Chapter 30-31 EMT

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A 54-year-old male experienced an avulsion to his penis when his foreskin got caught in the zipper of his pants. He was able to unzip his pants and remove the foreskin prior to your arrival. Your assessment reveals that he is in severe pain and that the avulsion is bleeding moderately. The MOST appropriate treatment for this patient includes:

A. applying direct pressure with a dry, sterile dressing.

Abdominal pain, vomiting, and fever are most likely due to _______.

B. infection

All of the following are hollow abdominal organs, EXCEPT the:

A. spleen.

Because the depth of an open abdominal wound is often difficult to determine:

B. prompt transport to the hospital is essential.

Compression injury is most likely due to which of the following?

A. Improperly placed lab belt

Difficulty breathing and a sunken appearance of the anterior abdominal wall is MOST indicative of a ruptured:

A. diaphragm.

In pediatric patients, the liver and spleen are _______.

B. larger in proportion to the abdomen

Injuries to the external male genitalia _______.

B. are rarely life-threatening

Placing a pregnant patient in a supine position during the third trimester of pregnancy:

D. may decrease the amount of blood that returns to the heart.

When a hollow organ is punctured during a penetrating injury to the abdomen:

C. peritonitis may not develop for several hours.

When a patient stiffens the muscles of the abdomen, it is known as _______.

A. guarding.

When should you visually inspect the external genitalia on your patient?

D. Only when there is a complaint of severe pain or other injury

Which of the following is true regarding injury to the kidneys?

A. Injury to the kidneys usually indicates injury to other organs.

Which of the following organs would MOST likely bleed profusely when injured?

C. Liver

Which of the following statements regarding abdominal eviscerations is correct?

D. The protruding organs should be kept warm and moist.

You are transporting a 42-year-old male who experienced blunt abdominal trauma. He is receiving oxygen at 12 L/min via a nonrebreathing mask and full spinal precautions have been applied. During your reassessment, you note his level of consciousness has decreased and his respirations have become shallow. You should:

D. insert an airway adjunct if he will tolerate it and begin assisting his ventilations with a BVM.

You are transporting a patient with blunt abdominal trauma. The patient is unstable and is experiencing obvious signs and symptoms of shock. Your estimated time of arrival at the hospital is less than 10 minutes. After treating the patient appropriately, you should:

B. closely monitor him and reassess him frequently.

You should suspect a kidney injury anytime the patient presents with _______.

D. a hematoma in the flank region

Your documentation on a sexual assault victim should _______.

A. be objective and factual

Your presence is requested by law enforcement to assess a 33-year-old female who was sexually assaulted. The patient is conscious and obviously upset. As you are talking to her, you note an impressive amount of blood on her clothes in the groin area. Her blood pressure is 98/58 mm Hg, her pulse is 130 beats/min, and her respirations are 24 breaths/min. You should:

A. control any external bleeding, administer oxygen, and transport at once.

Chapter 31

A "hip" fracture is actually a fracture of the:

proximal femur.

A 17-year-old female dislocated her patella while playing soccer. Her knee is flexed and she complains of severe pain. You should

Keep her knee flexed and secure it with padded board splints.

A 22-year-old female was ejected from her car after striking a tree head-on. As you approach her, you note obvious closer deformities to both her femurs. She is not moving and does not appear to be conscious. You should:

D. stabilize her head and perform a primary assessment.

A 54-year-old male accidentally shot himself in the leg while cleaning his gun. Your assessment reveals a small entrance wound to the medial aspect of his right leg. The exit wound is on the opposite side of the leg and is actively bleeding. The patient complains of numbness and tingling in his right foot. You should

Control the bleeding and cover the wound with a sterile dressing

Which of the following musculoskeletal injuries would MOST likely result in deformity?

Displaced fracture

Which of the following musculoskeletal injuries would pose the greatest threat to a patient’s life?

Pelvic fracture with hypotension

Which of the following statements regarding compartment syndrome is correct?

Compartment syndrome typically develops within 6 to 12 hours after an injury

A fracture is MOST accurately defined as a(n):

break in the continuity of the bone.

A supracondylar or intercondylar fracture is also known as a fracture of the:

Distal humerus

An open fracture is MOST accurately defined as a fracture in which:

the overlying skin is no longer intact.

When caring for a patient with a possible fracture of the scapula, the EMT should:

B. carefully assess the patient for breathing problems

Crepitus and false motion are:

positive indicators of a fracture.

The musculoskeletal system refers to the:

bones and voluntary muscles of the body.

The MOST significant hazard associated with splinting is:

Delaying transport of a critically injured patient

During your assessment of a 29-year-old female with significant deformity to her left elbow, you are unable to palpate a radial pulse. Your transport time to the hospital is approximately 40 minutes. You should:

Apply gentle manual traction in line with the limb and reassess for a pulse

During your secondary assessment of a 30-year-old male who fell 25 feet, you note crepitus when palpating his pelvis. Your partner advises you that the patient’s blood pressure is 80/50 mm Hg and his heart rate is 120 beats/min and weak. After completing your assessment, you should:

Stabilize the pelvis with a pelvic binder and protect the spine

Skeletal muscle is attached to the bone by tough, ropelike, fibrous structures called:


In which of the following situations should the EMT splint an injured limb in the position of deformity?

If is resistance is encountered for the patient experience severe pain

In general, musculoskeletal injuries should be splinted before moving the patient unless:

The patient is clinically unstable

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