Unit 2 Exam

Question 1

Why is it important to educate victims of partner abuse about the availability of support services in their community?

Select one:

a. Victims need to know how to document evidence of their abuse in order to convict their abuser.
b. Often victims think that they are unique and no one else has experienced what they are going through.
c. So they will leave their abusers
d. Because many victims of partner abuse are often not aware of the resources available to help them

Answer 1

d. Because many victims of partner abuse are often not aware of the resources available to help them

Question 2

Which of the following is NOT an example of human trafficking?

Select one:

a. A young woman from China who is forced by her parents to marry an American man
b. A Vietnamese woman coerced into traveling to the United States to work off a debt owed to a relative
c. A teenager forced into prostitution through threats of violence
d. A man who crosses the U.S.-Mexico border illegally to obtain work

Answer 2

d. A man who crosses the U.S.-Mexico border illegally to obtain work

Question 3

Which of the following injuries is commonly seen as a result of child abuse?

Select one:

a. Bruises
b. Burns
c. Fractures
d. All of the above

Answer 3

d. All of the above

Question 4

Regarding hate crimes, EMS providers should:

Select one:

a. assume that any violent act toward a commonly victimized group is a hate crime until proven otherwise, and involve the police if necessary.
b. not rush to the conclusion that a violent act is a hate crime, as hate crimes are rare and often only seen in very urban areas.
c. document all possible hate crimes and report them to adult protective services.
d. be sure that a health care provider of the same minority group is available to care for a victim of a hate crime.

Answer 4

a. assume that any violent act toward a commonly victimized group is a hate crime until proven otherwise, and involve the police if necessary.

Question 5

A 22-year-old woman called 911 after waking up in an unfamiliar room on her college campus. She has bruises to her wrists and complains of vaginal pain, but has no memory of any events from the previous evening. The last thing she remembers is entering a fraternity party with a group of friends. This patient’s history is most consistent with:

Select one:

a. predator drug use.
b. date rape.
c. alcohol-induced sexual assault.
d. sexual assault involving head trauma.

Answer 5

a. predator drug use.

Question 6

Which of the following is true regarding the anatomical differences between the pediatric and adult airway?

Select one:

a. The pediatric epiglottis is stiffer.
b. In children, the tongue is proportionally larger in relation to the size of the mouth.
c. The pediatric larynx is more posterior.
d. Neutral airway positioning involves hyperextending the neck.

Answer 6

b. In children, the tongue is proportionally larger in relation to the size of the mouth.

Question 7

Which of the following statements regarding child abusers is TRUE?

Select one:

a. They often have a history of incarceration.
b. They were likely abused themselves.
c. They are usually violent toward adults as well.
d. They usually have a diagnosed mental health condition.

Answer 7

b. They were likely abused themselves.

Question 8

Law enforcement has requested your presence at the scene of a human trafficking arrest. A 14-year-old girl presents with bruises to her face and abdomen, and reports that she thinks she may be pregnant. Police officers report that the girl’s uncle, who is handcuffed at the scene, has confessed to prostituting the girl for the past several months. The patient states repeatedly that she is “fine” and does not want to go to the hospital. Which of the following is an appropriate response?

Select one:

a. “Unfortunately, you are a minor and can’t refuse to go with us.”
b. “You have bruises on your face and may be pregnant. You need to come with us to get checked out at the hospital.”
c. “I can tell you are trying to not anger your uncle, but you need to tell us the truth.”
d. “It’s OK, you are safe now and don’t have to lie anymore.”

Answer 8

b. “You have bruises on your face and may be pregnant. You need to come with us and get checked out at the hopsital.”

Question 9

Which of the following common conditions may be mistaken for child abuse?

Select one:

a. Diaper rash
b. Mosquito bites
c. Chickenpox
d. Rug burns

Answer 9

c. Chickenpox

Question 10

Which of the following would constitute child neglect?

Select one:

a. Denying a 9-year-old access to electronics as a form of punishment
b. Failing to properly bathe a child on a regular basis
c. Spanking a 5-year-old as a form of punishment
d. Being able to afford clothing only from thrift stores

Answer 10

b. Failing to properly bathe a child on a regular basis

Question 11

Which of the following are common date rape drugs?

Select one:

a. Ketamine, THC, and tropine
b. Sodium pentothal, thiamine, and HDT
c. Rohypnol, GHB, and MDMA
d. Phenobarbital, glucosamine, and ketamine

Answer 11

c. Rohypnol, GHB, and MDMA

Question 12

You arrive on the scene of an alleged rape. A 25-year-old female has been physically assaulted quite badly and has numerous deep lacerations. You must remove her clothes in order to provide care. What is the best procedure when caring for this patient?

Select one:

a. Carefully remove her clothing in a private area, cover her with blankets, and bag the clothes in a paper bag to give to the police as evidence.
b. Remove the patient’s clothes quickly, and place them in a biohazard bag.
c. Cut off her clothes quickly; patient care takes priority over evidence.
d. Cut around the injury sites and leave the rest of the clothes on the patient.

