Unit 30 & 31 quiz

Question 1

Pneumothorax

Answer 1

Description: Air enters the pleural space, causing lung collapse.

Question 2

Tension Pneumothorax

Answer 2

pressure compromises heart and venous return

Question 3

Hemopneumothorax

Answer 3

Presence of air and blood in pleural cavity often due to trauma.

Question 4

Hemothorax

Answer 4

Blood accumulation chest cavity due to injury.

Question 5

Traumatic Asphyxia

Answer 5

Pressure on the chest/neck restricts airflow, often from crushing injuries.

Question 6

Cardiac Tamponade

Answer 6

Fluid accumulation and compresses the heart

Question 7

Aortic Dissection

Answer 7

Tear in the aorta’s inner layer allows blood to flow between layers.

Question 8

Abdominal Aortic Aneurysm (Triple AAA)

Answer 8

Enlargement of the abdominal aorta, risk of rupture.

Question 9

Commotio Cordis

Answer 9

Blunt chest impact causing heart rhythm disruption.

Question 10

Abdominal Evisceration

Answer 10

Protrusion of organs through a wound.

Question 11

Occlusive Dressings

Answer 11

seal wounds to prevent air movement.

Question 12

Flutter-Valve Dressings

Answer 12

allow air to escape during exhalation while sealing during inhalation.

Question 13

What are the three classifications of burn depth

Answer 13

Superficial (1st degree), Partial Thickness (2nd degree), Full Thickness (3rd degree).

Question 14

What are the types of closed wounds?

Answer 14

Contusions, Hematomas, Crush Injuries.

Question 15

A sign of kidney damage after blunt trauma is:
Select one:
A. hematuria.
B. hemoptysis.
C. hematochezia.
D. hematemesis.

Answer 15

A. hematuria.

Question 16

A 40-year-old male presents with severe abdominal pain after blunt trauma. He is diaphoretic, intensely thirsty, and has a weak and rapid pulse. Appropriate treatment for this patient includes all of the following, except:
Select one:
A. administering supplemental oxygen.
B. promptly transporting him to the hospital.
C. covering him with a warm blanket.
D. giving him small sips of plain water.

Answer 16

D. giving him small sips of plain water.

Question 17

A man has a large laceration across his lower abdominal wall and a loop of bowel is protruding from the wound. He is conscious and alert and there is minimal bleeding from the wound. You should:
Select one:
A. gently irrigate the exposed bowel with sterile saline and then cover the wound with a dry sterile dressing.
B. cover the bowel with a dry sterile dressing, elevate his lower extremities, and cover him with a blanket.
C. cover the exposed bowel with a moist sterile dressing and then secure it in place with a dry bandage.
D. make one attempt to replace the bowel back into the abdomen and then cover the wound with a sterile dressing.

Answer 17

C. cover the exposed bowel with a moist sterile dressing and then secure it in place with a dry bandage.

Question 18

You are transporting a patient with blunt abdominal trauma. The patient is unstable and is experiencing obvious signs and symptoms of shock. Your estimated time of arrival at the hospital is less than 10 minutes. After treating the patient appropriately, you should:
Select one:
A. forgo the hospital radio report because of his condition.
B. perform a comprehensive secondary assessment.
C. closely monitor him and reassess him frequently.
D. begin documenting the call on the patient care form.

Answer 18

C. closely monitor him and reassess him frequently.

Question 19

A 54-year-old male experienced an avulsion to his penis when his foreskin got caught in the zipper of his pants. He was able to unzip his pants and remove the foreskin prior to your arrival. Your assessment reveals that he is in severe pain and that the avulsion is bleeding moderately. The most appropriate treatment for this patient includes:
Select one:
A. applying direct pressure with a dry, sterile dressing.
B. administering 100% oxygen via a nonrebreathing mask.
C. covering the avulsion with moist, sterile dressings.
D. requesting a paramedic to administer pain medication.

