Module 5 Practice Sets
Hypothermia occurs when the core body temperature falls below: a) 95°F (35°C). b) 88°F (31°C). c) 90°F (32°C). d) 98°F (37°C).
a) 95°F (35°C).
In which of the following situations should the EMT splint an injured limb in the position of deformity? a) If resistance is encountered or the patient experiences severe pain b) When distal circulation and neurological functions are absent c) If transport time to the hospital is greater than 20 to 30 minutes d) If a traction splint will be used to immobilize the injured extremity
a) If resistance is encountered or the patient experiences severe pain
Which of the following musculoskeletal injuries would pose the greatest threat to a patient's life? a) Pelvic fracture with hypotension b) Nondisplaced long bone fractures c) An amputated extremity d) Bilateral femur fractures
a) Pelvic fracture with hypotension
The purpose of the pediatric assessment triangle (PAT) is to: a) allow you to rapidly and visually form a general impression of the child. b) determine if the child's vital signs are within the age-appropriate limits. c) facilitate a rapid head-to-toe assessment of the child by visualization only. d) gather critical data by performing a rapid hands-on assessment of the child.
a) allow you to rapidly and visually form a general impression of the child.
Unless he or she is critically ill or injured, you should generally begin your assessment of a toddler: a) at the feet. b) in the ambulance. c) at the head. d) en route to the hospital.
a) at the feet.
Your documentation on a sexual assault victim should _______. a) be objective and factual b) be subjective and summarize the crime c) include your opinion of the nature of the incident d) describe the status of the suspect(s)
a) be objective and factual
Pale skin in a child indicates that the: a) blood vessels near the skin are constricted. b) child is in severe decompensated shock. c) oxygen content in the blood is decreased. d) child's core body temperature is elevated.
a) blood vessels near the skin are constricted.
You are transporting a patient with blunt abdominal trauma. The patient is unstable and is experiencing obvious signs and symptoms of shock. Your estimated time of arrival at the hospital is less than 10 minutes. After treating the patient appropriately, you should: a) closely monitor him and reassess him frequently. b) forgo the hospital radio report because of his condition. c) perform a comprehensive secondary assessment. d) begin documenting the call on the patient care form.
a) closely monitor him and reassess him frequently.
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: a) control the bleeding and cover the wound with a sterile dressing. b) gently manipulate the injured leg until the numbness dissipates. c) assess distal pulses as well as sensory and motor functions. d) manually stabilize the leg above and below the site of injury.
a) control the bleeding and cover the wound with a sterile dressing.
A 2-year-old female has experienced a seizure. When you arrive at the scene, the child is conscious, crying, and clinging to her mother. Her skin is hot and moist. The mother tells you that the seizure lasted approximately 5 minutes. She further tells you that her daughter has no history of seizures, but has had a recent ear infection. You should: a) cool the child with tepid water and transport to the hospital. b) place the child in cold water to attempt to reduce her fever. c) suspect that the child has meningitis and transport at once. d) allow the mother to drive her daughter to the hospital.
a) cool the child with tepid water and transport to the hospital.
A supracondylar or intercondylar fracture is also known as a fracture of the: a) distal humerus. b) proximal radius. c) radial head. d) olecranon process.
a) distal humerus.
All of the following terms refer to a body part that is cold but not frozen, EXCEPT: a) frostbite. b) immersion foot. c) trench foot. d) frostnip.
a) frostbite.
Common signs and symptoms of heat exhaustion include all of the following, EXCEPT: a) hot, dry skin. b) nausea. c) tachycardia. d) headache.
a) hot, dry skin.
Common causes of seizures in children include all of the following, EXCEPT: a) hyperglycemia. b) electrolyte imbalances. c) poisonings or ingestion. d) infection.
a) hyperglycemia.
The amniotic fluid serves to: a) insulate and protect the fetus. b) assist in fetal development. c) transfer oxygen to the fetus. d) remove viruses from the fetus.
a) insulate and protect the fetus.
When a hollow organ is punctured during a penetrating injury to the abdomen: a) peritonitis may not develop for several hours. b) it commonly protrudes through the injury site. c) the abdomen will become instantly distended. d) it will bleed profusely and rapidly cause shock.
a) peritonitis may not develop for several hours.
The EMT must assume that any unwitnessed water-related incident is accompanied by: a) possible spinal injury. b) an air embolism. c) alcohol intoxication. d) cold-water immersion.
a) possible spinal injury.
