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| 1 | Directions: Each of the numbered items or incomplete statements in this examination is followed by answers or by completions of the statement. Select the ONE lettered answer or completion that is the BEST response in each case.The vessels that carry blood away from the heart are called |
 | A) | venules. |
| B) | veins. |
| C) | arteries. |
| D) | capillaries. |
|
| 2 | The exchange of oxygen and carbon dioxide takes place between the blood and body cells through the walls of |
| A) | the aorta. |
| B) | veins. |
| C) | arteries. |
| D) | capillaries. |
|
| 3 | The purpose of placing a patient in the shock position with his legs elevated 8-12 inches is to |
| A) | slow the patient's heart rate. |
| B) | increase the amount of blood returning to the right side of the heart. |
| C) | decrease blood return to the left side of the heart. |
| D) | allow the patient to assume a position of comfort. |
|
| 4 | Tuberculosis and meningitis are examples of ________ diseases. |
| A) | airborne |
| B) | bloodborne |
| C) | foodborne |
| D) | sexually transmitted |
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| 5 | While at the scene of a stabbing, you are exposed to the patient's blood. Your first action should be to |
| A) | fill out an exposure report. |
| B) | notify your designated infection control officer. |
| C) | go home and shower completely. |
| D) | wash the affected area with soap and water. |
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| 6 | Which of the following rules about safe lifting is correct? |
| A) | Relax the muscles of your abdomen and buttocks before lifting. |
| B) | Position your feet close together to maintain your balance. |
| C) | Bend at the hips and lift with your back. |
| D) | Keep the weight to be lifted close to your body. |
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| 7 | Questions 7-10 pertain to the following scenario.
You and your partner are called to the scene of a 32-year-old man who was hit in the head by a softball. Upon arrival, you find your patient lying on the pitcher's mound at a local park. He is bleeding from a cut over his left eye. He does not respond to your questions but he does move away when you pinch his hand.After sizing up the scene and taking body substance isolation precautions, you approach the patient. You will be treating this patient based on |
| A) | your duty to your community. |
| B) | implied consent. |
| C) | expressed consent. |
| D) | the Good Neighbor Doctrine. |
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| 8 | While preparing the patient for transport to a local hospital, the patient regains consciousness. He can answer all of your questions appropriately. You ask him if he would like you to continue medical treatment. This form of consent is called |
| A) | minor consent. |
| B) | implied consent. |
| C) | expressed consent. |
| D) | the common-law doctrine. |
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| 9 | If you did not request permission to treat this patient, touching him may be considered |
| A) | assault. |
| B) | battery. |
| C) | negligence. |
| D) | failure to act. |
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| 10 | The patient states he does not want you to treat him. Which of the following statements about this patient's refusal of care is correct? |
| A) | The patient cannot refuse treatment because you have already begun care. |
| B) | The patient cannot refuse treatment because he was previously unconscious. |
| C) | The patient can refuse treatment only if law enforcement personnel are present at the scene. |
| D) | The patient can refuse treatment if he is mentally competent and his refusal is expressed and informed. |
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| 11 | Questions 11-14 pertain to the following scenario.
You and your partner are dispatched to the scene of a motor vehicle crash for a 27-year-old woman complaining of head and neck pain. After making sure the scene is safe and taking appropriate body substance precautions, you begin assessing your patient. She is awake and alert, sitting in the driver's seat of a compact car. The patient is complaining of neck pain. Which of the following lists reflects the order of the vertebrae from the base of the skull to the buttocks? |
| A) | Thoracic, lumbar, maxilla, sternum, and coccyx |
| B) | Cervical, thoracic, lumbar, sacral, and coccyx |
| C) | Clavicle, thoracic, lumbar, occipital, and coccyx |
| D) | Coccyx, thoracic, lumbar, sacral, and cervical |
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| 12 | The patient says she was not wearing her seat belt. She struck her chest on the steering wheel. She points to the center of her chest and says the area is tender. Another name for the breastbone is the |
| A) | ulna. |
| B) | patella. |
| C) | clavicle. |
| D) | sternum. |
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| 13 | After assessing this patient, you decide to remove her from the vehicle using a vest-type immobilization device. This type of device helps to immobilize the |
| A) | head and neck only. |
| B) | head, neck, and torso. |
| C) | head, neck, torso, and pelvis. |
| D) | head, neck, torso, pelvis, and limbs. |
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| 14 | Which of the following statements regarding immobilization with a vest-type device is correct? |
| A) | A vest-type device is designed for use in place of a long backboard. |
| B) | All straps on the device should be secured snugly before moving the patient. |
| C) | It is not necessary to apply a cervical collar because this device immobilizes the upper half of the patient's body. |
| D) | Once immobilized in this device, the patient should be placed directly on a stretcher and secured in place. |
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| 15 | Which of the following actions should you perform during an initial assessment? |
| A) | Splinting deformed limbs |
| B) | Dressing and bandaging wounds |
| C) | Immobilizing a patient on a long backboard |
| D) | Evaluating breathing |
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| 16 | When treating a patient experiencing a behavioral emergency, you should assess, question, and treat the patient |
| A) | as quickly as possible. |
| B) | at a slow, comfortable pace. |
| C) | without making eye contact with the patient. |
| D) | only after making sure the patient has been physically restrained. |
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| 17 | When exposed to a cold stimulus, the body attempts to preserve its core temperature. One method the body uses to preserve core temperature is |
| A) | stimulating the sweat glands. |
| B) | widening the peripheral blood vessels. |
| C) | narrowing the peripheral blood vessels. |
| D) | increasing the heart rate and rate of breathing. |
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| 18 | The first stage of the grieving process that most family members of a seriously injured or just deceased patient will show is |
| A) | anger. |
| B) | denial. |
| C) | bargaining. |
| D) | depression. |
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| 19 | You are called for a 55-year-old man who has locked himself in his bedroom. His wife tells you he recently lost his job. You suspect the patient is experiencing |
| A) | bipolar disorder. |
| B) | paranoia. |
| C) | schizophrenia. |
| D) | depression. |
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| 20 | If a patient tells you, "I am going to kill myself," your best response to this statement would be |
| A) | "How do you plan to do it?" |
| B) | "Don't talk like that." |
| C) | "Nothing can be that bad." |
| D) | "What makes you say something like that?" |
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| 21 | Fertilization normally occurs in the |
| A) | abdomen. |
| B) | ovary. |
| C) | fallopian tube. |
| D) | cervix. |
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| 22 | Crowning is |
| A) | protrusion of an organ through an open wound. |
| B) | the stage of birth when the presenting part of the infant is visible at the vaginal opening. |
| C) | a disorder in which the blood does not clot normally. |
| D) | a delivery in which the presenting part of the infant is the buttocks. |
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| 23 | A 32-year-old man was burned escaping from a house fire. He has partial-thickness (second-degree) burns covering the front of the trunk, the front and back of one arm, and the front and back of one leg. The percent of total body surface area involved is |
| A) | 18%. |
| B) | 27%. |
| C) | 32%. |
| D) | 45%. |
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| 24 | Which of the following terms and definitions is paired correctly? |
| A) | Platelets - defend the body against germs |
| B) | Plasma - clear, straw-colored component of blood |
| C) | Red blood cells - responsible for forming blood clots |
| D) | White blood cells - responsible for transporting oxygen to body cells |
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| 25 | Bleeding from an artery |
| A) | can be difficult to control due to high pressure within the vessel. |
| B) | oozes slowly from the site of injury. |
| C) | occurs more often than bleeding from veins because arteries are closer to the skin surface. |
| D) | is dark red or maroon in color. |
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| 26 | You are called to a local elementary school for a 9-year-old girl. You find the child in the nurse's office with a pencil embedded in her eye. Appropriate care for this injury should include |
| A) | breaking off the end of the pencil, covering both eyes, and arranging for transport. |
| B) | stabilizing the pencil in place with duct tape, covering the injured eye, and arranging for transport. |
| C) | stabilizing the pencil in place with a bulky dressing, covering both eyes, and arranging for transport. |
| D) | making one attempt to remove the pencil, covering the injured eye, and arranging for transport. |
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| 27 | Questions 27 and 28 pertain to the following scenario.
