AAOS Emergency Care and Transportation of the Sick and Injured, 11th Edition | Chapter 25: Bleeding - Practice Questions & Verified Answers
During transport of a 40-year-old female with acute repeat the primary assessment.
abdominal pain, you note that she has stopped talking to
you and has become extremely diaphoretic. You should:
In which of the following situations would external bleeding femoral artery laceration and a blood pressure of 140/90 mm Hg
be the MOST difficult to control?
Whether you are using a commercial device or a stick and the tourniquet should only be removed at the hospital because bleeding may return
triangular bandage as a tourniquet, it is important to if the tourniquet is released.
remember that:
Which of the following organs can tolerate inadequate skeletal muscle
perfusion for up to 2 hours?
Which of the following body systems or components is the the filtering of blood cells in the spleen
LEAST critical for supplying and maintaining adequate
blood flow to the body?
A 67-year-old male presents with weakness, dizziness, gastrointestinal bleeding.
and melena that began approximately 2 days ago. He
denies a history of trauma. His blood pressure is 90/50 mm
Hg and his pulse is 120 beats/min and thready. You should
be MOST suspicious that this patient is experiencing:
Gastrointestinal bleeding should be suspected if a patient hematemesis.
presents with:
Significant vital sign changes will occur if the typical adult 20%
acutely loses more than ______ of his or her total blood
volume.
Blood stasis, changes in the vessel wall, and certain ability of the blood to effectively clot.
medications affect the:
The ability of a person's cardiovascular system to how rapidly he or she bleeds.
compensate for blood loss is MOST related to:
Hypoperfusion is another name for: shock
As red blood cells begin to clump together to form a clot, fibrinogen
__________ reinforces the clumped red blood cells.
Bleeding from the nose following head trauma: is a sign of a skull fracture and should not be stopped.
When using a stick and square knot as a tourniquet to stop twisting the stick when the bleeding stops.
control severe bleeding from an amputated arm, the EMT
should:
,AAOS Emergency Care and Transportation of the Sick and Injured, 11th Edition | Chapter 25: Bleeding - Practice Questions & Verified Answers
hypovolemic shock occurs when the body cannot compensate for rapid blood loss.
Which of the following statements regarding hemophilia is Patients with hemophilia may bleed spontaneously.
correct?
If direct pressure with a sterile dressing fails to immediately a tourniquet proximal to the injury.
stop severe bleeding from an extremity, you should apply:
External bleeding from a vein is relatively easy to control veins are under a lower pressure.
because:
The severity of bleeding should be based on all of the systolic blood pressure.
following findings, EXCEPT:
A fractured femur can result in the loss of ______ or more 1L
of blood into the soft tissues of the thigh.
Most cases of external bleeding from an extremity can be applying local direct pressure.
controlled by:
Following blunt trauma to the abdomen, a 21-year-old spleen
female complains of left upper quadrant abdominal pain
with referred pain to the left shoulder. Your assessment
reveals that her abdomen is distended and tender to
palpation. On the basis of these findings, you should be
MOST suspicious of injury to the:
Early signs and symptoms of intra-abdominal bleeding pain and distention.
include:
After applying a pressure dressing to a laceration on a place additional dressings over the wound.
patient's arm, you notice that blood is slowly beginning to
saturate it. You should:
What is the approximate blood volume of a 75-kg adult? 5.25 L
Which of the following statements regarding the clotting of A person taking aspirin will experience slower blood clotting.
blood is correct?
A young male was shot in the abdomen by an unknown assist the patient's ventilations.
type of gun. He is semiconscious, has shallow breathing,
and is bleeding externally from the wound. As you control
the external bleeding, your partner should:
A 39-year-old male accidentally cut his wrist while control the bleeding with direct pressure.
sharpening his hunting knife. He is conscious and alert
with adequate breathing, but is bleeding significantly from
the wound. You should:
,AAOS Emergency Care and Transportation of the Sick and Injured, 11th Edition | Chapter 25: Bleeding - Practice Questions & Verified Answers
The smaller vessels that carry blood away from the heart arterioles.
and connect the arteries to the capillaries are called the:
A 39-year-old male sustained a large laceration to his leg follow appropriate standard precautions.
during an accident with a chainsaw and is experiencing
signs and symptoms of shock. You should:
A 43-year-old man is experiencing a severe nosebleed. His pinching the patient's nostrils and having him lean forward.
blood pressure is 190/110 mm Hg and his heart rate is 90
beats/min and bounding. Appropriate treatment for this
patient includes:
Which of the following splinting devices would be MOST air splint
appropriate to use for a patient who has an open fracture
of the forearm with external bleeding?
Perfusion is MOST accurately defined as the: circulation of blood within an organ in adequate amounts to meet the body's
metabolic needs.
