Emergency Medical Procedures and Treatments, Exams of Nursing

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Which of the following is NOT typically associated with leukemia? - CORRECT ANSWER- - Absence of fever Which of the following scenarios MOST accurately depicts abandonment? - CORRECT ANSWER- - a pt with a possible fracture of the radius wishes to go to the hospital, but does not have transportation, so you arrange for a friend to take him to the emergency department the next day Which of the following statements regarding a patient's physical pain is MOST correct? - CORRECT ANSWER- - a patient should never have to be a patient about any pain that the paramedic can alleviate You would NOT expect to encounter decreased breath sounds in a patient with: - CORRECT ANSWER- - Cardiac Tamponade. A patient with full-thickness burns surrounded by areas of superficial and partial-thickness burns should be treated with all of the following, EXCEPT: - CORRECT ANSWER- - moist dressings Appropriate prehospital treatment for a patient who has overdosed on a stimulant and is excessively tachycardic and violent includes all of the following, EXCEPT: - CORRECT ANSWER- - beta-adrenergic antagonists Being empathetic towards a pt means that you? - CORRECT ANSWER- - acknowledge the pt's feelings

Biological agents are: - CORRECT ANSWER- - naturally occurring organisms that are cultivated in a laboratory Death in the pre-hospital setting following an acute myocardial infarction is MOST often the result of: - CORRECT ANSWER- - ventricular fibrillation If a 17-year-old woman with a gynecologic problem answers your question, "Is there any possibility that you are pregnant" with a firm "No way!," you should? - CORRECT ANSWER- - ask the patient why she is sure she is not pregnant Q. Intubation of the trauma patient is MOST effectively performed: - CORRECT ANSWER- - by two paramedics S1, the first heart sound, represents: - CORRECT ANSWER- - Closure of the mitral and tricuspid valves "lub". Vascular compromise for changes in blood pressure decreases with age due to? - CORRECT ANSWER- - reduced elasticity of the peripheral vessels secondary to decreases in elastin and collagen When assessing a patient who is disabled from a previous injury, you should: - CORRECT ANSWER- - ask the patient's family what is normal for him or her A known alcoholic man is found unresponsive by a law enforcement officer. An empty container of antifreeze was found near him. Your assessment reveals that his respirations are deep and rapid, his pulse rate is rapid and weak, and his pupils are dilated and sluggishly reactive. As your partner administers high-flow oxygen to the patient, you should:

• CORRECT ANSWER- - start an IV line and begin administering a saline fluid bolus

If the wife of a critically ill man asks you if her husband is going to die, the MOST appropriate response should be? - CORRECT ANSWER- - "He is very sick, but we are doing everything we can to help him." Multiple sclerosis is: - CORRECT ANSWER- - a chronic central nervous system disease caused by destruction of the myelin and nerve axons within the brain and spinal cord Q. Two attempts to ventilate an unconscious 10-year-old boy have been unsuccessful. You should next: - CORRECT ANSWER- - perform chest compressions The fourth heart sound (S4): - CORRECT ANSWER- - Considered a "gallop" rhythm, is a moderately pitched sound that occurs immediately before the normal S1 sound; it's always abnormal. The S4 sound represents either decreased stretching (compliance) of the left ventricle or increased pressure in the atria. "bla" sound. The kind of stress that motivates an individual to achieve is called? - CORRECT ANSWER- - eustress The MOST important aspect in the care of a woman with severe vaginal bleeding is? - CORRECT ANSWER- - treating for shock and transporting rapidly The skin sheds excess heat from the body through: - CORRECT ANSWER- - the evaporation of sweat Which of the following statements regarding an EMS provider's role during a trench rescue is MOST correct? - CORRECT ANSWER- - EMS providers should attempt to make contact with the patient, but should not enter the trench and attempt rescue You have just performed synchronized cardioversion on a patient with unstable ventricular tachycardia. Upon reassessment, you note that the patient is unresponsive, apneic, and