You and your partner are called to the scene of a stabbing. Law enforcement personnel have secured the scene. When you arrive, you find a 14-year-old boy with a knife protruding from his abdomen. He also has multiple stab wounds to his chest. He is awake and alert.How should you manage the impaled knife? |
| A) | Remove it so that the police can take it into evidence. |
| B) | Leave it in place and secure it with large, bulky dressings. |
| C) | Remove it if it appears that no major organs have been injured. |
| D) | Remove it only if you do not feel any resistance when pulling on it. |
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| 28 | The stab wounds to the chest should be cared for by |
| A) | pouring water on them to see if bubbles form. |
| B) | applying dry, sterile dressings and securing each in place on four sides. |
| C) | applying airtight dressings and securing each in place on three sides. |
| D) | leaving them uncovered so that they can be seen easily when the patient arrives at the hospital. |
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| 29 | Blunt trauma generally results in a(n) |
| A) | puncture. |
| B) | laceration. |
| C) | abrasion. |
| D) | contusion. |
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| 30 | The first method that should be used to control external bleeding is to apply |
| A) | direct pressure to the wound. |
| B) | pressure to an arterial pressure point. |
| C) | a pressure splint. |
| D) | a tourniquet. |
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| 31 | To control bleeding from the nose |
| A) | tell the patient to blow his nose to stimulate the clotting process. |
| B) | insert pieces of facial tissue into the nose. |
| C) | have the patient lie down and tilt his head backward. |
| D) | pinch the fleshy part of the patient's nostrils together for 15 minutes. |
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| 32 | Examples of solid organs include the |
| A) | stomach, intestines, and gallbladder. |
| B) | liver, stomach, and urinary bladder. |
| C) | kidneys, spleen, and intestines. |
| D) | liver, spleen, and kidneys. |
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| 33 | Examples of hollow organs include the |
| A) | stomach, intestines, and gallbladder. |
| B) | liver, stomach, and urinary bladder. |
| C) | kidneys, spleen, and intestines. |
| D) | liver, spleen, and kidneys. |
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| 34 | Which of the following is not usually a sign of internal bleeding? |
| A) | Cool, moist skin |
| B) | A slow heart rate |
| C) | Vomiting or coughing up blood |
| D) | A tender, rigid abdomen |
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| 35 | Which of the following is a sign of inadequate breathing? |
| A) | Equal rise and fall of the chest |
| B) | Quiet breathing |
| C) | A breathing rate that is too fast or slow for the patient's age |
| D) | Warm, dry skin |
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| 36 | Which of the following is one of the earliest signs of shock? |
| A) | Slowing of the heart rate |
| B) | Pale, cool skin |
| C) | Decreasing blood pressure |
| D) | Mental status changes |
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| 37 | Which of the following statements about splinting is false? |
| A) | When securing the splint to the injured area, avoid placing ties or straps directly over the injury. |
| B) | Pad a rigid or semi-rigid splint before applying it, especially around bony areas. |
| C) | Replace protruding bones before applying a splint. |
| D) | Pad the hollow areas (voids) between the splint and the injured limb. |
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| 38 | When splinting a patient's upper extremity, support the hand in a position of function by |
| A) | securing the patient's outstretched arm to the side of his body. |
| B) | placing a roll of tape or roller gauze in the patient's palm. |
| C) | splinting the patient's outstretched fingers to a rigid board. |
| D) | securing the patient's hand to his chest. |
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| 39 | According to current resuscitation guidelines, an infant is considered |
| A) | younger than 12 months of age. |
| B) | younger than 18 months of age. |
| C) | younger than 3 years of age. |
| D) | younger than 8 years of age |
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| 40 | A 15-year-old has severe bleeding from his knee. If bleeding cannot be controlled by other methods, the pressure point that should be used for this injury is the |
| A) | radial artery. |
| B) | femoral artery. |
| C) | dorsalis pedis artery. |
| D) | carotid artery. |
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| 41 | A laceration is |
| A) | a wound in which the epidermis remains intact but the cells and blood vessels in the dermis are injured. |
| B) | a superficial wound caused by rubbing or scraping that results in partial loss of the skin surface. |
| C) | a cut or tear in the skin of any length, shape, and depth. |
| D) | a wound in which a patch of skin or other tissue is torn loose from the body. |
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| 42 | Which of the following statements about a pressure bandage is true? |
| A) | A pressure bandage has been correctly applied if you are unable to feel a pulse distal to the bandage. |
| B) | A pressure bandage that is applied too tightly can cause tissue damage. |
| C) | A pressure bandage must be airtight. |
| D) | Direct pressure cannot be used at the same time that a pressure bandage is used. |
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| 43 | The humerus is |
| A) | the upper arm bone. |
| B) | a bone of the forearm, on the side of the thumb. |
| C) | a bone of the forearm, on the side of the little finger. |
| D) | the wrist bone. |
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| 44 | Which of the following body areas are most often affected by a local cold injury? |
| A) | Face, buttocks, and arms |
| B) | Chest, face, fingers, and thighs |
| C) | Ears, abdomen, buttocks, and legs |
| D) | Nose, ears, cheeks, chin, fingers, and toes |
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| 45 | Most skeletal muscles are attached to bones by means of |
| A) | ligaments. |
| B) | tendons. |
| C) | cartilage. |
| D) | joints. |
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| 46 | The tailbone is also known as the |
| A) | clavicle. |
| B) | coccyx. |
| C) | ulna. |
| D) | patella. |
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| 47 | The chest (thorax) is made up of which of the following? |
| A) | 6 cervical vertebrae and 6 pairs of ribs |
| B) | 8 thoracic vertebrae and 8 pairs of ribs |
| C) | 10 thoracic vertebrae and 10 pairs of ribs |
| D) | 12 thoracic vertebrae and 12 pairs of ribs |
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| 48 | A 7-year-old child sustains a bruise to his face after being struck by a baseball. This is an example of which of the following types of injuries? |
| A) | Indirect force |
| B) | Direct force |
| C) | Open injury |
| D) | Twisting force |
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| 49 | A twist, pull, or tear of a muscle is known as a |
| A) | sprain. |
| B) | fracture. |
| C) | strain. |
| D) | dislocation. |
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| 50 | The memory aid DOTS is a useful tool to remember what to look and feel for when performing a physical examination. What does the T in DOTS stand for? |
| A) | Temperature |
| B) | Tightness |
| C) | Tenderness |
| D) | Touch |
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| 51 | The loss of movement and sensation from the waist down is known as |
| A) | uniplegia. |
| B) | hemiplegia. |
| C) | paraplegia. |
| D) | quadriplegia. |
