EMT Quiz #7 (Test 2 Material)

While en route to a major motor vehicle crash, an on-scene police officer advises you that a 6-year-old male who was riding in the front seat is involved. He further states that the child was only wearing a lap belt and that the air bag deployed. On the basis of this information, you should be MOST suspicious that the child has experienced: A. lower-extremity fractures. B. blunt trauma to the head. C. neck and facial injuries. D. open abdominal trauma.

C. neck and facial injuries.

When caring for an occupant inside a motor vehicle equipped with an air bag that did not deploy upon impact, it is MOST important to: A. recognize that the force of impact was most likely not severe. B. realize that the air bag malfunctioned at the time of impact. C. remember that it could still deploy and seriously injure you. D. suspect that the patient may have experienced serious injuries.

C. remember that it could still deploy and seriously injure you.

Which of the following injuries would MOST likely occur as a direct result of the third collision in a motor vehicle crash? A. Aortic rupture B. Forehead lacerations C. Flail chest D. Extremity fractures

A. Aortic rupture

During your assessment of a patient who experienced a blast injury, you note that he has a depressed area to the front of his skull. This injury MOST likely occurred: A. as a direct result of the pressure wave. B. during the tertiary phase. C. during the primary phase D. during the secondary phase

B. during the tertiary phase.

Evaluation of the interior of a crashed motor vehicle during extrication will allow the EMT to: A. determine the vehicle's speed at the time of impact. B. identify contact points and predict potential injuries. C. assess the severity of the third collision of the crash. D. recognize if the driver hit the brakes before impact.

B. identify contact points and predict potential injuries.

A sport utility vehicle lost control and struck a utility pole head-on. The driver was killed instantly. The passenger, a young female, is conscious and alert and has several small abrasions and lacerations to her left forearm. Treatment for the passenger should include: A. a focused exam of her forearm. B. transport to a community hospital. C. transport to a trauma center. D. a secondary assessment at the scene.

C. transport to a trauma center.

A 30-year-old male sustained a stab wound to the neck when he was attacked outside a nightclub. During your assessment, you should be MOST alert for: A. alterations in his mental status. B. potential airway compromise. C. injury to the cervical spine. D. damage to internal structures.

B. potential airway compromise.

A 12-year-old male jumped approximately 12' from a tree and landed on his feet. He complains of pain to his lower back. What injury mechanism is MOST likely responsible for his back pain? A. Lateral impact to the spine B. Direct trauma to the spinal column C. Energy transmission to the spine D. Secondary fall after the initial impact

C. Energy transmission to the spine

Which of the following interventions is the MOST critical to the outcome of a patient with multisystem trauma? A. Elevation of the lower extremities B. Early administration of oxygen C. Intravenous fluid administration D. Rapid transport to a trauma center

D. Rapid transport to a trauma center

A person's ability to shiver is lost when his or her body temperature falls below: a) 90F (32C) b) 92F (33C) c) 94F (34C) d) 95F (35C)

a) 90F (32C)

Following blunt abdominal trauma, a 30-year-old male complains of referred pain to the left shoulder. This finding is called the: a) Kehr sign b) Cullen sign c) Grey Turner sign d) Brudzinski sign

a) Kehr sign

You are assessing a 33-year-old male who complains of severe abdominal pain, weakness, and nausea. He tells you that he was gathering wood to build a fire when he felt a sudden, sharp pain on the back of his hand. Your assessment reveals that the patient's abdomen is rigid and painful to palpation. You should suspect: a) a black widow spider bite b) envenomation from a pit viper c) a brown recluse spider bite d) Rocky Mountain spotted fever

a) a black widow spider bite

An indicator of an expanding intracranial hematoma or rapidly progressing brain swelling is: a) a rapid deterioration of neurologic signs b) a progressively lowering BP c) an acute increase in the patient's pulse rate d) acute unilateral paralysis following the injury

a) a rapid deterioration of neurologic signs

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: a) administer oxygen and transport to the hospital b) immediately perform a rapid head-to-toe exam c) recognize that he needs a needle decompression d) circumferentially tape a dressing around his chest

a) administer oxygen and transport to the hospital

In addition to severe bleeding, the MOST life-threatening complication associated with an open neck injury is: a) an air embolism b) a spinal fracture c) an ischemic stroke d) nerve fiber damage

a) an air embolism

A rapid, irregular pulse following blunt trauma to the chest is MOST suggestive of a: a) rupture aorta b) myocardial contusion c) pericardial tamponade d) tension pneumothorax

