EMT 31 (mod 8)

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EMT Quizzes & Trivia

At times, as an EMT, you may respond to or receive a patient with head injuries. How well do you know the nervous system and the brain composition to enable prevent further damage? The quiz below will help you.


Questions and Answers
  • 1. 
    1. Messages from the body to the brain are carried by which of the fol lowing types of nerves?
    • A. 

      A) Sensory

    • B. 

      B) Skeletal

    • C. 

      C) Motor

    • D. 

      D) Cranial

  • 2. 
    2. Which of the fol lowing is a function of the autonomic nervous system?
    • A. 

      C) Constriction of blood vessels

    • B. 

      A) Speaking

    • C. 

      B) Running or walking

    • D. 

      D) Solving complex math problems

  • 3. 
    3. Which of the fol lowing is controlled by the left side of the brain?
    • A. 

      B) Sensation of the right leg

    • B. 

      A) Sensation in the left arm

    • C. 

      C) Movement of both lower extremities

    • D. 

      D) Movement of the left arm

  • 4. 
    4. The maxil lae form which of the fol lowing structures?
    • A. 

      B) Upper jaw

    • B. 

      A) Lower jaw

    • C. 

      C) Cheek bones

    • D. 

      D) Forehead

  • 5. 
    5. To which of the fol lowing sections of the spine are the ribs attached?
    • A. 

      A) Thoracic

    • B. 

      B) Sacral

    • C. 

      C) Cervical

    • D. 

      D) Lumbar

  • 6. 
    6. How many cervical vertebrae are there?
    • A. 

      A) 7

    • B. 

      B) 12

    • C. 

      C) 5

    • D. 

      D) 4

  • 7. 
    7. A fracture of which of the following bones would be considered a skull fracture?
    • A. 

      D) Any of the above

    • B. 

      C) Maxi l la

    • C. 

      B) Nasal bones

    • D. 

      A) Temporal bone

  • 8. 
    8. Which of the fol lowing is classified as an open head injury?
    • A. 

      B) Laceration with a skull fracture

    • B. 

      A) Contusion without a skull fracture

    • C. 

      C) Laceration without a skull fracture

    • D. 

      D) Both A and B

  • 9. 
    9. Which of the fol lowing is a sign of possible brain injury?
    • A. 

      D) Al l of the above

    • B. 

      C) Irregular breathing pattern

    • C. 

      B) Projecti le vomiting

    • D. 

      A) A deep laceration of the scalp

  • 10. 
    10. Your patient has been involved in a motor vehicle coll ision. He has a contusion on his forehead, is confused, and isbleeding from his nose. His heart rate is 90 beats per minute, blood pressure is 80/58 mmHg, respirations are 20 breathsper minute, and his skin is cool and clammy. Which of the fol lowing sets of injuries should you suspect?
    • A. 

      A) Head injury, spine injury, and internal bleeding

    • B. 

      B) Head injury

    • C. 

      C) Head injury and spine injury

    • D. 

      D) Head injury and internal bleeding

  • 11. 
    11. Hyperventi lation of a patient with a severe brain injury means that bag-valve-mask venti lations are provided at arate of ________ per minute.
    • A. 

      20

    • B. 

      24

    • C. 

      30

    • D. 

      34

  • 12. 
    12. Which of the fol lowing is a potential complication of hyperventi lating a patient with a brain injury?
    • A. 

      C) Decreasing blood flow to the brain

    • B. 

      A) Increasing the amount of carbon dioxide in the blood

    • C. 

      B) Increasing blood flow to the brain

    • D. 

      D) Decreasing the patient's blood pressure

  • 13. 
    • A. 

      B) Provide cervical spine immobil ization.

    • B. 

      A) Elevate the legs.

    • C. 

      C) Hyperventi late at a rate of 24 breaths per minute using supplemental oxygen.

    • D. 

      D) Apply a pressure dressing to her scalp lacerations.

  • 14. 
    14. A 44-year-old male involved in a coll ision at 50 mph struck the windshield of his vehicle with his face. Which ofthe fol lowing injuries should you prepare to treat?
    • A. 

      D) Al l of the above

    • B. 

      C) Airway obstruction

    • C. 

      B) Brain injury

    • D. 

      A) Cervical spine trauma

  • 15. 
    15. Which of the fol lowing statements concerning a concussion is true?
    • A. 

