Members VOTE Now
50 practice questions to prepare for the final written assessment (1 of 2 assessments)
The left ventricle pumps blood to the:
body.
lungs.
left atrium.
pulmonary artery.
You have an unconscious patient, and the cause of illness is unknown. You use the jaw-thrust maneuver to open the airway because:
there may be cervical spine injuries.
it is the only way to open an airway.
it will help to prevent the patient from vomiting.
the patient might have damage to the chin, preventing use of a chin lift.
Brain cells begin to die without oxygen and nutrients in as few as:
1-3 minutes.
4-6 minutes.
8-10 minutes.
10-15 minutes.
Boot removal on the hill, handling of intoxicated patients, and use of AEDs are issues that are often determined by:
a patrol representative.
local protocols.
the county medical director.
OEC guidelines.
The topographic term used to describe the back surface of the body is:
anterior.
exterior.
inferior.
posterior.
When caring for a penetrating eye injury in which part of the eyeball is exposed, the rescuer should:
gently cover the eye with a dry dressing.
leave the area exposed and transport the patient.
gently cover the eye with a moist dressing.
cover the uninjured eye and transport.
Patients with no fractured extremities who are showing signs of impending hypovolemic shock should lie with:
their knees bent.
their legs elevated.
their heads elevated.
a long backboard under them.
For a patient who is complaining of respiratory distress, you should:
administer oxygen.
administer an inhaler.
suspect head trauma.
transport in a supine position.
The twisting type of fall that can cause a knee sprain or a spiral fracture of the tibia and fibula is an example of which kind of force?
bending
compression
rotational
crushing
A child who has no recent history of illness suddenly appears cyanotic after playing with a small toy. You should immediately:
perform the abdominal thrust maneuver.
give low-concentration oxygen.
use finger probes to clear the airway.
transport the child to the emergency department.
Which of the following MCI patients can wait the longest for care?
conscious, alert, and crying patient with a possible broken arm
unconscious, unmoving, cyanotic patient who has a pulse but is not breathing
unconscious patient who is breathing and has a pulse, with a possible dislocation of the hip
conscious patient who is responsive to loud vocal stimuli, with a large bleeding laceration on the arm
While examining a patient who is in active labor, you see the umbilical cord outside the vagina, ahead of the infant's head. What should you do first?
Hold the mother's legs together and rapidly transport.
Push the infant's head with a sterile gloved hand to relieve pressure on the cord until delivery.
Gently replace as much of the cord as possible, and apply a moist dressing over the vagina.
Apply gentle pressure to the head with a sterile gloved hand to prevent an explosive delivery of the cord.
At which of the following times are you legally obligated to care for any patient requiring attention?
never
at all times
when wearing a uniform or insignia identifying you as a rescuer or patroller
whenever you see an accident
Early recognition of which of the following may depend on your alertness and understanding of MOI?
internal bleeding
liability
bystander involvement
need for more assistance
Appropriate treatment of a severely angulated, midshaft humeral bone injury should include:
applying a traction splint.
using a pillow splint to immobilize the area.
straightening and splinting the injury.
using an air splint to stabilize the injury.
A woman who had an alkaline chemical splashed in her eye states her eye feels as though it is burning. You also note excessive tearing from the injured eye. Your care should include:
patching the injured eye with a dry, sterile dressing.
irrigating the eye with water for at least 5 minutes.
irrigating the eye with water for at least 15 to 20 minutes.
irrigating the eye with a neutralizing agent to decrease the burn.
To select the proper size of nasal airway, you should measure:
only the diameter of the nostril.
from the tip of the nose to the chin.
from the tip of the nose to the earlobe.
from the tip of the nose to the corner of the mouth.
A patient in shock states that he is thirsty. You should give him:
two glasses of cold water.
two glasses of warm water with salt tablets.
a piece of moist gauze to suck on.
nothing by mouth.
Which of the following statements about communicable diseases is true?
Not all people who are infected with a communicable disease show signs or symptoms of illness.
Anyone who has been exposed to a communicable disease always is a carrier of that disease.
Anyone who is infected with a communicable disease shows signs or symptoms of that disease.
Any time you take the temperature of a patient who has a communicable disease, you need to wear gloves or you will become infected.
A cervical collar must NOT prevent the patient or you from:
lateral movement.
opening the airway.
rotational movement.
axial loading of the neck.
What should you do when approaching a mentally challenged person?
have a gentle, calm attitude
ask the supervising adult for information
try to understand the mental condition
all of the above
What is the most common cause of airway obstruction in an unconscious patient?
vomitus
the tongue
blood clots
aspirated food
The correct order for the focused history and physical exam of an unconscious medical patient would be:
focused physical exam, vital signs, history.
vital signs, history, rapid physical exam.
rapid body survey, vital signs, history.
vital signs, focused physical exam, history.
What is the most common sign or symptom of a fracture?
pain
edema
deformity
ecchymosis
In order to facilitate a safe and coordinated move, the team leader should:
use preparatory commands as needed.
position himself or herself at the feet so the team can hear.
never become involved in the move, just direct the move.
speak softly but clearly to avoid startling the patient.
A 10-year-old child has fallen 12 feet from a tree. On exam he is noted to have multiple abrasions and contusions in several areas. He has no obvious deformities and denies having pain in the neck or back. His vital signs are as follows: pulse of 132 beats/min, strong and regular; respirations of 28 breaths/min with mild dyspnea; and a blood pressure of 110/68 mm Hg. He has been treated with oxygen and covered with a blanket. Additional interventions for shock would include:
offering him sips of water to calm him down.
elevating his lower extremities.
assessing and recording vital signs every 15 minutes.
applying pediatric PASG to improve perfusion.
