EMT CH 26

25 July 2022
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33 test answers

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question
A 21-year-old male was working in an auto repair shop and sustained radiator burns to the anterior aspect of both arms and to his anterior chest. According to the rule of nines, this patient has burns that cover _____ of his BSA.
answer
18%
question
A 33-year-old male sustained an abdominal evisceration to the left lower quadrant of his abdomen after he was cut with a large knife. After appropriately managing his ABCs and assessing him for other life-threatening injuries, how you should care for his wound?
answer
Cover it with moist, sterile gauze and secure with an occlusive dressing
question
A 39-year-old male was struck in the head by a baseball during a game. He is confused and has slurred speech. He has a large hematoma in the center of his forehead and cannot remember the events preceding the injury. After manually stabilizing his head and assessing his airway, you should:
answer
administer high-flow oxygen
question
A 56-year-old male has an incomplete avulsion to his right forearm. After controlling any bleeding from the wound, you should:
answer
replace the avulsed flap to its original position and cover it with a sterile dressing
question
A burn that is characterized by redness and pain is classified as a:
answer
superficial burn
question
A closed soft-tissue injury characterized by swelling and ecchymosis is called a(n):
answer
contusion
question
An 8-year-old male was bitten by a stray dog. He has a large laceration to the back of his left hand, which your partner covered with a sterile dressing and bandage. In addition to transporting the child to the hospital, you should:
answer
report the incident to the appropriate authorities
question
As you approach a young male who was involved in an industrial accident, you note that his eyes are closed and that he is not moving. You can see several large contusions to his arms, a laceration to his forehead with minimal bleeding, and a closed deformity to his right leg. You should:
answer
open his airway and assess his breathing status
question
Burns to pediatric patients are generally considered more serious than burns to adults because:
answer
pediatric patients have more surface area relative to total body mass
question
During your assessment of a patient who was shot in the abdomen, you notice a large entrance wound with multiple small puncture wounds surrounding it. This wound pattern is MOST consistent with a:
answer
shotgun
question
In addition to severe bleeding, the MOST life-threatening complication associated with an open neck injury is:
answer
an air embolism
question
In which of the following patients should you remove an impaled object?
answer
A pulseless and apneic patient with a knife impaled in the back
question
he sebaceous glands produce sebum, a material that:
answer
waterproofs the skin and keeps it supple
question
When caring for a patient whose arm is covered with a dry chemical, you should:
answer
brush away the chemical before flushing with water
question
Which of the following areas of the body has the thinnest skin?
answer
Ears
question
Which of the following is a severe burn in a 65-year-old patient?
answer
Partial-thickness burn to 20% of the BSA
question
Which of the following open soft-tissue injuries is limited to the superficial layer of the skin and results in the least amount of blood loss?
answer
Abrasion
question
Which of the following processes occurs during the inflammation phase of the healing process?
answer
The immune system releases histamines, which cause vasodilation and increased capillary permeability, resulting in local redness and swelling
question
Which of the following statements regarding crush syndrome is correct?
answer
Compromised arterial blood flow leads to crush syndrome and can occur when an area of the body is trapped for longer than 4 hours
question
You have applied a dressing and roller-gauze bandage to a laceration on the arm of a young female. During transport, she begins to complain of numbness and tingling in her hand. You should:
answer
assess distal circulation and readjust the bandage as needed
question
A young male was struck in the forearm with a baseball and complains of pain to the area. Slight swelling and ecchymosis are present, but no external bleeding. Which type of injury does this describe?
answer
Contusion
question
Abrasion
answer
wound of the superficial layer of skin caused by friction
question
Hematoma
answer
blood that has collected within damaged tissue or in a body cavity, associated with large blood vessel damage
question
Avulsion
answer
injury that separates various layers of skin
question
A compression injury that is severe enough to cut off blood flow below the injury is called
answer
compartment syndrome
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local thrombus
answer
blood clot
question
A 45 year old convenience store clerk was shot in the right anterior chest during a robbery. Your assessment reveals that the wound has blood bubbling from it every time the patient breathes. Your MOST immediate action should be to:
answer
prevent air from entering the wound
question
What effects will the application of an ice pack have on a hematoma
answer
vasoconstriction and decreased bleeding
question
The primary reason for applying a sterile dressing to an open injury is to:
answer
control external bleeding
question
The MOST appropriate way to dress and bandage an open abdominal wound with a loop of bowel protruding from it is to:
answer
apply a moist sterile dressing to the wound and secure with an occlusive dressing
question
A 22 year old male was attacked by a rival gang and has a large knife impaled in the center of his chest. Your assessment reveals that he is apnea and pulseless. You should:
answer
carefully remove the knife, control any bleeding, begin CPR, and transport
question
A severe burn is
answer
5% full thickness with a fracture; full thickness burns involving the hands, feet, face, airway or genitalia; full thickness burns covering more than 10% of the BSA; partial thickness burns covering more than 30% of the BSA; burns involving the respiratory tract; burns complicated by fracture; and burns on patients younger than 5 and older than 55 that would otherwise be moderate burns
question
A 5 year old boy was burned when he pulled a bbq over himself. He has partial and full thickness burns to his anterior chest and circumferentially on both arms. What percentage of his body has been burned?
answer
27%