Emt quiz 18

According to the rule of palm method for estimating the extent of a patient's burns, the palm of the patient's hand is equal to _____ of his or her total BSA.

1%

A 70 year old patient presents with blisters burns of both arms and one leg. You inform medical control that your patient has _______ burns

36% partial burns

In which of the following patients should you remove an impaled object A conscious and alert patient with a fishhook impaled in the eye An apneic patient with a shard of glass impaled in the abdomen A semiconscious patient with an ice pick impaled in the chest A pulseless and apneic patient with a knife impaled in the back

A pulseless and apneic patient with a knife impaled in the back

A 30-year-old male experienced a crushing injury when his arm was trapped between the back of a truck and a loading dock. Upon your arrival, the man's arm has been freed. Your assessment reveals that his arm is obviously deformed and swollen and is cold and pale. Further assessment reveals an absent radial pulse. You should be most concerned that h this patient has

Compartment syndrome

A teenage boy who was involved in a bicycle accident has a puncture wound where the bicycle kickstand impaled his leg the most appropriate method for treating this injury is to

unbolt the kickstand from the bike frame and stabilize it with bulky dressings.

Which of the following statements regarding electrical burns is correct A. Respiratory or cardiac arrest following an electrical burn is very uncommon B. The exit wound caused by electrical burns is smaller than the entrance wound C. The size of the entry and exit wound is a reliable indicator of internal damage D. Entrance wounds are small relative to the amount of internal tissue damage

D. Entrance wounds are small relative to the amount of internal tissue damage

Which of the following statements regarding penetrating injuries is correct A. If the condition was caused by a bullet the entrance wound is always larger than the exit wound B. The degree of internal injury can often be estimated by the external injury C. The depth of a penetrating injury should be thoroughly assessed by the emt D. External bleeding may be minimal but internal injuries can be extensive

D. External bleeding may be minimal but internal injuries can be extensive.

treatment of a 55-year old male with a knife wound to his neck, with associated serious blood flow, would include:

occlusive dressing

An abdominal eviscreation

Occurs when organs protrude through an open wound

As you approach a young male who was involved in an industrial accident, you note that his eyes are closed and that he is not moving. You can see several large contusions to his arms, a laceration to his forehead with minimal bleeding, and a closed deformity to his right leg. You should:

open his airway and assess his breathing status.

During your assessment of a 22-year-old male who was assaulted you note widespread contusions and abrasions to his face,chest and abdomen. His pulse is rapid and weak and his skin is cool and clammy. You should

administer oxygen and prepare for rapid transport.

In addition to severe bleeding, the MOST life-threatening complication associated with an open neck injury is:

an air embolism

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.

When treating a partial-thickness burns to one hand, you should:

apply moistened sterile dressings or moistened burn sheets to the burned area

A construction worker fell 30 feet and landed in a pile of steel rods. Your assessment reveals that he is pulseless and apneic and has a 10 inch steel ridge impaled in his left leg. The best order of treatment would be for the emt to

Control the bleeding, begin cardiopulmonary resuscitation (CPR) stabilize the steel rod immobilize his spine and transport immediately

A 33-year-old male sustained an abdominal evisceration to the left lower quadrant of his abdomen after he was cut with a large knife. After appropriately managing his ABCs and assessing him for other life-threatening injuries, how you should care for his wound?

Cover it with moist, sterile gauze and secure with an occlusive dressing.

When assessing a patient with a closed soft tissue injury it is most important to

remain alert for more severe underlying injuries.

A 56-year-old male has an incomplete avulsion to his right forearm. After controlling any bleeding from the wound, you should:

replace the avulsed flap to its original position and cover it with a sterile dressing.

In addition to external bleeding, the MOST significant risk that an open soft-tissue injury exposes a patient to is:

infection

Patients do not generally complain of pain in the area of full thickness burns (third-degree) because

the nerve endings have been destroyed.

Functions of the skin include all of the following except

the production of key antibodies.

Which of the following statements regarding crush syndrome is correct? A. Provided that a patient with crush injury is freed from entrapment within 6 hours the amount of tissue damaged is generally minimal. B. With crush syndrome, massive blood vessel damage occurs following severe soft tissue injuries such as amputation of an extremity. C. Compromised arterial blood flow leads to crush syndrome and can occur when an area of the body is trapped for longer than 4 hours

C. Compromised arterial blood flow leads to crush syndrome and can occur when an area of the body is trapped for longer than 4 hours

Which of the following open soft-tissue injuries is limited to the superficial layer of the skin and results in the least amount of blood loss

abrasion

An injury that separates various layers of soft tissue, resulting in complete detachment or a flap of skin, is called a(n):

avulsion

A laceration

is a jagged cut caused by a sharp object or blunt force trauma.