Answer 19

A. applying direct pressure with a dry, sterile dressing.

Question 20

You are transporting a 42-year-old male who experienced blunt abdominal trauma. He is receiving oxygen at 12 L/min via a nonrebreathing mask, and full spinal precautions have been applied. During your reassessment, you note his level of consciousness has decreased and his respirations have become shallow. You should:
Select one:
A. reassess his vital signs and then notify the receiving hospital of the change in his clinical status.
B. insert an airway adjunct if he will tolerate it and begin assisting his ventilations with a bag valve mask.
C. suction his oropharynx to ensure it is clear of secretions and then increase the oxygen flow rate to 15 L/min.
D. perform a comprehensive secondary assessment to determine why his clinical status has changed.

Answer 20

B. insert an airway adjunct if he will tolerate it and begin assisting his ventilations with a bag valve mask.

Question 21

Accumulation of blood in the abdominal cavity will most likely cause:
Select one:
A. diffuse bruising.
B. nausea or vomiting.
C. distention.
D. referred pain.

Answer 21

C. distention.

Question 22

All of the following are hollow abdominal organs, except the:
Select one:
A. ureters.
B. bladder.
C. spleen.
D. stomach.

Answer 22

C. spleen.

Question 23

Because the depth of an open abdominal wound is often difficult to determine:
Select one:
A. vital signs should be monitored frequently.
B. the abdomen must be vigorously palpated.
C. the EMT must perform a thorough exam.
D. prompt transport to the hospital is essential.

Answer 23

D. prompt transport to the hospital is essential.

Question 24

Bruising to the right upper quadrant of the abdomen after blunt trauma is mostsuggestive of injury to the:
Select one:
A. kidney.
B. stomach.
C. liver.
D. spleen.

Answer 24

C. liver.

Question 25

Compression injuries to the abdomen that occur during a motor vehicle crash are typically the result of:
Select one:
A. rapid vehicle deceleration.
B. failure to wear seat belts.
C. airbag deployment.
D. a poorly placed lap belt.

Answer 25

D. a poorly placed lap belt.

Question 26

Contraction or tensing of the abdominal muscles to ease pain is called:
Select one:
A. guarding.
B. flexing.
C. withdrawing.
D. referring.

Answer 26

A. guarding.

Question 27

Difficulty breathing and a sunken appearance of the anterior abdominal wall is mostindicative of a ruptured:
Select one:
A. stomach.
B. aorta.
C. spleen.
D. diaphragm.

Answer 27

D. diaphragm.

Question 28

During your assessment of a patient who experienced blunt trauma to the abdomen, you notice bruising around the umbilicus. This is a sign of:
Select one:
A. rupture of a hollow organ.
B. a severe liver laceration.
C. a ruptured spleen.
D. intra-abdominal bleeding.

Answer 28

D. intra-abdominal bleeding.

Question 29

Early bruising following abdominal trauma often manifests as:
Select one:
A. localized pain.
B. gross distention.
C. red areas of skin.
D. dark purple marks.

Answer 29

C. red areas of skin.

Question 30

Peritonitis usually occurs when:
Select one:
A. bacteria or viruses invade the walls of the gastrointestinal tract.
B. the vessels that supply the abdominal organs become inflamed.
C. solid abdominal organs bleed secondary to penetrating trauma.
D. hollow abdominal organs are damaged and spill their contents.

Answer 30

D. hollow abdominal organs are damaged and spill their contents.

Question 31

The mesentery is:
Select one:
A. the point of attachment between the small and large intestines.
B. a membranous fold that attaches the intestines to the walls of the body.
C. a layer of thick skeletal muscles that protects the abdominal organs.
D. a complex network of blood vessels that supply blood to the liver.

Answer 31

B. a membranous fold that attaches the intestines to the walls of the body.

Question 32

The presence of tachycardia following a significant abdominal injury:
Select one:
A. indicates a state of decompensated shock.
B. is most commonly caused by severe pain.
C. should be assumed to be a sign of shock.
D. is always accompanied by hypotension.

Answer 32

C. should be assumed to be a sign of shock.

Question 33

When a hollow organ is punctured during a penetrating injury to the abdomen:
Select one:
A. the abdomen will become instantly distended.
B. it will bleed profusely and rapidly cause shock.
C. it commonly protrudes through the injury site.
D. peritonitis might not develop for several hours.