b) myocardial contusion

You have sealed the open chest wound of a 40-year-old male who was stabbed in the anterior chest. Your reassessment reveals that he is experiencing increasing respiratory distress and tachycardia, and is developing cyanosis. You should: a) begin ventilatory assistance b) partially remove the dressing c) begin rapid transport at once d) call for a paramedic ambulance

b) partially remove the dressing

If direct pressure with a sterile dressing fails to immediately stop severe bleeding from an extremity, you should apply: a) additional sterile dressings b) a splint and elevate the extremity c) a tourniquet proximal to the injury d) digital pressure to a proximal artery

c) a tourniquet proximal to the injury

A 17-year-old male was shot in the right anterior chest during an altercation with a gang member. As your partner is applying 100% oxygen, you perform a rapid secondary assessment and find an open chest wound with a small amount of blood bubbling from it. You should: a) place a sterile dressing over the wound and apply direct pressure b) control the bleeding from the wound and prepare to transport at once c) apply an occlusive dressing to the wound and continue your assessment d) direct your partner to assist the patient's ventilations with a bag-mask device

c) apply an occlusive dressing to the wound and continue your assessment

You have applied a dressing and roller-gauze bandage to a laceration on the arm of a young female. During transport, she begins to complain of numbness and tingling in her hand. You should: a) remove the bandage and dressing and apply another one b) carefully manipulate her arm until the symptoms subside c) assess distal circulation and readjust the bandage as needed d) remove the gauze bandage and replace it with an elastic one

c) assess distal circulation and readjust the bandage as needed

When controlling bleeding from a scalp laceration with a suspected underlying skull fracture, you should: a) elevate the patient's head and apply an ice pack b) apply manual pressure and avoid applying a bandage c) avoid excessive pressure when applying the bandage d) apply firm compression for no longer than 5 minutes

c) avoid excessive pressure when applying the bandage

A football player was struck by another player in the right flank area just below the posterior rib cage. He complains of severe pain and point tenderness to the area. Your assessment reveals that there is a small amount of blood in his underwear. You should be MOST suspicious for: a) external genitalia injury b) a lacerated liver or spleen c) blunt injury to the kidney d) a ruptured urinary bladder

c) blunt injury to the kidney

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? a) a total collapse of the affected lung b) hidden bleeding in the thoracic cavity c) compression of the aorta and vena cava d) blood accumulation in the pleural space

c) compression of the aorta and vena cava

A 40-year-old male was in his woodworking shop when he felt a sudden, sharp pain in his left eye. Your assessment reveals a small splinter of wood embedded in his cornea. You should: a) scrape the splinter away with moist, sterile gauze b) cover his right eye and flush the left with saline c) cover both of his eyes and transport to the hospital d) remove the object with a cotton-tipped applicator

c) cover both of his eyes and transport to the hospital

A(n) __________ fracture occurs in the growth section of a child's bone and may lead to bone growth abnormalities. a) greenstick b) diaphysial c) epiphyseal d) metaphyseal

c) epiphyseal

Geriatric patients, newborns, and infants are especially prone to hyperthermia because they a) have relatively smaller heads b) have less body fat c) exhibit poor thermoregulation d) have smaller body surface areas

c) exhibit poor thermoregulation

Which of the following statements regarding secondary brain injury is correct? a) it results from direct brain trauma following an impact to the head b) because cerebral edema develops quickly, it is considered to be a primary brain injury c) hypoxia and hypotension are the two most common causes of secondary brain injury d) signs are often present immediately after an impact to the head

c) hypoxia and hypotension are the two most common causes of secondary brain injury

In which of the following situations should the EMT splint an injured limb in the position of deformity? a) when distal circulation and neurological functions are absent b) if transport time to the hospital is greater than 20 to 30 minutes c) if resistance is encountered or the patient experiences severe pain d) if a traction splint will be used to immobilize the injured extremity

c) if resistance is encountered or the patient experiences severe pain

A 17-year-old football player collided with another player and has pain to his left clavicle. He is holding his arm against his chest and refuses to move it. Your assessment reveals obvious deformity to the midshaft clavicle. After assessing distal pulse, sensory, and motor functions, you should: a) perform a rapid secondary assessment b) straighten his arm and apply a board splint c) immobilize the injury with a sling and swathe d) place a pillow under his arm and apply a sling

