MCQ2 Flashcards

You may prefer our related Brainscape-certified flashcards:
1
Q

Side effects of adrenaline include the following
Select one:

a.
Nausea, vomiting, dizziness, flushing

b.
Oedema, vertigo, gastrointestinal bleeding, blurred vision

c.
Sedation, nausea, transient hypotension, headaches

d.
Palpitations, hypertension, tachyarrhythmias

A

Palpitations, hypertension, tachyarrhythmias

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

The normal range of blood glucose in an adult patient is
Select one:

a.
4 - 20 mmol/L

b.
4 - 5 mmol/L

c.
4 - 10 mmol/L

d.
2 - 6 mmol/L

A

4 - 10 mmol/L

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

When completing a PCR you make a mistake recording the time, you should
Select one:

a.
Cross through the mistake, and write correct time

b.
start a new PCR

c.
Use correction fluid and inform the receiving nurse when you get to the hospital

d.
Cross through the mistake, initial and write correct time

A

Cross through the mistake, initial and write correct time

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Which of the following is recognised as a “Degree of Active Listening?” when communicating
Select one:

a.
interrogate the patient to ensure accuracy

b.
deliberately challenge the patient to ensure they are telling the truth

c.
Record the information on the PCR

d.
Repeat the information to ensure accuracy

A

Repeat the information to ensure accuracy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

A conscious patient complaining of chest pain should be put in the _____position
Select one:

a.
Supine

b.
Trendelenburg

c.
semi-recumbent

d.
prone

A

semi-recumbent

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Parkinsons disease is associated with a deficiency in what hormone
Select one:

a.
Gamma aminobutyric acid

b.
Serotonin

c.
Dopamine

d.
Norepinephrine

A

Dopamine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Dysphasia is a difficulty in
Select one:

a.
Speaking

b.
Swallowing

c.
Shouting

d.
Saliva secretion

A

Speaking

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

The mechanical process of removing waste materials or poisons from the blood is called
Select one:

a.
osmosis

b.
Haematuria

c.
Haemophilia

d.
Haemodialysis

A

Haemodialysis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Osteoporosis is a condition which
Select one:

a.
Decreases bone mass and strength

b.
Blocks the small intestine

c.
Causes a prolapse of a vertebral disc

d.
Decreases metabolism

A

Decreases bone mass and strength

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

General rules apply for the use of an ambulance carrying chair, which include
Select one:

a.
Never leave the chair unattended

b.
the chair is designed for rough ground

c.
it requires a minimum of four crew members to carry

d.
it is not suitable for paediatric patients

A

Never leave the chair unattended

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Clinical expertise and specific interventions such as medication administration or suctioning are skills a ________could assist with if transported with your patient
Select one:

a.
Fire fighter

b.
Gardaí

c.
nursing escort

d.
patient’s relative

A

c.
nursing escort

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Which of the following is an indication for the use of Naloxone?
Select one:

a.
A/LOC and the presence of dilated pupils

b.
Inadequate respiration and/ or ALOC following known or suspected narcotic overdose

c.
P on AVPU with blood glucose of 2.3 mmol/L

d.
Respiratory distress following a submersion incident

A

b.
Inadequate respiration and/ or ALOC following known or suspected narcotic overdose

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Which of the following is a possible side effect of Ibuprofen?
Select one:

a.
Headache

b.
flushing

c.
dizziness

d.
Skin rashes

A

d.
Skin rashes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Which of the following is a contraindication for Oxygen?
Select one:

a.
Bleomycin lung injury

b.
Carbon monoxide poisoning

c.
Paraquat poisoning

d.
There are no contradictions for Oxygen

A

a.
Bleomycin lung injury

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

A 4 year old patient has just come out of a seizure; she is pyrexic and has no contraindications for Paracetamol. CPG 2021) You should administer Paracetamol at the dose of
Select one:

a.
120 mg

b.
180mg

c.
360 mg

d.
240 mg

A

d.
240 mg

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

An intestinal obstruction is contraindication for what drug
Select one:

