Ch. 10

Question 1

A 29-year-old-man with a head injury opens his eyes when you speak to him, is confused as to the time and date, and is able to move all of his extremities on command, His Glasgow Coma Scale (GCS) score is:

-10
-13
-12
-14

Answer 1

13

Question 2

A blood pressure cuff that is too small for a patient’s arm will give a:

-falsely high systolic and diastolic reading
-falsely low systolic and diastolic reading
-falsely high systolic but low diastolic reading
-falsely low systolic but high diastolic reading

Answer 2

falsely high systolic and diastolic reading

Question 3

A patient’s short-term memory is MOST likely intact if they correctly answer questions regarding:

• event and person
  -person and place
• day and event
• time and place

Answer 3

day and event

Question 4

A properly sized blood pressure cuff should cover:

• the entire upper arm between the armpit and the crease at the elbow
• one third the length from the armpit to the crease at the elbow
• one half the length between the armpit and the crease at the elbow
• two thirds the length from the armpit to the crease at the elbow

Answer 4

two thirds the length from the armpit to the crease at the elbow

Question 5

After performing a primary assessment, a rapid exam of the body should be performed to:

• determine the need for spinal motion restriction precautions
• look specifically for signs and symptoms of inadequate perfusion
• identify less-obvious injuries that require immediate treatment
• find and treat injuries or conditions that do not pose a threat to life

Answer 5

identify less-obvious injuries that require immediate treatment

Question 6

As you assess the head of a patient with a suspected spinal injury, your partner should:

• prepare the immobilization equipment
• look in the ears for gross bleeding
• assess the rest of the body for bleeding
• maintain stabilization of the head

Answer 6

maintain stabilization of the head

Question 7

Capnography is used to:

• assess how much oxygen is bound to hemoglobin
• determine how much carbon dioxide is being exhaled
• assess how much oxygen is reaching the body’s tissues
• trend a patient’s blood pressure and assess for shock

Answer 7

determine how much carbon dioxide is being exhaled

Question 8

Cyanosis of the skin is caused by:

• peripheral vasodialtion
• increased blood oxygen
• venous vasoconstriction
• decreased blood oxygen

Answer 8

decreased blood oxygen

Question 9

In responsive patients who are older than 1 year of age, you should palpate the pulse at the ______ artery.

• femoral
• radial
• brachial
• carotid

Answer 9

radial

Question 10

In the adult, bradycardia is define as a pulse rate less than ______ beats/min, and tachycardia is defines as a heart rate greater than ______ beats/min.

• 50, 110
• 30, 130
• 60, 100
• 40, 120

Answer 10

60,100

Question 11

During the scene size- up, you should routinely determine all of the following, EXCEPT:

-Mechanism of injury or nature of illness
-The ratio of pediatric patients to adult patients
-Whether or not additional resources are needed
-If there are any hazards that will jeopardize safety

Answer 11

The ratio of pediatric patients to adult patients

Question 12

You arrive at the scene of an “injured person.” As you exit the ambulance, you see a man laying on the front porch of his house. He appears to have been shot in the head and is lying in a pool of blood. You should:

-Immediately assess the patient
-Proceed to the patient with caution
-Quickly asses the scene for a gun
-Retreat to a safe place and wait for law enforcement to arrive.

Answer 12

Retreat to a safe place and wait for law enforcement to arrive

Question 13

Findings such as inadequate breathing or an altered level of consciousness should be identified in the :

-Primary assessment
-Focused assessment
-Secondary assessment
-Reassessment

Answer 13

Primary assessment

Question 14

Which of the following would you NOT detect while determining your initial general impression of a patient?

