Test 2 Emt B

Front 1

What is kinetic energy?

Back 1

The energy that a body possesses as a result of its motion

Front 2

The patient fell from a 35ft ladder

Back 2

The fall respresents a significant (MOI) Mechanism of Injury b/c it is over 20ft

Front 3

What is the term for pressure waves that cause greater tissue damage to the exit wound area of a bullet wound?

Back 3

Cavitation

Front 4

Medical Term for a nose bleed

Back 4

Epistaxis

Front 5

Absolute contraindication for MAST trousers

Back 5

Pulmonary Edema - fluid around the lungs

Front 6

Blood that is bright red and spurting - Which type of blood vessel is most likely causing the bleeding?

Back 6

Artery

Front 7

How high of a fall is considered significant for a child?

Back 7

10ft or 3x the patients height

Front 8

What are the relative contraindications for the use of MAST trousers?

Back 8

Pregnancy, Penetrating Wound to the chest or head,

Front 9

Which of Newtons Laws state that energy cannot be created or destroyed, but can be changed in form?

Back 9

Newton's 2nd Law

Front 10

Lateral Impact Vehicle Collisions

Back 10

Have the highest incidence of death

Front 11

Five Types of Vehicle Collisions

Back 11

Frontal, Rear-End, Lateral, Rotational, Roll-over

Front 12

Medical Term for vomiting up blood

Back 12

Hematemesis

Front 13

Attempting to control bleeding to a forearm lacertation - distal from the elbow - apply pressure to what pressure point

Back 13

Brachial Artery

Front 14

After applying a Tourniquet to a petinets forarm, what should be written

Back 14

Time it was applied - on the TK

Front 15

3 phases/stages of shock progression if left untreated

Back 15

Compensated
Decompensated
Irreversible

Front 16

After applying sterile dressing & bandage - later you not dressing is soaked through with blood - what should you do?

Back 16

Apply additional dressing on top of the original dressing with direct pressure

Front 17

What are 3 main categories of shock

Back 17

Cardiogenic (Pump/Heart)
Hypovolemic (Content/Fluid leaking)
Neurogenic - vessel/pipes problem

Front 18

What 2 groups are at higher risk of injury from airbag deployment

Back 18

Elderly
Adults less then 5'2"
Infants
Children less than 12yrs

Front 19

What do you do for a patient bleeding from an open wound to an extremit - not including splinting - ice - to control bleeding

Back 19

Direct Pressure
Elevation
Pressure point
Tourniquet

Front 20

Avg Adult Male has ? liters of blood

Back 20

Six

Front 21

What are 3 significant MOIs?

Back 21

Ejection from a vehicle
Death of another passenger
Vehicle Roll Over
High speed crash 45mph+
Motor cycle crash
Vehicle v. Pedestrian
Fall 20ft+ or 3x patients height
Penetrating trauma of head,/chest/abdomen

Front 22

During what phase of explosion, injury from flying debris is a main concern

Back 22

Secondary

Front 23

During which phase/stage of shock does the blood pressure begin to decrease & patient's level of concsiousness begin to deteriorate?

Back 23

Decompensated shock

Front 24

The heart, lungs and liver have the highest demand for oxygen in the body

Back 24

FALSE
Heart, Brain, Lungs, Kidney

Front 25

Blood Loss of 100-200ml is considered dangerous for an adult

Back 25

False
1Liter for an adult
true for a child

Front 26

How long can skeletal muscle withstand lack of perfusion before permanent damage occurs?

Back 26

2 hours

Front 27

Which layer of skin contains hair follicles, nerve endings and sweat glands

Back 27

Dermis

Front 28

How long should chemical burns to the eye be flushed

Back 28

20 mins

Front 29

What is the term for the bluish black color of a bruise?

Back 29

Ecchymosis

Front 30

Which tyhpe of burn has the MOST potential for serious internal injury?

Back 30

Electrical

Front 31

What type of dressing should be applied to a laceration to the eyeball?

Back 31

Moist, sterile dressing

Front 32

When doing a blood sweep, you find that a patient has an open neck LAC w/ severe bleeding - what should you do first?

Back 32

Cover and apply direct pressure with a gloved hand....but really should do "Airway" first.

