Paramedic Quiz Chapter 21 And 22

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Paramedic Quizzes & Trivia

Based off Nancy Caroline's Emergency Care in the streets chapter 21 and 22


Questions and Answers
  • 1. 
    The ______ consists of eight bones that encase and protect the brain
    • A. 

      Skull

    • B. 

      Cerebrum

    • C. 

      Cranial vault

    • D. 

      Cribiform plate

  • 2. 
    Which of the following statements regarding thte nasal septum is most correct
    • A. 

      It may be slightly deviated to one side or the other

    • B. 

      The nasal septum is comprised mainly of cartilage

    • C. 

      Inflammation of the nasal septum is common during infection

    • D. 

      The nasal septum separates the oropharynx and nasopharynx

  • 3. 
    Cerebrospinal fuild is manufactured in the _______ of the brain and serves to_______
    • A. 

      Subdural space, prevent infection

    • B. 

      Cortex, protect the brain injury

    • C. 

      Ventricles, cushion and protect the bain

    • D. 

      Subarachnoid space, oxygenate the brain

  • 4. 
    When assessing a patient with maxillofacial trauma, it is most important to
    • A. 

      Gently palpate the maxilla, mandible, and zygoma to elicit creipitus

    • B. 

      Protect the cervical spine and monitor the patient's neurologic status

    • C. 

      Apply a cervical collar and determine if the patient has visual disturbances

    • D. 

      Have the patient open his of her mouth and assess for dental malocclusion

  • 5. 
    If you are unable to orotracheally intubate a patient due to massive maxillofacial trauma and sever oropharyngeal and nasopharyngeal bleeding, you would most likely have to perform
    • A. 

      Nasotracheal intubation

    • B. 

      A needle or surgical cricothyrotomy

    • C. 

      Pharmacologically assisted intubation

    • D. 

      Digital intubation

  • 6. 
    General care for an eye injury involves
    • A. 

      Applying direct pressure to the globe

    • B. 

      Irrigating the eye with sterile saline solution

    • C. 

      Covering both eyes to minimize further injury

    • D. 

      Applying a cold compress to the eyeball

  • 7. 
    A patient with a dysconjugate gaze following an occular injury
    • A. 

      Most likely has a concomitant basilar skull fracture

    • B. 

      Should have ice applied to the eyes to prevent blindness

    • C. 

      Has discoordination between the movements of both eyes

    • D. 

      Should be treated by irrigating both eyes for 20 minutes

  • 8. 
    Alkali or strong acid burns to the eye should be irrigated for an absolute minimum of ______minutes
    • A. 

      10

    • B. 

      15

    • C. 

      20

    • D. 

      30

  • 9. 
    A ruptured tympanic membrane
    • A. 

      Commonly results in permanent hearing loss

    • B. 

      Is characterized by CSF leakage from the ears

    • C. 

      Commonly leads to an infection of the middle ear

    • D. 

      Is extremely painful but typically heals spontaneously

  • 10. 
    The primary risk associated with oral and dental injuries is
    • A. 

      Malocclusion

    • B. 

      Intraoral infection

    • C. 

      Permanent tooth loss

    • D. 

      Airway compromise

  • 11. 
    If a knife is impaled in the neck
    • A. 

      A cricothyrotomy may be required to establish a patent airway

    • B. 

      It should be removed in case the airway becomes compromised

    • C. 

      You should stabilize the object in place, regardless of its location

    • D. 

      It should be shortened to facilitate proper airway management

  • 12. 
    When managing the airway of an unresponsive patient with serious anterior neck trauma and inadequate breathing, you should
    • A. 

      Apply a cervical collar and perform intubation immediately

    • B. 

      Ventilate the patient with an oxygen powered ventilation device

    • C. 

      Give oxygen via nonrebreathing mask and apply a pulse oximeter

    • D. 

      Secure manual in-line stabilization of the cspine, assist ventilations with a BVM, and prepare to intubate

  • 13. 
    Death following a head injury is almost always the result of 
    • A. 

