EMT 27 (mod8)

40 Questions

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EMT Quizzes & Trivia

Questions and Answers
  • 1. 
    1. Which of the following vessels has the thickest muscular wal ls that al low constriction and dilation?
    • A. 

      A) Arteries

    • B. 

      B) Capi l laries

    • C. 

      C) Veins

    • D. 

      D) Lymphatic vessels

  • 2. 
    2. In which of the following vessels does the vital exchange take place and also has the thinnest wal ls through whichoxygen, nutrients, and wastes can pass?
    • A. 

      A) Capi l laries

    • B. 

      B) Microvenules

    • C. 

      C) Arterioles

    • D. 

      D) Veins

  • 3. 
    3. Which of the fol lowing types of vessels have valves to maintain one-way blood flow?
    • A. 

      C) Veins

    • B. 

      A) Arteries

    • C. 

      B) Capi l laries

    • D. 

      D) Arterioles

  • 4. 
    4. Which of the fol lowing vessels contain blood under the highest amount of pressure?
    • A. 

      B) Arteries

    • B. 

      A) Veins

    • C. 

      C) Venules

    • D. 

      D) Capi l laries

  • 5. 
    5. Which of the fol lowing BEST describes the function of blood?
    • A. 

      C) It transports gases along with nutrients, aids in excretion, and provides protection and regulation.

    • B. 

      A) It is a life-giving liquid that supports al l the body’s functions to maintain hypoperfusion.

    • C. 

      B) It clots, flows, transports, protects, and excretes to fight disease and life.

    • D. 

      D) It flows from the heart with the vital gases and nutrients to maintain lack of perfusion.

  • 6. 
    6. Which of the fol lowing BEST describes the del ivery of oxygen and nutrients at the body’s cellular level?
    • A. 

      B) Perfusion

    • B. 

      A) Hydrostatic pressure

    • C. 

      C) Osmosis

    • D. 

      D) Circulation

  • 7. 
    7. Which of the fol lowing is another way of describing the condition of shock?
    • A. 

      C) Hypoperfusion

    • B. 

      A) Internal bleeding

    • C. 

      B) Hypotension

    • D. 

      D) Hemorrhage

  • 8. 
    8. Which of the fol lowing is the major cause of shock that the EMT wil l encounter?
    • A. 

      C) Hemorrhage

    • B. 

      A) Vomiting

    • C. 

      B) High blood pressure

    • D. 

      D) Excessive sweating

  • 9. 
    Your patient is a 6-year-old chi ld who has fal len down whi le running on a sidewalk. She has abrasions on both kneesand the palms of both hands, which are oozing blood. This is an example of bleeding from which of the fol lowing typesof vessels?
    • A. 

      D) Capi l laries

    • B. 

      C) Lymphatic vessels

    • C. 

      B) Arteries

    • D. 

      A) Veins

  • 10. 
    10. Which of the fol lowing is a characteristic of arterial bleeding?
    • A. 

      C) Spurting under pressure

    • B. 

      D) Both B and C

    • C. 

      B) Dark red color

    • D. 

      A) Steady flow

  • 11. 
    11. In the average adult, the sudden loss of ___________ cc of blood is considered serious.
    • A. 

      C) 1,000

    • B. 

      A) 150

    • C. 

      B) 500

    • D. 

      D) 750

  • 12. 
    12. Which of the fol lowing is a characteristic of venous bleeding?
    • A. 

      B) It can be profuse, but is general ly easi ly controlled.

    • B. 

      A) It commonly requires the use of pressure point compression.

    • C. 

      C) It cannot lead to life-threatening amounts of blood loss.

    • D. 

      D) It often requires the use of a tourniquet.

  • 13. 
    13. Which of the fol lowing may occur when there is bleeding from a large vein?
    • A. 

      D) All of the above

    • B. 

      C) Hypoperfusion

    • C. 

      B) Air embolism

    • D. 

      A) Transmission of bloodborne il lnesses

  • 14. 
    14. Which of the fol lowing must be kept in mind when considering the severity of external bleeding?
    • A. 

      A) Signs of shock do not appear until a large amount of blood has been lost.

    • B. 

      B) The amount of blood loss is easily estimated by the amount of blood visible on the ground.

    • C. 

      C) A younger person can tolerate more blood loss than an older one.

    • D. 

      D) All of the above

  • 15. 
    15. Which of the fol lowing is the most important reason for controll ing external bleeding?
    • A. 

      A) To prevent hypoperfusion

    • B. 

      B) To prevent the spread of infectious diseases

    • C. 

      C) To make clean up of the ambulance and your equipment easier after the cal l

    • D. 

      D) To prevent the patient from becoming upset at the sight of blood

  • 16. 
    16. Which of the fol lowing is the most effective way of control l ing external bleeding?
    • A. 

      B) Using direct pressure with a dressing

    • B. 

      A) Running cold water over the wound

    • C. 