Answer 33

D. peritonitis might not develop for several hours.

Question 34

When documenting a call involving a female patient who was sexually assaulted, the EMT should:
Select one:
A. include a description of the suspected perpetrator.
B. include the results of the internal vaginal exam.
C. avoid speculation and document only factual data.
D. theorize as to why the sexual assault occurred.

Answer 34

C. avoid speculation and document only factual data.

Question 35

Which of the following organs is at most risk for injury as the result of a pelvic fracture?
Select one:
A. Pancreas
B. Fallopian tubes
C. Liver or spleen
D. Urinary bladder

Answer 35

D. Urinary bladder

Question 36

Which of the following organs would most likely bleed profusely when injured?
Select one:
A. Stomach
B. Intestine
C. Bladder
D. Liver

Answer 36

d. liver

Question 37

Which of the following statements regarding abdominal trauma is correct?
Select one:
A. Hollow abdominal organs are vascular and bleed profusely when injured.
B. Most of the vital abdominal organs lie within the retroperitoneal space.
C. The liver is well protected and is rarely injured during a traumatic event.
D. The absence of abdominal pain does not rule out intra-abdominal bleeding.

Answer 37

D. The absence of abdominal pain does not rule out intra-abdominal bleeding.

Question 38

Which of the following statements regarding rebound tenderness is correct?
Select one:
A. It should be assessed for by vigorously palpating the abdomen.
B. It is often discovered when the patient is jarred or moved suddenly.
C. The absence of rebound tenderness rules out intra-abdominal injury.
D. Rebound tenderness is a specific sign found with a spleen injury.

Answer 38

B. It is often discovered when the patient is jarred or moved suddenly.

Question 39

A flail chest occurs when:
Select one:
A. a segment of the chest wall is detached from the thoracic cage.
B. multiple ribs are fractured on both sides of the thoracic cage.
C. a segment of fractured ribs bulges during the inhalation phase.
D. more than three ribs are fractured on the same side of the chest.

Answer 39

A. a segment of the chest wall is detached from the thoracic cage.

Question 40

Following a stab wound to the left anterior chest, a 25-year-old male presents with a decreased level of consciousness and signs of shock. Which of the following additional assessment findings should increase your index of suspicion for a cardiac tamponade?
Select one:
A. Widening pulse pressure
B. Engorged jugular veins
C. Diminished breath sounds
D. A rapid, irregular pulse

Answer 40

B. Engorged jugular veins

Question 41

You are transporting a stable patient with a possible pneumothorax. The patient is receiving high-flow oxygen and has an oxygen saturation of 95%. During your reassessment, you find that the patient is now confused, hypotensive, and profusely diaphoretic. What is most likely causing this patient’s deterioration?
Select one:
A. A total collapse of the affected lung
B. Compression of the aorta and vena cava
C. Blood accumulation in the pleural space
D. Hidden bleeding in the thoracic cavity

Answer 41

B. Compression of the aorta and vena cava

Question 42

A 37-year-old male was pinned
between a flatbed truck and a loading
dock. On exam, you find bruising to
the chest, distended neck veins,
bilaterally diminished breath sounds,
and bilateral scleral hemorrhaging.
You should:
Select one:
A. aggressively manage his
airway.
B. suspect a severe
hemopneumothorax.
C. request a paramedic
ambulance.
D. perform a secondary
assessment.

Answer 42

A. aggressively manage his airway.

Question 43

While jogging, a 19-year-old male experienced an acute onset of shortness of breath and pleuritic chest pain. He is conscious and alert with stable vital signs. Your assessment reveals that he has diminished breath sounds over the left side of the chest. You should:

Answer 43

B. administer oxygen and transport to the hospital.

Question 44

You arrive at the scene of a major motor vehicle crash. The patient, a 50-year-old female, was removed from her vehicle prior to your arrival. Bystanders who removed her state that she was not wearing a seatbelt. The patient is unresponsive, tachycardic, and diaphoretic. Your assessment reveals bilaterally clear and equal breath sounds, a midline trachea, and collapsed jugular veins. You should be most suspicious that this patient has experienced a:
Select one:
A. pericardial tamponade.
B. tension pneumothorax.
C. laceration of the aorta.
D. massive hemothorax.

