Ch. 41 Flashcards
Soon after being placed in a cool environment, the body will respond by:
A) inhibiting conduction through piloerection.
B) inducing thermogenesis to increase heat production.
C) inducing thermolysis to release heat.
D) increasing ambient temperature to decrease the thermal gradient.
B) inducing thermogenesis to increase heat production.
Page Ref: 908
Objective: 41.1 Define key terms introduced in this chapter; 41.4 Explain the process of thermoregulation, including mechanisms by which the body gains and loses heat.
Heat flowing from a surface of greater temperature to one of lesser temperature via direct contact BEST explains the concept of:
A) radiation.
B) convection.
C) conduction.
D) evaporation.
C) conduction.
Page Ref: 908
Objective: 41.1 Define key terms introduced in this chapter; 41.4 Explain the process of thermoregulation, including mechanisms by which the body gains and loses heat.
Convection causes the body to lose heat by:
A) direct contact with another surface.
B) transferring heat to moving air molecules.
C) radiation of heat to the environment.
D) evaporation of moisture from the skin.
B) transferring heat to moving air molecules.
Page Ref: 908
Objective: 41.1 Define key terms introduced in this chapter; 41.4 Explain the process of thermoregulation, including mechanisms by which the body gains and loses heat.
The body’s attempt at maintaining a core temperature is known as:
A) compensation.
B) metabolism.
C) aerobic metabolism.
D) thermoregulation.
D) thermoregulation.
Page Ref: 908
Objective: 41.1 Define key terms introduced in this chapter; 41.4 Explain the process of thermoregulation, including mechanisms by which the body gains and loses heat.
If heat exhaustion is NOT treated, the patient is at risk for:
A) pulmonary edema.
B) respiratory distress.
C) heatstroke.
D) heat cramps.
C) heatstroke.
Page Ref: 912
Objective: 41.1 Define key terms introduced in this chapter; 41.3 Describe the scene size-up, primary and secondary assessments, and management of environmental emergencies including deep-water diving injuries, high-altitude sickness, lightning strike, local cold injuries, drowning, and systemic heat and cold injuries.
During immersion in cold water, heat loss will MOST likely occur as a result of:
A) conduction.
B) convection.
C) radiation.
D) evaporation.
A) conduction.
Page Ref: 908
Objective: 41.1 Define key terms introduced in this chapter; 41.4 Explain the process of thermoregulation, including mechanisms by which the body gains and loses heat.
An environmental emergency is an emergency involving any of the following EXCEPT:
A) submersion in water.
B) temperature.
C) atmospheric pressure.
D) trauma.
D) trauma.
Page Ref: 908
Objective: 41.2 Explain actions you should take to protect your own safety when responding to environmental emergencies; 41.3 Describe the scene size-up, primary and secondary assessments, and management of environmental emergencies including deep-water diving injuries, high-altitude sickness, lightning strike, local cold injuries, drowning, and systemic heat and cold injuries.
Shivering is a mechanism in which:
A) metabolic activity decreases in order to create heat.
B) physical activity increases, generating heat.
C) the muscle cells lose their ability to compensate for heat loss.
D) blood shunts from the muscles, generating heat.
B) physical activity increases, generating heat.
Page Ref: 908
Objective: 41.3 Describe the scene size-up, primary and secondary assessments, and management of environmental emergencies including deep-water diving injuries, high-altitude sickness, lightning strike, local cold injuries, drowning, and systemic heat and cold injuries; 41.4 Explain the process of thermoregulation, including mechanisms by which the body gains and loses heat.
Heatstroke results in:
A) an abnormally high core temperature.
B) shivering to release heat.
C) thermogenesis.
D) vasoconstriction.
A) an abnormally high core temperature.
Page Ref: 912
Objective: 41.3 Describe the scene size-up, primary and secondary assessments, and management of environmental emergencies including deep-water diving injuries, high-altitude sickness, lightning strike, local cold injuries, drowning, and systemic heat and cold injuries; 41.5 Explain the risk factors, pathophysiology, signs, symptoms, assessment, and management of heat cramps, heat exhaustion, heatstroke (classical and exertional), local cold injury, and mild, moderate, and severe hypothermia.
Classic heatstroke is a result of:
A) exposure to excessive heat.
B) cardiac arrest.
C) hyperglycemia.
D) heat cramps.
A) exposure to excessive heat.
Page Ref: 912
Objective: 41.3 Describe the scene size-up, primary and secondary assessments, and management of environmental emergencies including deep-water diving injuries, high-altitude sickness, lightning strike, local cold injuries, drowning, and systemic heat and cold injuries; 41.5 Explain the risk factors, pathophysiology, signs, symptoms, assessment, and management of heat cramps, heat exhaustion, heatstroke (classical and exertional), local cold injury, and mild, moderate, and severe hypothermia.
Heat-related injury may manifest itself as any of the following EXCEPT:
A) heatstroke.
B) heat cramps.
C) heat exhaustion.
D) perspiration.
D) perspiration.
