test 8 Flashcards
Blunt trauma is:
more common in rural and suburban areas.
Which of the following patients is the most critical, based on trauma triage guidelines?
31-year-old male construction-site fall victim who fell approximately two stories and who demonstrates signs and symptoms of shock
For an older trauma patient, what is LEAST important to determining the patient’s priority for triage to a higher level of care?
Medications for chronic conditions
A GCS of 8 indicates:
a significant likelihood of head injury.
Timing in multisystem trauma management involves:
an awareness that time on scene must be efficiently managed in order to expedite transport.
During transport of a hypothermic patient who is alert and responding appropriately, and whom local protocols dictate you may actively rewarm, you should:
gently apply heat to the patient’s body.
Which of the following items is most important to have immediately available in managing a drowning victim?
Suction
You suspect that your patient is suffering from severe hypothermia. When checking for a pulse, you should check for:
at least 60 seconds.
What is the correct order of procedures for a water rescue?
Reach, throw and tow, row, and go
Ventilating a drowning victim too quickly or forcefully will likely cause:
significant gastric distention.
Which of the following types of patients typically have an ineffective shivering response to cold?
Pediatric patients
Which of the following statements best describes conductive heat loss?
The transfer of heat from one material to another through direct contact
Rough handling of a hypothermic patient may lead to:
ventricular fibrillation.
When caring for a patient with high-altitude cerebral edema or high-altitude pulmonary edema, what is your priority?
Arranging for immediate descent to a lower altitude
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?
Heat stroke
When too little heat is generated to be available to all parts of the body, then:
exposed tissues are damaged, and body functions reduce or cease.
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?
Get the patient out of the hot environment.
Which of the following is most likely related to cardiac arrest in a drowning victim?
Respiratory arrest
Which of the following best describes heat exhaustion?
A condition characterized by fluid and salt loss
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:
acute mountain sickness.
When treating patients with environmental emergencies, it is important to remember such emergencies:
may involve preexisting conditions or involve additional injuries.
A patient has “the bends” following a deep sea dive. The patient’s condition is likely due to:
decompression sickness.
Which of the following steps is included in the emergency care of a patient who was bitten by a poisonous snake?
Keeping any bitten extremities immobilized and still
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?
Third trimester
When should the EMT initiate chest compressions on an infant?
When the heart rate is below 60 beats per minute
If a newborn is not breathing upon delivery, your first action should be to:
rub the newborn’s back as you dry the newborn.
When you are assisting a pregnant patient in labor with the delivery of her baby, where should your partner be positioned?
At the patient’s head
After delivery of the placenta, you observe an unusual amount of heavy bleeding. You should:
massage the uterus.
What is a very late sign of ectopic pregnancy?
Low blood pressure
Which of the following statements about pregnancy-related changes for the mother is true?
Digestion slows.
When ovulation occurs, the fallopian tubes move the egg, or ovum, toward the uterus with waves of muscular contraction called:
peristalsis.
Which of the following conditions would most likely result from trauma to the abdomen in a pregnant patient in the second or third trimester?
Abruptio placentae
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?
”1” for appearance
Which of the following signs is LEAST associated with seizures in pregnancy?
Hypotension
If it is necessary to begin chest compressions on a newborn, what is the correct depth of chest compression?
About one-third the depth of the chest
Which of the following indications should you use to determine whether to prepare for on-the-scene delivery?
Check for the appearance of the baby’s scalp, buttocks, or feet at the vaginal opening.
In supine hypotension syndrome, how does the mother’s body compensate for hypotension?
Blood flow is directed away from the fetus.
Which of the following statements best describes the cervix?
It is the narrow, lower end, or “neck,” of the uterus.
A newborn who achieves an APGAR score of 2 for appearance would be:
pink all over.
Which of the following best describes the first stage of labor?
Onset of contractions to complete dilation of the cervix
What is the typical duration of the first stage of labor in first-time mothers?
About 16 hours
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?
The family
Which of the following statements best describes the reason why EMS providers should be knowledgeable about patients with special challenges?
The patient’s preexisting condition can complicate and quickly overwhelm your ability to assess and treat the patient.
The branch of medicine that deals with the causes of obesity as well as its prevention and treatment is:
bariatrics.
In a hot environment, the air being inhaled:
might be warmer than the air being exhaled.
If your trauma patient had an initial GCS score of 13 and now has a score of 10, this implies that:
the patient is deteriorating.