      B) The patient may not have any symptoms of the injury.

    • B. 

      A) It is a bruising of the brain tissue.

    • C. 

      C) It is accompanied by recurrent episodes of unconsciousness.

    • D. 

      D) Al l of the above

  • 16. 
    16. Which of the fol lowing causes worsening of the damage in a brain injury?
    • A. 

      D) Improper management of airway and venti lation

    • B. 

      C) Fai lure to keep the patient awake and talking

    • C. 

      B) Administration of 100 percent oxygen

    • D. 

      A) Allowing seepage of cerebrospinal fluid from the ears or nose

  • 17. 
    17. Which portions of the spine are the most vulnerable to injury
    • A. 

      B) Cervical and lumbar

    • B. 

      A) Thoracic and lumbar

    • C. 

      C) Cervical and sacra

    • D. 

      D) Thoracic and sacra

  • 18. 
    18. In most cases, which of the fol lowing is the correct way to provide initial management of a suspected cervical spineinjury?
    • A. 

      A) Hold the patient’s head sti l l in a neutral, "eyes forward" position.

    • B. 

      B) Gently apply pressure to the top of the patient’s head.

    • C. 

      C) Maintain the patient’s head and neck in the position they are found.

    • D. 

      D) Provide approximately 15 pounds of upward cervical traction.

  • 19. 
    19. Which of the fol lowing is NOT a common field finding in spinal injuries?
    • A. 

      A) Deformity

    • B. 

      B) Impaired breathing

    • C. 

      C) Tenderness

    • D. 

      D) Pain

  • 20. 
    20. Which of the fol lowing observations may the EMT use to rule out a spinal injury in a trauma patient?
    • A. 

      B) There is a lack of mechanism of injury.

    • B. 

      A) Patient is able to walk at the scene.

    • C. 

      C) There is a lack of numbness and paralysis of the extremities.

    • D. 

      D) Patient denies pain in his spine.

  • 21. 
    21. Which of the fol lowing is the underlying cause of neurogenic shock?
    • A. 

      D) Dilation of blood vessels

    • B. 

      C) Extreme emotional response to paralysis

    • C. 

      B) Fai lure of the heart to adequately pump blood

    • D. 

      A) Blood loss from damaged spinal blood vessels

  • 22. 
    22. Which of the fol lowing may result from the application of a cervical collar that is too large for the patient?
    • A. 

      C) Hyperextension of the neck

    • B. 

      A) Rotation of the head and neck

    • C. 

      B) Hyperflexion of the neck

    • D. 

      D) Excessive lateral movement of the mandible

  • 23. 
    • A. 

      D) Place the patient supine on the backboard, then put a pi l low under the right side of the backboard.

    • B. 

      C) Place the patient on her left side on the backboard.

    • C. 

      B) Place the patient supine on the backboard.

    • D. 

      A) Use a short immobil ization device and transport the patient in a sitting position.

  • 24. 
    24. Which of the fol lowing signs is LEAST likely to indicate a traumatic brain injury?
    • A. 

      A) Low blood pressure

    • B. 

      B) Irregular breathing pattern

    • C. 

      C) Vomiting

    • D. 

      D) Irrational behavior

  • 25. 
    25. Your patient is a 10-year-old male whose jacket hood caught on a branch as he jumped out of a tree. He wasmomentari ly suspended about 12 inches off the ground but was immediately lowered to the ground by his brothers.Which of the following injuries should you suspect?
    • A. 

      A) Cervical spine injury

    • B. 

      B) Lumbar spine injury

    • C. 

      C) Soft-tissue injury of the neck only

    • D. 

      D) Thoracic spine injury

  • 26. 
    26. Which of the fol lowing injuries is considered an indirect brain injury?
    • A. 

      D) Concussion

    • B. 

      C) Gunshot wound to the head

    • C. 

      B) Depressed skull fracture with cerebral penetration by bone fragments

    • D. 

      A) Cerebral laceration

  • 27. 
    27. Your patient is a 27-year-old male who has been involved in a motorcycle coll ision in which he was not wearing ahelmet. He does not respond when you speak to him, but he makes incomprehensible sounds when you press yourknuckles on his sternum. Which of the fol lowing BEST describes his level of consciousness?
    • A. 

      C) Painful

    • B. 

