Online Exam 8 (Soft Tissue, Burns, Kinematics)

Question 1

The term for the forces that act upon a person’s body to cause injury is:
force of energy
mechanism of injury
kinematics of injury
potential injury

Answer 1

mechanism of injury

Question 2

The EMT-B should consider any fall in excess of ____ feet as significant.
9
standing
10
15

Answer 2

15

Question 3

Newton’s second law says:
Objects in motion will come to rest and then stay at rest
Force equals mass times acceleration
For every action, there is an equal and opposite reaction
Objects at rest tend to stay at rest, and objects in motion tend to stay in motion unless acted upon by some force.

Answer 3

Force equals mass times acceleration

Question 4

Newton’s third law says:
Objects at rest tend to stay at rest, and objects in motion tend to stay in motion unless acted upon by some force.
Objects in motion will come to rest and then stay at rest
For every action, there is an equal and opposite reaction
Force equals mass times acceleration

Answer 4

For every action, there is an equal and opposite reaction

Question 5

Use of a shoulder harness without a lap belt can result in:
whiplash injuries
submarining injuries
upper extremity injuries
thoracic displacement

Answer 5

submarining injuries

Question 6

Which of the following collisions is most likely to produce the greatest amount of kinetic energy?
A pickup truck traveling 25 mph
A mid-sized car traveling 50 mph
A large sedan traveling 35 mph
A compact car traveling 70 mph

Answer 6

A compact car traveling 70 mph

Question 7

A good rule to use when evaluating the significance of a pediatric fall is to use the guide:
falls greater than 4 times the child’s height are significant
falls greater than 3 times the child’s height are significant
falls greater than 5 times the child’s height are significant
falls greater than 2 times the child’s height are significant

Answer 7

falls greater than 3 times the child’s height are significant

Question 8

A calcaneous fracture in a patient suffering from a long fall with a landing on their feet is likely to produce:
a dislocated hip
lumbar spine injuries
patellar injuries
bilateral forearm fractures

Answer 8

lumbar spine injuries

Question 9

In the pulmonary circulatory system, deoxygenated blood leaves the heart and travels to the lungs via the:
superior vena cava
pulmonary artery
pulmonary vein
aorta

Answer 9

pulmonary artery

Question 10

What type of bleeding often clots spontaneously?

lymphatic
venous
arterial
capillary

Answer 10

capillary

Question 11

Which is the best device to use as a tourniquet?
belt
wire
blood pressure cuff
bandage 1-inch wide and 8 layers thick

Answer 11

blood pressure cuff

Question 12

Suspicion of internal bleeding should NOT be based on:
clinical signs and symptoms
hypertension
hypotension
mechanism of injury

Answer 12

hypertension

Question 13

Which of the following is a guideline for the use of tourniquets?
A narrow tourniquet is more effective than a wide one
Apply and release a tourniquet every 15 min. if your transport time is longer than 60 min
Apply tourniquets over the joint most proximal to the amputation
Never cover a tourniquet with a bandage or clothing

Answer 13

Never cover a tourniquet with a bandage or clothing

Question 14

Which of the following signs or symptoms can be a late indicator of shock?
restlessness
nausea, vomiting
decreased thirst
labored, irregular breathing

Answer 14

labored, irregular breathing

Question 15

Which of the following signs or symptoms shows changes early in the hypoperfused patient?
agitation
cyanosis
falling blood pressure
dilated pupils

Answer 15

falling blood pressure

Question 16

A sudden reaction of the nervous system leading to syncope is known as:

septic shock
pyschogenic shock
metabolic shock
hypovolemic shock

Answer 16

pyschogenic shock

Question 17

The last stage of shock is called:
fatal shock
irreversible shock
decompensated shock
irreversible shock

Answer 17

irreversible shock

Question 18

A 10-year-old child has fallen 12 feet from a tree. On exam he is noted to have multiple abrasions and contusions in several areas. He has a deformity of the right forearm and denies having pain in the neck or back. His vital signs are as follows: pulse of 132/min, strong and regular; respirations of 28/min with mild dyspnea; and blood pressure of 110/68 mm Hg. He has been treated with oxygen and covered with a blanket. Additional interventions for shock would include:
elevating his lower extremities
offering him sips of water to calm him down
assessing and recording vital signs every 15 minutes
applying pediatric PASG to improve perfusion

Answer 18

elevating his lower extremities

Question 18

You are called to the home of a 6-year-old male patient with a decreased level of consciousness. The parents report that the child had a decreased appetite and fever beginning 2 days ago controlled with acetaminophen. Last night he was feeling better but complained of weakness in his left lower leg. This morning he was difficult to arouse and slept most of the day. His vital signs are as follows: pulse of 102/min, weak and thready; respirations of 18/min, shallow and labored; and blood pressure of 88/40 mm Hg. You suspect this child has what type of shock?
cardiogenic
septic
hemorrhagic
neurogenic

Answer 18

septic

Question 19

A young woman has a complete avulsion injury to her scalp. Your treatment should be to:
cover the wound with a moist, sterile dressing
apply an elastic bandage that encircles the woman’s jaw
wash the wound before bandaging
wrap the avulsed tissue in sterile gauze and bring it with you to the emergency department.

Answer 19

wrap the avulsed tissue in sterile gauze and bring it with you to the emergency department.

Question 19

A 36-year-old unrestrained driver involved in a motor vehicle crash is complaining of sternal chest pain. Your scene size-up reveals a bent steering wheel and no airbag. On exam you notice an anxious man with an intact but tender rib cage and no other indications of internal or external bleeding. His vital signs are as follows: pulse of 88/min, weak and thready; respirations of 32/min, shallow with guarded respirations; and blood pressure of 92/68 mm Hg. Cyanosis is noted in his lips and fingers. You suspect this patient is experiencing what type of shock?
anaphylactic
cardiogenic
respiratory
metabolic

Answer 19

cardiogenic

Question 20

Organs are protruding from your patient’s abdominal wound. The organs should be:
left alone
removed as needed
wrapped in aluminum foil
placed back inside

Answer 20

left alone

Question 21

A teenage boy who was involved in a bicycle accident has a puncture wound in which the bicycle kickstand is impaled in his leg. When preparing the patient for transport, you should:
cut the kickstand off just above the skin, and stabilize it with a moist, sterile dressing
remove the kickstand by withdrawing it in a circular motion, and apply a dry, sterile dressing
unbolt the kickstand from the bike frame and stabilize it with bulky dressings
leave the kickstand attached to the bike until the physician can remove it safely

Answer 21

unbolt the kickstand from the bike frame and stabilize it with bulky dressings

Question 22

A 42-year-old man has his arm trapped in a printing press. The extrication time to remove his arm is 35 minutes. His arm has had decreased circulation during that time. When the arm is freed, your assessment reveals some superficial abrasions and significant swelling of the arm. The bones appear intact. This patient has probably sustained what type of injury?
extremity evisceration
compartment syndrome
expanding contusion
hematoma with ecchymosis

Answer 22

compartment syndrome

Question 23

Which of the following are NOT important in the management of gun shot wounds?
Determine the distance the shooter was from the victim
Make an attempt to determine the type of weapon
Inquire from bystanders how many shots were fired
Document carefully the circumstances of the shooting

Answer 23

Document carefully the circumstances of the shooting

Question 24

Assessment for injuries should follow the DCAP-BTLS method. The “C” stands for:
capillary refill
clammy
contusion
cyanosis

Answer 24

contusion