pulseless. You should: - CORRECT ANSWER- - ensure that the synchronizer is off, defibrillate one time, and check for a pulse. If, when responding to a call for a pt in cardiac arrest, you run every stop sign and drive with unnecessary speed? - CORRECT ANSWER- - you are not a credible advocate for injury prevention Injury to the inferior wall of the myocardium would present with: - CORRECT ANSWER- - ST segment elevation in leads II, III and aVF. Q. If the ET tube is placed in the trachea properly, the colorimetric paper inside the ETCO detector should: - CORRECT ANSWER- - turn yellow during inspiration Specific treatment for a hydrofluoric acid burn is: - CORRECT ANSWER- - calcium chloride The MOST common type of ovarian cyst is the ____ cyst, which generally develops during the? - CORRECT ANSWER- - functional, menstrual cycle The MOST important prehospital treatment intervention for a patient with carbon monoxide poisoning is: - CORRECT ANSWER- - high-flow oxygen The term mid-life crisis BEST describes a person who? - CORRECT ANSWER- - makes a dramatic gesture in a bid to reclaim his or her youth Upon arriving at the scene of a multiple vehicle crash, you call for additional resources and begin triaging patients using the START triage system. The first patient you assess is a young male who is unconscious and apneic. After manually opening his airway, you note that he starts breathing shallowly. You should: - CORRECT ANSWER- - categorize him as an immediate patient

When auscultating heart sounds, you should place your stethoscope at the: - CORRECT ANSWER- - At the fifth intercostal space over the apex of the heart. Which of the following statements regarding cancer is MOST correct? - CORRECT ANSWER- - Cancer is defined as the uncontrolled growth of normal tissue cells

• Which of the following statements regarding nervous system function in the older adult is MOST correct? - CORRECT ANSWER- - cerebral metabolism and oxygen consumption remain constant throughout life A bruit indicates ___ blood flow, and is MOST significant in the ___ arteries. - CORRECT ANSWER- - Turbulent, carotid Body substance isolation (BSI) differs from universal precautions in that BSI? - CORRECT ANSWER- - is designed to approach all body fluids as being potentially infectious Common complications associated with cerebral palsy include all of the following, EXCEPT: - CORRECT ANSWER- - cardiovascular disease If a patient's aortic aneurysm is not compressing on any adjacent structures: - CORRECT ANSWER- - he or she will likely be asymptomatic. Q. In contrast to a needle cricothyrotomy, an open cricothyrotomy: - CORRECT ANSWER- - enables the paramedic to provide greater tidal volume The onset of eclampsia is marked by the presence of? - CORRECT ANSWER- - grand mal seizures

Toxic effects of alcohol on the liver include all of the following, EXCEPT: - CORRECT ANSWER- - hyperglycemia Which of the following statements regarding cold water submersion is NOT correct? - CORRECT ANSWER- - Water that is colder than 70 degrees F will cause a marked increase in oxygen demand With regard to a thermal burn injury, the zone of coagulation: - CORRECT ANSWER- - is the central part of the burn and suffers the most damage A painless, progressive enlargement of the lymphoid glands that most commonly affects the spleen and lymph nodes is called: - CORRECT ANSWER- - Hodgkin lymphoma All of the following chemicals are vesicant agents, EXCEPT: - CORRECT ANSWER- - chlorine Average blood loss during the third stage of labor is approximately? - CORRECT ANSWER- - 150 mL If a burn patient presents with a hoarse voice and states, "I'm cold," your MOST immediate concern should be: - CORRECT ANSWER- - inhalation injury Immediate treatment for a patient with acute myocardial infarction involves: - CORRECT ANSWER- - reducing myocardial oxygen demand. Patients with congenital prolongation of the Q-T interval are at GREATEST risk for? - CORRECT ANSWER- - ventricular arrhythmias Q. Which of the following medications is safest to use in patients with borderline hypotension or hypovolemia? - CORRECT ANSWER- - Etomidate

