EMT 28(mod 8)

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The human body is made up of skin layer all over. This forms the outermost part, which is mostly affected due to its exposure. EMT 28 (mod 8) quiz basically tests on this more. All the best and enjoy.


Questions and Answers
  • 1. 
    1. Which of the fol lowing is a major function of the skin?
    • A. 

      D) All of the above

    • B. 

      C) Temperature regulation

    • C. 

      B) Protection from the environment

    • D. 

      A) Excretion of wastes

  • 2. 
    2. Which of the fol lowing is the outermost layer of the skin?
    • A. 

      B) Epidermis

    • B. 

      A) Dermis

    • C. 

      C) Adipose tissue

    • D. 

      D) Fascia

  • 3. 
    3. Which of the fol lowing layers of the skin is the most important in insulating the body against heat loss?
    • A. 

      B) Subcutaneous layer

    • B. 

      A) Parietal layer

    • C. 

      C) Epidermis

    • D. 

      D) Subdural layer

  • 4. 
    4. Which of the fol lowing is required in the management of al l open soft-tissue injuries?
    • A. 

      B) Use of Standard Precautions by the EMT

    • B. 

      A) Provision of high-concentration oxygen

    • C. 

      C) Cervical spine precautions

    • D. 

      D) Appl ication of a disinfectant solution

  • 5. 
    5. An injury in which the epidermis remains intact, but blood vessels and cells in the dermis are injured, is cal led a(n):
    • A. 

      A) contusion.

    • B. 

      B) abrasion.

    • C. 

      C) concussion.

    • D. 

      D) avulsion.

  • 6. 
    6. Which type of wound has a smal l opening into the skin, but may be quite deep, and is often caused by instruments suchas nails, ice picks, or pencils?
    • A. 

      C) Puncture

    • B. 

      A) Avulsion

    • C. 

      B) Laceration

    • D. 

      D) Incision

  • 7. 
    7. A wound in which the epidermis is scraped away wi th minimal bleeding, such as commonly occurs when a chi ld fal lson his knees on a sidewalk, is cal led a(n):
    • A. 

      A) abrasion.

    • B. 

      B) contusion.

    • C. 

      C) avulsion.

    • D. 

      D) evisceration.

  • 8. 
    8. An injury caused by heavy pressure to the tissues, such as when an extremity is trapped under a fal len tree, thatresults in damage to muscle cells and the accumulation of waste products in the tissue is cal led a(n):
    • A. 

      A) crush injury.

    • B. 

      B) evisceration.

    • C. 

      C) contusion.

    • D. 

      D) abrasion.

  • 9. 
    9. Which of the fol lowing BEST describes an avulsion?
    • A. 

      B) A flap of skin that is partial ly or completely torn away from the underlying tissue

    • B. 

      A) An injury caused by a sharp, pointed object

    • C. 

      C) The epidermis that is scraped away by a rough surface

    • D. 

      D) An accumulation of blood beneath the skin, resulting in swell ing

  • 10. 
    10. Bleeding from soft-tissue injuries should initial ly be controlled with which one of the fol lowing techniques?
    • A. 

      B) Direct pressure

    • B. 

      A) Appl ication of an ice pack or chemical cold pack

    • C. 

      C) Elevation of the injured part

    • D. 

      D) Running cold water over the wound

  • 11. 
    11. Which of the fol lowing is NOT an open tissue injury?
    • A. 

      B) Contusion

    • B. 

      A) Abrasion

    • C. 

      C) Avulsion

    • D. 

      D) Evisceration

  • 12. 
    12. A 36-year-old man has accidental ly shot a nai l into his thigh whi le using a nail gun. Under which of the followingcircumstances should the EMT remove the nai l from the injury site?
    • A. 

      D) None of the above

    • B. 

      A) The nai l is less than 2 inches in length.

    • C. 

      B) The patient's distal pulse, motor function, and sensation are intact.

    • D. 

      C) Bleeding from the wound is minimal.

  • 13. 
    13. Which of the fol lowing injuries requires the use of an occlusive dressing?
    • A. 

