Test 3

Created by ashsk833 

Upgrade to
remove ads

215 terms

Most of the serious injuries associated with scuba diving are caused by:

too rapid of an ascent

A Colles fracture involves a fracture of the:

distal radius

Compared to adults, infants and children are at higher risk for hypothermia for all of the following reasons, EXCEPT

a relatively small surface area

Which of the following musculoskeletal injuries would MOST likely result in deformity?

displaced fracture

Bone marrow produces:

blood cells

A 48-year-old male was stung on the leg by a jellyfish while swimming in the ocean. He is conscious and alert, but complains of intense pain at the wound site. Specific treatment for this patient includes:

irrigating the wound with vinegar and immersing his leg in hot water

Rough handling of a hypothermic patient with a pulse may cause:

ventricular fibrillation

Which of the following medications increases a person's risk of a heat-related emergency?

diuretics

Atrophy is a condition that occurs when:

muscle decreases in size and function because of disease or trauma

What type of muscle contracts and relaxes to control the movement of the contents within its structures?

smooth

With regard to musculoskeletal injuries, the zone of injury is defined as the:

area of soft-tissue damage surrounding the injury

The pectoral girdle consists of the:

scapulae and clavicles

Which of the following conditions would be the LEAST likely to increase a person's risk of hypothermia?

hyperglycemia

The two MOST efficient ways for the body to eliminate excess heat are:

sweating and dilation of skin blood vessels

High air temperature reduces the body's ability to lose heat by:

radiation

A 76-year-old male experienced sudden pain to his left thigh when he was standing in line at the grocery store. Your assessment reveals ecchymosis and deformity to the distal aspect of his left femur, just above the knee. Distal circulation and sensory and motor functions are intact. The MOST appropriate method of splinting this injury involves:

applying padded board splints to both sides of the leg

You receive a call to a local gymnasium for a basketball player with a dislocated shoulder. Upon arrival, you find the patient, a 17-year-old male, sitting on the ground. He is holding his left arm in a fixed position away from his body. There is an obvious anterior bulge to the area of injury. You should:

assess distal pulse, motor, and sensory functions

Which of the following types of muscle is under direct voluntary control of the brain?

skeletal

Deformity caused by a fracture would MOST likely be masked by:

swelling

Geriatric patients are at a higher risk for heatstroke because:

circulation to the skin is reduced

A 21-year-old male was thrown over the handlebars of his motorcycle when he rear-ended a car that was stopped at a red light. He was wearing a helmet, which he removed prior to your arrival. He is conscious, but restless, and has closed deformities to both of his femurs. His skin is pale, his heart rate is rapid and weak, and his respirations are rapid and shallow. In addition to applying high-flow oxygen and protecting his spine, you should:

ind his legs together on the backboard, keep him warm, and transport without delay

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 frostbitten foot can be identified by the presence of:

mottling and blisters

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:

conduction

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

vasoconstriction and shivering

A 17-year-old football player collided with another player and has pain to his left clavicular area. He is holding his arm against his chest and refuses to move it. Your assessment reveals obvious deformity to the midshaft clavicle. After assessing distal pulse, sensory, and motor functions, you should:

immobilize the injury with a sling and swathe

Following direct trauma to the left upper back, a 44-year-old male presents with diaphoresis and restlessness. His blood pressure is 100/50 mm Hg, his pulse rate is 120 beats/min and weak, and his respirations are 24 breaths/min and labored. Your assessment reveals abrasions and contusions over the left scapula. You should:

apply high-flow oxygen, consider spinal precautions, and transport without delay

Compared to adults, infants and children are at higher risk for hypothermia for all of the following reasons, EXCEPT:

a relatively small surface area

Patients with generalized hypothermia are at an increased risk of a local cold injury because:

blood is shunted away from the extremities to the body's core

When splinting a possible fracture of the foot, it is MOST important for the EMT to:

leave the toes exposed.

