Paramedic Quiz Chapters 23,24

50 Questions | Total Attempts: 379

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Paramedic Quizzes & Trivia

Based on Nancy Caroline's Emergency Care in the streets chapters 23,24


Questions and Answers
  • 1. 
    Which of the following statements regarding the thorax is most correct
    • A. 

      The thoracic cavity extends to the ninth or tenth rib posteriorly

    • B. 

      The diaphragm inserts into the anterior thoracic cage below the fifth rib

    • C. 

      The dimensions of the thorax are defined inferiorly by the thoracic inlet

    • D. 

      The dimensions of the thorax are defined anteriorly by the thoracic vertebrae

  • 2. 
    The eighth, ninth, and tenth ribs are indirectly attached to the sternum by the 
    • A. 

      Manubrium

    • B. 

      Angle of louis

    • C. 

      Costal cartilage

    • D. 

      Suprasternal notch

  • 3. 
    The space between the second and third ribs is called the
    • A. 

      Third intercostal space

    • B. 

      Intrathoracic margin

    • C. 

      Second intercostal space

    • D. 

      Second subcostal margin

  • 4. 
    The visceral pericardial layer
    • A. 

      Comprises the pericadial sac itself

    • B. 

      Is attached directly to the diaphragm

    • C. 

      Is the outermost layer of the pericardium

    • D. 

      Adheres to the heart and forms the epicardium

  • 5. 
    The pressure within the right ventricle is 
    • A. 

      Less than the pressure within the right atrium

    • B. 

      One fourth of the pressure within the left ventricle

    • C. 

      Nearly equal to the pressure within the left ventricle

    • D. 

      Three times greater than the pressure in the left ventricle

  • 6. 
    What is the cardiac output for an 80kg man who has a heart rate of 80 beats/min and a stroke volume of 60mL
    • A. 

      4,800

    • B. 

      5,200

    • C. 

      6,000

    • D. 

      6,400

  • 7. 
    Which of the following is not a sight of potential injury when the aorta is subjected to shearing forces during rapid deceleration
    • A. 

      Anulus

    • B. 

      Coronary sinus

    • C. 

      Aortic hiatus

    • D. 

      Ligamentum arteriosum

  • 8. 
    The diaphragm
    • A. 

      Is an accessory muscle used during respiratory distress

    • B. 

      Works in conjunction with the sternum during inspiration

    • C. 

      Forms a barrier between the thoracic and abdominal cavities

    • D. 

      Creates positive intrathoracic pressure when it increases in size

  • 9. 
    Isolated rib fractures may result in inadequate ventilation because
    • A. 

      The patient often purposely limits chest wall movement

    • B. 

      Most rib fractures cause paradoxical chest wall movement

    • C. 

      The pain associated with the fracture causes hyperventilation

    • D. 

      Preferential use of the intercostal muscles reduces tidal volume

  • 10. 
    The self splinting effect observed in patients with chest wall trauma
    • A. 

      Allows the body to compensate for the injury

    • B. 

      May cause atelectasis, hypoxemia, or pneumonia

    • C. 

      Is often accompanied by subcutaneous emphysema

    • D. 

      Is characterized by a markedly increased tidal volume

  • 11. 
    An open pneumothorax causes ventilatory inadequacy when
    • A. 

      Positive pressure created by expiration forces air into the pleural space

    • B. 

      The heart stops perfusing the lung on the side of an open chest injury

    • C. 

      Negative pressure created by inspiration draws air into the pleural space

    • D. 

      The glottic opening is much larger than the open wound on the chest wall

  • 12. 
    As air accumulates in the pleural space, the first thing to occur is
    • A. 

      Decreased pulmonary function

    • B. 

      Contralateral tracheal deviation

    • C. 

      Compression of the great vessels

    • D. 

      Marked decrease in venous return

  • 13. 
    By definition, a massive hemothorax is characterized by
    • A. 

      Pulmonary injury with secondary myocardial injury

    • B. 

      10% of circulating blood volume in the pleural space

    • C. 

      Cardiac arrest secondary to severe intrapleural bleeding

    • D. 

      More than 1,500 mL of blood within the pleural space

  • 14. 
    Dysrhythmias following a myocardial contusion are usually secondary to 
    • A. 

      Excess tachycardia that accompanies the injury

    • B. 

      Damage to myocardial tissue at the cellular level

    • C. 

      Aneurysm formation caused by vascular damage

    • D. 

      Direct damage to the vasculature of the epicardium

  • 15. 
    Traumatic injuries to the aorta are most commonly the result of 
    • A. 

      Shearing forces

    • B. 

      Rear-end collisions

    • C. 

      Penetrating trauma

    • D. 

      Motorcycle crashes

  • 16. 
    Anatomically, the abdominal cavity extends from the 
    • A. 

      Fifth rib to the pelvis

    • B. 

      Umbilicus to the pelvis

    • C. 

      Diaphragm to the pelvis

    • D. 

      Nipple line to the diaphragm

  • 17. 
    EMS providers can have the most positive impact on mortality and morbity from abdominal trauma by
    • A. 

      Recognizing the need for rapid transport

    • B. 

      Initiating fluid resuscitation in the field

    • C. 

      Contracting medical control immediately

    • D. 

      Performing a careful abdominal assessment

  • 18. 
    The periumbilical area refers to the 
    • A. 

      Space behind the navel

    • B. 

      External umbilical orifice

    • C. 

      Areas lateral to the umbilicus

    • D. 

      Area around the umbilicus

  • 19. 
    Intraperitoneal organs include all of the following, except the
    • A. 

      Panceas

    • B. 

      Stomach

    • C. 

      Small bowel

    • D. 

      Gallbladder

  • 20. 
    Which of the following statements regarding the liver is most correct
    • A. 

      The liver is the largest hollow organ in the abdomen and is responsible for producing and storing bile

    • B. 

      The liver is a relatively avascular organ that is uncommonly injured during blunt abdominal trauma

    • C. 

      The liver is a solid organ that lies in the right upper abdominal quadrant and detoxifies the blood

    • D. 

      The liver is partially protected by the left lower ribcage and serves the function of filtering bacteria from the blood

  • 21. 
    As the contents exit the stomach, they first pass through the 
    • A. 

      Pylorus

    • B. 

      Duodenum

    • C. 

      Gallbladder

    • D. 

      Cardiac sphincter

  • 22. 
    Intraabdominal bleeding may produce few signs and symptoms of trauma because
    • A. 

      The intraabdominal cavity can accommodate large amounts of blood

    • B. 

      Blood in the peritoneum can compress the aorta and maintain perfusion

    • C. 

      It takes approximately 4 liters of blood loss before signs of shock manifest

    • D. 

      The abdominal muscular can sustain massive blunt force without bruising

  • 23. 
    The major complications associated with hollow organ injury is
    • A. 

      Massive internal hemorrhage and profound shock

    • B. 

      Peritonitis caused by rupture and spillage of toxins

    • C. 

      Immediate death secondary to a massive infection

    • D. 

      Delayed treatment due to the absence of external signs

  • 24. 
    During the third collision in a motor vehicle crash
    • A. 

      Hollow abdominal organs rupture upon impact

    • B. 

      The persons abdomen collides with the steering wheel

    • C. 

      Rapid deceleration propels an unrestrained person forward

    • D. 

      Abdominal organs shear from their points of attachment

  • 25. 
    Which of the following factors does not contribute to the extent of injury from a gunshot wound to the abdomen
    • A. 

      Size of the patient

    • B. 

      Profile of the bullet

    • C. 

      Trajectory of the bullet

    • D. 

      Distance the bullet traveled

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