PMED CH 31 EXAM QUESTIONS AND
ANSWERS ALL CORRECT
A patient with nerve compromise following an open injury to the hand:
A) should be given analgesia for the pain.
B) will likely lose all neurologic function.
C) requires prompt transport to the hospital.
D) will not be able to move his or her hand. - Answer-C
Compared to the bleeding from an open wound, bleeding from a closed wound:
A) is limited because the skin is unbroken.
B) generally requires surgical intervention.
C) is not significant enough to produce shock.
D) can usually be controlled with direct pressure. - Answer-A
Primary treatment in the prehospital setting for an abrasion involves:
A) administering a narcotic analgesic.
B) applying an antibiotic ointment or cream.
C) covering it lightly with a sterile dressing.
D) thoroughly cleaning it to prevent infection. - Answer-C
Which of the following statements regarding lacerations is correct?
A) Lacerations are linear cuts that tend to heal well due to their relatively even wound
margins.
B) The seriousness of a laceration depends on its depth and the structures that have
been damaged.
C) The first priority in treating a laceration is to cover it with a sterile dressing to prevent
infection.
D) A laceration must be sutured or otherwise closed within 8 to 10 hours following the
injury. - Answer-B
In addition to bleeding and contamination, the principal danger associated with an
avulsion is:
A) undetectable internal damage.
B) disfigurement due to severe scarring.
C) invasion of the wound with Clostridium tetani.
D) a loss of blood supply to the avulsed flap. - Answer-D
A crushing or tearing amputation:
, A) is initially treated by applying a proximal tourniquet and retrieving any detached body
parts.
B) causes less blood loss than expected because the blood vessels retain their ability to
constrict.
C) cannot be surgically reattached due to the severe vascular and soft-tissue damage
that accompanies it.
D) can result in excessive blood loss due to hemorrhage if the paramedic does not
intervene rapidly. - Answer-D
Which of the following statements regarding crush injury is correct?
A) A crush injury can occur if the PASG is left in place for greater than 1 hour.
B) Gangrene often sets in if a body part is entrapped for longer than 30 minutes.
C) Crush syndrome can occur if the body part is entrapped for more than 4 hours.
D) In a crush injury, the external appearance is a good predictor of internal damage. -
Answer-C
When muscles are crushed beyond repair, tissue necrosis develops and causes the
release of harmful products. This process is called:
A) rhabdomyolysis.
B) myoglobinuria.
C) hyperphosphatemia.
D) necrotizing fasciitis. - Answer-A
When a patient's leg is entrapped under a crushing object for a prolonged period of
time, toxic metabolic waste products are released into the systemic circulation:
A) and result in low serum potassium levels.
B) after the patient's leg is freed from entrapment.
C) after the leg has been entrapped for 2 hours.
D) only if the renal system is functioning properly. - Answer-B
Which of the following statements regarding compartment syndrome is correct?
A) Compartment syndrome is more likely to occur with closed injuries.
B) Compartment syndrome is caused by increased pressure within the bone.
C) Definitive treatment almost always includes amputation of the affected limb.
D) Local tissue death occurs after 2 hours of persistent compartment syndrome. -
Answer-A
Signs and symptoms of compartment syndrome include all of the following, EXCEPT:
A) pressure.
B) erythema.
C) parasthesia.
D) passive stretch pain. - Answer-B
The bite from a ________ poses the greatest risk for serious infection.
A) cat
B) dog
ANSWERS ALL CORRECT
A patient with nerve compromise following an open injury to the hand:
A) should be given analgesia for the pain.
B) will likely lose all neurologic function.
C) requires prompt transport to the hospital.
D) will not be able to move his or her hand. - Answer-C
Compared to the bleeding from an open wound, bleeding from a closed wound:
A) is limited because the skin is unbroken.
B) generally requires surgical intervention.
C) is not significant enough to produce shock.
D) can usually be controlled with direct pressure. - Answer-A
Primary treatment in the prehospital setting for an abrasion involves:
A) administering a narcotic analgesic.
B) applying an antibiotic ointment or cream.
C) covering it lightly with a sterile dressing.
D) thoroughly cleaning it to prevent infection. - Answer-C
Which of the following statements regarding lacerations is correct?
A) Lacerations are linear cuts that tend to heal well due to their relatively even wound
margins.
B) The seriousness of a laceration depends on its depth and the structures that have
been damaged.
C) The first priority in treating a laceration is to cover it with a sterile dressing to prevent
infection.
D) A laceration must be sutured or otherwise closed within 8 to 10 hours following the
injury. - Answer-B
In addition to bleeding and contamination, the principal danger associated with an
avulsion is:
A) undetectable internal damage.
B) disfigurement due to severe scarring.
C) invasion of the wound with Clostridium tetani.
D) a loss of blood supply to the avulsed flap. - Answer-D
A crushing or tearing amputation:
, A) is initially treated by applying a proximal tourniquet and retrieving any detached body
parts.
B) causes less blood loss than expected because the blood vessels retain their ability to
constrict.
C) cannot be surgically reattached due to the severe vascular and soft-tissue damage
that accompanies it.
D) can result in excessive blood loss due to hemorrhage if the paramedic does not
intervene rapidly. - Answer-D
Which of the following statements regarding crush injury is correct?
A) A crush injury can occur if the PASG is left in place for greater than 1 hour.
B) Gangrene often sets in if a body part is entrapped for longer than 30 minutes.
C) Crush syndrome can occur if the body part is entrapped for more than 4 hours.
D) In a crush injury, the external appearance is a good predictor of internal damage. -
Answer-C
When muscles are crushed beyond repair, tissue necrosis develops and causes the
release of harmful products. This process is called:
A) rhabdomyolysis.
B) myoglobinuria.
C) hyperphosphatemia.
D) necrotizing fasciitis. - Answer-A
When a patient's leg is entrapped under a crushing object for a prolonged period of
time, toxic metabolic waste products are released into the systemic circulation:
A) and result in low serum potassium levels.
B) after the patient's leg is freed from entrapment.
C) after the leg has been entrapped for 2 hours.
D) only if the renal system is functioning properly. - Answer-B
Which of the following statements regarding compartment syndrome is correct?
A) Compartment syndrome is more likely to occur with closed injuries.
B) Compartment syndrome is caused by increased pressure within the bone.
C) Definitive treatment almost always includes amputation of the affected limb.
D) Local tissue death occurs after 2 hours of persistent compartment syndrome. -
Answer-A
Signs and symptoms of compartment syndrome include all of the following, EXCEPT:
A) pressure.
B) erythema.
C) parasthesia.
D) passive stretch pain. - Answer-B
The bite from a ________ poses the greatest risk for serious infection.
A) cat
B) dog
