Therm Eval

Question 1

What is the hallmark of heat exhaustion?

Answer 1

Hypovolemia (abnormal loss of circulating blood plasma)

Question 2

T/F: With environmental temperatures > 95F (35C) all heat loss is through evaporation.

Answer 2

TRUE

Question 3

What is the hallmark of heat stroke?

Answer 3

Hyperthermia (max hyperthermia = core temp > 105 may still be sweating)

Question 4

The best tool to determine heat stress from the environment is the:

Answer 4

WBGT (Wet Bulb Globe Thermometer)

Question 5

T/F: Thirst is a good indicator to identify dehydration.

Answer 5

False (can lose 1.5L water before perceiving thirst)

Question 6

T/F: Hypothermia cases requiring hospitalization only occur in the northern states.

Answer 6

FALSE

Question 7

You and group of chiropractors are hiking in the mountains when one falls into a stream and becomes hypothermic. Which of the following is the correct treatment: undress near buff and crawl into a sleeping bag with them, build a fire, call for a helicopter, make a warm cup of coffe or introduce other heated fluids.

Answer 7

Undress near buff and crawl into a sleeping bag with them

Question 8

T/F: Frotsbite should be rubbed with snow to stimulate the superficial circulation.

Answer 8

FALSE

Question 9

Frostbite is first seen as

Answer 9

White spots

Question 10

The single most useful sign for recognizing the progression of acute mountain sickness is

Answer 10

ataxia

Question 11

Temperature is regulated by the

Answer 11

hypothalamus

Question 12

Which of the following is NOT a sign or symptom of an exertional heat related syndrome: increased heart rate, increased blood preassure, dizziness, emotional lability, all of the above

Answer 12

all the above

Question 13

One of the hallmark signs of heat stroke is core body temperature. At what temperature is the diagnosis of heat stroke made?

Answer 13

104 (1 less than max)

Question 14

T/F: Hypothermia can occur in any climate zone where wind and moisture can penetrate to the body.

Answer 14

TRUE

Question 15

T/F:Patients with serious hypothermia must be handled gently. This is because they may go into cardiac arrest.

Answer 15

TRUE

Question 16

T/F: Red patches of skin are the first signs of frostbite

Answer 16

FALSE

Question 17

T/F: Swinging the arms around in a circle like a helicopter will help speed up re-warming (frostbite).

Answer 17

TRUE

Question 18

T/F: Concerning the treatment of frostbite, the tissues should be warmed only when it is reasonable to expect they will not become hypothermic again (wait to heat until you know they will stay warm).

Answer 18

TRUE

Question 19

T/F: Concerning the treatment of frostbite, during rewarming, the frozen part may become very painful

Answer 19

TRUE

Question 20

T/F: Concerning frostbite, common locations are the nose, ears, cheeks, fingertips and the tips of the penis.

Answer 20

TRUE

Question 21

While hiking through the mountians of Iowa with an older but really fun DC, you note he has become victim of acute mountain sickness. Which of the following is the correct form of treatment? Run for help, give the doctor a swig from your flask, carefully make a tent and place the doctor into the tent, stop the ascent and allow for acclimatization by staying at the same altitude while never leaving the doctors side.

Answer 21

Stop the ascent and allow for acclimatization by staying at the same altitude. Never leaving the doctors side.

Question 22

The loss of _____ primarily leads to muscle cramps. (hint: an electrolyte)

Answer 22

Sodium

Question 23

T/F: Muscle cramps can serve as a warning to a more serious impending heat exhaustion or heat stroke.

Answer 23

TRUE

Question 24

Which of the following most closely represents the number of days you need to exercise in the heat to become acclimatized? 10, 20, 30, 5?

Answer 24

10