EMT Chapter 8 - Lifting and Moving
In lifting with the palm down, the weight is supported by the _____ rather than the palm.Select one: A. fingers B. forearm C. lower back D. wrist
A
Situations in which you should use the rapid extrication technique include all of the following, EXCEPT:Select one: A. a patient who can be properly assessed while still in the vehicle. B. a patient whose condition requires immediate transport to the hospital. C. a patient who needs immediate care that requires a supine position. D. a patient who blocks access to another seriously injured patient.
A
The MOST serious consequence of a poorly planned or rushed patient move is: A. injury to you or your patient. B. causing patient anxiety or fear. C. unnecessarily wasting time. D. confusion among team members.
A
You should use a rigid _____, often called a Stokes litter, to carry a patient across uneven terrain from a remote location that is inaccessible by ambulance or other vehicle.Select one: A. basket stretcher B. scoop stretcher C. molded backboard D. flotation device
A
It is essential that you ____________ your equipment to prevent the spread of disease. A. properly store B. decontaminate C. throw out D. incinerate
B
The _________ is both the mechanical weight-bearing base of the spinal column and the fused central posterior section of the pelvic girdle. A. coccyx B. sacrum C. ischium D. thorax
B
To protect a restrained patient and prevent him from using leverage to break free, the EMT should secure __________. A. only the patient's torso B. one arm above the head C. both arms above the head D. both arms at the patient's sides
B
When carrying a patient up or down stairs, you should avoid:Select one: A. flexing your body at the knees. B. using a wheeled stretcher whenever possible. C. the use of more than two EMTs. D. the use of a long backboard or scoop stretcher.
B
When moving a conscious, weak patient down a flight of stairs, you should: A. secure the patient to a scoop stretcher and carry him or her headfirst down the stairs to the awaiting stretcher. B. place the wheeled stretcher at the bottom of the stairs and carry the patient down the stairs with a stair chair. C. collapse the undercarriage of the wheeled stretcher and carefully carry the patient down the stairs on the stretcher. D. assist the patient in walking down the stairs and place him or her on the wheeled stretcher at the bottom of the stairs.
B
Which is the MOST appropriate method to use when moving a patient from his or her bed to a wheeled stretcher? A. Direct carry B. Draw sheet method C. Extremity lift D. Tuck and roll
B
You are attending to a 22-year-old female patient who has overdosed. The patient is unresponsive in an upstairs bedroom. The most appropriate way to bring the patient downstairs is: A. secured to a fracture board with the strongest provider at the foot end. B. secured to a fracture board with the strongest provider at the head end. C. secured to a stair chair with the strongest provider at the head end. D. secured to a stair chair with the strongest provider at the foot end.
B
You have been called to the scene of a high-speed motor vehicle collision involving two compact cars. The first vehicle was a roll-over, ejecting the driver. The second vehicle contained both a driver and a front-seat passenger who cannot be reached because the door is up against a building. For the passenger in the second vehicle, you may need to perform a(n) _____ on the driver in order to reach the patient.Select one: A. extremity lift B. emergency move C. short backboard D. You should do nothing different; treat each patient the same.
B
You should not attempt to lift a patient who weighs more than 250 lb with fewer than _______ rescuers, regardless of individual strength.Select one: A. five B. four C. six D. three
B
You should perform an urgent move in all of the following situations, EXCEPT:Select one: A. if a patient has an altered level of consciousness. B. if the patient is complaining of neck pain. C. in extreme weather conditions. D. if a patient has inadequate ventilation or shock.
B
An EMT may injure his or her back, even if it is straight, if the: A. shoulder is aligned over the pelvis. B. hands are held close to the legs. C. back is bent forward at the hips. D. force is exerted straight down the spine.
C
As you and your partner are carrying a stable patient down a flight of stairs in a stair chair, you feel a sudden, sharp pain in your lower back. You should: A. reposition your hands and continue to move the patient. B. guide your partner while moving the chair backwards. C. stop the move and request additional lifting assistance. D. stop the move and have the patient walk down the stairs.
C
In most instances, you should move a patient on a wheeled ambulance stretcher by:Select one: A. retracting the undercarriage and carrying the stretcher to the ambulance. B. slightly lifting the stretcher to prevent unnecessary patient movement. C. pushing the head of the stretcher while your partner guides the foot. D. pushing the foot of the stretcher while your partner guides the head.
C
In which of the following situations would a direct ground lift be the MOST appropriate method of moving a patient?Select one: A. A pedestrian with back pain after being struck by a car B. A patient who complains of hip pain following a fall C. A conscious patient complaining of abdominal pain D. An unconscious patient with a possible ischemic stroke
C
The direct carry is used to transfer a patient: A. with multiple long bone injuries. B. who cannot be placed on a backboard. C. from a bed to the ambulance stretcher. D. with a possible cervical spine injury.
C
The proper technique for using the power grip is to: A. hold the handle with your fingers. B. rotate your palms down. C. lift with your palms up. D. position your hands about 6² apart.
C
To minimize the risk of injuring yourself when lifting or moving a patient, you should: A. avoid the use of log rolls or body drags. B. use a direct carry whenever possible. C. keep the weight as close to your body as possible. D. flex at the waist instead of the hips.
C
Upon arriving at the scene of a motor vehicle crash, you find a single patient still seated in his car. There are no scene hazards. As you approach the vehicle, you note that the patient is semiconscious and has a large laceration to his forehead. You should: A. apply a cervical collar and quickly remove the patient with a clothes drag. B. apply a vest-style extrication device before attempting to move the patient. C. direct your partner to apply manual in-line support of the patient's head. D. slide a long backboard under his buttocks and lay him sideways on the board.