The wrongful act that gives rise to a civil suid is called? - CORRECT ANSWER- - negligence To appreciate the S1 sound: - CORRECT ANSWER- - Ask the patient to breathe normally and hold the breath on expiration. Which of the following is LEAST suggestive of hearing impairment? - CORRECT ANSWER- - an inability to speak An example of conductive deafness is: - CORRECT ANSWER- - temporary hearing loss caused by a ruptured membrane Any sympathomimetic drug will cause: - CORRECT ANSWER- - tachycardia Arterial pulses are a physical expression of: - CORRECT ANSWER- - Systolic blood pressure. Common health risks associated with obesity include all of the following, EXCEPT: - CORRECT ANSWER- - hypotension Prior to transporting a 66 yo woman with CP to the hospital, she expresses the need to retrieve her bible and say a prayer. You should? - CORRECT ANSWER- - leave the room if your religious beliefs are not consistent with hers Q. A patient with a suppressed cough mechanism: - CORRECT ANSWER- - is at high risk for aspiration The purpose of estimating a patient's total body surface area (TBSA) burns in the prehospital setting is to: - CORRECT ANSWER- - help the paramedic determine the most appropriate destination hospital

When assessing lead II via the limb leads, the negative lead should be placed on the: - CORRECT ANSWER- - right arm Which of the following is the safest method for preparing to enter a residence? - CORRECT ANSWER- - Stand to the doorknob side of the door, knock, and announce that you are a paramedic. Which of the following statements regarding Rh disease during pregnancy is MOST correct?

• CORRECT ANSWER- - During subsequent pregnancies, the Rh antibody will cross the placental barrier and attack the fetal red blood cells A partial-thickness burn is considered to be critical if it: - CORRECT ANSWER- - involves more than 30% of the body surface area Distention of the jugular veins indicates: - CORRECT ANSWER- - Depending on the clinical situation, patients with JVD may be experiencing cardiogenic shock or have a ruptured cardiac valve. In the setting of chest trauma, neck vein distention and hypotention may symbolize a tension pneumothorax or pericardial tamponade. Indicates increased venous capacitance Early signs or symptoms of breast cancer include? - CORRECT ANSWER- - a small, painless lump in the breast Q. You are dispatched to a residence for a 59-year-old man with difficulty breathing. The patient, who has a history of COPD, is conscious and alert. During your assessment, he tells you that he developed chills, fever, and a productive cough 2 days ago. Auscultation of his lungs reveals rhonchi to the left lower lobe. This patient is MOST likely experiencing: - CORRECT ANSWER- - pneumonia

Rheumatoid arthritis is MOST accurately defined as: - CORRECT ANSWER- - an autoimmune disorder that causes progressive joint destruction Unlike dermal exposure to a strong acid, dermal exposure to a strong alkali: - CORRECT ANSWER- - requires longer irrigation with water because alkalis are less water soluble When caring for a prolapsed umbilical cord, you should? - CORRECT ANSWER- - Keep the presenting part of the baby off the umbilical cord during rapid transport to the hospital When using limb leads, any impulse moving toward a positive electrode will: - CORRECT ANSWER- - cause a positive deflection on the ECG. You are assessing the circulation status of an injured patient using the START triage system. The patient, a 33-year-old man, has strong radial pulses bilaterally. You should: - CORRECT ANSWER- - control any bleeding and assess his mental status You arrive at the scene of a shooting. The pt, a 19 yo man, has a GSW to the side of his head with a large amount of exposed brain mater. Further assessment reveals that the pt is apneic and pulseless. Law enforcement personnel advise you that the person who shot the patient is in their custody. You should? - CORRECT ANSWER- - avoid unnecessary contact with the pt and document the finding of your visual assessment of the pt and scene As a result of the increase in systolic blood pressure associated with aging: - CORRECT ANSWER- - the left ventricle works harder, becoming thicker, and loses its elasticity Depolarization, the process by which muscle fibers are stimulated to contract, occurs when: - CORRECT ANSWER- - cell wall permeability changes and sodium rushes into the cell.