Page Ref: 911
Objective: 41.3 Describe the scene size-up, primary and secondary assessments, and management of environmental emergencies including deep-water diving injuries, high-altitude sickness, lightning strike, local cold injuries, drowning, and systemic heat and cold injuries; 41.5 Explain the risk factors, pathophysiology, signs, symptoms, assessment, and management of heat cramps, heat exhaustion, heatstroke (classical and exertional), local cold injury, and mild, moderate, and severe hypothermia.
Treatment of heat cramps should include:
A) deep muscle massage.
B) oral electrolytes such as non-caffeinated sports drinks.
C) rapid infusion of cooled IV fluids.
D) very cold water provided orally until the patient feels better.
B) oral electrolytes such as non-caffeinated sports drinks.
Page Ref: 912
Objective: 41.3 Describe the scene size-up, primary and secondary assessments, and management of environmental emergencies including deep-water diving injuries, high-altitude sickness, lightning strike, local cold injuries, drowning, and systemic heat and cold injuries; 41.5 Explain the risk factors, pathophysiology, signs, symptoms, assessment, and management of heat cramps, heat exhaustion, heatstroke (classical and exertional), local cold injury, and mild, moderate, and severe hypothermia.
If transport time is extended for a patient who has severe deep frostbite to an extremity, it is BEST to attempt warming by:
A) vigorously massaging the affected areas to promote circulation.
B) immersing the affected areas in water that is approximately 102-104 degrees F.
C) administering vasopressors to promote circulation.
D) rubbing the affected areas gently.
B) immersing the affected areas in water that is approximately 102-104 degrees F.
Page Ref: 915
Objective: 41.3 Describe the scene size-up, primary and secondary assessments, and management of environmental emergencies including deep-water diving injuries, high-altitude sickness, lightning strike, local cold injuries, drowning, and systemic heat and cold injuries; 41.5 Explain the risk factors, pathophysiology, signs, symptoms, assessment, and management of heat cramps, heat exhaustion, heatstroke (classical and exertional), local cold injury, and mild, moderate, and severe hypothermia.
A 42-year-old construction worker faints while mixing cement. The patient presents as warm and diaphoretic, with rapid and shallow respirations. He responds to verbal stimuli and complains of being extremely weak. Management should consist of:
A) encouraging the patient to drink iced tea.
B) removing the patient from the hot environment.
C) administering an IV of D5W.
D) giving the patient salt tablets.
B) removing the patient from the hot environment.
Page Ref: 912
Objective: 41.3 Describe the scene size-up, primary and secondary assessments, and management of environmental emergencies including deep-water diving injuries, high-altitude sickness, lightning strike, local cold injuries, drowning, and systemic heat and cold injuries; 41.5 Explain the risk factors, pathophysiology, signs, symptoms, assessment, and management of heat cramps, heat exhaustion, heatstroke (classical and exertional), local cold injury, and mild, moderate, and severe hypothermia.
With a core temperature of 28°C (82.4°F) a patient will display all of the following signs or symptoms EXCEPT:
A) loss of consciousness.
B) decline in oxygen consumption and pulse.
C) increased muscle rigidity.
D) marked bradypnea.
C) increased muscle rigidity.
Page Ref: 914
Objective: 41.3 Describe the scene size-up, primary and secondary assessments, and management of environmental emergencies including deep-water diving injuries, high-altitude sickness, lightning strike, local cold injuries, drowning, and systemic heat and cold injuries; 41.5 Explain the risk factors, pathophysiology, signs, symptoms, assessment, and management of heat cramps, heat exhaustion, heatstroke (classical and exertional), local cold injury, and mild, moderate, and severe hypothermia.
Your patient is standing outside where the ambient temperature is 100 degrees F. Due to the thermal gradient, you would expect:
A) heat transfer from the patient to the environment.
B) heat transfer from the environment to the patient.
C) heat exchange from the patient by conduction.
D) heat loss to occur quickly.
B) heat transfer from the environment to the patient.
Page Ref: 908
Objective: 41.4 Explain the process of thermoregulation, including mechanisms by which the body gains and loses heat.
Associated factors in determining the rate of heat exchange in the environment include:
A) ambient temperature of the body.
B) humidity and wind.
C) percentage of carbon dioxide in the atmosphere.
D) carbon emissions from vehicles.
B) humidity and wind.
Page Ref: 908-909
Objective: 41.4 Explain the process of thermoregulation, including mechanisms by which the body gains and loses heat; 41.5 Explain the risk factors, pathophysiology, signs, symptoms, assessment, and management of heat cramps, heat exhaustion, heatstroke (classical and exertional), local cold injury, and mild, moderate, and severe hypothermia.
When the core temperature is greater than that of the surrounding environment, the body will:
A) lose heat (thermolysis).
B) elevate the core temperature (thermogenesis).
C) increase the basal metabolic rate.
D) utilize the thermal gradient to exchange heat from the atmosphere to the body.
A) lose heat (thermolysis).
Page Ref: 908
Objective: 41.4 Explain the process of thermoregulation, including mechanisms by which the body gains and loses heat.
When air enters the body through the nose and mouth and travels through the airway into the lungs, it is:
A) conducted as heat to the surrounding tissues.
B) compressed and pressurized.
C) cooled and dried.
D) warmed and humidified.
D) warmed and humidified.
Page Ref: 909
Objective: 41.4 Explain the process of thermoregulation, including mechanisms by which the body gains and loses heat.