c) immobilize the injury with a sling and swathe

Lacerations to the scalp: a) bleed minimally because the scalp has few vessels b) uncommonly cause hypovolemic shock in children c) may be an indicator of deeper, more serious injuries d) are most commonly associated with skull fractures

c) may be an indicator of deeper, more serious injuries

If a patient with a chest injury is only able to inhale small amounts of air per breath, he or she: a) often breathes at a slower rate because of lung damage caused by the injury b) will eliminate more carbon dioxide than if he or she were breathing deeply c) must increase his or her respiratory rate to maintain adequate minute volume d) will maintain adequate minute volume if his or her respiratory rate stays the same

c) must increase his or her respiratory rate to maintain adequate minute volume

Which of the following fractures has the greatest potential for internal blood loss and shock? a) hip b) femur c) pelvis d) humerus

c) pelvis

A 56-year-old male has an incomplete avulsion to his right forearm. After controlling any bleeding from the wound, you should: a) carefully probe the wound to determine if the bleeding is venous or arterial b) carefully remove the avulsed flap and wrap it in a moist, sterile trauma dressing c) replace the avulsed flap to its original position and cover it with a sterile dressing d) thoroughly irrigate the wound with sterile water and cover with a sterile dressing

c) replace the avulsed flap to its original position and cover it with a sterile dressing

During your assessment of a patient with blunt chest trauma, you note paradoxical movement of the left chest wall. As your partner is administering oxygen to the patient, you should? a) request a paramedic to decompress the chest b) make note of it and continue your assessment c) stabilize the chest wall with a bulky dressing d) reassess the adequacy of the patient's breathing

c) stabilize the chest wall with a bulky dressing

You are assessing a 30-year-old woman with multiple large bruises to her chest and abdomen that she experienced during an assault. She is conscious but restless, and her skin is cool and pale. You should be MOST concerned with: a) performing a detailed secondary assessment to locate all of her injuries b) assessing the bruises that overlie major organs in the chest and abdomen c) the fact that her clinical signs could indicate that she is bleeding internally d) obtaining a complete set of vital signs to rule out the possibility of shock

c) the fact that her clinical signs could indicate that she is bleeding internally

Patients with full-thickness (third-degree) burns generally do not complain of pain because: a) blister formation protects the burn b) he or she is generally not conscious c) the nerve endings have been destroyed d) subcutaneous vessels are usually clotted

c) the nerve endings have been destroyed

A 4-year-old female has a peanut lodged in the external auditory canal of her right ear. You should: a) use tweezers to try to remove the object b) remove the peanut with a cotton-tipped swab c) transport her to the ED d) thoroughly flush her ear with sterile saline

c) transport her to the ED

When caring for a patient with an open facial injury, the EMT's immediate priority should be to: a) closely assess the patient's airway b) consider the MOI c) wear gloves and facial protection d) manually stabilize the patient's head

c) wear gloves and facial protection

Which of the following statements regarding the clotting of blood is correct? a) venous and capillary blood typically does not clot spontaneously b) bleeding begins to clot when the end of a damaged vessel dilates c) direct contact with the environment prevents blood from clotting d) a person taking aspirin will experience slower blood clotting

d) a person taking aspirin will experience slower blood clotting

The MOST prominent symptom of decompression sickness is: a) tightness in the chest b) difficulty with vision c) dizziness and nausea d) abdominal or joint pain

d) abdominal or joint pain

A young male was shot in the abdomen by an unknown type of gun. He is semiconscious, has shallow breathing, and is bleeding externally from the wound. As you control the external bleeding, your partner should: a) obtain baseline vital signs b) apply a nonrebreathing mask c) perform a secondary assessment d) assist the patient's ventilations

d) assist the patient's ventilations

Hypothermia can worsen internal bleeding secondary to: a) cardiac arrhythmias b) a decreased heart rate c) severe muscular rigidity d) blood clotting abnormalities

d) blood clotting abnormalities

When caring for a patient whose arm is covered with a dry chemical, you should: a) deactivate the chemical with a 5% vinegar solution b) quickly irrigate the arm with large amounts of water c) use forceful streams of water to remove the chemical d) brush away the chemical before flushing with water

d) brush away the chemical before flushing with water

A 50-year-old male was splashed in the eyes with radiator fluid when he was working on his car. During your assessment, he tells you that he wears soft contact lenses. You should: a) leave the contact lenses in place and flush his eyes with sterile water b) remove the contact lenses and cover his eyes with a dry, sterile dressing c) leave the contact lenses and cover both eyes with a dry dressing d) carefully remove the contact lenses and then irrigate his eyes with saline