      A) Alert

    • C. 

      B) Verbal

    • D. 

      D) Unresponsive

  • 28. 
    28. Your patient is a 35-year-old woman who was driving a minivan that was struck in the driver's side door by anothervehicle. You notice that when you apply pressure to her sternum with your knuckles she extends her legs and flexes herarms and wrists. When giving your radio report, which of the fol lowing terms should you use to describe this?
    • A. 

      B) Posturing

    • B. 

      A) Tonic-clonic activi ty

    • C. 

      C) Cushing's reflex

    • D. 

      D) Battle's sign

  • 29. 
    • A. 

      D) Insert an oropharyngeal airway and venti late via bag-valve mask at 20 breaths per minute.

    • B. 

      C) Insert an oropharyngeal airway and give oxygen by nonrebreather mask at 15 lpm.

    • C. 

      B) Insert a nasopharyngeal airway and give oxygen by nonrebreather mask at 15 lpm.

    • D. 

      A) Insert an oropharyngeal airway and venti late via bag-valve mask at 30 breaths per minute.

  • 30. 
    30. Which of the fol lowing measures is NOT appropriate for a patient with a significant isolated head injury?
    • A. 

      A) Treat for shock by elevating the foot of the backboard.

    • B. 

      B) Keep the patient from becoming overheated.

    • C. 

      C) Try to keep the patient from being agitated.

    • D. 

      D) Control bleeding from head wounds.

  • 31. 
    31. Of the fol lowing patients, which injury is the highest priority to receive control led hyperventi lation?
    • A. 

      B) A 15-year-old female who was ejected from a vehicle, struck her head on a tree, and displays decerebrate movements in response to painful stimuli

    • B. 

      A) A 25-year-old female victim of battery who is awake but complains of a headache and has bloody fluid draining from her nose and left ear

    • C. 

      C) A 25-year-old male who regained consciousness one or two minutes after being struck on the head by a basebal l bat and is now asking repeti tive questions

    • D. 

      D) A 70-year-old male who struck his head when he fel l in the parking lot, has a large laceration on his forehead, and is disoriented

  • 32. 
    32. What is the Glasgow Coma Scale (GCS) of your adult male patient who has fal len off a horse, has his eyes open,can fol low your commands to squeeze his hands, but is confused about what happened and his whereabouts?
    • A. 

      14

    • B. 

      12

    • C. 

      15

    • D. 

      13

  • 33. 
    33. Your patient is a 30-year-old construction worker who fel l from a scaffolding and has been impaled through theright orbit by a 36-inch piece of concrete reinforcement bar. The patient responds to verbal stimuli and appears to havemultiple other injuries. Which of the following is the BEST course of action?
    • A. 

      D) Firmly stabil ize the reinforcement bar in place so that the rescue crew can cut it short.

    • B. 

      C) Test the reinforcement bar for stabi l i ty and remove it only if it is loose enough to be easi ly pulled from the wound.

    • C. 

      B) Transport with the reinforcement bar in place to prevent delay at the scene.

    • D. 

      Remove the reinforcement bar and pack the orbit wi th steri le moist dressings to keep the scene time under 10 minutes.

  • 34. 
    34. When blood accumulates between the brain and the dura mater, what is the result?
    • A. 

      D) Subdural hematoma

    • B. 

      C) Epidural hematoma

    • C. 

      B) Subdural contusion

    • D. 

      A) Epidural contusion

  • 35. 
    35. As pressure within the cranium increases, which of the fol lowing is the result?
    • A. 

      B) Increased blood pressure, decreased pulse

    • B. 

      A) Decreased blood pressure, decreased pulse

    • C. 

      C) Decreased blood pressure, increased pulse

    • D. 

      D) Increased blood pressure, increased pulse

  • 36. 
    36. Your patient is a 21-year-old male who slid head-first down a water slide at his fraternity house and impacted thebales of straw that his fraternity brothers had erected as a barrier to keep participants from sliding onto the adjacenthighway. The patient is conscious and complaining of neck pain. Which of the following should be included in yourassessment?
    • A. 

      D) Ask the patient to grasp and squeeze your hands.

    • B. 

      C) Ask the patient to cautiously touch his chin to his chest to check for range of motion.

    • C. 

      B) Apply painful stimuli to his extremities, starting distal ly and moving closer and closer to the body.