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| 52 | The femoral pulse can be found |
| A) | behind the ankle bone. |
| B) | on the top surface of the foot. |
| C) | on the thumb side of the wrist. |
| D) | in the crease between the abdomen and the thigh. |
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| 53 | You are called for an "ill man." The patient is unresponsive. After opening his airway, you find he is not breathing. As you begin rescue breathing, you notice that the first breath does not go in. What should you do next? |
| A) | Turn the patient on his side and wipe out his mouth. |
| B) | Reposition his head and then give another breath. |
| C) | Check for a pulse. |
| D) | Begin chest compressions. |
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| 54 | The three bones typically involved in a shoulder injury are the |
| A) | clavicle, scapula, and humerus. |
| B) | sternum, humerus, and ulna. |
| C) | scapula, ulna, and clavicle. |
| D) | sternum, radius, and ulna. |
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| 55 | Which of the following arteries is found on the inside of the arm between the elbow and the shoulder? |
| A) | Radial |
| B) | Popliteal |
| C) | Brachial |
| D) | Carotid |
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| 56 | Life-threatening bleeding is most likely to occur in the |
| A) | head, chest, and lower legs. |
| B) | chest, abdomen, pelvis, and thighs. |
| C) | chest, pelvis, and lower legs. |
| D) | head, abdomen, thighs, and lower legs. |
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| 57 | Which of the following is an example of a symptom? |
| A) | Bleeding |
| B) | Pale skin |
| C) | Chest pain |
| D) | A fast pulse |
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| 58 | When determining if a patient is alert and oriented to person, a the patient should be able to tell you |
| A) | his name. |
| B) | where he is. |
| C) | what happened. |
| D) | the date. |
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| 59 | Which of the following terms and definitions is paired correctly? |
| A) | Toddler - 4 to 5 years of age |
| B) | Neonate - 1 to 12 months of age |
| C) | Preschooler - 1 to 3 years of age |
| D) | School-age child - 6 to 12 years of age |
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| 60 | Which of the following statements regarding infants and children is incorrect? |
| A) | If an infant or child requires suctioning of his nose and mouth, suction the mouth first. |
| B) | Respiratory emergencies are the most common medical emergencies encountered in children. |
| C) | A child in respiratory distress will usually be most comfortable sitting up. |
| D) | It is important for you to determine the cause of a seizure in order to care for the patient who is experiencing one. |
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| 61 | Sudden Infant Death Syndrome (SIDS) |
| A) | usually occurs between 7 and 12 months of age. |
| B) | occurs more often in girls than boys. |
| C) | can be diagnosed only by autopsy. |
| D) | usually occurs in children with a long-term illness. |
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| 62 | The loss of a fetus due to natural causes before the 20th week of pregnancy is called a(n) |
| A) | spontaneous abortion. |
| B) | therapeutic abortion. |
| C) | elective abortion. |
| D) | ectopic pregnancy. |
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| 63 | You are called to the scene of a 22-year-old woman in labor. The closest hospital is 30 minutes away. All of the following are indications that you should prepare for delivery at the scene except: |
| A) | The woman feels the urge to push, bear down, or have a bowel movement. |
| B) | Crowning is present. |
| C) | Contractions are regular, last 45-60 seconds, and are 1-2 minutes apart. |
| D) | The woman says she felt a gush of water from her vagina about 20 minutes ago. |
|
| 64 | Placenta previa is usually associated with |
| A) | swelling of the hands and face. |
| B) | severe abdominal cramps and seizures. |
| C) | painless, bright red vaginal bleeding. |
| D) | painful, dark to bright red vaginal bleeding. |
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| 65 | A rapid rise in body temperature in some infants and young children may result in |
| A) | birth defects. |
| B) | febrile seizures. |
| C) | airway obstruction. |
| D) | shock. |
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| 66 | A 7-month-old infant is unresponsive. You suspect a complete airway obstruction. Your initial care for this infant should include which of the following? |
| A) | Back blows, abdominal thrusts, and attempts to ventilate the baby |
| B) | Chest thrusts and abdominal thrusts |
| C) | Look in the mouth, remove a foreign object if seen, and attempt to ventilate |
| D) | Continuous back blows until the obstruction is relieved |
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| 67 | Which of the following are examples of long bones? |
| A) | Ribs, tibia, and vertebrae |
| B) | Scapula, fibula, and femur |
| C) | Humerus, radius, ulna, and femur |
| D) | Sternum, coccyx, and ribs |
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| 68 | A 6-year-old is having difficulty breathing. You find the child in the sniffing position. In this position, the child is |
| A) | seated with his jaw thrust forward. |
| B) | lying on his right side. |
| C) | seated and leaning forward. |
| D) | lying face down. |
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| 69 | You are called to an elementary school for a 6-year-old boy who has difficulty breathing. Upon arrival, you find the child sitting in the cafeteria. A teacher tells you that the child was catching grapes with his mouth when one apparently got stuck in his airway. The child has a muffled, weak cough. His face is quickly turning blue. You should |
| A) | do nothing. Allow the child to try to cough out the object on his own. |
| B) | deliver abdominal thrusts to dislodge the object. |
| C) | ask the child if he can blow into a paper bag. |
| D) | call for advanced life support personnel and reassure the child that help is on the way. |
|
| 70 | The most common cause of airway obstruction in an unresponsive patient is |
| A) | the tongue. |
| B) | dentures. |
| C) | vomit. |
| D) | saliva. |
|
| 71 | The L in SAMPLE history stands for |
| A) | last menstrual period. |
| B) | last medication taken. |
| C) | last oral intake. |
| D) | last doctor's appointment. |
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| 72 | You are called for a 47-year-old woman who "is not acting right." The patient is a diabetic. After providing initial care for this patient, you should recheck her vital signs |
| A) | every 5 minutes. |
| B) | every 10 minutes. |
| C) | every 15 minutes. |
| D) | just before additional help is due to arrive. |
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| 73 | How many times per minute does an adult at rest normally breathe? |
| A) | 20 to 30 |
| B) | 16 to 30 |
| C) | 12 to 20 |
| D) | 8 to 12 |
|
| 74 | Most bleeding can be controlled by |
| A) | using a pressure bandage. |
| B) | applying a tourniquet to the injured part. |
| C) | applying heat to the injured area. |
| D) | direct pressure and elevation. |
|
| 75 | When caring for a victim of hypothermia |
| A) | leave the patient's wet clothing in place and give the patient warm fluids to drink. |
| B) | rub the patient's arms and legs to increase blood flow. |
| C) | have the patient walk around to increase circulation. |
| D) | wrap the patient in warm blankets. |
|
| 76 | Which of the following is a normal response that allows a person to cope with the loss of someone or something? |
| A) | Stress |
| B) | Grief |
| C) | Regression |
| D) | Fear |
|
| 77 | When performing a clothes drag, you should |
| A) | position yourself at the patient's chest. |
