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EMT 27

Seth Weaver 38 questions Updated 20 Jun 2018

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Questions in this quiz (38)

1A 19-year-old male is unresponsive, apneic, and pulseless after being struck in the center of the chest with a softball. Based on the mechanism of injury, what MOST likely occurred?
1. Aventricular fibrillation when the impact occurred during a critical portion of the cardiac cycle
2. Basystole secondary to massive intrathoracic hemorrhage due to traumatic rupture of the aorta
3. Cracture of the sternum that caused a rupture of the myocardium and led to a cardiac dysrhythmia
4. Dcollapse of both lungs due to fractured ribs that perforated the lung tissue and caused cardiac arrest
2A 28-year-old male was struck in the chest with a baseball bat during an altercation. He is conscious and alert and complains of severe chest pain. Your assessment reveals a large area of ecchymosis over the sternum and a rapid, irregular pulse. In addition to applying 100% oxygen, you should:apply an automated external defibrillator (AED) and take his blood pressure.
1. Aapply an automated external defibrillator (AED) and take his blood pressure.
2. Bprepare for immediate transport.
3. Cdetermine if he has cardiac problems.
4. Dapply bulky dressings to the sternum.
3A 37-year-old male was pinned between a flatbed truck and a loading dock. On exam, you find bruising to the chest, distended neck veins, bilaterally diminished breath sounds, and bilateral scleral hemorrhaging. You should:
1. Aaggressively manage his airway.
2. Brequest a paramedic ambulance.
3. Cperform a secondary assessment.
4. Dsuspect a severe hemopneumothorax.
4A flail chest occurs when:
1. Aa segment of the chest wall is detached from the thoracic cage.
2. Bmore than three ribs are fractured on the same side of the chest.
3. Cmultiple ribs are fractured on both sides of the thoracic cage.
4. Da segment of fractured ribs bulges during the inhalation phase.
5A patient who presents with profound cyanosis following a chest injury:
1. Ashould be placed in Trendelenburg's position.
2. Bis most likely experiencing severe blood loss.
3. Chas most likely experienced a ruptured aorta.
4. Drequires prompt ventilation and oxygenation.
6A rapid, irregular pulse following blunt trauma to the chest is MOST suggestive of a:
1. Aruptured aorta.
2. Bmyocardial contusion.
3. Cpericardial tamponade.
4. Dtension pneumothorax.
7A spinal cord injury at the level of C7 would MOST likely result in:
1. Aimmediate cardiac arrest.
2. Bparalysis of the diaphragm.
3. Cparalysis of the intercostal muscles.
4. Dparalysis of all the respiratory muscles.
8A spontaneous pneumothorax would MOST likely occur as the result of:
1. Aexertion of a person with a congenital lung defect.
2. Bexcessive coughing in a patient with pneumonitis.
3. Cabnormally slow breathing in a patient with pleurisy.
4. Dblunt or penetrating trauma to the anterior chest wall.
9An open pneumothorax occurs when:
1. Aa fractured rib perforates the tissue of the lung.
2. Bair enters the pleural space from outside the body.
3. Cextreme pleural pressure causes the lung to rupture.
4. Dair enters the pleural space from a perforated lung.
10Common signs and symptoms of a chest injury include all of the following, EXCEPT:
1. Atachypnea.
2. Bhematemesis.
3. Clocalized pain.
4. Dchest wall ecchymosis.

