Questions and Answers
A 39-year-old male sustained a stab wound to the groin during an altercation at a bar. As you approach the patient, you note that he is conscious. He is screaming in pain and is attempting to control the bleeding, which is bright red and spurting from his groin area. You should:
A palpable pulse is created by:
An elderly patient has fallen and hit her head. Your initial care should focus on:
An injured patient is assigned a total score of 9 on the GCS. He is assigned a score of 2 for eye opening, a score of 3 for verbal response, and a score of 4 for motor response. Which of the following clinical findings is consistent with his GCS score?
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During an EMS call, you should take standard precautions:
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In patients with deeply pigmented skin, changes in color may be apparent only in certain areas, such as the:
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Reassessment is performed to determine all of the following, EXCEPT:
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The chief complaint is MOST accurately defined as the:
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The rapid exam of a patient that occurs following the primary assessment should take no longer than:
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Treatment and transport priorities at the scene of a mass-casualty incident should be determined after:
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What maneuver should be used to open the airway of an unresponsive patient with suspected trauma?
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When approaching a 32-year-old male who is complaining of traumatic neck pain, you should:
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When you shine a light into one pupil, the normal reaction of the other pupil should be to:
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Which of the following actions would NOT be performed during the scene size-up?
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Which of the following conditions would be LEAST likely to cause an altered level of consciousness?
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Which of the following scenarios does NOT involve the presence of any symptoms?
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Which of the following statements regarding the mechanism of injury (MOI) is correct?
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Which of the following statements regarding the secondary assessment is correct?
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You are assessing a 72-year-old man with abdominal pain. The patient is sitting in a chair; he is conscious, alert, and calm. As you are talking to the patient, your partner discreetly directs your attention to a handgun, which is located on a nearby table. You should:
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You should suspect that a patient is experiencing respiratory failure if he or she:
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Study Notes
Stab Wound Management
- Direct pressure should be applied to the wound in cases of active bleeding, especially when arterial bleeding is suspected.
Pulse Creation
- A palpable pulse results from pressure waves in arteries caused by cardiac contraction.
Initial Care for Head Injuries
- Prioritize airway, breathing, and circulation for patients who have experienced head trauma.
Glasgow Coma Scale (GCS) Findings
- A patient scoring 9 on the GCS may exhibit eye opening in response to pain, inappropriate verbal responses, and withdrawal from pain.
Standard Precautions
- Always take standard precautions before entering a scene and making patient contact, ensuring personal safety.
Skin Assessment in Darker Pigmentations
- Changes in skin color can be more clearly observed in areas like the lips or oral mucosa for patients with deeply pigmented skin.
Reassessment Importance
- Reassessments help to evaluate a patient's response to treatment and identify any new problems but are not for determining the reason for EMS call.
Chief Complaint Definition
- The chief complaint is the primary concern of the patient, reflecting the most serious issue they face.
Rapid Exam Timeframe
- The rapid exam following the primary assessment should be completed within 60 to 90 seconds.
Mass-Casualty Incident Protocol
- Priorities for treatment and transport in mass-casualty incidents are set only after triaging all patients.
Airway Maneuvers for Trauma Patients
- Use the jaw-thrust maneuver to open the airway for unresponsive patients when trauma is suspected.
Assessing Neck Pain
- For patients with traumatic neck pain, stabilize their head before any other assessment or movement.
Pupil Response
- When light is shone in one pupil, the opposite pupil should constrict as part of the consensual reflex.
Scene Size-Up Components
- A scene size-up involves assessing environmental risks and conditions, not detailed patient respiratory evaluations.
Altered Consciousness Causes
- Acute anxiety is less likely to cause an altered level of consciousness compared to drug overdose or inadequate perfusion.
Symptomless Scenarios
- A patient who is unconscious with facial cyanosis exemplifies a scenario without self-reported symptoms.
Mechanism of Injury Understanding
- The mechanism of injury can help predict potential severity of injuries, but does not guarantee the specific locations of injuries.
Secondary Assessment Focus
- Focus during the secondary assessment should relate specifically to the area of complaint as discerned from the chief complaint.
Gun Presence in Patient Assessments
- If a firearm is noted during an assessment, position oneself between the patient and the weapon while requesting law enforcement assistance.
Indicators of Respiratory Failure
- Signs of respiratory failure may include bradycardia and diminished muscle tone, indicating a critical need for intervention.
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Description
Test your knowledge with these flashcards from EMT Chapter 9. This chapter focuses on trauma care and emergency medical response. Perfect for EMT students looking to reinforce their learning.