| B) | gather the shoulders of the patient's shirt and pull him toward you. |
| C) | pull the patient sideways. |
| D) | secure the patient's arms above his head. |
|
| 78 | Which of the following reflects the normal pathway of the flow of air into the lungs? |
| A) | Lungs, trachea, pharynx, and nose |
| B) | Pharynx, nose, trachea, and lungs |
| C) | Nose, pharynx, trachea, and lungs |
| D) | Nose, trachea, pharynx, and lungs |
|
| 79 | The narrowest part of an adult's airway is found in which area? |
| A) | Bronchus |
| B) | Pharynx |
| C) | Larynx |
| D) | Trachea |
|
| 80 | While suctioning a patient's airway, you notice his heart rate begins to slow and to become irregular. What should you do next? |
| A) | Begin chest compressions. |
| B) | Continue suctioning until all secretions or foreign bodies are removed. |
| C) | Advance the catheter further into the airway. |
| D) | Stop suctioning and provide ventilation. |
|
| 81 | When caring for a patient, it is important to do which of the following first? |
| A) | Perform a head-to-toe examination. |
| B) | Treat the patient's symptoms. |
| C) | Determine the cause of the patient's complaint. |
| D) | Form a general impression. |
|
| 82 | A temporary change in behavior or consciousness caused by abnormal electrical activity of brain cells is known as a(n) |
| A) | altered level of consciousness. |
| B) | seizure. |
| C) | behavioral emergency. |
| D) | stroke. |
|
| 83 | The vital signs of a patient who is stable should be repeated |
| A) | at least every 5 minutes. |
| B) | at least every 15 minutes. |
| C) | only if the patient becomes unstable. |
| D) | only if the patient is refusing treatment or transportation. |
|
| 84 | Although all of the following patients might require a detailed physical examination, for which patient is a detailed physical examination most important? |
| A) | A 6-year-old boy who slammed his finger in a car door |
| B) | A 33-year-old woman who has been drinking alcohol and fell down a flight of stairs |
| C) | A 90-year-old man complaining of a severe headache and blurred vision with a history of high blood pressure |
| D) | A 57-year-old woman complaining of severe chest pain with a history of previous heart attacks |
|
| 85 | Which of the following is not one of the five stages of grief? |
| A) | Denial |
| B) | Misery |
| C) | Anger |
| D) | Bargaining |
|
| 86 | The S in SAMPLE history stands for |
| A) | severity. |
| B) | speech. |
| C) | signs and symptoms. |
| D) | special considerations. |
|
| 87 | The most common cause of seizures in children is |
| A) | a rapid rise in body temperature. |
| B) | allergies. |
| C) | an abnormal heart rhythm. |
| D) | failure to take anti-seizure medications. |
|
| 88 | The body's thermostat is located in the |
| A) | spinal cord. |
| B) | cerebellum. |
| C) | hypothalamus. |
| D) | gallbladder. |
|
| 89 | Which of the following mechanisms of injury should be considered significant for an infant or child? |
| A) | Any time a child falls from a tree |
| B) | Any fall from two times the patient's body height |
| C) | Any vehicle collision at a medium or greater speed |
| D) | Any vehicle collision when the patient is in a child-restraint seat |
|
| 90 | Which of the following statements regarding the detailed physical examination is true? |
| A) | Every patient must receive a detailed physical examination. |
| B) | A detailed physical examination generally takes the place of the initial assessment. |
| C) | A detailed physical examination should be performed only after caring for life-threatening injuries. |
| D) | A detailed physical examination should not change your initial general impression of the patient's condition. |
|
| 91 | The transfer of heat between objects that are in direct contact is known as |
| A) | radiation. |
| B) | convection. |
| C) | conduction. |
| D) | evaporation. |
|
| 92 | A rapid trauma assessment should be performed on a(n) |
| A) | responsive medical patient. |
| B) | unresponsive medical patient. |
| C) | trauma patient with no significant mechanism of injury. |
| D) | trauma patient with a significant mechanism of injury. |
|
| 93 | Questions 93-96 pertain to the following scenario.
You have been called to the home of a 57-year-old woman who is complaining of chest pain. Upon arrival, you find the patient awake and sitting up in a chair. She appears to be in a mild level of distress. Her skin looks pale and you can see beads of sweat on her forehead. She does not appear to have any difficulty breathing. She tells you that she has a history of high blood pressure and migraine headaches.Based on your general impression, you can assume that |
| A) | the patient has a clear airway. |
| B) | the patient needs to be suctioned right away. |
| C) | the patient has an alerted mental status. |
| D) | the patient must be a diabetic. |
|
| 94 | To assess this patient's pulse, you should check the pulse rate and quality at the |
| A) | radial artery. |
| B) | femoral artery. |
| C) | brachial artery. |
| D) | dorsalis pedis artery. |
|
| 95 | Within minutes, the patient tells you that she feels like she is going to pass out. You note that her skin is cool, pale, and sweaty. Her pulse rate has increased. She is becoming disoriented and slow to arouse. You should immediately consider |
| A) | inserting an oral airway. |
| B) | placing the patient on her back with her legs raised 8-12 inches. |
| C) | asking the patient to drink a sweetened beverage. |
| D) | applying heat packs to the back of the patient's neck. |
|
| 96 | These changes in the patient's condition should be |
| A) | documented on your prehospital care report (PCR) only. |
| B) | relayed verbally to the receiving facility staff only. |
| C) | documented on the PCR and relayed verbally to the EMS crew en route to the scene. |
| D) | immediately relayed to the receiving facility staff by radio or telephone. |
|
| 97 | Which of the following signs/symptoms are you most likely to find in a patient with mild hypothermia? |
| A) | Rigid muscles |
| B) | Shivering |
| C) | A slow, irregular heart rate |
| D) | Dilated pupils |
|
| 98 | When caring for a victim of heat stroke, you should first |
| A) | start cooling the patient. |
| B) | remove the patient's outer clothing. |
| C) | give the patient a cold beverage to drink. |
| D) | remove the patient from the hot environment. |
|
| 99 | Which of the following disorders is associated with excessive suspiciousness or delusions? |
| A) | Bipolar disorder |
| B) | Depression |
| C) | Paranoia |
| D) | Schizophrenia |
|
| 100 | When performing a blanket drag, you should |
| A) | kneel on the same side of the patient and roll him toward you. |
| B) | use your back to lift the patient. |
| C) | make sure to bend at the waist when moving the patient. |
| D) | make sure there is 2 feet of blanket above the patient's head. |
|
| 101 | Which carrying technique should be used for a patient who has the use of his arms but is unable to walk? |
| A) | Firefighter's carry |
| B) | Cradle carry |
| C) | Pack-strap carry |
| D) | Piggyback carry |
|
| 102 | Which of the following is an example of a bloodborne disease? |
| A) | Hepatitis C |
| B) | Salmonella |
| C) | Chlamydia |
| D) | Smallpox |
|
| 103 | Flushed skin appears |
| A) | white. |
| B) | blue. |
| C) | yellow. |
| D) | red. |
|
| 104 | You are caring for an 80 year-old man who is not breathing. You are about to begin rescue breathing when you notice that the patient has upper and lower dentures in place. They do not appear loose. You should |
| A) | remove the dentures before starting rescue breathing. |
| B) | leave the dentures in place. |
| C) | remove the top dentures only. |
| D) | remove the bottom dentures only. |
|
| 105 | Which of the following memory aid is used to remember the questions to ask a patient about his pain or discomfort? |