C
When pulling a patient, you should do all of the following, EXCEPT:Select one: A. extend your arms no more than about 15 to 20 inches (38 to 50 cm). B. reposition your feet so that the force of pull will be balanced equally. C. when you can pull no farther, lean forward another 15 to 20 inches (38 to 50 cm). D. pull the patient by slowly flexing your arms.
C
Which of the following conditions or situations presents the MOST unique challenge to the EMT when immobilizing an elderly patient on a long backboard? A. Patient disorientation B. Naturally deformed bones C. Abnormal spinal curvature D. Joint flexibility
C
Which of the following statements regarding an emergency patient move is correct? A. The spine must be fully immobilized prior to performing an emergency move. B. It is not possible to perform an emergency move without injuring the patient. C. An emergency move is performed before the primary assessment and treatment. D. The patient is dragged against the body's long axis during an emergency move.
C
Which of the following statements regarding the scoop stretcher is NOT correct? A. The construction of the scoop stretcher prohibits x-rays while the patient is on it. B. You must fully secure the patient to the scoop stretcher before moving him or her. C. A scoop stretcher will provide adequate immobilization of a patient's spinal column. D. Both sides of the patient must be accessible in order for a scoop stretcher to be used.
C
You are attending to a 34-year-old male patient who requires transport to the hospital for assessment of his chronic back pain. The patient weighs over 750 pounds. Your bariatric stretcher has a wider surface area to allow for: A. better stability when moving the patient on uneven ground. B. increased stability and leverage when lifting with more than two providers. C. increased patient comfort and dignity. D. increased lifting capacity and patient weight load
C
You are attending to a 26-year-old female who is 34 weeks pregnant with her first child. Your patient has been having lower abdominal pains and cramping for the past two hours. In placing your patient on the stretcher and preparing for transport, you should place her: A. in the Fowler position. B. in a position of comfort. C. supine with her legs elevated. D. on her left side.
D
You may injure your back if you lift:Select one: A. with your back curved. B. with your back straight, but bent significantly forward at the hips. C. with the shoulder girdle anterior to the pelvis. D. All of these answers are correct.
D
An 81-year-old female fell and struck her head. You find the patient lying on her left side. She is conscious and complains of neck and upper back pain. As you are assessing her, you note that she has a severely kyphotic spine. What is the MOST appropriate method of immobilizing this patient?Select one: A. Move her to a supine position and immobilize her with a scoop stretcher and padding. B. Immobilize her in a supine position on a long backboard and secure her with straps. C. Apply a cervical collar and place her in a sitting position on the wheeled stretcher. D. Leave her on her side and use blanket rolls to immobilize her to the long backboard.
D
An unrestrained patient is sitting in his car after an automobile crash. He is conscious and alert, has no visible trauma, and is complaining of neck and back pain. Before removing him from his car, you should:Select one: A. perform a detailed head-to-toe assessment and apply a cervical collar. B. slide a scoop stretcher under his buttocks and rotate him laterally. C. maintain manual stabilization of his head and grasp him by the clothes. D. apply a cervical collar and immobilize him with a vest-style device.
D
In contrast to typical wheeled ambulance stretchers, features of a bariatric stretcher include: A. two safety rails on both sides of the stretcher. B. a collapsible undercarriage. C. weight capacity of up to 650 lb. D. increased stability from a wider wheelbase.
D
The extremity lift would NOT be appropriate to use on a patient:Select one: A. without a spinal injury. B. with forearm lacerations. C. who complains of nausea. D. with a deformed humerus.
D
To avoid injury when pushing a patient or other object, you should:Select one: A. kneel if you are pushing an object that is above waist level. B. push from the area of your body between the knees and hips. C. push the patient from an overhead position if possible. D. avoid pushing the patient with your elbows fully extended.
D
To facilitate a safe and coordinated move, the team leader should: A. speak softly but clearly to avoid startling the patient. B. never become involved in the move, only direct the move. C. be positioned at the feet so the team can hear. D. use preparatory commands to initiate any moves.
D
When performing the rapid extrication technique to remove a patient from his or her vehicle, you should: A. apply a vest-style extrication device prior to moving the patient. B. apply a cervical collar and immobilize the patient on a short backboard. C. grasp the patient by the clothing and drag him or her from the car. D. apply a cervical collar and remove the patient on a long backboard.
D
When pulling a patient, you should extend your arms no more than ________ in front of your torso. A. 5 to 10 inches B. 20 to 30 inches C. 10 to 15 inches D. 15 to 20 inches
D
Which of the following conditions or situations presents the MOST unique challenge to the EMT when immobilizing an elderly patient on a long backboard? A. Patient disorientation B. Naturally deformed bones C. Joint flexibility D. Abnormal spinal curvature
D
Which of the following is the MOST appropriate device to use when immobilizing a patient with a suspected spinal injury? A. Wheeled stretcher B. Scoop stretcher C. Portable stretcher D. Long backboard
D
Which of the following statements regarding patient weight distribution is correct? A. A semi-sitting patient's weight is equally distributed on both ends. B. The EMT at the patient's head will bear the least amount of weight. C. Most of the patient's weight rests on the foot end of the stretcher. D. The majority of a horizontal patient's weight is in the torso.
D
You and your partner enter the residence of an elderly couple, both of whom are found unconscious in their bed. There is no evidence of trauma. As you begin your assessment, you and your partner notice the smell of natural gas in the residence. Which of the following should be your MOST appropriate action?Select one: A. Perform a rapid assessment and then move the patients from their residence. B. Request another ambulance to assist with lifting and moving the patients. C. Quickly exit the residence and request the fire department to move the patients. D. Rapidly remove the patients from their residence using a blanket or clothes drag.
D