Q. When determining the correct-sized nasogastric tube for a patient, you should measure the tube: - CORRECT ANSWER- - from the nose to the ear and to the xiphoid process. The onset of menses is called ___, and typically occurs between the ages of? - CORRECT ANSWER- - Menarche, 11 and 14 years Upon arriving at the scene of an incident involving a chlorine gas spill, you should: - CORRECT ANSWER- - remove all patients from the scene When a person experiences an injury and seeks redress for that injury? - CORRECT ANSWER- - the judicial process must determine who is responsible When examining the anterior abdomen of a patient who complains of abdominal pain: - CORRECT ANSWER- - It's best to make the patient as comfortable as possible. The patient must be in the supine position. Which of the following statements regarding paralysis is MOST correct? - CORRECT ANSWER- - A paralyzed patient has lost the ability to voluntarily move a body part While at the scene of an incident in which several patients were possibly exposed to Lewisite, you are informed that an unresponsive patient with multiple blisters on his body and inadequate breathing is being brought to you for treatment. You should: - CORRECT ANSWER- - ensure that the patient has been decontaminated before initiating any treatment You are transporting a conscious but confused 29-year-old man after he was electrocuted. The patient is on high-flow oxygen, has an IV line of normal saline in place, is on a cardiac monitor, and has his spine fully immobilized. During transport, it is especially important for you to: - CORRECT ANSWER- - remain alert for lethal cardiac dysrhythmias and to be prepared to defibrillate

• Renin is a protein that is released into the bloodstream by the ___ in response to changes in the ___. - CORRECT ANSWER- - kidneys, blood pressure A patient who is absolutely still and resists any movement should be suspected of having: - CORRECT ANSWER- - Peritonitis After stabilizing the scene, you must next: - CORRECT ANSWER- - get access to the patient and determine his or her degree of entrapment During you assessment of a 33-year-old woman who you suspect is under the influence of a drug, the patient tells you that she was "listening to the painting on the wall" before you arrived. Her pulse rate and blood pressure are both elevated. This clinical presentation is MOST consistent with the use of: - CORRECT ANSWER- - methamphetamine Q. Approximately ___ mL of air remain in the anatomic dead space of an adult with a tidal volume of 500 mL. - CORRECT ANSWER- - 150 The lesions associated with genital herpes? - CORRECT ANSWER- - Initially appear as small red bumps Thousands of fibrils that are distributed throughout the ventricles, which represent the end of the cardiac condition system, are called the: - CORRECT ANSWER- - purkinje fibers. Unlike chemical burns, radiation burns: - CORRECT ANSWER- - may appear hours or days after exposure Which of the following is an example of a speech production disorder: - CORRECT ANSWER- - hoarseness

Which of the following would MOST likely encourage manufacturers to remove dangerous products from the market or make them safer? - CORRECT ANSWER- - product liability litigation

• In what age range can most children begin to use and understand full sentences? - CORRECT ANSWER- - 3 to 4 years A 16-year-old man presents with shortness of breath and a productive cough. During your exam, you note that the tips of his fingers are cyanotic and clubbed. His breath sounds reveal coarse crackles bilaterally and his oxygen saturation is 85% on room air. This patient MOST likely has: - CORRECT ANSWER- - cystic fibrosis A 74-year-old man experienced partial- and full-thickness burns to his arms and chest resulting from a fire that started after he fell asleep while smoking his cigar. The patient's son, who arrived at the scene shortly after you, states that his father has congestive heart failure, rheumatoid arthritis, and atrial fibrillation. In addition to administering supplemental oxygen, it is MOST important for you to: - CORRECT ANSWER- - auscultate his breath sounds before administering IV fluids Any electrical impulse that originates in the ventricles will produce: - CORRECT ANSWER- - wide QRS complexes and a rate between 20 and 40 beats/min. Q. The MOST obvious risk associated with extubation is: - CORRECT ANSWER- - overestimating the patient's ability to protect his or her own airway The single MOST important process to ensure ongoing rescuer safety at a technical rescue incident is: - CORRECT ANSWER- - the accountability system Which of the following patients is NOT an emancipated minor? - CORRECT ANSWER- - 17 yo woman who goes to college and lives with her parents