      D) All of the above

    • B. 

      C) An open wound to the chest

    • C. 

      B) An open wound to the abdomen from which a loop of intestine is protruding

    • D. 

      A) An open wound to the neck

  • 14. 
    14. Which of the fol lowing is recommended when caring for an amputated part?
    • A. 

      C) Seal the part in a plastic bag and place it in a pan of water cooled by an ice pack.

    • B. 

      A) Rinse away debris with sal ine solution and place the part in a container of ice.

    • C. 

      B) Wrap the part in aluminum foil to preserve body temperature.

    • D. 

      D) Always transport the amputated part with the patient.

  • 15. 
    15. A burn extending into the subcutaneous fat would be classif ied as which type of burn?
    • A. 

      B) Full thickness

    • B. 

      A) Deep partial thickness

    • C. 

      C) Superficial partial thickness

    • D. 

      D) Superficial

  • 16. 
    16. Which of the fol lowing BEST describes a partial thickness burn?
    • A. 

      D) The skin is red and moist with bl ister formation.

    • B. 

      C) The skin is white and dry with no sensation of pain.

    • C. 

      B) The skin is charred or blackened and lacks sensation.

    • D. 

      A) The skin is red, but dry and painful.

  • 17. 
    17. Your patient is a 25-year-old man who picked up an iron skil let with a very hot handle. He has a reddened areawith blisters across the palm of his hand. Which of the following must be avoided in the prehospital management ofthis wound?
    • A. 

      B) Appl ication of antibiotic ointment

    • B. 

      A) Appl ication of a dry, steri le dressing

    • C. 

      C) Elevation of the wound above the level of the heart

    • D. 

      D) Keeping the site clean

  • 18. 
    18. Your patient is a 35-year-old female who spil led a cup of hot coffee on herself. She has an area about twice the sizeof the palm of her hand on her right thigh that is red and painful, but without blisters. When caring for this injury inthe prehospital setting, which of the following is appropriate?
    • A. 

      D) Apply a dry steri le dressing.

    • B. 

      C) Apply a plastic bag full of ice to the skin.

    • C. 

      B) Apply a lotion containing a topical anesthetic and aloe vera.

    • D. 

      A) Apply an antibiotic ointment.

  • 19. 
    19. Which of the fol lowing patients has the greatest likel ihood of being cared for in a burn center?
    • A. 

      B) A 30-year-old woman who has deep partial thickness burns on her hand and arm as a result of spil l ing hot cooking oil on herself

    • B. 

      A) A 45-year-old man who has a full thickness burn about 3 inches long by 1/2 inch wide on his posterior arm from backing into a barbecue gril l

    • C. 

      C) A 12-year-old male with a superficial partial thickness burn involving his forearm as a result of making a torch by l ighting aerosol from a can of hairspray

    • D. 

      D) A 16-year-old female who came into contact with a motorcycle exhaust pipe and has a full thickness burn on her leg about 2 inches in diameter

  • 20. 
    20. For which of the following patients should the EMT carefully continue to monitor the patient's venti latory statusthroughout treatment and transport due to the greatest risk of respiratory failure?
    • A. 

      D) A 16-year-old male whose shirt caught on fire, resulting in circumferential burns of his chest

    • B. 

      C) A 28-year-old male who spil led a strong industrial acid on his legs

    • C. 

      B) A 34-year-old male who opened the radiator of his car and had hot fluid spray on his chest, resulting in redness and pain in an area about the size of the patient's hand

    • D. 

      A) A 17-year-old male with a blistering sunburn on his face

  • 21. 
    21. Which of the fol lowing is a desirable characteristic of dressings used in the prehospital management of most openwounds?
    • A. 

      D) Steri le

    • B. 

      C) Adherent

    • C. 

      B) Occlusive

    • D. 

      A) Absorbent

  • 22. 
    22. In caring for a 27-year-old male who has a large laceration on his anterior forearm, you have noticed that yourpressure dressing has become saturated with blood. Which of the fol lowing should you do next?
    • A. 

      D) Apply additional dressing material over the top of the original dressing and bandage it in place.