Drowning is MOST accurately defined as:

death from suffocation after submersion in water

A supracondylar or intercondylar fracture is also known as a fracture of the:

distal humerus

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:

conduction

A dysbarism injury refers to the signs and symptoms related to changes in:

barometric pressure

Which of the following structures is regulated by smooth muscle?

blood vessels

When splinting an injury of the wrist, the hand should be placed:

in a functional position

When assessing a patient with a possible fracture of the leg, the EMT should:

compare it to the uninjured leg

Bones are connected to other bones by bands of tough fibrous tissues called:

ligaments

A 21-year-old male was thrown over the handlebars of his motorcycle when he rear-ended a car that was stopped at a red light. He was wearing a helmet, which he removed prior to your arrival. He is conscious, but restless, and has closed deformities to both of his femurs. His skin is pale, his heart rate is rapid and weak, and his respirations are rapid and shallow. In addition to applying high-flow oxygen and protecting his spine, you should:

bind his legs together on the backboard, keep him warm, and transport without delay

The MOST significant hazard associated with splinting is:

delaying transport of a critically injured patient

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:

apply gentle manual traction in line with the limb and reassess for a pulse

All of the following terms are used to describe a cold body part that is not frozen, EXCEPT:

frostbite

Which of the following musculoskeletal injuries would MOST likely result in deformity?

displaced fracture

With regard to musculoskeletal injuries, the zone of injury is defined as the:

area of soft-tissue damage surrounding the injury

Shivering is a mechanism in which the body generates heat by:

increasing the metabolic rate

Hypothermia can worsen internal bleeding secondary to:

blood clotting abnormalities

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

head

Traction splints are used primarily to immobilize and secure fractures of the:

femur

Signs and symptoms of an air embolism include all of the following, EXCEPT:

pale skin

Which of the following statements regarding compartment syndrome is correct?

Compartment syndrome typically develops within 6 to 12 hours after an injury

The venom of a black widow spider is toxic to the:

nervous system

The MOST commonly fractured bone(s) in the body is the:

clavicle

The primary purpose for splinting a musculoskeletal injury is to:

prevent further injury

Assessing a person's neurovascular status following a musculoskeletal injury includes all of the following, EXCEPT:

evaluating proximal pulses

A fracture is MOST accurately defined as a(n):

break in the continuity of the bone

Applying ice to and elevating an injured extremity are performed in order to:

reduce pain and swelling

You are assessing a 33-year-old male who complains of severe abdominal pain, weakness, and nausea. He tells you that he was gathering wood to build a fire when he felt a sudden, sharp pain on the back of his hand. Your assessment reveals that the patient's abdomen is rigid and painful to palpation. You should suspect:

a black widow spider bite

Common signs and symptoms of a sprain include all of the following, EXCEPT

deformity

Breath-holding syncope is caused by a decreased stimulus to breathe and occurs when:

a swimmer hyperventilates prior to entering the water

A person who experiences a calcaneus fracture after jumping and landing on his or her feet would MOST likely experience an accompanying fracture of the:

lumbar spine

The PASG is absolutely contraindicated in patients who have:

pulmonary edema

The transfer of heat to circulating air, such as when cool air moves across the body's surface, is called:

convection

Rough handling of a hypothermic patient with a pulse may cause:

ventricular fibrillation

While drinking beer with his friends near a creek, 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:

supine positioning, splinting the leg, and transporting

The musculoskeletal system refers to the:

bones and voluntary muscles of the body

An open fracture is MOST accurately defined as a fracture in which:

the overlying skin is no longer intact

Which of the following MOST accurately describes hyperthermia?

The body is exposed to more heat than it can lose

In moving joints, the ends of the bones are covered with:

articular cartilage

Which of the following statements regarding the vitreous humor is correct?

It is a clear, jellylike fluid near the back of the eye that cannot be replaced if it is los

The lower jawbone is called the:

mandible

Following direct trauma to the upper part of the anterior neck, a young male presents with labored breathing, loss of voice, and subcutaneous emphysema in the soft tissues around his neck. You should suspect a(n):

laryngeal fracture

The eyeball itself is referred to as the:

the globe

A reflex arc occurs when:

a sensory nerve detects an irritating stimulus and bypasses the brain by sending a direct message to the motor nerve

Which of the following skull fractures would be the LEAST likely to present with palpable deformity or other outward signs?

linear

A construction worker fell approximately 30′ and landed in a pile of steel rods. Your assessment reveals that he is pulseless and apneic and has a 10″ steel rod impaled in his left leg. You should:

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

Burns to pediatric patients are generally considered more serious than burns to adults because:

pediatric patients have more surface area relative to total body mass

Which of the following is a severe burn in a 35-year-old patient?

circumferential partial-thickness burn to the chest

A patient with a head injury presents with abnormal flexion of his extremities. What numeric value should you assign to him for motor response?

