Ch. 35

Question 1

Which of the following statements regarding the power lift is correct?

 A. It is not recommended for people with weak knees or thighs.	
 B. It involves using your lower back instead of your legs to lift.	
 C. It is the safest and most powerful method of lifting a patient.	
 D. The leg muscles should remain relaxed during the power lift.

Answer 1

C.

Question 2

The MOST serious consequence of a poorly planned or rushed patient move is:

 A. injury to you or your patient.	
 B. confusion among team members.	
 C. unnecessarily wasting time.	
 D. causing patient anxiety or fear.

Answer 2

A.

Question 3

To avoid injury when pushing a patient or other object, you should:

 A. push the patient from an overhead position if possible.	
 B. kneel if you are pushing an object that is above waist level.	
 C. avoid pushing the patient with your elbows fully extended.	
 D. push from the area of your body between the knees and hips.

Answer 3

C.

Question 4

When pulling a patient, you should extend your arms no more than ________ in front of your torso.

 A. 5″ to 10″	
 B. 20″ to 30″	
 C. 10″ to 15″	
 D. 15″ to 20″

Answer 4

D.

Question 5

You and your partner respond to the scene of a 49-year-old male with acute abdominal pain. As you enter his residence, you find him lying on the floor in severe pain. He is conscious and alert. The patient appears to weigh in excess of 350 lb. Your FIRST action should be to:

 A. assess him and then move him to the stretcher with a direct carry.	
 B. request the fire department if one attempt to move him fails.	
 C. request additional personnel before making any attempts to lift him.	
 D. encourage the patient to walk himself to the awaiting ambulance.

Answer 5

C.

Question 6

Which of the following MOST accurately describes the correct position of the EMTs who are executing the diamond carry technique?

 A. two at the head, one at the feet, and one on the left side of the patient's torso	
 B. two at the head, two at the feet, and a fifth EMT balancing the torso	
 C. one at the head, two at the feet, and a fourth EMT balancing the torso	
 D. one at the head, one at the feet, and one on each side of the patient's torso

Answer 6

D.

Question 7

Which of the following steps is NOT proper procedure when performing an emergency move?

 A. pulling the patient's clothing in the shoulder area	
 B. lifting the patient by the belt to move him or her	
 C. pulling the patient on a blanket or similar object	
 D. using a long-axis body drag during the move

Answer 7

B.

Question 8

When the shoulder girdle is aligned over the pelvis during lifting:

 A. the risk of back injuries is significantly increased.	
 B. the muscles of the back experience increased strain.	
 C. the weight is exerted straight down the vertebrae.	
 D. the hands can be held further apart from the body.

Answer 8

C.

Question 9

When moving a conscious, weak patient down a flight of stairs, you should:

 A. collapse the undercarriage of the wheeled stretcher and carefully carry the patient down the stairs on the stretcher.	
 B. place the wheeled stretcher at the bottom of the stairs and carry the patient down the stairs with a stair chair.	
 C. assist the patient in walking down the stairs and place him or her on the wheeled stretcher at the bottom of the stairs.	
 D. secure the patient to a scoop stretcher and carry him or her headfirst down the stairs to the awaiting stretcher.

Answer 9

B.

Question 10

Which of the following statements regarding patient weight distribution is correct?

 A. Most of the patient's weight rests on the foot end of the stretcher.	
 B. The EMT at the patient's head will bear the least amount of weight.	
 C. The majority of a horizontal patient's weight is in the torso.	
 D. A semi-sitting patient's weight is equally distributed on both ends.

Answer 10

C.

Question 11

General guidelines for carrying a patient on a stretcher include:

 A. leaning back from your waist when lifting.	
 B. constant communication with your partners.	
 C. slightly twisting your body when carrying.	
 D. maintaining slight flexion of your back.

Answer 11

B.

Question 12

You should not attempt to lift a patient who weighs more than 250 lb with fewer than _______ rescuers, regardless of individual strength.

 A. four	
 B. five	
 C. three	
 D. six

Answer 12

A.

Question 13

Prior to applying medical restraints to a combative patient, you should:

 A. have at least three rescuers present, one for the upper extremities, one for the lower extremities, and one for the head.	
 B. advise the patient that medical restraint is necessary, but can be removed if he or she cooperates with you during transport.	
 C. evaluate the patient for potentially correctible cause of combativeness, such as head injury, hypoxia, or hypoglycemia.	
 D. place the patient in a prone position to avoid airway and breathing compromise once restrained and placed onto the stretcher.

