1. A 22-year-old man had a strong acid chemical splashed into both of his eyes. He is
conscious and alert, is experiencing intense pain, and states that he is wearing
contact lenses. Treatment should include: - ANS-removing the contact lenses and
beginning irrigation of both eyes
2. (As a general rule, contact lenses should be left in place. Chemical eye burns are an
exception to this rule.)
3. A 22-year-old woman fell on her nee and is in severe pain. Her knee is flexed and
severely deformed. Her leg is cold to the touch and you are unable to palpate a distal
pulse. You should: - ANS-manually stabilize her injury and contact medical control for
further stabilization instructions
4. (If distal pushes are absent, contact medical control immediately for further
stabilization instructions)
5. A 33-year-old factory worker was crushed between two pieces of machinery. You find
him lying supine on the ground reporting severe pain to his pelvis. He is restless,
diaphoretic, and tachycardia. What should you do? - ANS-prepare for immediate
transport
6. A 33-year-old man struck a parked care with his motorcycle and was thrown from the
motorcycle. He was not wearing a helmet. He is unresponsive and has a depressed
area to his forehead, bilaterally deformed femurs, and widespread abrasion with
capillary bleeding. Which of the following statements regarding this patient is false? -
ANS-you must stop the bleeding from his abrasions immediately or the patient will
die from hypovolemic shock
7. (when a rider is thrown from his or her motorcycle, the femurs typically strike the
handlebars, resulting in unilateral or bilateral fractures. You cannot control internal
hemorrhage in the field. Internal bleeding requires surgical intervention; therefore,
you must transport the patient without delay.
8. A 40-year-old man has burns to the entire head, anterior chest, and both anterior
upper extremities. Using the adult Rule of Nines, what percentage of his total body
surface area has been burned? - ANS-27%
9. (head 9%, anterior chest 9%, anterior upper extremities 9%)
10. A 40-year-old man was hit in the nose during a fight. He has bruising under his left
eye and a nosebleed. What should you do? - ANS-ensure that he is sitting up and
leaning forward
11. A 42-year-old man was ejected from his car after it struck a bridge pillar at a high rate
of speed. You find him in a prone position approximately 50 feet from his car. He is
not moving and does not appear to be breathing. You should: - ANS-manually
stabilize his head
12. (when a trauma patient is found in a prone position, your first action should be to
manually stabilize their head; this action is based on the assumption that the patient
has a spinal injury
, 13. A 44-year-old man has a traumatic leg amputation just below the knee. He is lying in
a large pool of blood and the wound is bleeding profusely. The EMT should: -
ANS-cover the wound with a trauma dressing and apply a proximal tourniquet
14. A 70-year-old woman fell and struck her head two days ago, but did not seek medical
attention. Today, she is confused, is vomiting, and has slurred speech. The EMT
should suspect a/an: - ANS-subdural hematoma
15. (subdural hematomas often do not present with symptoms until several hours, or
even days, have past since a head injury
16. A 78-year-old woman reports pain to her right groin area after she fell. Her right leg is
straight but is externally rotated and shorter than the left. The EMT should suspect a:
- ANS-proximal femur fracture
17. (patients with displaced fractures of the proximal femur present with a very
characteristic deformity. The leg is straight but is externally rotated and shorter than
the uninjured leg.
18. Posterior dislocation typically lie with the hip joint flexed and the thigh rotated
internally. Fracture of the symphysis pubis is characterized by palpable pain over the
pubic bone. Pelvic fractures typically do not cause shortening or lengthening of an
extremity)
19. A baseball player was struck in the center of the chest by a line drive and
immediately collapsed. He is unresponsive, apnea, and pulseless. The EMT should
recognize that she MOST likely cause of this patient's collapse was: -
ANS-ventricular fibrillation
20. A baseball player was struck in the center of the chest by a line drive and
immediately collapsed. He is unresponsive, apnea, and pulseless. The EMT should
recognize that the MOST likely cause of this patient's collapse was: - ANS-ventricular
fibrillation
21. (Commotio cordis is a blunt chest injury caused by a sudden, direct blow to the chest
during a critical phase of the person's heartbeat. This can cause immediate cardiac
arrest from ventricular fibrillation, which can often be corrected with early
defibrillation)
22. A construction worker spilled a bag of powdered chemical, covering both of his arms.
He complains of intense pain. What should you do? - ANS-Brush the chemical away
from the skin surface
23. A high school student was splashed in the eyes with a strong acid chemical during a
lab experiment. He is in severe pain and is unable to open his eyes. You should: -
ANS-continuously flush his eyes with saline for at least 20 minutes
24. (If a burn was caused by an alkali or strong acid, you should irrigate the eyes
continuously for 20 minutes)
25. A hiker fell 25 feet from a ledge. There is obvious deformity to his thoracic spine and
he has a large laceration on his forehead. His BP is 60/40 mmHg, pulse is 50
beats/min, and respirations are 26 breaths/min. His face and chest are pale and cool,
but his abdomen and lower extremities are pink and warm. Which of the following
BEST describes the pathophysiology of these findings? - ANS-loss of nervous
system control over the systemic vasculature
26. A man has a large laceration to his right calf after the chainsaw he was using slipped.
The would extends down to the muscle and dark red blood is flowing heavily from the
wound. The ET should: - ANS-apply annual pressure to the wound with a sterile
dressing
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