| A) | SAMPLE |
| B) | AVPU |
| C) | OPQRST |
| D) | ABCDE |
|
| 106 | Which of the following is a high-pitched whistling sound that may be heard on inhalation or exhalation and suggests a narrowed or partially blocked airway? |
| A) | Gurgling |
| B) | Snoring |
| C) | Stridor |
| D) | Wheezing |
|
| 107 | Which of the following is a potential source of transmission for the hepatitis B virus? |
| A) | Having blood splashed in your eyes, mouth, or skin |
| B) | Stepping on a rusty nail or screw |
| C) | Drinking from a contaminated glass |
| D) | Sharing a small, confined space with an infected person who is coughing and sneezing |
|
| 108 | Although each organ listed below performs an important function, which one is considered a vital organ? |
| A) | Gallbladder |
| B) | Lungs |
| C) | Stomach |
| D) | Kidneys |
|
| 109 | The skeletal system is made up of ____ bones. |
| A) | 120 |
| B) | 188 |
| C) | 206 |
| D) | 243 |
|
| 110 | When moving a patient with a suspected injury to the spine, the rescuer at the patient's ________ is responsible for coordinating all movement. |
| A) | feet |
| B) | head |
| C) | chest |
| D) | pelvis |
|
| 111 | In which of the following scenarios would you need to move a patient immediately? |
| A) | The patient is in severe shock |
| B) | The patient is threatened by a fire |
| C) | The patient has an altered mental status |
| D) | The patient is breathing inadequately |
|
| 112 | Cricoid pressure (the Sellick maneuver) |
| A) | decreases gastric distention during positive-pressure ventilation. |
| B) | should never be used with unconscious patients. |
| C) | may be used to open the airway instead of the jaw-thrust without head tilt maneuver. |
| D) | may be used to open the airway instead of the head tilt-chin lift maneuver. |
|
| 113 | Questions 113-116 pertain to the following scenario.
You and your partner are called for a 27-year-old man who is threatening suicide. You wait a safe distance from the scene until law enforcement personnel tell you that the scene is safe. You arrive at the scene to find the patient covered with blood. He tells you he was in a fight last night and now he wants to die. He smells of alcohol and an empty bottle of whiskey is on the nightstand.While examining the patient's head, you look behind his ears for bruising. If present, this finding is called |
| A) | Sellick's sign. |
| B) | Battle's sign. |
| C) | Fowler's sign. |
| D) | Trendelenburg's sign. |
|
| 114 | During your examination of the chest, you note crepitus and pain on palpation of the lower left chest wall. Crepitus is the sound or sensation of |
| A) | air leaking into the chest cavity. |
| B) | bone ends grinding together. |
| C) | blood leaking into the chest. |
| D) | blood leaking into the brain. |
|
| 115 | After removing this patient's shirt to perform your exam, you note a loop of bowel sticking out from an open abdominal wound. This type of wound is called |
| A) | an evisceration. |
| B) | placenta previa. |
| C) | a uterine inversion. |
| D) | a sucking chest wound. |
|
| 116 | When questioned about alcohol ingestion, the patient denies having had any alcoholic beverages in the last 24 hours. He smells of alcohol and is acting intoxicated. Which of the following statements would be a safe assumption? |
| A) | The patient is lying to avoid being arrested. |
| B) | The patient is drunk and cannot remember the drinking incident. |
| C) | The patient is severely intoxicated and may die because of alcohol poisoning. |
| D) | Something else may be going on that warrants more attention during the detailed physical exam. |
|
| 117 | Which of the following statements is true? |
| A) | Cardiac muscle is voluntary. |
| B) | Skeletal muscle is mainly found in the respiratory system. |
| C) | Cardiac muscle is found only in the heart. |
| D) | Smooth muscles help produce motion of the bones. |
|
| 118 | When lifting and moving, your balance may be improved by |
| A) | bringing your feet close together. |
| B) | bending at your knees and hips to a squatting position. |
| C) | assuming a heel-toe position with your right foot forward. |
| D) | bending at your lower back and lifting with your arms extended. |
|
| 119 | The improper sizing and insertion of an oral airway may cause |
| A) | the collapse of a lung. |
| B) | swelling of the lungs. |
| C) | a complete airway obstruction. |
| D) | the entry of more air into the lungs than desired. |
|
| 120 | Questions 120-123 pertain to the following scenario.
You and your partner are called to a local restaurant for a 43-year-old man who is possibly choking. Upon arrival, you find the patient collapsed in a booth. He is unresponsive and not breathing. You and your partner move the patient to the floor to begin assessment and treatment.To open this patient's airway, you should use the |
| A) | head tilt-chin lift maneuver. |
| B) | head tilt-neck lift maneuver. |
| C) | head tilt-jaw thrust maneuver. |
| D) | head tilt-tongue lift maneuver. |
|
| 121 | If you found this patient unresponsive on the ground rather than seated, you might suspect injury to his cervical spine. In this situation, the patient's airway should be opened using the |
| A) | neck-thrust maneuver. |
| B) | head tilt-chin lift maneuver. |
| C) | jaw-thrust without head tilt maneuver. |
| D) | head tilt-neck thrust maneuver. |
|
| 122 | After assessing the patient's airway and attempting ventilations, you find that the patient's airway is obstructed. You should |
| A) | reposition the airway and try to ventilate again, if no chest rise, begin chest compressions. |
| B) | raise the patient to a sitting position and give back blows. |
| C) | place the patient facedown on the floor and give back blows. |
| D) | straddle the patient's lower body and deliver abdominal thrusts. |
|
| 123 | Because of your efforts, a large piece of steak pops out. The patient takes a deep breath and begins breathing on his own. His skin is slightly pale. He can answer some questions but appears sleepy. You should now |
| A) | ask the patient if he feels well enough to finish his meal. |
| B) | place the patient in the recovery position and recheck his vital signs every 5 minutes. |
| C) | ask the patient to sign a refusal of care form. |
| D) | place the patient on his back and recheck his vital signs every 15 minutes. |
|
| 124 | If a restrained patient is spitting, it is acceptable to cover the patient's mouth with |
| A) | duct tape. |
| B) | medical tape. |
| C) | a disposable surgical mask. |
| D) | an airtight dressing. |
|
| 125 | Which of the following statements about the use of physical restraints is correct? |
| A) | For medical purposes, handcuffs are the preferred type of restraint. |
| B) | Once the decision to restrain a patient is made, you must act quickly and decisively. |
| C) | Physical restraints should be the first measure taken when attempting to control a patient. |
| D) | The use of body substance isolation precautions is not recommended when physically restraining a patient. |
|
| 126 | You are called to the home of a 23-year-old "ill woman." The patient is 7 months pregnant with her first baby. She tells you that she has been vomiting for the past 2 days and has a mild fever. She wants an ambulance to take her to a local clinic. While awaiting arrival of the ambulance, you should position this patient |
| A) | on her left side. |
| B) | on her stomach. |
| C) | flat on her back with her legs raised 8-12 inches. |
| D) | flat on her back with her head lower than her feet. |
|
| 127 | Which of the following structures provides for the exchange of nutrients and waste products from the mother to her fetus? |
| A) | Fallopian tube |
| B) | Ovary |
| C) | Placenta |
| D) | Cervix |
|
| 128 | Late shock is also called |
| A) | permanent shock. |
| B) | compensated shock. |
| C) | eternal shock. |