Answer 44

C. laceration of the aorta.

Question 45

A patient who presents with profound cyanosis following a chest injury:
Select one:
A. requires prompt ventilation and oxygenation.
B. should be placed in Trendelenburg’s position.
C. has most likely experienced a ruptured aorta.
D. is most likely experiencing severe blood loss.

Answer 45

A. requires prompt ventilation and oxygenation.

Question 46

A rapid, irregular pulse following blunt
trauma to the chest is most
suggestive of a:
Select one:
A. tension pneumothorax.
B. pericardial tamponade.
C. myocardial contusion.
D. ruptured aorta.

Answer 46

C. myocardial contusion.

Question 47

A simple pneumothorax:
Select one:
A. heals on its own without any treatment.
B. is caused by penetrating chest trauma.
C. is commonly caused by blunt chest trauma.
D. often has a nontraumatic cause.

Answer 47

C. is commonly caused by blunt chest trauma.

Question 48

An open pneumothorax is:
Select one:
A. an open chest wound through which air moves during breathing.
B. a fractured rib that perforates the tissue of the lung surface.
C. the entry of air into the pleural space from a perforated lung.
D. extreme pleural pressure that causes the lung to rupture.

Answer 48

A. an open chest wound through which air moves during breathing.

Question 49

Elevation of the rib cage during inhalation occurs when:
Select one:
A. abdominal contents descend.
B. the diaphragm descends.
C. intrathoracic pressure decreases.
D. the intercostal muscles contract.

Answer 49

D. the intercostal muscles contract.

Question 50

Hemoptysis is defined as:
Select one:
A. vomiting blood.
B. blood in the pleural space.
C. coughing up blood.
D. abnormal blood clotting.

Answer 50

C. coughing up blood.

Question 51

If a patient with a chest injury only inhales small amounts of air per breath, he or she:
Select one:
A. often breathes at a slower rate because of lung damage caused by the injury.
B. must increase his or her respiratory rate to maintain adequate minute volume.
C. will eliminate more carbon dioxide than if he or she were breathing deeply.
D. will maintain adequate minute volume if his or her respiratory rate stays the same.

Answer 51

B. must increase his or her respiratory rate to maintain adequate minute volume.

Question 52

The ________ nerves supply the diaphragm.
Select one:
A. vagus
B. costal
C. phrenic
D. intercostal

Answer 52

C. phrenic

Question 53

If a person’s tidal volume decreases, but his or her respiratory rate remains unchanged:
Select one:
A. minute volume will remain unchanged.
B. minute volume will increase.
C. minute volume will decrease.
D. excess carbon dioxide will be eliminated.

Answer 53

C. minute volume will decrease.

Question 54

Irritation or damage to the pleural surfaces that causes sharp chest pain during inhalation is called:
Select one:
A. pneumonitis.
B. pleurisy.
C. dyspnea.
D. pneumothorax.

Answer 54

B. pleurisy.

Question 55

Signs and symptoms of a tension pneumothorax include all of the following, except:
Select one:
A. collapsed jugular veins.
B. profound cyanosis.
C. unilaterally absent breath sounds.
D. altered mental status.

Answer 55

A. collapsed jugular veins.

Question 56

Subcutaneous emphysema is an indication that:
Select one:
A. your patient is experiencing a pericardial tamponade.
B. at least half of one lung has completely collapsed.
C. blood is slowly accumulating within the tissue of the lung.
D. air is escaping into the chest wall from a damaged lung.

Answer 56

D. air is escaping into the chest wall from a damaged lung.

Question 57

Patients with rib fractures will commonly:
Select one:
A. prefer to lie in a supine position.
B. take a series of deep breaths.
C. develop a sucking chest wound.
D. breathe rapidly and shallowly.

Answer 57

D. breathe rapidly and shallowly.

Question 58

Pneumothorax is defined as:
Select one:
A. accumulation of air in the pleural space.
B. accumulation of air between the lungs.
C. blood collection within the pleural space.
D. blood collection within the lung tissue.

Answer 58

A. accumulation of air in the pleural space.

Question 59

The phrenic nerves control the diaphragm and exit the spinal cord at:
Select one:
A. C1, C2, and C3.
B. C3 and C4.
C. C1 and C2.
D. C3, C4, and C5.

