EMT 29 (mod 8)

41 Questions

Settings
EMT Quizzes & Trivia

Some wounds on an emergency will require dressing? How good are you as an EMT in this? It is important to know as much as you can. The quiz below helps in this and more related content. All the best.


Questions and Answers
  • 1. 
    1. Which of the following is a true statement regarding the skin’s status in the case of a closed chestinjury?
    • A. 

      D) The skin is not penetrated.

    • B. 

      C) The skin is penetrated.

    • C. 

      B) The skin may be penetrated and occluded.

    • D. 

      A) Internal contusions and lacerations cannot occur.

  • 2. 
    2. Which of the following is a strategy to maintain an occlusive dressing to bloody or diaphoretic skin?
    • A. 

      B) Manually maintain pressure.

    • B. 

      A) Do not use occlusive dressings in this case.

    • C. 

      C) Do not use adhesive tape.

    • D. 

      D) Wrap the dressing circumferentially with gauze.

  • 3. 
    3. Some drawbacks to using sterile aluminum foil as an occlusive dressing include:
    • A. 

      D) skin lacerations may occur from the sharp edges.

    • B. 

      C) foil cannot create an airtight seal.

    • C. 

      B) a flutter valve is difficult to create.

    • D. 

      A) sterility cannot be ensured unless the materials were autoclaved.

  • 4. 
    4. Which of the following is required in the management of all open soft-tissue injuries?
    • A. 

      B) The use of Standard Precautions by the EMT

    • B. 

      A) Provision of high-concentration oxygen to the patient

    • C. 

      C) Cervical spine precautions

    • D. 

      D) Application of a disinfectant solution during clean-up

  • 5. 
    5. In addition to lacerations, blunt trauma resulting in a closed chest injury creates the potential for whichof the following internal injuries?
    • A. 

      B) Contusion

    • B. 

      A) Abrasion

    • C. 

      C) Evisceration

    • D. 

      D) Avulsion

  • 6. 
    6. You are dispatched to a 42-year-old male who was shot in the abdomen and thrown from a vehicle. Thepatient is critical and a high-category trauma; however, due to the mechanism of illness, it is necessary tobackboard the patient prior to transport. What is an important assessment before securing the patient?
    • A. 

      B) Examining the patient for entrance and exit wounds

    • B. 

      A) Verifying trauma center ER bed availability

    • C. 

      C) Searching for presence of diaphoresis, tachycardia, and hypotension

    • D. 

      D) Performing a distal neurological assessment

  • 7. 
    7. Which of the following is a vascular organ in the abdomen that can produce blood loss quickly enoughto result in life-threatening hemorrhage following high mechanism of injury blunt trauma?
    • A. 

      B) Liver

    • B. 

      A) Intestines

    • C. 

      C) Pancreas

    • D. 

      D) Kidneys

  • 8. 
    8. You're an off-duty EMT who encounters a patient sitting behind the wheel of a vehicle that ran off theroad along an isolated county road. It appears the patient was unrestrained, or not wearing a seat belt, andstruck the steering wheel with his chest. On assessment, you notice a paradoxical motion to the patient'schest on inspiration and expiration. When you radio for dispatch of an ambulance, which of the followingpieces of information would you be sure to include?
    • A. 

      D) The patient may have a flail chest.

    • B. 

      C) The patient is showing signs of an open chest injury.

    • C. 

      B) The patient is showing signs of abdominal bleeding.

    • D. 

      A) The patient may have an abdominal evisceration.

  • 9. 
    9. Which of the following BEST describes an evisceration?
    • A. 

      A) An open wound of the abdomen from which organs protrude

    • B. 

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

    • C. 

      C) An accumulation of blood beneath the skin, resulting in swelling

    • D. 

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

  • 10. 
    10. Bleeding from open abdominal injuries should initially be controlled with which one of the followingtechniques?
    • A. 

      C) Applying direct pressure to the wound

    • B. 

      A) Packing the wound with rolled gauze

    • C. 

