EMT FISDAP FINAL EXAM 200 QUESTIONS AND CORRECT ANSWERS[VERIFIED ANSWERS] 2024/2025|ALRE, Exams of Nursing

Download EMT FISDAP FINAL EXAM 200 QUESTIONS AND CORRECT ANSWERS[VERIFIED ANSWERS] 2024/2025|ALRE and more Exams Nursing in PDF only on Docsity! 1 FISDAP MEDICAL REAL EXAM 150 QUESTIONS AND CORRECT ANSWERS[VERIFIED ANSWERS] 2024/2025|ALREADY GRADED A+ You arrive on the scene of a patient who fell from a ladder. Which of the following information is NOT an important factor in care of the patient? a)Height of the ladder b)Distance the patient fell from c)Surface the patient landed on d)What part of the body hit first - CORRECT ANSWER>>a)Height of the ladder You are at the scene of an MVA, in which there are three patients, all of which have minor visible injuries. Two are refusing treatment and the last is complaining of neck and back pain. How should you proceed? a)Treat all three patients, they are visibly injured and need medical attention b)Obtain signed refusals from the first two patients then proceed to the third c)Treat the third patient, nothing else is needed for the other two d)Have your partner obtain refusals from the two patients who refused treatment, while you treat the last patient. - CORRECT ANSWER>>d)Have your partner obtain refusals from the two patients who refused treatment, while you treat the last patient. Your patient is a 17 year old male found face down in a swimming pool. He is currently being held face up at the surface of the water. He is unconscious but breathing and has a pulse. What is the best course of action for this patient? a)Jump into the pool and begin CPR b)Remove the patient from the pool, immobilize, and transport. c)Apply cervical and spinal immobilization while the patient is still in the pool d)Wait for a trained water rescue team - CORRECT ANSWER>>c)Apply cervical and spinal immobilization while the patient is still in the pool A laceration, spurting bright laceration, spurting bright red blood, most likely means what type of injury? what red blood most likely means a)Venous b)Arterial c)Capillary d)Amputation - CORRECT ANSWER>>b)Arterial 2 Your patient has a laceration to the right leg which has intersected the femoral artery. You have applied direct pressure to the wound, but it continues to soak through the bandages. What should you do next? a)Apply a tourniquet b)Elevate the leg c)Remove the old bandage and apply new ones d)Apply pressure to point just above the injury - CORRECT ANSWER>>b)Elevate the leg Of the two types of energy, which type of energy transfer in a motor vehicle crash (MVC) with frontal impact, non-restrained driver with bent steering wheel, and spidered windshield? a)High velocity penetrating b)Decelerating c)Low velocity penetrating d)Blunt - CORRECT ANSWER>>d)Blunt Any penetrating missile traveling over 2,000 ft/sec would be classified as? a)Low velocity b)Medium velocity c)High velocity d)Decelerating - CORRECT ANSWER>>c)High velocity When there is penetrating trauma there is a permanent cavity which is formed by the projectile contacting the tissues. How is a temporary cavity formed? a)By the twisting of the projectile b)By energy scrubbing off of the projectile c)The wadding entering the body d)Unspent gun powder - CORRECT ANSWER>>b)By energy scrubbing off of the projectile The way a patient is injured is often referred to as the _______________? a)Mechanism of injury b)Nature of illness c)Injury pattern d)Energy transfer - CORRECT ANSWER>>a)Mechanism of injury When approaching a scene of trauma incident, what is your first order of business? a)Airway b)C-Spine control 5 a)High flow oxygen, spinal precautions, occlusive dressing over entrance wound, rapid transport. b)High flow oxygen by nonrebreather, spinal precautions, allow patient to remain in a position of comfort. c)High flow oxygen by nonrebreather, cover entrance wound with an occlusive dressing. d)High flow oxygen, pleural decompression to right side of chest, rapid transport. - CORRECT ANSWER>>a)High flow oxygen, spinal precautions, occlusive dressing over entrance wound, rapid transport. You are treating a 12-year-old male patient who was hit in the nose with a baseball. His nose is deviated to the left with moderate epistaxis. He is complaining of severe pain to his nose. He is alert and oriented with no loss of consciousness. Which of the following treatment sequences would best manage this patient? a)Pack nares with gauze to control bleeding. b)Have patient lie supine while holding pressure to nares. c)Align nose in the neutral position while holding pressure to nares. d)Have patient sit upright and lean forward while