Answer 59

D. C3, C4, and C5.

Question 60

The thoracic cavity is separated from the abdominal cavity by the:
Select one:
A. anterior rib cage.
B. diaphragm.
C. intercostal margin.
D. costovertebral angle.

Answer 60

B. diaphragm.

Question 61

When assessing a patient with a hemothorax, you will most likely find:
Select one:
A. jugular venous engorgement.
B. ipsilateral tracheal deviation.
C. distant or muffled heart tones.
D. signs and symptoms of shock.

Answer 61

D. signs and symptoms of shock.

Question 62

Which of the following organs or structures does not reside within the mediastinum?
Select one:
A. Lungs
B. Trachea
C. Vena cavae
D. Esophagus

Answer 62

A. Lungs

Question 63

When a person is lying supine at the end of exhalation, the diaphragm:
Select one:
A. contracts and flattens inferiorly.
B. descends below the level of the navel.
C. might rise as high as the nipple line.
D. is less prone to penetrating trauma.

Answer 63

C. might rise as high as the nipple line.

Question 64

What type of orthopedic injury may have occurred when a joint is injured in such a way that it becomes fixed in an abnormal​ position, is resistive to​ motion, is extremely​ painful, and will likely have noticeable​ deformity?
A.
Transverse fracture
B.
Dislocation
C.
Comminuted injury
D.
Impacted fracture

Answer 64

B.
Dislocation

Question 65

Traction splinting a fractured femur will realign the bone​ and:
A.
prevent marrow damage at the fracture location.
B.
prevent the need for surgery.
C.
allow the patient to be transported without pain.
D.
reduce blood loss into the thigh.

Answer 65

D.
reduce blood loss into the thigh.

Question 66

When performing a physical examination on a patient with a musculoskeletal​ injury, remember​ that:
A.
it is important to obtain a SAMPLE history during or after your physical examination.
B.
capillary refill is important to​ check, especially in adult patients.
C.
it is necessary to assess the joints above and below any bone​ injury, and you should assess the bones above and below any joint injury only if those areas have obvious trauma.
D.
pulselessness and cyanosis in the injured extremity are common and should not alter your assessment and transport priorities.

Answer 66

A.
it is important to obtain a SAMPLE history during or after your physical examination.

Question 67

You are unable to locate the pulse distal to a fracture. This may indicate damage to​ a(n):
A.
nerve.
B.
artery.
C.
vein.
D.
tendon.

Answer 67

B.
artery.

Question 68

How much blood loss can result from a femur​ fracture?
A.
250 mL
B.
500 mL
C.
​1,000 mL
D.
​1,500 mL

Answer 68

D.
​1,500 mL

Question 69

A​ 53-year-old man complains of an injury to his right lower leg. You notice an obvious deformity. Below the deformity you observe​ warm, flushed skin. This finding may​ indicate:
A.
arterial damage.
B.
nerve damage.
C.
venous damage.
D.
tendon disruption.

Answer 69

C.
venous damage.

Question 70

Why is shock so concerning in the geriatric​ patient?
A.
Shock may cause a stroke.
B.
Blood vessels may overrespond.
C.
Organs cannot tolerate hypoperfusion.
D.
Dementia makes it difficult to detect shock.

Answer 70

C.
Organs cannot tolerate hypoperfusion.

Question 71

The body contains three kinds of​ muscles, each with a specific function. These muscles​ are:
A.
​controlled, autonomic, and contracting muscles.
B.
​long, flat, and specialized muscles.
C.
​flat, striated, and walled muscles.
D.
​voluntary, involuntary, and cardiac muscles.

Answer 71

D.
​voluntary, involuntary, and cardiac muscles.

Question 72

Failure to properly pad between an extremity and splinting material may lead​ to:
A.
increased bone damage.
B.
improved stability.
C.
uncontrolled hemorrhage.
D.
skin damage.

Answer 72

D.
skin damage.

Question 73

Colliding with the internal components of a car during a motor vehicle collision may result in a fracture caused​ by:
A.
indirect force.
B.
direct force.
C.
tearing force.
D.
twisting force.