In nontrauma patients, an early indicator of internal dizziness upon standing.
bleeding is:
A 22-year-old male was kicked in the abdomen multiple preparing for immediate transport.
times during an attack by a gang. He is conscious but
restless and his pulse is rapid. Your assessment reveals a
large area of bruising to the right upper quadrant of his
abdomen. The MOST appropriate treatment for this patient
includes:
The systemic veins function by: returning deoxygenated blood back to the heart.
In older patients, the first indicator of nontraumatic internal weakness or dizziness.
bleeding may be:
An organ or tissue may be better able to resist damage An organ or tissue may be better able to resist damage from hypoperfusion if the:
from hypoperfusion if the:
hemorrhage bleeding
signs and symptoms of hypovolemic shock rapid, weak pulse
low blood pressure
changes in mental status
cool, clammy skin
cyanosis
conditions to consider bleeding serious significant MOI, poor general appearance, signs and symptoms of shock, obvious
significant blood loss, rapid blood loss,
uncontrollable bleeding
vasoconstriction the narrowing of a blood vessel, such as with hypoperfusion or cold extremities
,AAOS Emergency Care and Transportation of the Sick and Injured, 11th Edition | Chapter 25: Bleeding - Practice Questions & Verified Answers
coagulation the formation of clots to plug openings in injured blood vessels and stop blood flow
internal bleeding commonly occurs as a result of high falls
energy MOI blast injuries
automobile accidents
penetrating trauma
nature of illness for internal bleeding bleeding ulcers
bleeding from the colon
ruptured ectopic pregnancy
aneurysm
contusion a bruise from an injury that causes bleeding beneath the skin without breaking the
skin; also called ecchymosis
hematoma a mass of blood that has collected within damaged tissues beneath the skin or in a
body cavity
hematemesis vomited blood
melena black, foul smelling tarry stool that contains digested blood
hemoptysis the coughing up of blood
signs and symptoms of a closed fracture that is bleeding pain, tenderness, bruising, guarding or swelling
broken ribs, bruises over the lower part of the chest or rigid may indicate spleen or liver laceration. referred pain in right should for liver or left
distended abdomen should for spleen
methods to control external bleeding direct local pressure
pressure dressing
tourniquet
splinting device
tourniquet the bleeding control method used when a wound continues to bleed despite the use
of direct pressure and elevation; useful if a patient is bleeding severely from a
partial or complete amputation (this helps control bleeding no cut it off)
tourniquet precautions do not apply over a joint
make sure its tightened securely
never use wire, rope, a belt or other narrow material
use wide padding underneath (if possible)
never cover with a bandage
do not loosen once applied
(mark the time it was applied)
expistaxis a nosebleed
During transport of a 40-year-old female with acute repeat the primary assessment.
abdominal pain, you note that she has stopped talking to
you and has become extremely diaphoretic. You should:
In which of the following situations would external bleeding femoral artery laceration and a blood pressure of 140/90 mm Hg
be the MOST difficult to control?
Whether you are using a commercial device or a stick and the tourniquet should only be removed at the hospital because bleeding may return
triangular bandage as a tourniquet, it is important to if the tourniquet is released.
remember that:
Which of the following organs can tolerate inadequate skeletal muscle
perfusion for up to 2 hours?
Which of the following body systems or components is the the filtering of blood cells in the spleen
LEAST critical for supplying and maintaining adequate
blood flow to the body?
A 67-year-old male presents with weakness, dizziness, gastrointestinal bleeding.
and melena that began approximately 2 days ago. He
denies a history of trauma. His blood pressure is 90/50 mm
Hg and his pulse is 120 beats/min and thready. You should
be MOST suspicious that this patient is experiencing:
Gastrointestinal bleeding should be suspected if a patient hematemesis.
presents with:
Significant vital sign changes will occur if the typical adult 20%
acutely loses more than ______ of his or her total blood
volume.
Blood stasis, changes in the vessel wall, and certain ability of the blood to effectively clot.
medications affect the:
The ability of a person's cardiovascular system to how rapidly he or she bleeds.
compensate for blood loss is MOST related to:
Hypoperfusion is another name for: shock
As red blood cells begin to clump together to form a clot, fibrinogen
__________ reinforces the clumped red blood cells.
Bleeding from the nose following head trauma: is a sign of a skull fracture and should not be stopped.
When using a stick and square knot as a tourniquet to stop twisting the stick when the bleeding stops.
control severe bleeding from an amputated arm, the EMT
should:
,AAOS Emergency Care and Transportation of the Sick and Injured, 11th Edition | Chapter 25: Bleeding - Practice Questions & Verified Answers
hypovolemic shock occurs when the body cannot compensate for rapid blood loss.
Which of the following statements regarding hemophilia is Patients with hemophilia may bleed spontaneously.
correct?
If direct pressure with a sterile dressing fails to immediately a tourniquet proximal to the injury.
stop severe bleeding from an extremity, you should apply:
External bleeding from a vein is relatively easy to control veins are under a lower pressure.
because:
The severity of bleeding should be based on all of the systolic blood pressure.
following findings, EXCEPT:
A fractured femur can result in the loss of ______ or more 1L
of blood into the soft tissues of the thigh.