      An epidural hematoma

    • B. 

      Trauma to the brain

    • C. 

      Airway compromise

    • D. 

      Spinal cord transection

  • 14. 
    What type of skull fracture is most common following high energy direct trauma to a small surface area of the head with a blunt object
    • A. 

      Depressed fracture

    • B. 

      Open fracture

    • C. 

      Basilar fracture

    • D. 

      Nondisplaced fracture

  • 15. 
    When an unrestrained passenger's head strikes the windshield of a motor vehicle following rapid deceleration
    • A. 

      The anterior portion of the brain sustains stretching or tearing injuries and the posterior portion of the brain sustains compression injuries

    • B. 

      The head falls back against the headrest or seat and the brain collides with the rear of the skull, resulting in direct injury to the occipital lobe

    • C. 

      The brain initially strikes the rear of the skull, resulting in direct bruising, and then rebounds and strikes the front part of the skull

    • D. 

      Compression injuries occur to the anterior portion of the brain and stretching or tearing injuries occur to the posterior portion of the brain

  • 16. 
    Autoregulation is most accurately defined as 
    • A. 

      Reflex bradycardia that occurs secondary to systemic hypertension

    • B. 

      An increase in mean arterial pressure to maintain cerebral blood flow

    • C. 

      The forcing of CSF into the spinal cord as intracranial pressure increases

    • D. 

      A decrease in cerebral perfusion pressure that reduces intracranial pressure

  • 17. 
    Decerebrate posturing is characterized by
    • A. 

      Flexion of the arms and extension of the legs

    • B. 

      Inward flexion of the wrists and flexed knees

    • C. 

      Extension of the arms and extension of the legs

    • D. 

      Pulling in of the arms toward the core of the body

  • 18. 
    Common clinical findings associated with a subdural hematoma including all of the following, except
    • A. 

      Rapidly increasing ICP

    • B. 

      An underlying skull fracture

    • C. 

      A fluctuating level of consciousness

    • D. 

      Unilateral hemiparesis or slurred speech

  • 19. 
    Chronic subdural hematomas are most commonly seen in the patients who
    • A. 

      Are less than 2 years of age

    • B. 

      Have alcoholism

    • C. 

      Are prone to hypoglycemia

    • D. 

      Have high cholesterol

  • 20. 
    When assessing the severity of a traumatic brain injury, the single msot important assessment parameter is the patient's
    • A. 

      Initial GSC score

    • B. 

      Blood pressure

    • C. 

      Level of consciousness

    • D. 

      Response to verbal stimuli

  • 21. 
    The most effective method for decreasing morbidity and mortality associate dwith spinal cord injury is
    • A. 

      Rapid transportation to a trauma center

    • B. 

      Public education and prevention strategies

    • C. 

      Minimizing scene time to 10 minutes or less

    • D. 

      Routine use of spinal motion restriction precautions

  • 22. 
    The spine
    • A. 

      Is the major structural component of the axial skeleton

    • B. 

      Is comprised of irregular bones that are all fused together

    • C. 

      Consists of 23 bones articulating to form the spinal column

    • D. 

      Provides support and strength for the appendicular skeleton

  • 23. 
    Because of its weight bearing capacity, the _______ spine is especially susceptible to injury
    • A. 

      Cervical

    • B. 

      Thoracic

    • C. 

      Lumbar

    • D. 

      Coccygeal

  • 24. 
    As the body ages, the intervertebral discs
    • A. 

      Calcify and become more rigid

    • B. 

      Enlarge and result in increased height

    • C. 

      Are not able to protect the spinal cord

    • D. 

      Lose water content and become thinner

  • 25. 
    The ________ is a continuation of the central nervous system and exits the skull through the ________
    • A. 

      Vagus nerve, spinal cord

    • B. 

      Spinal cord, foramen magnum

    • C. 

      Brain stem, verebral foramen

    • D. 

      Medullar, cauda equina

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