a.
Nitrous oxide

b.
Salbutamol

c.
Glucagon

d.
Aspirin

A

a.
Nitrous oxide

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Which of the following is a contraindication to administration of Paracetamol?
Select one:

a.
Phaeochromocytoma

b.
Active pathological bleeding

c.
Chronic liver disease

d.
Peptic ulcer disease

A

c.
Chronic liver disease

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

What does the term contraindication mean?
Select one:

a.
you can proceed with intervention and or medication

b.
Proceed with medication and or intervention is permitted under CPGs

c.
Proceed with intervention and or medication with caution

d.
Proceeding with intervention and/or medication is prohibited

A

d.
Proceeding with intervention and/or medication is prohibited

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

What is the paediatric dose of Ibuprofen?
Select one:

a.
10mg/kg

b.
0.5mg/Kg

c.
20mg/kg

d.
5mg/Kg

A

a.
10mg/kg

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

The formula used to calculate the weight of a 9 year old is
Select one:

a.
(age x 2) + 9

b.
(age x 3) + 8

c.
(Age x 2) + 8

d.
(Age x 3) + 7

A

d.
(Age x 3) + 7

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

The formula used to calculate the weight of a 9 year old is
Select one:

a.
(age x 2) + 9

b.
(age x 3) + 8

c.
(Age x 2) + 8

d.
(Age x 3) + 7

A

d.
(Age x 3) + 7

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

What is the dose in MG of Ibuprofen for a 9 year old?
Select one:

a.
10mg

b.
20mg

c.
340mg

d.
34mg

A

c.
340mg

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

What is the correct dose in mg of paracetamol for a 5 year old (CPG 2021)?
Select one:

a.
330 mg

b.
5 mg

c.
270 mg

d.
150 mg

A

c.
270 mg

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

Which of the following is a contraindication for methoxyflurane
Select one:

a.
renal failure or impairment

b.
Pre-coma states

c.
Systolic blood pressure <90mmhg

d.
pregnancy

A

a.
renal failure or impairment

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

The dosage of methoxyflurane administered is
Select one:

a.
10mL

b.
3mL

c.
30mL

d.
5mL

A

b.
3mL

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

An intramuscular injection should be delivered at a ____ degree angle to the skin?
Select one:

a.
90

b.
30

c.
45

d.
15

A

a.
90

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

The dose of Aspirin is ______ for a Paediatric patient
Select one:

a.
100mg

b.
300mg

c.
50mg

d.
contraindicated

A

d.
contraindicated

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

Which of the following is an indication for the use of Naloxone?
Select one:

a.
Inadequate respirations and /or ALOC following or suspected narcotic overdose

b.
Hypoglycaemia with a blood glucose < 4 mmol/L

c.
P on the pain scale, with adequate respirations

d.
Severe Anaphylaxis

A

Inadequate respirations and /or ALOC following or suspected narcotic overdose

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

The dose of Paracetamol administered to a paediatric patient with a temperature > 38.5 oC with signs of distress or pain is
Select one:

a.
15 mg/kg PO

b.
1g PO

c.
20 mg/kg PR

d.
180mg PR

A

a.
15 mg/kg PO

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

Shock caused by the failure of the nervous system to control the diameter of blood vessels is called ________ shock
Select one:

a.
Cardiogenic

b.
Hypovoleamic

c.
Septic

d.
Neurogenic

A

d.
Neurogenic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q

The most effective method of controlling an external bleed is by the use of
Select one:

a.
Elevation

b.
Indirect pressure

c.
Direct pressure

d.
Tourniquets

A

c.
Direct pressure

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
32
Q

In compensatory shock, the systolic blood pressure
Select one:

a.
Remains steady

b.
Increases

c.
Rises rapidly

d.
Falls rapidly

A

a.
Remains steady

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
33
Q

A clean deep cut made with a sharp knife or scalpel is called a/an
Select one:

a.
Laceration

b.
Incision

c.
Avulsion

d.
Contusion

A

b.
Incision

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
34
Q

What percentage of oxygen is contained in expired air?
Select one:

a.
20

b.
79

c.
0.4

d.
16

A

d.
16

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
35
Q

If treating an adult patient with mild asthma, the EMT should administer
Select one:

a.
Salbutamol

b.
Oxygen 100% non-re-breather

c.
glucagon

d.
epinephrine

A

a.
Salbutamol

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
36
Q

When caring for a patient with a foreign object in an extremity, the EMT should
Select one:

a.
Remove the object if there are signs of arterial bleeding

b.
Always remove the object

c.
Never remove the object

d.
Remove the object only if it appears not to have penetrated too deeply

A

c.
Never remove the object

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
37
Q

An obstructive airway disease, characterised by a loss of elasticity to the alveoli and the terminal bronchiole is called
Select one:

a.
Bronchitis

b.
Pneumonia

c.
Emphysema

d.
Asthma

A

c.
Emphysema

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
38
Q

A patient with an avulsed eye and absolutely no other injuries should be treated by
Select one:

a.
Cover injured eye with a sterile dressing and then bandage snugly, consider transport to a specialised eye hospital

b.
Cover both eyes with a sterile dressing and then bandage snugly, do not apply direct pressure to the injured eye, and consider transport to a specialised eye hospital

c.
Replacing the eye back into its socket and then dress with a bandage, consider transport to a specialised eye hospital

d.
Flushing the avulsed eye with copious amounts of water to prevent infection, apply direct pressure to the injured eye, consider transport to a specialised eye hospital

A

b.
Cover both eyes with a sterile dressing and then bandage snugly, do not apply direct pressure to the injured eye, and consider transport to a specialised eye hospital

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
39
Q

The oxygen adjunct of choice for a patient who has been involved in a trauma event and is breathing normally is
Select one:

a.
BVM, 02 and reservoir bag

b.
Nasal cannula

c.
Non rebreather facemask

d.
Venturi mask

A

c.
Non rebreather facemask

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
40
Q

When bandaging extremities, the EMT should
Select one:

a.
Apply bandage tightly over fingers and toes

b.
Apply the bandage over the fingers and toes only if the weather is cold

c.
Apply the bandage loosely over the fingers or toes

d.
Leave the fingers or toes exposed whenever possible

A

d.
Leave the fingers or toes exposed whenever possible

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
41
Q

When the abdomen is lacerated and an organ is protruding through the wound, the EMT should
Select one:

a.
Keep the organ clean, warm and dry and give the patients a drink of water to counteract shock

b.
Gently spray the organ with water and wrap the wound with a dressing

c.
Gently replace the organ within the cavity and cover with an occlusive dressing

d.
Cover the organ with an occlusive dressing soaked with saline solution.

A

d.
Cover the organ with an occlusive dressing soaked with saline solution.

42
Q

Which of the following is correct care for a patient with an object impaled in their chest?
Select one:

a.
Quickly removing the object and seal the wound with a sterile dressing

b.
With a sterile dressing cover the object and slowly remove it, then quickly dress the wound

c.
Removing the object if there is severe bleeding and packing the wound

d.
Securing the impaled object with bulky dressing held in place with tape and bandages

A

d.
Securing the impaled object with bulky dressing held in place with tape and bandages

43
Q

The conscious patient with a sucking chest wound should be transported in which of the following positions
Select one:

a.
Lying on the injured side

b.
Lying on the uninjured side

c.
Supine

d.
Prone

A

a.
Lying on the injured side

44
Q

In a condition known as hypoxic drive the patients breathing mechanism is triggered by the low amount of
Select one:

a.
Carbon dioxide in the blood

b.
Oxygen in inspired air

c.
Oxygen in the blood

d.
Carbon dioxide in inspired air

A

c.
Oxygen in the blood

45
Q

Exchange of gases takes place in the lungs due to the process of
Select one:

a.
Diffusion

b.
Absorption

c.
Inspiration

d.
Osmosis

A

a.
Diffusion

46
Q

A patient presents with an increased pulse rate, low blood pressure, rapid respirations and pallor of the skin. From the above information what is your clinical impression of this patient
Select one:

a.
Shock

b.
The patient is having an allergic reaction (hypersensitivity)

c.
Hyperglycaemia

d.
The patient is having a cerebrovascular accident

A

a.
Shock

47
Q

The use of accessory muscles when breathing can be described as?
Select one:

a.
noisy breathing

b.
shallow breathing

c.
normal breathing

d.
laboured breathing

A

d.
laboured breathing

48
Q

Chronic Bronchitis and emphysema are examples of a respiratory disorder, which may cause a condition called
Select one:

a.
Deep vein thrombosis

b.
Pulmonary embolism

c.
Chronic obstructive pulmonary disease

d.
Jugular vein distension

A

c.
Chronic obstructive pulmonary disease

49
Q

Treatment for an abdominal evisceration would include which of the following
Select one:

a.
Using adhesive dressings on the wound

b.
Using direct pressure on the wound

c.
Flexing the knees and legs to relieve pressure on the abdomen

d.
Pushing the exposed organs back into the abdominal cavity

A

c.
Flexing the knees and legs to relieve pressure on the abdomen

50
Q

For a patient with epistaxis (nose Bleed), pressure should be held for a minimum of ____ minutes
Select one:

a.
15

b.
10

c.
5

d.
20

A

a.
15

51
Q

You have a patient who has severe epistaxis. You have been able to rule out trauma. How would you position this patient to help control the bleeding?
Select one:

a.
supine

b.
Sitting leaning back

c.
Sitting leaning forward

d.
Prone

A

c.
Sitting leaning forward

52
Q

What are agonal respirations?
Select one:

a.
absence of respirations

b.
occasional gasping breaths, but sufficient to maintain life

c.
occasional gasping breaths, unable to maintain life

d.
painful respirations due to broken ribs

A

c.
occasional gasping breaths, unable to maintain life

53
Q

A patient with severe bleeding from a wond on their neck is best cared for using a/an

Select one:

a.
pressure points

b.
haemostatic dressing

c.
ambulance dressing

d.
tourniquet

A

b.
haemostatic dressing

54
Q

Which of the following is most likely to produce hypovolemic shock?
Select one:

a.
Spinal cord injury

b.
Pott’s fracture

c.
laceration to scalp

d.
ruptured spleen

A

d.
ruptured spleen

55
Q

There are three main causes of fainting (syncope), one is postural, second is emotional stress and the third is _______
Select one:

a.
Hyperglycaemia

b.
Cardiac in origin

c.
Respiratory in origin

d.
Hypertension

A

b.
Cardiac in origin

56
Q

When dealing with a patient with Epistaxis, digital pressure should be applied for?
Select one:

a.
10 minutes

b.
5 minutes

c.
15 minutes

d.
20 minutes

A

c.
15 minutes

57
Q

Of the problems listed below, which should the EMT consider first when treating a patient with severe facial injuries
Select one:

a.
The lower jaw may also be fractured which will cause extreme pain

b.
The patient may have a fractured skull

c.
Airway compromise

d.
The patient may have brain damage

A

c.
Airway compromise

58
Q

Under certain circumstances, an impaled object may be removed if it is located in the
Select one:

a.
Skull

b.
Cheek

c.
Abdomen

d.
Chest

A

b.
Cheek

59
Q

Hyperglycaemia will usually occur
Select one:

a.
At the same time every day

b.
Gradually (hours or days)

c.
Occur rapidly

d.
Within minutes of eating

A

b.
Gradually (hours or days)