Answer 12

a. Carefully remove her clothing in a private area, cover her with blankets, and bag the clothes in a paper bag to give to the police as evidence.

Question 13

What is one of the most important indicators of child abuse?

Select one:

a. Family finances
b. Absence of one parent
c. Child’s behavior
d. Attitude of the family members

Answer 13

c. Child’s behavior

Question 14

Feldman is a child with special healthcare needs on a ventilator at home. You are called because he is having difficulty breathing. On your arrival, he is in obvious respiratory distress and still connected to the ventilator. Which of the following should you attempt first?

Select one:

a. Leave him on the ventilator and rapidly transport him to the nearest hospital.
b. Take him off the ventilator and attempt to ventilate him through his tracheostomy with a bag-valve mask device.
c. Immediately remove the tracheostomy and replace it with a new, smaller one.
d. Increase the rate, tidal volume, and the percentage of oxygen delivered by the ventilator.

Answer 14

b. Take him off the ventilator and attempt to ventilate him through his tracheostomy with a bag-valve mask device.

Question 15

When providing a verbal handoff of a sexual assault victim, which of the following sets of information should be included in your report?

Select one:

a. Patient age, any injuries, approximate time of the assault, and any areas of the patient’s body or clothes that have been cleaned
b. Patient age, assailant age, and any injuries
c. Any injuries, name of assailant, location of the assault, and if drugs were involved
d. Relationship of the assailant to the victim, how much alcohol the victim consumed, and if emergency contraception is needed

Answer 15

a. Patient age, any injuries, approximate time of the assault, and any ares of the patient’s body or clothes that have been cleaned.

Question 16

Positive-pressure ventilation should be started based on which of these findings?

Select one:

a. Decreased ventilation, decreased muscle tone, and altered mental status
b. Alert, oriented, active, with an oxygen saturation of 95%
c. Equal chest rise, clear breath sounds, and good muscle tone
d. Patient complaint of difficulty breathing

Answer 16

a. Decreased ventilation, decreased muscle tone, and altered mental status.

Question 17

Which type of unique burn pattern would cause you to suspect that a young child may be being abused?

Select one:

a. Circumferential
b. Splash
c. Scald
d. Dipping

Answer 17

d. dipping

Question 18

You have responded to a residence for an injured child. The mother presents you with a two-year-old boy who is crying loudly. She says he fell off the family playground equipment and won’t stop crying. You ask the boy what happened, and he points to the jungle gym outside and cries more. You notice some seven- to ten-day-old bruises on his shins, and scrapes on his palms and elbows. What impression could you form using your knowledge of child abuse?

Select one:

a. The child was obviously unsupervised and may be neglected.
b. Continual crying is a sign of abuse, and so are the old bruises.
c. There are some warning signs, and the police should be involved.
d. The child indicates the same story as the mother, and children of that age tend to injure themselves playing.

Answer 18

d. The child indicates the same story as the mother, and children of that age tend to injure themselves when playing.

Question 19

You are transporting a 5-year-old child who you believe may have been abused. The child withdraws in fear whenever you attempt to touch him. Which of the following may help when trying to assess and care for this child?

Select one:

a. Playing music in the back of the ambulance
b. Avoiding eye contact and trying to not touch the child
c. Giving the child a stuffed toy to hold
d. Talking to the child as if he were much younger, as abused children often regress

Answer 19

c. Giving the child a stuffed toy to hold

Question 20

You are transporting a 5-year-old child who you believe may have been abused. The child withdraws in fear whenever you attempt to touch him. Which of the following may help when trying to assess and care for this child?

Select one:

a. Playing music in the back of the ambulance
b. Avoiding eye contact and trying to not touch the child
c. Giving the child a stuffed toy to hold
d. Talking to the child as if he were much younger, as abused children often regress

Answer 20

c. Giving the child a stuffed toy to hold

Question 21

Which of the following is TRUE of your responsibility to report child abuse?

Select one:

a. It is better to let your immediate supervisor report the abuse.
b. In most states, EMS providers are not required to report abuse; only doctors must report.
c. It is your responsibility to report all suspected abuse to the appropriate reporting agency.
d. Consult your state EMS regulations regarding reporting child abuse; all states differ.

Answer 21

c. It is your responsibility to report all suspected abuse to the appropriate reporting agency.

Question 22

Police have called you to the scene of a domestic disturbance. At the scene, you find a woman with a lacerated lip and a man in police custody. Both parties are denying that any abuse occurred; however, a neighbor reports hearing “angry screaming.” After conferring with law enforcement, which of the following pieces of information would most raise your index of suspicion for partner abuse?

Select one:

a. The woman appears not to have showered in several days.
b. The man is unemployed and did not graduate from high school.
c. The couple lives in a middle-income neighborhood.
d. The couple has no children.

