​ treatment? A. Care for spine​ injuries, head​ injuries, and severe fractures. B. Transport as soon as possible. C. Evaluate the electrical burns. D. Apply sterile dressings to the burn sites.

Accepted Answer

A. Care for spine​ injuries, head​ injuries, and severe fractures. (Page 858)

Question 27

``` PT-4) What is the resulting injury called when the burn penetrates all the way to the bottom layer of​ skin? A. Superficial​ partial-thickness B. ​Partial-thickness C. ​Full-thickness D. Superficial ```

Accepted Answer

C. ​Full-thickness

Question 28

PT-5) You are called to the scene of a patient who was burned by an electrical shock while installing a washing machine. On your​ arrival, the patient is lying beside the washing machine on which he was working. What is your first consideration for this​ patient? A. Place an AED on the patient. B. Assume the source of electricity is still active. C. Establish baseline vital signs on the patient. D. Establish an​ airway, because he may have suffered burns to the mouth.

Accepted Answer

B. Assume the source of electricity is still active.

Question 29

``` PT-6) You are caring for a​ 15-year-old female who has sustained a laceration to her lower arm. It is spurting bright red blood uncontrollably. What personal protective equipment would be most preferred in managing this​ wound? A. Gloves and a gown B. Gloves and a face shield C. Gown and mask D. Gloves only ```

Accepted Answer

B. Gloves and a face shield

Question 30

``` PT-7) Which layer of the skin provides shock absorption and​ insulation? A. Epidermis B. Adipose C. Subcutaneous D. Dermis ```

Accepted Answer

C. Subcutaneous

Question 31

PT-8) For a young child with isolated genital​ injuries, you​ should: A. consider the possibility of​ abuse, and treat the child with sensitivity. B. withhold care until law enforcement arrives. C. avoid questioning the child about the cause of the​ injuries, so as not to embarrass the child. D. challenge the parents directly about the possibility of child abuse.

Accepted Answer

A. consider the possibility of​ abuse, and treat the child with sensitivity.

Question 32

PT-9) When​ crushed, the liver and​ spleen: A. cause​ muscle, nerve, and tissue damage. B. cause contusions on the surface of the skin. C. cause severe inflammation and sepsis. D. bleed profusely and cause shock.

Accepted Answer

D. bleed profusely and cause shock. Page 829

Question 33

PT-10) You are called to the scene of a metal fabrication​ plant, where you are presented with a​ 30-year-old male patient complaining of bilateral severe eye pain. Upon​ examination, you notice both eyes are red and irritated. Patient states that one of the dyes he was working with splashed into his eyes. How would you manage this​ patient's injury? A. Cover both eyes with a​ moist, sterile dressing. B. Irrigate both eyes with copious amounts of water for at least 20 minutes or until you arrive at the medical facility. C. Cover both eyes with​ dry, sterile dressing and transport immediately to the nearest appropriate facility. D. Neutralize the acid immediately with vinegar or baking soda.

Accepted Answer

B. Irrigate both eyes with copious amounts of water for at least 20 minutes or until you arrive at the medical facility. (Page 855)

Question 34

``` PT-11) Part of the assessment of a thermal burn is to calculate the percentage of the body surface area that has been burned. Your patient has burns to her anterior torso​ (chest and​ abdomen) and the anterior surface of her right arm. What is the estimated percentage of body surface​ burned? A. ​18% B. ​22.5% C. ​27% D. ​13.5% ```

Accepted Answer

B. ​22.5%

Question 35

``` PT-12) Your patient has a large bump on the forehead from being hit by a baseball. What type of injury is​ this? A. Stellate B. Crush injury C. Contusion D. Hematoma ```

Accepted Answer

D. Hematoma

Question 36

``` PT-13) You are performing a secondary assessment on your​ 19-year-old trauma patient with a severely bruised trunk and signs of damage to the ribs and sternum. He is coughing up frothy red blood and having difficulty breathing. What injury do these signs point​ to? A. Injury to abdominal organs B. A punctured lung C. Damage to the cervical spine D. Damage to the brain ```

Accepted Answer

B. A punctured lung

Question 37

PT-14) How does the skin provide temperature​ regulation? A. By increasing or decreasing the metabolism within the skin structures B. By altering the blood flow to the skin and by controlling perspiration C. By opening temperature pores in the skin D. By thickening or thinning the layers of the skin

Accepted Answer

B. By altering the blood flow to the skin and by controlling perspiration

Question 38

``` PT-15) ​Generally, when providing emergency care of open​ wounds, the first thing you would do​ is: A. clean the wound surface. B. bandage a dressing in place. C. control the bleeding. D. expose the wound. ```

Accepted Answer

D. expose the wound.

Question 39

``` PT-16) Burns involving the airway often lead​ to: A. bradycardia. B. respiratory compromise. C. hypoglycemia. D. hypertensive crisis. ```

Accepted Answer

B. respiratory compromise.

Question 40

PT-17) In caring for an amputated​ part, it is important​ to: A. place the part in ice water. B. wrap the part in sterile gauze and pack it in ice. C. wrap the part in sterile gauze and keep it cool. D. place the part in milk.

Accepted Answer

C. wrap the part in sterile gauze and keep it cool.

Question 41

``` PT-18) Damage to which of the following organs is least likely in the case of abdominal​ bruising? A. Spleen B. Kidneys C. Lungs D. Liver ```

Accepted Answer

C. Lungs

Question 42

PT-19) All burns are to be treated as more serious​ if: A. accompanied by other injuries or medical problems. B. they are from a thermal source. C. they involve the epidermis. D. they are accompanied by reddening of the skin.

Accepted Answer

A. accompanied by other injuries or medical problems.

Brainscape's Knowledge GenomeTM

CH 30 Soft Tissue Trauma Flashcards

Brainscape's Knowledge Genome^TM