Quiz 8: Chapters 32 & 37

Spina bifida is defined as:

a birth defect caused by incomplete closure of the spinal column

A surgical procedure that creates an opening between the intestine and the surface of the body that allows for elimination of waste products is called:

a colostomy

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:

assess distal pulse, motor, and sensory functions

When assessing or providing care to a patient with an intellectual disability, you should:

be observant for signs of fear or reluctance from the patient

Which of the following structures is regulated by smooth muscle?

blood vessels

A 54 year old male accidentally shot himself in the leg while cleaning his gun. Your assessment reveals a small entrance wound to the medial aspect of his right leg. The exit wound is on the opposite side of the leg and is actively bleeding. The patient complains of numbness and tingling in his right foot. You should:

control the bleeding and cover the wound with a sterile dressing

A 13 year old child is on a home ventilator. The parents called because the mechanical ventilator is malfunctioning, and the child has increasing respiratory distress. You should:

disconnect the ventilator and apply a tracheostomy collar

A ____ fracture occurs in the growth section of a child's bone and might lead to bone growth abnormalities.

epiphyseal

When caring for a morbidly obese patient, you should:

establish his or her chief complaint and then communicate your plan to help

Which of the following statements regarding hearing aids is correct?

hearing aids cannot restore hearing to normal levels

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:

immobilize the injury with a sling and swathe

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:

immobilizing her to a backboard and rapidly transporting

When splinting a possible fracture of the foot, it is most important for the EMT to:

leave the toes exposed

A 77 year old woman slipped and fell on a throw rug and landed on her left hip. She denies striking her head or losing consciousness. Assessment of her left leg reveals that it is shortened and externally rotated. Distal pulses, sensory, and motor functions are intact. You should:

place her onto a scoop stretcher, pad around her left hip with pillows, and secure her to the scoop with straps

The primary purpose for splinting a musculoskeletal injury is to:

prevent further injury

General care for a patient with a tracheostomy tube includes all of the following except:

removing the tube if the area around it appears infected

Because a tracheostomy tube bypasses the nose and mouth:

secretions can build up in and around the tube

Skeletal muscle is also referred to as ____ muscle.

striated

You receive a call to a residence for an apneic 2 month old male. When you arrive at the scene, the infant's mother tells you that her son was born prematurely and that his apnea monitor has alarmed four times in the past 30 minutes. Your assessment of the infant reveals that he is conscious and active. His skin is pink and dry, and he is breathing at an adequate rate and with adequate tidal depth. His oxygen saturation reads 98% on room air. You should:

transport the infant to the hospital and bring the apnea monitor with you

Which of the following would be the most practical method of communicating with a hearing impaired patient until his or her hearing aids can be located?

using a piece of paper and writing utensil to ask questions