When taking the question, it would appear as: A "hip" fracture is actually a fracture of the: a) proximal femur. b) pelvic girdle. c) femoral shaft. d) pubic symphysis.
a) proximal femur.
Burns associated with lightning strikes are typically: a) superficial. b) third-degree. c) full-thickness. d) partial-thickness.
a) superficial.
When assessing an 8-year-old child, you should: a) talk to the child, not just the caregiver. b) rely solely on the parent for information. c) refrain from taking a blood pressure. d) use a toe-to-head assessment approach.
a) talk to the child, not just the caregiver.
A mother who is pregnant with her first baby is typically in the first stage of labor for approximately: a) 10 hours. b) 16 hours. c) 8 hours. d) 4 hours.
b) 16 hours.
If a baby is born at 7:52, the second Apgar score should be calculated at: a) 8:00. b) 7:57. c) 7:53. d) 7:59.
b) 7:57.
Which of the following findings is LEAST suggestive of child abuse? a) An unexplained delay in seeking medical care after the injury b) Consistency in the method of injury reported by the caregiver c) Burns to the hands or feet that involve a glove distribution d) Evidence of alcohol consumption or drug use at the scene
b) Consistency in the method of injury reported by the caregiver
Compression injury is most likely due to which of the following? a) Hollow-organ rupture b) Improperly placed lab belt c) Ejection of unrestrained driver d) Stabbing
b) Improperly placed lab belt
When should you visually inspect the external genitalia on your patient? a) Anytime the patient agrees to treatment and transport b) Only when there is a complaint of severe pain or other injury c) Always during the secondary assessment d) Only when ordered by medical direction
b) Only when there is a complaint of severe pain or other injury
You should suspect a kidney injury anytime the patient presents with _______. a) abdominal distention b) a hematoma in the flank region c) dyspnea d) nausea
b) a hematoma in the flank region
A history of pelvic inflammatory disease or tubal ligations increases a woman's risk for: a) preeclampsia. b) an ectopic pregnancy. c) placenta previa. d) gestational diabetes.
b) an ectopic pregnancy.
The musculoskeletal system refers to the: a) involuntary muscles of the nervous system. b) bones and voluntary muscles of the body. c) connective tissue that supports the skeleton. d) nervous system's control over the muscles.
b) bones and voluntary muscles of the body.
When caring for a patient with a possible fracture of the scapula, the EMT should: a) assume that minimal force was applied to the back. b) carefully assess the patient for breathing problems. c) apply rigid board splints across the chest and back. d) recognize that scapular fractures are life threatening.
b) carefully assess the patient for breathing problems.
Difficulty breathing and a sunken appearance of the anterior abdominal wall is MOST indicative of a ruptured: a) spleen. b) diaphragm. c) aorta. d) stomach.
b) diaphragm.
When caring for a female child who has possibly been sexually abused, you should: a) encourage the child to urinate and take a shower. b) have a female EMT remain with her if possible. c) carefully examine the genitalia for signs of injury. d) immediately report your suspicions to the parents.
b) have a female EMT remain with her if possible.
When preparing a pregnant patient for delivery, you should position her: a) on her left side with the right leg elevated. b) on a firm surface with her hips elevated 2 to 4 inches. c) in a sitting position with her hips elevated 12 inches. d) in a supine position with her legs spread.
b) on a firm surface with her hips elevated 2 to 4 inches.
A 26-year-old female who is 34 weeks pregnant is experiencing a seizure. Her husband tells you that her blood pressure has been high and that she had been complaining of a headache for the past few days. You should: a) elevate her legs to improve brain perfusion and keep her warm. b) place her on her side, administer high-flow oxygen, and transport. c) insert an oral airway and ventilate her with a bag-valve mask. d) administer oral glucose for presumed hypoglycemia and transport.
b) place her on her side, administer high-flow oxygen, and transport.
Your 22-year-old patient is in active labor. Upon visual inspection, you note that the infant's leg is protruding from the vagina. Appropriate management of this situation includes: a) carefully attempting to push the infant's leg off of the umbilical cord. b) placing the mother supine with her head down and pelvis elevated. c) placing the mother in a recumbent position and rapidly transporting. d) gently pulling on the infant's leg in an attempt to facilitate delivery.
b) placing the mother supine with her head down and pelvis elevated.
A 22-year-old female was ejected from her car after striking a tree head-on. As you approach her, you note obvious closed deformities to both of her femurs. She is not moving and does not appear to be conscious. You should: a) administer oxygen and perform a rapid assessment. b) stabilize her head and perform a primary assessment. c) assess for a carotid pulse and assist her ventilations. d) apply manual stabilization to both of her femurs.
b) stabilize her head and perform a primary assessment.
