Chapter 32 Flashcards
A 31-year-old male was bitten on the leg by an unidentified snake. The patient is conscious and alert and in no apparent distress. Your assessment of his leg reveals two small puncture marks with minimal pain and swelling. In addition to administering oxygen and providing reassurance, further care for this patient should include:
A. transporting only with close, continuous monitoring.
B. elevating the lower extremities and giving antivenin.
C. applying ice to the wound and transporting quickly.
D. supine positioning, splinting the leg, and transporting.
D. supine positioning, splinting the leg, and transporting.
Chapter 32, page 1170, Bites and Envenomations
The EMT must assume that any unwitnessed water-related incident is accompanied by:
A. possible spinal injury.
B. an air embolism.
C. cold-water immersion.
D. alcohol intoxication.
A. possible spinal injury.
Chapter 32, page 1157, Drowning
Drowning is MOST accurately defined as:
A. temporary survival after submersion in water.
B. water in the lungs following submersion in water.
C. death beyond 24 hours after submersion in water.
D. death from suffocation after submersion in water.
D. death from suffocation after submersion in water.
Chapter 32, page 1157, Drowning
You are transporting a 28-year-old man with a frostbitten foot. The patient’s vital signs are stable and he denies any other injuries or symptoms. The weather is treacherous and your transport time to the hospital is approximately 45 minutes. During transport, you should:
A. administer oxygen via a nonrebreathing mask.
B. rewarm his foot in 102°F to 104°F (38.9°C to 40°C) water.
C. protect the affected part from further injury.
D. cover his foot with chemical heat compresses.
C. protect the affected part from further injury.
Chapter 32, page 1150, General Management of Cold Emergencies
Hypothermia occurs when the core body temperature falls below:
A. 90°F (32°C).
B. 88°F (31°C).
C. 95°F (35°C).
D. 98°F (37°C).
C. 95°F (35°C).
Chapter 32, page 1144, Cold Exposure
Burns associated with lightning strikes are typically:
A. partial-thickness.
B. third-degree.
C. superficial.
D. full-thickness.
C. superficial.
Chapter 32, page 1166, Lightning
A 30-year-old male was rescued after being lost in the woods for approximately 18 hours. The outside temperature is 30°F (–1°C). He is immediately placed in the warmed ambulance, where you perform a primary assessment. He is unresponsive, pale, and apneic. You should:
A. assess for a carotid pulse for up to 60 seconds.
B. apply an AED and assess his cardiac rhythm.
C. open his airway and give two rescue breaths.
D. apply chemical heat packs to his groin and axillae.
A. assess for a carotid pulse for up to 60 seconds.
Chapter 32, page 1147, Assessment of Cold Injuries
You respond to a local lake where a diver complains of difficulty breathing that occurred immediately after rapidly ascending from a depth of approximately 30 feet. On assessment, you note that he has cyanosis around his lips and has pink froth coming from his nose and mouth. You should:
A. position him supine with his head elevated 30°, suction his mouth and nose, hyperventilate him with a bag-valve mask, and contact medical control for further guidance.
B. suction his mouth and nose, keep him supine and elevate his legs to prevent air bubbles from entering his brain, administer high-flow oxygen, and transport to a hyperbaric chamber.
C. place him in a semi-sitting position, suction his mouth and nose, apply a continuous positive airway pressure (CPAP) device, and transport to the closest emergency department.
D. suction his mouth and nose, apply high-flow oxygen, monitor the patient’s breath sounds for a pneumothorax, and contact medical control regarding transport to a recompression facility.
D. suction his mouth and nose, apply high-flow oxygen, monitor the patient’s breath sounds for a pneumothorax, and contact medical control regarding transport to a recompression facility.
Which of the following MOST accurately describes hyperthermia?
A. Heat evaporates a significant amount of body water.
B. The core body temperature exceeds 99.5°F (37°C).
C. The body eliminates more heat than it can generate.
D. The body is exposed to more heat than it can lose.
D. The body is exposed to more heat than it can lose.
Chapter 32, pages 1150–1151, Heat Exposure
The MOST prominent symptom of decompression sickness is:
A. difficulty with vision.
B. tightness in the chest.
C. dizziness and nausea.
D. abdominal or joint pain.
D. abdominal or joint pain.
Chapter 32, page 1161, Diving Emergencies