    • D. 

      A) If the patient has no numbness or tingling, ask him to stand and try to walk.

  • 37. 
    37. The proper procedure for opening the airway of an unresponsive trauma patient is:
    • A. 

      B) jaw-thrust maneuver.

    • B. 

      A) head-ti lt without chin-l if t.

    • C. 

      C) Sel l ick's maneuver.

    • D. 

      D) head-ti lt, chin-l ift maneuver.

  • 38. 
    38. Which of the fol lowing pieces of equipment is acceptable for use in the prehospital stabil ization of suspectedcervical spine injuries?
    • A. 

      C) Rigid cervical collars

    • B. 

      D) Al l of the above

    • C. 

      B) Five-pound sand bags

    • D. 

      A) Soft cervical collars

  • 39. 
    39. At which point may manual stabi l ization of the cervical spine be terminated?
    • A. 

      B) When the patient is secured to a long backboard

    • B. 

      A) Only when directed to do so by medical control

    • C. 

      C) After a short immobil ization device has been applied

    • D. 

      D) After a cervical collar has been appl ied

  • 40. 
    40. Which of the fol lowing describes the proper position of the patient's head for spinal immobil ization?
    • A. 

      B) Neutral, in-l ine "eyes forward" position

    • B. 

      A) Chin ti l ted upward for airway maintenance

    • C. 

      C) Stabi l ized in position found

    • D. 

      D) The "sniff ing" position

  • 41. 
    41. Which of the fol lowing may be a hazard of an improperly fitting cervical collar?
    • A. 

      D) Al l of the above

    • B. 

      C) Al lows flexion of the neck

    • C. 

      B) Prevents the patient from opening his mouth

    • D. 

      A) Allows hyperextension of the neck

  • 42. 
    42. When log-roll ing a patient with a suspected spinal injury, which of the fol lowing EMTs directs the move?
    • A. 

      A) The EMT at the head of the patient

    • B. 

      B) The EMT with the highest level of training

    • C. 

      C) The EMT with the most seniority

    • D. 

      D) The EMT at the heaviest portion of the patient

  • 43. 
    43. Which of the fol lowing is the correct sequence for securing the straps on a long spine board?
    • A. 

      C) Torso, legs, head

    • B. 

      A) Legs, torso, head

    • C. 

      B) Head, torso, legs

    • D. 

      D) Head, legs, torso

  • 44. 
    44. Your patient is a 38-year-old male driver of a vehicle that left the roadway and struck a bus stop shelter and a tree.He is conscious and alert, he has some abrasions on his forehead, his skin is warm and dry, and he has a strong radialpulse and no diff iculty breathing. Which of the fol lowing descriptions represents the MOST appropriate way forremoving the patient from the vehicle?
    • A. 

      D) Apply a cervical collar and short spine immobil ization device before removing to a long backboard.

    • B. 

      C) Place the backboard on the stretcher and have the patient stand, turn, and lie down on the backboard whi le you maintain manual in-l ine stabil ization of the cervical spine.

    • C. 

      B) Have the patient stand up and then do a "standing take-down" onto a long backboard.

    • D. 

      A) Apply a cervical collar and perform rapid extrication onto a long backboard.

  • 45. 
    • A. 

      A) A 52-year-old female who crashed her vehicle into the front of a convenience store and who is awake, oriented, and complaining of neck pain

    • B. 

      B) An unresponsive driver who was found in the driver's seat of a pickup truck that crashed into a tree

    • C. 

      C) A 15-year-old male who struck a curb with his motorized scooter and fl ipped over the handlebars

    • D. 

      D) A 77-year-old female who fell down a flight of stairs and is in an awkward position lying on her side on the landing

  • 46. 
    46. When using a short spine immobil ization device, which part of the body is secured last?
    • A. 

      C) Head

    • B. 

      A) Arms

    • C. 

      B) Torso

    • D. 

      D) Legs

  • 47. 
    47. In which of the following circumstances should a helmet be removed?
    • A. 

      C) If the helmet interferes with airway management

    • B. 

      A) If you suspect a skull fracture and need to palpate the head

    • C. 

      B) If you want to place a nasal cannula on the patient but cannot because his ears are covered by the helmet

    • D. 