Answer 73

B.
direct force.

Question 74

You are treating a​ 17-year-old female patient who fell while playing basketball. Her right thigh is​ painful, swollen, and​ deformed, and she is in considerable pain. The MOST appropriate device for splinting her injury would be​ a:
A.
PASG.
B.
traction splint.
C.
inflatable splint.
D.
set of long board splints.

Answer 74

B.
traction splint.

Question 75

Patients with a past medical history of​ cancer, osteoporosis, and other benign bone conditions such as congenital cysts are at risk​ for:
A.
frequent falls.
B.
nontraumatic fractures.
C.
frequent dislocations.
D.
debilitating tendonitis.

Answer 75

B.
nontraumatic fractures.

Question 76

The main reason an EMT splints a bone or joint injury is to​ prevent:
A.
immobilization.
B.
crepitation.
C.
movement.
D.
splintering.

Answer 76

C.
movement.

Question 77

When assessing your trauma​ patient, you note that he is complaining of​ pain, paresthesia, and pressure in his lower right leg. Upon your​ examination, you note that his lower right leg is pale and does NOT have a pulse. These findings are indicative​ of:
A.
arterial rupture and shock.
B.
deep vein thrombosis.
C.
compartment syndrome.
D.
severe internal hemorrhaging.

Answer 77

C.
compartment syndrome.

Question 78

When a bone is forced well beyond its normal position in a​ joint, this injury is called​ a:
A.
dislocation.
B.
strain.
C.
subluxation.
D.
sprain.

Answer 78

A.
dislocation.

Question 79

The sound or feeling of a broken bone end rubbing on another broken bone end is​ called:
A.
fixation.
B.
crepitus.
C.
traction.
D.
sequelae.

Answer 79

B.
crepitus.

Question 80

What is the eventual outcome of undiagnosed compartment​ syndrome?
A.
Loss of tissue
B.
Internal hemorrhage
C.
Chronic nerve pain
D.
Fasciotomy

Answer 80

A.
Loss of tissue

Question 81

Which of these is NOT one of the most common fracture locations in the upper extremities in the elderly​ population?
Question content area bottom
Part 1
A.
Distal humerus
B.
Distal radius fracture
C.
Elbow fracture
D.
Proximal humerus

Answer 81

A.
Distal humerus

Question 82

The use of a traction splint in the presence of a pelvic​ fracture:
A.
is an ALS function.
B.
is appropriate if a pelvic binder is applied first.
C.
can cause internal hemorrhage.
D.
requires application of a PASG.

Answer 82

C.
can cause internal hemorrhage.

Question 83

During your ongoing assessment of a patient with a broken radius and ulnar​ bones, while en route to the​ hospital, be sure​ to:
A.
palpate the injury site several times to assess if the site is still painful.
B.
recheck the​ patient’s vital signs every 20 minutes if the patient is stable.
C.
elevate the extremity if spinal injury is not suspected.
D.
remove and reapply any splints if the​ patient’s distal​ pulses, motor​ function, or sensation have deteriorated.

Answer 83

C.
elevate the extremity if spinal injury is not suspected.

Question 84

When pressure in the space around the capillaries exceeds the pressure needed to perfuse the​ cells, the result​ is:
A.
tissue perfusion.
B.
compartment syndrome.
C.
venous bleeding.
D.
direct trauma.

Answer 84

B.
compartment syndrome.

Question 85

A​ 65-year-old male patient fell from the roof of his house. He is unconscious. You notice that he has an open fracture to his lower right leg and a deformity to his left upper arm. There is capillary bleeding associated with the leg fracture. You should​ first?
A.
ensure an open airway.
B.
control the bleeding.
C.
splint the lower left leg.
D.
splint the upper left arm.

