OEC Chapter 21 Test Questions
with Correct Answers
Assessment of the cervical spine of a patient complaining of lower back pain after falling
20 feet reveals no displacement, tenderness, or instability. Accordingly, you should:
a. release manual in-line spinal stabilization.
b. apply a properly sized cervical collar.
c. immobilize the patient to a backboard without a cervical collar.
d. inform the team that immobilization is not needed. - Answer ✔ Answer: b
Objective: 21-8
Reference: 714-715
A patient with head, neck, and back pain has just been fully immobilized to a long
backboard. Which of the following instructions should you provide to your team next?
a. "Loosen the collar so you can palpate the back of the neck."
b. "Maintain manual in-line spinal stabilization until he is on the stretcher."
c. "Check for CMS before we move him to the stretcher."
d. "Remove the chest straps so he can breathe more easily now that his head and legs
are secured." - Answer ✔ Answer: c
Objective: 21-9
Reference: 722
Which of the following instructions from one OEC Technician to another describes the
appropriate application of a cervical spine immobilization collar?
a. "Carefully flex his head forward a little so I can pass the collar underneath his neck."
b. "Let's log roll the patient to one side so I can apply a cervical collar."
c. "Keep his head in neutral position while I apply a cervical collar."
d. "I need you to extend the patient's chin backward a little so I can fit the collar under
his chin." - Answer ✔ Answer: c
Objective: 21-8
Reference: 715
For which of the following patients involved in a motor vehicle collision is the use of a
vest-type short immobilization device indicated?
a. A 42-year-old male who was ejected from the vehicle and is lying supine in the
roadway complaining of back pain
, b. A 25-year-old restrained driver who is responsive and has a history of diabetes
c. A 15-year-old female complaining of neck and back pain who got out of the car and is
standing next to it
d. A 33-year-old female in the backseat who complains of neck pain and a headache -
Answer ✔ Answer: d
Objective: 21-6
Reference: 723
A patient with a head and neck injury was sitting found leaning against a tree. You have
placed a vest type short immobilization device on the patient. To transport the patient
you would:
a. remove the vest-type short immobilization device and secure the patient to a long
backboard.
b. immobilize the patient with the vest-type short immobilization device to a long
backboard.
c. place the patient in a Semi-Fowler's position on the stretcher for transport to the
hospital.
d. secure the patient with the vest-type short immobilization device on a stretcher in a
supine position with the feet elevated. - Answer ✔ Answer: b
Objective: 21-9
Reference: 723
You are securing a patient to a long backboard. Which of the following lists indicates the
appropriate order for securing the straps?
a. Torso, pelvis, legs, head
b. Head, torso, pelvis, legs
c. Head, legs, torso, pelvis
d. Legs, head, torso, pelvis - Answer ✔ Answer: a
Objective: 21-9
Reference: 722
A patient has just been log rolled and positioned onto the long backboard. Which of the
following actions should be performed next?
a. Apply a properly sized cervical collar.
b. Secure the patient's head.
c. Secure the patient's chest with straps.
d. Release manual in-line stabilization. - Answer ✔ Answer: c
Objective: 21-9
Reference: 722
You are maintaining manual in-line stabilization of the cervical spine for a patient being
log rolled, transferred, and secured to a long backboard. At what point should you
release the manual in-line stabilization?
with Correct Answers
Assessment of the cervical spine of a patient complaining of lower back pain after falling
20 feet reveals no displacement, tenderness, or instability. Accordingly, you should:
a. release manual in-line spinal stabilization.
b. apply a properly sized cervical collar.
c. immobilize the patient to a backboard without a cervical collar.
d. inform the team that immobilization is not needed. - Answer ✔ Answer: b
Objective: 21-8
Reference: 714-715
A patient with head, neck, and back pain has just been fully immobilized to a long
backboard. Which of the following instructions should you provide to your team next?
a. "Loosen the collar so you can palpate the back of the neck."
b. "Maintain manual in-line spinal stabilization until he is on the stretcher."
c. "Check for CMS before we move him to the stretcher."
d. "Remove the chest straps so he can breathe more easily now that his head and legs
are secured." - Answer ✔ Answer: c
Objective: 21-9
Reference: 722
Which of the following instructions from one OEC Technician to another describes the
appropriate application of a cervical spine immobilization collar?
a. "Carefully flex his head forward a little so I can pass the collar underneath his neck."
b. "Let's log roll the patient to one side so I can apply a cervical collar."
c. "Keep his head in neutral position while I apply a cervical collar."
d. "I need you to extend the patient's chin backward a little so I can fit the collar under
his chin." - Answer ✔ Answer: c
Objective: 21-8
Reference: 715
For which of the following patients involved in a motor vehicle collision is the use of a
vest-type short immobilization device indicated?
a. A 42-year-old male who was ejected from the vehicle and is lying supine in the
roadway complaining of back pain
, b. A 25-year-old restrained driver who is responsive and has a history of diabetes
c. A 15-year-old female complaining of neck and back pain who got out of the car and is
standing next to it
d. A 33-year-old female in the backseat who complains of neck pain and a headache -
Answer ✔ Answer: d
Objective: 21-6
Reference: 723
A patient with a head and neck injury was sitting found leaning against a tree. You have
placed a vest type short immobilization device on the patient. To transport the patient
you would:
a. remove the vest-type short immobilization device and secure the patient to a long
backboard.
b. immobilize the patient with the vest-type short immobilization device to a long
backboard.
c. place the patient in a Semi-Fowler's position on the stretcher for transport to the
hospital.
d. secure the patient with the vest-type short immobilization device on a stretcher in a
supine position with the feet elevated. - Answer ✔ Answer: b
Objective: 21-9
Reference: 723
You are securing a patient to a long backboard. Which of the following lists indicates the
appropriate order for securing the straps?
a. Torso, pelvis, legs, head
b. Head, torso, pelvis, legs
c. Head, legs, torso, pelvis
d. Legs, head, torso, pelvis - Answer ✔ Answer: a
Objective: 21-9
Reference: 722
A patient has just been log rolled and positioned onto the long backboard. Which of the
following actions should be performed next?
a. Apply a properly sized cervical collar.
b. Secure the patient's head.
c. Secure the patient's chest with straps.
d. Release manual in-line stabilization. - Answer ✔ Answer: c
Objective: 21-9
Reference: 722
You are maintaining manual in-line stabilization of the cervical spine for a patient being
log rolled, transferred, and secured to a long backboard. At what point should you
release the manual in-line stabilization?