A 31-year-old male was bitten on the leg by an unidentified snake. The patient is conscious and alert and in no apparent distress. Your assessment of his leg reveals two small puncture marks with minimal pain and swelling. In addition to administering oxygen and providing reassurance, further care for this patient should include: a) elevating the lower extremities and giving antivenin. b) supine positioning, splinting the leg, and transporting. c) applying ice to the wound and transporting quickly. d) transporting only with close, continuous monitoring.
b) supine positioning, splinting the leg, and transporting.
The presence of meconium in the amniotic fluid indicates: a) an expected finding in full-term infants. b) that the baby's airway may be obstructed. c) that full newborn resuscitation will be needed. d) that the fetus is at least 4 weeks premature.
b) that the baby's airway may be obstructed.
Which of the following statements regarding sudden infant death syndrome (SIDS) is correct? a) The cause of death following SIDS can be established by autopsy. b) SIDS is most commonly the result of an overwhelming infection. c) Death as a result of SIDS can occur at any time of the day or night. d) Certain cases of SIDS are predictable and therefore preventable.
c) Death as a result of SIDS can occur at any time of the day or night.
Which of the following is an early sign of pit viper envenomation? a) General weakness and diaphoresis b) Syncope and bleeding at distal sites c) Local swelling and ecchymosis d) Signs and symptoms of hypoperfusion
c) Local swelling and ecchymosis
Which of the following statements regarding abdominal eviscerations is correct? a) Most eviscerations occur to the left upper quadrant. b) Adherent material is preferred when covering an evisceration. c) The protruding organs should be kept warm and moist. d) The organs should be replaced carefully to avoid heat loss.
c) The protruding organs should be kept warm and moist.
When questioning the parent of a child who ingested a poisonous substance, which of the following questions would be of LEAST pertinence initially? a) Do you know what substance was ingested? b) What time did the ingestion occur? c) Why did your child ingest the poison? d) Have you noticed any signs or symptoms?
c) Why did your child ingest the poison?
The MOST prominent symptom of decompression sickness is: a) tightness in the chest. b) difficulty with vision. c) abdominal or joint pain. d) dizziness and nausea.
c) abdominal or joint pain.
An infant with severe dehydration would be expected to present with: a) moist oral mucosa. b) bulging fontanelles. c) absent urine output. d) excessive tearing.
c) absent urine output.
You and your partner respond to a park where several people were reportedly struck by lightning. When you arrive, you find three patients. The first patient is lying supine on the ground; he is unresponsive and does not appear to be breathing. The second patient is ambulatory, appears confused, and is holding his arm against his chest. The third patient is sitting on the ground holding the sides of his head. After calling for backup, you should: a) focus your initial treatment efforts on the patients who are conscious because the unresponsive patient is likely in irreversible cardiac arrest. b) recognize that the patients who are conscious are at high risk for developing cardiac arrest and quickly assess them for potentially life-threatening injuries. c) assess the unresponsive patient's pulse, begin CPR starting with chest compressions if he is pulseless, and attach the AED as soon as possible. d) immediately begin CPR on the unresponsive patient, but cease resuscitation efforts if there is no response after 5 minutes of treatment.
c) assess the unresponsive patient's pulse, begin CPR starting with chest compressions if he is pulseless, and attach the AED as soon as possible.
When a warm hand is immersed in water that is 70°F (21°C), heat is transferred from the hand to the water through a process called: a) convection. b) evaporation. c) conduction. d) radiation.
c) conduction.
You are attending to a 23-year-old female patient who is 16 weeks pregnant with her second child. The patient has apparently fallen and sustained an injury to her upper right arm. When you ask about the incident history, the patient is reluctant to explain what happened and becomes very quiet. Based on this information, you should: a) contact police and remain at the scene until they arrive and escort you to the hospital. b) immediately remove the patient from the environment and transport. c) continue your care in a private area, document any details regarding the scene and the incident, and reassure her as you provide care. d) ask more detailed questions and press the issue until you have a more detailed understanding of the incident.
c) continue your care in a private area, document any details regarding the scene and the incident, and reassure her as you provide care.
