1
Prehospital Emergency Care, Chapter #32 COMPLETE
QUESTIONS AND ACCURATE DETAILED
ANSWERS\\ACTUAL QUESTIONS WITH VERIFIED
ANSWERS\\\GRADED A+
1) You arrive on the scene of a motor vehicle collision. Walking toward
you is the unrestrained driver of the vehicle that sustained front-end
damage. The patient complains of some back pain, but is walking
around after the crash and does not appear to be suffering from any
neurologic deficits. Although he answers your questions appropriately,
he keeps asking you, "What happened?" What is your initial action in
caring for this patient?
A) Perform the primary assessment
B) Obtain the patient's vital signs
C) Look for injuries to the patient's head
D) Initiate spine motion restriction precautions - ANSWERSD) Initiate
spine motion restriction precautions
2) A young intoxicated male patient cannot move his left arm and leg
after diving into the shallow end of a pool and hitting the bottom head
first. The EMT would recognize which mechanism as most likely
responsible for this injury?
A) Compression
B) Rotation
, 2
C) Distraction
D) Penetration - ANSWERSA) Compression
3) A young female driver, who was involved in a motor vehicle collision,
complains of cervical pain resulting from a lateral-type mechanism of
neck injury. Based on this information, which type of collision most
likely took place?
A) The patient's car was struck from behind
B) The patient's car was struck from the side
C) The patient's car struck a utility pole head-on
D) The patient's car rear-ended another car - ANSWERSB) The patient's
car was struck from the side
4) You arrive on the scene of a two-car motor vehicle collision. The
patient was the unrestrained driver of a car that struck another car
from behind while moving at a speed of 25 mph. During the collision,
the patient flew forward and struck the windshield with his head. No air
bags were deployed. The patient extricated himself and denies head,
neck, or back pain; however, you do note a small cut on his hand, which
occurred as he was getting out of the car. When asked about
preexisting medical problems, he tells you that he did have herniated
disks in his lumbar spine that were surgically repaired several years ago.
Based on this information, your strongest reason to initiate spine
motion restriction precautions for this patient would be:
A) History of back surgery
B) Laceration to the hand
, 3
C) Self-extrication of the patient
D) Mechanism of injury - ANSWERSD) Mechanism of injury
5) Which sign or symptom best indicates the patient has experienced a
spinal cord injury to the thoracic spine?
A) Bruising to the back
B) Paralysis of the arms only
C) Tingling in the legs
D) Cool and diaphoretic skin - ANSWERSC) Tingling in the legs
6) Assessment of a young girl who was hit by a car while riding her bike
reveals her to be responsive to painful stimuli with flexion of the
extremities; she is also in respiratory distress. There is marked
deformity to her thoracic spine and bruising noted to her anterior chest
and abdomen. She does not move her legs when a noxious stimulus is
applied to the lower extremities. Manual cervical spine motion
restriction is being maintained and a cervical collar has been applied by
fire department EMRs. Given the critical nature of this patient, which
action is most appropriate for her care?
A) Rapidly transfer her to the stretcher and secure her to the long
board while en route to the hospital
B) Transfer her to the long board already placed on the stretcher and
secure with straps en route to the hospital
Prehospital Emergency Care, Chapter #32 COMPLETE
QUESTIONS AND ACCURATE DETAILED
ANSWERS\\ACTUAL QUESTIONS WITH VERIFIED
ANSWERS\\\GRADED A+
1) You arrive on the scene of a motor vehicle collision. Walking toward
you is the unrestrained driver of the vehicle that sustained front-end
damage. The patient complains of some back pain, but is walking
around after the crash and does not appear to be suffering from any
neurologic deficits. Although he answers your questions appropriately,
he keeps asking you, "What happened?" What is your initial action in
caring for this patient?
A) Perform the primary assessment
B) Obtain the patient's vital signs
C) Look for injuries to the patient's head
D) Initiate spine motion restriction precautions - ANSWERSD) Initiate
spine motion restriction precautions
2) A young intoxicated male patient cannot move his left arm and leg
after diving into the shallow end of a pool and hitting the bottom head
first. The EMT would recognize which mechanism as most likely
responsible for this injury?
A) Compression
B) Rotation
, 2
C) Distraction
D) Penetration - ANSWERSA) Compression
3) A young female driver, who was involved in a motor vehicle collision,
complains of cervical pain resulting from a lateral-type mechanism of
neck injury. Based on this information, which type of collision most
likely took place?
A) The patient's car was struck from behind
B) The patient's car was struck from the side
C) The patient's car struck a utility pole head-on
D) The patient's car rear-ended another car - ANSWERSB) The patient's
car was struck from the side
4) You arrive on the scene of a two-car motor vehicle collision. The
patient was the unrestrained driver of a car that struck another car
from behind while moving at a speed of 25 mph. During the collision,
the patient flew forward and struck the windshield with his head. No air
bags were deployed. The patient extricated himself and denies head,
neck, or back pain; however, you do note a small cut on his hand, which
occurred as he was getting out of the car. When asked about
preexisting medical problems, he tells you that he did have herniated
disks in his lumbar spine that were surgically repaired several years ago.
Based on this information, your strongest reason to initiate spine
motion restriction precautions for this patient would be:
A) History of back surgery
B) Laceration to the hand
, 3
C) Self-extrication of the patient
D) Mechanism of injury - ANSWERSD) Mechanism of injury
5) Which sign or symptom best indicates the patient has experienced a
spinal cord injury to the thoracic spine?
A) Bruising to the back
B) Paralysis of the arms only
C) Tingling in the legs
D) Cool and diaphoretic skin - ANSWERSC) Tingling in the legs
6) Assessment of a young girl who was hit by a car while riding her bike
reveals her to be responsive to painful stimuli with flexion of the
extremities; she is also in respiratory distress. There is marked
deformity to her thoracic spine and bruising noted to her anterior chest
and abdomen. She does not move her legs when a noxious stimulus is
applied to the lower extremities. Manual cervical spine motion
restriction is being maintained and a cervical collar has been applied by
fire department EMRs. Given the critical nature of this patient, which
action is most appropriate for her care?
A) Rapidly transfer her to the stretcher and secure her to the long
board while en route to the hospital
B) Transfer her to the long board already placed on the stretcher and
secure with straps en route to the hospital
