EMT 30 Quiz

1. 7. Which of the fol lowing bones is found in the chest?

C) Sternum

A) Tarsals

B) Il ium

D) Metacarpals

2. 6. Which of the fol lowing is a complication of bone fractures?

D) All of the above

C) Hemorrhage

B) Swel l ing

A) Nerve damage

3. 5. Where could you find the phalange bones?

D) Hands and feet

C) Skull and neck

B) Lower extremities

A) Upper extremities

4. 2. The part of the skeleton that is made up from the skull and spinal column is cal led the:

C) axial skeleton.

A) appendicular skeleton.

B) boney skeleton.

D) torso.

5. 29. Your patient is a 70-year-old male whose tractor rolled over onto him. Your assessment makes you suspicious thatthe patient has a fractured pelvis. Which of the fol lowing complications should you anticipate?

D) All of the above

C) Damage to the nerves of the lower extremities

B) Damage to internal organs

A) Shock

6. 13. A traction splint may be used on which of the fol lowing musculoskeletal injuries?

B) A possible fracture of the femur

A) A possible fracture of the cervical spine

C) Suspected multiple fractures of the femur, tibia, and fibula

D) A possible fracture of the humerus

7. 4. Which of the fol lowing allows for smooth movement of bone surfaces against one another at joints?

D) Carti lage

C) Peritoneum

B) Ligaments

A) Smooth muscle

8. 8. Your patient is a 60-year-old woman who stepped off a curb and injured her ankle. Your exam shows that her leftankle is swollen and painful. Which of the fol lowing should you do?

C) Transport the patient immediately to a trauma center, applying high-concentration oxygen en route.

9. 19. Which of the fol lowing is NOT a principle of splinting that must be considered by the EMT?

D) Gently replace protruding bone ends back beneath the skin to prevent further contamination.

C) Check the distal neurovascular function before and after splinting.

B) Splint an isolated extremity injury before moving the patient to the stretcher.

A) Immobil ize the site of an extremity injury from the joint above it to the joint below it.

10. 18. Your patient is an 11-year-old male who has a swol len, painful, and angulated right lower arm after fal l ing fromhis bicycle onto his hands. Which of the following should be considered in the immobilization of his injured extremity?

A) Check pulse, movement, and sensation distal to the injury before and after splinting.

B) Immobil ize from the shoulder to the wrist.

C) Use an upper extremity traction splint.

D) Do not attempt to real ign the extremity before splinting.

11. 14. Which of the fol lowing is appropriate in the examination of a painful, swollen extremity of a conscious patient?

C) Comparing the injured side to the uninjured side

D) Seeing if you can elicit crepitus on palpation

B) Asking the patient to see if he can bear weight on the extremity

A) Gently attempting to flex the mid-portion of the bone to check for angulation

12. 26. A suspected musculoskeletal injury of the shoulder is BEST managed by which of the following techniques?

A) Placing the arm in a sling and using a triangular bandage to secure it to the body

B) Using an upper extremity traction splint

C) Placing two long padded board splints on either side of the extremity, extending from the shoulder to the wrist

D) Using a long-arm air splint

13. 1. What is a primary problem when treating musculoskeletal injuries?

A) Many musculoskeletal injuries have a grotesque appearance, and the EMT cannot be distracted from life-threateningconditions by a deformed limb.

B) All musculoskeletal injuries are l ife threatening due to the bone bleeding, leading to hypoperfusion.

D) Most musculoskeletal injuries are simply splinted and not a life threat to the patient.

14. 9. Which of the fol lowing BEST describes the compartment syndrome?

B) A life-threatening condition caused by trapping the blood flow by a fracture when the bone ends cut the bloodvessels

A) A serious condition caused by the amount of equipment that must be carried in the ambulance compartments.

15. 30. A painter fal ls from his ladder and tells you he has dislocated his shoulder again. When you attempt to splint theshoulder it "pops back into place." What should your next step be?

B) Check distal CSM, apply a sl ing and swathe, and transport the patient.

A) Contact medical control for input into the best treatment for this patient.

C) Check distal CSM, apply a traction splint, and transport the patient.

D) Continue splinting and report the popping sound to the triage nurse when you arrive at the hospital.

16. 3. Which of the fol lowing structures connect bone ends, making joints more stable?