Answer 85

A.
ensure an open airway.

Question 86

While on standby at a​ semi-professional baseball​ game, you are summoned onto the field at home plate for a player who complains of severe leg pain after colliding with the catcher of the opposing team when attempting to slide into home base. The primary assessment shows no threats to the​ airway, breathing, or circulation. The secondary assessment reveals a severely deformed knee that is swollen and ecchymotic. The leg is pale and​ cool, and the patient cannot move his leg when asked to do so. In​ addition, you cannot palpate a pedal pulse. What should the​ EMT’s priority action be at this​ time?
A.
Check the​ patient’s radial or carotid pulse
B.
Apply cold packs to the knee and transport immediately
C.
Apply a traction splint and enough traction until a pulse returns
D.
Attempt to straighten the leg until a pulse returns

Answer 86

D.
Attempt to straighten the leg until a pulse returns

Question 87

You arrive on the scene to help another crew with the extrication from an attic of a female who fell while retrieving holiday decorations. As a result of the​ fall, the patient has an open fracture to her left lower leg. The patient has been fully immobilized to a long board and has a rigid splint in place to her left leg. What would indicate the extremity has been improperly​ splinted?
A.
The skin of the foot is red and swollen with a weak pedal pulse noted
B.
The splint has immobilized the​ ankle, knee, and hip regions
C.
Ice packs wrapped in towels have been applied to the skin between the splints
D.
The patient is able to flex her left ankle when directed to do so

Answer 87

D.
The patient is able to flex her left ankle when directed to do so

Question 88

A patient with diagnosed osteoporosis is more likely to sustain which type of bone​ injury?
A.
Joint sprain
B.
Strain
C.
Fracture
D.
Nontraumatic dislocation

Answer 88

C.
Fracture

Question 89

While evaluating a patient who experienced a​ fall, you note crepitus in the left forearm in the area of the wrist. Crepitus in the wrist is typically caused​ by:
A.
Tearing of muscles near the site
B.
Nitrogen bubbles in the joints
C.
Bone ends grinding together
D.
Subcutaneous air pockets

Answer 89

C.
Bone ends grinding together

Question 90

The rapid secondary assessment of a male patient who was thrown off a motorcycle indicates instability and pain on palpation to the pelvic area. What is the​ EMT’s primary concern related to this​ injury?
A.
Internal blood loss
B.
Risk for infection
C.
Severe pain
D.
Pelvic or hip fracture

Answer 90

A.
Internal blood loss

Question 91

Which type of muscle tissue is found in the​ forearm?
A.
Integumentary
B.
Involuntary
C.
Contraction
D.
Voluntary

Answer 91

D.
Voluntary

Question 92

A patient whom you transported several days ago stops by your station to thank you. They report that they were diagnosed with a strain to the lower right leg. As​ such, you recognize which structure as being affected by that​ injury?
A.
Ligament
B.
Muscle
C.
Joint
D.
Bone

Answer 92

B.
Muscle

Question 93

Firefighters are extricating the driver of a small car that was struck broadside by a delivery truck at a moderate rate of speed. The patient was​ unrestrained, and the car sustained severe damage to the​ driver’s side. As the male patient is pulled from the​ car, you note severe deformity to his left thigh area where an open femur fracture has been bleeding severely. Your primary assessment shows the patient to be responsive to painful​ stimuli, with an open airway and adequate breathing at 20 breaths per minute. His radial pulse is present but rapid at a rate of 124. After applying oxygen and stopping the leg bleed with direct​ pressure, the EMT should​ immediately:
A.
Examine the left leg
B.
Apply a traction splint to the left leg
C.
Check for a pedal pulse in the left foot
D.
Conduct a rapid secondary assessment

Answer 93

D.
Conduct a rapid secondary assessment

Question 94

Which of these findings is LEAST consistent with a head injury with increased ICP in a pediatric​ patient?
A.
Hypoventilation
B.
Headache
C.
Tachycardia
D.
Light sensitivity

Answer 94

C.
Tachycardia

Question 95

The secondary assessment of a patient who complains of right leg pain after falling down several stairs reveals a break in the skin where a fractured tibia bone broke through and then recessed back into the leg. The EMT should recognize this as which type of​ injury?
A.
Open fracture
B.
Partial fracture
C.
Closed fracture
D.
Laceration

Answer 95

A.
Open fracture

Question 96

When using an air​ splint, the EMT must remember that air​ splints:
A.
Can decrease circulation in the extremity
B.
Are contraindicated for joint injuries
C.
Do not fully immobilize a possible fracture
D.
Should never be applied circumferentially

Answer 96

A.
Can decrease circulation in the extremity