holding pressure to nares. - CORRECT ANSWER>>d)Have patient sit upright and lean forward while holding pressure to nares. You are called for an elderly female that fell down and hurt her knee. When you find the patient, she tells you she tripped and fell, and landed on her left knee. She denies any loss of consciousness or trauma to her head. The patient is only complaining of pain to the distal portion of her femur. During your assessment, you notice deformity and swelling to the femur, proximal to the knee. The patient has good distal pulses, motor function, and sensation. What would be the most appropriate treatment for this patient? a)Secure to a backboard and pad appropriately b)Application of padded board splints c)Traction splinting d)Inflation of the PASG on both legs - CORRECT ANSWER>>a)Secure to a backboard and pad appropriately Which of the following patients would be most appropriate for triage to a non-trauma center? a)67-year-old female who was electrocuted by a 220 volt electrical outlet b)19-year-old male involved in a single car MVC at a rate of 25 miles per hour c)25-year-old female with a 1-inch laceration on her thigh d)14-year-old male who fell 11 feet out of a tree, landing on his back - CORRECT ANSWER>>c)25-year-old female with a 1-inch laceration on her thigh 6 You have responded to a local residence of a 37-year-old male who had lacerated his leg while using a chainsaw in the back of his house. Prior to your arrival, the patient's wife, who is a nurse, applied pressure to the wound and has the patient in a Trendelenburg position. Your assessment of the patient reveals him to be responsive to painful stimuli with a weak carotid pulse and the blood pressure unobtainable. There is a massive amount of blood surrounding the patient on the ground. The wife tells you that the wound is arterial and the injury occurred about 10 to 15 minutes ago. In addition to oxygen therapy, what are your treatment priorities for this patient? a)Continue applying direct pressure to the wound and call for ALS support. b)Apply an arterial tourniquet and call for ALS support. c)Apply an arterial tourniquet and call for ALS support. d)Continue applying direct pressure to the wound and transport. - CORRECT ANSWER>>a)Continue applying direct pressure to the wound and call for ALS support. Which of the following findings in a crush injury is typically the earliest and most prominent? a)Pain b)Pulselessness c)Paresthesia d)Paralysis - CORRECT ANSWER>>a)Pain Your 26-year-old female patient has been pulled out of a house fire. Her chest and arms have been burned. The area is charred and the patient states she has little pain in the burned area. What is the most likely classification of this patient's burns? a)Full thickness b)Superficial partial thickness burns c)Deep partial thickness burns d)Superficial - CORRECT ANSWER>>a)Full thickness You have responded for a 43-year-old male who was involved in an altercation. The patient was reportedly beaten about the face and head with a baseball bat. The patient is unresponsive. Evaluation of the patient's face reveals instability from the orbits to the mandible. Based on this information, how would you definitively manage this patient's airway? a)Immediately assist ventilations with a Bag-Valve-Mask. b)Orally intubate the patient and assist ventilations with a Bag-Valve-Mask. c)Insert an oral airway and assist ventilations with a Bag-Valve-Mask. d)Insert a nasal airway and assist ventilations with a Bag-Valve-Mask. - CORRECT ANSWER>>b)Orally intubate the patient and assist ventilations with a Bag-Valve-Mask. 7 When managing an open fracture, you should do which of the following? a)Cover the exposed bone ends with a moist sterile dressing. b)Provide mild manual traction to restore distal circulation. c)Leave the wound exposed if there is no massive bleeding from the area. d)Apply a pressure dressing to prevent blood loss. - CORRECT ANSWER>>a)Cover the exposed bone ends with a moist sterile dressing. What is the most common spinal injury associated with improper lifting techniques? a)Thoracic b)Cervical c)Lumbar d)Sacral - CORRECT ANSWER>>c)Lumbar You respond to the scene of a residential natural gas explosion to find a 36-year-old male patient complaining of a diminished ability to hear, moderate dyspnea, and acute abdominal pain. These symptoms are likely due to what mechanism? a)Primary blast injury b)Secondary blast injury c)Tertiary blast injury d)Toxic inhalation of natural gas - CORRECT ANSWER>>a)Primary blast injury While assessing the carotid and radial pulse in your unresponsive patient, you determine that the carotid