Exam 3

Created by peter_jansen 

Upgrade to
remove ads

100 terms

A sign of kidney damage following blunt trauma is:
Choose one answer.
A. hematochezia.
B. hematuria.
C. hematemesis.
D. hemoptysis.

hematuria

Air bags, in conjunction with properly worn seatbelts, are MOST beneficial when a person is involved in a:
Choose one answer.
A. lateral collision.
B. rollover crash.
C. rear-end collision.
D. head-on crash.

D. head-on crash.

Following blunt trauma to the face, a 21-year-old male complains of a severe headache and decreased ability to move his eyes. This patient's clinical presentation is MOST consistent with:
Choose one answer.
A. a lacerated globe.
B. a ruptured eyeball.
C. optic vessel compression.
D. a blowout fracture.

D. a blowout fracture.

You are transporting a 42-year-old male who experienced blunt abdominal trauma. He is receiving oxygen at 12 L/min via a nonrebreathing mask, and full spinal precautions have been applied. During your reassessment, you note his level of consciousness has decreased and his respirations have become shallow. You should:
Choose one answer.
A. perform a comprehensive secondary assessment to determine why his clinical status has changed.
B. suction his oropharynx to ensure it is clear of secretions and then increase the oxygen flow rate to 15 L/min.
C. insert an airway adjunct if he will tolerate it and begin assisting his ventilations with a bag-mask device.
D. reassess his vital signs and then notify the receiving hospital of the change in his clinical status.

C. insert an airway adjunct if he will tolerate it and begin assisting his ventilations with a bag-mask device.

Peritonitis, an intense inflammatory reaction of the abdominal cavity, usually occurs when:
Choose one answer.
A. bacteria or viruses invade the walls of the gastrointestinal tract.
B. the vessels that supply the abdominal organs become inflamed.
C. hollow abdominal organs are damaged and spill their contents.
D. solid abdominal organs bleed secondary to penetrating trauma.

C. hollow abdominal organs are damaged and spill their contents.

Accumulation of blood in the abdominal cavity will MOST likely cause:
Choose one answer.
A. diffuse bruising.
B. distention.
C. nausea or vomiting.
D. referred pain.

B. distention.

A flail chest occurs when:
Choose one answer.
A. a segment of the chest wall is detached from the thoracic cage.
B. a segment of fractured ribs bulges during the inhalation phase.
C. multiple ribs are fractured on both sides of the thoracic cage.
D. more than three ribs are fractured on the same side of the chest.

A. a segment of the chest wall is detached from the thoracic cage.

Which of the following statements regarding a basilar skull fracture is correct?
Choose one answer.
A. Bloody CSF commonly leaks from the nose.
B. They are typically the result of local, low-energy trauma to the head.
C. In most cases, mastoid bruising occurs.
D. The absence of raccoon eyes or Battle's sign does not rule it out.

D. The absence of raccoon eyes or Battle's sign does not rule it out.

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:
Choose one answer.
A. stabilize the chest wall with a bulky dressing.
B. reassess the adequacy of the patient's breathing.
C. make note of it and continue your assessment.
D. request a paramedic to decompress the chest.

A. stabilize the chest wall with a bulky dressing.

When the parasympathetic nervous system is activated:
Choose one answer.
A. blood is shunted away from the digestive organs.
B. hormones are released that prepare the body for stress.
C. heart rate and blood pressure increase.
D. the heart rate decreases and the blood vessels dilate.

D. the heart rate decreases and the blood vessels dilate.

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?
Choose one answer.
A. ventricular fibrillation when the impact occurred during a critical portion of the cardiac cycle
B. fracture of the sternum that caused a rupture of the myocardium and led to a cardiac dysrhythmia
C. asystole secondary to massive intrathoracic hemorrhage due to traumatic rupture of the aorta
D. collapse of both lungs due to fractured ribs that perforated the lung tissue and caused cardiac arrest

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

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:
Choose one answer.
A. flail chest.
B. cardiac tamponade.
C. myocardial contusion.
D. pneumothorax.

D. pneumothorax.

A 45-year-old male was working on his roof when he fell approximately 12′,landing on his feet. He is conscious and alert and complains of an ache in his lower back. He is breathing adequately and has stable vital signs. You should:
Choose one answer.
A. obtain a Glasgow Coma Score value and give him oxygen.
B. allow him to refuse transport if his vital signs remain stable.
C. immobilize his spine and perform a focused secondary exam.
D. perform a rapid head-to-toe exam and immobilize his spine.

