test 8 Flashcards

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1
Q

Blunt trauma​ is:

A

more common in rural and suburban areas.

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2
Q

Which of the following patients is the most​ critical, based on trauma triage​ guidelines?

A

​31-year-old male​ construction-site fall victim who fell approximately two stories and who demonstrates signs and symptoms of shock

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3
Q

For an older trauma​ patient, what is LEAST important to determining the​ patient’s priority for triage to a higher level of​ care?

A

Medications for chronic conditions

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4
Q

A GCS of 8​ indicates:

A

a significant likelihood of head injury.

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5
Q

Timing in multisystem trauma management​ involves:

A

an awareness that time on scene must be efficiently managed in order to expedite transport.

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6
Q

During transport of a hypothermic patient who is alert and responding​ appropriately, and whom local protocols dictate you may actively​ rewarm, you​ should:

A

gently apply heat to the​ patient’s body.

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7
Q

Which of the following items is most important to have immediately available in managing a drowning​ victim?

A

Suction

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8
Q

You suspect that your patient is suffering from severe hypothermia. When checking for a​ pulse, you should check​ for:

A

at least 60 seconds.

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9
Q

What is the correct order of procedures for a water​ rescue?

A

​Reach, throw and​ tow, row, and go

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10
Q

Ventilating a drowning victim too quickly or forcefully will likely​ cause:

A

significant gastric distention.

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11
Q

Which of the following types of patients typically have an ineffective shivering response to​ cold?

A

Pediatric patients

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12
Q

Which of the following statements best describes conductive heat​ loss?

A

The transfer of heat from one material to another through direct contact

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13
Q

Rough handling of a hypothermic patient may lead​ to:

A

ventricular fibrillation.

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14
Q

When caring for a patient with​ high-altitude cerebral edema or​ high-altitude pulmonary​ edema, what is your​ priority?

A

Arranging for immediate descent to a lower altitude

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15
Q

Which of the following conditions is associated with a breakdown in the​ body’s heat-regulating mechanisms and a dramatic and dangerous increase in core body​ temperature?

A

Heat stroke

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16
Q

When too little heat is generated to be available to all parts of the​ body, then:

A

exposed tissues are​ damaged, and body functions reduce or cease.

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17
Q

Your patient is a​ 38-year-old female who was mowing the lawn where the outdoor temperature was 96F with​ 80% humidity. She is sitting outside on the​ porch, complaining of severe cramping in the calves of her legs. Which of the following should be your first step in managing this​ patient?

A

Get the patient out of the hot environment.

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18
Q

Which of the following is most likely related to cardiac arrest in a drowning​ victim?

A

Respiratory arrest

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19
Q

Which of the following best describes heat​ exhaustion?

A

A condition characterized by fluid and salt loss

20
Q

You are treating a patient at​ 6,000 feet altitude. The patient arrived about eight hours​ ago, and reports a diffuse headache that he describes as being similar to a​ hangover, though he has not consumed any alcohol. He also reports feeling nauseous. Assessment of his vital signs reveals tachycardia. Based on these​ symptoms, the patient is most likely​ experiencing:

A

acute mountain sickness.

21
Q

When treating patients with environmental​ emergencies, it is important to remember such​ emergencies:

A

may involve preexisting conditions or involve additional injuries.

22
Q

A patient has​ “the bends” following a deep sea dive. The​ patient’s condition is likely due​ to:

A

decompression sickness.

23
Q

Which of the following steps is included in the emergency care of a patient who was bitten by a poisonous​ snake?

A

Keeping any bitten extremities immobilized and still

24
Q

To take the weight off the vena cava and counteract or avoid the possible drop in blood pressure from vena cava​ compression, all patients at which stage of pregnancy should be transported on their left​ sides?

A

Third trimester

25
Q

When should the EMT initiate chest compressions on an​ infant?

A

When the heart rate is below 60 beats per minute

26
Q

If a newborn is not breathing upon​ delivery, your first action should be​ to:

A

rub the​ newborn’s back as you dry the newborn.

27
Q

When you are assisting a pregnant patient in labor with the delivery of her​ baby, where should your partner be​ positioned?

A

At the​ patient’s head

28
Q

After delivery of the​ placenta, you observe an unusual amount of heavy bleeding. You​ should:

A

massage the uterus.

29
Q

What is a very late sign of ectopic​ pregnancy?

A

Low blood pressure

30
Q

Which of the following statements about​ pregnancy-related changes for the mother is​ true?

A

Digestion slows.

31
Q

When ovulation​ occurs, the fallopian tubes move the​ egg, or​ ovum, toward the uterus with waves of muscular contraction​ called:

A

peristalsis.

32
Q

Which of the following conditions would most likely result from trauma to the abdomen in a pregnant patient in the second or third​ trimester?

A

Abruptio placentae

33
Q

A newborn has a pink body but blue hands and feet 1 minute after birth. Which of the following is the correct notation of this​ finding?

A

​”1” for appearance

34
Q

Which of the following signs is LEAST associated with seizures in​ pregnancy?

A

Hypotension

35
Q

If it is necessary to begin chest compressions on a​ newborn, what is the correct depth of chest​ compression?

A

About​ one-third the depth of the chest

36
Q

Which of the following indications should you use to determine whether to prepare for​ on-the-scene delivery?

A

Check for the appearance of the​ baby’s scalp,​ buttocks, or feet at the vaginal opening.

37
Q

In supine hypotension​ syndrome, how does the​ mother’s body compensate for​ hypotension?

A

Blood flow is directed away from the fetus.

38
Q

Which of the following statements best describes the​ cervix?

A

It is the​ narrow, lower​ end, or​ “neck,” of the uterus.

39
Q

A newborn who achieves an APGAR score of 2 for appearance would​ be:

A

pink all over.

40
Q

Which of the following best describes the first stage of​ labor?

A

Onset of contractions to complete dilation of the cervix

41
Q

What is the typical duration of the first stage of labor in​ first-time mothers?

A

About 16 hours

42
Q

You are caring for a patient with special medical challenges at her home. The patient is noncommunicative. Which of the following is likely to be the best source of information about the advanced medical devices found in the​ home?

A

The family

43
Q

Which of the following statements best describes the reason why EMS providers should be knowledgeable about patients with special​ challenges?

A

The​ patient’s preexisting condition can complicate and quickly overwhelm your ability to assess and treat the patient.

44
Q

The branch of medicine that deals with the causes of obesity as well as its prevention and treatment​ is:

A

bariatrics.

45
Q

In a hot​ environment, the air being​ inhaled:

A

might be warmer than the air being exhaled.

46
Q

If your trauma patient had an initial GCS score of 13 and now has a score of​ 10, this implies​ that:

A

the patient is deteriorating.