60
Q

Non – insulin dependent diabetes is called
Select one:

a.
Type 2

b.
Type 1

c.
Type 3

d.
Type 4

A

a.
Type 2

61
Q

Due to a liver disorder, a patient’s skin may appear to be yellow in colour. This condition is known as
Select one:

a.
jaundice

b.
Flushed

c.
cyanosis

d.
pallor

A

a.
jaundice

62
Q

Sugar (glucose) will not enter the red blood cells without the aid of a hormone called
Select one:

a.
Insulin, which is manufactured in the kidneys

b.
Insulin, which is manufactured in the pancreas

c.
glucagon, which is manufactured in the pancreas

d.
glucagon, which is manufactured in the liver

A

b.
Insulin, which is manufactured in the pancreas

63
Q

Which of the following emergency care measures is recommended for dealing with a patient taking an epileptic seizure
Select one:

a.
load and go, transport the patient to the ED immediately

b.
protect the patient from futher injury until the seizure passes

c.
Gently shake the patient and say “hello can you hear me”

d.
Forcibly restrain the patient until the convulsions pass, this may also include forcing an oropharyngeal airway into the patients mouth

A

b.
protect the patient from futher injury until the seizure passes

64
Q

A 56 year old woman suddenly complains of the worst headache of her life, with nausea and vomiting. The most likely cause of her symptoms from the list below is
Select one:

a.
Haemorrhagic stroke

b.
Transient ischaemic attack

c.
Ischaemic stroke

d.
Embolic stroke

A

a.
Haemorrhagic stroke

65
Q

A patient has had a seizure, is now post seizure and is responsive to pain. You check the patients blood glucose and you find it to be 1.3mmol/L . The EMT should administer
Select one:

a.
Administer glucagon

b.
Administer glucose gel

c.
naloxone

d.
oxygen

A

a.
Administer glucagon

66
Q

Low blood glucose levels, an inadequate blood flow to the brain and a lack of oxygen are all possible causes of
Select one:

a.
meningitis

b.
altered level of consciousness

c.
neurogenic shock

d.
stroke

A

a.
meningitis

b.
altered level of consciousness

67
Q

A hypoglycaemic event will usually occur
Select one:

a.
rapidly (within a few hours)

b.
Gradually (hours to days)

c.
At the same time, every day

d.
once a week

A

a.
rapidly (within a few hours)

68
Q

The term syncope is the condition known as
Select one:

a.
disorientation

b.
confusion

c.
seizures

d.
fainting

A

d.
fainting

69
Q

Which of the following is a sign or symptom of hyperglycaemia?
Select one:

a.
Weak, rapid pulse

b.
hypotension

c.
cold, clammy sweat

d.
Acetone breath (fruity smell)

A

d.
Acetone breath (fruity smell)

70
Q

Which term describes the phase of a seizure where the patient becomes rigid for a short period of time
Select one:

a.
post-ictal

b.
aura

c.
tonic

d.
clonic

A

c.
tonic

71
Q

Status Epilepticus is
Select one:

a.
a succession of epileptic fits

b.
When seizures are localised or an absence seizure

c.
When seizures continue for more than 5 minutes with no recovery in between

d.
When the seizure is minor and of little danger to the patient

A

a.
a succession of epileptic fits

72
Q

Excessive blood glucose levels which usually results when a diabetic patient has not taken his/her insulin or has overeaten, is known as
Select one:

a.
Hypoglycaemia

b.
Hyperglycaemia

c.
Hypertension

d.
Hypotension

A

b.
Hyperglycaemia

73
Q

The largest artery in the body is the
Select one:

a.
carotid artery

b.
aorta

c.
femoral artery

d.
hepatic artery

A

b.
aorta

74
Q

The spine consists of 33 bones, which breaks down into 5 groups. Identify the groups
Select one:

a.
7 cervical; 12 thoracic; 5 lumbar; 6 sacrum; 3 coccyx

b.
7 cervical; 12 lumbar; 5 thoracic; 4 sacrum; 5 coccyx

c.
7 cervical; 12 thoracic; 5 lumbar;5 sacrum; 4 coccyx

d.
5 cervical; 12 lumbar; 7 thoracic, 5 sacrum; 4 coccyx

A

c.
7 cervical; 12 thoracic; 5 lumbar;5 sacrum; 4 coccyx

75
Q

dentify the three types of muscular tissue
Select one:

a.
Skeletal, smooth, cardiac

b.
Striated, voluntary, skeletal

c.
Cardiac, smooth, involuntary

d.
Voluntary, striated, cardiac

A

a.
Skeletal, smooth, cardiac

76
Q

Where is the Dorsalis Pedis pulse point found?
Select one:

a.
Behind the ankle

b.
in the groin

c.
at the knee

d.
On top of the foot

A

d.
On top of the foot

77
Q

There are a number of factors that provide us with a stimulus to breath, one of them being _______ which are situated in the walls of the Aorta and the Carotid
Select one:

a.
neurotransmitters

b.
Stretch receptors

c.
Baroreceptors

d.
chemoreceptors

A

d.
chemoreceptors

78
Q

Skeletal muscle has four characteristics, excitability, contractility, extensibility and _______
Select one:

a.
Elasticity

b.
Automaticity

c.
Osseo integration

d.
Elongation

A

a.
Elasticity

79
Q

How many spinal vertebrae are there?
Select one:

a.
30

b.
33

c.
31

d.
12

A

b.
33

80
Q

The amount of blood ejected from the left ventricle into the aorta for each contraction is called
Select one:

a.
Stroke volume

b.
Systolic pump pressure

c.
Cardiac output

d.
Cardiac pre-load

A

a.
Stroke volume

81
Q

Which of the following groups of organs all lie within the abdominal cavity
Select one:

a.
Pancreas, vena cava and lungs

b.
Kidneys, spleen and heart

c.
Oesophagus, aorta and lungs

d.
Gall bladder, liver and pancreas

A

d.
Gall bladder, liver and pancreas

82
Q

External respiration is the process of carbon dioxide being exchanged for oxygen in your lungs. This takes place in the _________ of the lungs
Select one:

a.
Pleural Cavity

b.
Alveoli

c.
Bronchi

d.
Trachea

A

b.
Alveoli

83
Q

The lower chambers of the heart, which are responsible for the main pumping action of the myocardium, are referred to as ________
Select one:

a.
Tricuspids

b.
Septum

c.
Atria

d.
Ventricles

A

d.
Ventricles

84
Q

Which of the following structures is part of the respiratory system?
Select one:

a.
hepatic artery

b.
Larynx

c.
oesophagus

d.
hyoid bone

A

b.
Larynx

85
Q

Severe bleeding from the forearm may be referred to as ______ to the elbow
Select one:

a.
Superior

b.
Proximal

c.
Inferior

d.
Distal

A

d.
Distal

86
Q

When dealing with a limb fracture, you would
Select one:

a.
Withold pain relief from the patient

b.
Apply traction to the injured limb

c.
Leave open wounds uncovered

d.
Check CSMs distal to the injury site

A

d.
Check CSMs distal to the injury site

87
Q

The most important thing that an EMT has to remember about severely angulated fractures is that the
Select one:

a.
Acute angle of the limb may cause pinching or cutting of the nerves or blood vessels

b.
Angulation will always make transport difficult

c.
Angulation will cause mild pain

d.
Angulation may result in permanent shortening of the limb

A

a.
Acute angle of the limb may cause pinching or cutting of the nerves or blood vessels

88
Q

A patient with a fractured clavicle typically sits or stands with the
Select one:

a.
Shoulder of the injured side bent forward

b.
Shoulder of the injured side bent backwards

c.
Shoulder of the uninjured side bent backwards

d.
Shoulder of the uninjured side bent forwards

A

a.
Shoulder of the injured side bent forward

89
Q

Which of the following statements describes the treatment decision regarding spinal injuries?
Select one:

a.
The mechanism of injury can determine whether the patient is treated as a possible spinal injury

b.
Never treat for spinal injuries unless the patient complains of neck pain

c.
You must treat all cases as spinal injuries

d.
Treat for spinal injury only if speech is slurred and the patient has received direct head trauma