C. immobilize his spine and perform a focused secondary exam.

A patient who cannot remember the events that preceded his or her head injury is experiencing:
Choose one answer.
A. anterograde amnesia.
B. posttraumatic amnesia.
C. retrograde amnesia.
D. perigrade amnesia.

C. retrograde amnesia

The tough, fibrous outer meningeal layer is called the:
Choose one answer.
A. pia mater.
B. dura mater.
C. arachnoid.
D. gray mater.

B. dura mater.

The MOST reliable sign of a head injury is:
Choose one answer.
A. a pulse that is rapid and thready.
B. an abnormally low blood pressure.
C. a decreased level of consciousness.
D. decreased sensation in the extremities.

C. a decreased level of consciousness.

A spinal cord injury at the level of C7 would MOST likely result in:
Choose one answer.
A. immediate cardiac arrest.
B. paralysis of the diaphragm.
C. paralysis of all the respiratory muscles.
D. paralysis of the intercostal muscles.

D. paralysis of the intercostal muscles.

The central nervous system (CNS) is composed of the:
Choose one answer.
A. brain and spinal cord.
B. cerebrum and meninges.
C. cerebellum and brain.
D. meninges and spinal cord.

A. brain and spinal cord.

A 40-year-old male presents with severe abdominal pain following blunt trauma. He is diaphoretic, intensely thirsty, and has a weak and rapid pulse. Appropriate treatment for this patient includes all of the following, EXCEPT:
Choose one answer.
A. administering supplemental oxygen.
B. covering him with a warm blanket.
C. promptly transporting to the hospital.
D. giving him small sips of plain water.

D. giving him small sips of plain water.

The eyeball itself is referred to as the:
Choose one answer.
A. orbit.
B. sclera.
C. globe.
D. cornea.

C. globe.

A 66-year-old male presents with dark red rectal bleeding and abdominal pain. He is conscious and alert; however, his skin is cool and clammy and his heart rate is elevated. Further assessment reveals that his blood pressure is 112/60 mm Hg. Which of the following questions would be MOST pertinent to ask him?
Choose one answer.
A. Has blood soaked through your undergarments?
B. What does your blood pressure normally run?
C. Do you take any over-the-counter medications?
D. Have you experienced recent abdominal trauma?

D. Have you experienced recent abdominal trauma?

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?
Choose one answer.
A. engorged jugular veins
B. widening pulse pressure
C. diminished breath sounds
D. a rapid, irregular pulse

A. engorged jugular veins

Irritation or damage to the pleural surfaces that causes sharp chest pain during inhalation is called:
Choose one answer.
A. pneumonitis.
B. dyspnea.
C. pneumothorax.
D. pleurisy.

D. pleurisy.

A rapid, irregular pulse following blunt trauma to the chest is MOST suggestive of a:
Choose one answer.
A. myocardial contusion.
B. pericardial tamponade.
C. tension pneumothorax.
D. ruptured aorta.

A. myocardial contusion.

The meninges, along with the cerebrospinal fluid (CSF) that circulates in between each meningeal layer, function by:
Choose one answer.
A. producing leukocytes that protect the brain from infection.
B. regenerating brain cells after they have been damaged.
C. delivering oxygen directly to the CNS.
D. acting as a shock absorber for the brain and spinal cord.

D. acting as a shock absorber for the brain and spinal cord.

If a patient with a chest injury is only able to inhale small amounts of air per breath, he or she:
Choose one answer.
A. often breathes at a slower rate because of lung damage caused by the injury.
B. will eliminate more carbon dioxide than if he or she were breathing deeply.
C. will maintain adequate minute volume if his or her respiratory rate stays the same.
D. must increase his or her respiratory rate to maintain adequate minute volume.