pulse is weak and rapid, and the peripheral pulses are absent. What other clinical assessment finding would you expect to be present? a)An irregular rhythm of the pulse b)A decrease in the respiratory rate c)Cool and pale skin d)An increase in arterial pressure - CORRECT ANSWER>>c)Cool and pale skin Your patient is suffering from Epistaxis. How should you proceed. a)There is no treatment for Epistaxis b)Pack the area with gauze c)Pinch the nostrils and have the patient lean forward d)Pinch the nostrils and have the patient tilt their head backwards - CORRECT ANSWER>>c)Pinch the nostrils and have the patient lean forward What are the signs and symptoms of shock a)Increased heart rate, increased respirations, hypotension 10 A fall greater than ______ would be considered a significant mechanism of injury in a patient under the age of 8. a)The height of the patient b)5 feet c)Double the patient's height d)10 feet - CORRECT ANSWER>>d)10 feet You are called to the scene of pedestrian that's been struck by a car. Upon examination, you notice clear fluid leaking from the patient's ear, that you believe to be cerebral spinal fluid. This tells you the patient may have suffered a: a)Severe head injury b)Basilar skull fracture c)Ruptured eardrum d)Cervical spine injury - CORRECT ANSWER>>a)Severe head injury What does PMS stand for during your assessment of a patient's lower extremity? a)Pedial , Motion, Sensation b)Pain, Motion, Severity c)Pulse, Motor function, Sensation d)Pulse, Motor sensation, Severity - CORRECT ANSWER>>c)Pulse, Motor function, Sensation A 34 year old male has a fractured left elbow, and his arm is cyanotic and pulseless. What should you do? a)Stabilize the elbow with a sling and swathe b)Immobilize the arm with a traction splint c)Align with gentle traction until resistance is met d)Immobilize the arm as it was found - CORRECT ANSWER>>c)Align with gentle traction until resistance is met What is the term for the injury in which the epidermis remains intact, but cells and blood vessels in the dermis may be damaged? a)Contusion b)Evisceration c)Hematoma d)Avulsion - CORRECT ANSWER>>a)Contusion 11 A 41 year old male was kicked in the chest by a horse. He is short of breath and he has a contusion to his sternum. Vital signs are BP 96/78. P 124, and shallow. What should you suspect? a)Congestive heart failure b)Cardiac tamponade c)Pulmonary embolism d)Pulmonary edema - CORRECT ANSWER>>b)Cardiac tamponade A 21 year old male is semi-conscious and lying kiddywampus at the bottom of 2 flights of stairs. What should you do? a)Perform a sternal rub b)Assess for distal pulses c)Open the airway with jaw thrust maneuver d)Manually stabilize c-spine - CORRECT ANSWER>>d)Manually stabilize c-spine A 21 year old female has an open femur fracture after falling off a horse. What should you do? a)Check for a distal circulation b)Apply manual stabilization to her femur c)Apply a traction splint d)Immobilize her on a long back board - CORRECT ANSWER>>b)Apply manual stabilization to her femur What is most life threatening for an adult patient? a)Bubbling wound to the chest b)Bowel evisceration c)Active bleeding from the forehead d)Compound tibia fracture - CORRECT ANSWER>>a)Bubbling wound to the chest What type of injury results from prolonged compression forces applied to soft tissue? a)Avulsion b)Crush injury c)Concussion d)Convolution - CORRECT ANSWER>>b)Crush injury Which injury or condition should be managed first in a patient with multi-system trauma? a)Fluid drainage from both ears b)Bleeding within the oral cavity c)A large open abdominal wound 12 d)Bilateral fracture to the femur - CORRECT ANSWER>>b)Bleeding within the oral cavity A 25 year old male has a deep laceration on his right forearm. You are applying direct pressure with a trauma dressing. But the wound continues to bleed. What should you do? a)Tension pneumothorax b)Apply a tourniquet proximal the laceration c)Align with gentle traction until resistance is met d)Transporting rapidly - CORRECT ANSWER>>b)Apply a tourniquet proximal the laceration A 46 year old female was in a car crash at highway speeds. She is unconscious, breathing deep and fast with an abrasion to the lateral aspect of her neck. What should you do? a)Take c-spine precautions b)Open the airway c)Perform a rapid extrication d)Apply an occlusive dressing - CORRECT ANSWER>>a)Take c-spine precautions A 56 year old male complains of tearing chest pain that radiates to his back. He was the restrained driver involved in a car crash at high-way speeds. What should your secondary assessment include? a)Bilateral upper extremity blood pressures b)A deep