EMS/Module 7; Trauma-Practice Quiz

Which of the following interventions may be used to help reduce intracranial pressure?

30-degree elevation of the head

Which of the following is most likely to cause immediate death?

Aortic rupture

Which of the following sets of vital signs depicts Cushing triad?

Blood pressure, 190/110 mm Hg; pulse, 55 beats/min; respirations, 30 breaths/min

The phrenic nerves control the diaphragm and exit the spinal cord at:

C3, C4, and C5.

The _________ contain(s) about 75% of the brain's total volume.

Cerebrum

A 70-year-old man presents with a severe nosebleed. His medical history includes COPD, depression, and a hemorrhagic stroke 3 years ago. His BP is 190/110 mm Hg, his pulse is 100 beats/min, and his respirations are 24 breaths/min. His medications include albuterol, sertraline (Zoloft), and multivitamins. Which of the following is MOST likely causing his nosebleed today?

High blood pressure

Which of the following is NOT a pertinent negative to note during your assessment of a patient with chest trauma?

No heart murmurs

A flail chest occurs when:

a segment of the chest wall is detached from the thoracic cage.

A 17-year-old male was shot in the right anterior chest during an altercation. As your partner is applying oxygen, you perform a rapid assessment and find an open chest wound with a small amount of blood bubbling from it. You should:

apply an occlusive dressing to the wound and continue your assessment.

A young female experienced a laceration to her left eyeball from flying glass when her boyfriend broke a soda bottle against a wall. There is moderate bleeding and the patient states that she cannot see out of the injured eye. You should:

avoid applying pressure to the globe when you are covering the eye.

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:

begin CPR and apply the AED.

An epidural hematoma is MOST accurately defined as:

bleeding between the skull and dura mater.

Covering a patient's _________ will significantly minimize radiation heat loss.

head

Gastrointestinal bleeding should be suspected if a patient presents with:

hematemesis.

In a patient with a head injury, hypertension, bradycardia, and Biot respirations indicate:

herniation of the brain stem.

During your assessment of a patient who experienced blunt trauma to the abdomen, you notice bruising around the umbilicus. This is a sign of:

intra-abdominal bleeding.

In contrast to the brown recluse spider, the black widow spider:

is large and has a red-orange hourglass mark on its abdomen.

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

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:

posterior hip dislocation.

Early bruising following abdominal trauma often manifests as:

red areas of skin.

When a motor vehicle strikes a tree while traveling at 40 mph, the unrestrained occupant:

remains in motion until acted upon by an external force.

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:

stop and splint the leg in the deformed position.

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.

An air embolism associated with diving occurs when:

the diver holds his or her breath during a rapid ascent.

When the parasympathetic nervous system is activated:

the heart rate decreases and the blood vessels dilate.

The body's natural protective mechanisms against heat loss are:

vasoconstriction and shivering.