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

The ________ nerves control the diaphragm.
Choose one answer.
A. intercostal
B. costal
C. vagus
D. phrenic

D. phrenic

Which of the following nerves carry information from the body to the brain via the spinal cord?
Choose one answer.
A. central
B. sensory
C. somatic
D. motor

B. sensory

A 37-year-old male was pinned between a flatbed truck and a loading dock. On exam, you find bruising to the chest, distended neck veins, bilaterally diminished breath sounds, and bilateral scleral hemorrhaging. You should:
Choose one answer.
A. perform a secondary assessment.
B. suspect a severe hemopneumothorax.
C. request a paramedic ambulance.
D. aggressively manage his airway

D. aggressively manage his airway

The Glasgow Coma Scale (GCS) is used to assess:
Choose one answer.
A. mental status, eye opening, and respiratory rate.
B. verbal response, eye opening, and mental status.
C. eye opening, verbal response, and motor response.
D. sensory response, pupil reaction, and heart rate.

C. eye opening, verbal response, and motor response.

Which of the following statements regarding anterior nosebleeds is correct?
Choose one answer.
A. They are usually caused by a fracture of the basilar skull.
B. They cause blood to drain into the posterior pharynx.
C. They usually originate from the septum area and bleed slowly.
D. They are usually severe and require aggressive treatment to control.

C. They usually originate from the septum area and bleed slowly.

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:
Choose one answer.
A. carefully remove the contact lenses and then irrigate his eyes with saline.
B. leave the contact lenses in place and cover both eyes with a dry dressing.
C. leave the contact lenses in place and flush his eyes with sterile water.
D. remove the contact lenses and cover his eyes with a dry, sterile dressing.

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

Which of the following sets of vital signs depicts Cushing's triad?
Choose one answer.
A. blood pressure, 190/110 mm Hg; pulse, 55 beats/min; respirations, 30 breaths/min
B. blood pressure, 90/50 mm Hg; pulse, 120 beats/min; respirations, 10 breaths/min
C. blood pressure, 80/40 mm Hg; pulse, 30 beats/min; respirations, 32 breaths/min
D. blood pressure, 200/100 mm Hg; pulse, 140 beats/min; respirations, 28 breaths/min

A. blood pressure, 190/110 mm Hg; pulse, 55 beats/min; respirations, 30 breaths/min

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:
Choose one answer.
A. packing the nasopharynx with moist, sterile dressings.
B. applying a gauze pad in between his lower lip and gum.
C. placing him supine and pinching his nostrils together.
D. leaning him forward and pinching his nostrils together.

D. leaning him forward and pinching his nostrils together.

Patients with rib fractures will commonly:
Choose one answer.
A. breathe rapidly and shallowly.
B. develop a sucking chest wound.
C. prefer to lie in a supine position.
D. take a series of deep breaths.

A. breathe rapidly and shallowly.

Which of the following statements regarding the vitreous humor is correct?
Choose one answer.
A. It is a clear, watery fluid that is located in front of the lens and can be replaced if it is lost.
B. It is a clear, jellylike fluid near the back of the eye that cannot be replaced if it is lost.
C. It is a clear fluid that is produced by the lacrimal glands and cannot be replaced if it is lost.
D. It is a clear, watery fluid that cannot be replaced if it is lost during an eye injury.

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

A temporary loss or alteration of part or all of the brain's abilities to function without physical damage to the brain MOST accurately describes a:
Choose one answer.
A. intracerebral hematoma.
B. cerebral contusion.
C. intracranial hemorrhage.
D. cerebral concussion.

D. cerebral concussion.

During your primary assessment of a semiconscious 30-year-old female with closed head trauma, you note that she has slow, shallow breathing and a slow, bounding pulse. As your partner maintains manual in-line stabilization of her head, you should:
Choose one answer.
A. perform a focused secondary assessment of the patient's head and neck.
B. instruct him to assist her ventilations while you perform a rapid assessment.
C. apply 100% oxygen via a nonrebreathing mask and obtain baseline vital signs.
D. immediately place her on a long backboard and prepare for rapid transport.

B. instruct him to assist her ventilations while you perform a rapid assessment.

The body's functions that occur without conscious effort are regulated by the _________ nervous system.
Choose one answer.
A. somatic
B. autonomic
C. sensory
D. voluntary

B. autonomic

When activated, the sympathetic nervous system produces all of the following effects, EXCEPT:
Choose one answer.
A. shunting of blood to vital organs.
B. dilation of the bronchiole smooth muscle.
C. increase in heart rate.
D. pupillary constriction.

