Chapter 33 Environmental Emergencies Test Questions with Answers Rated A, Exams of Environmental Science

Chapter 33 Environmental Emergencies Test Questions with Answers Rated A

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Chapter 33 Environmental Emergencies Test Questions with Answers
Rated A
1.
a 20 year old male was pulled from cold water by his
C
friends. The length of his submersion is not known and
was not witnessed. You perform a primary assessment
and determine that the patient is apneic and has a
slow, weak pulse. You should:
A)
ventilate with a bag valve mask, apply a rigid cervical
collar, remove his wet clothing, and transport rapidly.
B)
suction his airway for 30 seconds, provide rescue
breathing, keep him warm, and transport at once.
C)
provide rescue breathing, remove his wet clothing,
immobilize his entire spine, keep him warm, and trans-
port carefully.
D)
apply high flow oxygen via a nonrebreathing mask,
immobilize his spine, keep him warm, and transport
rapidly
2.
a 30-year-old male was rescued after being lost in the
B
woods for approximately 18 hours. The outside tem-
perature is 30 degrees. He is immediately placed in
the warmed ambulance, where you perform a primary
assessment. He is unresponsive, pale, and apnea. You
should:
A)
apply an automated external defibrillator and as-
sess his cardiac rhythm
B)
assess for a carotid pulse for up to 60 seconds
C)
apply chemical heat packs to his groin and axillae
D)
open his airway and give two rescue breaths
3.
a 31 year old male was bitten on the leg by an uniden-
B
tified snake. The patient is conscious and alert and
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Rated A

  1. a 20 year old male was pulled from cold water by his C friends. The length of his submersion is not known and was not witnessed. You perform a primary assessment and determine that the patient is apneic and has a slow, weak pulse. You should: A) ventilate with a bag valve mask, apply a rigid cervical collar, remove his wet clothing, and transport rapidly. B) suction his airway for 30 seconds, provide rescue breathing, keep him warm, and transport at once. C) provide rescue breathing, remove his wet clothing, immobilize his entire spine, keep him warm, and trans- port carefully. D) apply high flow oxygen via a nonrebreathing mask, immobilize his spine, keep him warm, and transport rapidly
  2. a 30 - year-old male was rescued after being lost in the B woods for approximately 18 hours. The outside tem- perature is 30 degrees. He is immediately placed in the warmed ambulance, where you perform a primary assessment. He is unresponsive, pale, and apnea. You should: A) apply an automated external defibrillator and as- sess his cardiac rhythm B) assess for a carotid pulse for up to 60 seconds C) apply chemical heat packs to his groin and axillae D) open his airway and give two rescue breaths
  3. a 31 year old male was bitten on the leg by an uniden- B tified snake. The patient is conscious and alert and

Rated A in no apparent distress. Your assessment of his leg reveals two small puncture marks with minimal pain and swelling. In addition to administering oxygen and providing reassurance, further care for this patient should include: A) transporting only with close, continuous monitor- ing B) supine positioning, splinting the leg, and transport- ing C) elevating the lower extremities and giving antivenin D) applying ice to the wound and transporting quickly

  1. a dysbarism injury refers to the signs and symptoms B related to changes in: A) rapid descent B) barometric pressure C) rapid ascent D) decompression
  2. a frostbitten foot can be identified by the presence of: B A) blanching of the skin B) mottling and blisters C) gross deformity D) soft, smooth skin
  3. A patient with a core body temperature of 95°F (35°C) A will MOST likely experience: A) rapid breathing B) muscle stiffness

Rated A ter D) the alveoli completely collapse due to high pressure

  1. Breath-holding syncope is caused by a decreased stim- C ulus to breathe and occurs when: A) a diver holds his or her breath during a staged ascent B) a swimmer breathes shallowly before entering the water C) a swimmer hyperventilates prior to entering the water D) a diver holds his or her breath for a long period of time
  2. Burns associated with lightning strikes are typically: A A) superficial B) partial-thickness C) third-degree D) full-thickness
  3. Common signs and symptoms of heat exhaustion in- D clude all of the following, EXCEPT: A) tachycardia B) nausea C) dry tongue and thirst D) hot, dry skin
  4. Compared to adults, infants and children are at higher B risk for hypothermia for all of the following reasons, EXCEPT:

Rated A A) a decreased ability to shiver B) a relatively small surface area C) a smaller overall muscle mass D) a smaller amount of body fat

  1. Covering a patient's will significantly mini- B mize radiation heat loss. A) extremities B) head C) chest D) abdomen
  2. Drowning is MOST accurately defined as: D A) water in the lungs following submersion in water B) temporary survival after submersion in water C) death beyond 24 hours after submersion in water D) death from suffocation after submersion in water
  3. For sweating to be an effective cooling mechanism: B A) several layers of clothing must be worn B) it must evaporate from the body C) the body must produce at least 1L per hour D) the relative humidity must be above 90%
  4. Geriatric patients, newborns, and infants are especial- B ly prone to hyperthermia because they: A) have smaller body surface areas B) exhibit poor thermoregulation