d) carefully remove the contact lenses and then irrigate his eyes with saline

The venom of a brown recluse spider is cytotoxic, meaning that it: a) surpasses the respiratory drive b) destroys the body's RBCs c) weakens the structure of the bones d) causes severe local tissue damage

d) causes severe local tissue damage

A 33-year-old male sustained an abdominal evisceration to the left lower quadrant of his abdomen after he was cut with a large knife. After appropriately managing his ABCs and assessing him for other life-threatening injuries, how you should care for his wound? a) irrigate it with sterile water and cover it with a dry dressing b) cover the exposed bowel and keep his legs in a straight position c) carefully replace the exposed bowel into the abdomen and transport d) cover it with moist, sterile gauze and secure with an occlusive dressing

d) cover it with moist, sterile gauze and secure with an occlusive dressing

When immobilizing a patient on a long backboard, you should: a) have the patient exhale before fastening the torso straps b) secure the torso and then center the patient on the board c) follow the commands of the person at the patient's torso d) ensure that you secure the torso before securing the head

d) ensure that you secure the torso before securing the head

Following direct trauma to the upper part of the anterior neck, a young male presents with labored breathing, loss of voice, and subcutaneous emphysema in the soft tissues around his neck. You should suspect a(n): a) esophageal tear b) crushed cricoid c) collapsed trachea d) laryngeal fracture

d) laryngeal fracture

Bones are connected to other bones by bands of tough fibrous tissues called: a) bursa b) tendons c) cartilage d) ligaments

d) ligaments

A patient who presents with profound cyanosis following a chest injury: a) should be placed in Trendelenburg's position b) is most likely experiencing severe blood loss c) has most likely experienced a ruptured aorta d) requires prompt ventilation and oxygenation

d) requires prompt ventilation and oxygenation

When assessing a patient with a hemothorax, you will MOST likely find: a) jugular venous engorgement b) ipsilateral tracheal deviation c) distant or muffled heart tones d) signs and symptoms of shock

d) signs and symptoms of shock

What type of muscle contracts and relaxes to control the movement of the contents within its structures? a) cardiac b) skeletal c) striated d) smooth

d) smooth

You and your partner arrive at the scene of a house fire where fire fighters have rescued a 50-year-old male from his burning house. The patient has superficial and partial-thickness burns to his face and chest. His nasal hairs are singed and he is coughing up sooty sputum. You should be MOST concerned with: a) treating him for hypothermia b) preventing the risk of infection c) estimating the extent of his burns d) the potential for airway swelling

d) the potential for airway swelling

Most of the serious injuries associated with scuba diving are caused by: a) water temperature lower than 70F (21C) b) too rapid of a descent c) alcohol consumption d) too rapid of an ascent

d) too rapid of an ascent

A teenage boy who was involved in a bicycle accident has a puncture wound where the bicycle kickstand impaled his leg. The MOST appropriate method for treating this injury is to: a) remove the kickstand in a circular motion and apply a dry, sterile dressing b) cut the kickstand off just above the skin, and stabilize with sterile dressings c) leave the kickstand attacked to the bike until the physician can remove safely d) unbolt the kickstand from the bike frame and stabilize it with bulky dressings

d) unbolt the kickstand from the bike frame and stabilize it with bulky dressings

The body's natural protective mechanisms against heat loss are: a) shivering and vasodilation b) vasodilation and respiration c) respiration and vasoconstriction d) vasoconstriction and shivering

d) vasoconstriction and shivering

Which of the following statements regarding gunshot wounds is correct? A. The speed of a bullet has a greater impact on causing injury than the mass. B. The size of a bullet has the greatest impact on producing injury. C. High-velocity bullets will cause less severe internal injuries. D. Low-velocity bullets will cause the greatest amount of internal injury.

A. The speed of a bullet has a greater impact on causing injury than the mass.

A young male sustained a gunshot wound to the abdomen during an altercation with a rival gang member. As your partner is assessing and managing his airway, you should control any obvious bleeding and then: A. auscultate bowel sounds. B. apply a cervical collar. C. assess for an exit wound. D. obtain baseline vital signs.