D. pupillary constriction.

You are transporting an immobilized patient with severe facial trauma. As you are preparing to give your radio report to the hospital, the patient begins vomiting large amounts of blood. You should:
Choose one answer.
A. alert the hospital of the situation.
B. reassess his breathing adequacy.
C. quickly suction his oropharynx.
D. turn the backboard onto its side.

D. turn the backboard onto its side.

A 39-year-old female experienced a severe closed head injury. She is unconscious with her eyes slightly open; her pupils are bilaterally dilated and slow to react. In addition to managing problems with airway, breathing, and circulation, you should:
Choose one answer.
A. inspect her eyes and gently remove impaled objects.
B. secure her eyes open so you can reassess her pupils.
C. irrigate her eyes with water to prevent mucosal drying.
D. close her eyes and cover them with a moist dressing.

D. close her eyes and cover them with a moist dressing.

Pleural fluid is contained between the:
Choose one answer.
A. parietal pleura and the heart.
B. visceral pleura and the lung.
C. parietal pleura and the chest wall.
D. visceral and parietal pleurae.

D. visceral and parietal pleurae.

A spontaneous pneumothorax would MOST likely occur as the result of:
Choose one answer.
A. exertion of a person with a congenital lung defect.
B. abnormally slow breathing in a patient with pleurisy.
C. blunt or penetrating trauma to the anterior chest wall.
D. excessive coughing in a patient with pneumonitis.

A. exertion of a person with a congenital lung defect

The hormone responsible for the actions of the sympathetic nervous system is:
Choose one answer.
A. insulin.
B. aldosterone.
C. thyroxine.
D. epinephrine.

D. epinephrine.

A 28-year-old male was struck in the chest with a baseball bat during an altercation. He is conscious and alert and complains of severe chest pain. Your assessment reveals a large area of ecchymosis over the sternum and a rapid, irregular pulse. In addition to applying 100% oxygen, you should:
Choose one answer.
A. apply bulky dressings to the sternum.
B. prepare for immediate transport.
C. determine if he has cardiac problems.
D. apply an automated external defibrillator (AED) and take his blood pressure.

B. prepare for immediate transport.

A patient who presents with profound cyanosis following a chest injury:
Choose one answer.
A. should be placed in Trendelenburg's position.
B. is most likely experiencing severe blood loss.
C. requires prompt ventilation and oxygenation.
D. has most likely experienced a ruptured aorta.

C. requires prompt ventilation and oxygenation

A patient with a head injury presents with abnormal flexion of his extremities. What numeric value should you assign to him for motor response?
Choose one answer.
A. 4
B. 5
C. 2
D. 3

D. 3

When documenting a call involving a female patient who was sexually assaulted, the EMT should:
Choose one answer.
A. theorize as to why the sexual assault occurred.
B. avoid speculation and document only factual data.
C. include the results of his or her internal vaginal exam.
D. include a description of the suspected perpetrator.

B. avoid speculation and document only factual data

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:
Choose one answer.
A. 12.
B. 14.
C. 15.
D. 13.

B. 14.

A female patient with a suspected spinal injury is breathing with a marked reduction in tidal volume. The MOST appropriate airway management for her includes:
Choose one answer.
A. administering oxygen via a nonrebreathing mask.
B. assisting ventilations at an age-appropriate rate.
C. ventilation assistance to maintain an oxygen saturation of 90%.
D. hyperventilating her at 30 breaths/min.

B. assisting ventilations at an age-appropriate rate.

The thoracic cavity is separated from the abdominal cavity by the:
Choose one answer.
A. anterior rib cage.
B. diaphragm.
C. costovertebral angle.
D. intercostal margin.

B. diaphragm

Common signs and symptoms of a chest injury include all of the following, EXCEPT:
Choose one answer.
A. hematemesis.
B. chest wall ecchymosis.
C. tachypnea.
D. localized pain.

A. hematemesis.

A 30-year-old female was robbed and assaulted by a gang as she was leaving a nightclub. She has massive facial trauma and slow, gurgling respirations. As your partner manually stabilizes her head, you should:
Choose one answer.
A. visualize her mouth for obvious wounds.
B. begin immediate ventilatory assistance.
C. apply oxygen via a nonrebreathing mask.
D. suction her oropharynx for 15 seconds.

