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EMT 25
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Questions in this quiz (48)
1A 22-year-old male was walking on the beach and had sand blown into his eyes. He complains of pain and decreased vision to his right eye. Treatment should include:
- Airrigating his right eye laterally.
- Bflushing his eye starting laterally.
- Cirrigating both eyes simultaneously.
- Dcovering both eyes and transporting.
2A 29-year-old male has an anterior nosebleed after he was accidentally elbowed in the nose. His is conscious and alert with adequate breathing. The MOST appropriate care for this patient includes:
- Aleaning him forward and pinching his nostrils together.
- Bpacking the nasopharynx with moist, sterile dressings.
- Capplying a gauze pad in between his lower lip and gum.
- Dplacing him supine and pinching his nostrils together.
3A 30-year-old female presents with redness, inflammation, and pain to her left eye. During your assessment, you note that she is having difficulty keeping her eyes open. You should suspect that she is experiencing:
- Aacute retinitis.
- Bconjunctivitis.
- Ca detached retina.
- Da corneal abrasion.
4A 30-year-old female was robbed and assaulted by a gang as she was leaving a nightclub. She has massive facial trauma and slow, gurgling respirations. As your partner manually stabilizes her head, you should:
- Abegin immediate ventilatory assistance.
- Bvisualize her mouth for obvious wounds.
- Capply oxygen via a nonrebreathing mask.
- Dsuction her oropharynx for 15 seconds.
5A 39-year-old female experienced a severe closed head injury. She is unconscious with her eyes slightly open; her pupils are bilaterally dilated and slow to react. In addition to managing problems with airway, breathing, and circulation, you should:
- Aclose her eyes and cover them with a moist dressing.
- Bsecure her eyes open so you can reassess her pupils.
- Cinspect her eyes and gently remove impaled objects.
- Dirrigate her eyes with water to prevent mucosal drying.
6A 4-year-old female has a peanut lodged in the external auditory canal of her right ear. You should:
- Ause tweezers to try to remove the object.
- Bremove the peanut with a cotton-tipped swab.
- Ctransport her to the emergency department.
- Dthoroughly flush her ear with sterile saline.
7A 40-year-old male was in his woodworking shop when he felt a sudden, sharp pain in his left eye. Your assessment reveals a small splinter of wood embedded in his cornea. You should:
- Ascrape the splinter away with moist, sterile gauze.
- Bcover his right eye and flush the left eye with saline.
- Ccover both of his eyes and transport to the hospital.
- Dremove the object with a cotton-tipped applicator.
8A 44-year-old male sustained a laceration to his left ear during a minor car accident. Your assessment reveals minimal bleeding. Appropriate care for this injury includes:
- Aapplying a tight pressure dressing.
- Bpadding between the ear and the scalp.
- Cpacking the ear with sterile gauze pads.
- Dcovering the wound with a moist dressing.
9A 50-year-old male was splashed in the eyes with radiator fluid when he was working on his car. During your assessment, he tells you that he wears soft contact lenses. You should:
- Aleave the contact lenses in place and flush his eyes with sterile water.
- Bremove the contact lenses and cover his eyes with a dry, sterile dressing.
- Cleave the contact lenses in place and cover both eyes with a dry dressing.
- Dcarefully remove the contact lenses and then irrigate his eyes with saline.
10A 52-year-old unrestrained female struck the steering wheel with her face when her truck collided with another vehicle. She has obvious swelling to her face and several dislodged teeth. A visual exam of her mouth reveals minimal bleeding. She is conscious and alert with a blood pressure of 130/80 mm Hg, a pulse of 110 beats/min, and respirations of 22 breaths/min with adequate tidal volume. You should:
- Aapply supplemental oxygen, immobilize her spine, attempt to locate the dislodged teeth, suction as needed, and transport.
- Bassist ventilations with a bag-mask device, immobilize her spine, suction her oropharynx for 30 seconds, and transport.
- Cfully immobilize her spine, attempt to locate the dislodged teeth, tilt the backboard to the left side, and transport.
- Dapply oxygen via a nonrebreathing mask, suction her airway as needed, disregard the dislodged teeth, and transport.
11A 6-year-old female was riding her bicycle and struck a clothesline with her throat. She is breathing, but with obvious difficulty. Your assessment reveals a crackling sensation in the soft tissues of her neck and facial cyanosis. In addition to the appropriate airway management, the intervention that will MOST likely improve her chance of survival is:
- Arequesting a paramedic ambulance.
- Bcareful monitoring her vital signs.
- Crapidly transporting her to the hospital.