C. assess for an exit wound.

A 52-year-old unrestrained female struck the steering wheel with her face when her truck collided with another vehicle. She has obvious swelling to her face and several dislodged teeth. A visual exam of her mouth reveals minimal bleeding. She is conscious and alert with a blood pressure of 130/80 mm Hg, a pulse of 110 beats/min, and respirations of 22 breaths/min with adequate tidal volume. You should: a) apply supplemental oxygen, immobilize her spine, attempt to locate the dislodged teeth, suction as needed, and transport b) assist ventilations with a bag-mask device, immobilize her spine, suction her oropharynx for 30 seconds, and transport c) fully immobilize her spine, attempt to locate the dislodged teeth, tilt the backboard to the left side, and transport d) apply oxygen via a nonrebreathing mask, suction her airway as needed, disregard the dislodged teeth and transport

a) apply supplemental oxygen, immobilize her spine, attempt to locate the dislodged teeth, suction as needed, and transport

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: a) applying direct pressure with a dry, sterile dressing b) covering the avulsion with moist, sterile dressings c) requesting a paramedic to administer pain medication d) administering 100% oxygen via a nonrebreathing mask

a) applying direct pressure with a dry, sterile dressing

A 38-year-old male was electrocuted while attempting to wire a house. Your assessment reveals that he is unresponsive, pulseless, and apneic. A coworker has shut off the power to the house. You should: a) begin CPR and apply the AED b) begin CPR and transport at once c) assess for entry and exit wounds d) fully immobilize his spinal column

a) begin CPR and apply the AED

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) engorged jugular veins b) widening pulse pressure c) diminished breath sounds d) a rapid, irregular pulse

a) engorged jugular veins

Which of the following statements regarding penetrating injuries is correct? a) external bleeding may be minimal but internal injuries can be extensive b) The degree of internal injury can often be estimated by the external injury c) it is important to distinguish between entrance and exit wounds in the field d) the depth of a penetrating injury should be thoroughly assessed by the EMT

a) external bleeding may be minimal but internal injuries can be extensive

The effectiveness of positive-pressure ventilations when treating a head-injured patient can ONLY be determined by: a) immediate reassessment following the intervention b) a neurosurgeon or ED physician c) reassessing the patient's BP after at least 10 minutes d) noting a decrease in the heart rate during ventilations

a) immediate reassessment following the intervention

A 48-year-old male was stung on the leg by a jellyfish while swimming in the ocean. He is conscious and alert, but complains of intense pain at the wound site. Specific treatment for this patient includes: a) irrigating the wound with vinegar and immersing his leg in hot water b) pulling the nematocysts out with tweezers and bandaging the wound c) immersion this leg in cold fresh water and scraping away the stingers d) applying a chemical ice pack to the wound and encouraging movement

a) irrigating the wound with vinegar and immersing his leg in hot water

A tight-fitting motorcycle helmet should be left in place unless: a) it interferes with your assessment of the airway b) the patient must be placed onto a long backboard c) the patient complains of severe neck or back pain d) the helmet is equipped with a full face shield or visor

a) it interferes with your assessment of the airway

Which of the following statements regarding lightning strikes is correct? a) lightning often results in a brief period of systole that resolves spontaneously b) the tissue damage pathway caused by lightning usually occurs through the skin c) victims who are struck by lightening often experience severe full-thickness burns d) cervical spine fractures are the most common cause of lightning-related deaths

a) lightning often results in a brief period of systole that resolves spontaneously

Which of the following is an early sign of pit viper envenomation? a) local swelling and ecchymosis b) general weakness and diaphoresis c) syncope and bleeding and distal sites d) signs and symptoms of hypoperfusion

a) local swelling and ecchymosis

As you approach a young male who was involved in an industrial accident, you note that his eyes are closed and that he is not moving. You can see several large contusions to his arms, a laceration to his forehead with minimal bleeding, and a closed deformity to his right leg. You should: a) open his airway and assess his breathing status b) perform an immediate head-to-toe assessment c) assess his pulse for rate, regularity, and quality d) apply high-flow oxygen and assess his injuries

a) open his airway and assess his breathing status

The primary purpose for splinting a musculoskeletal injury is to: a) prevent further injury b) maximize distal circulation c) make the patient comfortable d) facilitate the ambulance transport

a) prevent further injury

A patient who cannot remember the events that preceded his or her head injury is experiencing: a) retrograde amnesia b) anterograde amnesia c) perigrade amnesia d) post traumatic amnesia

a) retrograde amnesia

If you do not have the appropriate size cervical collar, you should: a) use rolled towels to immobilize the patient's head b) place sandbags on either side of the patient's head c) ask the patient to keep his or head in a neutral position d) defer cervical immobilization and apply lateral head blocks

