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Which of the following structures connect bone ends, making joints more stable? A. Tendons B. Ligaments C. Periosteum D. Cartilage - correct answersb Which of the following is NOT a mechanism of musculoskeletal injury? A. Extensive force B. Indirect Force C. Direct force D. Twisting or rotational force - correct answersa Which of the following is appropriate in the examination of a painful, swollen extremity of a conscious patient? A. Gently attempting to flex the mid-portion of the bone to check for angulation B. Seeing if you can elicit crepitus on palpation C. asking the patient to see if he can bear weight on the extremity D. Comparing the injured side to the uninjured side - correct answersd Which of the following statements is NOT true concerning a pelvic wrap? A. It should not be used unless the patient shows signs of shock. B. It can be used if the pelvis shows instability. C.You can consider its use based on mechanism of injury (MOI). D. It can be used if the pelvis shows deformity. - correct answersa .Your patient is a 12-year-old female who fell onto her outstretched hands while rollerblading. She has a deformity of her forearm, about 2 inches proximal to her wrist. This injury is a result of which of the following mechanisms? A. Indirect force B. direct force C. sudden acceleration D. Twisting motion - correct answersa The part of the skeleton that is made up from the skull and spinal column is called the: A. appendicular skeleton. B. axial skeleton C. boney skeleton. D. torso - correct answersb Your patient is a 60-year-old woman who stepped off a curb and injured her ankle. Your exam shows that her left ankle is swollen and painful. Which of the following should you do? A. Explain to the patient that her ankle is sprained and transport her with her ankle elevated on a pillow and a cold pack applied to the injury. B.Transport the patient immediately to a trauma center, applying high-concentration oxygen en route. C.Explain to the patient that you cannot tell if her ankle is sprained or fractured until she is X-rayed at the emergency department, then splint the ankle. D. Explain to the patient that her ankle is fractured and you must splint her ankle to prevent further injury and reduce pain. - correct answersc Which of the following is NOT a contraindication for the use of a traction splint? A. Injury to the lower third of the leg that would interfere with the ankle hitch B. Pelvis, hip, or knee injury C.Severe swelling and redness at a midshaft femur D. Avulsion or partial amputation where traction could separate the extremity - correct answersc Your patient is a 28-year-old male who was ejected from his motorcycle after striking a parked vehicle. He has multiple deformities to his upper and lower extremities on both sides. Which of the following would be the BEST way to immobilize this patient's extremities prior to transport? A. Immobilize the patient to a long backboard without splinting the extremities individually. B. Use padded board splints for the upper extremities and PASG for the lower extremities. C. Use moldable splints for the upper and lower extremities, padding any voids to fully stabilize the fractures. D. Use traction splints for the lower extremities and allow the upper extremities to be immobilized by the long backboard. - correct answersa Your patient is an 11-year-old male who has a swollen, painful, and angulated right lower arm after falling from his bicycle onto his hands. Which of the following should be considered in the immobilization of his injured extremity? A.Do not attempt to realign the extremity before splinting. B. Check pulse, movement, and sensation distal to the injury before and after splinting. C.Immobilize from the shoulder to the wrist. D.Use an upper extremity traction splint. - correct answersb Which of the following complications may arise from properly splinting an injured extremity? A. Compromising circulation to the extremity B. Ignoring life-threatening problems while focusing on an extremity injury C. Converting a closed fracture to an open one D. All of these - correct answersB There are general rules that apply to all types of splinting. Which of the following is NOT a general rule of splinting? A.In order to avoid loss of use of a limb, it is important to splint before moving, even if the patient is unstable. B. Expose the injury. C. Align long-bone injuries to anatomical position. D. Assess distal CSM. - correct answersa Which of the following is a complication of bone fractures? A. All of these B.Nerve damage C. Hemorrhage D. Swelling C. D. - correct answersa Which one of the following definitions is NOT true? A. Joints are places where bones articulate. B. Tendons connect muscles to ligaments. C. Another name for manual traction is tension. D. A sprain is the stretching and tearing of ligaments. - correct answersb Which of the following is NOT a benefit of splinting an injury to bones and connective tissues? A. It may prevent a closed injury from becoming an open injury. B. It restricts blood flow to the site of the injury to prevent swelling. C. It prevents neurological damage due to movement of bone ends or fragments. D. It reduces pain. - correct answersb The PASG may be used as a splinting device for patients with which of the following suspected injuries? A.None of these B. Compression fracture of the lumbar or sacral spine C. Fractured pelvis D. Hip dislocation - correct answersc Your patient is a 20-year-old college student who has fallen from a third-level balcony onto a wooden deck below. The patient responds to verbal stimuli, is pale in color with moist skin, and has a very obvious deformity with protruding bone ends of his right forearm. Which of the following is the BEST sequence of intervention for this patient? A. Provide manual in-line stabilization of the cervical spine along with assessment of breathing, pulse, and the presence of significant hemorrhage; apply high-concentration oxygen; perform a rapid trauma exam; immobilize to a long backboard; transport; and splint the extremity en route if time and resources allow. B. Provide immediate manual in-line stabilization of the cervical spine; apply high-concentration