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EMT BLOCK 4 QUESTIONS AND ANSWERS
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EMT BLOCK 4 QUESTIONS AND ANSWERS
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EMT BLOCK 4 QUESTIONS AND ANSWERSWhen performing the rapid trauma exam, which of the following signs would be most
suggestive of a spinal injury?
Choose one answer.
a. Headache and nausea
b. Pain in the right leg
c. Bruising to the abdomen
d. Persistent penile erection (priapism) - Answers -d. Persistent penile erection
(priapism)
A 45-year-old female was at a family reunion and fell off a trampoline. She impacted a
picnic table with the left side of her lower rib cage. Your assessment reveals her to be
very anxious and slightly confused. Her airway is open, and her breathing is adequate.
Her radial pulse is rapid and weak and her skin is cool and diaphoretic. Vital signs are:
pulse 132, respirations 20, blood pressure 102/78 mmHg, and SpO2 97 percent. She
has ecchymosis to the left lower rib area as well as tenderness and instability. She has
no abnormalities in her pulse, motor function, or sensation in the arms and legs. She
also has a superficial abrasion to her forehead. As a knowledgeable EMT, you would
suspect and treat her for what condition?
Choose one answer.
a. Spinal shock
b. Hypovolemic shock
c. Closed head injury
d. Hypoxia - Answers -b. Hypovolemic shock
While working in a practical lab on trauma, the teaching assistant shares with you the tip
"Splinting someone to death." This means:
Choose one answer.
a. Splinting too tightly, compressing blood vessels and nerves.
b. Splinting without first applying traction or realignment, causing further tissue
damage.
c. Splinting too loosely, permitting movement and further tissue damage.
d. Spending too much time splinting, neglecting care for life-threatening conditions, and
unnecessarily delaying transport. - Answers -d. Spending too much time splinting,
neglecting care for life-threatening conditions, and unnecessarily delaying transport.
You are dispatched to a near head-on collision. You are assessing the driver of one of
the vehicles while a second unit assesses the other. The patient is a 21-year-old female
who is alert and oriented. She was wearing her seatbelt and the air bag did deploy. Her
pulse is 128, respirations 22 and blood pressure is 110/60. She has pale, cool and
clammy skin. You notice her abdomen is rigid and tender to palpation. Which of the
following is the most appropriate for this patient?
Choose one answer.
a. Apply a cervical collar, remove the patient onto a long backboard and apply high-
flow/high-concentration oxygen enroute to the nearest trauma center
, b. Apply high-flow/high-concentration oxygen by nonrebreather, apply a cervical collar,
rapidly extricate the patient onto a long backboard, treat for hypoperfusion, and
transport to the closest appropriate hospital
c. Apply a cervical collar, place the patient in a short - Answers -b. Apply
high-flow/high-concentration oxygen by nonrebreather, apply a cervical collar, rapidly
extricate the patient onto a long backboard, treat for hypoperfusion, and transport to the
closest appropriate hospital
Which of the following mechanisms would yield the greatest index of suspicion for
injury?
Choose one answer.
a. Fall of 12 feet from a ladder landing in the mud
b. Helmeted bicyclist losing control and falling off his bike onto a gravel surface at 15
miles per hour
c. Fifty miles per hour motor vehicle crash with partial ejection
d. Roll-over motor vehicle collision with a restrained driver - Answers -c. Fifty miles per
hour motor vehicle crash with partial ejection
You are dispatched to a farm for a patient who spilled fertilizer on his arms. Upon your
arrival, you find a 40-year-old male who has been exposed to a dry chemical fertilizer.
He is complaining about pain and burning sensation to both arms. You can still see the
chemical powder on his arms. Which of the following would be the best way to manage
this situation?
Choose one answer.
a. Brush away the powder and bandage the hands in a position of function
b. Brush away as much powder as possible and then pour a bottle of sterile saline
solution over the hands
c. Brush away as much of the powder as possible and have the patient hold his arms
under running water
d. Have the fire department connect to a hydrant and spray down the patient from head
to toe - Answers -c. Brush away as much of the powder as possible and have the
patient hold his arms under running water
A teenage boy who was involved in a bicycle accident has a puncture wound where the
bicycle kickstand impaled his leg. The MOST appropriate method for treating this injury
is to:
Choose one answer.
A. leave the kickstand attached to the bike until the physician can remove it safely.
B. cut the kickstand off just above the skin, and stabilize it with sterile dressings.
C. unbolt the kickstand from the bike frame and stabilize it with bulky dressings.
D. remove the kickstand in a circular motion and apply a dry, sterile dressing. -
Answers -C. unbolt the kickstand from the bike frame and stabilize it with bulky
dressings.
A football player injured his knee during practice and is in pain. His left knee is swollen,
ecchymotic, and flexed in an upward position. Your partner reports that the distal skin is
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