A

a.
The mechanism of injury can determine whether the patient is treated as a possible spinal injury

90
Q

You arrive at the scene of a road traffic accident to find a 25 year old female sitting in her car complaining of slight neck pain. She is conscious and alert with normal vital signs. The car was hit from behind by another car traveling at 50KMPH. The patient will
Select one:

a.
be treated using passive spinal motion restriction

b.
have active spinal motion restriction applied

c.
removed using rapid extrication

d.
ruled out for spinal injury and walked to the ambulance

A

b.
have active spinal motion restriction applied

91
Q

One sign of a spinal injury is priapism, which is
Select one:

a.
Cramping of the fingers

b.
Lack of sensation of the distal extremities

c.
loss of bladder control

d.
persistent erection of the penis

A

d.
persistent erection of the penis

92
Q

A properly applied cervical collar will assist you in maintaining the head and neck in
Select one:

a.
A neutral in line position

b.
A hyperextended position for airway maintenance

c.
A slightly flexed position for airway maintenance

d.
The “sniffing position”

A

a.
A neutral in line position

93
Q

You are caring for a 52 year old unconscious male patient who is the passenger in a vehicle struck by a truck. He has an open head wound and bruising to the chest and abdomen. His rspirations are 32 per minute and his pulse is 180 per minute. His skin is very cool and clammy. This patient should be managed by
Select one:

a.
Immobilization with a vest type extrication device before removal on a long board

b.
rapid extrication using a long board and collar

c.
await the fire service to cut the vehicle for extrication

d.
performing a rescue drag with any spinal immobilisation device

A

rapid extrication using a long board and collar,

performing a rescue drag with any spinal immobilisation device

94
Q

While managing a trauma situation involving possible spinal injury you encounter a combative patient. What is the best course of action regarding spinal immobilisation
Select one:

a.
Forcibly restrain them

b.
Do not forcibly restrain them

c.
Call ALS to sedate them for spinal immobilisation

d.
ensure they are arrested by Gardai

A

b.
Do not forcibly restrain them

95
Q

A sprain is an injury to
Select one:

a.
ligaments

b.
tendons

c.
bones

d.
muscles

A

a.
ligaments

96
Q

Which vital sign might indicate a closed head injury following a fall
Select one:

a.
shallow breathing

b.
equal pupils

c.
rapid pulse

d.
elevated BP

A

d.
elevated BP

97
Q

Fractures to what bone are most likely to result in the most severe internal bleeding
Select one:

a.
pelvis

b.
sternum

c.
Femur

d.
humerus

A

a.
pelvis

98
Q

A patient who is bleeding within the skull will most likely produce which of the following sets of vital signs:
Select one:

a.
Lowering blood pressure, lowering pulse and rising respiratory rate

b.
Rising blood pressure, slowing pulse and slowing respiratory rate

c.
Lowering blood pressure, lowering pulse and lowering respiratory rate

d.
Rising blood pressure, rising pulse and lowering respiratory rate

A

b.
Rising blood pressure, slowing pulse and slowing respiratory rate

99
Q

Which one of the following factors has the greatest influence on kinetic energy?
Select one:

a.
Increasing velocity

b.
Increasing density

c.
Increasing oscillation

d.
Increasing mass

A

a.
Increasing velocity

100
Q

Which of the following statements regarding damage to the spinal cord is true?
Select one:

a.
The thoracic region is the most frequently injured part

b.
the cervical region is the most frequently injured part

c.
all neurological effects are permanent

d.
When damaged it will cause loss of leg movement only

A

b.
the cervical region is the most frequently injured part

101
Q

What does DCAPBTLS stand for

A

Deformity
Contusion
Abrasion
Punctuation
Burns
Tenderness
Laceration
Swelling

102
Q

Standard pulse rate

A

Infant 100 - 160
Toddler 90 - 150
Pre school 80 - 140
School 70 - 120
Adolescent 60 - 100