oxygen by nonrebreather mask; perform a focused history and assessment; apply the cervical collar; apply a padded board splint, sling, and swathe to the forearm inju - correct answersa Which one of the following statements is NOT true concerning a knee injury? A. Fractures can occur to the proximal tibia and fibula. B. Fractures can occur to the proximal femur. C. Fractures can occur to the patella. D. There could be pain and tenderness. - correct answersb Your patient is a 70-year-old male whose tractor rolled over onto him. Your assessment makes you suspicious that the patient has a fractured pelvis. Which of the following complications should you anticipate? A. All of these B. Damage to internal organs C. Damage to the nerves of the lower extremities D. Shock - correct answersa Your patient is a 3-year-old girl who is unable to move her elbow after her mother picked her up by the forearm. Proper splinting of this injury would be to immobilize from the ________ to the ________. A. forearm; humerus B. fingertips; shoulder C. wrist; elbow D. wrist; shoulder - correct answersa Which of the following is of concern with a puncture wound? A. All of these B. An object that remains impaled in the body C. Hidden internal bleeding with minimal external bleeding D. Strong possibility of contamination - correct answersa Burns pose a greater risk to infants and children for which of the following reasons? A. Pediatric patients have a greater risk of heart problems associated with the burn. B. Infants and children have a greater risk of infection from the burn. C. None of these D. Pediatric patients have a greater risk of shock from the burn. - correct answersd Which of the following statements is NOT true concerning the proper transport of an avulsed ear? A. It should be labeled with the patient's name, as well as the date and time it was bagged. B. It should be in a dry sterile dressing. c. It should not be immersed in cooled water or saline. d. It should be kept as cool as possible. - correct answersb You are examining a 48-year-old patient who has been burned. You decide to use the rule of palm to measure the extent of the burn. What does this mean? A. The palm of the patient's hand equals 9% of the body's surface area. B. The palm of your hand represents 1% of the body's surface area. C. You can only use the rule of palm for children, so you would use the rule of nines instead. D. The palm of the patient's hand equals about 1% of the body's surface area. - correct answersd You assess a 35-year-old female patient with a chemical burn to her right forearm and hand. As you assess the burn, you notice a white powder on the burn. What should be your next step? A. Flush the arm and hand with copious amounts of water. B. Transport the patient immediately to the closest burn center. C. Brush off the powder, bandage the arm, and transport the patient to the closest trauma center. D. Brush the powder off the patient's arm and hand, and then flush with copious amounts of water. - correct answersd While assessing a patient with partial thickness burns to his chest and neck, what should be your highest priority (even if there are no symptoms presently)? A. Hypothermia B. Blood pressure C. Bleeding D. Airway - correct answersd You are caring for a 23-year-old female who fell off of a bicycle and sustained a severe laceration on the inside of her upper thigh. Her slacks are torn, and you can see most of the wound. What is the next step? A. You can treat the wound without total exposure as exposing a wound in that area of the body could be embarrassing. B. You need to make sure the wound is very clean before trying to control bleeding by exposing the wound completely and cleaning it with alcohol. C. You need to expose the wound completely because you need to clear away any embedded particles and debris from the wound. D. You need to expose the wound completely, control bleeding, clean the surface by simply removing large pieces of foreign matter if any, and dress and bandage the wound. - correct answersd Your patient is a 25-year-old man who picked up an iron skillet with a very hot handle. He has a reddened area with blisters across the palm of his hand. Which of the following must be avoided in the prehospital management of this wound? A. Application of a dry, sterile dressing B. Keeping the site clean C. Application of antibiotic ointment D. Elevation of the wound above the level of the heart - correct answersc In caring for a 27-year-old male who has a large laceration on his anterior forearm, you have noticed that your pressure dressing has become saturated with blood. Which of the following should you do next? A. Remove the saturated dressings and apply a large trauma dressing. B. Apply an ice pack over the original dressing. C. Apply a tourniquet. D. Apply additional dressing material over the top of the original dressing and bandage it in place. - correct answersd Which of the following is required in the management of all open soft-tissue injuries? A. Provision of high-concentration oxygen B. Use of Standard Precautions by the EMT C. Cervical spine precautions D. Application of a disinfectant solution - correct answersb Which type of wound has a small opening into the skin, but may be quite deep, and is often caused by instruments such as nails, ice picks, or pencils? A. Avulsion b. Laceration c. Incision d. Puncture - correct answersd Which of the following is of concern in a patient who received burns to his hand when he grabbed a live electrical wire? A. The extent of tissue damage may be much greater than it appears on the surface. B. The burning will continue for hours, perhaps days. C. Toxic gases were inhaled. D. The patient remains an electrocution hazard to rescuers for several minutes after being removed from the source of electricity. - correct answersa You are dispatched to an auto repair shop for an "accident." You arrive and are told by the owner that one of the workers apparently got his hand in the way while using a high-pressure grease gun and injected the grease into his hand. You find the patient seated in a chair with a coworker applying ice to the injured hand. Your examination reveals a minor round laceration in the hand. The patient is