    • B. 

      C) Apply a tourniquet.

    • C. 

      B) Apply an ice pack over the original dressing.

    • D. 

      A) Remove the saturated dressings and apply a large trauma dressing.

  • 23. 
    23. Your patient is a 55-year-old male who was found in the parking lot behind a tavern. He states that he wasassaulted and robbed by three individuals. He is complaining of being "hi t in the face and kicked and punched in hisribs and stomach." Your examination reveals contusions and swell ing around both eyes, bleeding from the nose, alaceration of his upper lip, and multiple contusions of the chest, abdomen, and flanks. Which of the fol lowing shouldcause the greatest concern regarding the prehospital care of this patient?
    • A. 

      C) Potential internal injuries

    • B. 

      D) Getting a description of the assai lants

    • C. 

      A) The presence of any defensive wounds the patient may have sustained

    • D. 

      B) The swel l ing around his eyes, which may be reduced by applying a cold pack

  • 24. 
    24. Which of the fol lowing is NOT appropriate in caring for a patient with closed soft-tissue injuries and a significantmechanism of injury?
    • A. 

      D) All of the above are appropriate.

    • B. 

      C) Splint any swollen, deformed extremities.

    • C. 

      B) Anticipate vomiting.

    • D. 

      A) Treat for shock if you think there are internal injuries even if the patient's vital signs are normal.

  • 25. 
    25. Which of the fol lowing is true concerning lacerations?
    • A. 

      D) All of the above

    • B. 

      C) They may be caused by blunt trauma.

    • C. 

      B) They may be caused by penetrating trauma.

    • D. 

      A) They may indicate deeper underlying tissue damage.

  • 26. 
    26. Which of the fol lowing is of concern with a puncture wound?
    • A. 

      D) All of the above

    • B. 

      C) A strong possibi l i ty of contamination

    • C. 

      B) Hidden internal bleeding with minimal external bleeding

    • D. 

      A) An object that remains impaled in the body

  • 27. 
    27. Which of the fol lowing is NOT a type of avulsion?
    • A. 

      B) A finger is cut off with a butcher's saw.

    • B. 

      A) The skin is partial ly torn away from the foot.

    • C. 

      C) An ear is partial ly torn away from the head.

    • D. 

      D) The skin is stripped off the hand, like removing a glove.

  • 28. 
    28. Your patient is a 14-year-old male who crashed his bicycle, landing prone and sliding along a gravel trai l. He hasdeep abrasions to his hands, arms, chest, and knees. The patient has smal l pieces of gravel, twigs, and dirt embedded inthe abrasions. Which of the following is the best way to manage this situation after taking cervical spineimmobil ization?
    • A. 

      D) Assess for additional injuries, flush away large pieces of debris with a steri le dressing, place dressings on the abrasions, bandage them in place, and transport

    • B. 

      C) Use a tongue depressor to scrape large pieces of debris out of the wounds, place the patient on high-concentration oxygen, and transport

    • C. 

      B) Do not attempt to remove any debris, apply pressure dressings over the embedded material if necessary, apply highconcentration oxygen, and transport.

    • D. 

      A) Use your fingers to pick embedded debris from the wound, bandage with moist sal ine dressings in place, and transport.

  • 29. 
    29. Your patient is a 32-year-old man with a fish hook that has perforated his hand between the thumb and indexfinger. Which of the fol lowing is the best way to manage the situation in the prehospital setting?
    • A. 

      B) Leave the hook in place and try not to disturb it.

    • B. 

      A) Push the hook through the wound to avoid further damage from the barbed end.

    • C. 

      C) Apply a pressure dressing over the hook.

    • D. 

      D) Pull the hook out from the same direction in which it entered the hand.

  • 30. 
    30. Which of the fol lowing is a consideration in determining a burn’s severity?
    • A. 

      D) All of the above

    • B. 

      C) The type of agent that caused the burn

    • C. 

      B) Body surface area involved in the burn

    • D. 

      A) Other i l lnesses or injuries the patient may have

  • 31. 
    • A. 

