EMT Basic Exam 1| 120 Questions With Verified Answers 2023/2024 / +Rationale

Where should place your hands when using the head-tilt/chin-lift maneuver to open an unconscious patient's airway? A. On the nose, with fingertips pinching it closed, and under the neck. B. On the nose, with the fingertips pinching it closed, and on the forehead. C. On the forehead, with the other hand under the neck. D. On the forehead, with the fingertips of the other hand under the lower jaw. (Correct Ans: - D. On the forehead, with the fingertips of the other hand under the lower jaw. Lifting the jaw is necessary to dislodge the tongue from the back of the throat and provide a patent airway. Your patient is found lying on the ground after falling off a roof. He is unconscious and apneic. Which method should you use to open the patient's airway? A. Head-tilt/Chin-lift B. Modified jaw thrust C. Head-tilt only D. Head-tilt/Neck-lift (Correct Ans: - B. Modified jaw thrust The head-tilt/chin-lift may jeopardize the patient's cervical spine. The other two procedures will not adequately open the airway. Following an explosion, a patient is trapped in a collapsed structure and suffers crush injuries to both lower extremities. How would the injuries be classified based on the blast-injury phase? A. Primary blast injury B. Secondary blast injury C. Tertiary blast injury D. None of the above (Correct Ans: - C. Tertiary blast injury Tertiary blast injury includes those injuries resulting from structural collapse. When splinting an injured limb, you should assess the pulse, motor function, and sensation distal to the injury... A. After applying the splint. B. Before applying the splint. C. While applying the splint. D. Before and after applying the splint. (Correct Ans: - D. Before and after applying the splint. Assess pulse, motor function, and sensation distal to a splint both before and after applying the splint to ensure that the splint is not adversely affecting the limb. When performing the modified jaw thrust maneuver to open your patient's airway, which of the following steps in NOT correct? A. Stabilize the patient's cervical spine with your forearms. B. Rest your elbows on the same surface as the patient. C. Tilt the head by applying gentle pressure to the forehead. D. Use your index finger to push the angles of the lower jaw forward. (Correct Ans: - C. Tilt the head by applying gentle pressure to the forehead. Tilting the head may compromise the stabilization of the cervical spine when using the modified jaw thrust. The GOLDEN HOUR in emergency medicine refers to the first 60 minutes after the... A. Arrival of EMS. B. Occurrence of multisystem trauma. C. Arrival at the emergency room. D. Start of surgery. (Correct Ans: - B. Occurrence of multisystem trauma. The first 60 minutes after the occurrence of multisystem trauma is the golden hour. Your unconscious patient has blood in his airway. You should... A. Use a suction unit to immediately clear the airway. B. Apply oxygen using a nonrebreather mask at 15 L/min. C. Use a bag-valve mask to clear the airway. D. Perform a finger sweep to remove the blockage. (Correct Ans: - A. Use a suction unit to immediately clear the airway. Blood is too fluid to be cleared up adequately by a finger sweep. The other answers are not appropriate unless the airway was cleared by suction.