Bleeding, EMT - Chapter 26: Soft-Tissue Injuries Questions
With Complete Solutions
A 12-year-old male jumped approximately 12′ from a tree and
landed on his feet. He complains of pain to
his lower back. What injury mechanism is MOST likely
responsible for his back pain?
A. lateral impact to the spine
B. energy transmission to the spine
C. direct trauma to the spinal column
D. secondary fall after the initial impact Correct Answers B.
energy transmission to the spine
A 15-year-old female was struck by a small car while riding her
bicycle. She was wearing a helmet and was
thrown to the ground, striking her head. In addition to managing
problems associated with airway,
breathing, and circulation, it is MOST important for you to:
A. stabilize her entire spine.
B. obtain baseline vital signs.
C. inspect the helmet for cracks.
D. leave her bicycle helmet on. Correct Answers A. stabilize
her entire spine.
A 17-year-old male was shot in the right anterior chest during an
altercation with a gang member. As your
partner is applying 100% oxygen, you perform a rapid
secondary assessment and find an open chest wound
with a small amount of blood bubbling from it. You should:
,A. place a sterile dressing over the wound and apply direct
pressure.
B. control the bleeding from the wound and prepare to transport
at once.
C. apply an occlusive dressing to the wound and continue your
assessment.
D. direct your partner to assist the patient's ventilations with a
bag-mask device. Correct Answers C. apply an occlusive
dressing to the wound and continue your assessment.
A 21-year-old male was working in an auto repair shop and
sustained radiator burns to the anterior aspect of
both arms and to his anterior chest. According to the rule of
nines, this patient has burns that cover _____ of
his BSA.
A. 18%
B. 27%
C. 36%
D. 45% Correct Answers A. 18%
A 22-year-old male was kicked in the abdomen multiple 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:
A. preparing for immediate transport.
B. applying oxygen via nasal cannula.
C. performing a focused physical exam.
D. a detailed assessment of his abdomen. Correct Answers A.
preparing for immediate transport.
,A 30-year-old male experienced a crushing injury when his arm
was trapped between the back of a truck
and a loading dock. Upon your arrival, the man's arm has been
freed. Your assessment reveals that his arm
is obviously deformed and swollen and is cold and pale. Further
assessment reveals an absent radial pulse.
You should be MOST concerned that this patient has:
A. internal hemorrhage.
B. compartment syndrome.
C. a severe closed fracture.
D. damage to the radial nerve. Correct Answers B.
compartment syndrome.
A 30-year-old male sustained a stab wound to the neck when he
was attacked outside a nightclub. During
your assessment, you should be MOST alert for:
A. injury to the cervical spine.
B. potential airway compromise.
C. damage to internal structures.
D. alterations in his mental status. Correct Answers B. potential
airway compromise.
A 33-year-old male sustained an abdominal evisceration to the
left lower quadrant of his abdomen after he
was cut with a large knife. After appropriately managing his
ABCs and assessing him for other lifethreatening
injuries, how you should care for his wound?
A. Irrigate it with sterile water and cover it with a dry dressing.
B. Cover the exposed bowel and keep his legs in a straight
position.
, C. Carefully replace the exposed bowel into the abdomen and
transport.
D. Cover it with moist, sterile gauze and secure with an
occlusive dressing. Correct Answers D. Cover it with moist,
sterile gauze and secure with an occlusive dressing.
A 38-year-old male was electrocuted while attempting to wire a
house. Your assessment reveals that he is
unresponsive, pulseless, and apneic. A coworker has shut off the
power to the house. You should:
A. begin CPR and apply the AED.
B. begin CPR and transport at once.
C. assess for entry and exit wounds.
D. fully immobilize his spinal column. Correct Answers A.
begin CPR and apply the AED.
A 39-year-old male accidentally cut his wrist while sharpening
his hunting knife. He is conscious and alert
with adequate breathing, but is bleeding significantly from the
wound. You should:
A. ensure the patient has a patent airway.
B. control the bleeding with direct pressure.
C. apply oxygen with a nonrebreathing mask.
D. apply a tourniquet proximal to the wound. Correct Answers
B. control the bleeding with direct pressure.
A 39-year-old male sustained a large laceration to his leg during
an accident with a chainsaw and is
experiencing signs and symptoms of shock. You should:
A. apply direct pressure to the wound.
B. place the patient on 100% oxygen.