Most cases of external bleeding from an extremity can be applying local direct pressure.
controlled by:
Following blunt trauma to the abdomen, a 21-year-old spleen
female complains of left upper quadrant abdominal pain
with referred pain to the left shoulder. Your assessment
reveals that her abdomen is distended and tender to
palpation. On the basis of these findings, you should be
MOST suspicious of injury to the:
Early signs and symptoms of intra-abdominal bleeding pain and distention.
include:
After applying a pressure dressing to a laceration on a place additional dressings over the wound.
patient's arm, you notice that blood is slowly beginning to
saturate it. You should:
What is the approximate blood volume of a 75-kg adult? 5.25 L
Which of the following statements regarding the clotting of A person taking aspirin will experience slower blood clotting.
blood is correct?
A young male was shot in the abdomen by an unknown assist the patient's ventilations.
type of gun. He is semiconscious, has shallow breathing,
and is bleeding externally from the wound. As you control
the external bleeding, your partner should:
A 39-year-old male accidentally cut his wrist while control the bleeding with direct pressure.
sharpening his hunting knife. He is conscious and alert
with adequate breathing, but is bleeding significantly from
the wound. You should:
,AAOS Emergency Care and Transportation of the Sick and Injured, 11th Edition | Chapter 25: Bleeding - Practice Questions & Verified Answers
The smaller vessels that carry blood away from the heart arterioles.
and connect the arteries to the capillaries are called the:
A 39-year-old male sustained a large laceration to his leg follow appropriate standard precautions.
during an accident with a chainsaw and is experiencing
signs and symptoms of shock. You should:
A 43-year-old man is experiencing a severe nosebleed. His pinching the patient's nostrils and having him lean forward.
blood pressure is 190/110 mm Hg and his heart rate is 90
beats/min and bounding. Appropriate treatment for this
patient includes:
Which of the following splinting devices would be MOST air splint
appropriate to use for a patient who has an open fracture
of the forearm with external bleeding?
Perfusion is MOST accurately defined as the: circulation of blood within an organ in adequate amounts to meet the body's
metabolic needs.
In nontrauma patients, an early indicator of internal dizziness upon standing.
bleeding is:
A 22-year-old male was kicked in the abdomen multiple preparing for immediate transport.
times during an attack by a gang. He is conscious but
restless and his pulse is rapid. Your assessment reveals a
large area of bruising to the right upper quadrant of his
abdomen. The MOST appropriate treatment for this patient
includes:
The systemic veins function by: returning deoxygenated blood back to the heart.
In older patients, the first indicator of nontraumatic internal weakness or dizziness.
bleeding may be:
An organ or tissue may be better able to resist damage An organ or tissue may be better able to resist damage from hypoperfusion if the:
from hypoperfusion if the:
hemorrhage bleeding
signs and symptoms of hypovolemic shock rapid, weak pulse
low blood pressure
changes in mental status
cool, clammy skin
cyanosis
conditions to consider bleeding serious significant MOI, poor general appearance, signs and symptoms of shock, obvious
significant blood loss, rapid blood loss,
uncontrollable bleeding
vasoconstriction the narrowing of a blood vessel, such as with hypoperfusion or cold extremities
,AAOS Emergency Care and Transportation of the Sick and Injured, 11th Edition | Chapter 25: Bleeding - Practice Questions & Verified Answers
coagulation the formation of clots to plug openings in injured blood vessels and stop blood flow
internal bleeding commonly occurs as a result of high falls
energy MOI blast injuries
automobile accidents
penetrating trauma
nature of illness for internal bleeding bleeding ulcers
bleeding from the colon
ruptured ectopic pregnancy
aneurysm
contusion a bruise from an injury that causes bleeding beneath the skin without breaking the
skin; also called ecchymosis
hematoma a mass of blood that has collected within damaged tissues beneath the skin or in a
body cavity
hematemesis vomited blood
melena black, foul smelling tarry stool that contains digested blood
hemoptysis the coughing up of blood
signs and symptoms of a closed fracture that is bleeding pain, tenderness, bruising, guarding or swelling
broken ribs, bruises over the lower part of the chest or rigid may indicate spleen or liver laceration. referred pain in right should for liver or left
distended abdomen should for spleen
methods to control external bleeding direct local pressure
pressure dressing
tourniquet
splinting device
tourniquet the bleeding control method used when a wound continues to bleed despite the use
of direct pressure and elevation; useful if a patient is bleeding severely from a
partial or complete amputation (this helps control bleeding no cut it off)
tourniquet precautions do not apply over a joint
make sure its tightened securely
never use wire, rope, a belt or other narrow material
use wide padding underneath (if possible)
never cover with a bandage
do not loosen once applied
(mark the time it was applied)
expistaxis a nosebleed
