Quiz #9 Review

Question 0

______radiation is very penetrating and easily passes through the body and solid materials.

Answer 0

Gamma Radiation

Question 1

With regard to a thermal burn injury, the zone of coagulation is the

Answer 1

Central part of the burn that suffers the most damage.

Question 2

You are caring for a 41 y/o man who was trapped in his burning house before being rescued by firefighters. He has full thickness burns to his head and anterior trunk and mixed partial and full thickness burns to both anterior upper extremities. What percentage of his body is burned?

Answer 2

36%

Question 3

The skin sheds excess heat from the body through..

Answer 3

Evaporation of sweat

Question 4

The severity of a thermal burn correlates directly with

Answer 4

The temperature of the heat source, the amount of heat energy possessed by the object or substance, and the duration of exposure

Question 5

Burn shock is caused by

Answer 5

Fluid loss across damaged skin and volume shifts within the rest of the body.

Question 6

Following blunt trauma to the face, a 30 y/o man presents with epistaxis double vision and an inability to look upward. You should be most suspicious of

Answer 6

An orbital blowout fracture

Question 7

What type of thermal burn is most commonly associated with inhalation injury

Answer 7

Steam burns

Question 8

The patient with full thickness burns surrounded by areas of superficial and partial thickness burns should be treated with all of the following, EXCEPT

Answer 8

Moist dressing

Question 9

You are transporting a conscious, middle aged man with anterior neck trauma. He is on high flow oxygen, has spinal precautions in place, and has a large bore IV line of normal saline in place. When you reassess his vital signs, you notice that his blood pressure is 90/64, his pulse rate is 120, and his respirations are 22 breaths per min with adequate depth. You should.

Answer 9

Keep the patient warm and infuse enough isotonic solution to maintain adequate perfusion

Question 10

Proper treatment for an open wound to the neck includes

Answer 10

Sealing the wound with an occlusive dressing

Question 11

The hyoid bone

Answer 11

Floats in the superior aspect of the neck, just below the mandible

Question 12

Which burn injuries would most likely require transport to a burn specialty center

Answer 12

Burns that involve the hands feet and genitalia

Question 13

Significant blunt injuries to the larynx and trachea pose an immediate risk of

Answer 13

Airway compromise

Question 14

Which of the following statements regarding the rule of palms is correct

Answer 14

The patient’s palm excluding the fingers represents 1% of his or her total body surface area

Question 15

Super glottic damage following a burn is is most often caused by

Answer 15

The inhalation of superheated gases

Question 16

You are dispatched to a high school where a 16-year-old male was stabbed in the eye with a pencil. The patient is conscious and in severe pain, a classmate remove the pencil prior to your arrival, The most appropriate care for this patient’s injury includes

Answer 16

Covering the affected eye with a sterile dressing, covering the unaffected eye, and transporting promptly

Question 17

Bradycardia that appears shortly after you have dressed and bandaged an open neck wound, is most likely the result of

Answer 17

Parasympathetic nervous system stimulation due to excessive pressures on the carotid artery

Question 18

You are caring for a man with a chemical burn to both eyes, the patient has contact lenses in each eye, is in severe pain, and tells you he can’t see. Proper care for this patient includes

Answer 18

Carefully removing his contact lenses and flushing both eyes for at least 20 minutes, then transporting with continuous irrigation

Question 19

Blood supply to the face is provided primarily through the

Answer 19

External carotid artery

Question 20

You are transporting a conscious but confused 29-year-old male after he was electrocuted. The patient is on high flow oxygen, has an IV line established, is on the cardiac monitor, and has his spine fully immobilized. During transport it is especially important for you to

Answer 20

Remain alert for lethal cardiac dysrhythmias and be prepared to defibrillate

Question 21

A 51-year-old woman sustained a large laceration to her cheek when she was cut by a knife during a robbery attempt, the patient is conscious and alert and has severe oral bleeding. She denies any other trouble. Your first action should be

Answer 21

Ensure that she is sitting up and leaning forward

Question 22

What two major nerves provide sensory and motor control to the face

Answer 22

Facial and Trigeminal nerves

Question 23

Motor function to the muscles of the tongue is provided by the

Answer 23

Hypoglossal Nerve

Question 24

According to the rule of 9s, an adult man with partial and full thickness burns to his head face and anterior chest, has burns to ___ % of his total body surface area.

Answer 24

18%

Question 25

A conscious patient with severe facial trauma is fully immobilized on a backboard, during your assessment the patient begins to cough up large amounts of blood, you suction his oropharynx but his mouth quickly refills with blood. You should

Answer 25

Roll the backboard on its side, suction oropharynx, and prepare to perform intubation

Question 26

Patients suspected to have burns to the upper airway will benefit most from

Answer 26

Cool humidified oxygen

Question 27

Assessment of a patient who may have been exposed to radiation begins by

Answer 27

Determining if the scene is safe to enter

Question 28

General care for eye injuries involve

Answer 28

Covering both eyes to minimize injury

Question 29

If a burn patient presents with a horse voice and states “I’m cold” you’re most immediate concern should be

Answer 29

Inhalation injury

Question 30

The primary risk associated with oral and dental injury is

Answer 30

Airway compromise

Question 31

If you are unable to orally intubate a patient due to massive maxilla facial trauma, and severe oral pharyngeal and nasopharyngeal bleeding. You would most likely have to perform a

Answer 31

A surgical decompression (crick)

Question 32

A_______ burn is characterized by reddened skin with varying degrees of blisters

Answer 32

Superficial burn

Question 33

Which of the following cranial nerves innervates the muscles that cause motion of the eyeballs and the upper eyelid

Answer 33

Oculomotor

Question 34

Full thickness circumferential burns to the chest may cause

Answer 34

Significant restriction of respiratory excursion

Question 35

When considering an analgesic for a burn patient who is in severe pain, you must remember that

Answer 35

Burns increase the metabolic rate, which may necessitate higher than normal dosage of analgesics

Question 36

When assessing the patient with maxillofacial trauma, it is most important to

Answer 36

Protect the cervical spine and monitor the patient’s neurological status

Question 37

The onset of_________ soon after exposure to radiation is a predictor of poor outcomes

Answer 37

Vomiting

Question 38

A ruptured tympanic membrane is

Answer 38

Extremely painful but typically heals spontaneously

Question 39

The only indication for removing the contact lens in the prehospital setting is

Answer 39

Chemical eye burns