Front 33

What is a function of the Skin

Back 33

Bacteria out
Regulates temperature
sensory stimulus to the brain through nerves

Front 34

Which part of the eye is located behind the pupil and foxuses light onto the retina

Back 34

Lens

Front 35

When assessing a pupil you find them to be normal in size and appearance and reactive to light - signs & systems are cplaint of floaters and shade over vision in left eye

Back 35

Detached retina

Front 36

Patien fell of bike and caught self with hands - hands have scrapes to the palms and minor bleedings - what type of open wound is this typically caused by friction

Back 36

Abrasion

Front 37

What typ of dressing should be applied to all neck lacs?

Back 37

Occlusive and sealed on 4 sides

Front 38

A large amount of pooling blood that collects under the skin is called

Back 38

hematoma

Front 39

What fluid is found in the anterior champer of the eye and can be replaced by the body

Back 39

Acqueous Humerous

Front 40

What is the difference between a dressing and a bandage?

Back 40

A dressing covers a wound, while a bandage holds a dressing in place.

Front 41

What are 3 sources of burns?

Back 41

Thermal, Electrical,
Chemical, Light
Radiation

Front 42

When handling a complete amputation, how should you treat the amputated part?

Back 42

Wrap in a dry sterile dressing and then plastic and keep it cool while transporting. Do NOT put it directly on ice or use moist dressings.

Front 43

Rules of 9

Back 43

An adult patien burned on arms and chest = 18%

Front 44

What type of dressings would you apply to 2nd degree burns?

Back 44

loose Dry gauze

Front 45

What type of open injury is where a flap of skin has been torn away from the body

Back 45

Avulsion

Front 46

What are 3 classifications of burn depth?

Back 46

Superficial
Partial Thickness
Full Thickness

Front 47

When treating a laceration to 1 eye - you could cover the eye with a loos dressing and

Back 47

also cover the uninjured eye to prevent movement in the injured eye.

Front 48

What are 2 sources of light burns to the eye?

Back 48

Infared ray, eclipse light,
direct sunlight, tanning beds, UV light arc from welding,
laser light

Front 49

You are treating a patien who has a dry poweder chemical on their skin. After ensuring you have the appropriate PPE on, you should first BLANK the powder off the skin before you flush the skin with BLANK

Back 49

sweep
water

Front 50

Thermal burns of the face are of particular concern because of the high risk of internal injury to the

Back 50

airway

Front 51

A bruise is called

Back 51

contusion

Front 52

what part of a child's body is considered a larger percentage of the total body serface area than an adult in the rule of 9's?

Back 52

The head

Front 53

What is bruising aeround the eyes and behind the ears?

Back 53

Raccoon Eyes and Battle Signs

Front 54

When can manual cervical spine control be released when immobilizing a patient to a long board?

Back 54

Only after the patient's bod & head are secured to the baord.

Front 55

When should you initially check PMS in the extremities of a patient yo are applying a KED devise on?

Back 55

After taking manual c-spine control.

Front 56

What is the outer most layer of the meninges?

Back 56

Dura Mater

Front 57

Why type of spinal injury occurs from an attempted hanging?

Back 57

Axial Loading Injury

Front 58

When immobilizing a patient ot a long board device, what is secured last?

Back 58

The patients head

Front 59

To adjust a patient on a long board how are they adjusted properly?

Back 59

Using a zig zag motion - up then down on the HEAD (FFFred) person's count

Front 60

What is a sign in increased ICP?

Back 60

High blood pressure
irregular respirations
Cool, Moist, Pale skin

Front 61

What is the term for an erection caused by a spinal injury?

Back 61

Priaprism

Front 62

What is the name of the bone that makes up the cheek bone

Back 62

Zygoma

Front 63

Five sections of the spine & how many vertebra in each?

Back 63

Cervical = 7
Thorasic = 12
Lumbar = 5
Sacral = 5 fused
Coccyx = 4 fused

Front 64

That type of patient would you apply a KED to?

Back 64

A low priorty stable seated patient who has neck/back pain or MOI that is conducive to a neck/back injury

Front 65

Patient with obvious closed head trauma - pulse is low, blood pressure high, & respirations are irregular - signs of

Back 65

Cushing's Triad

Front 66

What is the liquid tht fills the space between the meningess and acts as a shock absorber for the brain & spinal cord

Back 66

Cerebral Spinal Fluid

Front 67

The BLANK pleura covers the lungs, where the BLANK pleura covers the chest cavity

Back 67

Visceral
Parietal

Front 68

Patient with PSD involving the elbow joing - you immobilize

Back 68

the bone above and below - humerus & Radius/Ulna "A" frame

Front 69

when compressing the pelvis of a patient who has been in a car accident you notice a sound and feel a sensation of bone ends rubbing together this is

Back 69

Crepitus

Front 70

What connects muscle to bone

Back 70

Tendons

Front 71

What connects bone to bone

Back 71

Ligaments

Front 72

What connects skin to muscle

Back 72

Facia

Front 73

Patient is eldery femal who has a history of osteoporosis & bone density issues - which type of fracture is she most prone to ?