Answer 13

C.

Question 14

The direct carry is used to transfer a patient:

 A. with multiple long bone injuries.	
 B. who cannot be placed on a backboard.	
 C. from a bed to the ambulance stretcher.	
 D. with a possible cervical spine injury.

Answer 14

C.

Question 15

Which of the following is the MOST appropriate device to use when immobilizing a patient with a suspected spinal injury?

 A. portable stretcher	
 B. scoop stretcher	
 C. long backboard	
 D. wheeled stretcher

Answer 15

C.

Question 16

Which of the following conditions or situations presents the MOST unique challenge to the EMT when immobilizing an elderly patient on a long backboard?

 A. joint flexibility	
 B. patient disorientation	
 C. abnormal spinal curvature	
 D. naturally deformed bones

Answer 16

C.

Question 17

An EMT may injure his or her back, even if it is straight, if the:
.
A. hands are held close to the legs.
B. shoulder is aligned over the pelvis.
C. force is exerted straight down the spine.
D. back is bent forward at the hips.

Answer 17

D.

Question 18

An unrestrained patient is sitting in his car after an automobile crash. He is conscious and alert, has no visible trauma, and is complaining of neck and back pain. Before removing him from his car, you should:

 A. slide a scoop stretcher under his buttocks and rotate him laterally.	
 B. perform a detailed head-to-toe assessment and apply a cervical collar.	
 C. maintain manual stabilization of his head and grasp him by the clothes.	
 D. apply a cervical collar and immobilize him with a vest-style device.

Answer 18

D.

Question 19

In most instances, you should move a patient on a wheeled ambulance stretcher by:

 A. retracting the undercarriage and carrying the stretcher to the ambulance.	
 B. pushing the head of the stretcher while your partner guides the foot.	
 C. slightly lifting the stretcher to prevent unnecessary patient movement.	
 D. pushing the foot of the stretcher while your partner guides the head.

Answer 19

B.

Question 20

When performing the rapid extrication technique to remove a patient from his or her vehicle, you should:

 A. apply a cervical collar and immobilize the patient on a short backboard.	
 B. grasp the patient by the clothing and drag him or her from the car.	
 C. apply a cervical collar and remove the patient on a long backboard.	
 D. apply a vest-style extrication device prior to moving the patient.

Answer 20

C.

Question 21

As you and your partner are carrying a stable patient down a flight of stairs in a stair chair, you feel a sudden, sharp pain in your lower back. You should:

 A. reposition your hands and continue to move the patient.	
 B. stop the move and have the patient walk down the stairs.	
 C. guide your partner while moving the chair backwards.	
 D. stop the move and request additional lifting assistance.

Answer 21

D.

Question 22

A folding or portable stretcher is MOST beneficial when:

 A. an injured patient cannot be placed on a long board due to severe back pain.	
 B. a patient requires full spinal immobilization when spinal injury is suspected.	
 C. a conscious, alert patient must be carried down several flights of steep stairs.	
 D. a second patient must be transported on the squad bench of the ambulance.

Answer 22

D.

Question 23

What is the MOST appropriate method to use when moving a patient from his or her bed to the wheeled stretcher?

 A. direct carry	
 B. log roll	
 C. extremity carry	
 D. draw sheet method

Answer 23

D.

Question 24

The extremity lift would NOT be appropriate to use on a patient:

 A. who complains of nausea.	
 B. without a spinal injury.	
 C. with forearm lacerations.	
 D. with a deformed humerus.

Answer 24

D.

Question 25

A critical aspect of the rapid extrication technique is to:

 A. extricate the patient with one coordinated move.	
 B. move the patient as quickly as you possibly can.	
 C. maintain stabilization of the spine at all times.	
 D. apply a vest-style device before moving the patient.

Answer 25

C.

Question 26

It is essential that you \_\_\_\_\_\_\_\_\_\_\_\_ your equipment to prevent the spread of disease.
A. 
	 A. decontaminate	
	 B. store	
	 C. throw out	
	 D. burn

Answer 26

A.

Question 27

In which of the following situations is an emergency patient move indicated?

 A. The EMT is unable to protect the patient from scene hazards.	
 B. The EMT has to gain access to lesser-injured patients in a vehicle.	
 C. A patient has an altered mental status or is in shock.	
 D. A significant mechanism of injury is involved.