- Dquickly immobilizing her spinal column.
12A factory worker was splashed in the eyes with a strong acid chemical. He complains of intense pain and blurred vision. Your ambulance does not carry bottles of sterile saline or water. You should:
- Aflush both eyes with an alcohol-based solution and transport.
- Birrigate both eyes continuously for 20 minutes with plain water.
- Cneutralize the acid chemical in his eye with an alkaline chemical.
- Dmix baking soda with water and irrigate his eyes with the solution.
13A patient who is complaining of seeing flashing lights, specks, or “floaters” in his or her field of vision has MOST likely experienced:
- Aconjunctivitis.
- Bacute hyphema.
- Ca blowout fracture.
- Da detached retina.
14A young female experienced a laceration to her left eyeball from flying glass when her boyfriend broke a soda bottle against a wall. There is moderate bleeding and the patient states that she cannot see out of the injured eye. You should:
- Acarefully examine her eye and remove any foreign objects if needed.
- Bavoid applying pressure to the globe when you are covering the eye.
- Cask her to move the injured eye to assess the integrity of the optic nerve.
- Dapply firm direct pressure to the injured eye and cover the opposite eye.
15A young female was involved in a motor vehicle crash. She complains of pain to her left eye, which appears to have a piece of glass impaled in it. Further assessment reveals a large laceration to her left forearm with active venous bleeding. As your partner manually stabilizes the patient's head, you should:
- Astabilize the impaled glass in her eye.
- Badminister 100% supplemental oxygen.
- Capply direct pressure to her arm wound.
- Dcarefully remove the glass from her eye.
16Abnormal variations in pupil size and reaction would MOST likely be observed in a patient with:
- Aretinitis.
- Bcontact lenses.
- Cconjunctivitis.
- Da brain injury.
17Bleeding from soft-tissue injuries to the face is MOST effectively controlled with:
- Apressure dressings and chemical ice packs.
- Bdigital pressure to an adjacent pulse point.
- Cdirect pressure using dry, sterile dressings
- Dice packs and elevation of the patient's head.
18Facial injuries should be identified and treated as soon as possible because:
- Aof the risk for airway problems.
- Bbleeding must be controlled early.
- Cthe spine may be injured as well.
- Dswelling may mask hidden injuries.
19Following blunt trauma to the face, a 21-year-old male complains of a severe headache and decreased ability to move his eyes. This patient's clinical presentation is MOST consistent with:
- Aa lacerated globe.
- Ba blowout fracture.
- Ca ruptured eyeball.
- Doptic vessel compression.
20Following direct trauma to the upper part of the anterior neck, a young male presents with labored breathing, loss of voice, and subcutaneous emphysema in the soft tissues around his neck. You should suspect a(n):
- Aesophageal tear.
- Bcrushed cricoid.
- Ccollapsed trachea.
- Dlaryngeal fracture.
21Frequent reassessments of the patient with face or neck injuries are MOST important because:
- Athey lend credibility to your documentation.
- Bsuch injuries can affect the respiratory system.
- Chospital staff require frequent patient updates.
- Drapid facial swelling may mask hidden injuries.
22Significant trauma to the face should increase the EMT's index of suspicion for a(n):
- Aairway obstruction.
- Bdisplaced mandible.
- Cbasilar skull fracture.
- Dspinal cord injury.
23The Adam's apple is:
- Athe upper part of the larynx that is formed by the thyroid cartilage.
- Bthe lower part of the larynx that is formed by the cricoid cartilage.
- Cthe small indentation in between the thyroid and cricoid cartilages.
- Dbelow the thyroid cartilage and forms the upper part of the trachea.
24The conjunctiva are kept moist by fluid produced by the:
- Acorneal duct.
- Bposterior orbit.
- Coptic chiasma.
- Dlacrimal gland.
25The cricoid cartilage:
- Alies superior to the thyroid cartilage in the neck.
- Bis the only complete circular cartilage of the trachea.
- Cis easier to see and palpate than the thyroid cartilage.
- Dlies superior to the cricothyroid membrane in the neck.
26The eyeball itself is referred to as the:
- Aorbit.
- Bglobe.
- Csclera.
- Dcornea.
27The inner surface of the eyelids and the exposed surface of the eye itself are covered by a delicate membrane called the:
- Asclera.
- Bcornea.
- Cretina.
- Dconjunctiva.
28The lower jawbone is called the:
- Azygoma.
- Bmaxillae.
- Cmandible.
- Dmastoid.
29The mastoid process is located approximately:
- A1″ posterior to the external opening of the ear.