D. suction her oropharynx for 15 seconds.

Which of the following findings would be LEAST suggestive of a head injury?
Choose one answer.
A. one pupil larger in size than the other pupil
B. failure of the eyes to move in the same direction
C. failure of the eyes to follow movement of an object
D. briskly constricting pupils when exposed to light

D. briskly constricting pupils when exposed to light

While jogging, a 19-year-old male experienced an acute onset of shortness of breath and pleuritic chest pain. He is conscious and alert with stable vital signs. Your assessment reveals that he has diminished breath sounds over the left side of the chest. You should:
Choose one answer.
A. immediately perform a rapid head-to-toe exam.
B. recognize that he needs a needle decompression.
C. administer oxygen and transport to the hospital.
D. circumferentially tape a dressing around his chest.

C. administer oxygen and transport to the hospital.

An open pneumothorax occurs when:
Choose one answer.
A. air enters the pleural space from a perforated lung.
B. air enters the pleural space from outside the body.
C. extreme pleural pressure causes the lung to rupture.
D. a fractured rib perforates the tissue of the lung.

B. air enters the pleural space from outside the body.

The conjunctiva are kept moist by fluid produced by the:
Choose one answer.
A. corneal duct.
B. posterior orbit.
C. optic chiasma.
D. lacrimal gland

D. lacrimal gland

Common signs and symptoms of a serious head injury include all of the following, EXCEPT:
Choose one answer.
A. combative behavior.
B. CSF leakage from the ears.
C. constricted pupils.
D. decreased sensory function.

C. constricted pupils.

What part of the nervous system controls the body's voluntary activities?
Choose one answer.
A. sensory
B. somatic
C. autonomic
D. central

B. somatic

A 30-year-old female presents with redness, inflammation, and pain to her left eye. During your assessment, you note that she is having difficulty keeping her eyes open. You should suspect that she is experiencing:
Choose one answer.
A. a detached retina.
B. acute retinitis.
C. a corneal abrasion.
D. conjunctivitis.

D. conjunctivitis.

Common signs of a skull fracture include all of the following, EXCEPT:
Choose one answer.
A. noted deformity to the skull.
B. superficial scalp lacerations.
C. mastoid process bruising.
D. ecchymosis around the eyes.

B. superficial scalp lacerations.

Hemoptysis is defined as:
Choose one answer.
A. coughing up blood.
B. abnormal blood clotting.
C. blood in the pleural space.
D. vomiting blood.

A. coughing up blood.

Following blunt trauma to the chest, an 18-year-old female presents with respiratory distress, reduced tidal volume, and cyanosis. Her blood pressure is 80/50 mm Hg and her pulse is 130 beats/min and thready. You should:
Choose one answer.
A. place her supine and elevate her lower extremities.
B. apply 100% oxygen and immediately transport.
C. perform a rapid head-to-toe physical assessment.
D. provide some form of positive-pressure ventilation.

D. provide some form of positive-pressure ventilation.

The white portion of the eye is called the:
Choose one answer.
A. iris.
B. cornea.
C. retina.
D. sclera.

D. sclera

Subcutaneous emphysema is an indication that:
Choose one answer.
A. your patient is experiencing a pericardial tamponade.
B. blood is slowly accumulating within the tissue of the lung.
C. at least half of one lung has completely collapsed.
D. air is escaping into the chest wall from a damaged lung.

D. air is escaping into the chest wall from a damaged lung.

If a person's tidal volume decreases, but his or her respiratory rate remains unchanged:
Choose one answer.
A. minute volume will decrease.
B. excess carbon dioxide will be eliminated.
C. minute volume will increase.
D. minute volume will remain unchanged.

A. minute volume will decrease

Immediate death from blunt chest trauma following a motor vehicle crash is MOST often the result of:
Choose one answer.
A. penetrating lung injuries.
B. a tension pneumothorax.
C. a massive cardiac contusion.
D. traumatic aortic rupture.

D. traumatic aortic rupture.

An epidural hematoma is MOST accurately defined as:
Choose one answer.
A. bleeding between the dura mater and brain.
B. venous lacerations that occur within the brain.
C. an injury caused by a damaged cerebral artery.
D. bleeding between the skull and dura mater.

D. bleeding between the skull and dura mater.

Coordination of balance and body movement is controlled by the:
Choose one answer.
A. cerebrum.
B. cerebellum.
C. brain stem.
D. medulla.

