Chapter 34 Quiz

During your primary survey of a 33-year old male with severe hypothermia, you find that he is unresponsive and has agonal breathing. You should:
A. assess for a carotid pulse for up to 60 seconds.
B. begin CPR and apply the AED as soon as possible.
C. apply chemical heat packs to his groin and neck.
D. give two rescue breathes and assess for a pulse
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During your primary survey of a 33-year old male with severe hypothermia, you find that he is unresponsive and has agonal breathing. You should:
A. assess for a carotid pulse for up to 60 seconds.
B. begin CPR and apply the AED as soon as possible.
C. apply chemical heat packs to his groin and neck.
D. give two rescue breathes and assess for a pulse
A. assess for a carotid pulse for up to 60 seconds.
When treating a patient who is severely hypothermic, unresponsive, and wearing wet clothes, the AEMT should:
A. avoid using the AED because it will not be effective.
B. leave the clothing on but cover the patient with blankets.
C. avoid placing chemical heat packs anywhere on the body.
D. perform CPR if a pulse cannot be felt after 5-10 seconds.
C. avoid placing chemical heat packs anywhere on the body.
You should assess a patient with systemic hypothermia for local cold injuries to the extremities because:
A. blood is shunted away from the extremities.
B. hypothermia causes peripheral vasodilation.
C. cold blood is shunted to the body's periphery.
D. lactic acid tends to accumulate in the periphery.
A. blood is shunted away from the extremities.
Heat cramps are typically the result of prolonged exposure to a hot environment, resulting in:
A. electrolyte depletion and severe muscle spasms.
B. painful spasms in the muscles of the upper body.
C. significant volume depletion and hypovolemia.
D. hypothalamic failure and decreased thermolysis.
A. electrolyte depletion and severe muscle spasms
A near-drowning is MOST accurately defined as:
A. immediate recovery at the scene and minor secondary complications.
B. recovery that lasts for more than 36 hours following water submersion.
C. death beyond 24 hours as a result of intrapulmonary complications.
D. recovery that lasts for at least 24 hours following submersion in water.
D. recovery that lasts for at least 24 hours following submersion in water.
When a warm hand touches a cold object, heat passes directly from the body to the colder object. This is an example of:
A. radiation.
B. conduction.
C. convection.
D. evaporation
B. conduction
A 40-year old female, who is conscious and alert with mild hypothermia, should receive active external rewarming. This involves:
A. wrapping her in blankets and lavaging her urinary bladder.
B. infusing an isotonic crystalloid that is warmed to 115 degrees F.
C. immersing her in water that is between 106 and 110 degrees F.
D. wrapping her in blankets and applying heat packs to her groin.
D. wrapping her in blankets and applying heat packs to her groin.
Which of the following patients is least prone to a local cold injury?
A. a 49-year old female with fatigue.
B. a 52-year old female with alcoholism.
C. a 60-year old female with diabetes
D. a 45-year old male with hypertension
D. a 45-year old male with hypertension
Which of the following patients has signs and symptoms that are most indicative of heatstroke?
A. a 31-year old male with hot and moist skin, tachycardia, and confusion.
B. a 40-year old female with severe cramps in her legs, tachycardia, and nausea
C. a 50-year old female with an axillary temperature of 100.5 degrees F. and warm, dry skin.
D. a 44-year old male with weakness, cool and clammy skin, and a syncopal episode.
A. a 31-year old male with hot and moist skin, tachycardia, and confusion.
A 19-year old male was struck by lightning. He is unresponsive and apneic, but has a pulse. He also has widespread superficial burns. You should:
A. provide mouth-to-mask rescue breathing, apply dry dressings to his burns, and transport without delay.
B. ventilate him with a bag-mask device, call for a paramedic unit to intubate him, cover his burns, and start an IV.
C. quickly insert a multilumen airway device, provide mild hyperventilation, and administer 2 L of IV fluid.
D. manually stabilize his head, ventilate him with a bag-mask device, and establish at least one-large bore IV.
D. manually stabilize his head, ventilate him with a bag-mask device, and establish at least one large-bore IV.