EMT-B Chapter 3
For which of the following conditions would a bariatric stretcher be indicated? A. Multiple angulated fractures B. Cervical injury C. Morbid obesity D. Severe burns
Morbid obesity
General guidelines for lifting include: A. positioning your feet approximately six inches apart. B. keeping your feet shoulder-width apart. C. challenging yourself physically. D. minimizing verbal communication.
keeping your feet shoulder-width apart.
To minimize or prevent aggravation of a spinal injury during an emergency move, the EMT should move the patient in the direction of the: A. long axis of the body. B. lateral axis of the body. C. short axis of the body. D. vertical axis of the body.
long axis of the body.
Of the two types of spine boards, the one used for the transport of patients in the supine position is the: A. long spine board. B. pediatric spine board. C. pneumatic spine board. D. padded spine board.
long spine board.
Which of the following is a patient who could be transported on a stair chair? A. A patient who is having difficulty breathing B. An unresponsive patient C. A patient with a need for airway care D. A patient with a neck or spine injury
A patient who is having difficulty breathing
What would be the most comfortable stretcher for a 300-pound patient? A. Scoop B. Basket C. Bariatric D. Power
Bariatric
Which of the choices would be a poor technique to use if you were about to lift a heavy patient? A. Squatting rather than bending at the waist B. Keeping the weight close to your body C. Lifting the patient and twisting while lowering to the stretcher D. Keeping your back locked in
Lifting the patient and twisting while lowering to the stretcher
Which of the following techniques is used by power weight lifters? A. Power lift B. Squat thrust C. Knee-chest lift D. Clean-and-jerk lift
Power lift
Which of the following helps prevent injury from lifting and carrying a patient? A. Lift with both palms down. B. Keep your knees locked. C. Keep the weight away from your body. D. Use your leg muscles.
Use your leg muscles.
The clothes drag, incline drag, and shoulder drag are examples of: A. one-rescuer non-emergency moves. B. one-rescuer emergency moves. C. two-rescuer emergency moves. D. two-rescuer non-emergency moves.
one-rescuer emergency moves.
You and your partner feel that your physical limitations will not allow you to safely lift and carry a patient, and additional help is still minutes away from the scene. If lifting the patient right away is necessary, which of the following devices uses a battery-powered hydraulic system that could lift the patient? A. A stair chair B. A scoop stretcher C. A power stretcher D. A manual stretcher
A power stretcher
In moving a patient on a stretcher, what is the safest level at which to do so? A. Mid-elevated from the ground B. Closest to the ground C. A fully elevated position D. The reclined position
Closest to the ground
When assessing a patient, you quickly decide that it is in the patient's best interest for you to do an emergency move. Which of the following is NOT an indication for an emergency move? A. You are unable to provide lifesaving care to the patient because of the patient's location. B. You are unable to gain access to other patients who need lifesaving care. C. There is immediate danger to you. D. Dispatch is holding calls for your community.
Dispatch is holding calls for your community.
An ideal lifting arrangement is: A. EMTs of different weights. B. EMTs of similar strength and height. C. EMTs with similar physical limitations. D. EMTs of different heights.
EMTs of similar strength and height.
What is the term for a lift from a squatting position with the weight to be lifted close to the body, feet apart and flat on the ground, body weight on or just behind the balls of the feet, and the back locked in? A. Non-urgent move B. Power lift C. Urgent move D. Emergency move
Power lift
Which of the following is recommended when moving something heavy? A. Pulling B. Twisting C. Pushing D. Reaching
Pushing
Your patient is conscious, has no trauma, and is complaining of dyspnea. The patient is concerned that transport will aggravate the breathing difficulty. Which of the following is most likely the BEST way to position the patient during transport that would also address this patient's concern? A. Sitting upright in a stair chair B. Lying flat on a long spine board C. Left recumbent on a wheeled stretcher D. Supine on a vacuum mattress
Sitting upright in a stair chair
When lifting and moving patients, what should be kept straight and locked? A. The back B. The legs C. The feet D. The hips
The back
Which of the following is a situation in which urgent moves are necessary? A. You are late for shift change. B. The patient's airway is compromised. C. You have another call holding. D. The patient is restless.
