EMT Final Exam
According to the American College of Surgeons Committee on Trauma (ACS-COT), an adult trauma
patient should be transported to the highest level of trauma center if he or she:
has a systolic blood pressure of less than 110 mm Hg or a heart rate greater than 110 beats/min.
has a bleeding disorder or takes anticoagulant medications and has any blunt or penetrating injury.
has a GCS score of less than or equal to 13 with a mechanism attributed to trauma.
was involved in a motor vehicle crash in which another patient in the same vehicle was killed. - ANS
has a systolic blood pressure of less than 110 mm Hg or a heart rate greater than 110 beats/min.
After applying a pressure dressing to a laceration on a patient's arm, you notice that blood is slowly
beginning to saturate it. You should:
splint the arm and keep it below heart level.
place additional dressings over the wound.
replace the dressing with another dressing.
apply a tourniquet proximal to the wound. - ANS place additional dressings over the wound.
An organ or tissue might better resist damage from hypoperfusion if the:
systolic arterial blood pressure is at least 60 mm Hg.
heart rate is maintained at more than 100 beats/min.
body's temperature is considerably less than 98.6°F (37.0°C).
,body's demand for oxygen is markedly increased. - ANS body's temperature is considerably less than
98.6°F (37.0°C).
Blood stasis, changes in the vessel wall, and certain medications affect the:
systolic blood pressure exclusively.
white blood cells' ability to fight infection.
ability of red blood cells to carry oxygen.
ability of the blood to effectively clot. - ANS ability of the blood to effectively clot.
Early signs and symptoms of intra-abdominal bleeding include:
bruising only.
widespread ecchymosis.
significant hypotension.
pain and distention. - ANS pain and distention.
A hematoma develops when:
cells and small vessels in the dermis are damaged.
large blood vessels beneath the skin are damaged.
small amounts of blood leak into the epidermis.
,severe swelling compromises arterial circulation. - ANS large blood vessels beneath the skin are
damaged.
A partial-thickness burn involves the outer layer of skin and a portion of the:
fatty layer.
muscle fascia.
epidermis.
dermal layer. - ANS dermal layer.
A 30-year-old female presents with redness, inflammation, and pain to her left eye. During your
assessment, you note that she is having difficulty keeping her eyes open. You should suspect that
she is experiencing:
acute retinitis.
conjunctivitis.
a corneal abrasion.
a detached retina. - ANS conjunctivitis.
A 50-year-old male was splashed in the eyes with radiator fluid when he was working on his car.
During your assessment, he tells you that he wears soft contact lenses. You should:
remove the contact lenses and cover his eyes with a dry, sterile dressing.
leave the contact lenses in place and cover both eyes with a dry dressing.
, leave the contact lenses in place and flush his eyes with sterile water.
carefully remove the contact lenses and then irrigate his eyes with saline. - ANS carefully remove the
contact lenses and then irrigate his eyes with saline.
A young female experienced a laceration to her left eyeball from flying glass when her boyfriend
broke a soda bottle against a wall. There is moderate bleeding, and the patient states that she
cannot see out of the injured eye. You should:
apply firm direct pressure to the injured eye and cover the opposite eye.
avoid applying pressure to the globe when you are covering the eye.
carefully examine her eye and remove any foreign objects if needed.
ask her to move the injured eye to assess the integrity of the optic nerve. - ANS avoid applying
pressure to the globe when you are covering the eye.
Following blunt trauma to the face, a 21-year-old male complains of a severe headache and
decreased ability to move his eyes. This patient's clinical presentation is most consistent with:
a blow-out fracture.
a ruptured eyeball.
optic vessel compression.
a lacerated globe. - ANS a blow-out fracture.
A 45-year-old male was working on his roof when he fell approximately 12 feet, landing on his feet.
He is conscious and alert and complains of an ache in his lower back. He is breathing adequately and
has stable vital signs. You should:
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