- B½″ anterior to the external opening of the ear.
- C1″ inferior to the external opening of the ear.
- D1″ posterior to the angle of the mandible.
30The MOST significant complication associated with facial injuries is:
- Adamage to the eyes.
- Bairway compromise.
- Ccervical spine injury.
- Dmandibular immobility.
31The opening in the center of the iris, which allows light to move to the back of the eye, is called the:
- Apupil.
- Bsclera.
- Ccornea.
- Dconjunctiva.
32The optic nerve endings are located within the:
- Aretina.
- Bsclera.
- Cpupil.
- Dcornea.
33The skin and underlying tissues of the face:
- Ahave a rich blood supply and bleed profusely.
- Bswell minimally when exposed to blunt trauma
- Care well protected by the maxillae and mandible.
- Dcontain a relatively small number of nerve fibers.
34The small, rounded, fleshy bulge immediately anterior to the ear canal is called the:
- Aincus.
- Bpinna.
- Ctragus.
- Dstapes.
35The superficial temporal artery can be palpated:
- Aslightly above the ear.
- Bat the angle of the jaw.
- Cover the mastoid process.
- Djust anterior to the tragus.
36The term “hyphema” is defined as:
- Ablood in the anterior chamber of the eye.
- Ban acute rupture of the globe of the eye.
- Cinflammation of the iris, cornea, and lens.
- Dcompression of one or both optic nerves.
37The upper jawbones are called the:
- Amandible.
- Bmastoid.
- Czygoma.
- Dmaxillae.
38The white portion of the eye is called the:
- Airis.
- Bretina.
- Csclera.
- Dcornea.
39What is the function of the sternocleidomastoid muscle?
- Aallows movement of the head
- Bconnects the scapulae together
- Cprovides respiration
- Dallows flexion of the neck
40When a light is shone into the pupil:
- Athe opposite pupil should dilate.
- Bit should become smaller in size.
- Cit should become larger in size.
- Dboth pupils should dilate together.
41When caring for a patient with an open facial injury, the EMT must:
- Aclosely assess the patient's airway.
- Bconsider the mechanism of injury.
- Cwear gloves and facial protection.
- Dmanually stabilize the patient's head.
42When transporting a patient with a facial injury, it is MOST important to be as descriptive as possible with the hospital regarding the patient's injuries because:
- Athey must make arrangements for an ICU bed.
- Ba specialist may need to be called.
- Cit saves time on repeat assessments at the hospital.
- Dmost patients with facial trauma will need surgery.
43Which of the following findings would be LEAST suggestive of a head injury?
- Aone pupil larger in size than the other pupil
- Bfailure of the eyes to move in the same direction
- Cbriskly constricting pupils when exposed to light
- Dfailure of the eyes to follow movement of an object
44Which of the following statements regarding anterior nosebleeds is correct?
- AThey cause blood to drain into the posterior pharynx.
- BThey are usually severe and require aggressive treatment to control.
- CThey are usually caused by a fracture of the basilar skull.
- DThey usually originate from the septum area and bleed slowly.
45Which of the following statements regarding the vitreous humor is correct?
- AIt is a clear, watery fluid that cannot be replaced if it is lost during an eye injury.
- BIt is a clear, jellylike fluid near the back of the eye that cannot be replaced if it is lost.
- CIt is a clear, watery fluid that is located in front of the lens and can be replaced if it is lost.
- DIt is a clear fluid that is produced by the lacrimal glands and cannot be replaced if it is lost.
46You are assessing a 59-year-old male and note that his pupils are unequal. He is conscious and alert. When obtaining his medical history, it is MOST pertinent to ask him if he:
- Ais allergic to any medications.
- Bhas a history of eye surgeries.
- Cregularly sees a family physician.
- Dnoticed the change during a meal.
47You are dispatched to a convenience store, where the clerk sustained a laceration to the side of his neck during a robbery attempt. During your assessment, you note bright red blood spurting from the laceration. You should:
- Aapply direct pressure below the lacerated vessel.
- Bcircumferentially wrap a dressing around his neck.
- Capply pressure to the closest arterial pressure point.
- Dapply direct pressure above and below the wound.
48You are transporting an immobilized patient with severe facial trauma. As you are preparing to give your radio report to the hospital, the patient begins vomiting large amounts of blood. You should:
- Aquickly suction his oropharynx.
- Bturn the backboard onto its side.
- Creassess his breathing adequacy.
- Dalert the hospital of the situation.
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- EMT-B EMT Quiz on EMT 25, created by Seth Weaver on 13/06/2018.
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- Seth Weaver
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