West Coast EMT - Block 4
A "hip" fracture is in reality a fracture of the:
Select one:
A. Pubic symphysis.
B. Femoral shaft.
C. Proximal femur.
D. Pelvic girdle. - ANS-C. Proximal femur.
A 12-year-vintage male jumped approximately 12 feet from a tree and landed on his toes. He
complains of ache to his lower back. What damage mechanism is MOST possibly
answerable for his back ache?
Select one:
A. Lateral impact to the backbone
B. Secondary fall after the preliminary impact
C. Direct trauma to the spinal column
D. Energy transmission to the backbone - ANS-D. Energy transmission to the backbone
A 15-year-antique girl became struck by using a small vehicle whilst using her bicycle. She
turned into sporting a helmet and become thrown to the floor, putting her head. In addition to
coping with issues related to airway, respiration, and move, it's far MOST essential a good
way to:
Select one:
A. Go away her bicycle helmet on.
B. Acquire baseline crucial signs.
C. Stabilize her whole backbone.
D. Inspect the helmet for cracks. - ANS-C. Stabilize her whole spine.
A 17-12 months-vintage female dislocated her patella while playing football. Her knee is
flexed and she complains of excessive ache. You need to:
Select one:
A. Hold her knee flexed and secure it with padded board splints.
B. Flex her knee barely more and investigate for distal movement.
C. Gently straighten her knee and follow a padded board splint.
D. Make one attempt to go back the patella to its regular function. - ANS-A. Hold her knee
flexed and steady it with padded board splints.
A 21-yr-vintage male turned into working in an auto restore store and sustained radiator
burns to the anterior aspect of each fingers and to his anterior chest. According to the rule of
nines, this affected person has burns that cover _____ of his BSA.
Select one:
A. 27%
B. Forty five%
C. 18%
D. 36% - ANS-C. 18%
,A 22-12 months-vintage lady was ejected from her car after hanging a tree head-on. As you
technique her, you be aware obvious closed deformities to each of her femurs. She is not
moving and does no longer appear like conscious. You ought to:
Select one:
A. Stabilize her head and perform a number one assessment.
B. Administer oxygen and perform a speedy evaluation.
C. Practice manual stabilization to both of her femurs.
D. Check for a carotid pulse and assist her ventilations. - ANS-A. Stabilize her head and
perform a number one assessment.
A 28-year-vintage male became struck within the chest with a baseball bat for the duration of
an altercation. He is conscious and alert and complains of intense chest pain. Your
assessment reveals a big area of ecchymosis over the sternum and a speedy, irregular
pulse. In addition to providing supplemental oxygen, you need to:
Select one:
A. Apply an AED and examine his BP.
B. Put together for immediate transport.
C. Practice cumbersome dressings to the sternum.
D. Determine if he has cardiac problems. - ANS-B. Put together for immediate delivery.
A 30-year-old female provides with redness, inflammation, and pain to her left eye. During
your evaluation, you word that she is having issue retaining her eyes open. You should
suspect that she is experiencing:
Select one:
A. Acute retinitis.
B. A detached retina.
C. Conjunctivitis.
D. A corneal abrasion. - ANS-C. Conjunctivitis.
A 33-12 months-vintage male sustained an belly evisceration to the left lower quadrant of his
abdomen after he became reduce with a big knife. After accurately dealing with his ABCs
and assessing him for different existence-threatening injuries, how you should care for his
wound?
Select one:
A. Irrigate it with sterile water and cowl it with a dry dressing.
B. Carefully replace the exposed bowel into the abdomen and delivery.
C. Cover the exposed bowel and hold his legs in a immediately role.
D. Cover it with moist, sterile gauze and steady with an occlusive dressing. - ANS-D. Cover it
with moist, sterile gauze and steady with an occlusive dressing.
A 39-yr-old male changed into struck within the head via a baseball throughout a sport. He is
harassed and has slurred speech. He has a massive hematoma in the middle of his brow
and can't consider the occasions preceding the injury. After manually stabilizing his head and
assessing his airway, you need to:
Select one:
A. Palpate his radial pulses.
, B. Administer high-glide oxygen.
C. Practice ice to the hematoma.
D. Carry out a neurologic examination. - ANS-B. Administer high-waft oxygen.
A 4-12 months-old girl has a peanut lodged inside the external auditory canal of her proper
ear. You ought to:
Select one:
A. Very well flush her ear with sterile saline.
B. Use tweezers to try and cast off the object.
C. Cast off the peanut with a cotton-tipped swab.
D. Shipping her to the emergency branch. - ANS-D. Delivery her to the emergency
department.