B. cerebellum

The five sections of the spinal column, in descending order, are the:
Choose one answer.
A. thoracic, cervical, lumbar, coccygeal, and sacral.
B. cervical, coccygeal, thoracic, sacral, and lumbar.
C. coccygeal, sacral, lumbar, thoracic, and cervical.
D. cervical, thoracic, lumbar, sacral, and coccygeal.

D. cervical, thoracic, lumbar, sacral, and coccygeal.

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:
Choose one answer.
A. blunt injury to the kidney.
B. a lacerated liver or spleen.
C. external genitalia injury.
D. a ruptured urinary bladder.

A. blunt injury to the kidney

Pneumothorax is defined as:
Choose one answer.
A. accumulation of air in the pleural space.
B. blood collection within the lung tissue.
C. accumulation of air between the lungs.
D. blood collection within the pleural space.

A. accumulation of air in the pleural space

The term "hyphema" is defined as:
Choose one answer.
A. blood in the anterior chamber of the eye.
B. compression of one or both optic nerves.
C. inflammation of the iris, cornea, and lens.
D. an acute rupture of the globe of the eye.

A. blood in the anterior chamber of the eye.

When assessing a patient with a hemothorax, you will MOST likely find:
Choose one answer.
A. ipsilateral tracheal deviation.
B. distant or muffled heart tones.
C. signs and symptoms of shock.
D. jugular venous engorgement.

C. signs and symptoms of shock.

Any unresponsive trauma patient should be assumed to have:
Choose one answer.
A. an accompanying spinal injury.
B. a severe intracranial hemorrhage.
C. a history of diabetes mellitus.
D. internal bleeding in the abdomen.

A. an accompanying spinal injury.

A factory worker was splashed in the eyes with a strong acid chemical. He complains of intense pain and blurred vision. Your ambulance does not carry bottles of sterile saline or water. You should:
Choose one answer.
A. neutralize the acid chemical in his eye with an alkaline chemical.
B. mix baking soda with water and irrigate his eyes with the solution.
C. flush both eyes with an alcohol-based solution and transport.
D. irrigate both eyes continuously for 20 minutes with plain water.

D. irrigate both eyes continuously for 20 minutes with plain water.

An indicator of an expanding intracranial hematoma or rapidly progressing brain swelling is:
Choose one answer.
A. a progressively lowering blood pressure.
B. a rapid deterioration of neurologic signs.
C. an acute increase in the patient's pulse rate.
D. acute unilateral paralysis following the injury

B. a rapid deterioration of neurologic signs.

A 6-year-old female was riding her bicycle and struck a clothesline with her throat. She is breathing, but with obvious difficulty. Your assessment reveals a crackling sensation in the soft tissues of her neck and facial cyanosis. In addition to the appropriate airway management, the intervention that will MOST likely improve her chance of survival is:
Choose one answer.
A. careful monitoring her vital signs.
B. quickly immobilizing her spinal column.
C. requesting a paramedic ambulance.
D. rapidly transporting her to the hospital.

D. rapidly transporting her to the hospital.

Bruising to the right upper quadrant of the abdomen following blunt trauma is MOST suggestive of injury to the:
Choose one answer.
A. liver.
B. kidney.
C. stomach.
D. spleen.

A. liver.

The inner surface of the eyelids and the exposed surface of the eye itself are covered by a delicate membrane called the:
Choose one answer.
A. conjunctiva.
B. cornea.
C. sclera.
D. retina.

A. conjunctiva.

Bleeding within the brain tissue itself is called a:
Choose one answer.
A. subdural hematoma.
B. intracerebral hematoma.
C. epidural hematoma.
D. intracranial hematoma.

B. intracerebral hematoma

Signs and symptoms of a tension pneumothorax include all of the following, EXCEPT:
Choose one answer.
A. collapsed jugular veins.
B. profound cyanosis.
C. bulging intercostal muscles.
D. unilaterally absent breath sounds.

A. collapsed jugular veins

Placing a pregnant patient in a supine position during the third trimester of pregnancy:
Choose one answer.
A. often causes hypotension secondary to cardiac compression.
B. may decrease the amount of blood that returns to the heart.
C. results in spontaneous urinary incontinence if the bladder is full.
D. is recommended if the patient has severe abdominal discomfort.

