Lesson 15 In-Class Quiz

You are caring for a patient who has had an amputation of the left hand. The hand is not currently present with the patient. The patient is showing signs of hypovolemic shock. Which of the following is the most appropriate action to take? Select one: A. Transport the patient immediately and request other responders still on the scene attempt to locate the hand. B. Transport the patient immediately and make no further attempts to locate the hand. C. Attempt to locate the hand prior to transport, but only if the patient's bleeding is controlled. D. Attempt to locate the hand prior to transport, even if the patient's bleeding is not controlled.

A. Transport the patient immediately and request other responders still on the scene attempt to locate the hand.

An open fracture is most accurately defined as a fracture in which: Select one: A. an external wound is present over the fracture site. B. a bullet or other projectile shatters the underlying bone. C. the bone is broken but does not penetrate the skin. D. fractured bone ends protrude through the skin.

A. an external wound is present over the fracture site.

A construction worker's arm was severed just above the elbow when a steel girder fell on it. The stump is covered with a blood-soaked towel. The patient's skin is cool, clammy, and pale. The EMT should: Select one: A. apply a tourniquet just below the shoulder. B. wrap the severed arm in a sterile dressing. C. remove the towel and inspect the wound. D. administer high-flow oxygen to the patient.

A. apply a tourniquet just below the shoulder.

A 76-year-old male experienced sudden pain to his left thigh when he was standing in line at the grocery store. Your assessment reveals ecchymosis and deformity to the distal aspect of his left femur, just above the knee. Distal circulation and sensory and motor functions are intact. You should: Select one: A. apply padded board splints to both sides of the leg B. apply a traction splint to realign the deformity. C. flex the knee slightly and apply a formable splint. D. bind the legs together and elevate them six feet to eight feet.

A. apply padded board splints to both sides of the leg

You receive a call to a local gymnasium for a basketball player with a dislocated shoulder. Upon arrival, you find the patient, a 17-year-old male, sitting on the ground. He is holding his left arm in a fixed position away from his body. There is an obvious anterior bulge to the area of injury. You should: Select one: A. assess distal pulse, motor, and sensory functions. B. flex his arm at the elbow and then apply a sling. C. gently attempt to move his arm toward his body. D. place a pillow under his arm and apply a swathe.

A. assess distal pulse, motor, and sensory functions.

During your secondary assessment of a 19-year-old female with multiple traumas, you note bilateral humeral deformities and a deformity to the left midshaft femur. Her skin is diaphoretic, and her pulse is rapid and weak. Your partner has appropriately managed her airway and is maintaining manual stabilization of her head. The most appropriate treatment for this patient includes: Select one: A. splinting her femur fracture with padded board splints. B. immobilizing her to a backboard and rapidly transporting. C. applying a traction splint to immobilize her femur. D. carefully splinting each of her deformed extremities.

B. immobilizing her to a backboard and rapidly transporting.

You and your partner are preparing to apply a traction splint to a patient's deformed thigh. As you apply manual traction, the patient resists your efforts and states that the pain is getting worse. You should: Select one: A. gently massage the thigh muscles to relax them. B. stop and splint the leg in the deformed position. C. assess distal pulses and continue pulling traction. D. flex the knee and place a pillow under the thigh.

B. stop and splint the leg in the deformed position.

A 45-year-old female was the unrestrained passenger of a small car that rear-ended another vehicle at a moderate rate of speed. She is conscious and alert but complains of pain to both of her knees. There is visible damage to the dashboard on the passenger's side of the vehicle. In addition to fractures or dislocations of the knees, you should be most suspicious for: Select one: A. anterior hip dislocation. B. a thoracic spine fracture. C. posterior hip dislocation. D. fracture of the tibia or fibula.

C. posterior hip dislocation.

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

C. stabilize her head and perform a primary assessment.

During your secondary assessment of a 30-year-old male who fell 25 feet, you note crepitus when palpating his pelvis. Your partner advises you that the patient's blood pressure is 80/50 mm Hg, and his heart rate is 120 beats/min and weak. After completing your assessment, you should: Select one: A. log roll the patient onto a long backboard and transport at once. B. defer spinal immobilization and transport to a trauma center. C. perform a focused physical exam with emphasis on the pelvis. D. stabilize the pelvis with a pelvic binder and protect the spine.

D. stabilize the pelvis with a pelvic binder and protect the spine.