-Cyanosis
-Gurgling respirations
-Severe bleeding
-Rapid heart rate

Answer 14

Rapid heart rate

Question 15

Your primary assessment of an elderly women who fell reveals an altered level of consciousness and a large hematoma to her forehead. After protecting her spine and administering oxygen, you should:

-Reassess your interventions
-Perform a rapid exam
-Transport the patient immediately
-Perform a focused assessment of her head

Answer 15

Perform a rapid exam

Question 16

A semiconscious patient pushes your hand away when you pinch his earlobe. You should describe his level of consciousness as:

-Alert
-Unresponsive
-Responsive to painful stimuli
-Responsive to verbal stimuli

Answer 16

Responsive to painful stimuli

Question 17

Assessment of an unconscious patient’s breathing begins by:

-Inserting an oral airway
-Manually positioning the head
-Assessing respiratory rate and depth
-Clearing the mouth with suction as needed

Answer 17

Manually positioning the head

Question 18

Your 12-year-old patient can speak only two or three word without pausing to take a breath. He has a serious breathing problem known as:

-Nasal flaring
-Two- or three-word dyspnea
-Labored breathing
-Shallow respiration

Answer 18

Two- or three-word dyspnea

Question 19

How should you determine the pulse in an unresponsive 8-year-old patient?

-Palpate the radial pulse at the wrist
-Palpate the brachial pulse inside the upper arm
-Palpate the radial pulse with your thumb
-Palpate the carotid pulse in the neck

Answer 19

Palpate the carotid pulse in the neck

Question 20

When assessing your patient’s pain, he says it started in his chest but has spread to his legs. This is an example of what part of the OPQRST mnemonic?

-Onset
-Quality
-Region/radiation
-Severity

Answer 20

Region/radiation

Question 21

The goal of oxygenation for most patients is an oxygen saturation of:

-88% to 90%
-94% to 99%
-90% to 94%
-100%

Answer 21

94%-99%

Question 22

The goal of the systematic head-to-toe exam that is performed during the secondary assessment is to:

-Detect and treat all no-life threatening injuries
-Definitively rule out significant internal injuries
-Assess only the parts of the body that are injured
-Locate injuries not found in the primary assessment

Answer 22

Locate injuries not found in the primary assessment

Question 23

The systematic head-to-toe assessment should be performed on:

-Patients with a significant MOI and unresponsive medical patients
-Stable patients who are able to tell you exactly what happened
-All patients with traumatic injuries who will require EMS transport
-Responsive medical patients and patients without a significant MOI

Answer 23

Patients with a significant MOI and unresponsive medical patients

Question 24

Treatment and transport priorities at the scene of a mass-casualty incident should be determined after:

-A physician arrives at the scene
-Medical control has been contacted
-Area hospitals have been notified
-All the patients have been triaged

Answer 24

All the patients have been triaged

Question 25

When performing a reassessment of your patient, you should first: -Obtain updated vital signs -Reassess your interventions -Confirm medical history findings -Repeat the primary assessment

Answer 25

Repeat the primary assessment

Question 26

When you use the palpation method to obtain a blood pressure, the measurement you obtain is the: -Systolic blood pressure -Diastolic blood pressure -Cardiac output pressure -Pulse pressure

Answer 26

Systolic blood pressure

Question 27

Which of the following findings indicated that your patient has a patent airway? -Audible breathing -Inspiratory stridor -Unresponsiveness -Ability to speak

Answer 27

Ability to speak

Question 28

Which of the following is an example of a symptom? -Headache -Tachycardia -Hypertension -Cyanosis

Answer 28

Headache

Question 29

Which of the following medical history questions would be of least pertinence in an acute situation? -"Are there medications that you cannot take?" -"Has this ever happened to you before?" -"Does your mother have diabetes?" -"Does the pain stay in your chest?"

Answer 29

"Does your mother have diabetes?"

Question 30

Which of the following would the EMT likely not perform on a responsive patient with a headache and no apparent life-threatening conditions? -Noninvasive blood pressure monitoring -Assessment of oxygen saturation -Focused secondary assessment -Systematic head-to-toe examination

Answer 30

Systematic head-to-toe examination