Your presence is requested by law enforcement to assess a 33-year-old female who was sexually assaulted. The patient is conscious and obviously upset. As you are talking to her, you note an impressive amount of blood on her clothes in the groin area. Her blood pressure is 98/58 mm Hg, her pulse is 130 beats/min, and her respirations are 24 breaths/min. You should: a) arrange for a rape crisis center representative to speak with the patient. b) visualize the vaginal area and pack the vagina with sterile dressings. c) control any external bleeding, administer oxygen, and transport at once. d) allow her to change her clothes and take a shower before you transport.
c) control any external bleeding, administer oxygen, and transport at once.
When a patient stiffens the muscles of the abdomen, it is known as _______. a) crepitus. b) instability. c) guarding. d) distention.
c) guarding.
Abdominal pain, vomiting, and fever are most likely due to _______. a) hypovolemia b) hemorrhage c) infection d) evisceration
c) infection
Crepitus and false motion are: a) indicators of a severe sprain. b) most common with dislocations. c) positive indicators of a fracture. d) only seen with open fractures.
c) positive indicators of a fracture.
Because the depth of an open abdominal wound is often difficult to determine: a) vital signs should be monitored frequently. b) the abdomen must be vigorously palpated. c) prompt transport to the hospital is essential. d) the EMT must perform a thorough exam.
c) prompt transport to the hospital is essential.
You are transporting a 28-year-old man with a frostbitten foot. The patient's vital signs are stable and he denies any other injuries or symptoms. The weather is treacherous and your transport time to the hospital is approximately 45 minutes. During transport, you should: a) cover his foot with chemical heat compresses. b) rewarm his foot in 102°F to 104°F (38.9°C to 40°C) water. c) protect the affected part from further injury. d) administer oxygen via a nonrebreathing mask.
c) protect the affected part from further injury.
When a child is struck by a car, the area of greatest injury depends MOSTLY on the: a) age of the child and the size of the car that struck him or her. b) height of the child and the speed at which the car was traveling. c) size of the child and the height of the bumper upon impact. d) speed at which the car was traveling when impact occurred.
c) size of the child and the height of the bumper upon impact.
During your secondary assessment of a 30-year-old male who fell 25 feet, you note crepitus when palpating his pelvis. Your partner advises you that the patient's blood pressure is 80/50 mm Hg and his heart rate is 120 beats/min and weak. After completing your assessment, you should: a) perform a focused physical exam with emphasis on the pelvis. b) defer spinal immobilization and transport to a trauma center. c) stabilize the pelvis with a pelvic binder and protect the spine. d) log roll the patient onto a long backboard and transport at once.
c) stabilize the pelvis with a pelvic binder and protect the spine.
Signs and symptoms of meningitis in the infant or child include all of the following, EXCEPT: a) headache and fever. b) a stiff or painful neck. c) sunken fontanelles. d) altered mental status.
c) sunken fontanelles.
An open fracture is MOST accurately defined as a fracture in which: a) a bullet shatters the underlying bone. b) bone ends protrude through the skin. c) the overlying skin is no longer intact. d) a large laceration overlies the fracture.
c) the overlying skin is no longer intact.
Most of the serious injuries associated with scuba diving are caused by: a) cold water temperature. b) alcohol consumption. c) too rapid of an ascent. d) too rapid of a descent.
c) too rapid of an ascent.
Which of the following questions is of LEAST pertinence when determining whether a mother will deliver her baby within the next few minutes? a) "When are you due?" b) "Is this your first baby?" c) "Do you feel the need to push?" d) "Have you had a sonogram?"
d) "Have you had a sonogram?"
During your visual inspection of a 25-year-old woman in labor, you see the baby's head crowning at the vaginal opening. What should you do? a) Place your fingers in the vagina to assess for a nuchal cord. b) Tell the mother not to push and transport her immediately. c) Maintain firm pressure to the head until it completely delivers. d) Apply gentle pressure to the baby's head as it delivers.
d) Apply gentle pressure to the baby's head as it delivers.
Which of the following statements regarding compartment syndrome is correct? a) Most cases of compartment syndrome occur following a severe fracture of the pelvis. b) Compartment syndrome occurs because of increased pressure within the bone cavity. c) In most cases, compartment syndrome develops within a few minutes after an injury. d) Compartment syndrome typically develops within 6 to 12 hours after an injury.
d) Compartment syndrome typically develops within 6 to 12 hours after an injury.
