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JBL Trauma Questions and Answers Already Passed

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JBL Trauma Questions and Answers Already Passed EMTs are assessing a man who was injured while trying to rescue a pet from his burning house. Which of the following assessment findings should be the MOST immediately concerning? A) Severe blisters to both hands B) Closed deformity of the wrist C) Dry cough and a hoarse voice D) Clothes adhered to burned skin C (Any condition or injury that involves airway, breathing, or circulation warrants the EMT's most immediate attention. A dry cough and hoarse voice are signs of inhalation injury and airway swelling. Carefully monitor the pt and be prepared to ventilate him if his breathing becomes inadequate. Transport without delay; a paramedic intercept should be requested. If the pt's airway completely closes, more invasive airway management will be needed [cricothyrotomy]. Tend to the other injuries listed during transport) Factors that affect a person's ability to compensate for internal or external blood loss include all of the following, EXCEPT: A) advanced age. B) the rate of blood loss. C) high cholesterol in the blood. D) blood-thinning medications. C (The compensatory responses of tachycardia and peripheral vasoconstriction decrease as a person ages; thus, older pts are not able to compensate as effectively as younger pts. Older pts commonly take medications to treat high BP, such as beta blockers; these drugs may blunt the body's release of the catecholamines necessary to increase the heart rate. The ability to compensate for blood loss is also related to how rapidly blood loss occurs. Pts who take blood-thinning medications [warfarin {Coumadin}] bleed longer than those not taking such medications. There is no known correlation between high cholesterol and a person's ability to compensate for blood loss) A 44-year-old male experienced burns to his anterior trunk and both arms. He is conscious and alert, but is in extreme pain. Assessment of the burns reveals reddening and blisters. This patient has ________________ burns that cover _____ of his total body surface area. A) first-degree, 27% B) partial-thickness, 36% C) second-degree, 45% D) full-thickness, 18% B (Partial-thickness [second degree] burns damage the epidermis and part of the dermis, and are characterized by blistering and severe pain. Areas of superficial [1st degree] burns, which cause reddening of the skin, commonly surround partial-thickness burns. The anterior trunk [chest and abdomen] accounts for 18% of the total body surface area [TBSA] and each entire arm accounts for 9%. Full thickness burns [3rd degree] are characterized by charred or white, leathery skin. Because the entire dermis, including the nerves, are destroyed, pts do not feel pain) Prior to your arrival at the scene, a young female was removed from a body of water after being submerged for an unknown period of time. You should manage her airway appropriately while considering the possibility of: A) spinal injury. B) hyperthermia. C) internal bleeding. D) airway


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