      B) Applying an occlusive dressing

    • D. 

      D) Applying an ice pack or chemical cold pack

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

      A) Contusion

    • B. 

      B) Evisceration

    • C. 

      C) Avulsion

    • D. 

      D) Abrasion

  • 12. 
    12. A 36-year-old male was accidentally shot with a nail gun into the chest. You see the nail, whichprotrudes about 2 to 3 centimeters from the thorax, when you visualize the injury site. Under which of thefollowing circumstances should you remove the nail from the injury site?
    • A. 

      D) None of the above

    • B. 

      C) The patient begins to complain of shortness of breath.

    • C. 

      B) The patient develops a tension pneumothorax.

    • D. 

      A) Bleeding from the patient's wound is minimal.

  • 13. 
    13. Which of the following injuries does NOT produce distended neck veins?
    • A. 

      D) All of the answer choices may cause distended neck veins.

    • B. 

      C) Cardiac tamponade

    • C. 

      B) Tension pneumothorax

    • D. 

      A) Traumatic asphyxia

  • 14. 
    14. Which of the following injuries requires the use of an occlusive dressing?
    • A. 

      D) All of the above

    • B. 

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

    • C. 

      B) An open wound to the neck

    • D. 

      A) An open wound to the chest

  • 15. 
    15. Which of the following is an unreliable sign for determining the presence of a tension pneumothorax?
    • A. 

      D) Trachea that shifts to the side opposite the injury

    • B. 

      C) Shortness of breath

    • C. 

      B) Signs and symptoms of shock

    • D. 

      A) Distended neck veins

  • 16. 
    16. Which of the following describes the proper application of an occlusive dressing for an open chestwound?
    • A. 

      C) Tape the dressing securely on three sides.

    • B. 

      D) None of the above

    • C. 

      B) Use a porous material such as a 4" by 4" gauze pad.

    • D. 

      A) Trim the dressing so that it is the exact size of the wound.

  • 17. 
    17. For which of the following wounds should the EMT apply an absorbent dressing moistened withsterile saline and then cover it with an occlusive dressing?
    • A. 

      A) A gunshot wound to the abdomen from which a loop of intestine is protruding

    • B. 

      B) A stab wound to the chest

    • C. 

      C) A laceration to the neck

    • D. 

      D) The stump of an amputated extremity

  • 18. 
    18. The pathophysiology of _________ is one in which the pericardial sac fills with blood to the pointwhere the chambers of the heart no longer fill adequately, usually secondary to trauma.
    • A. 

      C) cardiac tamponade

    • B. 

      D) commotio cordis

    • C. 

      B) hemopneumothorax

    • D. 

      A) pericardial effusion

  • 19. 
    19. Which of the following traumatic chest injuries may result in massive, often fatal internalhemorrhage?
    • A. 

      C) Aortic dissection

    • B. 

      A) Hemopneumothorax

    • C. 

      B) Hemothorax

    • D. 

      D) Cardiac tamponade

  • 20. 
    20. You are on an EMS standby for a boxing tournament. During one of the matches, one of the femaleboxers delivers a forcible uppercut to the chest of her opponent, who falls to the ground. The match isdeclared over on the basis of a TKO. However, the opponent fails to arise following a 1–2 minuteinterval. EMS is summoned to the ring. You find the patient pulseless and breathing agonal gasps. Yoususpect which of the following traumatic conditions?
    • A. 

      D) Commotio cordis

    • B. 

      C) Tension pneumothorax

    • C. 

      B) Aortic dissection

    • D. 

      A) Cardiac tamponade

  • 21. 
    21. While palpating the radial pulses of a patient who was involved in a motor vehicle crash, you notice adifference in the strength of the pulses bilaterally. This is a finding that you suspect may be associatedwith:
    • A. 

      A) aortic dissection.

    • B. 

      B) tension pneumothorax.

    • C. 

      D) flail chest.

    • D. 

      C) commotio cordis.

  • 22. 
    22. Common signs and symptoms following an injury to a hollow abdominal organ include:
    • A. 