Back 73

Pathologic

Front 74

Teenage femal patient who has fallen while cheerleading & now has a deformed & painful forearm - while splinting her arm you should ensure:

Back 74

1. That the hand is placed in a position of function.

2. You check PMS before and after splinting.

Front 75

Contra indication(s) for using a traction splint

Back 75

Pelvis is unstable
Ankle Injury
Tib/Fib Injury

Front 76

What type of joint has a back and forth motion?

Back 76

Hinge

Front 77

Types of Joings

Back 77

Ball & Socket
Hinge
Symphysis
Fused

Front 78

What is the term for an injury where the disruption of a joint has occurred & bone ends are displaced?

Back 78

Dislocation

Front 79

Patient has sligh swelling & minor deformity to the lateral area of the forearm, with good distal neurovascualr function (PMS) What type of fracture is this?

Back 79

Greenstick

Front 80

What are 3 components assesed when checking neurovascular function distal to an injury?

Back 80

PMS
Pulse
Motor Function
Sensation

Front 81

What are the four signs/symptoms of a fracture?

Back 81

Pain, point tenderness
Swelling, Deformity
Brusing, Guarding,
False motion, Locked joints
Crepitus, Loss of PMS
Bruising, Exposed fragments

Front 82

When splinting an upper extremity injuiry you should use the appropriate splint size and use a BLANK and BLANK to assist in immobilization and suppot of the limb, to help control movement

Back 82

Sling
Swath

Front 83

Two contraindications of a traction splint

Back 83

Injuries close to or involving the knee,
Hip/Pelvis Injury
Partial amputation or avulsion with bone separation
lowerleg, angkle, or upper extremity injuries

Front 84

What is the difference between holding manual stabilization and holding traction on an injury?

Back 84

Holding stabilization involves keeping he injured area from moving (holding above and below the injury); Holding traction involves an act of exerting force on a bony struction in the direction of its normal alignment (anotomical positon)

Front 85

What is the term for abdominal organs protruding from an open wound in the abdomen?

Back 85

Evisceration

Front 86

Blunt Trauma to he chest - irregular rapid heart rate, low BP, - Upon trending vitals during transport you note that patient has continued equal lung sounds - narrowing pulse pressures & dvlpng JVD. What is the most likely cause for how this patient is presenting?

Back 86

Paricardial Tamponade

Front 87

Pulmonary contusions

Back 87

Do not develop rapidly

Front 88

Patient who was impaled by a piece of metal rebar - 6 inch section sticking out of their right lower abdominal quad - no exit wound - How should you care for this patient?

Back 88

Stabilize the rebar with bulky dressings and immobilize the patient supine

Front 89

Treating a scrotal injury

Back 89

Apply an ice pack to help with swelling and pain

Front 90

When dealing with solid organ injury what is the most likely complication?

Back 90

Severe hemorrhage

Front 91

Treating a male patient with a partially avulsed penis how would you treat the injury

Back 91

allow the patient to apply pressure directly to help control bleeding - cover the injury with moist steril dressing and use direct pressure.

Front 92

What is Paradoxical Motion?

Back 92

Abnormal chest wall movement where a portion of the chest moves opposite to the rise of the chest wall.

Front 93

What is the difference between pneumothorax & hemothorax?

Back 93

Pneumothorax is air in the pleural space

Hemothorax is blood in the plural space

Front 94

What is the mesentery?

Back 94

The thin tissue that surrounds & holds the abdominal organs in place. OR Tissue connecting intestines to the walls of the body.

Front 95

Guarding and distention are comon signs of abdominal injury

Back 95

true

Front 96

A spontaneous pneumothorax is caused by a weakened area of the lung that ruptures

Back 96

TRUE

Front 97

the BLANK peritoneum lines the abdominal wall, where the BLANK peritoneum lines the abdominal organs

Back 97

Parietal
Visceral