Which of the following statements regarding ascites is MOST correct? - CORRECT ANSWER- - Typically seen in patients who suffer from liver disease. Ascites is the collection of fluid within the peritoneal cavity Which of the following statements regarding leukemia is MOST correct? - CORRECT ANSWER- - Leukemia is the result of abnormal white blood cell development You are in the process of assisting a woman in labor. She is 38 weeks pregnant with her second child and her contractions are 3 minutes apart and are strong and regular. Her first baby was delivered by cesarean section. As you prepare for imminent delivery, the woman tells you that her contractions have decreased significantly, and that she is very dizzy. Assessment of her vaginal area reveals moderate vaginal bleeding. You quickly assess her and note that she is diaphoretic, tachycardic, and hypotensive. You should be MOST suspicious for? - CORRECT ANSWER- - Uterine rupture

• What hand gesture is interpreted by many Arabic and some Latin countries as the equivalent of an extended middle finger? - CORRECT ANSWER- - the thumbs-up sign A female paramedic is attempting to ask a hearing-impaired man about his past medical history. However, when she asks him a question, he looks at her male partner and smiles. The male partner should: - CORRECT ANSWER- - attempt to communicate with the patient, as his voice will likely have a lower pitch A patient who presents with petechiae is MOST likely: - CORRECT ANSWER- - thrombocytopenic Burn shock is caused by: - CORRECT ANSWER- - fluid loss across damaged skin and volume shifts within the rest of the body If a paramedic is on duty receives a 911 call in his or her jurisdiction? - CORRECT ANSWER-

• he or she is not covered by the Good Samaritan law

If a woman who is being treated with the antibiotic metronidazole for bacterial vaginosis consumes alcohol during treatment? - CORRECT ANSWER- - She may develop severe nausea and vomiting Normal sinus rhythm (NSR) is characterized by all of the following, EXCEPT: - CORRECT ANSWER- - QRS complexes that are less than 0.14 seconds. Preparedness in a given area should involve decisions and planning about: - CORRECT ANSWER- - the most likely disasters for the area, among other disasters Q. A 40-year-old man fell 20 feet from a tree while trimming branches. Your assessment reveals that he is unconscious. You cannot open his airway effectively with the jaw-thrust maneuver. You shoud: - CORRECT ANSWER- - carefully open his airway with the head tilt- chin lift maneuver. What part of the abdominal exam is of LEAST value in the prehospital setting? - CORRECT ANSWER- - Auscultation of the abdomen. Abdominal guarding is MOST commonly encountered in patients with: - CORRECT ANSWER- - Peritoneal irritation (i.e, organ becomes inflammed or hollow organ ruptures and empties contents into paritoneal cavity) After an adult victim is struck by lightning and experiences cardiac arrest: - CORRECT ANSWER- - his or her heart may resume beating spontaneously Cervical effacement occurs when? - CORRECT ANSWER- - The less muscular lower part of the uterus is pulled upward over the presenting part of the baby

During a lengthy confined-space rescue in which the patient has experienced a crush injury, the paramedic should be especially concerned about the potential for: - CORRECT ANSWER- - compartment syndrome If a patient asks you for advice regarding a treatment decision that his or her physician made, you should? - CORRECT ANSWER- - advice the patient that he or she should speak with his or her physician Lowering of a significantly elevated blood pressure: - CORRECT ANSWER- - is best accomplished in a hospital setting. Q. A pulse oximetry reading would be LEAST accurate in a patient: - CORRECT ANSWER- - with poor peripheral perfusion Which of the following is NOT an anatomic characteristic of a person with Down syndrome?