      B) irritation and peritonitis.

    • B. 

      A) increasing intrathoracic pressures.

    • C. 

      C) massive hemorrhage.

    • D. 

      D) absence of unilateral pulses.

  • 23. 
    23. Which of the following patients is at greatest risk of respiratory failure and should be carefullymonitored for ventilatory status throughout treatment and transport?
    • A. 

      A) Tension pneumothorax

    • B. 

      B) Flail chest

    • C. 

      C) Abdominal evisceration

    • D. 

      D) Hemopneumothorax

  • 24. 
    24. Which of the following types of bandages should NOT be used by the EMT providing wound care?
    • A. 

      B) Tourniquet

    • B. 

      A) Self-adherent roller gauze

    • C. 

      C) A triangular bandage

    • D. 

      D) Adhesive tape

  • 25. 
    25. Which of the following is a desirable characteristic of dressings used in the prehospital managementof most open wounds?
    • A. 

      B) Sterile

    • B. 

      A) Nonabsorbent

    • C. 

      C) Occlusive

    • D. 

      D) Adherent

  • 26. 
    26. You are caring for a 27-year-old male who has a puncture wound to the right upper chest. The patientwas stabbed with a serrated steak knife by his ex-girlfriend. You have placed an occlusive dressing to thesite and began emergent transport to the closest trauma center. However, while en route the patient beginsto complain of increasing shortness of breath. You notice a decrease in ventilatory volume and anincrease in thoracic diameter. Which of the following options would be the best step to perform next? 
    • A. 

      A) Free a corner or edge of the dressing to release pressure buildup.

    • B. 

      B) Begin providing BVM-assisted ventilations to the patient.

    • C. 

      C) Call dispatch for an ALS intercept en route to the hospital.

    • D. 

      D) Begin providing CPR to the patient.

  • 27. 
    27. Your patient is a 55-year-old male who was found in the parking lot behind a tavern. He states that hewas assaulted and robbed by three individuals. He is complaining of being "hit in the face and kicked andpunched in his ribs and stomach." Your examination reveals contusions and swelling around both eyes,bleeding from the nose, a laceration of his upper lip, and multiple contusions of the chest, abdomen, andflanks. Which of the following should cause the greatest concern regarding the prehospital care of thispatient?
    • A. 

      C) The possibility of a pneumothorax

    • B. 

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

    • C. 

      B) Getting a description of the assailants

    • D. 

      D) Reducing the swelling around his eyes by applying a cold pack

  • 28. 
    28. Which of the following is NOT appropriate in caring for a patient with closed soft-tissue injuries anda significant mechanism of injury?
    • A. 

      D) All of the answer choices 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.

  • 29. 
    29. Which of the following is true concerning lacerations?
    • A. 

      D) All of the above

    • B. 

      C) They may indicate deeper underlying tissue damage.

    • C. 

      B) They may be caused by penetrating trauma.

    • D. 

      A) They may be caused by blunt trauma.

  • 30. 
    30. Which of the following is of concern with a puncture wound?
    • A. 

      D) All of the above

    • B. 

      C) Hidden internal bleeding with minimal external bleeding

    • C. 

      B) The strong possibility of contamination

    • D. 

      A) The object that remains impaled in the body

  • 31. 
    31. Which of the following is an accurate definition of a flail chest?
    • A. 

      B) A section of the chest wall that is unstable, leading to breathing problems

    • B. 

      A) A lung that has been punctured by a fractured rib, resulting in a buildup of air

    • C. 

      C) The fracture of one rib in two or more consecutive places

    • D. 

      D) The fracture of at least four ribs in two or more places

  • 32. 
    32. What is the underlying cause of bluish or reddish facial discoloration following a traumaticasphyxiation?
    • A. 

      A) High pressure on the chest leads to blood being forced from the right atrium into the face and neck.

    • B. 

      B) The patient has become hypoxic due to a chest injury and the finding suggests central cyanosis.

    • C. 

