Module 12 Flashcards

1
Q

A patient who is conscious and breathing has been pulled from a cold stream. To decrease the patient’s loss of heat via the mechanism of conduction, OEC technicians should immediately:

A

thoroughly dry the patient and then apply a blanket.

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2
Q

Plants most commonly cause toxic reactions through which of the following routes?
-Inhalation and injection

-Ingestion and inhalation

-Topical contact and injection

-Ingestion and topical contact

A

Ingestion and topical contact

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3
Q

Marine life can cause varying degrees of injury and illness. Which of the following marine creatures can cause respiratory failure and cardiovascular collapse in humans?
Spiny fish

Moray eels

Biting fish

Jellyfish

A

Jellyfish

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4
Q

The final event in the series of events in drowning is:

cardiac arrest.

a seizure leading to unresponsiveness leading to respiratory arrest.

altered mental status leading to respiratory arrest.

unresponsiveness leading to respiratory arrest.

A

cardiac arrest

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5
Q

Which of these is a submersion injury?

Someone becomes hypothermic while wearing wet clothes.

Someone strikes a submerged rock while airway is under water.

Someone chokes on a glass of water.

Someone has an allergic reaction to a drink that includes water.

A

Someone strikes a submerged rock while airway is under water.

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6
Q

You are working at a mountain resort and are presented with a 50-year-old who states that they do not feel well. From your assessment, which of the following findings would seemingly indicate that the patient is being adversely affected by the high altitude?

An elevated blood glucose level with no history of diabetes

A complaint of feeling short of breath on exertion

A heart rate of 62 beats per minute

Vomiting after eating large meals

A

A complaint of feeling short of breath on exertion

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7
Q

The initial priority for avalanche victims is:

treating for hypothermia.

ensuring adequate ventilation.

cervical stabilization.

warming the extremities.

A

ensuring adequate ventilation

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8
Q

Given that 50 percent of patients with HAPE also have symptoms of AMS, it is important that you ask patients if they have had which of the following groups of signs/symptoms?

Difficulty sleeping, vomiting, ataxia

Harsh cough, itchy skin, nausea

Headache, blurred vision, peripheral edema

Fatigue, nausea, difficulty sleeping

A

Fatigue, nausea, difficulty sleeping

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9
Q

The concentration of oxygen at sea level is approximately:

A

21%.

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10
Q

The height or vertical elevation above a fixed point is known as:

A

altitude.

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11
Q

You are at a football practice on a very hot summer day. A young player is panting and lying under a tree. Their skin is flushed, and their teammates are continually wiping the sweat off the patient’s face, arms, and chest with towels and offering them fluids to drink. Which of the following statements is most appropriate for this situation?

“Keep wiping. You are helping the patient retain water that their body needs.”

“Don’t give the patient fluids. It will only make them sweat more.”

“It’s OK for the patient to sweat. It is helping their body cool down.”

“Let’s put the patient’s shirt back on to keep them from sweating.”

A

“It’s OK for the patient to sweat. It is helping their body cool down.”

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12
Q

A skier with a frostbite toe might experience __________ after several days or weeks.

A

Autoamputation

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13
Q

After successfully rewarming a foot that has frozen toes, an OEC technician should:

A

cover the foot and toes with dry dressings.

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14
Q

You are at a park with your family when you hear a call for help. There is a teenager who is “sick.” On scene, you find a 16-year-old who is mildly confused. Friends state that they have been playing basketball for most of the morning and afternoon. The temperature is in the 90s, and the humidity is high. The patient’s airway is patent, and their breathing rate is elevated but adequate. Patient’s pulse is weak and rapid. Observation of the skin reveals it to be pale, cool, and moist. Which of the following would you do first for this patient?

Get some newspaper and fan him vigorously.

Lay the patient down in a side-lying position.

Lay the patient in the shade in a supine position.

Administer salt tablets by mouth every 15 minutes.

A

Lay the patient in the shade in a supine position.

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15
Q

You are accompanying a team of hikers up a high mountain. The next morning, you are summoned to a tent and find one of the climbers confused and complaining of a headache. Patient’s airway is patent, and their respirations are 24 per minute. They have no medical history and are in good health until found ill this morning by their friend. Suspicious of high-altitude cerebral edema (HACE), which of the following actions should you take?

Provide high-flow oxygen

Insert an oropharyngeal airway

Immobilize the patient

Administer oral glucose

A

Provide high-flow oxygen

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16
Q

You are teaching a class on acute mountain sickness. When one of your students asks you to explain the term acclimatization in relation to AMS, your best response would be which of the following statements?

“Physiologic changes that decrease the body’s need for slow ascents.”

“Physiologic changes that increase the body’s ability to adjust to extreme changes in temperature.”

“Physiologic adjustments that increase the delivery of oxygen to cells.”

“Physiologic changes that decrease the body’s need for oxygen at high altitudes.”

A

“Physiologic adjustments that increase the delivery of oxygen to cells.”

17
Q

You are working at the summit of a 9,000-foot mountain. A 60-year-old is brought to you, complaining of headache, fatigue, and shortness of breath. You prepare to do your assessment and recognize that your goal is to:

give her some ibuprofen to ease their headache.

determine whether this is an emergent condition so that you can initiate life-saving treatment.

find out if the patient has an inhaler that they can use to relieve their shortness of breath.

get the patient lying down to relieve their presenting symptoms.

A

determine whether this is an emergent condition so that you can initiate life-saving treatment.

18
Q

Attacks by which of the following creatures do not cause both soft-tissue injuries and fractures?

Swordfish

Alligators

Crocodile

Sharks

A

Swordfish

19
Q

When cooling a patient with a possible heatstroke, which of the following findings would be of most concern to a rescuer?

Observing your partner applying an ice pack to the patient’s neck

A decrease in heart rate from 140 beats per minute to 120 beats per minute

Observing your partner giving the patient two aspirin to bring down his temperature

An increase in blood pressure to 100/80

A

Observing your partner giving the patient two aspirin to bring down his temperature

20
Q

Your group of climbers has reached an elevation of 8,500 feet. One of the climbers is increasingly short of breath and now has audible chest congestion. Your party has a limited supply of oxygen, which you immediately apply to the climber at 15 LPM via a nonrebreather mask. Based on your assessment that the climber has HAPE, you recognize that the next necessary treatment is:

to get the patient to a physician who can administer dexamethasone.

to administer diuretics such as Diamox to reduce the patient’s pulmonary edema.

to place the patient in the shock position.

a rapid descent of at least 1,500 to 3,000 feet.

A

a rapid descent of at least 1,500 to 3,000 feet.