• CORRECT ANSWER- - small retracted tongue While en route to a call for an emotionally distrubed patient, law enforcement notifies you by radio that the pt has become extremely violent. You should? - CORRECT ANSWER- - wait for law enforcement to advise you that they have the pt under control You are transferring a 60-year-old man with COPD from a community hospital to a metropolitan hospital. The patient is mildly dyspneic, but is otherwise stable. He is receiving oxygen via nasal cannula, has an IV line of normal saline in place, and an ECG applied. When reading his chart, you note that he has polycythemia, a history of a prior stroke, and HTN. The patient tells you that he feels a fluttering sensation in his chest. You glance at the cardiac monitor and see a narrow complex tachycardia at a rate of 160 beats/min. The patient's blood pressure is 116/70 mmHg and he remains conscious and alert. You should: - CORRECT ANSWER- - ensure adequate oxygenation and ventilation, administer 6 mg of adenosine, and reassess his cardiac rhythm

Common actions performed by the dispatcher after receiving an emergency call include all of the following, EXCEPT? - CORRECT ANSWER- - determining if an ambulance should be dispatched Gross distortions of reality, withdrawal from social contacts, and bizarre behavior are MOST characteristic of? - CORRECT ANSWER- - schizophrenia If a woman is gravid 3 and para 2? - CORRECT ANSWER- - She has delivered two babies If intubation of a burn patient becomes necessary, you should avoid cutting the ET tube down to make it shorter because: - CORRECT ANSWER- - facial edema may cause tube dislodgement 2 to 3 days after the burn Packaging a patient is MOST accurately defined as: - CORRECT ANSWER- - preparing the patient for movement as a unit Patients with delirium tremens often experience: - CORRECT ANSWER- - hallucinations Q. If the amount of pulmonary surfactant is decreased: - CORRECT ANSWER- - alveolar surface tension increases The recommended first-line treatment for third-degree heart block associated with bradycardia is: - CORRECT ANSWER- - transcutaneous pacing. Visceral abdominal pain is: - CORRECT ANSWER- - Less discrete guarded tenderness to palpation. Can be associated with various degrees of bowel obstruction. Which of the following outward signs is LEAST suggestive of a communicable disease? - CORRECT ANSWER- - depression

A 30-year-old woman complains of an "achy" pain to both lower abdominal quadrants, which she states is made worse by walking. She further tells you that she recently finished her menstrual period. She has a fever of 101.9F. Her blood pressure is 122/62 mmHg, pulse rate is 84 beats/min and strong, and respirations are 14 breaths/min and unlabored. After gathering the rest of her medical history, you should? - CORRECT ANSWER- - Provide emotional support, make her as comfortable as possible, and safely transport her to an appropriate hospital. Assessment of the female genitalia: - CORRECT ANSWER- - Performed in a limited and discreet fashion. Reasons to examine include concern over life-threatening hemorrhage or imminent delivery in chidbirth. Limit exam to inspection only. Cardiac-related chest pain is often palliated by: - CORRECT ANSWER- - nitroglycerin. Poisoning with ___ is MOST often the result of improper food storage or canning: - CORRECT ANSWER- - clostridium botulinum Q. Which of the following devices is NOT used to deliver oxygen via positive pressure? - CORRECT ANSWER- - simple face mask The symptoms and medical management of patients poisoned by ___ are identical to those of the nerve agents. - CORRECT ANSWER- - Organophosphate insecticides Two thirds of children born with Down syndrome: - CORRECT ANSWER- - have congenital heart disease When you address a patient by saying, "Hi, my name is Stephen Rahm and I'm a paramedic. What's your name?", the patient: - CORRECT ANSWER- - must go through a variety of very specific sequence of physical and mental responses that amounts to a mini-mental status examination

Which of the following statements regarding pre-hospital vascular access and fluid therapy in the severely burned patient is MOST correct? - CORRECT ANSWER- - At least one large- bore IV should be started while en route to the hospital You should prioritize the needs of your patient based on the? - CORRECT ANSWER- - injury or illness that requires the most urgent treatment

