Topic Exam 8 (Ch 30, 32, 33, 34)

Question 1

when caring for a geriatric patient with a traumatic injury it is important to consider that the injury may have been preceded by a _____

Answer 1

medical condition

Question 2

when a child experiences blunt chest injury the flexible ribs….

Answer 2

can be compressed without breaking

Question 3

under what circumstances is a left ventricular assist device used

Answer 3

as a bridge to a heart transplant while a donor heart is being located

Question 4

while drinking beer with his friends near a creek, a 31 year old male was bitten on the leg by an unidentified snake. The patient is conscious and alert and in no apparent distress. Your assessment of his leg reveals two small puncture marks with minimal pain and swelling. In addition to administering oxygen and providing reassurance, further care for this patient should include: ____, _____, and _____

Answer 4

supine positioning, splinting the leg, and transporting

Question 5

the body’s natural cooling mechanism, in which sweat is converted to a gas, is called

Answer 5

evaporation

Question 6

the stooped posture of some older people, which gives them a humpback appearance is called

Answer 6

kyphosis

Question 7

the body’s natural protective mechanisms against heat loss are ____ and _____

Answer 7

vasoconstriction and shivering

Question 8

airway management can be challenging in patients with down syndrome because their teeth are _____ and they have a large ____

Answer 8

teeth are misaligned and they have a large tongue

Question 9

which of the following would be the most practical method of communicating with a hearing-impaired patient until his or her hearing aids can be located

a) attempting to use body language to determine the problem
b) using a piece of paper and writing utensil to ask questions
c) using a high pitched voice while speaking directly into the ear
d) contacting dispatch and requesting a sign language interpreter

Answer 9

b) using a piece of paper and writing utensil to ask questions

Question 10

the components of the PAT are

Answer 10

appearance, work of breathing, and skin ciruclation

Question 11

a tube from the brain to the abdomen that drains excessive CSF is called a

Answer 11

shunt

Question 12

an infant with severe dehydration would be expected to present with

Answer 12

absent urine output

Question 13

drowning is most accurately defined as

Answer 13

death from suffocation after submersion in water

Question 14

burns associated with lightning strikes are typically

Answer 14

superficial

Question 15

to assess a patient’s general temperature, pull back your glove and place the back of your hand on his or her skin at the

Answer 15

abdomen

Question 16

a 13 year old child is on a home ventilator. the parents call because the ventilator is malfunctioning and the child has increasing respiratory distress. you should:

Answer 16

disconnect the ventilator and use a BVM

Question 17

when immobilizing an injured child in a pediatric immobilization device you should secure the ____ before the ___

Answer 17

secure the torso before the head

Question 18

when inserting an OPA in an infant or child, you should

Answer 18

depress the tongue with a tongue depressor

Question 19

a service dog is easily identified by its

Answer 19

harness

Question 20

many older victims of physical abuse may make false statements or lie about the origin of their injuries because

Answer 20

they fear retribution from the abuser

Question 21

which of the following observations or statements represents the “E” in the GEMS diamond?

a) elderly patients present atypically and deserve your respect
b) the patient’s residence is cold due to a malfunctioning heater
c) a patient is assisted with his or her activities of daily living
d) the patient’s medications have not been filled in 2 months

Answer 21

b) the patient’s residence is cold due to a malfunctioning heater

Question 22

with regard to the legal implications of child abuse EMTs…

Answer 22

EMTs must report all suspected cases of child abuse

Question 23

the two most efficient ways for the body to eliminate excess heat are

Answer 23

sweating and dilation of skin blood vessels

Question 24

which of the following statements regarding interaction with the caregiver of a child or adult with special health care needs is correct?

a) in most cases, it is more appropriate for the EMT to contact medical control prior to speaking with the patient’s primary caregiver
b) before performing an assessment of the patient’s ABCs the EMT should ask the caregiver about the patient’s medical condition
c) in general, the EMT should only speak with a certified home health care provider because he or she is the expert on the patient’s illness
d) communication with the patient’s caregiver or family members is important because they are the most familiar with the patient’s condition

Answer 24

d) communication with the patient’s caregiver or family members is important because they are the most familiar with the patient’s condition

Question 25

high humidity reduces the body’s ability to lose heat through

Answer 25

evaporation

Question 26

older patients tend to use more ___ means of suicide than younger patients

Answer 26

lethal

Question 27

when immobilizing a patient with a kyphotic spine to a long board the EMT would MOST likely have to

Answer 27

place blankets behind the patient’s head

Question 28

unless he or she is critically ill or injured you should generally begin your assessment of a toddler at the

Answer 28

feet

Question 29

an older patient with significant dehydration would most likely present with _____ or _____ upon ____

Answer 29

dizziness or fainting upon standing

Question 30

the most common cause of dehydration in pediatric patients is _____ and _____

Answer 30

vomiting and diarrhea

Question 31

when caring for a patient who is visually impaired, it is important to ______, _____, ______

Answer 31

tell him or her what is happening, identify noises, and describe the situation and surroundings

Question 32

while obtaining a sample history from an adolescent patient you should make inquiries about _____ in private

Answer 32

sexual activity

Question 33

you and your partner are standing by at a large social event at a river resort when a frantic woman tells you that she found a young male floating face-down in the water. Nobody claims to have witnessed the event. After you and your partner safely enter the water and stand waist-deep and reach the patient you should:

Answer 33

move him as a unit to a supine position