palpation of the abdomen c)Auscultation for abnormal breath sounds d)A review of the medication list - CORRECT ANSWER>>a)Bilateral upper extremity blood pressures A 23 year old male was stabbed in the shoulder and blood is spurting from the wound. What should you do? a)Manually stabilize c-spine b)Expedite transport c)Administer oxygen d)Apply direct pressure - CORRECT ANSWER>>d)Apply direct pressure What is the best care for a suspected hemothorax? a)Applying an occlusive dressing b)Providing manual ventilations c)Transporting rapidly d)Stabilizing the chest segment - CORRECT ANSWER>>c)Transporting rapidly 15 into the front seat. Both airbags in the front deployed and both patients appear to be alert and oriented. What should you do? a)Put them both on high flow O2 with collars on and let them sit in the back of the ambulance on the way b)Treat them at the scene and let them go home c)After putting on collars, put both patients on back boards using a KED sled or similar device d)Insert an oral airway and bag them both at 12-20 breaths per minute - CORRECT ANSWER>>c)After putting on collars, put both patients on back boards using a KED sled or similar device What is a burn that involves the epidermis and the dermis but no underlying tissue? a)Partial thickness burn b)Double dermis burn c)Full thickness burn d)Bakers burn - CORRECT ANSWER>>a)Partial thickness burn What is a hemorrhage? a)Not a cause of shock b)Severe bleeding c)Not a threat to perfusion d)Always the cause of shock - CORRECT ANSWER>>b)Severe bleeding You and your partner Grimes are called to the scene of a stabbing. There are two patients reported. A woman with a stab wound to the URQ and a man with a stab wound to the LRQ. The woman with the wound in the URQ is having problems breathing, has a pulse of 103, respirations of 35, and they are shallow. The patient with the stab wound to the LRQ is complaining of severe abdominal pain and has a pulse of 48 and a respiration rate of 24. Which patient is most likely to have a low blood pressure? Why? a)The man, because of the nature and location of the injury, he may be losing blood internally. His pulse is too slow as well b)The woman, because if she cannot breathe well her BP will drop c)The man, because a respiration rate of 24 is indicative of low blood pressure d)Neither will have a low blood pressure, they will both be high - CORRECT ANSWER>>a)The man, because of the nature and location of the injury, he may be losing blood internally. His pulse is too slow as well A 2 year old female has a second degree burns on both palms and third degree burns on her chest and abdomen. What percentage of her body is burned? 16 a)29 b)36 c)20 d)18 - CORRECT ANSWER>>c)20 chest - 9 abdomen - 9 hands - 2 A 6 month old male has full thickness burns to his head, right arm, and back. What percentage of his body is burned? a)36 b)27 c)65 d)45 - CORRECT ANSWER>>d)45 head - 18 back - 18 arm - 9 A 17 year old female has a second degree circumferential burn on her left lower leg and foot. What percentage of body surface area is burned? a)9 b)21 c)4 d)18 - CORRECT ANSWER>>a)9 anterior lower leg - 4.5 posterior lower leg - 4.5 A 23 year old male has a partial thickness burns to his anterior thighs and full thickness burns to his perineum. What percent of his body surface area is burned? a)11 b)8 c)13 d)19 - CORRECT ANSWER>>a)11 upper legs - 10 genitals - 1 A 21 year old male tripped and fell into a small camp fire. he has burns to his hands, anterior forearms and upper chest. What percentage of his body has been burned? 17 a)27 b)9 c)15 d)21 - CORRECT ANSWER>>c)15 hands - 2 anterior forearms - 4 (approximately 2 per arm) upper chest - 9 A 22 year old male has isolated and patchy third degree burns. Which classification method should you use to determine the percentage of body area burned? a)Rule of Palm b)Lund and Browder Chart c)Rule of Nines c)Broselow tape - CORRECT ANSWER>>a)Rule of Palm A 21 year old male fell asleep by the pool for 5 hours. He has bright red burns on his neck and down to his ankles. What percentage of his body is burned? a)27 b)45 c)50 d)36 - CORRECT ANSWER>>b)45 chest - 18 anterior legs - 18 anterior arms - 9 A 3 year old male has full thickness burns covering his arms, posterior trunk and right leg. What percentage of burns did he receive? a)36 b)65 c)25 d)50 - CORRECT ANSWER>>d)50 right leg - 14 each arm - 9 back - 18 A 60 year old male was burned in a house fire. He has a partial and full thickness burns to the anterior surface of his neck, chest, and abdomen. What percentage of burns did he receive? a)3 20 You respond to a 24-year-old male who