| D) | decompensated shock. |
|
| 129 | Venous bleeding is |
| A) | dark red and spurts from a wound. |
| B) | bright red and flows steadily from a wound. |
| C) | bright red and oozes from a wound. |
| D) | dark red and flows steadily from a wound. |
|
| 130 | You are called for a child who is having difficulty breathing. You find the child sitting up and leaning forward with the weight of his body resting on his arms. This position is called the |
| A) | cricoid position. |
| B) | sniffing position. |
| C) | tripod position. |
| D) | Trendelenburg position. |
|
| 131 | To correctly size a nasopharyngeal airway, you should measure |
| A) | from the tip of the patient's nose to the earlobe. |
| B) | from the tip of the patient's nose to the Adam's apple. |
| C) | from the corner of the patient's mouth to the Adam's apple. |
| D) | from the corner of the patient's mouth to the earlobe. |
|
| 132 | When assisting a child's breathing with a bag-valve-mask device, you should give one breath every ___ seconds. |
| A) | 3 to 5 |
| B) | 5 to 6 |
| C) | 8 to 12 |
| D) | 10 to 15 |
|
| 133 | The flap of cartilage that covers the trachea when you are eating or drinking so that food or liquid does not enter the lungs is known as the |
| A) | uvula. |
| B) | thyroid cartilage. |
| C) | cricoid cartilage. |
| D) | epiglottis. |
|
| 134 | In the clonic phase of a seizure, the patient |
| A) | experiences a peculiar sensation such as a dreamy feeling or an unusual taste. |
| B) | begins to recover and may show signs of confusion, sleepiness, or difficulty talking. |
| C) | has body movements that alternate between jerking and relaxing. |
| D) | may turn blue as her body muscles stiffen. |
|
| 135 | Activities performed by a physician medical director before an emergency call is an example of |
| A) | concurrent medical direction. |
| B) | prospective medical direction. |
| C) | retrospective medical direction. |
| D) | direct medical direction. |
|
| 136 | Standing orders are |
| A) | the emergency care and skills you are legally allowed and expected to perform as an Emergency Medical Responder. |
| B) | activities performed by a physician after an emergency call. |
| C) | the minimum level of care expected of similarly trained healthcare professionals. |
| D) | written instructions that allow you to perform certain medical treatments before communicating directly with a physician. |
|
| 137 | The stretching or tearing of a ligament is called a |
| A) | sprain. |
| B) | dislocation. |
| C) | fracture. |
| D) | strain. |
|
| 138 | Flushed skin is most likely seen in a patient experiencing |
| A) | an allergic reaction or a heat-related emergency. |
| B) | hypothermia or a seizure. |
| C) | chest pain or shock. |
| D) | difficulty breathing or a fracture. |
|
| 139 | Which of the following are bones of the lower extremities? |
| A) | Mandible, fibula, and sternum |
| B) | Femur, tibia, and fibula |
| C) | Humerus, radius, and ulna |
| D) | Radius, tibia, and mandible |
|
| 140 | A mechanism of injury in which an injury occurs at the point of impact is called a(n) |
| A) | direct force injury. |
| B) | indirect force injury. |
| C) | twisting injury. |
| D) | rotational injury. |
|
| 141 | A dislocation is |
| A) | a break in the continuity of a bone. |
| B) | a fibrous cord or band that connects a muscle to a bone. |
| C) | the displacement of a bone from its normal position within a joint. |
| D) | a soft-tissue injury in which the continuity of the skin remains intact. |
|
| 142 | The third stage of labor |
| A) | begins when the cervix is fully open and ends with delivery of the infant. |
| B) | begins with the onset of the first contraction and ends with delivery of the placenta. |
| C) | begins with the onset of contractions and ends with complete thinning out and opening of the cervix. |
| D) | begins with delivery of the infant and ends with delivery of the placenta. |
|
| 143 | The central nervous system is made up of |
| A) | the brain and spinal cord. |
| B) | motor and sensory nerves. |
| C) | the brain and motor nerves. |
| D) | the spinal cord and sensory nerves. |
|
| 144 | Which of the following actions should be performed for the first time during the detailed physical examination? |
| A) | Assessment of skin color |
| B) | Assessment of respiratory rate and effort |
| C) | Beginning rescue breathing, if needed |
| D) | Assessment of the abdomen for swelling or tenderness |
|
| 145 | A 43-year-old man was struck in the face with a baseball bat. Which of the following items is the most important to monitor while caring for this patient? |
| A) | Respiratory effort |
| B) | Heart rate |
| C) | Mental status |
| D) | Respiratory rate |
|
| 146 | Manual stabilization of a patient's head and neck may be released |
| A) | as soon as a cervical collar has been applied. |
| B) | after the patient's chest and pelvis have been secured to a long backboard. |
| C) | after the patient's head and torso have been secured to a long backboard. |
| D) | after the patient's chest and legs have been secured to a long backboard. |
|
| 147 | A contusion |
| A) | is the most common type of closed wound. |
| B) | is often called "road rash" or a "friction burn." |
| C) | is a cut or tear in the skin. |
| D) | occurs when the skin is pierced with a sharp, pointed object. |
|
| 148 | The body cavity within the head that contains the brain is called the |
| A) | thoracic cavity. |
| B) | cranial cavity. |
| C) | spinal cavity. |
| D) | pericardial cavity. |
|
| 149 | A possible complication of a large, open neck wound is |
| A) | tuberculosis. |
| B) | a concussion. |
| C) | an air embolism. |
| D) | hepatitis B. |
|
| 150 | It is true that the pelvis |
| A) | lies above the abdominal cavity. |
| B) | is a bony ring formed by three separate bones that fuse to become one in an adult. |
| C) | is divided into four quadrants (sections) for reference. |
| D) | should be rocked from side to side to determine if an injury exists. |
|
| 151 | Which of the following is not appropriate for treating an upper arm injury? |
| A) | Padded board splint |
| B) | Padded wire ladder splint |
| C) | Sling and swathe |
| D) | Traction splint |
|
| 152 | An automated external defibrillator (AED) |
| A) | will deliver a shock only when it has detected that the patient's heart has no electrical activity (a flat line). |
| B) | can only be operated by a paramedic, nurse, or physician. |
| C) | can only be used for victims 21 years of age or older. |
| D) | requires that the victim be motionless in order to accurately analyze the heart rhythm. |
|
| 153 | Another name for the navel is the |
| A) | appendix. |
| B) | umbilicus. |
| C) | pancreas. |
| D) | uvula. |
|
| 154 | A patient in a prone position is |
| A) | seated with his jaw forward. |
| B) | lying on his right side. |
| C) | seated and leaning forward. |
| D) | lying facedown. |
|
| 155 | A scene size-up |
| A) | can only be performed by advanced life support personnel. |
| B) | must be performed by the highest-ranking Emergency Medical Responder. |
| C) | is performed before entering the scene. |
| D) | should begin only after all patients have been accounted for. |
|
| 156 | You are called for a patient who is having difficulty breathing. You can see that the skin above his collarbones is sucked in with each breath. This finding is called |
| A) | stridor. |
| B) | retractions. |
| C) | flaring. |
| D) | wheezing. |
|
| 157 | The main muscles of breathing are the |
| A) | lungs and abdominal muscles. |
| B) | lungs and diaphragm. |
| C) | diaphragm and intercostal muscles. |
| D) | lungs and intercostal muscles. |
|
| 158 | Air and vacuum splints are examples of |
| A) | pneumatic splints. |
| B) | ladder splints. |
| C) | padded board splints. |
| D) | traction splints. |
|
| 159 | Questions 159-161 pertain to the following scenario.