Which of the following musculoskeletal injuries would MOST likely result in deformity? a) Hairline fracture b) Severe strain c) Moderate sprain d) Displaced fracture
d) Displaced fracture
Which of the following organs would MOST likely bleed profusely when injured? a) Stomach b) Bladder c) Intestine d) Liver
d) Liver
From what internal female organ is the fetus expelled during delivery? a) Vagina b) Perineum c) Cervix d) Uterus
d) Uterus
During your assessment of a 29-year-old female with significant deformity to her left elbow, you are unable to palpate a radial pulse. Your transport time to the hospital is approximately 40 minutes. You should: a) carefully straighten the injured arm and secure it with padded board splints. b) splint the elbow in the position of deformity and transport immediately. c) make two or three attempts to restore distal circulation by manipulating the elbow. d) apply gentle manual traction in line with the limb and reassess for a pulse.
d) apply gentle manual traction in line with the limb and reassess for a pulse.
The first month of life after birth is referred to as the: a) start of infancy. b) premature phase. c) toddler period. d) neonatal period.
d) neonatal period.
The venom of a black widow spider is toxic to the: a) cardiovascular system. b) renal system. c) respiratory system. d) nervous system.
d) nervous system.
While triaging patients at the scene of a motor-vehicle crash, you encounter a 5-year-old child who is unresponsive and apneic. After positioning his airway, you should: a) categorize him as deceased. b) categorize him as immediate. c) deliver 5 rescue breaths. d) palpate for a carotid pulse.
d) palpate for a carotid pulse.
Three days after delivering her baby, a 30-year-old woman complains of a sudden onset of difficulty breathing. Her level of consciousness is decreased and she is tachycardic. The EMT should suspect: a) acute pulmonary edema. b) intrauterine bleeding. c) spontaneous pneumothorax. d) pulmonary embolism.
d) pulmonary embolism.
All of the following are hollow abdominal organs, EXCEPT the: a) ureters. b) stomach. c) bladder. d) spleen.
d) spleen.
When determining the frequency of contractions, you should time the contractions from the: a) start of one to the end of the next. b) end of one to the start of the next. c) end of one to the end of the next. d) start of one to the start of the next.
d) start of one to the start of the next.
You respond to a local lake where a diver complains of difficulty breathing that occurred immediately after rapidly ascending from a depth of approximately 30 feet. On assessment, you note that he has cyanosis around his lips and has pink froth coming from his nose and mouth. You should: a) suction his mouth and nose, keep him supine and elevate his legs to prevent air bubbles from entering his brain, administer high-flow oxygen, and transport to a hyperbaric chamber. b) position him supine with his head elevated 30°, suction his mouth and nose, hyperventilate him with a bag-valve mask, and contact medical control for further guidance. c) place him in a semi-sitting position, suction his mouth and nose, apply a continuous positive airway pressure (CPAP) device, and transport to the closest emergency department. d) suction his mouth and nose, apply high-flow oxygen, monitor the patient's breath sounds for a pneumothorax, and contact medical control regarding transport to a recompression facility.
d) suction his mouth and nose, apply high-flow oxygen, monitor the patient's breath sounds for a pneumothorax, and contact medical control regarding transport to a recompression facility.
In general, musculoskeletal injuries should be splinted before moving the patient unless: a) deformity and swelling are present. b) transport time is less than 15 minutes. c) the patient is in severe pain. d) the patient is clinically unstable.
d) the patient is clinically unstable.
A 54-year-old male experienced an avulsion to his penis when his foreskin got caught in the zipper of his pants. He was able to unzip his pants and remove the foreskin prior to your arrival. Your assessment reveals that he is in severe pain and that the avulsion is bleeding moderately. The MOST appropriate treatment for this patient includes: a) covering the avulsion with moist, sterile dressings. b) administering 100% oxygen via a nonrebreathing mask. c) requesting a paramedic to administer pain medication. d)applying direct pressure with a dry, sterile dressing.
d)applying direct pressure with a dry, sterile dressing.
You and your partner are both male and are attending to a 28-year-old female patient complaining of diffuse abdominal pain. The patient is 34 weeks pregnant with her first child. The patient refuses to allow you to examine her, and her husband informs you that their culture does not allow males to examine or care for pregnant women. You should: a) call for the police to ensure that patient assessment is carried out. b) insist that the patient requires proper care and that requires an adequate physical assessment and that you cannot be responsible for the outcome. c) inform the patient that by calling for an ambulance, she is agreeing to the care provided and continue with your assessment and managements d)respect the patient's wishes, ensure that the appropriate documentation is completed, and transport the patient.
d)respect the patient's wishes, ensure that the appropriate documentation is completed, and transport the patient.
