Chapter 11 Quiz Flashcards

(33 cards)

1
Q

Where should the EMT assess for injury when caring for a patient who had a 10-foot fall and landed square on his feet?
Select one:

A.
Patient’s pelvis

B.
Patient’s ankles

C.
Patient’s femur

D.
All of these

A

D.
All of these

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2
Q

As you are assessing a 32-year-old asthmatic woman who has called EMS due to difficulty breathing, her husband enters the home through a back door and shouts, “Get your hands off her; she doesn’t need your help. She needs to be taught a lesson about her smart mouth.” Which of the following is the best course of action?
Select one:

A.
Let the husband know that his behavior is inappropriate, and if it continues you will call for the police.

B.
Continue assessment and respond that the patient is sick and needs medical attention.

C.
Leave the scene and the patient, and then notify police.

D.
Attempt to remove the patient from the home and continue treatment en route to the hospital.

A

C.
Leave the scene and the patient, and then notify police.

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3
Q

In which of the following situations should the EMT consult the Emergency Response Guidebook?
Select one:

A.
Downed power lines at the scene of a vehicle collision

B.
Patient with a suspected infectious disease

C.
Chlorine gas leak at a public swimming pool

D.
Domestic disturbance with the potential for violence

A

C.
Chlorine gas leak at a public swimming pool

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4
Q

Which of the following may be a hazard at the scene of a vehicle collision?
Select one:

A.
Electrocution

B.
Hazardous materials

C.
Other emergency vehicles

D.
All of these

A

D.
All of these

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5
Q

At which of the following points should you begin your scene size-up?
Select one:

A.
As you approach the scene in the ambulance

B.
After exiting the ambulance, but before making patient contact

C.
When you arrive on the scene, but before exiting the ambulance

D.
When the patient or family member opens the door to the residence

A

A.
As you approach the scene in the ambulance

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6
Q

When considering the potential for injury from a fall, which of the following is least important?
Select one:

A.
Whether the patient struck anything with his body on the way down

B.
Patient’s weight

C.
Height of the fall

D.
Type of surface onto which the patient fell

A

B.
Patient’s weight

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7
Q

Which of the following situations will not require additional resources at the scene?
Select one:

A.
A call for a sick person at home during which an odor of natural gas is detected

B.
A call to a manufacturing plant where a worker has his hand caught in a machine

C.
A 300-pound woman complaining of back pain

D.
A patient with emphysema who is on oxygen therapy at home

A

D.
A patient with emphysema who is on oxygen therapy at home

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8
Q

As you arrive at the scene of a house fire, a very upset man screams at you to help his young son, who is trapped under a piece of burning wood on the ground. Which of the following should you do first?
Select one:

A.
Perform an initial assessment on the patient.

B.
With the father’s help, grab the boy by the arms and pull him from underneath the wood.

C.
Size-up the scene before acting.

D.
Use a blanket to put out the fire on the piece of wood.

A

C.
Size-up the scene before acting.

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9
Q

Which of the following will deliver a medium velocity impact?
Select one:

A.
Bullet from an assault rifle

B.
Butcher knife

C.
Bullet from a handgun

D.
Ice pick

A

C.
Bullet from a handgun

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10
Q

As you approach the scene of a motorcycle accident, you see an EMR trying to stop the bleeding on the patient’s left arm. You notice that the EMR has blood covering the front of his shirt and running down his arms. What Standard Precautions are needed?
Select one:

A.
Gloves, gown, and face mask with eye shield are needed.

B.
There is no need for Standard Precautions because you have no open injuries.

C.
Gloves, gown, eye protection, and an N-95 or HEPA respirator are needed.

D.
Gloves and gown only are needed.

A

A.
Gloves, gown, and face mask with eye shield are needed.

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11
Q

You should have a keen awareness that there may be injuries based on your scene size-up. This is known as which of the following?
Select one:

A.
Nature of illness

B.
Law of inertia

C.
Index of suspicion

D.
Mechanism of injury

A

C.
Index of suspicion

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12
Q

A fall is considered severe anytime an adult patient has fallen more than ________ feet.
Select one:

A.
20

B.
15

C.
8

D.
10

A

A.
20

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13
Q

Which of the following best describes blunt-force trauma?
Select one:

A.
An object strikes the body but does not penetrate the body tissues.

B.
An object penetrates soft tissue but cannot penetrate bone.

C.
An object that is not sharp penetrates the body due to the amount of force used.

D.
A rounded object impacts the body tissues.

A

A.
An object strikes the body but does not penetrate the body tissues.

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14
Q

You are called to a motor vehicle collision where the car is on fire. You should ensure safety by:
Select one:

A.
putting your unit back in service and leaving the scene.

B.
using your fire extinguisher to put out the fire.

C.
borrowing turnout gear from the fire department.

D.
remaining a safe distance from the car until the fire is out.

A

D.
remaining a safe distance from the car until the fire is out.

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15
Q

You have just arrived on the scene of a motor vehicle collision in which a compact car was struck from behind by a delivery truck. The driver of the delivery truck is standing outside his vehicle talking to police when you arrive, but the driver of the car is still seated in the driver’s seat. You have noted moderate damage to the rear of the car. For which of the following injuries should you have the highest level of suspicion?
Select one:

A.
Fractures of the lower extremities

B.
Neck injury

C.
Abdominal injuries

D.
Chest injury

A

B.
Neck injury

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16
Q

Which of the following is not a consideration that should be used by the EMT in establishing the size of the danger zone?
Select one:

A.
Fire

B.
Amount of equipment needed

C.
Presence of hazardous materials

D.
Wind direction

A

B.
Amount of equipment needed

17
Q

At the scene of a vehicle collision in which there are no apparent hazards, which of the following guidelines should be followed for establishing a danger zone?
Select one:

A.
The danger zone should be 50 feet in all directions.

B.
The danger zone should be 150 feet in all directions.

C.
The danger zone should be 15 feet in all directions.

D.
There is no need to establish a danger zone when there are no apparent hazards.

A

A.
The danger zone should be 50 feet in all directions.

18
Q

At what point is the scene size-up complete?
Select one:

A.
When crashed vehicles have been stabilized

B.
At the end of the call

C.
When the number of patients has been determined

D.
Upon stabilization of the c-spine

A

B.
At the end of the call

19
Q

Your patient, a 29-year-old female, was the front seat passenger in a vehicle that was struck in the passenger’s side door by another vehicle that ran a red light. Which of the following is most likely to have occurred?
Select one:

A.
The patient took the down-and-under pathway, causing trauma to her lower extremities.

B.
The patient impacted the steering wheel with her chest, causing a fracture of the sternum.

C.
The patient took the up-and-over pathway, striking her head on the windshield.

D.
The patient’s body was pushed forcefully out from under her head, causing injury to the cervical spine.

A

D.
The patient’s body was pushed forcefully out from under her head, causing injury to the cervical spine.

20
Q

You are on the scene of a tanker truck versus passenger vehicle collision on a rural highway. The vehicles are just beyond a curve in the roadway and there is a distinct odor of diesel fuel. It is dark and there is little traffic. Which of the following should be used to alert oncoming traffic to the situation?
Select one:

A.
Yellow crime scene tape

B.
Reflective triangles

C.
Flashing lights on the ambulance

D.
Flares

A

B.
Reflective triangles

21
Q

When determining possible injuries suffered from a gunshot wound, which of the following is true?
Select one:

A.
The EMT must ask the patient or bystanders exactly where the shooter was standing.

B.
Bullets pass in a straight line through the body from the point of entry to the exit wound.

C.
The EMT must be aware that bullets cause damage in more than one way.

D.
The EMT must determine the caliber of ammunition involved.

A

C.
The EMT must be aware that bullets cause damage in more than one way.

22
Q

Your patient fell out of a tree while putting the roof on a tree house. A 15-foot ladder is required to enter the tree house and there is enough room for an adult to stand up inside. Your patient should be transported to:
Select one:

A.
the closest hospital.

B.
a trauma center.

C.
a neurosurgery center.

D.
an urgent care center.

A

B.
a trauma center.

23
Q

Which of the following situations requires additional action by the EMT during scene size-up?
Select one:

A.
A bystander who is smoking a cigarette at the scene of an assault at a local park.

B.
A news media helicopter hovering overhead at the scene of a vehicle collision.

C.
The sound of a barking and growling dog upon approaching the door to a residence.

D.
A vehicle collision involving a tractor-trailer that appears to be empty

A

C.
The sound of a barking and growling dog upon approaching the door to a residence

24
Q

You are dispatched to a local bar for the report of an unresponsive female patient found in the bathroom. As you approach the scene, you notice a large crowd outside the front door holding beer bottles. The group has pulled the patient outside. As you approach the scene, people from the group start yelling, “Do something! She’s not breathing.” What concerns you the most about this scene?
Select one:

A.
The large crowd that has been drinking and is now yelling at you

B.
The fact that the patient has been moved from where she was found

C.
The crowd stating the patient is not breathing

D.
All of these

A

A.
The large crowd that has been drinking and is now yelling at you

25
Which law of physics explains why a patient's liver can be injured from the impact of his car with a tree? Select one: A. Law of kinetic energy B. Newton's law of moving energy C. Second law of motion D. Law of inertia
D. Law of inertia
26
Which of the following is not determined in a scene size-up? Select one: A. Chief complaint B. Need for additional resources C. Potential hazards to the EMS crew D. Mechanism of injury
A. Chief complaint
27
When should the EMT evaluate the need for Standard Precautions? Select one: A. An evaluation should be made once a general impression of the patient has been formed. B. An evaluation should be made before arrival on-scene. C. An evaluation should be made throughout the call. D. No evaluation is ever needed, since the precautions are the same for every call
C. An evaluation should be made throughout the call.
28
Which of the following is true concerning scene size-up? Select one: A. Information from bystanders is not important on trauma calls. B. Scene size-up does not play a role in determining the nature of the illness. C. Determining the number of patients is not important on a medical call. D. The need for additional resources must be determined on both medical and trauma calls.
D. The need for additional resources must be determined on both medical and trauma calls.
29
You are on the scene of an explosion at a suspected methamphetamine manufacturing operation. You and your partner are the first to arrive and note two middle-aged men and a woman on the front lawn with burns and cuts on their faces and arms. The fire department is en route. Which of the following resources would be the least important to request during the scene size-up? Select one: A. Gas company B. One or two additional ambulances C. Hazardous material clean-up crew D. Law enforcement
C. Hazardous material clean-up crew
30
Which of the following is true concerning the potential for violence at the scene of an EMS call? Select one: A. An unusual lack of activity at the scene may signal impending violence against the EMT. B. Signs of impending violence are obvious if you know what to look for. C. The chance for violence is very low at emergency scenes. D. You do not need to worry about violence at an emergency scene once the police have secured it.
A. An unusual lack of activity at the scene may signal impending violence against the EMT.
31
An injury caused by an object that passes through the skin or other body tissue is known as which of the following? Select one: A. Impaling trauma B. Puncturing trauma C. Penetrating trauma D. Cavitating trauma
C. Penetrating trauma
32
You and your partner respond to a residence for a fall. You arrive to find a group of approximately 30 adults surrounding a middle-aged man who appears to be unconscious. A police car pulls in behind you. You should: Select one: A. leave the area and stage until the scene is cleared of people. B. have the police officer drag the victim over to the ambulance. C. enter the scene ahead of the police officer to provide care. D. wait for the police officer to assess the safety of the scene.
D. wait for the police officer to assess the safety of the scene.
33
You and your partner are en route to a motor vehicle crash involving a tanker truck on a rural road. Dispatch informs you that fluid is leaking from the truck, that there are several bystanders passed out on the ground near the cab of the truck, and that a caller has reported the code that appears on a placard attached to the tanker truck. You should: Select one: A. consult the Emergency Response Guidebook. B. park downwind from the tanker truck. C. remove the bystanders from the scene. D. park about 50 feet from the truck.
A. consult the Emergency Response Guidebook.