Quiz 13

a fractured femur can resulting the loss of _____ or more of blood into the soft tissues of the thigh

1L

which of the following statements regarding the clotting of blood is correct?

.a person taking aspirin will experience slower blood clotting

our patient has a Glasgow Coma Scale (GSC score of 13, a systolic blood pressure of 88m Hg, and a respiratory rate of 8 breaths/min, his Revised Trauma Score (RTS) is

8

which of the following patients has experienced the MOST significant fall?

a 4'6" patient who fell 13' (shortest person longest fall)

which of the following injuries would MOST likely occur as a direct result of the third collision in a motor vehicle crash?

aortic rupture

when evaluating the mechanism of injury of a car versus pedestrian collision, you should first

approximate the speed of the vehicle that struck the pedestrian

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

assist the patient's ventilations

while assessing a young male who was struck in the chest with a steel pipe, you note that his pulse is irregular. you should be MOST suspicious for

bruising of the heart muscle

which of the following would MOST likely occur as the direct result of the second collision in a motor vehicle crash?

collapsed dashboard

a small compact car was involved in a rollover crash. as you are approaching the vehicle, you note that the roof is significantly collapsed. The patient, a 29 year old male, is complaining of severe pain in his neck and to the top of his head as well as numbness and tingling in his extremities. Witnesses who removed the patient from the vehicle state that he was wearing his seatbelt. What injury mechanism is MOST likely responsible for this patient's condition?

compression of the head against the roof

a 39 year old male accidentally cut his wrist while sharpening his hunting knife. He is conscious and alert with adequate breathing, but is bleeding significantly from the wound. You should

control the bleeding with direct pressure

all of the following snakes are pit vipers

copperhead, rattlesnake, cottonmouth

which of the following findings would be LEAST suggestive of the presence of high energy trauma?

deployment of the air bag

in nontrauma patients, an early indicator of internal bleeding is

dizziness upon standing

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?

energy transmission to the spine

in which of the following situations would external bleeding be the MOST difficult to control?

femoral artery laceration and a blood pressure of 140/90 mm Hg

a 67 year old male presents with weakness, dizziness, and melena that began approximately 2 days ago. He denies a history of trauma. His blood pressure is 90/50 mm Hg and his pulse is 120 beats/min and thread. You should be MOST suspicious that this patient is experiencing

gastrointestinal bleeding

in contrast to a LEVEL III trauma center, a Level I trauma center must

have general surgeons that are in house 24 hours a day

a 66 year old male presents with dark red rectal bleeding and abdominal pain. He is conscious and alert; however, his skin is cool and clammy and his heart rate is elevated Further assessment reveals that his blood pressure is 112/60 mm Hg. Which of the following questions would be MOST pertinent to ask him?

have you experienced recent abdominal trauma

gastrointestinal bleeding should be suspected if a patient presents with

hematemesis

you respond to a residence for a 40 year old female who was assaulted by her husband; the scene has been secured by law enforcement. Upon your arrival, you find the patient ling supine on the floor in the kitchen. She is semiconscious with severely labored breathing. Further assessment reveals a large bruise to the left anterior chest, jugular venous distention, and unilaterally absent breath sounds. As your partner is supporting her ventilations, you should

immediately request ALS support

a driver involved in a rollover motor vehicle crash will MOST likely experience serious injuries or death if he or she

is ejected or partially ejected

with regard to the three collisions that occur during a motor vehicle crash, which of the following statements regarding the first collision is correct?

it is the most dramatic part of the collision and may make extrication difficult

early signs and symptoms of intra-abdominal bleeding include

pain and distention

which of the following statements regarding hemophilia is correct?

patients with hemophilia may bleed spontaneously

a 22 year old male was kicked in the abdomen multiple times during an attack by a gang. He is conscious but restless and his pulse is rapid. Your assessment reveals a large are of bruising to the right upper quadrant of his abdomen. The MOST appropriate treatment fro this patient includes

preparing for immediate transport

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

repeat the primary assessment

what types of motor vehicle collisions present the greatest potential for multiple impacts?

rotational and rollover

following blunt trauma to the abdomen, a 21 year old female complains of left upper quadrant abdominal pain with referred pain to the left shoulder. Your assessment reveals that her abdomen is distended and tender to palpation. On the basis of these findings, you should be MOST suspicious of injury to the

spleen

a 15 year old female was struck by a small car while riding her bicycle. She was wearing a helmet and was thrown to the ground, striking her head. In addition to managing problems associated with airway breathing, and circulations, it is MOST important for you to

stabilize her entire spine

if one or more occupants in the same vehicle are killed in a crash, the EMT should

suspect that all living occupants experienced the same serious trauma

external bleeding from a vein is relatively easy to control because

veins are under a lower pressure

in older patients, the first indictor of nontraumatic internal bleeding may be

weakness or dizziness