a) use rolled towels to immobilize the patient's head

Which of the following open soft-tissue injuries is limited to the superficial layer of the skin and results in the least amount of blood loss? a) avulsion b) abrasion c) incision d) laceration

b) abrasion

Common signs and symptoms of an airway burn include all of the following, EXCEPT: a) hoarseness b) chest pressure c) signed nasal hair d) soot around the mouth

b) chest pressure

A 30-year-old male experienced a crushing injury when his arm was trapped between the back of a truck and a loading dock. Upon your arrival, the man's arm has been freed. Your assessment reveals that his arm is obviously deformed and swollen and is cold and pale. Further assessment reveals an absent radial pulse. You should be MOST concerned that this patient has: a) internal hemorrhage b) compartment syndrome c) a severe closed fracture d) damage to the radial nerve

b) compartment syndrome

A burn that is characterized by redness and pain is classified as a: a) third-degree burn b) first-degree burn c) second-degree burn d) partial-degree burn

b) first-degree burn

During your primary assessment of a semiconscious 30-year-old female with closed head trauma, you note that she has slow, shallow breathing and a slow, bounding pulse. As your partner maintains manual in-line stabilization of her head, you should: a) perform a focused secondary assessment of the patient's head and neck b) instruct him to assist her ventilations while you perform a rapid assessment. c) apply 100% oxygen via a nonrebreather mask and obtain baseline vital signs d) immediately place her on a long backboard and prepare for rapid transport

b) instruct him to assist her ventilations while you perform a rapid assessment.

Your assessment of a 23-year-old female reveals a core body temperature of 93.4°F (34°C). She is conscious, answers your questions appropriately, is shivering, and complains of nausea. Her skin is cold and pale, her muscles appear rigid, and her respirations are rapid. In addition to monitoring her ABCs, administering oxygen, and turning up the heat in the back of the ambulance, you should: a) apply the AED in case she develops cardiopulmonary arrest, cover her with layers of blankets, and transport carefully b) place heat packs to her groin, axillae, and behind her neck; cover her with warm blankets; and avoid rough handling. c) cover her with warm blankets and let her move about on the stretcher in order to generate body head and increase her temperature d) sit her up and give her small sips of warm water to drink, place head packs to her axillae and groin, and cover her with blankets

b) place heat packs to her groin, axillae, and behind her neck; cover her with warm blankets; and avoid rough handling.

In order to avoid exacerbating a patients injury it is especially important to use extreme caution when providing positive-pressure ventilation to patients with a: a) flail chest b) pneumothorax c) cardiac tamponade d) myocardial contusion

b) pneumothorax

During transport of a 40-year-old female with acute abdominal pain, you note that she has stopped talking to you and has become extremely diaphoretic. You should: a) assess the quality of her pulse b) repeat the primary assessment c) begin assisting her ventilations d) perform a secondary assessment

b) repeat the primary assessment

Which of the following statements regarding abdominal trauma is correct? a) most of the vital abdominal organs lie within the retroperitoneal space b) the absence of abdominal pain does not rule out intra-abdominal bleeding c) the liver is well protected and is rarely injured during a traumatic event d) hollow abdominal organs are vascular and bleed profusely when injured

b) the absence of abdominal pain does not rule out intra-abdominal bleeding

Heatstroke occurs when: a) a person's core temperature rises above 103F (39C) b) the body's heat-eliminating mechanisms are overwhelmed c) a person becomes dehydrated secondary to excess water loss d) the ambient temperature exceeds 90f (32C) and the humidity is high

b) the body's heat-eliminating mechanisms are overwhelmed

If a dislocated shoulder has spontaneously reduced before your arrival, the only way to confirm the injury is by noting: a) distal circulation b) the patient history c) bruising to the shoulder d) the presence of deformity

b) the patient history

You arrive at the home of a 50-year-old female with severe epistaxis. As you are treating her, it is MOST important to recall that: a) the patient may be significantly hypertensive b) the patient is at risk for vomiting and aspiration c) a detailed exam is needed to determine the cause d) many medications interfere with blood clotting

b) the patient is at risk for vomiting and aspiration

You are transporting an immobilized patient with severe facial trauma. As you are preparing to give your radio report to the hospital, the patient begins vomiting large amounts of blood. You should: a) quickly suction his oropharynx b) turn the backboard onto its side c) reassess his breathing adequacy d) alert the hospital of the situation

b) turn the backboard onto its side