The patient's airway is compromised.
You are on the scene of a car crash where the patient is sitting in the driver's seat with a potential spine injury. There is a small fire in the engine compartment, and smoke is coming out from under the hood of the car. What should you do? A. Direct the patient to exit the vehicle. B. Use the rapid extrication technique. C. Instruct the patient to stay in the car. D. Apply the KED quickly.
Use the rapid extrication technique.
What device becomes rigid and conforming when air is withdrawn and naturally pads voids for greater comfort while performing the same function as a rigid backboard? A. Flexible stretcher B. Scoop stretcher C. Basket stretcher D. c
What device becomes rigid and conforming when air is withdrawn and naturally pads voids for greater comfort while performing the same function as a rigid backboard? A. Flexible stretcher B. Scoop stretcher C. Basket stretcher D. Vacuum mattress
A stair chair should be used in which of the following circumstances? A. When the patient has a lower-extremity injury B. When traversing narrow corridors and doorways C. When the patient has altered mental status D. When the patient has a suspected spinal injury
When traversing narrow corridors and doorways
A device used to carry an unresponsive patient is: A. a scoop stretcher. B. a stair chair. C. a flexible stretcher. D. a vacuum mattress.
a vacuum mattress.
Fire and exposure to explosives or other hazardous materials are examples of immediate dangers that would warrant: A. an emergency move such as a clothes drag. B. a rapid move such as the FAST maneuver. C. an abbreviated move such as a two-person ground lift. D. an urgent move such as rapid extrication.
an emergency move such as a clothes drag.
The safest and MOST efficient methods for using one's body to facilitate lifting and moving are called: A. body structures. B. lifting techniques. C. body mechanics. D. lifting mechanics.
body mechanics.
A method of transferring a patient from bed to stretcher, during which two or more rescuers curl the patient to their chests then reverse the process to lower the patient to the stretcher, is: A. direct ground lift. B. body mechanics. C. direct carry. D. draw-sheet method.
direct carry.
When performing a one-rescuer drag down stairs, you should: A. straddle the patient. B. drag the patient feet first. C. push, not pull, the patient. D. drag the patient head first.
drag the patient head first.
When reaching, pushing, or pulling, the EMT should always: A. keep the back locked in. B. keep the wrists locked in. C. keep the elbows locked in. D. keep the knees locked in.
keep the back locked in.
To use your legs instead of your back to lift, you must: A. keep the weight at arm's length. B. lock both elbows straight. C. keep the weight close to your body. D. place your palms downward.
keep the weight close to your body.
An emergency move would be permitted in order to change a patient's position in a situation in which you: A. need to splint an open fracture. B. need to perform CPR. C. need to apply a cervical spine collar. D. must assess the patient.
need to perform CPR.
An important key to preventing injury while lifting or moving is: A. not compensating when lifting with one hand. B. using manual force instead of equipment when possible. C. maintaining an outward curve of the back to reduce the potential for spinal injury. D. extending or flexing the wrists and knees to prevent injury to the extremities.
not compensating when lifting with one hand.
You and your partner decide to use a short backboard to immobilize a patient. This patient is: A. elderly or a child. B. critically injured. C. obese. D. possibly injured in the neck or spine.
possibly injured in the neck or spine.
Bending all fingers at the same angle and placing the hands ten inches apart are two key elements of the: A. traction lift. B. stretcher operation. C. power grip. D. power lift.
power grip.
An obese patient is upset that a special stretcher is to be used for him and that you have called for a bariatric ambulance. The BEST way to respond is to explain that: A. you and other EMTs must avoid overexerting themselves as much as possible. B. it's a lucky thing that such equipment is available for use with this patient. C. this situation indicates another reason to lose weight other than health benefits. D. this equipment enables you to provide the best assessment and care for the patient.
this equipment enables you to provide the best assessment and care for the patient.
Before lifting any patient, consider the patient's: A. physical fitness. B. gender. C. cultural requirements. D. weight.
weight.