      C) Elevating the affected part

    • D. 

      D) Using an ice pack

  • 17. 
    17. Your patient is a 28-year-old male who cut his thigh with a chain saw. It appears that he has lost about 600 cc ofblood. Which of the following is NOT part of the proper management of this patient?
    • A. 

      B) Replacement of fluid level by giving the patient adequate amounts of water

    • B. 

      A) Use of a tourniquet

    • C. 

      C) Using direct pressure to control the bleeding

    • D. 

      D) Administering oxygen

  • 18. 
    18. Your patient is a 12-year-old boy who ran his arm through a glass window and has an 8-inch laceration on hisanterior forearm. You have appl ied a pressure dressing and bandage, but these have become saturated due to continuedbleeding. Which of the fol lowing should you do now?
    • A. 

      B) Elevate that arm and prepare to apply a tourniquet or consider administering a hemostatic agent.

    • B. 

      A) Remove the pressure dressing and bandage, apply an ice pack to the wound, and bandage it in place with an elastic bandage

    • C. 

      C) Apply additional dressing material, bandage it in place, and apply pressure to the brachial artery.

    • D. 

      D) Remove the pressure dressing and bandage, apply direct pressure with your gloved hand, and elevate the arm.

  • 19. 
    19. If you do not have a commercial tourniquet avai lable, what common device found on the ambulance can be used as a substitute?
    • A. 

      B) Blood pressure cuff

    • B. 

      A) Air or vacuum splint

    • C. 

      C) Ice packs tied in place with triangle bandage

    • D. 

      D) Use a rope tie-down to make a tourniquet

  • 20. 
    20. The most common form of a hemostatic agent is:
    • A. 

      B) hemostatic dressings.

    • B. 

      A) hemostatic granular.

    • C. 

      C) hemostatic tourniquet.

    • D. 

      D) hemostatic powder.

  • 21. 
    21. In which of the following instances would PASG be an appropriate choice to control bleeding?
    • A. 

      A) Multiple lacerations to the lower extremities

    • B. 

      B) A knife impaled in the abdomen

    • C. 

      C) A laceration of the large veins of the neck

    • D. 

      D) A gunshot wound to the chest

  • 22. 
    22. Which of the fol lowing is recommended in situations in which a tourniquet must be used?
    • A. 

      C) Use a material that is wide and thick.

    • B. 

      A) Apply a bulky dressing and bandage over the tourniquet.

    • C. 

      B) Apply the tourniquet over the elbow or knee.

    • D. 

      D) Remove the tourniquet as soon as bleeding is controlled to minimize further damage to the limb.

  • 23. 
    23. Which of the fol lowing is NOT recommended when controll ing epistaxis?
    • A. 

      C) Having the patient ti l t the head backward to elevate the nose

    • B. 

      A) Pinching the nostrils together

    • C. 

      B) Keeping the patient calm and quiet

    • D. 

      D) Placing the unconscious patient in the recovery position

  • 24. 
    24. Which of the fol lowing is responsible for most of the signs and symptoms of early shock?
    • A. 

      D) The body's attempts at compensation for blood loss

    • B. 

      C) Dilation of the peripheral blood vessels

    • C. 

      B) Internal bleeding

    • D. 

      A) External bleeding

  • 25. 
    25. Your patient is a 19-year-old motorcyclist who has crashed into a parked car and was ejected from his motorcycle.He was wearing a helmet; he is awake, shivering, and anxious. The patient is pale, with slight cyanosis of his l ips, aslightly increased respiratory rate, and a rapid, thready radial pulse. Bystanders state that there was no loss ofconsciousness. The patient has abrasions to his hands and face, and blood is saturating the thigh area of both legs of hisjeans. A rapid trauma assessment reveals that the patient has swel l ing and deformity of both thighs. Which of thefol lowing is NOT appropriate in the on-scene management of this patient?
    • A. 

      B) The use of traction splinting for the lower extremity injuries

    • B. 

      A) The use of a long backboard

    • C. 

      C) The use of PASG

    • D. 

      D) The use of high-concentration oxygen by nonrebreather mask

  • 26. 
    26. When deciding where to transport a patient who is in hypovolemic shock or who has the potential for developinghypovolemic shock, which of the following is the most important service to be provided by the receiving hospital?
    • A. 

      B) Immediate surgical capabi l ities

    • B. 

      A) Critical-care nursing

    • C. 

      C) Avai labi l i ty of a chaplain

    • D. 

      D) Rehabi l i tation services

  • 27. 
    27. Which of the fol lowing circumstances may result in hypoperfusion?
    • A. 

      D) All of the above

    • B. 

      C) The heart is damaged.

    • C. 

      B) Blood vessels are dilated.

    • D. 

      A) There is external bleeding.

  • 28. 
    28. Which of the fol lowing is a consequence of hypoperfusion?
    • A. 

      D) All of the above

    • B. 