B. may decrease the amount of blood that returns to the heart.

Elevation of the rib cage during inhalation occurs when:
Choose one answer.
A. the intercostal muscles contract.
B. intrathoracic pressure decreases.
C. the diaphragm descends.
D. abdominal contents descend.

A. the intercostal muscles contract.

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:
Choose one answer.
A. crushed cricoid.
B. collapsed trachea.
C. laryngeal fracture.
D. esophageal tear.

C. laryngeal fracture.

You are assessing a 59-year-old male and note that his pupils are unequal. He is conscious and alert. When obtaining his medical history, it is MOST pertinent to ask him if he:
Choose one answer.
A. noticed the change during a meal.
B. regularly sees a family physician.
C. has a history of eye surgeries.
D. is allergic to any medications.

C. has a history of eye surgeries.

The MOST critical treatment for a tension pneumothorax involves:
Choose one answer.
A. surgically removing the portion of the lung that is damaged.
B. inserting a needle through the rib cage into the pleural space.
C. assisting the patient's breathing with increased tidal volume.
D. placing a bulky dressing over the affected side of the chest.

B. inserting a needle through the rib cage into the pleural space.

The mastoid process is located approximately:
Choose one answer.
A. 1″ posterior to the external opening of the ear.
B. 1″ posterior to the angle of the mandible.
C. ½″ anterior to the external opening of the ear.
D. 1″ inferior to the external opening of the ear.

A. 1″ posterior to the external opening of the ear.

Very young children tend to breathe predominantly with their diaphragm because:
Choose one answer.
A. they require less tidal volume per breath.
B. there is no nerve innervation of the intercostal muscles.
C. their intercostal muscles are not fully developed.
D. their chest wall and ribs are very pliable.

C. their intercostal muscles are not fully developed.

Abnormal variations in pupil size and reaction would MOST likely be observed in a patient with:
Choose one answer.
A. retinitis.
B. conjunctivitis.
C. a brain injury.
D. contact lenses.

C. a brain injury

The MOST common and serious complication of a significant head injury is:
Choose one answer.
A. cerebral edema.
B. a hypoxic seizure.
C. a skull fracture.
D. acute hypotension.

A. cerebral edema.

After your partner assumes manual in-line stabilization of the patient's head, you should:
Choose one answer.
A. assess distal neurovascular status in the extremities.
B. apply an appropriately sized rigid cervical collar.
C. use four people to log roll the patient onto a backboard.
D. thoroughly palpate the patient's head for deformities.

A. assess distal neurovascular status in the extremities

A reflex arc occurs when:
Choose one answer.
A. a sensory nerve sends a message to the brain but the motor nerve fails to send the appropriate response to the body.
B. a sensory nerve detects an irritating stimulus and bypasses the brain by sending a direct message to the motor nerve.
C. the motor nerves function automatically without receiving a message from the CNS.
D. the brain interprets sensory information that it receives from peripheral and cranial nerves and sends a signal to the muscles.

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

Which of the following organs or structures does NOT reside within the mediastinum?
Choose one answer.
A. vena cavae
B. trachea
C. lungs
D. esophagus

C. lungs

Facial injuries should be identified and treated as soon as possible because:
Choose one answer.
A. swelling may mask hidden injuries.
B. of the risk for airway problems.
C. the spine may be injured as well.
D. bleeding must be controlled early

B. of the risk for airway problems.

A 22-year-old male was walking on the beach and had sand blown into his eyes. He complains of pain and decreased vision to his right eye. Treatment should include:
Choose one answer.
A. flushing his eye starting laterally.
B. irrigating his right eye laterally.
C. irrigating both eyes simultaneously.
D. covering both eyes and transporting.

B. irrigating his right eye laterally

The cervical spine is composed of _____ vertebrae.
Choose one answer.
A. 6
B. 7
C. 5
D. 8

B. 7

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:
Choose one answer.
A. transport only if signs of shock begin to develop.
B. carefully probe the wound to determine its depth.
C. assume that the arrow injured an internal organ.
D. clean the wound and apply a dry, sterile dressing.

C. assume that the arrow injured an internal organ.

All of the following are hollow abdominal organs, EXCEPT for the:
Choose one answer.
A. ureters.
B. stomach.
C. bladder.
D. liver.

D. liver

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