Content preview

Exit Exam (EMT Basic)

Which of the following structures connect bone ends, making joints more stable?



A. Tendons

B. Ligaments

C. Periosteum

D. Cartilage - correct answersb



Which of the following is NOT a mechanism of musculoskeletal injury?



A. Extensive force

B. Indirect Force

C. Direct force

D. Twisting or rotational force - correct answersa



Which of the following is appropriate in the examination of a painful, swollen extremity of a conscious
patient?



A. Gently attempting to flex the mid-portion of the bone to check for angulation

B. Seeing if you can elicit crepitus on palpation

C. asking the patient to see if he can bear weight on the extremity

D. Comparing the injured side to the uninjured side - correct answersd



Which of the following statements is NOT true concerning a pelvic wrap?



A. It should not be used unless the patient shows signs of shock.

B. It can be used if the pelvis shows instability.

,C.You can consider its use based on mechanism of injury (MOI).

D. It can be used if the pelvis shows deformity. - correct answersa



.Your patient is a 12-year-old female who fell onto her outstretched hands while rollerblading. She has a
deformity of her forearm, about 2 inches proximal to her wrist. This injury is a result of which of the
following mechanisms?



A. Indirect force

B. direct force

C. sudden acceleration

D. Twisting motion - correct answersa



The part of the skeleton that is made up from the skull and spinal column is called the:



A. appendicular skeleton.

B. axial skeleton

C. boney skeleton.

D. torso - correct answersb



Your patient is a 60-year-old woman who stepped off a curb and injured her ankle. Your exam shows
that her left ankle is swollen and painful. Which of the following should you do?



A. Explain to the patient that her ankle is sprained and transport her with her ankle elevated on a pillow
and a cold pack applied to the injury.

B.Transport the patient immediately to a trauma center, applying high-concentration oxygen en route.

C.Explain to the patient that you cannot tell if her ankle is sprained or fractured until she is X-rayed at
the emergency department, then splint the ankle.

D. Explain to the patient that her ankle is fractured and you must splint her ankle to prevent further
injury and reduce pain. - correct answersc



Which of the following is NOT a contraindication for the use of a traction splint?

,A. Injury to the lower third of the leg that would interfere with the ankle hitch

B. Pelvis, hip, or knee injury

C.Severe swelling and redness at a midshaft femur

D. Avulsion or partial amputation where traction could separate the extremity - correct answersc



Your patient is a 28-year-old male who was ejected from his motorcycle after striking a parked vehicle.
He has multiple deformities to his upper and lower extremities on both sides. Which of the following
would be the BEST way to immobilize this patient's extremities prior to transport?



A. Immobilize the patient to a long backboard without splinting the extremities individually.

B. Use padded board splints for the upper extremities and PASG for the lower extremities.

C. Use moldable splints for the upper and lower extremities, padding any voids to fully stabilize the
fractures.

D. Use traction splints for the lower extremities and allow the upper extremities to be immobilized by
the long backboard. - correct answersa



Your patient is an 11-year-old male who has a swollen, painful, and angulated right lower arm after
falling from his bicycle onto his hands. Which of the following should be considered in the
immobilization of his injured extremity?



A.Do not attempt to realign the extremity before splinting.

B. Check pulse, movement, and sensation distal to the injury before and after splinting.

C.Immobilize from the shoulder to the wrist.

D.Use an upper extremity traction splint. - correct answersb



Which of the following complications may arise from properly splinting an injured extremity?



A. Compromising circulation to the extremity

B. Ignoring life-threatening problems while focusing on an extremity injury

C. Converting a closed fracture to an open one

, D. All of these - correct answersB



There are general rules that apply to all types of splinting. Which of the following is NOT a general rule
of splinting?



A.In order to avoid loss of use of a limb, it is important to splint before moving, even if the patient is
unstable.

B. Expose the injury.

C. Align long-bone injuries to anatomical position.

D. Assess distal CSM. - correct answersa



Which of the following is a complication of bone fractures?



A. All of these

B.Nerve damage

C. Hemorrhage

D. Swelling

C.

D. - correct answersa



Which one of the following definitions is NOT true?



A. Joints are places where bones articulate.

B. Tendons connect muscles to ligaments.

C. Another name for manual traction is tension.

D. A sprain is the stretching and tearing of ligaments. - correct answersb



Which of the following is NOT a benefit of splinting an injury to bones and connective tissues?

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