PMED CH45 EXAM QUESTIONS & ANSWERS 2024/2025
1. When determining the optimal method to communicate with, assess, treat, and transport a patient with a special health care challenge, the paramedic should:
A) routinely call medical control before talking to a caregiver.
B) demonstrate confiden...
1. When determining the optimal method to communicate with, assess, treat, and transport a patient
with a special health care challenge, the paramedic should:
A) routinely call medical control before talking to a caregiver.
B) demonstrate confidence and enlist the expertise of the patient.
C) recall that caregivers are often upset and therefore unreliable.
D) remain professional and obtain initial information from a caregiver. - ANSWERSB) demonstrate
confidence and enlist the expertise of the patient.
2. Approximately 70% of all child abuse or neglect cases involve:
A) females over 8 years of age.
B) an otherwise healthy child.
C) males under 6 years of age.
D) substance abuse by the perpetrator. - ANSWERSD) substance abuse by the perpetrator.
3. Which of the following patient populations is at GREATEST risk for abuse or neglect?
A) Females between 6 and 12 years of age
B) Children with chronic medical conditions
C) Adolescents who rebel against their parents
D) Males between 2 and 14 years of age - ANSWERSB) Children with chronic medical conditions
4. Which of the following types of maltreatment is perhaps the MOST common?
A) Neglect
B) Physical abuse
C) Sexual abuse
D) Abandonment - ANSWERSA) Neglect
,5. Which of the following types of maltreatment involves isolating the victim from others, resulting in a
substantial change in the victim's behavior or cognitive function?
A) Neglect
B) Abandonment
C) Emotional abuse
D) Sexual exploitation - ANSWERSC) Emotional abuse
6. A man leaves his 4-year-old child home alone while he plays golf with his friends. This is an example
of:
A) assault.
B) neglect.
C) abandonment.
D) emotional abuse. - ANSWERSC) abandonment.
7. Which of the following behaviors or actions should make you the MOST suspicious that a caregiver has
abused his or her child?
A) Asking other siblings to leave the room while the child is examined
B) Demanding that you take the child to the hospital as soon as possible
C) Difficulty recalling the last time the child was seen by a physician
D) Offering unsolicited explanations for abnormal physical exam findings - ANSWERSD) Offering
unsolicited explanations for abnormal physical exam findings
8. Which of the following injury patterns is MOST suggestive of child abuse?
A) Burns with splash marks
B) Bruises on the abdomen
C) Bruises on the lower leg
D) Laceration to the chin - ANSWERSB) Bruises on the abdomen
9. Difficulty walking or sitting, nightmares, and bedwetting are MOST suggestive of:
, A) neglect.
B) sexual abuse.
C) physical abuse.
D) emotional abuse. - ANSWERSB) sexual abuse.
10. Which of the following statements regarding Mongolian spots is correct?
A) They resemble bruises and are found most commonly on the back and buttocks.
B) They are abnormal bruising patterns on the back and are an indicator of abuse.
C) They indicate abnormal bleeding and are associated with a high mortality rate.
D) They are bruiselike patterns that most often appear in severely premature infants. - ANSWERSA) They
resemble bruises and are found most commonly on the back and buttocks.
11. You are assessing a 6-year-old Asian child who presents with a fever. During your assessment, you
note red, flat, rounded lesions on the child's torso. This finding is MOST indicative of:
A) cupping.
B) coining.
C) physical abuse.
D) phytophotodermatitis. - ANSWERSA) cupping.
12. During your assessment of a 4-year-old female, you find injury patterns that are highly suggestive of
abuse. The child's mother is present; she is apprehensive and is hesitant to allow you to transport her
daughter. Your MOST appropriate action should be to:
A) ask the mother to leave the room so that you can ask the girl if the injuries that she has were
intentionally inflicted by someone else.
B) advise the mother that the child's injuries are inconsistent with accidental trauma and let her know
that the child needs to be transported.
C) ask your partner to retrieve an extra set of latex-free gloves from the ambulance, as this will enable
him or her to discreetly call the police.
D) act as though you are not suspicious, but call the child's father and inquire about the relationship
between the child and her mother. - ANSWERSC) ask your partner to retrieve an extra set of latex-free
gloves from the ambulance, as this will enable him or her to discreetly call the police.
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