The part of your body that is often the only part in contact with the object you are lifting is: A. your hands. B. your head and shoulders. C. your legs. D. your back.
your hands.
For lifting, use: A. your legs. B. lateral movement. C. your back. D. rotational movement.
your legs.
For many conscious patients, which of the following is the most comfortable position for transport? A. Prone position B. Fetal position C. Shock position D. Semi-sitting position
Semi-sitting position
An efficient way of transferring a patient between a hospital and nursing home that uses the patient's bed in the transfer is the: A. direct carry method. B. direct ground lift. C. extremity lift. D. draw-sheet method.
draw-sheet method.
Which of the following is good technique in pulling or pushing? A. Pull, rather than push, if at all possible. B. Keep the weight fifteen inches from your body. C. Keep your elbows locked and your arms apart. D. Avoid pushing or pulling overhead.
Avoid pushing or pulling overhead.
You have been dispatched to a home where, upon entering, you note that there is smoke in the rear of the building. The patient is unconscious on the living room couch. You have about two to three minutes to get the patient out the front door. What type of move will this require? A. An emergency move will be the most appropriate in this case. B. A nonurgent move will work in this case. C. Use an urgent move to get the patient out. D. Get the stair chair and wheel the patient out.
An emergency move will be the most appropriate in this case.
To avoid injuries while lifting and moving an obese patient over a long distance, what must always be present among team members? A. Positive attitudes B. High physical strength C. Communication D. A decisive leader
Communication
What is the BEST way to transport a patient securely who is suspected of having a spinal injury? A. Semi-Fowler's on the cot with the five-point harness attached B. Sitting in the stair chair with the lap and shoulder belt on C. Supine on a scoop stretcher D. Fully immobilized with necessary spinal precautions
Fully immobilized with necessary spinal precautions
In reaching, what should be done every time? A. Prolong the reach. B. Reach more than fifteen inches. C. Have a locked-in back. D. Twist.
Have a locked-in back.
What physical characteristics or limitations may be MOST important for lifting a patient? A. Strength and height B. Cardiovascular fitness C. Waist size D. Speed and agility
Strength and height
A method of lifting and carrying a patient during which one rescuer slips hands under the patient's armpits and grasps the wrists, while another rescuer grasps the patient's knees, is: A. an extremity lift. B. body mechanics. C. a direct carry. D. the draw-sheet method.
an extremity lift.
Maintaining physical fitness is important for: A. being able to lift patients without assistance from your partner. B. ensuring you and your partner will not need extra help lifting. C. being able to lift a patient without being concerned about the weight. D. decreasing your physical lifting limitations.
decreasing your physical lifting limitations.
A stair chair is disqualified from being used to carry unresponsive patients because: A. it does not allow patients to be immobilized in a supine position. B. it requires multiple rescuers to manage down stairs. C. it has wheels to roll across a level surface. D. it is often ideal for patients with difficulty breathing.
it does not allow patients to be immobilized in a supine position.
The advantages of using a wheeled stretcher to move a patient include that: A. it enables movement by rolling without carrying, is mechanically simple, and is comfortable. B. it is a good spinal immobilizer and can serve as a CPR surface. C. it is good for use on stairways, narrow corridors, and small elevators. D. it is good for traversing rough terrain and can be lifted with a flotation harness.
it enables movement by rolling without carrying, is mechanically simple, and is comfortable.
You arrive on scene and assess the need for a bariatric ambulance for transport of a patient because the patient is: A. violent. B. obese. C. elderly. D. a child.
obese
The technique of the power lift includes: A. turning your feet slightly inward for stability. B. keeping your feet close together. C. placing your hands about three to four inches apart. D. squatting rather than bending at the waist.
squatting rather than bending at the waist.
A flexible device that is used to help immobilize the spine of an adult patient in confined spaces, such as a bucket seat of a car, is a: A. vest-type extrication device. B. Pedi-Mate backboard. C. Reeves stretcher. D. scoop stretcher.
vest-type extrication device.