      C) Cells are not supplied with oxygen.

    • C. 

      B) Cells are not supplied with nutrients.

    • D. 

      A) Cel lular waste products are not removed.

  • 29. 
    29. Your patient is a 33-year-old man who has a gunshot wound to his right leg and has active, steady, dark redbleeding. He is awake, pale, and diaphoretic. He has a strong radial pulse of 112 per minute, a respiratory rate of 24breaths per minute, and a blood pressure of 122/82 mmHg. He has no other injuries or complaints. Which of thefol lowing is the BEST sequence of steps in the management of this patient?
    • A. 

      D) Direct pressure, high-concentration oxygen, and splinting the leg

    • B. 

      C) High-concentration oxygen, tourniquet, PASG, and elevation of the extremity

    • C. 

      B) Cervical spine immobilization, high-concentration oxygen, direct pressure, and pressure point compression

    • D. 

      A) High-concentration oxygen, elevation of the extremity, and appl ication of ice

  • 30. 
    30. Which of the fol lowing is part of the body's compensatory response to blood loss?
    • A. 

      A) Blood vessels constrict and the heart rate increases.

    • B. 

      B) Blood vessels dilate and the heart rate increases.

    • C. 

      C) Blood vessels dilate and the heart rate decreases.

    • D. 

      D) Blood vessels constrict and the heart rate decreases.

  • 31. 
    31. Which of the fol lowing signifies a fai lure in the patient's compensatory response to blood loss?
    • A. 

      A) Hypotension

    • B. 

      B) Tachycardia

    • C. 

      C) Tachypnea

    • D. 

      D) Pale, cool skin

  • 32. 
    32. Which of the fol lowing is the most sensitive indicator of hypoperfusion?
    • A. 

      D) Altered mental status

    • B. 

      C) Increased heart rate

    • C. 

      B) Dilation of the pupils

    • D. 

      A) Delayed capil lary refi l l

  • 33. 
    33. Which of the fol lowing distinguishes irreversible shock from other stages of shock?
    • A. 

      A) Cel l damage and death in the vi tal organs

    • B. 

      B) Altered mental status

    • C. 

      C) Delayed capi l lary refi l l time

    • D. 

      D) Low blood pressure

  • 34. 
    34. Which of the fol lowing is NOT indicated in the management of a patient in shock?
    • A. 

      C) High-speed ambulance transportation

    • B. 

      D) On-scene spinal precautions, if indicated

    • C. 

      B) Delaying a detai led exam unti l en route to the hospital

    • D. 

      A) Minimizing on-scene time

  • 35. 
    35. For which of the following shock patients would the use of PASG be contraindicated?
    • A. 

      C) A 70-year-old female who is vomiting blood and has crackles in her lungs

    • B. 

      D) A 23-year-old pregnant woman with obvious fractures of both femurs

    • C. 

      B) A 7-year-old male with massive soft-tissue loss of the left thigh from a shark bite

    • D. 

      A) A 50-year-old man whose pelvis has been crushed by a forkl ift

  • 36. 
    36. The use of PASG is NOT advised for which of the following injuries?
    • A. 

      C) Gunshot wound to the chest

    • B. 

      A) External bleeding of the lower extremities

    • C. 

      B) Pelvic fracture

    • D. 

      D) Internal bleeding to the lower extremities

  • 37. 
    37. Which of the fol lowing is the purpose of making airway management the highest priority of patient care whenmanaging the patient in shock?
    • A. 

      D) All of the above

    • B. 

      C) It minimizes the chances of aspiration of blood or vomit.

    • C. 

      B) It al lows for improved el imination of carbon dioxide.

    • D. 

      A) It al lows for oxygenation of the lungs.

  • 38. 
    40. Which of the fol lowing wil l worsen the condition of the patient in shock?
    • A. 

      C) Conducting oneself in a manner that increases the patient's fear and anxiety

    • B. 

      D) Transporting without first splinting al l extremity fractures

    • C. 

      B) Elevating the patient's legs 8 to 10 inches

    • D. 

      A) Applying high-concentration oxygen when it is not needed

  • 39. 
    38. Which of the fol lowing should increase the EMT's suspicion of internal bleeding?
    • A. 

      D) Al l of the above

    • B. 

      C) Fal l from a height two or more times the patient's height

    • C. 

      B) High-speed motor vehicle coll ision

    • D. 

      A) Penetrating trauma to the chest or abdomen

  • 40. 
    39. Which of the fol lowing BEST explains the reason for minimizing scene-time for the trauma patient with significanthemorrhage or the potential for significant hemorrhage?
    • A. 

      C) Studies have indicated that trauma patients who receive surgery within 1 hour of injury have better chances of survival.

    • B. 

      A) There is nothing the EMT can do for a patient in shock.

    • C. 

      B) It gives the EMT less opportunity to make mistakes in the patient's care.

    • D. 

      D) All of the above