You are called for a toddler who is choking. Upon arrival, you are met by a hysterical mother holding the child in her arms. The child is awake and appears alert. His skin color is pink. You hear a seal-like barking sound when the child breathes in. This noise is called |
| A) | stridor. |
| B) | wheezing. |
| C) | snoring. |
| D) | gurgling. |
|
| 160 | The child has a strong pulse and a strong cough. These signs and symptoms are consistent with |
| A) | normal breathing. |
| B) | a complete airway obstruction. |
| C) | a partial airway obstruction with good air exchange. |
| D) | a partial airway obstruction with poor air exchange. |
|
| 161 | You should |
| A) | encourage the child to cough. |
| B) | perform chest thrusts. |
| C) | perform abdominal thrusts. |
| D) | perform a blind finger sweep. |
|
| 162 | The largest and strongest bone of the face is the |
| A) | zygoma. |
| B) | mandible. |
| C) | maxilla. |
| D) | xiphoid. |
|
| 163 | Which of the following items should not be used to immobilize a knee injury? |
| A) | A pillow |
| B) | The patient's other leg |
| C) | A vacuum splint |
| D) | A traction splint |
|
| 164 | The two main gases exchanged during respiration are |
| A) | hemoglobin and oxygen. |
| B) | nitrogen and carbon dioxide. |
| C) | oxygen and carbon dioxide. |
| D) | hemoglobin and nitrogen. |
|
| 165 | Which of the following patient groups are most likely to suffer an injury to the spinal cord without damage to the vertebrae? |
| A) | Children and the elderly |
| B) | Infants and adults older than 25 years of age |
| C) | Children older than 14 years of age and adults younger than 50 years of age |
| D) | Toddlers and adults older than 40 years of age |
|
| 166 | The lower respiratory tract consists of the trachea, bronchi, bronchioles, and the |
| A) | medulla. |
| B) | alveoli. |
| C) | epiglottis. |
| D) | esophagus. |
|
| 167 | A conscious, alert patient in severe respiratory distress will often be found |
| A) | lying on her side with her knees drawn up to her chest. |
| B) | lying flat on her stomach. |
| C) | sitting upright or standing. |
| D) | lying flat on her back. |
|
| 168 | Which of the following are not signs of difficulty breathing? |
| A) | Nasal flaring and grunting |
| B) | Altered mental status and cyanosis |
| C) | High blood pressure and a slow pulse rate |
| D) | The use of accessory muscles and coughing |
|
| 169 | Which of the following patients is showing signs of early shock? |
| A) | 35-year-old woman: pulse 94, respirations 18, skin is cool and dry |
| B) | 55-year-old man: pulse 138, respirations 22, skin is cool and clammy |
| C) | 22-year-old man: pulse 55, respirations 15, skin is warm and dry |
| D) | 47-year-old woman: pulse 106, respirations 16, skin is warm and moist |
|
| 170 | Before and after splinting an injured limb, you must assess |
| A) | the patient's ability to stand. |
| B) | the patient's ability to rotate the injured limb. |
| C) | the patient's response to a painful stimulus. |
| D) | pulse, movement, and sensation distal to the injury. |
|
| 171 | A puncture wound |
| A) | is superficial and painless. |
| B) | is always associated with significant external bleeding. |
| C) | may be associated with infection because dirt and germs may be carried deep into the tissues. |
| D) | occurs when skin and fatty tissue are stripped away from an area of the body. |
|
| 172 | "RICE" is a technique used to treat sprains and strains. The R stands for |
| A) | relief. |
| B) | rest. |
| C) | respite. |
| D) | reduce. |
|
| 173 | Which of the following moves is often used if a patient is able to walk but requires assistance in doing so? |
| A) | Two-person carry or two-person seat carry |
| B) | Human crutch or rescuer assist |
| C) | Direct ground lift |
| D) | Extremity lift |
|
| 174 | Which of the following statements about a scoop stretcher is false? |
| A) | A scoop stretcher is also called a split litter. |
| B) | A scoop stretcher is made of canvas or a synthetic, flexible material with carrying handles. |
| C) | Both sides of the patient must be accessible in order to use a scoop stretcher. |
| D) | A scoop stretcher does not provide adequate stabilization of the spine. |
|
| 175 | While performing chest compressions on an adult, the patient vomits. You should |
| A) | roll the patient onto his stomach, hook up your suction equipment, suction the patient's mouth for 2 minutes, roll the patient onto his back, and resume rescue breathing if needed. |
| B) | do nothing. This is a normal and expected complication of CPR. |
| C) | roll the patient onto his side, clear the vomitus from the patient's mouth using your gloved fingers, roll the patient onto his back, and resume rescue breathing if needed. |
| D) | stop rescue breathing but continue providing chest compressions. |
|
| 176 | Which of the following are signs of neglect that you may see in a child's environment? |
| A) | "Stocking-like" burns with no associated splash marks |
| B) | Stool or urine present on items in the home |
| C) | Fractures |
| D) | Rope burns on the wrists |
|
| 177 | Some patients experience a peculiar sensation that warns them of the onset of a seizure. This sensation is called |
| A) | postictal's sign. |
| B) | Battle's sign. |
| C) | an aura. |
| D) | an omen. |
|
| 178 | A method of placing your hands on an object before a lift that is designed to take full advantage of the strength of your hands and forearms is called |
| A) | an emergency move. |
| B) | the power grip. |
| C) | Fowler's position. |
| D) | a precision hold. |
|
| 179 | Because of their potential for significant blood loss, you should call for advanced EMS personnel immediately when your patient has experienced an injury involving the |
| A) | shoulder or ankle. |
| B) | pelvis or femur. |
| C) | lower leg or wrist. |
| D) | ankle or femur. |
|
| 180 | The afterbirth is another name for the |
| A) | cervix. |
| B) | uterus. |
| C) | placenta. |
| D) | amniotic sac. |
|
| 181 | The two lower chambers of the heart are called the |
| A) | vena cavae. |
| B) | ventricles. |
| C) | atria. |
| D) | aortae. |
|
| 182 | When suctioning a child, apply suction for no longer than ____ seconds at a time. |
| A) | 10 |
| B) | 15 |
| C) | 30 |
| D) | 60 |
|
| 183 | Which of the following is not a likely cause of an increased heart rate? |
| A) | Bleeding |
| B) | Vomiting |
| C) | Hypothermia |
| D) | Fever |
|
| 184 | A high-efficiency particulate air (HEPA) mask should be |
| A) | applied to any combative patient who is spitting. |
| B) | worn when you know or suspect that your patient has tuberculosis. |
| C) | applied to any patient who is coughing. |
| D) | worn by every EMS professional on every call. |
|
| 185 | Which of the following are examples of open wounds? |
| A) | Abrasion, contusion, and laceration |
| B) | Laceration, hematoma, and puncture |
| C) | Avulsion, abrasion, and puncture |
| D) | Contusion, avulsion, and hematoma |
|
| 186 | A patient has severe bleeding from a deep wound on her right forearm, just above her wrist. If bleeding cannot be controlled by other methods, the pressure point that should be used for this injury is the |
| A) | carotid artery. |
| B) | femoral artery. |
| C) | brachial artery. |
| D) | radial artery. |
|
| 187 | Questions 187-193 pertain to the following scenario.
