STUVIA 2024/2025
EMT CHAPTER 32
"How did you get out of the car?" - ✔✔A patient is lying under a tree after being involved in a motor
vehicle collision. She states that immediately after the crash, she felt okay, but now her legs are numb
and tingling. She also has lower back discomfort. Which question is it most important for the EMT to
ask next
"I need you to flex both arms across your chest. - ✔✔Which response shows that the EMT is
correctly assessing motor function in the arms of a patient with a potential spine injury
"Keep his head in neutral position while I apply the cervical collar - ✔✔Which of the instructions from
one EMT to another shows the correct application of a cervical collar
"Let me conduct the primary assessment and place a cervical collar on the patient, and then we can
start to get her out of this car. - ✔✔You pull up to the scene of a single-car motor vehicle collision.
Emergency Medical Responders (EMRs) are maintaining inline manual cervical spine motion
restriction of the 56-year-old driver, who was unrestrained when she struck a tree at a high rate of
speed. As you approach the vehicle, you note that the patient appears unresponsive, with blood
coming from her nose and ears. Which instruction to the EMRs is most appropriate
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"Let's check for extremity PMS before we move the patient to the stretcher - ✔✔Which instruction
would you provide to your team immediately after securing a patient with head, neck, and back pain
to the long backboard with appropriate spine motion restriction equipment?
"Let's place a folded towel under his shoulders and back to help maintain head alignment." - ✔✔A
2-year-old boy fell down a flight of stairs, is crying loudly, and is very difficult to communicate with.
Because you are unable to clear the spine, you elect to initiate spine motion restriction precautions.
Which instruction would you provide to other EMTs who are initiating this care for the patient?
A deep laceration to the arm can sever peripheral nerves - ✔✔Based on the structure of the nervous
system, which statement is true?
After the patient has been properly secured with straps to the long board - ✔✔You are maintaining
manual cervical spine motion restriction for a patient who is being log rolled, transferred, and secured
to a long backboard. At which point will you release the manual spine motion restriction hold
Anterior cord syndrome - ✔✔An elderly patient fell down a flight of basement stairs and is found at
the bottom by family members about 20 minutes later. Your assessment reveals that the patient
cannot feel painful stimuli to his hips and legs, nor can he move his legs, but he can feel you lightly
touching the skin of his legs. Which type of injury may this be?
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, STUVIA 2024/2025
Apply a cervical collar and prepare the patient for any discomfort that the collar may cause - ✔✔You
have been called for an 87-year-old male who fell in his kitchen while making breakfast. The patient
states that he hit his forehead but managed to catch himself on the way down and did not hit the
ground "too hard." Your assessment reveals him to have kyphosis of the thoracic and cervical spine,
but no neurologic deficits. His legs, however, "feel weaker." Which action is appropriate given these
assessment findings?
Apply a properly sized cervical collar after initiating manual spine motion restriction - ✔✔A patient
complains of lower back pain after falling down five stairs. Assessment of the patient's cervical spine
reveals no displacement, tenderness, or instability. The patient does state that each leg has feelings
of "electrical shocks" shooting through them. How should the EMT care for this patient?
As the secondary assessment is performed - ✔✔A patient complains of back pain and numbness to
both legs after being thrown from a bicycle. When should the EMT first check the motor function,
sensory function, and pulses in the legs of this patient?
Asks the patient to spread his fingers apart on both hands - ✔✔The EMT is properly assessing for a
spinal cord injury when she
%
Assess the airway and breathing - ✔✔A high school football player was hit from behind and now
complains of severe back pain and numbness to his right leg. Manual spine motion restriction is being
maintained by an assistant coach. The trainer has already removed the face mask from the helmet.
Once at the patient's side, what should you do next?
Brown-Sequard syndrome - ✔✔An injury to a hemisection of the spinal cord that disrupts the spinal
tracts on only one side of the cord is:
Cervical spine - ✔✔While performing the primary assessment on a patient with an isolated spinal
cord injury, you note that he is in severe respiratory distress and struggling to breathe. Where should
you suspect the spinal cord injury has occurred?
Check her breathing and radial pulse - ✔✔A restrained driver was in a car that struck another car
from behind at a low rate of speed. The driver has a bruise to her forehead and complains of tingling
in her left leg. She is lying on the side of the road, and another EMT has established manual cervical
spine motion restriction precautions. A quick scan of her as you approach indicates that the patient is
in little to no distress. What should you do first
Check the patient's rate and effort of breathing - ✔✔As you approach a motorcyclist who was thrown
from his bike, you hear him saying that he cannot feel or move his legs. You note obvious deformity to
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