Answer 22

b. The man is unemployed and did not graduate from high school.

Question 23

Which is NOT a factor associated with elder abuse?

Select one:

a. Limited long-term care options
b. Financial stress of caretaking
c. Increased life expectancy
d. Multiple prescription medications

Answer 23

d. Multiple prescription medications.

Question 24

Karen has a central line for chemotherapy. She was playing with it and broke the external portion of the catheter, causing uncontrolled bleeding. Which of the following interventions would be an appropriate next step?

Select one:

a. Instruct the parents to take her to her oncologist.
b. Clamp the line if possible, assess and treat for shock, and, if possible, transport her to the hospital where she has been receiving her cancer treatment.
c. Initiate an intravenous (IV) bolus using the central line.
d. Remove the remaining portion of the line and apply a dressing.

Answer 24

b. Clamp the line if possible, assess and treat for shock, and, if possible, transport her to the hospital where she has been receiving her cancer treatment.

Question 25

What is the estimated percent range of sexual assaults that are NOT reported?

Select one:

a. 0-22
b. 52-63
c. 63-74
d. 25-35

Answer 25

c. 63-74

Question 26

While caring for 4-year-old Stacy, you note numerous unexplained bruises and injuries in various stages of healing. Her mother refuses to let you transport the child to the hospital. You are suspicious of possible child abuse. What actions should you take?

Select one:

a. Have the mother sign a refusal form.
b. Call medical control and/or call the police for assistance, per your agency protocols.
c. Openly accuse the mother of child abuse.
d. Attempt to talk the mother into allowing you to transport Stacy to the hospital, then give up when she continues to refuse.

Answer 26

b. Call medical control and/or the police for assistance, per your agency protocols.

Question 27

When caring for children with special health care needs it is important to remember that:

Select one:

a. their “normals” will always be the same as for any other children of the same age.
b. you should use a completely different assessment approach than the one you use for other children.
c. you should always take them to the closest hospital, regardless of that hospital’s pediatric capabilities.
d. the caregivers and even the children may be more knowledgeable about the underlying special needs condition than you.

Answer 27

d. the caregivers and even the children may be more knowledgeable about the underlying special needs condition than you.

Question 28

A 19-year-old college student cannot remember what happened to him the night before, and is concerned that he may have been raped. Which of the following factors most supports the suspicion that a predator drug may have been used on this patient?

Select one:

a. The fact that he is a male aged 18-21
b. The fact that he has no physical injuries
c. The fact that he is a college student
d. The fact that he thinks he was raped

Answer 28

c. The fact that he is a college student.

Question 29

What group is NOT commonly affected by hate crimes?

Select one:

a. Religious groups
b. Low-income individuals
c. Disabled individuals
d. Racial minorities

Answer 29

b. Low-income individuals

Question 30

Accurate documentation of suspected child abuse is extremely important. Which of the following should be included in your documentation?

Select one:

a. Your subjective opinions and feelings
b. Your conclusions about who did it
c. Direct quotations from the child, caregivers, and witnesses
d. None of the above

Answer 30

c. Direct quotations from the child, caregivers, and witnesses

Question 31

When caring for a victim of partner abuse, which of the following statements is appropriate?

Select one:

a. “When you decide you are tired of this abuse, call the police and they will help you.”
b. “The best thing to do is get out as quickly as you can.”
c. “Here is the phone number of a women’s shelter nearby; they help a lot of women in similar situations.”
d. “You need to get help quickly, before he hurts you seriously.”

Answer 31

c. “Here is the phone number of a woman’s shelter nearby; they help a lot of women in similar situations.”

Question 32

When is a paramedic legally required to report abuse?

Select one:

a. Only when another provider agrees with the suspicion of abuse
b. Whenever anything seems unusual in the care of a child, elder, or dependent adult
c. Whenever there is physical or behavioral evidence that suggests abuse
d. Only when there is clear evidence of abuse

Answer 32

d. Only when there is clear evidence of abuse

Question 33

A 30-year-old woman has been sexually assaulted. She is crying, and appears withdrawn and frightened. Which of the following strategies would be appropriate to use when caring for this patient?

Select one:

a. Calm the patient by explaining to her that she will be OK, and that many women recover quickly from sexual assault.
b. Give the patient clear direction by telling her where to sit and what to do.
c. Allow the patient to control all aspects of the interaction, such as where she rides in the ambulance and what care is provided.
d. Talk to the patient in a low and quiet voice, using simple words, so as not to frighten her.

Answer 33

c. Allow the patient to control all aspects of the interaction, such as where she rides in the ambulance and what care is provided.

Question 34

What is the most common living situation of abused elders?

Select one:

a. They live in a nursing facility.
b. They are homeless.
c. They live with their children.
d. They live alone.

Answer 34

d. They live alone.