EMT Ch 15 Chapter Test
Where might you find a patient's medical alert identification jewelry?
All of the above (Ankle bracelet, Bracelet, Necklace)
You respond to a motor vehicle collision and find a patient with an altered mental status and angulated left femur; the other driver is deceased. Your closest trauma center is 45 minutes away. Which of the following would you do next?
Request ALS personnel.
When assessing a patient who has been stabbed, which of the following information should the EMT gain first?
Size and type of the knife
In which of the following patients should you check for the possibility of spinal injury?
An unresponsive diabetic who appears to have fallen down
For which of the following patients is a focused physical examination appropriate?
A 25-year-old female with a history of asthma and who is complaining of difficulty breathing
The ambulance is called for an assaulted patient. While transporting the patient to the hospital, the EMT notes the patient's jugular veins are flat (nondistended). Which of these is most likely the cause of this finding?
Blood loss
What is a surgical opening in the wall of the abdomen with a plastic bag in place to collect digestive waste?
Colostomy
You are called for a patient who was discovered unconscious in his bed this morning. You immediately complete a primary assessment and determine that he is breathing and has a good pulse. What should you do next?
Complete a rapid physical exam.
You are performing a rapid trauma assessment on an unresponsive 30-year-old male. As you evaluate his head, which of the following should you check for?
Crepitation
Your patient is a 45-year-old female who complains of "twisting her ankle" when she slipped on a patch of ice. Which of the following is not appropriate?
Detailed physical exam
Your patient has been hit in the arm with a baseball during practice. He is alert and oriented, complaining of pain to his left arm with obvious black discoloration of the skin. What type of assessment is called for in this situation?
Focused exam
You are assessing a patient who has been involved in a motor vehicle crash. Which of the following questions would be the most important to ask him?
How fast was the vehicle going?
What does distention refer to when describing your patient's abdomen?
Larger than normal
Your patient is a 24-year-old female who swallowed a handful of pills of unknown type. Although she was initially alert and oriented with no complaints, you note that she is now beginning to slur her words and is becoming progressively lethargic. What is the highest priority in dealing with this patient?
Maintaining an open airway
You have performed a rapid trauma assessment on a patient with multiple long-bone injuries. Your next assessment step should be which of the following?
Obtain baseline vital signs and past medical history.
Immediately following a rapid physical exam on an unresponsive medical patient, which of the following should you do next?
Obtain baseline vital signs.
If a patient complains of abdominal pain localized to a specific area of the abdomen, which of the following techniques should be used to assess the abdomen?
Palpate the painful area last.
The patient was a driver in a lateral impact motor vehicle collision. During the assessment of his chest, the EMT notes a segment of the chest wall moving in the opposite direction from the rest of the chest. Which of the following best describes this finding?
Paradoxical motion
Your patient is an unresponsive 40-year-old woman. Which of the following should you do first?
Perform a rapid physical exam.
Your patient is the 18-year-old male driver of a vehicle that struck a tree. He is conscious and complaining of neck pain. The passenger is obviously dead. You have performed your primary assessment. Which of the following is the next step?
Perform a rapid trauma assessment.
When checking breath sounds in a trauma patient, what should the EMT assess for first?
Presence and equality
Which of the following situations is most likely to result in hidden or unsuspected injury?
Seat belt use by the vehicle occupants
You are assessing a 76-year-old male patient who has been involved in a fall from a standing position. You have completed the scene size-up and primary assessment. What should you do next?
Secondary assessment
When assessing a 14-year-old male patient that has been involved in a bicycle accident, you notice that he has a small amount of blood coming from his left forearm. This observation is known as which of the following?
Sign
What term describes a permanent surgical opening in the neck through which a patient breathes?
Stoma
You are called for a patient who is complaining of being weak and dizzy. He reports that he does not have enough money to pay for his medications so he has not gotten them refilled. Your service has an automatic blood pressure machine and you use it to measure the patient's blood pressure while you count his respirations. The blood pressure machine reports a blood pressure of 280/140. What should you do next?
Take a manual blood pressure.
Which of the following is not a purpose of a rapid trauma assessment?
To focus care on specific injuries
What term describes a surgical incision in the neck that is held open by a metal or plastic tube through which a patient can breathe or be placed on a ventilator?
Tracheostomy
You respond to the scene of a motor vehicle crash to find a middle-aged man on a long spine board being cared for by first responding firefighters. He appears to be bleeding from his head and he is unconscious. You should check the car for:
a bent steering wheel or starred windshield.
The term priapism means ________ and may be found in injuries of the ________.
a persistent penile erection; spine
You are assessing a 21-year-old female who was assaulted by an unknown person. She is complaining of abdominal pain. As you perform a rapid assessment of her abdomen, you should check for all of the following except:
bowel sounds.
In medical terms, bruises are known as which of the following?
contusion
Your patient is a 14-year-old male who was run over by a tractor and is now unresponsive. During the rapid assessment, you should look for clear drainage coming from the patient's ________ indicating a serious injury.
ears
Which of the following is another term for trauma?
injury
In the assessment of a responsive medical patient, which of the following will provide you with the most important information?
patient medical history
An unconscious trauma patient should always be assumed to have which of the following types of injury?
spine
Your patient was struck in the chest with a baseball bat during a bar fight. A crackling or crunching sensation that is felt when air escapes from its normal passageways and is trapped under the skin is called:
subcutaneous emphysema.
When a patient describes how he feels, he is telling you which of the following?
symptoms