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1. A 30-year-old male was rescued after being lost in the woods for
approximately 18 hours. The outside temperature is 30°F (-1°C). He is
immediately placed in the warmed ambulance, where you perform a
primary assessment. He is unresponsive, pale, and apneic. You should:
Select one:
A) Assess for a carotid pulse for up to 60 seconds.
B) Apply chemical heat packs to his groin and axillae.
C) Apply an AED and assess his cardiac rhythm.
D) Open his airway and give two rescue breaths.
Answer A) Assess for a carotid pulse for up to 60 seconds.
Rationale: Severe hypothermia can cause extremely slow, weak, and
difficult-to-detect pulses. AHA guidelines recommend palpating the
carotid pulse for up to 60 seconds to confirm pulselessness before
initiating CPR or defibrillation. Resuscitation efforts should be
aggressive because hypothermic patients can be successfully
,resuscitated even after prolonged cardiac arrest.
2. A 31-year-old male was bitten on the leg by an unidentified snake.
The patient is conscious and alert and in no apparent distress. Your
assessment of his leg reveals two small puncture marks with minimal
pain and swelling. In addition to administering oxygen and providing
reassurance, further care for this patient should include:
Select one:
A) Elevating the lower extremities and giving antivenin.
B) Supine positioning, splinting the leg, and transporting.
C) Applying ice to the wound and transporting quickly.
D) Transporting only with close, continuous monitoring.
Answer B) Supine positioning, splinting the leg, and transporting.
Rationale: Prehospital care for most snake bites focuses on slowing
venom spread and rapid transport. The leg should be immobilized and
kept at or slightly below heart level. Ice is contraindicated (it can
worsen tissue damage), and antivenin is administered in the hospital,
not in the field.
3. All of the following terms refer to a body part that is cold but not
frozen, EXCEPT:
,Select one:
A) Trench foot.
B) Frostnip.
C) Frostbite.
D) Immersion foot.
Answer C) Frostbite.
Rationale: Frostbite is the freezing of body tissues, whereas trench foot,
immersion foot, and frostnip are all non-freezing cold injuries. Frostbite
involves ice crystal formation within tissues, while the others are
caused by prolonged exposure to cold, wet conditions without actual
freezing.
4. Burns associated with lightning strikes are typically:
Select one:
A) Full-thickness.
B) Superficial.
C) Partial-thickness.
D) Third-degree.
, Answer B) Superficial.
Rationale: Lightning produces brief but intense electrical energy that
usually causes superficial (first-degree) burns, often appearing as a
"feathering" or fern-like pattern on the skin. While internal injuries and
cardiac arrest are the primary life threats, the burns themselves are
typically superficial.
5. Common signs and symptoms of heat exhaustion include all of the
following, EXCEPT:
Select one:
A) Headache.
B) Hot, dry skin.
C) Nausea.
D) Tachycardia.
Answer B) Hot, dry skin.
Rationale: Heat exhaustion typically presents with cool, clammy, and
moist skin because the body is still sweating to cool itself. Hot, dry skin
is a hallmark of heat stroke, which is a more serious condition where
the body has lost the ability to sweat and regulate temperature.