A woman has a piece of metal embedded in the right upper quadrant of her abdomen. You should immediately:
stabilize the metal piece with bulky dressings.
remove the metal piece and apply direct pressure to the wound.
remove the metal piece and then apply and inflate a pneumatic counterpressure device.
cut the metal piece off flush with the skin and seal the wound with sterile aluminum foil.
A true heat exposure emergency exists if the skin is:
blanching and dry.
hot to the touch and dry.
mottling, tingling, and dry.
normal temperature and moist.
When transporting a patient in a toboggan, normally the patient is positioned:
with the injury uphill.
with the injury downhill.
laying on the side of the body opposite the injury site.
it does not matter; speed is the most important issue.
What is the most appropriate way to care for an amputated body part?
Delay care of the part until all of the patient's injuries are treated.
Wrap the part in a towel soaked in sterile saline solution and place it on the stretcher with the patient.
Wrap the part in dry, sterile gauze; put it in a plastic bag; and keep it cool.
Attempt to reimplant the part by bandaging it to the stump tightly to control hemorrhaging.
External blood loss and a higher likelihood of infection are associated with which type of fracture?
open
closed
blunt
distal
Avulsions of the scalp should be cared for by:
placing the avulsed flap back in position and covering with a moist dressing.
covering the inside of the avulsed flap with a moist dressing and the scalp with a dry dressing.
covering both the scalp and the avulsed flap with a moist, sterile dressing.
placing the avulsed flap back in place and covering with a dry dressing.
You are examining a patient who is complaining of chest pain and difficulty breathing. You take his radial pulse, noting that it is irregular. This is most likely being caused by:
premature or late contractions of the heart.
the pulse not being taken correctly.
an occasional blockage of the radial artery.
the patient's arm not being straight enough while the pulse is taken.
Where is the carotid pulse located?
neck
knee
groin
wrist
Which of the following is an example of standard of care?
specific methods of providing care
highway regulations
training guidelines
job seniority
After applying a dressing to an arterial bleed, you notice that the dressing becomes soaked with blood. You should:
replace the dressing with another dressing.
cover the existing dressing with a plastic bag.
wrap an elastic bandage around the blood-soaked dressing.
apply additional dressings and pressure to control the bleeding.
You may note a common occurrence while treating some patients for possible acute myocardial infarction. These patients may:
have an overwhelming feeling of impending doom.
have hot, dry skin.
eat extra sugar to prevent a possible diabetic reaction.
complain of sharp or sticking pain.
Which of the following patients has the right to refuse treatment?
minor
unconscious patient
mentally competent adult
mentally incompetent adult
One of the best ways of combating the effects of summer heat is to drink plenty of liquids. During strenuous exercise, a person should drink:
one pint per hour.
one gallon per hour.
two liters per hour.
one liter per hour.
Aside from wearing protective equipment, which of the following methods is simple and effective in protecting yourself from communicable diseases?
washing your hands
avoiding patient contact
touching a patient's clothes only
standing at least 3 feet from a patient while talking
All patients with critical burns should be treated with:
analgesics.
5% dextrose in water.
supplemental oxygen.
moist, sterile dressings.
The only complaint of a 28-year-old snowmobile driver involved in a rollover is cervical pain. On exam he is noted to have paralysis of all extremities and absent sensation peripherally; there are no other indications of external or internal bleeding. Vital signs are as follows: pulse of 128 beats/min, thready; respirations of 24 breaths/min, shallow, and irregular; and a blood pressure of 92/48 mm Hg. You suspect he is in what type of shock?
anaphylactic
psychogenic
neurogenic
cardiogenic
In obtaining a patient's history, the abbreviation SAMPLE is often used to get the most complete history. SAMPLE is an acronym for:
signs and symptoms, allergies, medications, physical exam, last time of occurrence, evidence of associated problems.
signs and symptoms, allergies, medications, pertinent past history, last oral intake, events leading to the injury or illness.
skill, associated couplets, medical physician, physical exam, last oral intake, evaluation.
skin color, associated complaints, medical physician, pertinent past history, location of the injury, events leading to the injury or illness.
The adult body will not tolerate an acute blood loss of more than:
5%.
10%.
20%.
30%.
A 32-year-old patient is reported to have had a generalized seizure and is now postictal on your arrival. Your first action is to:
contact dispatch to send an ALS unit.
determine if airway and breathing are adequate.
obtain a complete set of vital signs.
interview family members for a description of the seizure.
Chronic obstructive pulmonary disease is caused by all of the following EXCEPT:
chronic bronchitis.
inhaled toxic gases.
acute myocardial infarction.
cigarette smoking.
When swelling occurs, a bandage may act as:
a dressing.
a tourniquet.
an infection barrier.
an occlusive dressing.
Communication with adolescents can be enhanced by:
letting them participate in decision making.
reassuring them that you will not discuss their illness or injury with their parents.
telling them things will not hurt, even if they will.
minimizing their fears.
Manual traction can be used on deformed elbow dislocation if circulation is inhibited and:
the patient requests it.
it will take more than 60 minutes to get to a hospital.
the arm is grossly deformed.
the patient is in extreme pain.
To assess a femoral pulse, you would palpate the patient:
on the anterior surface of the foot.
in the groin.
between the iliac crest and the coccyx.
between the anterior and superior iliac spines.
This is the end of the assessment. When you have completed all the questions and reviewed your answers, press the button below to grade the assessment.