11During your assessment of a patient with blunt chest trauma, you note paradoxical movement of the left chest wall. As your partner is administering oxygen to the patient, you should:
1. Arequest a paramedic to decompress the chest.
2. Bmake note of it and continue your assessment.
3. Cstabilize the chest wall with a bulky dressing.
4. Dreassess the adequacy of the patient's breathing.
12Elevation of the rib cage during inhalation occurs when:
1. Athe diaphragm descends.
2. Babdominal contents descend.
3. Cintrathoracic pressure decreases.
4. Dthe intercostal muscles contract.
13Following a stab wound to the left anterior chest, a 25-year-old male presents with a decreased level of consciousness and signs of shock. Which of the following additional assessment findings should increase your index of suspicion for a cardiac tamponade?
1. Aengorged jugular veins
2. Bwidening pulse pressure
3. Cdiminished breath sounds
4. Da rapid, irregular pulse
14Following blunt trauma to the chest, an 18-year-old female presents with respiratory distress, reduced tidal volume, and cyanosis. Her blood pressure is 80/50 mm Hg and her pulse is 130 beats/min and thready. You should:
1. Aapply 100% oxygen and immediately transport.
2. Bplace her supine and elevate her lower extremities.
3. Cperform a rapid head-to-toe physical assessment.
4. Dprovide some form of positive-pressure ventilation.
15Hemoptysis is defined as:
1. Avomiting blood.
2. Bcoughing up blood.
3. Cabnormal blood clotting.
4. Dblood in the pleural space
16If a patient with a chest injury is only able to inhale small amounts of air per breath, he or she:
1. Aoften breathes at a slower rate because of lung damage caused by the injury.
2. Bwill eliminate more carbon dioxide than if he or she were breathing deeply.
3. Cmust increase his or her respiratory rate to maintain adequate minute volume.
4. Dwill maintain adequate minute volume if his or her respiratory rate stays the same.
17If a person's tidal volume decreases, but his or her respiratory rate remains unchanged:
1. Aminute volume will increase.
2. Bminute volume will decrease.
3. Cminute volume will remain unchanged.
4. Dexcess carbon dioxide will be eliminated.
18mmediate death from blunt chest trauma following a motor vehicle crash is MOST often the result of:
1. Aa tension pneumothorax.
2. Btraumatic aortic rupture.
3. Cpenetrating lung injuries.
4. Da massive cardiac contusion.
19In order to avoid exacerbating a patient's injury, it is especially important to use extreme caution when providing positive-pressure ventilation to patients with a:
1. Aflail chest.
2. Bpneumothorax.
3. Ccardiac tamponade.
4. Dmyocardial contusion.
20Irritation or damage to the pleural surfaces that causes sharp chest pain during inhalation is called:
1. Apleurisy.
2. Bdyspnea.
3. Cpneumonitis.
4. Dpneumothorax.
21Patients with rib fractures will commonly:
1. Abreathe rapidly and shallowly.
2. Btake a series of deep breaths.
3. Cprefer to lie in a supine position.
4. Ddevelop a sucking chest wound.
22Pleural fluid is contained between the:
1. Avisceral and parietal pleurae.
2. Bparietal pleura and the heart.
3. Cvisceral pleura and the lung.
4. Dparietal pleura and the chest wall.
23Pneumothorax is defined as:
1. Aaccumulation of air between the lungs.
2. Bblood collection within the lung tissue.
3. Caccumulation of air in the pleural space.
4. Dblood collection within the pleural space.
24Signs and symptoms of a tension pneumothorax include all of the following, EXCEPT:
1. Aprofound cyanosis.
2. Bcollapsed jugular veins.
3. Cbulging intercostal muscles.
4. Dunilaterally absent breath sounds.
25Subcutaneous emphysema is an indication that:
1. Aat least half of one lung has completely collapsed.
2. Byour patient is experiencing a pericardial tamponade.
3. Cair is escaping into the chest wall from a damaged lung.
4. Dblood is slowly accumulating within the tissue of the lung.
26The MOST critical treatment for a tension pneumothorax involves:
1. Aplacing a bulky dressing over the affected side of the chest.
2. Bassisting the patient's breathing with increased tidal volume.
3. Csurgically removing the portion of the lung that is damaged.
4. Dinserting a needle through the rib cage into the pleural space.