has fallen 10 feet off his roof. You notice severe bleeding from his right forearm and the patient complains of severe left thigh tenderness. Which of the following would be the MOST appropriate initial treatment for this patient? a)Apply a tourniquet to stop the bleeding b)Place the patient in the trendelenburg position c)Take c-spine precautions d)Administer high flow oxygen - CORRECT ANSWER>>c)Take c-spine precautions Which vital signs would most likely lead you to suspect internal bleeding? a)BP 102/60. Pulse 120. Pale, cool, clammy skin b)BP 132/82. Pulse 66. Cool skin c)BP 160/98. Pulse 112. Warm, dry skin d)BP 94/56. Pulse 80. Warm, flushed skin - CORRECT ANSWER>>a)BP 102/60. Pulse 120. Pale, cool, clammy skin A moderate to low blood pressure associated with an elevated pulse and pale, cool, clammy skin are all significant signs of possible hypovolemic shock that could be caused by internal bleeding Of the following patients, which should receive a rapid trauma assessment to determine any hidden injuries? a)Conscious and alert 24-year-old male who fell 20 feet from his balcony b)9-year-old female who tripped and fell down 3 steps c)Conscious and alert 2-year-old child in a car seat who was in a moderate speed crash d)68 year old female who tripped in her bathroom and is now experiencing intense left wrist pain - CORRECT ANSWER>>c)Conscious and alert 2-year-old child in a car seat who was in a moderate speed crash The rapid trauma assessment is performed to identify any possible hidden injuries. Of the following patients, the patient who is must susceptible to hidden injuries would be the 2-year- old child due to the inability for the patient to adequately relay information to you. All other patients are alert and should receive a focused trauma assessment A patient has just been involved in a severe motor vehicle rollover. Which of the following could MOST easily cause death? a)Trauma from the seat belt b)Ejection of the patient from the vehicle c)Crush injury d)An unrestrained passenger striking multiple parts of the interior of the vehicle - CORRECT ANSWER>>b)Ejection of the patient from the vehicle 21 Rollovers have the tendency to be very serious traumatic events. Although the injuries in rollovers can be unpredictable and cause wide spread trauma, of the choices given, ejection will always be the most fatal You respond to a 46 year old female patient who has suffered trauma to her head. Which assessment factors will tell you most about the patient's condition? a)Mental status b)Pupils c)Lung sounds d)Blood pressure - CORRECT ANSWER>>a)Mental status For head trauma patients, level of consciousness and mental status should be of the most concern when determining the severity of a patient's condition Upon your initial assessment of a trauma patient, you find the patient to have a rapid and weak pulse, shallow breathing, decreased lung sounds on the left side, and dullness to the left upon percussion. The condition this patient is most likely suffering from is: a)Hemothorax b)Pericardial Tamponade c)Flail chest d)Pneumothorax - CORRECT ANSWER>>a)Hemothorax Due to the described symptoms, this patient is having a hemothorax. Hemothorax typically presents with dullness upon percussion of the affected side and flat neck veins. Pneumothorax on the other hand typically presents with hyper resonance and distended neck veins When applying a splint, you should assess for a pulse, motor, and sensory functions: a)After applying the splint b)While applying the splint c)Before and after applying the splint d)Before applying the splint - CORRECT ANSWER>>a)Before and after applying the splint For all splints, pulse, motor, and sensory functions should be assessed before and after splinting In a severe frontal impact motor vehicle collision, which of the following injuries would result from the second collision in the three collision rule? a)Aortic rupture b)Massive contusions and lacerations to the patient's forehead from hitting the windshield c)Compression of the brain against the patient's skull d)Heavy damage to the patient's vehicle - CORRECT ANSWER>>b)Massive contusions and lacerations to the patient's forehead from hitting the windshield 22 The three collision rule consists of: The exterior vehicle striking something, objects within the vehicle moving toward the point of impact, and organs within the patient's body striking the inside of the body. Of the answer's shown, the injuries involving the contusions and lacerations would be caused by the patient's body crashing into the inside windshield of the car. This would be more consistent with the second collision