Module 9

Question 1

Which of the following instructions is most important for the use of good body mechanics in a power lift?

Answer 1

Straighten your legs to Lift

Question 2

What is involved in the care and treatment of a patient with a spinal injury in a prehospital setting?

Answer 2

Prehospital care for a patient with a spinal injury involves correcting life-threatening injuries and limiting secondary injury.

Question 3

A basket stretcher is a good method for transporting a patient:

Answer 3

out of the backcountry.

Question 5

An elderly patient has fallen down a flight of stairs and is complaining of neck and back pain and weakness to both legs. Your primary assessment reveals no life threats to the airway, breathing, or circulation. Manual in-line spinal stabilization is being maintained. Which of the following actions should you take next?

Answer 5

Complete a secondary assessment looking for injuries.

Question 6

What is a characteristic sign that may be seen during a secondary assessment of patients with spinal cord injury?

Answer 6

Flushed skin color below the level of the injury and impairment or absence of sensation and movement

Question 7

You are assessing a 30-year-old patient who has fallen about 20 feet. Patient is alert and oriented but states that they cannot move or feel their legs. Additionally, because their blood pressure is 82/48 mmHg, you suspect neurogenic shock. Which of the following additional assessment findings reinforces your suspicion of neurogenic shock?

Answer 7

Heart rate of 44

Question 8

You should recognize a possible spinal column injury with no spinal cord involvement when you discover which of the following assessment findings?

Answer 8

Tenderness to the thoracic spine with intact motor and sensory function in each extremity

Question 9

You are participating in training OEC candidates and are asked about cerebral contusions. You would explain to the class that a cerebral contusion is:

Answer 9

bruising and swelling of the brain tissue.

Question 10

For a person to make a fist, which of the following must occur?

Answer 10

The central nervous system must send a message through the spinal cord and then through the peripheral nerves.

Question 11

A soccer player was struck in the head with a soccer ball. Players state that the patient was dazed for several seconds following the impact and then asked the same questions over and over. They are currently conscious and oriented to person but is confused as to place and time. They also have a reddened area on the side of their head and face. As you proceed with your assessment, the patient’s memory continues to improve. Based on these findings, you would suspect which of the following injuries?

Answer 11

A concussion/TBI

Question 12

A woman who is six months pregnant and experiencing back pain should be placed on a backboard and then placed in a toboggan in which of the following positions?

Answer 12

On her left side

Question 13

A patient with a head and midline posterior neck injury was sitting found leaning against a tree. You discover that your team does not have a long backboard, so you use what alternative?

Answer 13

Whole body vacuum mattress

Question 14

When approaching most helicopters, whether running or not, the safest way is to do so from the:

Answer 14

front.

Question 15

A patient involved in a motor-vehicle collision has suffered the separation of a rib from a spinal vertebra. Based on the anatomy of the spine, where has this injury occurred?

Answer 15

The thoracic spine

Question 16

A primary injury to the central nervous system would be caused by:

Answer 16

a laceration of the spinal cord.

Question 17

A patient who was hit in the face with a cloud of dust while working in an industrial setting is complaining of pain and discomfort to their left eye. While performing your assessment on the eye, you note some redness of the globe but do not see any obvious foreign object. The most appropriate care you can provide to this patient would be to:

Answer 17

flush eye with copious amounts of water.

Question 18

The first step in placing a patient in the toboggan for transport is:

Answer 18

deciding whether or not to put the patient’s injury uphill.

Question 19

A 41-year-old snowboarder struck their head on a metal rail. As you approach the patient, you note that they appear confused and have blood on the left side of their face and head and on their shirt. The patient’s breathing appears to be labored. Which of the following actions should you perform immediately?

Answer 19

Apply manual in-line spinal immobilization.

Question 20

While performing a primary assessment on a patient who has an isolated spinal cord injury, you note that they are in severe respiratory distress and struggling to breathe. Where should you suspect that the spinal cord injury has occurred?

Answer 20

The cervical spine

Question 21

What is important to consider when weighing removing a helmet in a prehospital setting?

Answer 21

It is acceptable to leave a helmet on a patient if the patient has no airway or breathing problems.

Question 22

A properly sized cervical collar will rest on the:

Answer 22

shoulder.