      C) The physiological strain of the body results in a flushed appearance and increased risk of a hypertensive event.

    • D. 

      D) Bluish or reddish facial discoloration is not associated with traumatic asphyxiation; a pale discoloration is usually present

  • 33. 
    33. On assessment of the midsection of a 32-year-old male who was struck by a car, you find anabdominal evisceration with several loops of his large intestine exposed. The abdomen appears to have aclean-cut laceration and the bleeding is controlled. Which of the following is the BEST approach towardmanaging the exposed intestines?
    • A. 

      A) Moisten a sterile dressing with saline solution and cover the abdominal contents.

    • B. 

      B) Gently replace the intestines after moistening with sterile saline solution.

    • C. 

      C) Leave the abdominal contents in the place in which they were found and transport immediately.

    • D. 

      D) Cover the abdomen with an occlusive dressing of aluminum foil.

  • 34. 
    34. Your patient is a 21-year-old male who has a gunshot wound to the chest. Which of the following isthe highest priority in managing this patient?
    • A. 

      D) Placing an occlusive dressing over the wound

    • B. 

      C) Placing a pressure dressing over the wound to control bleeding

    • C. 

      B) Performing a rapid trauma assessment

    • D. 

      A) Placing the patient in the shock position

  • 35. 
    35. Which of the following BEST describes the benefit of a three-sided occlusive dressing over a foursidedocclusive dressing for an open chest wound?
    • A. 

      D) It reduces the chances of developing a tension pneumothorax.

    • B. 

      C) It allows easy access for re-examination of the wound en route to the hospital.

    • C. 

      B) It prevents the development of a hemothorax by allowing blood to escape.

    • D. 

      A) It eliminates the need to continue monitoring the patient's respiratory status.

  • 36. 
    36. The mechanism of injury in which a patient's chest has struck an immovable object, such as a steeringwheel, may most accurately be described as a:
    • A. 

      B) compression injury.

    • B. 

      C) penetrating injury.

    • C. 

      A) blunt trauma injury.

    • D. 

      D) coup contrecoup injury.

  • 37. 
    37. The chest cavity can hold up to ________ liter(s) in an adult, leading to the possibility of massiveinternal hemorrhage without any external blood loss.
    • A. 

      A) 3

    • B. 

      B) 5

    • C. 

      C) 0.5

    • D. 

      D) 1

  • 38. 
    38. You are stabilizing a patient who has just been stabbed in the chest to the right of the mediastinum.After placing the patient on supplemental oxygen, his shortness of breath resolves. You also cover thewound with an occlusive dressing. The patient is asymptomatic at the time you're making the decision totransport. Which of the following BEST encapsulates the correct strategy for transport?
    • A. 

      B) Transport the patient emergently because of the high index of suspicion for a serious injury.

    • B. 

      A) The patient does not necessarily need transport, so allow him to refuse if he wants.

    • C. 

      C) Begin transport non-emergently and upgrade if the patient’s condition deteriorates.

    • D. 

      D) Transport the patient non-emergently because he's complaint free.

  • 39. 
    39. What is the correct terminology for a wound in which a vacuum has been created within the chest,drawing air into the thorax with each breath?
    • A. 

      A) A sucking chest wound

    • B. 

      B) A closed tension pneumothorax

    • C. 

      C) An open chest wound

    • D. 

      D) A gurgling chest wound

  • 40. 
    40. A patient with jugular vein distention is most likely suffering from which of the following injuries?
    • A. 

      D) Tension pneumothorax

    • B. 

      C) Hemopneumothorax

    • C. 

      B) Hemothorax

    • D. 

      A) Pneumothorax

  • 41. 
    41. Your patient was working on a car when it fell off the jack and trapped him between the tire andground. His face is very blue and his eyes are bloodshot. Which of the following has the patient mostlikely suffered?
    • A. 

      B) Traumatic asphyxia

    • B. 

      A) Hemothorax

    • C. 

      C) Pneumothorax

    • D. 

      D) Flail chest