3

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

an air embolism

The upper jawbones are called the:

maxillae

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

Functions of the skin include all of the following, EXCEPT:

the production of key antibodies

A 39-year-old male was struck in the head by a baseball during a game. He is confused, has a large hematoma in the center of his forehead, and cannot remember the events preceding the injury. After manually stabilizing his head and assessing his airway, you should:

administer high-flow oxygen.

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

infection

In order for electricity to flow through the body and cause damage:

a complete circuit must exist between the electrical source and the ground

The MOST reliable sign of a head injury is:

a decreased level of consciousness

Distraction injuries of the spine are MOST commonly the result of:

hangings

You are dispatched to a convenience store, where the clerk sustained a laceration to the side of his neck during a robbery attempt. During your assessment, you note bright red blood spurting from the laceration. You should:

apply direct pressure above and below the wound

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

A 29-year-old male has an anterior nosebleed after he was accidentally elbowed in the nose. His is conscious and alert with adequate breathing. The MOST appropriate care for this patient includes:

leaning him forward and pinching his nostrils together

During your primary assessment of a 19-year-old unconscious male who experienced severe head trauma, you note that his respirations are rapid, irregular, and shallow. He has bloody secretions draining from his mouth and nose. You should:

suction his oropharynx for up to 15 seconds

Which of the following statements regarding motor nerves is correct?

They carry information from the CNS to the muscles

Which of the following is of LEAST importance when initially assessing the severity of a burn?

known drug allergies

Once a cervical collar has been applied to a patient with a possible spinal injury, it should not be removed unless:

it causes a problem managing the ABCs

You should be MOST suspicious that a patient has experienced a significant head injury if his or her pulse is:

slow

Burns are classified according to:

depth and extent

A closed soft-tissue injury characterized by swelling and ecchymosis is called a(n):

contusion

Coordination of balance and body movement is controlled by the:

cerebellum

The cervical spine is composed of _____ vertebrae

7

The five sections of the spinal column, in descending order, are the:

cervical, thoracic, lumbar, sacral, and coccygeal

Following a head injury, a 20-year-old female opens her eyes spontaneously, is confused, and obeys your commands to move her extremities. You should assign her a GCS score of:

14

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

When immobilizing a patient on a long backboard, you should:

ensure that you secure the torso before securing the head

Which of the following statements regarding cervical collars is correct?

A cervical collar is used in addition to, not instead of, manual immobilization

The superficial temporal artery can be palpated:

just anterior to the tragus

Elevation of the rib cage during inhalation occurs when:

the intercostal muscles contract

Common signs and symptoms of a chest injury include all of the following, EXCEPT:

hematemesis

In order to avoid exacerbating a patient's injury, it is especially important to use extreme caution when providing positive-pressure ventilation to patients with a:

pneumothorax

Pleural fluid is contained between the:

visceral and parietal pleurae

If a person's tidal volume decreases, but his or her respiratory rate remains unchanged:

minute volume will decrease

Very young children tend to breathe predominantly with their diaphragm because:

their intercostal muscles are not fully developed

Patients with rib fractures will commonly:

breathe rapidly and shallowly

Signs and symptoms of a tension pneumothorax include all of the following, EXCEPT:

collapsed jugular veins

A rapid, irregular pulse following blunt trauma to the chest is MOST suggestive of a:

myocardial contusion

A patient who presents with profound cyanosis following a chest injury:

requires prompt ventilation and oxygenation

The MOST critical treatment for a tension pneumothorax involves:

inserting a needle through the rib cage into the pleural space

Following a stab wound to the left anterior chest, a 25-year-old male presents with a decreased level of consciousness and signs of shock. Which of the following additional assessment findings should increase your index of suspicion for a cardiac tamponade?

engorged jugular veins

The mesentery is:

a membranous fold that attaches the intestines to the walls of the body

Which of the following organs is at MOST risk for injury as the result of a pelvic fracture?

urinary bladder

The ________ nerves control the diaphragm.