Answer 27

A.

Question 28

The MOST appropriate carrying device to use when moving a patient across rough or uneven terrain is the:

 A. stair chair.	
 B. basket stretcher.	
 C. wheeled stretcher.	
 D. scoop stretcher.

Answer 28

B.

Question 29

When a person is standing upright, the weight of anything being lifted and carried in the hands is FIRST reflected onto the:

 A. spinal column.	
 B. shoulder girdle.	
 C. pelvic girdle.	
 D. thigh muscles.

Answer 29

B.

Question 30

In which of the following situations would a direct ground lift be the MOST appropriate method of moving a patient?

 A. an unconscious patient with a possible ischemic stroke	
 B. a conscious patient complaining of abdominal pain	
 C. a pedestrian with back pain after being struck by a car	
 D. a patient who complains of hip pain following a fall

Answer 30

B.

Question 31

When using a body drag to pull a patient who is on the ground, you should:

 A. extend your elbows as far beyond your anterior torso as possible.	
 B. kneel to minimize the distance that you will have to lean over.	
 C. avoid situations involving strenuous effort lasting more than 5 minutes.	
 D. bend your back laterally to maximize your amount of pulling power.

Answer 31

B.

Question 32

Which of the following situations would require an urgent patient move?

 A. conscious patient with abrasions and a possibly fractured humerus	
 B. semiconscious patient with shallow respirations and signs of shock	
 C. stable patient who is blocking access to a critically injured patient	
 D. imminent risk of a fire or explosion in or near the patient's vehicle

Answer 32

B.

Question 33

Which of the following statements regarding the scoop stretcher is NOT correct?

 A. A scoop stretcher will provide adequate immobilization of a patient's spinal column.	
 B. You must fully secure the patient to the scoop stretcher before moving him or her.	
 C. Both sides of the patient must be accessible in order for a scoop stretcher to be used.	
 D. The construction of the scoop stretcher prohibits x-rays while the patient is on it.

Answer 33

A.

Question 34

The _________ is both the mechanical weight-bearing base of the spinal column and the fused central posterior section of the pelvic girdle.

 A. coccyx	
 B. thorax	
 C. ischium	
 D. sacrum

Answer 34

D.

Question 35

With proper technique, you and your partner should be able to safely lift a patient who weighs up to ______ lb.

 A. 220	
 B. 150	
 C. 175	
 D. 190

Answer 35

A.

Question 36

Upon arriving at the scene of a motor vehicle crash, you find a single patient still seated in his car. There are no scene hazards. As you approach the vehicle, you note that the patient is semiconscious and has a large laceration to his forehead. You should:

 A. direct your partner to apply manual in-line support of the patient's head.	
 B. slide a long backboard under his buttocks and lay him sideways on the board.	
 C. apply a cervical collar and quickly remove the patient with a clothes drag.	
 D. apply a vest-style extrication device before attempting to move the patient.

Answer 36

A.

Question 37

You and your partner enter the residence of an elderly couple, both of whom are found unconscious in their bed. There is no evidence of trauma. As you begin your assessment, you and your partner notice the smell of natural gas in the residence. Which of the following should be your MOST appropriate action?

 A. Quickly exit the residence and request the fire department to move the patients.	
 B. Perform a rapid assessment and then move the patients from their residence.	
 C. Rapidly remove the patients from their residence using a blanket or clothes drag.	
 D. Request another ambulance to assist with lifting and moving the patients.

Answer 37

C.

Question 38

In contrast to typical wheeled ambulance stretchers, features of a bariatric stretcher include:

 A. a weight capacity of up to 650 lb.	
 B. two safety rails on both sides of the stretcher.	
 C. increased stability due to a wider wheelbase.	
 D. a collapsible undercarriage.

Answer 38

C.

Question 39

Which of the following statements regarding the neonatal isolette is correct?

 A. The safest type of isolette is one that takes the place of the ambulance stretcher.	
 B. The isolette serves to keep the neonate warm and protects from excess handling.	
 C. A freestanding isolette should be used, not one that is secured to the stretcher.	
 D. If an isolette is not available, the neonate can safely be transported on the stretcher.

Answer 39

B.

Question 40

When carrying a patient on a backboard up or down stairs:

 A. keep your palms facing down.	
 B. carry the patient headfirst.	
 C. keep the head end elevated.	
 D. keep the foot end elevated.

Answer 40

C.