T3 Trauma

A 4-year-old male reached for the pot of boiling water on the stove. His arms, face, and chest are mottled and blistered. What is the extent of his burn? A. 48% B. 36% C. 54% D. 32%

A. 48%

Hyperextension injuries of the spines are MOST common the result of: A. Hangings B. Falls C. diving D. compression

A. Hangings

In which of the following situation should the EMT splint an injured limb in the position of deformity? A. If resistance is encountered or the patient experiences sever pain B. When distal circulation and neurological functions are absent C. If a traction splint will be used to immobilize the injured extremity D. If transport time to the hospital is greater than 20 to 30 minutes

A. If resistance is encountered or the patient experiences sever pain

During your primary assessment of a 19 year old unconscious male who experienced sever head trauma. You note that his respirations are rapid, irregular, and shallow. He has bloody secretions draining from his mouth and nose. you should: A. Immobilize his spine and transport immediately B. pack his nostrils and stop the drainage of blood C. assist his ventilations with a BVM D. suctions his oropharynx for up to 15 seconds

A. Immobilize his spine and transport immediately

A 16 year old male has a broken nose. He is bleeding heavily from both nostrils. What should you do? A. Pinch his nose and lean him forward B. Pinch his nose and lean him back C. Apply direct pressure to his nostrils D. Gently pack both nostrils with sterile gauze

A. Pinch his nose and lean him forward

The MOST prominent symptom of decompression sickness is: A. abdominal or joint pain B. dizziness and nausea C. difficulty with vision D. tightness in the chest

A. abdominal or joint pain

An open fracture is MOST accurately defined as a fracture in which: A. bone ends protrude though the skin. B. a bullet shatters the underlying bone. C. the overlying skin is no longer intact. D. a large laceration overlies the fracture.

A. bone ends protrude though the skin.

The central nervous system (CNS) is composed of the: A. brain and spinal cord B. cerebrum and meninges C. meninges and spinal cord D. cerebellum and brain

A. brain and spinal cord

You are transporting a patient with blunt abdominal trauma. The patient 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: A. closely monitor him and reassess him frequently. B. forgo the hospital radio report because of his condition. C. begin documenting the call on the patient care form D. perform a comprehensive secondary assessment.

A. closely monitor him and reassess him frequently.

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

A. is commonly caused by blunt chest trauma

The upper jawbones are called the A. maxillae B. mastoid C. zydoma D. mandible

A. maxillae

Children are often "belly breathers" because _______. A. their intercostal muscles are not developed B. They are routinely hypoxic C. They are consciously controlling ventilation D. Their diaphragm s not functional

A. their intercostal muscles are not developed

During your assessment of a 29-year old female with significant deformity to her left elbow, you are unable to palpate a radial pulse. Your transport time to the hospital is approximately 40 minutes. You should: A. splint the elbow in the position of deformity and transport immediately B. Apply gentle manual traction in line with the limb and reassess for a pulse. C. carefully straighten the injured arm and secure it with padded board splints D. make two or three attempts to restore distal circulation by manipulating the elbow

B. Apply gentle manual traction in line with the limb and reassess for a pulse.

When performing a full body scan, you should assess for _______. A. AVPU B. DCAP-BTLS C. OPQRST D. SAMPLE

B. DCAP-BTLS

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? A. A rapid, irregular pulse B. Engorged jugular veins C. Widening pulse pressure D. Diminished breath sounds

B. Engorged jugular veins

A 21-year-old female was lost in the woods for several hours. The ambient temperature is 25 degrees Fahrenheit, She is lethargic and confused. The skin on her hands is waxy and white. What should you do? A. Vigorously rub the patients extremities B. Gently wrap the patient in several dry blankets C. apply heat packs on her neck, armpits and groin D. place several heat packs on her legs and arms

B. Gently wrap the patient in several dry blankets

You are caring for a hockey player who has been struck in the front of the neck by a hockey puck. The player is sitting upright. He is drooling because it hurts to swallow and reports pain in his neck. Which of the following actions is most appropriate? A.Allow the patient to remain upright, in a position of comfort, to protect the airway B. Insist the player lay supine for full spinal immobilization, based on the presence of neck pain. C. Position the patient supine without immobilization and suction the airway if needed. D. Position the patient left laterally recumbent on the gurney without mobilization.

B. Insist the player lay supine for full spinal immobilization, based on the presence of neck pain.

An 18 year old male has, hypotension bradycardia and warm dry skin following a hard hit during a football game. What should you suspect? A. Septic shock B. Neurogenic shock C. Cardiogenic shock D. Hypovolemic shock

B. Neurogenic shock

Which of the following musculoskeletal injuries would pose the greatest threat to a patient's life? A. Non-displaced long bone fracture B. Pelvic fracture with hypotension C. Bilateral femur fractures D. An amputated extremity

B. Pelvic fracture with hypotension

A "hip" fracture is actually a fracture of the: A. pelvic girdle B. Proximal femur C. femoral shaft D. pubic symphysis

