EMT Take home 7

Which of the following musculoskeletal injuries would MOST likely result in deformity? Select one: A.Displaced fracture B.Severe strain C.Moderate sprain D.Hairline fracture

A.Displaced fracture

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

A.break in the continuity of the bone.

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

A.the overlying skin is no longer intact.

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

A.the patient is clinically unstable.

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

B.Engorged jugular veins

Which of the following is true regarding injury to the kidneys? Select one: A.The kidneys are not well protected. B.Injury to the kidneys usually indicates injury to other organs. C.Only minimal force is needed to damage the kidneys. D.Kidney injuries are rarely caused by blunt trauma.

B.Injury to the kidneys usually indicates injury to other organs.

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

B.delaying transport of a critically injured patient.

When a patient stiffens the muscles of the abdomen, it is known as _______. Select one: A.distention. B.guarding. C.instability. D.crepitus.

B.guarding.

Placing a pregnant patient in a supine position during the third trimester of pregnancy: Select one: A.is recommended if the patient has severe abdominal discomfort. B.may decrease the amount of blood that returns to the heart. C.results in spontaneous urinary incontinence if the bladder is full. D.often causes hypotension secondary to cardiac compression.

B.may decrease the amount of blood that returns to the heart.

A spinal cord injury at the level of C7 would MOST likely result in: Select one: A.paralysis of all the respiratory muscles. B.paralysis of the intercostal muscles. C.paralysis of the diaphragm. D.immediate cardiac arrest.

B.paralysis of the intercostal muscles.

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 severe 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: Select one: A.apply bulky dressings 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.

A man called EMS 12 hours after injuring his chest. Your assessment reveals a flail segment to the right side of the chest. The patient is experiencing respiratory distress and his oxygen saturation is 78%. His breath sounds are equal bilaterally and his jugular veins are normal. You should suspect: Select one: A.tension pneumothorax. B.pulmonary contusion. C.massive hemothorax. D.traumatic asphyxia.

B.pulmonary contusion.

All of the following are hollow abdominal organs, EXCEPT the: Select one: A.bladder. B.spleen. C.ureters. D.stomach.

B.spleen.

Patients with chest injuries will often present with _______. Select one: A.agonal respirations B.tachypnea C.Kussmaul respirations D.Cheyne-Stokes respirations

B.tachypnea

Children are often "belly breathers" because _______. Select one: A.they are consciously controlling ventilations B.their intercostal muscles are not developed C.they are routinely hypoxic D.their diaphragm is not functional

B.their intercostal muscles are not developed

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: Select one: A.covering the avulsion with moist, sterile dressings. B.applying direct pressure with a dry, sterile dressing. C.requesting a paramedic to administer pain medication. D.administering 100% oxygen via a nonrebreathing mask.

Both A&B are accepted A.covering the avulsion with moist, sterile dressings. B.applying direct pressure with a dry, sterile dressing.

Compression injury is most likely due to which of the following? Select one: A.Ejection of unrestrained driver B.Stabbing C.Improperly placed lab belt D.Hollow-organ rupture

C.Improperly placed lab belt

In pediatric patients, the liver and spleen are _______. Select one: A.more protected by the thorax compared to adults B.smaller in proportion to the abdomen C.larger in proportion to the abdomen D.less likely to bleed when injured

C.larger in proportion to the abdomen

Skeletal muscle is attached to the bone by tough, ropelike, fibrous structures called: Select one: A.ligaments. B.cartilage. C.tendons. D.fascia.

C.tendons.

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: Select one: A.make two or three attempts to restore distal circulation by manipulating the elbow. B.carefully straighten the injured arm and secure it with padded board splints. C.splint the elbow in the position of deformity and transport immediately. D.apply gentle manual traction in line with the limb and reassess for a pulse.

D.apply gentle manual traction in line with the limb and reassess for a pulse.

Immediately life-threatening chest injuries must be found and managed during the _______. Select one: A.patient history B.secondary assessment C.scene size-up D.primary assessment

D.primary assessment