Question 23

Which of the following findings is most consistent with a skull fracture?

Answer 23

Bruising behind the ear that develops several hours after the injury

Question 24

You are called to aid a 61-year-old who has fallen off a second-floor lodge patio. Patient is unresponsive and has very slow, shallow breathing at a rate of 6 breaths per minute. When you arrive, a fellow patroller has already opened the airway and has stabilized the head. Which of the following actions should you take immediately?

Answer 24

Apply a cervical collar.

Question 25

When explaining the priorities of helmet removal to a candidate patroller, you would stress:

Answer 25

sliding the fingers under the occiput so that the head doesn’t drop backward.

Question 26

A 2-year-old fell down a flight of stairs. Which of the following instructions would you provide to other patrollers who are immobilizing the patient?

Answer 26

“Let’s place a folded towel under their shoulders to help maintain their head alignment.”

Question 27

A 68-year-old patient is complaining of a headache and generalized weakness. Their spouse informs you that the patient was with a friend yesterday and struck their face on the dashboard during a motor vehicle collision. Patient's past medical history includes a stroke that caused right arm weakness and high blood pressure. When assessing this patient, which of the following findings should concern you the most?

Answer 27

Bruising behind their left ear

Question 28

Which of the following assessment findings is most indicative of increasing pressure within the skull from a closed head injury?

Answer 28

Blood pressure of 192/82 mmHg

Question 29

Extremity lifts may not be tolerated by:

Answer 29

elderly patients and patients with respiratory disorders.

Question 30

The part of the eye that focuses light on the retina is called the:

Answer 30

lens.

Question 31

A patient involved in a motor vehicle collision has a deformity to the left side of the head. The skin overlying the deformity is still intact. Based on these assessment findings, which of the following conditions would be your greatest concern?

Answer 31

A possible brain injury

Question 32

You respond to an accident at which a male patient is complaining of severe back pain. He informs you that his back pain is coming from a recent fracture of his coccyx. Based on this information, what area of the back would the pain be emanating from?

Answer 32

The lowest part of the spine

Question 33

While running outside the lodge, a teenager tripped and fell. They hit their face and mouth, knocking one of their top front teeth from its socket. Although the patient is upset, you have assessed no threats to life, and the bleeding has been controlled. Your partner finds the tooth and asks you what to do with it. Which of the following responses would be best?

Answer 33

“Avoid touching the root of the tooth. We will gently irrigate it and place it back in its socket.”

Question 34

What is a sign or symptom that might be evident for an injury to the autonomic nervous system?

Answer 34

Elevated heart rate

Question 35

Which instruction from one OEC technician to another describes the appropriate application of a cervical spine immobilization collar?

Answer 35

“Keep the patient's head in neutral position while I apply a cervical collar.”

Question 36

A young intoxicated patient cannot move their lower extremities after diving into the shallow end of a pool and hitting the bottom with their head. Which of the following mechanisms is most likely to be responsible for this injury?

Answer 36

Compression

Question 37

A mechanical injury to the brain that results in a short-term and/or a long-term neurologic deficit is:

Answer 37

a traumatic brain injury.

Question 38

You are notified that a patient is coming to the first-aid room with bruising to the lumbar area of the back. Based on this statement, you would expect to find bruising in which area?

Answer 38

The lower back

Question 39

Which description of a helmet would indicate that it needs to be removed in a prehospital setting?

Answer 39

Too large

Question 40

You have responded to a scene at which a young patient tells you they splashed a chemical into their eye. The patient is complaining of burning and pain in their right eye. After performing a primary assessment and finding no life-threatening conditions, you would:

Answer 40

hold the patient’s injured eye open and flush it with large amounts of sterile water from the nose to the outer edge of the eye.

Question 41

Which of the following signs or symptoms best indicates that a patient has suffered an injury to the thoracic spine?

Answer 41

Paralysis of the arms

Question 42

To lessen one’s chances of injury while lifting and moving a patient, one should:

Answer 42

combine good lifting and moving techniques.

Question 43

Your patient was thrown from their mountain bike and is now confused. Assessment findings include an open airway, adequate breathing, and a strong radial pulse. Which of the following questions would be the most important to ask the friends who were with the patient?

Answer 43

“Did they lose responsiveness?”