B. Proximal femur

To treat a sting from a jellyfish, pour_____on the affected area. A. vinegar B. Sterile water C. honey D. Sand

B. Sterile water

In which of the following situation would you remove an impaled object? A. Piece of metal in the abdomen B. Wire in the right check C. Knife in the lung D. Steel rode through the leg

B. Wire in the right check

You are caring for a pediatric patient who has a nosebleed and is reporting nausea from swallowing bleed. what should you do: A. call for ALS unit so the patient can receive anti-nausea medication B. ask the patient to lean forward so the bleed doesn't drain into the throat C. Attempt to suction the oropharynx with a rigid-tip suction catheter D. Encourage the patient to drink water to dilute the blood in the stomach

B. ask the patient to lean forward so the bleed doesn't drain into the throat

A fracture is MOST accurately defined as a(n): A. total loss of function in a bone B. break in the continuity of the bone C. disruption in the midshaft of a bone D. abnormality in the structure of a bone

B. break in the continuity of the bone

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 pans and remove the foreskin prior to your arrival. Your assessment reveals that he is in sever pain and that the avulsion is bleeding moderately. the MOST appropriate treatment for this patient includes: A. applying direct pressure with a dry, sterile dressing B. covering the avulsion with moist, sterile dressing C. requesting a paramedic to administer pain medication D. administering 100% oxygen via a nonrebreather ask.

B. covering the avulsion with moist, sterile dressing

The MOST significant hazard associated with splinting is: A. compression of nerves, tissues, and vasculature B. delaying transport of a critically injured patient C. aggravation of the injury or worsened pain D. reduction in circulation distal to the injury site

B. delaying transport of a critically injured patient

Bleeding from soft-tissue injuries to the face is MOST effectively controlled with: A. digital pressure to an adjacent pulse point B. direct pressure using dry, sterile dressings C. Pressure dressings and chemical ice packs

B. direct pressure using dry, sterile dressings

Once a cervical collar has been applied to a patient with a possible spinal injury, it should not be removed unless: A. lateral immobilization has been applied B. it causes a problem managing the airway C. the patient adamantly denies neck pain D. sensory and motor functions remain intact

B. it causes a problem managing the airway

A 28-year-old male was struck in the chest with a baseball bat during an altercation. He is conscious and alert and complains of sever chest pain. Your assessment reveals a large area of ecchymosis over the sternum and a rapid, irregular pulse. In addition to providing supplemental oxygen, you should: A. apply bulky dressing to the sternum B. prepare for immediate transport C. apply an AED and assess his BP D. determine if he has cardiac problems

B. prepare for immediate transport

Hollow organs ______, whereas solid organs bleed_____. A. bleed profusely, very slowly B. rupture, profusely C. rupture, very slowly D. ooze blood, profusely

B. rupture, profusely

A 22-year-old female was ejected from her car after striding a tree head on. As you approach her you note obvious close deformities to both of her femurs. She is not moving and does not appear to be conscious. you should: A. assess for a carotid pulse and assist her ventilations B. stabilize her head and perform a primary assessment. C. apply manual stabilization to both of her femurs D. administer oxygen and perform a rapid assessment

B. stabilize her head and perform a primary assessment.

Burns associated with lightning strikes are typically: A. partial-thickness B. superficial C. full-thickness D. third-degree

B. superficial

A 24 year old female is unconscious after being shot in the chest. She has gurgling respiration and blood spurting from her neck. What should you do? A. Provide supplemental oxygen B. Cover her with a warm blanket C. Control the bleeding D. Suction her oropharynx

C. Control the bleeding

a 19 year old male struck his head against a driving platform while doing a reverse flip. Vital signs are BP 88/70, P 96 and R 8. What type of shock is he in? A. Hypovolemic B. Hemorrhagic C. Distributive D. Cardiogenic

C. Distributive

How does the body try to compensate during uncontrolled bleeding? A. increase bleed-clotting mechanisms B. decreased blood pH C. Increasing the heart rate D. decreasing the respiratory rate

C. Increasing the heart rate

A 19 year old male was playing collegiate football and was slow to get up following a hard tackle. He reports he felt dizzy after the tackle, which is why he was slow to rise. He denies having lost consciousness. He does not want to transport to a hospital and instead wants to return to play. Which of the following is the most appropriate action? A. Have the patient sign the refusal paperwork quickly so he can return to play B. Offer to remain on the sidelines for duration duration of the game in case the patient feels dizzy again. C. Strongly encourage the patient to be transported to a hospital for further evaluation. D. defer to the team coach regarding whether the patient needs further evaluation.

