WFR Flashcards

1
Q

Unusable athletic injuries are treated with:

A

immobilization and evacuation

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2
Q

Certification as a wilderness medicine provider:

A

indicates you have completed training

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3
Q

Wilderness medicine is different from urban medicine because wilderness medicine has:

A

extended patient contact time, environmental challenges and improvised gear

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4
Q

The most common injuries consistently reported on wilderness expeditions are

A

soft tissue wounds

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5
Q

A patient in compensatory shock:

A

maintains adequate perfusion with vasoconstriction, increased HR and RR

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6
Q

Compartment syndrome is

A

pressure in a muscle secondary to an injury

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7
Q

A hypothermic patient

A

can be treated with a hypothermia wrap

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8
Q

Your tent mate has accidentally swallowed a small amount of white gas. You recommend that she:

A

call poison control

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9
Q

We guard against an allergic response to a medication by

A

asking the patient if they have taken a medication previously

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10
Q

Treatment principles for snowblindness include

A

cool compresses over the eyes

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11
Q

A pneumothorax is

A

air in the chest

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12
Q

Sunscreens

A

should be applied several times a day

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13
Q

Rapidly evacuate a patient with a headache if the headache

A

is sudden, severe or is associated with altered mental status

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14
Q

Urinary tract infections

A

can be accompanied by fever and blood in the urine

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15
Q

Your 54 year old co-instructor wakes up with chest pain and a sensation of tightness in his chest, shortness of breath, anxiety, nausea and pale cool, clammy skin. Your treatment plan includes

A

suggesting he take one adult aspirin

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16
Q

Which of the following statements about exercise in hot conditions is false?

A

over hydration can prevent heat illness

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17
Q

The head-to-toe physical exam

A

is done on all patients

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18
Q

In the wilderness we can stop CPR if:

A

the patient’s pulse returns

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19
Q

Abandonment occurs when:

A

you turn over patient care to a person unable to manage the patient

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20
Q

To effectively make water safe to drink it needs to

A

be hot enough for a rolling boil

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21
Q

In a hydrated person urine is commonly

A

light yellow or clear

22
Q

Recommended treatments for pit viper bites include:

A

Transporting the victim to the hospital for antivenom.

23
Q

A patient with a fever that is greater than 102F (39C) or that persists for 48 hours should be

A

evacuated to definitive care

24
Q

When we check the pelvis in the head-to-toe exam we

A

press in on the iliac crests.

25
Q

Which of the following patients is the best candidate to be given a Focused Spine Assessment performed by a WFR?

A

A 23 year old female who fell approximately 15 feet onto hard ground, landing on her back, with no midline pain or CSM deficit found during the head to toe exam.

26
Q

High risk wounds

A

open a joint space

27
Q

Gastroenteritis is

A

an inflammation of the gastrointestinal tract

28
Q

Open chest wounds should be covered with:

A

an occlusive dressing taped on all four sides

29
Q

Common early signs and symptoms of non-freezing cold injury are

A

numbness, itching or pain.

30
Q

Oral fluids should not be given to a patient in a wilderness context if

A

the patient has an altered mental status

31
Q

Itchy skin, watery eyes, runny nose, puffy eyelids, hives and/or welts on the skin are signs or symptoms of

A

an allergic response

32
Q

Hay fever is treated by

A

antihistamines

33
Q

An avulsed (knocked-out) tooth

A

may be saved if re-implanted promptly

34
Q

Proper wound cleaning includes

A

irrigation with clean water

35
Q

Which of the following descriptions of a transient ischemia attack (TIA) are correct?

A

a TIA is a temporary interruption in the blood supply to a part of the brain.

36
Q

Which of the following would be an evacuation criteria for an abdominal complaint?

A

Blood in urine, feces or vomit.

37
Q

Signs and symptoms of severe hypothermia are

A

no shivering, inability to walk.

38
Q

Acclimatization to altitude can be enhanced by

A

ascending slowly

39
Q

Which of the following statements on dislocations in a wilderness context is correct?

A

A WFR is trained to reduce shoulder, jaw, fingers/toe and patella dislocations.

40
Q

High Altitude Cerebral Edema (HACE)

A

can present with ataxia.

41
Q

You are walking through a pine forest as pollen cascades from the trees and one of your companions develops tightness in his chest and has a history of asthma. Your treatment is:

A

leave the forest.

42
Q

One of your clients fell while hiking earlier in the day. You learn this when they ask for aspirin for a headache. You should:

A

do a complete patient assessment

43
Q

An important clue that your patient may have hyponatremia is

A

a history of excessive fluid intake.

44
Q

An evacuation guideline for a patient with mental health concerns is

A

the condition is beyond our ability to manage in the field.

45
Q

Treatment of seizures involves

A

protecting the patients airway, head and dignity.

46
Q

Which of the following is a treatment principle for frostbite?

A

rapid warming in warm water.

47
Q

A brain injury can cause:

A

swelling and increased intracranial pressure.

48
Q

What are the most common vectors for diarrhea and flu-like illness on a wilderness expedition?

A

our hands.

49
Q

Hot spots are

A

already a sign of injury.

50
Q

You find a patient with a history of insulin dependent diabetes in a remote wilderness camp. The patient is awake but not responding appropriately. He is able to swallow. Your treatment includes

A

administering oral sugar.