You and your partner are called to the scene of a motor vehicle collision. Information at the time of dispatch says that three cars collided at an intersection. One vehicle may have occupants trapped inside. A fire department unit is on the scene and has assumed command.Which of the following statements about the Incident Command System (ICS) is true? |
| A) | ICS should only be used in situations involving suspected terrorist activity. |
| B) | ICS is used to assist with the control, direction, and coordination of emergency response resources. |
| C) | The use of the ICS requires the presence of at least nine patients. |
| D) | The use of ICS is limited to situations involving the destruction of property. |
|
| 188 | The person who is responsible for the management of all operations at the incident site is called the |
| A) | Incident Commander. |
| B) | Commander-In-Chief. |
| C) | Senior Officer. |
| D) | Staff Leader. |
|
| 189 | When you and your partner arrive at the scene, you should |
| A) | find the most seriously injured patients and begin treatment. |
| B) | notify dispatch of your arrival and report to the command post. |
| C) | quickly assess the resources you will need and notify dispatch. |
| D) | wait in your emergency vehicle until the person in charge asks for your help. |
|
| 190 | You are helping with the treatment of four occupants trapped in one of the vehicles. Which of these patients would be the highest priority for treatment and rapid transport? |
| A) | A 10-year-old boy complaining of pain in his neck, back, and right arm |
| B) | A 25-year-old woman who is not breathing and does not have a pulse |
| C) | A 34-year-old man who has a deformed lower leg with bone ends sticking out through the skin |
| D) | A 65-year-old woman who has a history of heart problems and is complaining of difficulty breathing |
|
| 191 | While treating the 10-year-old boy, you notice a large flap of skin hanging down from an open cut. This injury is consistent with which type of soft-tissue injury? |
| A) | Abrasion |
| B) | Avulsion |
| C) | Contusion |
| D) | Hematoma |
|
| 192 | The patient in Question 191 tells you that his arm feels numb. Numbness is a |
| A) | sign. |
| B) | symptom. |
|
| 193 | There is significant bleeding from the 10-year-old boy's injury. Appropriate care for this injury should include |
| A) | folding the flap of tissue over the wound, applying direct pressure with a sterile dressing, and elevating the wound above the level of the patient's heart. |
| B) | removing the flap of tissue, applying pressure to the closest pressure point, and elevating the wound above the level of the patient's heart. |
| C) | folding the flap of tissue over the wound, applying direct pressure with an airtight dressing, and elevating the wound above the level of the patient's heart. |
| D) | applying a tourniquet, releasing the tourniquet every 10 minutes, and elevating the extremity above the level of the patient's heart. |
|
| 194 | You and your partner are called to the scene of a motor vehicle collision. En route, dispatch calls you with additional information: a truck carrying an unknown chemical has overturned and is leaking. Assuming you have no formal hazardous materials training, which of the following would be your best course of action? |
| A) | Stage a minimum of 500 feet from the scene and determine the resources that will be needed to contain the spill. |
| B) | Enter the emergency scene and treat the injured patients. |
| C) | Stage a minimum of 2,000 feet from the scene and make sure that the appropriate agencies have been notified. |
| D) | Enter the emergency scene, treat the injured patients, and attempt to identify the substance. |
|
| 195 | Which of the following is the most common cause of distress for a newborn? |
| A) | Failure to dry and warm the baby |
| B) | Failure to recognize an airway obstruction |
| C) | Failure to deliver the placenta soon enough |
| D) | Failure to cut the umbilical cord soon enough |
|
| 196 | Questions 196-198 pertain to the following scenario.
You and your partner are called to a hotel for a 24-year-old woman who has threatened suicide. Local law enforcement has already secured the scene. As you enter the room, you see that the patient is lying in bed. She appears to be sleeping.Which of the following actions should you take first? |
| A) | Open the patient's airway. |
| B) | Attempt to wake the patient. |
| C) | Assess the patient's surroundings. |
| D) | Perform a rapid trauma assessment. |
|
| 197 | When questioned, the patient opens her eyes and tells you that she wants to die. While interacting with this patient, you should |
| A) | avoid identifying yourself by name. |
| B) | establish eye contact with the patient and attempt to stay within her line of vision. |
| C) | apply restraints and let the patient know that you will remove them if she cooperates with you. |
| D) | tell the patient to keep her explanations as short as possible because your time is limited. |
|
| 198 | Which of the following statements about suicide is true? |
| A) | Women commit suicide more often than men do. |
| B) | The risk of suicide is greatest in those who have not previously attempted suicide. |
| C) | The more well thought out the plan, the more serious the suicide risk is. |
| D) | Asking a depressed person if she has thoughts of suicide increases the likelihood that the suicide attempt will be successful. |
|
| 199 | Questions 199 and 200 pertain to the following scenario.
You and your partner are called to the home of a 2-year-old who is having a seizure. When you arrive, the patient is lying on her side on the floor. Her parents tell you that the child's body started "shaking all over," lasting about 2-3 minutes. The child has had an earache for the past three days.The seizure has stopped. While assessing this patient, you note that her skin is very hot to the touch. Medical direction instructs you to begin cooling the patient while waiting for EMS personnel to arrive. Which of the following methods would be appropriate? |
| A) | Sponge the child with rubbing alcohol. |
| B) | Sponge the child with lukewarm water. |
| C) | Submerge the child's chest and abdomen in ice water. |
| D) | Apply cold packs to the child's armpits, the back of her neck, and her groin. |
|
| 200 | While you are caring for the child, a neighbor approaches your partner and tells him that the child is abused by her parents. Your partner quietly mentions this to you. While assessing the child, you can see that she has bruises on her upper arms, jaw, and abdomen. You should |
| A) | ask the parents about their suspected abusive behavior. |
| B) | tell the neighbor to call the police if she wants to file a complaint. |
| C) | disregard the neighbor's comment since the child's seizure is a result of a high fever and not abuse. |
| D) | document your physical exam findings, quote the neighbor's statement, and discreetly relay your concerns to the EMS personnel who arrive on the scene. |