rule. Vehicle damage would be first, and the aortic rupture/brain compression would be third. Which of the following is an avulsion? a)A cut of varying lengths b)The scraping or wearing away of the skin c)When excessive bleeding accumulates under the skin d)A flap of the skin that is pulled loose - CORRECT ANSWER>>d)A flap of the skin that is pulled loose An avulsion is defined as having a flap of skin that is pulled loose like a glove. A cut of varying lengths is a laceration, the scraping of the skin is an abrasion, and an hematoma is caused by excessive bleeding under the skin You need to perform a log roll to a place your patient with suspected spinal injury on a backboard. When executing this procedure you should: a)Maintain manual c-spine immobilization after applying the cervical collar b)Immobilize the patient's torso first c)Once the patient has been moved to the backboard, immediately replace the cervical collar d)Move the patient to the backboard and then center the patient by stepping over him and sliding him up - CORRECT ANSWER>>a)Maintain manual c-spine immobilization after applying the cervical collar During the log roll procedure, you should always maintain manual c-spine immobilization even after the c-collar has been applied. The best care for a patient with a flail chest includes: a)Rapid transport only, do not touch the flail segment b)Stabilizing the flail segment with a bulky dressing c)Applying an occlusive dressing d)Bag valve mask ventilation - CORRECT ANSWER>>b)Stabilizing the flail segment with a bulky dressing Stabilizing the flail segment will improve respirations, but with positive pressure ventilation the patient will have the most adequate gas exchange. 25 Which of the following is the most preventable cause of trauma death for adults? a)Tension pneumothorax b)Hemorrhagic shock c)Airway obstruction d)Neurogenic shock - CORRECT ANSWER>>b)Hemorrhagic shock Stop the bleeding, give oxygen, fluid bolus, and rapid transport. To properly immobilize a forearm fracture, the EMT should splint: a)Wrist, elbow, and fracture site b)Fracture site only c)Wrist and elbow d)Elbow and shoulder - CORRECT ANSWER>>a)Wrist, elbow, and fracture site Splint above, below and the fracture site While performing a rapid trauma assessment you discover crepitation. Crepitation is: a)The sound of a bone breaking b)When a bone is seen sticking out of the patient's skin c)A type of long bone fracture d)The sound when two bones rub together - CORRECT ANSWER>>d)The sound when two bones rub together Which of the following mechanisms of injury suggest the greatest possibility of spinal injury? a)Penetration injury to the upper torso b)Restrained patient in a motor vehicle collision c)Dislocated arm while playing basketball d)Gunshot wound to the lower thigh - CORRECT ANSWER>>b)Restrained patient in a motor vehicle collision The primary treatment for an evisceration should include: a)Apply a dry bulky dressing only b)Applying a wet dressing first, followed by a bulky dressing c)Do not touch the evisceration, rapid transport only d)Attempt to replace exposed organs and then cover with a bulky dressing - CORRECT ANSWER>>b)Applying a wet dressing first, followed by a bulky dressing When is the detailed physical exam usually performed? a)Immediately after the rapid trauma assessment b)On the scene after performing the initial assessment 26 c)Upon arrival to the hospital's emergency department d)In the back of the ambulance on the way to the hospital - CORRECT ANSWER>>d)In the back of the ambulance on the way to the hospital This exam purpose is to find any other possible injuries that could have been missed during the rapid trauma assessment It is appropriate to perform a head-tilt/chin-lift in a trauma patient only if: a)Your partner is able to stabilize the spine b)There is no other way to open the airway c)This procedure should never be performed on a trauma patient d)An advanced airway is not available - CORRECT ANSWER>>b)There is no other way to open the airway With regards to pedestrian versus motor vehicle collisions, which of the following is typically true? a)Adults tend to turn away from the impact and go down and under b)Adults tend to turn toward the impact and go up and over c)Children tend to turn away from the impact d)Children tend to turn toward the impact and go down and under - CORRECT ANSWER>>d)Children tend to turn toward the impact and go down and under After immobilizing your suspected spinal cord injury patient to a backboard, the patient vomits. You should next: a)Tilt the board and suction b)Keep the patient secured to the board and suction the