      D) If the helmet fi ts so snugly that you cannot inspect the ears for the presence of blood or fluid

  • 48. 
    48. When should the EMT calculate a GCS with a patient who suffered a fal l of 20 feet from his apartment building?
    • A. 

      B) En route to the hospital

    • B. 

      A) At the hospital before writing the care report

    • C. 

      C) As he approaches the patient

    • D. 

      D) Before departing from the scene

  • 49. 
    49. Which of the following is NOT used to calculate a patient's GCS?
    • A. 

      C) Work of breathing

    • B. 

      D) Motor response

    • C. 

      B) Verbal response

    • D. 

      A) Eye movement

  • 50. 
    50. Which of the fol lowing systems includes the pairs of nerves that enter and exit the spinal cord between each pair ofvertebrae?
    • A. 

      A) Peripheral nervous system

    • B. 

      B) Central nervous system

    • C. 

      C) Autonomic nervous system

    • D. 

      D) All of the above

  • 51. 
    51. What is another name for the zygomatic bone?
    • A. 

      A) Malar

    • B. 

      B) Maxi l lae

    • C. 

      C) Temporal

    • D. 

      D) Mandible

  • 52. 
    52. The bony bumps you feel along the center of a person’s back are known as which of the fol lowing?
    • A. 

      C) Spinous process

    • B. 

      D) None of the above

    • C. 

      B) Foramen magnum

    • D. 

      A) Vertebrae

  • 53. 
    53. Which of the fol lowing is the opening at the base of the skull?
    • A. 

      A) Foramen magnum

    • B. 

      B) Orbits

    • C. 

      C) Spinous process

    • D. 

      D) Temporomandibular joint

  • 54. 
    54. You are treating a 54-year-old female patient who was involved in a domestic dispute; you notice an abrasion to theside of her head. The patient is unresponsive with a blood pressure of 200/110, a pulse of 60 beats per minute, andslightly irregular breathing. The patient’s presentation is most likely caused by which of the fol lowing?
    • A. 

      A) Increased intracranial pressure

    • B. 

      B) Coup-contrecoup injury

    • C. 

      C) Closed head injury

    • D. 

      D) Increased arterial pressure

  • 55. 
    55. You are treating an unresponsive homeless patient found in an al ley. During your assessment you notice bruisingbehind both ears. This is known as what?
    • A. 

      D) Battle’s signs

    • B. 

      C) Soldier’s signs

    • C. 

      B) Warrior’s signs

    • D. 

      A) Fatigue signs

  • 56. 
    56. You respond to a patient who was hit in the face wi th a chair. Upon arrival , you notice a patient leaning in thecorner and bleeding profusely from the mouth and nose. Your first action should be which of the fol lowing?
    • A. 

      A) Assure scene safety.

    • B. 

      B) Suction the airway and have the patient lean back.

    • C. 

      C) Take c-spine precautions.

    • D. 

      D) Place the patient on a nonrebreather mask at 15 lpm.

  • 57. 
    57. Glasgow Coma Scale (GCS) is a neurological assessment that looks at which of the fol lowing?
    • A. 

      A) Eye opening, verbal response, and motor response

    • B. 

      B) Grip strength, verbal response, and eye opening

    • C. 

      C) Verbal response, motor response, and AVPU

    • D. 

      D) Motor response, arm movement, and speech

  • 58. 
    58. Whi le assessing a patient with a laceration to the neck, the EMT must be aware that which of the fol lowingconditions may develop?
    • A. 

      B) Air embolus

    • B. 

      A) Deep vein thrombosis

    • C. 

      C) Air thrombosis

    • D. 

      D) Deep vein embolus

  • 59. 
    59. Which of the fol lowing is defined as an area of the body surface that is innervated by a single spinal nerve?
    • A. 

      D) Dermatome

    • B. 

      C) Malar

    • C. 

      B) None of the above

    • D. 

      A) Spinous process

  • 60. 
    60. You are treating a 35-year-old male patient that has been involved in a motorcycle incident. The patient isunresponsive with a blood pressure of 60/40, a pulse of 66 beats per minute, and respirations of 18 breaths per minute.The patient’s presentation is most likely caused by which of the fol lowing?
    • A. 

      D) Neurogenic shock

    • B. 

      C) Increased intracranial pressure

    • C. 

      B) Septic shock

    • D. 

      A) Cardiogenic shock