Complete Questions & Answers
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During the management of a female trauma patient who is 8
months pregnant with her second child, you elect to immobilize
her on a backboard for suspected spinal injury. When preparing
for transport, what important treatment consideration must you
provide regarding transport on a backboard?
Tilt the backboard to the left side to avoid potential hypotension
During a large-scale incident in your community where multiple
people are injured, you have been designated by the Incident
Commander to serve the role of EMS Branch Director. As you
establish the units under your direction, which one will be
responsible for organizing the positioning and flow of ground and
air ambulances to and from the scene?
Staging Unit Leader
,A 20-year-old female complains of severe headache and
photophobia. She notes she has had a fever and a stiff neck for
the last two days. To manage this patient you should first:
don gloves and respiratory protection
A 43-year-old male patient has been shot in the abdomen during
a bar fight. Upon your arrival he appears alert and oriented. You
observe a small puncture wound to the LUQ with minimal
bleeding and no exit wound. The airway is patent, breathing is
rapid but adequate, the peripheral perfusion is intact with good
radial pulses. Vitals are: heart rate 110, respirations 26/min,
blood pressure of 122/86. Given these findings of thus far, how
would you categorize his physiological status?
Stable, but potentially unstable
A 45 year old female is complaining of trouble breathing. The
patient is sitting in a tripod position, has nasal flaring, rapid
breathing, accessory muscle use, and diminished alveolar breath
sounds. Of these findings, which one is indicative more so of
difficult breathing rather than heightened respiratory efforts due
to the pulmonary problem?
Diminished alveolar sounds
A two-car motor-vehicle crash has occurred at the bottom of a
steep hill. As you approach the crash site, you can see the
severely damaged vehicles, but the ambulance begins to slide on
the ice. You should:
stop the ambulance and proceed on foot.
,Upon turning a patient over to hospital staff a nurse advises you
that your patient is a known injectable drug abuser. Of the
numerous work practice controls to keep you safe from cross
contamination, which of the below is best in protecting your
safety as an EMT?
Hand washing
A 55-year-old male dropped a container at work and was sprayed
with dry powder that is burning him. The patient is now
unconscious and you note that the powder still covers his chest
and arms. His coworkers state that he complained of severe pain
and burning before losing consciousness. You should:
stage away from the patient until hazardous materials
technicians arrive.
A mother states her seven-week-old infant has not been feeding
well and may have had a fever over the last four days. The baby is
listless, and when you examine his head, you notice its fontanels
are sunken. What does this finding most likely indicate?
Hypovolemia
A seven-year-old male has crashed his bicycle. He notes he was
thrown over the handlebars and complains of only left shoulder
pain. His vital signs are pulse 120, respiration 24, blood pressure
102/60. Given this presentation, you should first rule out:
internal bleeding from a ruptured spleen
, A 15-year-old male has been stabbed in the abdomen. As you
examine the patient's abdomen, you see a small loop of intestine
protruding from the wound. After completing your patient
assessment, you should next:
initiate rapid transport.
You are enroute to a MVC where you will back up an EMS unit
already on-scene. They advise you by radio that you will be
picking up an unresponsive female patient with a head injury.
They add that she is currently breathing spontaneously at
34/minute, pulses are present, all active bleeding has been
managed, and the vitals are stable. Given this, what vital aspect
of the primary survey did they not advise you of?
Airway patency
You are caring for a baby that just delivered in the mother's
home. After cutting the cord you complete your initial APGAR
scoring. You find the baby displays a strong cry, has cyanotic
hands and feet with a pink core, is actively moving, the heart rate
is 140 per minute, and the newborn grimaces and cries with
stimulation. What is the calculated APGAR score?
9
A patient has a gastrointestinal bleed that is resulting in a drop in
his circulating blood volume. In order for the body to try and
compensate for this volume loss while attempting to maintain
adequate peripheral perfusion, what might the negative feedback
systems of the body employ?