OCEMT FINAL EXAM 2024-2025
(QUESTIONS AND COMPLETE
ANSWERS)
When do we consider chest compressions on an a newborn? What abnormal
vitals would we be concerned with?
Pulse under 60
Signs and symptoms of a ruptured spleen on an child?
Pain upper le= quadrant
bleeding
distended abdomen
bruising/contusion
Signs and symptoms of EpigloABs
Sudden onset, high fever
"Hot-potato" voice
Dysphagia, drooling
No cough
Prefers to sit upright, lean forward (tripod posiBon)
Appears toxic and stridulous
under 5 years old
A=er the head of a newborn has been delivered, what should we observe for
that would indicate a possible respiratory complicaBon?
,Any obstrucBons to the babies airway =
the amnioBc sac is filled with Meconium (stool)
When and why do we place the newborn at the level of the placentae (or
vaginal opening)
To cut the umbilical cord at the level of the vaginal opening
Regardless of any type of traumaBc injury, if a paBent is unresponsive our first
priority should be?
ABC's or life threats
Best way to treat frostbite on extremiBes would be......
Remove from cold enviornment
acBvely rewarm = slowly w/ blankets
GSW (gun shot wound) paBent with injuries to thoracic cavity becomes
increasingly SOB (shortness of breath), how can we assist the paBent?
VenBlate = non rebreather
When treaBng a puncture injury to the chest wall, how do we want to place
our semi-occlusive dressing?
3 sides occlusive dressing = li= one side of the inclusive dressing
Head injuries and blood thinners, why is this such a bad combinaBon and how
may the paBent present?
Bleed out
, When we see bubbling and bleeding from a penetraBng chest injury, what is
our best dressing to apply?
Full occlusive = to prevent air from coming in/out
Main difference between a femur fracture and hip dislocaBon? HINT, they'll
both present with outward rotaBon and shortening of extremity
Obvious shortening and obvious rotaBon
femur =
hip dislocaBon =
How to treat an OPEN femur fracture
Splint, sterile dressing, control bleeding and transport
repare for shock
If a knife is impaled into a bony structure on sternum, what do we do with the
knife?
Leave in place and stabilize with bulky dressings
unless instrucBng with CPR
Signs and symptoms of "Pulmonary Contusion" and what may have caused the
injury
Trauma to the chest
coughing up blood = hallmark sign
bruising
rupture of blood vessels = leaking into lungs
rapid breathing
AorBc DissecBon
(QUESTIONS AND COMPLETE
ANSWERS)
When do we consider chest compressions on an a newborn? What abnormal
vitals would we be concerned with?
Pulse under 60
Signs and symptoms of a ruptured spleen on an child?
Pain upper le= quadrant
bleeding
distended abdomen
bruising/contusion
Signs and symptoms of EpigloABs
Sudden onset, high fever
"Hot-potato" voice
Dysphagia, drooling
No cough
Prefers to sit upright, lean forward (tripod posiBon)
Appears toxic and stridulous
under 5 years old
A=er the head of a newborn has been delivered, what should we observe for
that would indicate a possible respiratory complicaBon?
,Any obstrucBons to the babies airway =
the amnioBc sac is filled with Meconium (stool)
When and why do we place the newborn at the level of the placentae (or
vaginal opening)
To cut the umbilical cord at the level of the vaginal opening
Regardless of any type of traumaBc injury, if a paBent is unresponsive our first
priority should be?
ABC's or life threats
Best way to treat frostbite on extremiBes would be......
Remove from cold enviornment
acBvely rewarm = slowly w/ blankets
GSW (gun shot wound) paBent with injuries to thoracic cavity becomes
increasingly SOB (shortness of breath), how can we assist the paBent?
VenBlate = non rebreather
When treaBng a puncture injury to the chest wall, how do we want to place
our semi-occlusive dressing?
3 sides occlusive dressing = li= one side of the inclusive dressing
Head injuries and blood thinners, why is this such a bad combinaBon and how
may the paBent present?
Bleed out
, When we see bubbling and bleeding from a penetraBng chest injury, what is
our best dressing to apply?
Full occlusive = to prevent air from coming in/out
Main difference between a femur fracture and hip dislocaBon? HINT, they'll
both present with outward rotaBon and shortening of extremity
Obvious shortening and obvious rotaBon
femur =
hip dislocaBon =
How to treat an OPEN femur fracture
Splint, sterile dressing, control bleeding and transport
repare for shock
If a knife is impaled into a bony structure on sternum, what do we do with the
knife?
Leave in place and stabilize with bulky dressings
unless instrucBng with CPR
Signs and symptoms of "Pulmonary Contusion" and what may have caused the
injury
Trauma to the chest
coughing up blood = hallmark sign
bruising
rupture of blood vessels = leaking into lungs
rapid breathing
AorBc DissecBon
