Chapter 8 - Multiple Choice

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Which of the following is the MOST appropriate device to use when immobilizing a patient with a suspected spinal injury? A. Scoop stretcher B. Long backboard C. Portable stretcher D. Wheeled stretcher

Long backboard.

Which of the following statements regarding patient weight distribution is correct? A. The majority of a horizontal patient's weight is in the torso. B. The EMT at the patient's head will bear the least amount of weight. C. A semi-sitting patient's weight is equally distributed on both ends. D. Most of the patient's weight rests on the foot end of the stretcher.

The majority of a horizontal patient's weight is in the torso.

An EMT may inquire his or her back, even if it is straight, if the: A. hands are held close to the legs. B. back is bent forward at the hips. C. shoulder is aligned over the pelvis. D. force is exerted straight down the spine.

back is bent forward at the hips.

It is essential that you ______ your equipment to prevent the spread of disease. A. incinerate B. properly store C. throw out D. decontaminate

decontaminate

Upon arriving at the scene of a motor vehicle crash, you find a single patient still seated in his car. There are no scene hazards. As you approach the vehicle, you note that the patient is semiconscious and has a large laceration to his forehead. You should: A. slide a long backboard under his buttocks and lay him sideways on the board. B. apply a cervical collar and quickly remove the patient with a clothes drag. C. direct your partner to apply manual in-line support of the patient's head. D. apply a vest-style extrication device before attempting to move the patient.

direct your partner to apply manual in-line support of the patient's head.

You are attending to a 34-year-old male patient who requires transport to the hospital for assessment of his chronic back pain. The patient weighs over 750 pounds. Your bariatric stretcher has a wider surface area to allow for: A. increased stability and leverage when lifting with more than two providers. B. increased patient comfort and dignity. \ C. better stability when moving the patient on uneven ground. D. increased lifting capacity and patient weight load.

increased patient comfort and dignity.

In contrast to typical wheeled ambulance stretchers, features of a bariatric stretcher include: A. weight capacity of up to 650 lb. B. a collapsible undercarriage. C. two safety rails on both sides of the stretcher. D. increased stability from a wider wheelbase.

increased stability from a wider wheelbase.

The MOST serious consequences of a poorly planned or rushed patient move is: A. injury to you or your patient. B. unnecessarily wasting time. C. confusion among team members. D. causing patient anxiety or fear.

injury to you or your patient.

To minimize the risk of injuring yourself when lifting or moving a patient, you should: A. flex at the waist instead of the hips. B. avoid the use of log rolls or body drags. C. keep the weight as close to your body as possible. D. use a direct carry whenever possible.

keep the weight as close to your body as possible.

The proper technique for using the power grip is to: A. position your hands about 6² apart. B. rotate your palms down. C. hold the handle with your fingers. D. lift with your palms up.

lift with your palms up.

You are attending to a 26-year-old female who is 34 weeks pregnant with her first child. Your patient has been having lower abdominal pains and cramping for the past two hours. In placing your patient on the stretcher and preparing for transport, you should place her: A. in the Fowler position. B. in a position of comfort. C. on her left side. D. supine with her legs elevated.

on her left side.

To protect a restrained patient and prevent him from using leverage to break free, the EMT should secure: A. both arms above the head B. only the patient's torso C. one arm above the head D. both arms at the patient's sides

one arm above the head.

When moving a conscious, weak patient down a flight of stairs, you should: A. place the wheeled stretcher at the bottom of the stairs and carry the patient down the stairs with a stair chair. B. secure the patient to a scoop stretcher and carry him or her headfirst down the stairs to the awaiting stretcher. C. collapse the undercarriage of the wheeled stretcher and carefully carry the patient down the stairs on the stretcher. D. assist the patient in walking down the stairs and place him or her on the wheeled stretcher at the bottom of the stairs.

place the wheeled stretcher at the bottom of the stairs and carry the patient down the stairs with a stair chair.

The ______ is both the mechanical weight-bearing base of the spinal column and the fused central posterior section of the pelvic girdle. A. thorax B. sacrum C. ischium D. coccyx

sacrum

You are attending to a 22-year-old female patient who has overdosed. The patient is unresponsive in an upstairs bedroom. The most appropriate way to bring the patient downstairs is: A. secured to a stair chair with the strongest provider at the head end. B. secured to a stair chair with the strongest provider at the foot end. C. secured to a fracture board with the strongest provider at the head end. D. secured to a fracture board with the strongest provider at the foot end.

secured to a fracture board with the strongest provider at the head end.

As you and your partner are carrying a stable patient down a flight of stairs in a stair chair, you feel a sudden, sharp pain in your lower back. You should: A. stop the move and have the patient walk down the stairs. B. reposition your hands and continue to move the patient. C. stop the move and request additional lifting assistance. D. guide your partner while moving the chair backwards.

stop the move and request additional lifting assistance.

To facilitate a safe and coordinated move, the team leader should: A. be positioned at the feet so the team can hear. B. never become involved in the move, only direct the move. C. use preparatory commands to initiate any moves. D. speak softly but clearly to avoid startling the patient.

use preparatory commands to initiate any moves.

When pulling a patient, you should extend your arms no more than ______ in front of your torso. A. 15 to 20 inches B. 20 to 30 inches C. 10 to 15 inches D. 5 to 10 inches

15 to 20 inches

Which of the following conditions or situations presents the MOST unique challenge to the EMT when immobilizing an elderly patient on a long backboard? A. Abnormal spinal curvature B. Joint flexibility C. Naturally deformed bones D. Patient disorientation

Abnormal spinal curvature.

Which of the following statements regarding an emergency patient move is correct? A. The patient is dragged against the body's long axis during an emergency move. B. The spine must be fully immobilized prior to performing an emergency move. C. An emergency move is performed before the primary assessment and treatment. D. It is not possible to perform an emergency move without injuring the patient.

An emergency move is performed before the primary assessment and treatment.


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