airway c)Insert a combitube to secure the airway d)Remove the patient from the board and clear the airway - CORRECT ANSWER>>a)Tilt the board and suction You respond to an alert 14 year old male who sprained his ankle while roller-skating. When assessing the motor function of the lower extremities in this patient, you should: a)Have the patient bend his knees b)Lightly touch the skin of the patient's foot c)Palpate around the patient's ankle d)Ask the patient to wiggle his toes - CORRECT ANSWER>>d)Ask the patient to wiggle his toes 27 A 19-year-old male was struck in the lower right quadrant with a baseball bat. Upon assessment you find him to be alert and oriented with pale, cool, clammy skin. Which of the following oxygen treatments should be performed on this patient? a)15 LPM via bag-valve-mask b)10 LPM via simple face mask c)15 LPM via non-rebreather d)6LPM via nasal cannula - CORRECT ANSWER>>c)15 LPM via non-rebreather A 6-year-old male patient has fallen from a 2 story window. Which is appropriate when spinal immobilizing this patient? a)Apply padding between the legs b)Tie both thumbs together to prevent excessive movement c)Apply padding under the patient's shoulder d)Placing a towel under the patient's head - CORRECT ANSWER>>c)Apply padding under the patient's shoulder to prevent the hyperextension of the neck You are called to the scene of a MVC involving a 27 year old female patient. You notice that the steering wheel was bent and the patient is experiencing pulsus paradoxus. Which condition is the MOST likely suffering from? a)Pericardial tamponade b)Pneumothorax c)Pericarditis d)Cardiac contusion - CORRECT ANSWER>>a)Pericardial tamponade Pulsus paradoxus is defined as changes in the systolic blood pressure during inspiration and is a common symptom of pericardial tamponade. Which of the following patients would be considered a "load and go" situation? a)A patient with a blood pressure of 100/68. Pale, cool, and clammy skin. A pulse of 120. Alert and oriented x 4 with RUQ tenderness b)A patient who is bleeding out of one of his ears c)A patient with a deformed forearm that is tender upon palpation d)A patient who experienced a brief LOC but is now alert and oriented x 4 - CORRECT ANSWER>>a)A patient with a blood pressure of 100/68. Pale, cool, and clammy skin. A pulse of 120. Alert and oriented x 4 with RUQ tenderness Compensate shock is an immediate life threat The most important factors when determining injuries sustained in a fall include: 30 c)Immediately apply a tourniquet first d)Attempt to control the bleeding by immediately applying a bulky dressing and holding direct pressure. If bleeding cannot be controlled, apply a tourniquet - CORRECT ANSWER>>d)Attempt to control the bleeding by immediately applying a bulky dressing and holding direct pressure. If bleeding cannot be controlled, apply a tourniquet According to the newest guidelines, the EMT should immediately place a tourniquet if initial direct pressure points have shown very little success of decreasing bleeding Which of the following would be considered a life threat? a)Mandible fracture b)Radial fracture c)Femur fracture d)Tibia fracture - CORRECT ANSWER>>c)Femur fracture A broken femur can cause excessive blood loss and shock in a matter of a few minutes You are dispatched to a patient who has gotten an unknown chemical into his eyes due to a chemical waste spill. What should be done first? a)Immediately flush his eyes with lots water b)Transport the patient as soon as possible c)Wait for the hazmat team to contain the spill before entering the scene d)Cover his eyes with gauze - CORRECT ANSWER>>c)Wait for the hazmat team to contain the spill before entering the scene Safety comes before all other treatments. Which of the following bones, if fractured, poses the most severe internal bleeding risk? a)Humerus b)Spine c)Femur d)Pelvis - CORRECT ANSWER>>c)Femur After an explosion, your patient is trapped in debris from a collapsed structure and has suffered crush injuries to his lower extremities. How should there injuries be classified according to the blast-injury phase? a)Primary b)Tertiary c)Initial d)Secondary - CORRECT ANSWER>>b)Tertiary Tertiary blast injuries include injuries sustained from a collapsing structure 31 What is Sellick's maneuver? a)None of the above b)A way to calculate the appropriate tidal volume for a patient c)Applying posteriorly direct pressure to the cricoid membrane d)A method for holding a mask on a patient's face - CORRECT ANSWER>>c)Applying posteriorly direct pressure to the cricoid membrane This maneuver may help reduce gastric distention when ventilating