27The phrenic nerves control the diaphragm and exit the spinal cord at:
1. AC1 and C2.
2. BC3 and C4.
3. CC1, C2, and C3.
4. DC3, C4, and C5.
28The thoracic cavity is separated from the abdominal cavity by the:
1. Adiaphragm.
2. Banterior rib cage.
3. Cintercostal margin.
4. Dcostovertebral angle.
29The ________ nerves control the diaphragm.
1. Avagus
2. Bcostal
3. Cphrenic
4. Dintercostal
30Very young children tend to breathe predominantly with their diaphragm because:
1. Atheir chest wall and ribs are very pliable.
2. Bthey require less tidal volume per breath.
3. Ctheir intercostal muscles are not fully developed.
4. Dthere is no nerve innervation of the intercostal muscles.
31When a person is lying supine at the end of exhalation, the diaphragm:
1. Acontracts and flattens inferiorly.
2. Bmay rise as high as the nipple line.
3. Cis less prone to penetrating trauma.
4. Ddescends below the level of the navel.
32When assessing a patient with a hemothorax, you will MOST likely find:
1. Ajugular venous engorgement.
2. Bipsilateral tracheal deviation.
3. Cdistant or muffled heart tones.
4. Dsigns and symptoms of shock.
33Which of the following organs or structures does NOT reside within the mediastinum?
1. Alungs
2. Btrachea
3. Cvena cavae
4. Desophagus
34While jogging, a 19-year-old male experienced an acute onset of shortness of breath and pleuritic chest pain. He is conscious and alert with stable vital signs. Your assessment reveals that he has diminished breath sounds over the left side of the chest. You should:
1. Aadminister oxygen and transport to the hospital.
2. Bimmediately perform a rapid head-to-toe exam.
3. Crecognize that he needs a needle decompression.
4. Dcircumferentially tape a dressing around his chest.
35You are transporting a stable patient with a possible pneumothorax. The patient is receiving 100% oxygen and has an oxygen saturation of 95%. During your reassessment, you find that the patient is now confused, hypotensive, and profusely diaphoretic. What is MOST likely causing this patient's deterioration?
1. Aa total collapse of the affected lung
2. Bhidden bleeding in the thoracic cavity
3. Ccompression of the aorta and vena cava
4. Dblood accumulation in the pleural space
36You arrive at the scene of a major motor vehicle crash. The patient, a 50-year-old female, was removed from her vehicle prior to your arrival. Bystanders who removed her state that she was not wearing a seatbelt. The patient is unconscious, tachycardic, and diaphoretic. Your assessment reveals bilaterally clear and equal breath sounds, a midline trachea, and collapsed jugular veins. You should be MOST suspicious that this patient has experienced a:
1. Amassive hemothorax.
2. Btension pneumothorax.
3. Cpericardial tamponade.
4. Dlaceration of the aorta.
37You have sealed the open chest wound of a 40-year-old male who was stabbed in the anterior chest. Your reassessment reveals that he is experiencing increasing respiratory distress and tachycardia, and is developing cyanosis. You should:
1. Abegin ventilatory assistance.
2. Bpartially remove the dressing.
3. Cbegin rapid transport at once
4. Dcall for a paramedic ambulance.
38You respond to a residence for a 40-year-old female who was assaulted by her husband; the scene has been secured by law enforcement. Upon your arrival, you find the patient lying supine on the floor in the kitchen. She is semiconscious with severely labored breathing. Further assessment reveals a large bruise to the left anterior chest, jugular venous distention, and unilaterally absent breath sounds. As your partner is supporting her ventilations, you should:
1. Ainsert an oropharyngeal airway.obtain a set of baseline vital signs.
2. Bobtain a set of baseline vital signs.
3. Cperform a focused secondary exam.
4. Dimmediately request ALS support.

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Description: EMT-B EMT Quiz on EMT 27, created by Seth Weaver on 06/14/2018.
Author: Seth Weaver
Language: English
Views: 70
History: Created on 14 Jun 2018 · updated on 20 Jun 2018
Tags: emt emt-b
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EMT 27

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Questions in this quiz (38)

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