A) Ligaments

B) Carti lage

D) Periosteum

C) Tendons

17. 15. Which of the fol lowing is NOT a benefit of splinting an injury to bones and connective tissues?

C) It restricts blood flow to the site of the injury to prevent swell ing.

D) It reduces pain.

B) It may prevent a closed injury from becoming an open injury.

A) It prevents neurological damage due to movement of bone ends or fragments.

18. 12. Which of the fol lowing describes an open extremity injury?

D) Both A and B

C) The joint capsule has been torn open during a dislocation.

B) Bone ends have lacerated the soft tissues and skin from the inside.

A) A gunshot wound has penetrated the skin and then fractured the bone.

19. 28. Blood at the meatus of the penis (opening of the urethra) is a sign of:

B) pelvic trauma/fracture.

A) spinal fracture or injury.

C) pelvic dislocation syndrome.

D) priapism.

20. 17. When the EMT is assessing compromise to an extremity, perhaps due to an orthopedic injury, the EMT shouldinitial ly check what "Six Ps"?

D) Pain, pal lor, paresthesia, pulses, paralysis, and pressure

C) Pain, pal lor, position, pulses, placement, and pad

B) Pain, pal lor, paresthesia, pulses, placement, and pressure

A) Pain, pal lor, position, pulses, placement, and pressure

21. 20. A new EMT who is treating a suspected femur injury asks his partner, "How much traction should I pull?" Thepartner's BEST reply is which of the following?

D) The amount of traction appl ied should be 15 pounds.

B) Pull enough traction to give the patient some relief from the pain.

A) No traction splint applied in the field pulls true traction; they must pull 20 pounds of countertraction.

22. 27. The PASG may be used as a splinting device for patients with which of the fol lowing suspected injuries?

C) Fractured pelvis

D) None of the above

B) Compression fracture of the lumbar or sacral spine

A) Hip dislocation

23. 11. Which of the fol lowing is an injury to the musculature of an extremity?

B) Strain

A) Luxation

C) Fracture

D) Sprain

24. 16. Your patient is a 20-year-old college student who has fal len from a third-level balcony onto a wooden deck below.The patient responds to verbal stimuli, is pale in color with moist skin, and has a very obvious deformity withprotruding bone ends of his right forearm. Which of the fol lowing is the BEST sequence of intervention for this patient?

25. 25. Your patient is a 37-year-old man who tripped whi le walking down a hi l l and now has a painful, deformed rightleg. Your assessment reveals that the foot is cold and mottled in appearance. You cannot detect a pulse in the foot orankle. Which of the fol lowing is the BEST course of action?

B) Gently attempt to straighten the leg to regain a pulse before splinting.

C) Splint the leg in the position in which it was found and transport without delay.

D) Transport rapidly to the nearest trauma center.

26. 23. You are treating a 16-year-old skateboarder who has fal len at the skate park. She has an angulated left forearmthat she has in a guarded position. When do you splint this injury?

D) During the secondary exam

C) During the primary exam

B) Immediately

A) En route to the hospital

27. 24. Your patient is a 28-year-old male who was ejected from his motorcycle after striking a parked vehicle. He hasmultiple deformities to his upper and lower extremities on both sides. Which of the fol lowing would be the BEST wayto immobil ize this patient's extremities prior to transport?

D) Immobil ize the patient to a long backboard without spl inting the extremities individual ly.

C) Use moldable spl ints for the upper and lower extremities, padding any voids to fully stabil ize the fractures.

B) Use padded board splints for the upper extremities and PASG for the lower extremities.

28. 10. Your patient is a 12-year-old female who fel l onto her outstretched hands whi le rollerblading. She has a deformityof her forearm, about 2 inches proximal to her wrist. This injury is a result of which of the fol lowing mechanisms?

B) Indirect force

A) Direct force

C) Sudden acceleration

D) Twisting motion

29. 21. Which of the fol lowing complications may arise from properly splinting an injured extremity?

C) Ignoring life-threatening problems whi le focusing on an extremity injury

D) All of the above

B) Compromising circulation to the extremity

A) Converting a closed fracture to an open one

30. 22. Your patient is a 3-year-old girl who is unable to move her elbow after her mother picked her up by the forearm.Proper splinting of this injury would be to immobil ize from the ________ to the ________.

C) forearm; humerus

A) wrist; elbow

B) wrist; shoulder

D) fingertips; shoulder