Rated A A) radiation B) evaporation C) conduction D) convection

  1. Hypothermia can worsen internal bleeding secondary C to: A) severe muscle rigidity B) a decreased heart rate C) blood clotting abnormalities D) cardiac arrhythmias
  2. Hypothermia occurs when the core body temperature D falls below: A) 88 degrees B) 90 degrees C) 98 degrees D) 95 degrees
  3. In contrast to Lyme disease, Rocky Mountain spotted B fever: A) causes painful joint swelling after a few days or weeks B) can cause paralysis and cardiorespiratory collapse C) might be confused with rheumatoid arthritis D) presents with flu like symptoms and a bullseye rash
  4. In contrast to the brown recluse spider, the black wid- B ow spider:

Rated A A) has a bite that is typically painless until a blister develops B) is large and has a red-orange hourglass mark on its abdomen C) has a bite that usually produces local pain but no systemic signs or symptoms D) is very small and has a violin-shaped marking on its back

  1. Rough handling of a hypothermic patient with a pulse B may cause: A) pulseless electrical activity B) ventricular fibrillation C) ventricular tachycardia D) profound bradycardia
  2. Signs of late heatstroke include: C A. hot, moist skin. B. nausea and vomiting. C. a weak, rapid pulse. D. a change in behavior.
  3. The body's natural cooling mechanism, in which sweat D is converted to a gas, is called: A) convection B) conduction C) radiation D) evaporation
  4. The diving reflex might allow a person to survive ex- A tended periods of submersion in cold water secondary

Rated A A) perspiration and tachycardia B) hyperventilation and tachycardia C) sweating and vasodilation D) respiration and bradycardia

  1. the venom of a black widow spider is toxic to the: C A) renal system B) cardiovascular system C) nervous system D) respiratory system
  2. The venom of a brown recluse spider is cytotoxic, B meaning that it: A) destroys the body's red blood cells B) causes severe local tissue damage C) weakens the structure of the bones D) suppresses the respiratory drive
  3. To assess a patient's general body temperature, pull B back on your glove and place the back of your hand on his or her skin at the: A) forehead B) abdomen C) neck D) chest
  4. To obtain the most accurate reading of a patient's A core body temperature, you should place a special hypothermia thermometer:

Rated A A) into the patient's rectum B) under the patient's tongue C) under the patient's armpit D) behind the patient's knee

  1. When a warm hand is immersed in water that is 70°F D (21°C), heat is transferred from the hand to the water through a process called: A) convection B) evaporation C) radiation D) conduction
  2. When the body loses sweat, it also loses: B A) nutrients B) electrolytes C) plasma D) erythrocytes
  3. which of the following conditions would be the least B likely to increase a person's risk of hypothermia? A) severe infection B) hyperglycemia C) spinal cord injury D) head injury
  4. Which of the following is a sign of pit viper envenoma- D tion? A) signs and symptoms of hypoperfusion

Rated A

  1. Which of the following statements regarding lightning C strikes is correct? A) cervical spine fractures are the most common cause of lightning-related deaths B) victims who are struck by lightning often experience severe full-thickness burns C) lightning strikes might cause cardiac dysrhythmias that spontaneously resolve D) the tissue damage pathway caused by lightning usually occurs through the skin
  2. You are assessing a 33 year old male who complains of D severe abdominal pain, weakness, and nausea. He tells you that he was gathering wood to build a fire when he felt a sudden, sharp pain on the back of his hand. Your assessment reveals that the patient's abdomen is rigid and painful to palpation. You should suspect: A) Rocky Mountain spotted fever B) a brown recluse spider bite C) envenomation from a pit viper D) a black widow spider bite
  3. You are dispatched to a local high school track and field A event for a 16 year old male who fainted. The outside temperature is approximately 95 degrees with high humidity. Upon your arrival, the patient is conscious, alert, and complains of nausea and a headache. His skin is cool, clammy, and pale. You should: A) move him into the cooled ambulance B) give him a liquid salt solution to drink

Rated A C) apply chemical ice packs to his axillae D) administer 100% supplemental oxygen

  1. You are dispatched to a residence for a young female D who is sick. The patient complains of a rash to her low- er extremities and truncal area. Your assessment re- veals a small, painful blister on her inner thigh. As your partner is taking the patients vital signs, she states that she and her family returned from a camping trip two days ago. On the basis of this patient's presentation, you should suspect: A) exposure to poison ivy B) an allergic reaction C) Rocking Mountain spotted fever D) Lyme disease
  2. You receive a call to a residence for a sick patient. D Upon your arrival, you find the patient, a 53 year old diabetic male, lying down on his front porch. His wife tells you that he was mowing the lawn in the heat for the past three hours. The patient is confused and has hot, moist skin. His pulse is weak and thready, and his blood pressure is 90/50mm Hg. You should: A) place him in a sitting position and have him drink 1 L of water B) perform a head to toe assessment and look for signs of trauma C) administer one tube of oral glucose and reassess his mental status