Chapter 19 Flashcards
Which of the following statements concerning a patient who received electrical burns to his hand after grabbing a live wire is true?
a. The burning will continue for hours, perhaps days.
b. The patient will remain an electrocution hazard to rescuers for several minutes after being removed from the source of electricity.
c. The extent of tissue damage may be much greater than it appears on the surface.
d. Inhalation of gases is dangerous.
a. The burning will continue for hours, perhaps days.
b. The patient will remain an electrocution hazard to rescuers for several minutes after being removed from the source of electricity.
c. The extent of tissue damage may be much greater than it appears on the surface.
d. Inhalation of gases is dangerous.
Answer: c
Objective: 19-5
Reference: 589
Your patient is a 35-year-old woman who spilled a cup of hot coffee on herself two hours ago. An area on her right thigh that is about twice the size of the palm of her hand is red and painful but has no blisters. Which of the following actions would be appropriate for an OEC Technician to take?
a. Apply a lotion containing a topical anesthetic and aloe vera.
b. Apply a sterile dressing.
c. Apply an antibiotic ointment.
d. Apply a plastic bag full of ice to the skin of the affected area.
a. Apply a lotion containing a topical anesthetic and aloe vera.
b. Apply a sterile dressing.
c. Apply an antibiotic ointment.
d. Apply a plastic bag full of ice to the skin of the affected area.
Answer: b
Objective: 19-3
Reference: 592
Your patient is a 40-year-old man who was burned when he spilled gasoline on his pants while he was standing near the pilot light of his hot-water heater. He has partial thickness burns from his feet to just above his knees, circumferentially around both legs. According to the Rules of Nines, the man burned ____ of his body surface.
a. 9 percent
b. 4.5 percent
c. 36 percent
d. 18 percent
a. 9 percent
b. 4.5 percent
c. 36 percent
d. 18 percent
Answer: d
Objective: 19-6
Reference: 589–590
Which of the following patients should be cared for in a burn center?
a. A 16-year-old female who has a 2-inch wide full-thickness burn on her leg from coming in contact with a motorcycle exhaust pipe
b. A 30-year-old woman who has deep partial-thickness burns on her hand and arm as a result of spilling hot cooking oil on herself
c. A 12-year-old boy with a superficial partial-thickness burn on his forearm as a result of making a torch by lighting aerosol from a can of hairspray
d. A 45-year-old man who has a full-thickness burn about 3 inches long by ½ inch wide on his posterior arm from backing into a barbecue grill
a. A 16-year-old female who has a 2-inch wide full-thickness burn on her leg from coming in contact with a motorcycle exhaust pipe
b. A 30-year-old woman who has deep partial-thickness burns on her hand and arm as a result of spilling hot cooking oil on herself
c. A 12-year-old boy with a superficial partial-thickness burn on his forearm as a result of making a torch by lighting aerosol from a can of hairspray
d. A 45-year-old man who has a full-thickness burn about 3 inches long by ½ inch wide on his posterior arm from backing into a barbecue grill
Answer: b
Objective: 19-3
Reference: 590
Which of the following sentences best describes a partial-thickness burn?
a. The skin is red and moist, and blisters have formed.
b. The skin is charred or blackened and lacks sensation.
c. The skin is red, but dry and painful.
d. The skin is white and dry with no sensation of pain.
a. The skin is red and moist, and blisters have formed.
b. The skin is charred or blackened and lacks sensation.
c. The skin is red, but dry and painful.
d. The skin is white and dry with no sensation of pain.
Answer: a
Objective: 19-3
Reference: 586
Your patient is a 10-year-old boy who was exposed to a dry chemical powder and is complaining of severe pain at the site of contact on both of his hands. There is no decontamination shower on site. Which of the following actions would be the best way to manage this situation?
a. Brush away as much of the powder as possible and then have the patient hold his hands under running water from a faucet or garden hose.
b. Have the fire department connect to a hydrant and spray the patient down from head to toe.
c. Brush away as much powder as possible and then pour a bottle of sterile saline solution over the patient’s hands.
d. Brush away the powder and then bandage the patient’s hands in a position of function.
a. Brush away as much of the powder as possible and then have the patient hold his hands under running water from a faucet or garden hose.
b. Have the fire department connect to a hydrant and spray the patient down from head to toe.
c. Brush away as much powder as possible and then pour a bottle of sterile saline solution over the patient’s hands.
d. Brush away the powder and then bandage the patient’s hands in a position of function.