A forty three-yr-antique man is experiencing a extreme nosebleed. His blood stress is
190/one hundred ten mm Hg and his heart fee is ninety beats/min and bounding. Preferred
remedy for this patient includes:
Select one:
A. Packing each nostrils with gauze pads till the bleeding stops.
B. Placing a rolled 4² × 4² dressing among his decrease lip and gum.
C. Pinching the affected person's nostrils and having him lean ahead.
D. Having the patient pinch his very own nostrils and then lie supine. - ANS-C. Pinching the
patient's nostrils and having him lean ahead.
A 52-12 months-vintage unrestrained lady struck the guidance wheel along with her face
when her truck collided with another vehicle. She has apparent swelling to her face and
numerous dislodged enamel. A visible exam of her mouth exhibits minimum bleeding. She is
conscious and alert with a blood strain of one hundred thirty/80 mm Hg, a pulse of one
hundred ten beats/min, and respirations of twenty-two breaths/min with adequate tidal
volume. You should:
Select one:
A. Help ventilations with a BVM device, immobilize her spine, suction her oropharynx for 30
seconds, and delivery.
B. Apply oxygen thru a nonrebreathing mask, suction her airway as wished, brush aside the
dislodged teeth, and transport.
C. Fully immobilize her spine, try to discover the dislodged tooth, suction as wanted, and
shipping.
D. Completely immobilize her spine, irrigate her empty tooth sockets, try to discover the
dislodged teeth, and shipping. - ANS-C. Completely immobilize her backbone, try to find the
dislodged tooth, suction as wanted, and shipping.
A fifty four-12 months-vintage male by accident shot himself within the leg while cleansing
his gun. Your assessment well-knownshows a small entrance wound to the medial element
of his right leg. The go out wound is on the opposite side of the leg and is actively bleeding.
The affected person complains of numbness and tingling in his right foot. You have to:
Select one:
A. Control the bleeding and cowl the wound with a sterile dressing.
B. Examine distal pulses in addition to sensory and motor features.
A "hip" fracture is in reality a fracture of the:
Select one:
A. Pubic symphysis.
B. Femoral shaft.
C. Proximal femur.
D. Pelvic girdle. - ANS-C. Proximal femur.
A 12-year-vintage male jumped approximately 12 feet from a tree and landed on his toes. He
complains of ache to his lower back. What damage mechanism is MOST possibly
answerable for his back ache?
Select one:
A. Lateral impact to the backbone
B. Secondary fall after the preliminary impact
C. Direct trauma to the spinal column
D. Energy transmission to the backbone - ANS-D. Energy transmission to the backbone
A 15-year-antique girl became struck by using a small vehicle whilst using her bicycle. She
turned into sporting a helmet and become thrown to the floor, putting her head. In addition to
coping with issues related to airway, respiration, and move, it's far MOST essential a good
way to:
Select one:
A. Go away her bicycle helmet on.
B. Acquire baseline crucial signs.
C. Stabilize her whole backbone.
D. Inspect the helmet for cracks. - ANS-C. Stabilize her whole spine.
A 17-12 months-vintage female dislocated her patella while playing football. Her knee is
flexed and she complains of excessive ache. You need to:
Select one:
A. Hold her knee flexed and secure it with padded board splints.
B. Flex her knee barely more and investigate for distal movement.
C. Gently straighten her knee and follow a padded board splint.
D. Make one attempt to go back the patella to its regular function. - ANS-A. Hold her knee
flexed and steady it with padded board splints.
A 21-yr-vintage male turned into working in an auto restore store and sustained radiator
burns to the anterior aspect of each fingers and to his anterior chest. According to the rule of
nines, this affected person has burns that cover _____ of his BSA.
Select one:
A. 27%
B. Forty five%
C. 18%
D. 36% - ANS-C. 18%
,A 22-12 months-vintage lady was ejected from her car after hanging a tree head-on. As you
technique her, you be aware obvious closed deformities to each of her femurs. She is not
moving and does no longer appear like conscious. You ought to:
Select one:
A. Stabilize her head and perform a number one assessment.
B. Administer oxygen and perform a speedy evaluation.
C. Practice manual stabilization to both of her femurs.
D. Check for a carotid pulse and assist her ventilations. - ANS-A. Stabilize her head and
perform a number one assessment.