      A) 18 percent

    • B. 

      B) 9 percent

    • C. 

      C) 36 percent

    • D. 

      D) 4.5 percent

  • 32. 
    32. Which of the fol lowing is of concern in a patient who received burns to his hand when he grabbed a live electricalwire?
    • A. 

      A) The extent of tissue damage may be much greater than it appears on the surface.

    • B. 

      B) The burning wil l continue for hours, perhaps days.

    • C. 

      C) The patient remains an electrocution hazard to rescuers for several minutes after being removed from the source of electricity.

    • D. 

      D) Toxic gases were inhaled.

  • 33. 
    33. Your patient is a 40-year-old male who has been exposed to a dry chemical powder and is complaining of severepain on both of his hands, the site of the contact. He is working in an il legal chemical manufacturing plant and there isno decontamination shower on site. Which of the fol lowing would be the BEST way to manage this situation?
    • A. 

      C) Brush away as much of the powder as possible and then have the patient hold his hands under running water from a faucet or regular garden hose.

    • B. 

      D) Brush away the powder and bandage the hands in a position of function.

    • C. 

      B) Brush away as much powder as possible and then pour a bottle of steri le sal ine solution over his hands.

    • D. 

      A) Have the fire department connect to a hydrant and spray down the patient from head to toe.

  • 34. 
    34. Whi le assessing a 78-year-old male patient who escaped an apartment fire with partial thickness burns to botharms, the EMT must be aware of which of the fol lowing?
    • A. 

      C) Medical conditions may be aggravated by the burn.

    • B. 

      A) Being involved in a crime makes the patient part of the chain of evidence, requiring a police officer to ride with you to the hospital.

    • C. 

      B) The burn is the most serious injury to the patient.

    • D. 

      D) The patient may need to be questioned by police and fire officials about the cause of the fire.

  • 35. 
    35. Burns pose a greater risk to infants and chi ldren for which of the following reasons?
    • A. 

      B) Pediatric patients have a greater risk of shock from the burn.

    • B. 

      A) Pediatric patients have a greater risk of heart problems associated with the burn.

    • C. 

      C) Infants and chi ldren have a greater risk of infection from the burn.

    • D. 

      D) None of the above

  • 36. 
    36. You are assessing a 30-year-old male patient that had his arm caught in a piece of machinery. By the time youarrive he has been freed. The patient tel ls you that he does not understand why you were cal led, but as you inspect theinjured limb you notice a smal l puncture wound. You should have a high index of suspension of which of the followinginjuries?
    • A. 

      D) High-pressure injection

    • B. 

      C) Chemical burn

    • C. 

      B) Crush injury

    • D. 

      A) Puncture

  • 37. 
    37. Whi le assessing a patient with partial thickness burns to his chest and neck, what should be your highest priority(even if there are no symptoms presently)?
    • A. 

      B) Airway

    • B. 

      A) None of the choices

    • C. 

      C) Hypothermia

    • D. 

      D) Bleeding

  • 38. 
    38. You assess a 35-year-old female patient with a chemical burn to her right forearm and hand. As you assess the burn,you notice a whi te powder on the burn. What should be your next step?
    • A. 

      B) Brush the powder off the patient’s arm and hand, and then flush with copious amounts of water.

    • B. 

      A) Transport the patient immediately to the closest burn center.

    • C. 

      C) Flush the arm and hand with copious amounts of water.

    • D. 

      D) Brush off the powder, bandage the arm, and transport the patient to the closest trauma center.

  • 39. 
    39. When using the rule of palm to estimate the approximate body surface area burned, the patient's palm equals aboutwhat percentage of the body's surface area?
    • A. 

      A) 1 percent

    • B. 

      B) 2 percent

    • C. 

      C) 5 percent

    • D. 

      D) 3 percent

  • 40. 
    40. According to the Rule of Nines for infants and young chi ldren, the patient's head and neck account for whatpercentage of the total body surface area?
    • A. 

      D) 18 percent

    • B. 

      C) 9 percent

    • C. 

      B) 14 percent

    • D. 

      A) 13.5 percent