• When communicating with older patients, it is MOST important to remember that: - CORRECT ANSWER- - their illnesses may be more complex because they have more than one disease process and may be taking several medications concurrently A nulliparous woman? - CORRECT ANSWER- - Has never delivered a baby A pathologic fracture occurs when: - CORRECT ANSWER- - When normal forces are applied to abnormal bone structures If you are treating a patient with a suspected benzodiazepine overdose, and find that the patient is hypotensive, bradycardic and comatose: - CORRECT ANSWER- - you should consider concomitant overdose with another CNS depressant If your partner is injured while approaching a parked vehicle, you should: - CORRECT ANSWER- - back the ambulance away from the danger zone and request law enforcement Obesity is often attributed to: - CORRECT ANSWER- - a slow basal metabolic rate Q. When present at low levels, oxygen binds easily to hemoglobin molecules, resulting in: - CORRECT ANSWER- - large changes in oxygen saturation when small changes in PaCO occur.

Which of the following burn injuries would MOST likely require transport to a burn specialty center? - CORRECT ANSWER- - Burns that involve the hands, feet, or major joints Which of the following clinical findings is LEAST suggestive of left side heart failure? - CORRECT ANSWER- - Sacral edema. While caring for a woman with acute SOB, your partner, a dedicated paramedic for many years, tells the pt that she should have driven herself to the hospital instead of calling EMS. Your partner's behavior is MOST consistent with? - CORRECT ANSWER- - impending burnout A 51-year-old woman sustained a large laceration to her cheek when she was cut by a knife during a robbery attempt. The patient is conscious and alert and has severe oral bleeding. She denies any other trauma. Your FIRST action should be to: - CORRECT ANSWER- - ensure that she is sitting up and leaning forward Clinical signs of an inflamed joint include all of the following, EXCEPT: - CORRECT ANSWER- - SIGNS INCLUDE: swelling, tenderness, increased heat, redness, ecchymosis, decreased function, deformity, diminished strength, atrophy or asymmetry from one side to the other If you must move a vision-impaired patient, it is MOST important to: - CORRECT ANSWER- - tell the patient what is happening Uterine inversion occurs when? - CORRECT ANSWER- - The placenta fails to detach properly and adheres to the uterine wall when it is expelled Which of the following statements regarding vehicle stabilization is MOST correct? - CORRECT ANSWER- - Vehicles that are positioned upright on all four wheels should be stabilized

A 19-year-old woman fell from a second story window and landed on her head. She is unconscious with a blood pressure of 148/94 mmHg, heart rate of 58 beats/min, and irregular respirations of 8 breaths/min. Further assessment reveals blood draining from her nose and bilaterally dilated pupils that are slow to react. In addition to employing full spinal precautions, the MOST appropriate treatment for this patient involves: - CORRECT ANSWER- - intubating her trachea after preoxygenating her for 2 to 3 minutes with a bag- mask device, transporting immediately, starting at least one large-bore IV en route, applying a cardiac monitor, and performing frequent neurologic assessments. In addition to identifying and evaluating any hazards, scene stabilization typically involves all of the following components, EXCEPT: - CORRECT ANSWER- - determining if air transport is available Structural integrity of the pelvis is assessed by: - CORRECT ANSWER- - Applying pressure to the iliac crests and pushing in and then down When troubleshooting a hearing aid that is not working, you should: - CORRECT ANSWER- - avoid attempting to clean the device Which of the following statements regarding the amniotic sac and fluid is MOST correct? - CORRECT ANSWER- - In the latter stages of pregnancy, the fetus swallows amniotic fluid and passes wastes out into the fluid After concealing yourself and reassessing your position, you should: - CORRECT ANSWER-

• seek adequate cover Bleeding from a scalp laceration with an underlying skull deformity: - CORRECT ANSWER- - may contribute to hypovolemia in adults

Hypernasality would MOST likely be caused by conditions such as: - CORRECT ANSWER- - cleft palate and enlarged adenoids