EMT Exam 4 JB Learning-Questions and
Answers (Graded A)
SAMPLE stands for - ANSWER-Signs and symptoms Allergies Medication Past medical history Last oral intake Events leading up to
A patient has cool skin, shallow breathing and a diminished LOC. Your interventions would be: - ANSWER-Increase depth of respirations, high flow oxygen, and transport ASAP
Initial Assessment includes - ANSWER-Forming a general impression
A fall patient has discoloration and tenderness to the left side of the chest. Upon auscultation, you hear diminished breath sounds on the affected side. You should: - ANSWER-Classify the patient as major trauma
and immediately transport
Traumatic Asphyxia presents as - ANSWER-bulging eyes and discoloration of the body above the shoulders
What are the quickest ways to assess perfusion? - ANSWER-Capillary refill and
pulse
A patient with diminished level of consciousness, abdominal bleeding and a swollen and deformed arm is an example of: - ANSWER-Major Trauma
If your patient has develops severe dyspnea after you have already sealed their sucking chest wound, you should - ANSWER-Lift the occlusive dressing upon exhalation to release the air and then re-seal it.
If your patient gags when trying to insert an OPA, you should - ANSWER-
remove the oropharyngeal airway and prepare for the patient to vomit.
When a patient has dyspnea and paradoxical movement on a side of their chest, you should suspect: - ANSWER-that the patient has Flail Chest
When securing a patient to a back board you - ANSWER-Apply a c-collar, maintain manual stabilization of the head until secured to the backboard, and
secure the axial skeleton to the backboard before the head. Unequal breath sounds and/or unequal chest expansion are signs and symptoms of - ANSWER-a closed chest wall injury
If someone has an impaled object in their chest you should - ANSWER-
stabilize the object, provide high flow oxygen, monitor vital signs, and provide
rapid transport
During a Rapid Trauma Assessment, when assessing the pelvis, you should - ANSWER-apply gentle pressure to the iliac crests downwards and and then inwards.
When communicating patient information over the radio or to the hospital destination, you should include the patient's - ANSWER-level of consciousness (LOC), age, sex, and chief complaint.
spontaneous pneumothorax - ANSWER-A pneumothorax that occurs when a weak area on the lung ruptures in the absence of major injury or trauma, allowing air to leak into the pleural space.
Patient assessment always begins with - ANSWER-scene size up
When treating an amputation that is bleeding profusely you should - ANSWER-
apply a pressure dressing to the bleeding, provide high flow oxygen, and transport ASAP
The chest cavity and abdominal cavity are separated by the - ANSWER-
diaphragm
Dyspnea and trcheal deviation are signs of a - ANSWER-tension pneumothorax
The thoracic cavity contains the - ANSWER-lungs and heart
Your trauma patient presents with a sucking chest wound. You should - ANSWER-seal the wound with an occlusive dressing, provide high flow O2 and
consider spinal immobilization.
You have a 45 y/o male involved in a major MVA. He c/o pain to the chest and dyspnea. The anterior chest wall is bruised and tender, weak radial pulses are present and the last three blood pressure measurements show narrowing pulse pressure. You should suspect a: and your interventions should - ANSWER-a pericardial tamponade; full spinal immobilization, high flow oxygen, rapid transport.
When measuring an OPA, you - ANSWER-measure distance from the earlobe to the corner of the mouth.
Answers (Graded A)
SAMPLE stands for - ANSWER-Signs and symptoms Allergies Medication Past medical history Last oral intake Events leading up to
A patient has cool skin, shallow breathing and a diminished LOC. Your interventions would be: - ANSWER-Increase depth of respirations, high flow oxygen, and transport ASAP
Initial Assessment includes - ANSWER-Forming a general impression
A fall patient has discoloration and tenderness to the left side of the chest. Upon auscultation, you hear diminished breath sounds on the affected side. You should: - ANSWER-Classify the patient as major trauma
and immediately transport
Traumatic Asphyxia presents as - ANSWER-bulging eyes and discoloration of the body above the shoulders
What are the quickest ways to assess perfusion? - ANSWER-Capillary refill and
pulse
A patient with diminished level of consciousness, abdominal bleeding and a swollen and deformed arm is an example of: - ANSWER-Major Trauma
If your patient has develops severe dyspnea after you have already sealed their sucking chest wound, you should - ANSWER-Lift the occlusive dressing upon exhalation to release the air and then re-seal it.
If your patient gags when trying to insert an OPA, you should - ANSWER-
remove the oropharyngeal airway and prepare for the patient to vomit.
When a patient has dyspnea and paradoxical movement on a side of their chest, you should suspect: - ANSWER-that the patient has Flail Chest
When securing a patient to a back board you - ANSWER-Apply a c-collar, maintain manual stabilization of the head until secured to the backboard, and
secure the axial skeleton to the backboard before the head. Unequal breath sounds and/or unequal chest expansion are signs and symptoms of - ANSWER-a closed chest wall injury
If someone has an impaled object in their chest you should - ANSWER-
stabilize the object, provide high flow oxygen, monitor vital signs, and provide
rapid transport
During a Rapid Trauma Assessment, when assessing the pelvis, you should - ANSWER-apply gentle pressure to the iliac crests downwards and and then inwards.
When communicating patient information over the radio or to the hospital destination, you should include the patient's - ANSWER-level of consciousness (LOC), age, sex, and chief complaint.
spontaneous pneumothorax - ANSWER-A pneumothorax that occurs when a weak area on the lung ruptures in the absence of major injury or trauma, allowing air to leak into the pleural space.
Patient assessment always begins with - ANSWER-scene size up
When treating an amputation that is bleeding profusely you should - ANSWER-
apply a pressure dressing to the bleeding, provide high flow oxygen, and transport ASAP
The chest cavity and abdominal cavity are separated by the - ANSWER-
diaphragm
Dyspnea and trcheal deviation are signs of a - ANSWER-tension pneumothorax
The thoracic cavity contains the - ANSWER-lungs and heart
Your trauma patient presents with a sucking chest wound. You should - ANSWER-seal the wound with an occlusive dressing, provide high flow O2 and
consider spinal immobilization.
You have a 45 y/o male involved in a major MVA. He c/o pain to the chest and dyspnea. The anterior chest wall is bruised and tender, weak radial pulses are present and the last three blood pressure measurements show narrowing pulse pressure. You should suspect a: and your interventions should - ANSWER-a pericardial tamponade; full spinal immobilization, high flow oxygen, rapid transport.
When measuring an OPA, you - ANSWER-measure distance from the earlobe to the corner of the mouth.