A 28-year-vintage male became struck within the chest with a baseball bat for the duration of
an altercation. He is conscious and alert and complains of intense chest pain. Your
assessment reveals a big area of ecchymosis over the sternum and a speedy, irregular
pulse. In addition to providing supplemental oxygen, you need to:
Select one:
A. Apply an AED and examine his BP.
B. Put together for immediate transport.
C. Practice cumbersome dressings to the sternum.
D. Determine if he has cardiac problems. - ANS-B. Put together for immediate delivery.
A 30-year-old female provides with redness, inflammation, and pain to her left eye. During
your evaluation, you word that she is having issue retaining her eyes open. You should
suspect that she is experiencing:
Select one:
A. Acute retinitis.
B. A detached retina.
C. Conjunctivitis.
D. A corneal abrasion. - ANS-C. Conjunctivitis.
A 33-12 months-vintage male sustained an belly evisceration to the left lower quadrant of his
abdomen after he became reduce with a big knife. After accurately dealing with his ABCs
and assessing him for different existence-threatening injuries, how you should care for his
wound?
Select one:
A. Irrigate it with sterile water and cowl it with a dry dressing.
B. Carefully replace the exposed bowel into the abdomen and delivery.
C. Cover the exposed bowel and hold his legs in a immediately role.
D. Cover it with moist, sterile gauze and steady with an occlusive dressing. - ANS-D. Cover it
with moist, sterile gauze and steady with an occlusive dressing.
A 39-yr-old male changed into struck within the head via a baseball throughout a sport. He is
harassed and has slurred speech. He has a massive hematoma in the middle of his brow
and can't consider the occasions preceding the injury. After manually stabilizing his head and
assessing his airway, you need to:
Select one:
A. Palpate his radial pulses.
, B. Administer high-glide oxygen.
C. Practice ice to the hematoma.
D. Carry out a neurologic examination. - ANS-B. Administer high-waft oxygen.
A 4-12 months-old girl has a peanut lodged inside the external auditory canal of her proper
ear. You ought to:
Select one:
A. Very well flush her ear with sterile saline.
B. Use tweezers to try and cast off the object.
C. Cast off the peanut with a cotton-tipped swab.
D. Shipping her to the emergency branch. - ANS-D. Delivery her to the emergency
department.
A forty three-yr-antique man is experiencing a extreme nosebleed. His blood stress is
190/one hundred ten mm Hg and his heart fee is ninety beats/min and bounding. Preferred
remedy for this patient includes:
Select one:
A. Packing each nostrils with gauze pads till the bleeding stops.
B. Placing a rolled 4² × 4² dressing among his decrease lip and gum.
C. Pinching the affected person's nostrils and having him lean ahead.
D. Having the patient pinch his very own nostrils and then lie supine. - ANS-C. Pinching the
patient's nostrils and having him lean ahead.
A 52-12 months-vintage unrestrained lady struck the guidance wheel along with her face
when her truck collided with another vehicle. She has apparent swelling to her face and
numerous dislodged enamel. A visible exam of her mouth exhibits minimum bleeding. She is
conscious and alert with a blood strain of one hundred thirty/80 mm Hg, a pulse of one
hundred ten beats/min, and respirations of twenty-two breaths/min with adequate tidal
volume. You should:
Select one:
A. Help ventilations with a BVM device, immobilize her spine, suction her oropharynx for 30
seconds, and delivery.
B. Apply oxygen thru a nonrebreathing mask, suction her airway as wished, brush aside the
dislodged teeth, and transport.
C. Fully immobilize her spine, try to discover the dislodged tooth, suction as wanted, and
shipping.
D. Completely immobilize her spine, irrigate her empty tooth sockets, try to discover the
dislodged teeth, and shipping. - ANS-C. Completely immobilize her backbone, try to find the
dislodged tooth, suction as wanted, and shipping.
A fifty four-12 months-vintage male by accident shot himself within the leg while cleansing
his gun. Your assessment well-knownshows a small entrance wound to the medial element
of his right leg. The go out wound is on the opposite side of the leg and is actively bleeding.
The affected person complains of numbness and tingling in his right foot. You have to:
Select one:
A. Control the bleeding and cowl the wound with a sterile dressing.
B. Examine distal pulses in addition to sensory and motor features.
