A 39-year-old male sustained a stab wound to the groin during an
altercation at a bar. As you approach the patient, you note that he is
conscious. He is screaming in pain and is attempting to control the
bleeding, which is bright red and spurting from his groin area. You
should:
A. ensure that his airway is patent.
B. apply direct pressure to the wound.
C. elevate his legs and keep him warm.
D. administer 100% supplemental oxygen. - ANSWER--B. apply direct
pressure to the wound.
A palpable pulse is created by:
A. electrical conduction in the heart producing ventricular contraction.
B. the pressure that is caused when venous blood returns to the
heart.
C. the pressure of circulating blood against the walls of the arteries.
D. pressure waves through the arteries caused by cardiac contraction.
- ANSWER--D. pressure waves through the arteries caused by cardiac
contraction.
An elderly patient has fallen and hit her head. Your initial care should
focus on:
A. obtaining baseline vital signs.
B. airway, breathing, and circulation.
C. providing immediate transport.
D. gathering medical history data. - ANSWER--B. airway, breathing,
,and circulation
An injured patient is assigned a total score of 9 on the GCS. He is
assigned a score of 2 for eye opening, a score of 3 for verbal response,
and a score of 4 for motor response. Which of the following clinical
findings is consistent with his GCS score?
A. Eyes remain closed, makes incomprehensible sounds, exhibits
abnormal extension
B. Opens eyes spontaneously, is confused when spoken to, exhibits
abnormal flexion
C. Opens eyes in response to pain, uses inappropriate words,
withdraws from pain
D. Opens eyes in response to voice, makes incomprehensible sounds,
localizes pain - ANSWER--C. Opens eyes in response to pain, uses
inappropriate words, withdraws from pain
During an EMS call, you should take standard precautions:
A. immediately after completion of your primary assessment.
B. after it has been determined that the patient is bleeding.
C. before you load the patient into the ambulance.
D. before exiting the ambulance and before actual patient contact. -
ANSWER--D. before exiting the ambulance and before actual patient
contact.
In patients with deeply pigmented skin, changes in color may be
apparent only in certain areas, such as the:
,A. forehead and face.
B. lips or oral mucosa.
C. dorsum of the hand.
D. back of the neck. - ANSWER--B. lips or oral mucosa.
Reassessment is performed to determine all of the following, EXCEPT:
A. the patient's response to your treatment.
B. the nature of any newly identified problems.
C. whether or not the patient is deteriorating.
D. the reason why the patient called EMS. - ANSWER--D. the reason
why the patient called EMS.
The chief complaint is MOST accurately defined as the:
A. most serious thing the patient is concerned about.
B. condition that exacerbates an underlying problem.
C. most life-threatening condition that you discover.
D. gross physical signs that you detect on assessment. - ANSWER--A.
most serious thing the patient is concerned about
The rapid exam of a patient that occurs following the primary assessment
should take no longer than:
A. 90 to 120 seconds.
B. 30 seconds.
C. 120 to 180 seconds.
, D. 60 to 90 seconds. - ANSWER--D. 60 to 90 seconds.
Treatment and transport priorities at the scene of a mass-casualty
incident should be determined after:
A. all the patients have been triaged.
B. a physician arrives at the scene.
C. area hospitals have been notified.
D. the number of patients is known. - ANSWER--A. all the patients
have been triaged.
What maneuver should be used to open the airway of an unresponsive
patient with suspected trauma?
A. Head tilt-chin lift
B. Tongue-jaw lift
C. Jaw-thrust maneuver
D. Head tilt-neck lift - ANSWER--C. Jaw-thrust maneuver
When approaching a 32-year-old male who is complaining of traumatic
neck pain, you should:
A. stand behind him and immediately stabilize his head.
B. assess his mental status by having him move his head.
C. ensure that the patient can see you approaching him.
D. approach him from behind and ask him not to move. - ANSWER--C.
ensure that the patient can see you approaching him.
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