C. Strongly encourage the patient to be transported to a hospital for further evaluation.

Skeletal muscle is attached to the bone by tough, ropelike, fibrous structures called: A. ligaments B. Fascia C. Tendons D. Cartilage

C. Tendons

The body's natural protective mechanisms against heat loss are: A. Vasodilation and respiration B. Shivering and vasodilation C. Vasoconstriction and shivering D. Respiration and Vasoconstriction

C. Vasoconstriction and shivering

a 36-year old female has dark red blood oozing from her foot. What best describes this bleeding? A. Arterial B. Internal C. Venous D. Capillary

C. Venous

A 56 year old female has an arm injury with arterial bleeding. The dressing becomes soaked with blood. What should you do? A. remove and replace the dressing with a thicker dressing B. wrap an elastic bandage around the blood-soaked dressing C. apply additional dressing material with direct pressure D. cover the existing dressing with an occlusive dressing

C. apply additional dressing material with direct pressure

You documentation on a sexual assault victim should _____. A. describe the status of the suspect (s) B. include your opinion of the nature of the incident C. be objective and factual D. be subjective and summarize the crime

C. be objective and factual

A gunshot wound is an example of a: A. contusion B. laceration C. penetration D. deformity

C. penetration

Crepitus and false motion are: A. only seen in open fractures B. most common with dislocations C. positive indicators of a fracture D. indicators of a severe sprain

C. positive indicators of a fracture

Treatment of drowning or near drowning begins with A. suctioning the lungs to remove water B. ventilation with 100% oxygen via bag-mask device C. rescue and removal of the water D. opening the airway

C. rescue and removal of the water

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. You 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: A.apply ice to the wound and transport quickly B. Transport only which close, continuous monitoring C. supine position, splinting the leg, and transporting. D. Elevating the lower extremities and giving antivenin.

C. supine position, splinting the leg, and transporting.

Deformity caused by a fracture would MOST likely be asked by: A. Crepitus B. guarding C. swelling D. ecchymosis

C. swelling

Which of the following statements regarding abdominal eviscerations is correct? A. Most evisceration occur to the left upper quadrant. B. The organs should be replaced carefully to avoid heat loss C. the protruding organs should be kept warm and moist D. Adherent material is preferred when covering an evisceration

C. the protruding organs should be kept warm and moist

Which of the following statements regarding anterior nosebleeds is correct? A. They are usually caused by a fracture of the basilar skull/ B. They are usually sever and require aggressive treatment to control. C. they usually originate from the septum area and bleed slowly D. they cause blood to train into the posterior pharynx.

C. they usually originate from the septum area and bleed slowly

Which of the following is an example of a closed injury? A. Laceration B. Avulsion C. penetrating wound D. Compartment syndrome

D. Compartment syndrome

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

D. Liver

Immediately life-threatening chest injuries must be found and managed during the during the______. A. scene size-up B. secondary assessment C. patient history D. Primary assessment

D. Primary assessment

To assess a patient's general body temperature, pull back on your glove and place the back of your hand on his or her skin at the: A. chest B. neck C. forehead D. abdomen

D. abdomen

Closed chest injuries are typically caused by _______. A. penetrating trauma B. high-velocity weapons C. flying debris D. blunt trauma

D. blunt trauma

A 54 year old male accidentally shot himself in the leg while cleaning his gun. You assessment reveals a small entrance wound to the medial aspect of his right leg. The exit wound is o the opposite side of the leg and is actively bleeding. the patent complains of numbness and tingling in his right foot. You should: A. gently manipulated the injured leg until the numbness dissipates B. manually stabilize the leg above and below the site of injury C. assess distal pulses as well as sensory and motor functions D. control the bleeding and cover the wound with a sterile dressing.

D. control the bleeding and cover the wound with a sterile dressing.

When the body loses sweat, it also loses: A. nutrients B. erythrocytes C. plasma D. electrolytes

D. electrolytes

A factory worker was splashed in the eyes with a strong acid chemical. He complains of intense pain and blurred vision. Your ambulance does not carry bottles of sterile saline or water. You should: A. flush both eyes with an alcohol-based solution and transport B. neutralize the acid chemical in his eye with an alkaline chemical C. mix baking soda with water and irrigate his eyes with the solution D. irrigate both eyes continuously for 20 mins with plain water

D. irrigate both eyes continuously for 20 mins with plain water

A 20-year-old male has a 4 cm long by 3 mm wide cut along his right forearm. How should you classify this wound? A. abrasion B. avulsion C. contusion D. laceration

D. laceration

A flail chest occurs when: 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.

D. more than three ribs are fractured on the same side of the chest.

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

D. peritonitis may not develop for several hours

Which of the following would be the LEAST likely to occur in a patient with a core body temperature of between 89 Degree F (32 deg C) and 92 deg F (33 C) A. Stiff muscles B. confusion C. bradypnea D. tachycardia

D. tachycardia

Patients with chest injuries will often present with_____. A. agonal respirations B. Kussmaul respirations C. Cheyne-Stokes respirations D. tachypnea

D. tachypnea

When immobilization a trauma patient's spine, the EMT manually stabilizing the head should not let go until: A. the head has been stabilized with lateral immobilization B. the patient has been secured to the ambulance stretcher C. an appropriately sized cervical collar has been applied D. the patient has been completely secured to the blackboard

D. the patient has been completely secured to the blackboard

In general, musculoskeletal injuries should be splinted before moving the patient unless: A. deformity and swelling are present B. transport time is less than 15 minutes C. The patient is in sever pain D. the patient is clinically unstable

D. the patient is clinically unstable