Answer: a
Objective: 19-7
Reference: 594
Your patient is a 25-year-old man who has a reddened area with blisters across the palm of his hand after grabbing the handle of a very hot iron skillet. Which of the following actions must be avoided in the prehospital management of this wound?
a. Applying a dry, sterile dressing
b. Cooling the burn with cool water
c. Applying an antibiotic ointment
d. Elevating the wound above the level of the heart
a. Applying a dry, sterile dressing
b. Cooling the burn with cool water
c. Applying an antibiotic ointment
d. Elevating the wound above the level of the heart
Answer: c
Objective: 19-7
Reference: 592
A burn extending into the subcutaneous layer would be classified as a:
a. deep partial-thickness burn.
b. superficial burn.
c. superficial partial-thickness burn.
d. full-thickness burn.
a. deep partial-thickness burn.
b. superficial burn.
c. superficial partial-thickness burn.
d. full-thickness burn.
Answer: d
Objective: 19-3
Reference: 586
The largest organ of the human body is the:
a. large intestine.
b. liver.
c. small intestine.
d. skin.
a. large intestine.
b. liver.
c. small intestine.
d. skin.
Answer: d
Reference: 579–580
Objective: Supplemental
The top two layers of the skin are the:
a. epidermis and the dermis.
b. subcutaneous and the dermis.
c. epidermis and the cortex.
d. epidermis and the folic.
a. epidermis and the dermis.
b. subcutaneous and the dermis.
c. epidermis and the cortex.
d. epidermis and the folic.
Answer: a
Objective: Supplemental
Reference: 581
Thermal burns:
a. are the least common type of burns.
b. are the most common type of burns.
c. result from tanning beds.
d. result from exposure to Gamma radiation.
a. are the least common type of burns.
b. are the most common type of burns.
c. result from tanning beds.
d. result from exposure to Gamma radiation.
Answer: b
Objective: 19-1
Reference: 581
Chemical burns result from exposure to:
a. molten tar.
b. steam.
c. hot light bulbs.
d. caustic substances.
a. molten tar.
b. steam.
c. hot light bulbs.
d. caustic substances.
Answer: d
Objective: 19-1
Reference: 582
The most serious chemical burns could result from exposure to a solution with a pH of:
a. 7.
b. 9.
c. 6.
d. 13.
a. 7.
b. 9.
c. 6.
d. 13.
Answer: d
Objective: 19-1
Reference: 582
Electrical injuries produce severe external and internal injuries because:
a. the skin is a poor conductor with a high resistance, and blood vessels are good conductors with low resistance.
b. both the skin and blood vessels are good conductors with low resistance.
c. the skin is a good conductor with a high resistance, and blood vessels are good conductors with low resistance.
d. skin is a poor conductor with a low resistance, and blood vessels are good conductors with low resistance.
a. the skin is a poor conductor with a high resistance, and blood vessels are good conductors with low resistance.
b. both the skin and blood vessels are good conductors with low resistance.
c. the skin is a good conductor with a high resistance, and blood vessels are good conductors with low resistance.
d. skin is a poor conductor with a low resistance, and blood vessels are good conductors with low resistance.
Answer: a
Objective: 19-1
Reference: 583
Thermal burns result from:
a. transmitted Gamma radiation.
b. direct contact between a heat source and the skin.
c. indirect contact between a heat source and the skin.
d. a chemical reaction stimulated by a heat source.
a. transmitted Gamma radiation.
b. direct contact between a heat source and the skin.
c. indirect contact between a heat source and the skin.
d. a chemical reaction stimulated by a heat source.
Answer: b
Objective: 19-1
Reference: 581