phrenic

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

C3, C4, and C5

The thoracic cavity is separated from the abdominal cavity by the:

diaphragm

A 20-year-old male was accidentally shot in the right upper abdominal quadrant with an arrow during an archery contest. Prior to your arrival, the patient removed the arrow. Your assessment reveals that he is conscious and alert with stable vital signs. The entrance wound is bleeding minimally and appears to be superficial. You should:

assume that the arrow injured an internal organ

During your assessment of a patient with blunt chest trauma, you note paradoxical movement of the left chest wall. As your partner is administering oxygen to the patient, you should:

stabilize the chest wall with a bulky dressing

Following blunt abdominal trauma, a 30-year-old male complains of referred pain to the left shoulder. This finding is called the:

Kehr sign

Pneumothorax is defined as:

accumulation of air in the pleural space

Because the depth of an open abdominal wound is often difficult to determine:

prompt transport to the hospital is essential

Compression injuries to the abdomen that occur during a motor vehicle crash are typically the result of:

a poorly placed lap belt

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:

applying direct pressure with a dry, sterile dressing

If a patient with a chest injury is only able to inhale small amounts of air per breath, he or she:

must increase his or her respiratory rate to maintain adequate minute volume

A 19-year-old male is unresponsive, apneic, and pulseless after being struck in the center of the chest with a softball. Based on the mechanism of injury, what MOST likely occurred?

ventricular fibrillation when the impact occurred during a critical portion of the cardiac cycle

A football player was struck by another player in the right flank area just below the posterior rib cage. He complains of severe pain and point tenderness to the area. Your assessment reveals that there is a small amount of blood in his underwear. You should be MOST suspicious for:

blunt injury to the kidney

Bruising to the right upper quadrant of the abdomen following blunt trauma is MOST suggestive of injury to the:

liver

Placing a pregnant patient in a supine position during the third trimester of pregnancy:

may decrease the amount of blood that returns to the heart

During your rapid secondary assessment of a 19-year-old female with multiple trauma, you note bilateral humeral deformities and a deformity to the left midshaft femur. Her skin is diaphoretic and her pulse is rapid and weak. Your partner has appropriately managed her airway and is maintaining manual stabilization of her head. The MOST appropriate treatment for this patient includes:

applying a traction splint to immobilize her femur

During your rapid secondary assessment of a 30-year-old male who fell 25′, 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:

stabilize the pelvis with a pelvic binder and protect the spine.

Facial injuries should be identified and treated as soon as possible because:

of the risk for airway problems.

The term "hyphema" is defined as:

blood in the anterior chamber of the eye

The white portion of the eye is called the:

sclera

A 44-year-old male sustained a laceration to his left ear during a minor car accident. Your assessment reveals minimal bleeding. Appropriate care for this injury includes:

padding between the ear and the scalp.

Following direct trauma to the upper part of the anterior neck, a young male presents with labored breathing, loss of voice, and subcutaneous emphysema in the soft tissues around his neck. You should suspect a(n):

laryngeal fracture

When transporting a patient with a facial injury, it is MOST important to be as descriptive as possible with the hospital regarding the patient's injuries because

a specialist may need to be called

The cricoid cartilage:

is the only complete circular cartilage of the trachea

Which of the following findings would be LEAST suggestive of a head injury?

briskly constricting pupils when exposed to light

A 50-year-old male was splashed in the eyes with radiator fluid when he was working on his car. During your assessment, he tells you that he wears soft contact lenses. You should:

arefully remove the contact lenses and then irrigate his eyes with saline.

A 4-year-old female has a peanut lodged in the external auditory canal of her right ear. You should:

transport her to the emergency department.

The optic nerve endings are located within the:

retina.

The Adam's apple is

the upper part of the larynx that is formed by the thyroid cartilage.

See More

Please allow access to your computer’s microphone to use Voice Recording.

Having trouble? Click here for help.

We can’t access your microphone!

Click the icon above to update your browser permissions above and try again

Example:

Reload the page to try again!

Reload

Press Cmd-0 to reset your zoom

Press Ctrl-0 to reset your zoom

It looks like your browser might be zoomed in or out. Your browser needs to be zoomed to a normal size to record audio.

Please upgrade Flash or install Chrome
to use Voice Recording.

For more help, see our troubleshooting page.

Your microphone is muted

For help fixing this issue, see this FAQ.

Star this term

You can study starred terms together

NEW! Voice Recording

Create Set