EMTB Chapter 26 Quiz Flashcards
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Questions and Answers

The spinal cord is encased in and protected by the:

  • Intervertebral disc
  • Vertebral body
  • Vertebral arch
  • Spinal canal (correct)
  • Once a cervical collar has been applied to a patient with a possible spinal injury, it should not be removed unless:

  • Sensory and motor functions remain intact
  • The patient adamantly denies neck pain
  • It causes a problem managing the ABCs (correct)
  • Lateral immobilization has been applied
  • When immobilizing a seated patient with a short backboard or vest-style immobilization device, you should apply a cervical collar:

  • Before manually stabilizing the patient's head
  • After the torso has been adequately secured
  • After moving the patient to a long backboard
  • After assessing distal neurovascular functions (correct)
  • A short backboard or vest-style immobilization device is indicated for patients who:

    <p>Are in a sitting position and are clinically stable</p> Signup and view all the answers

    The _________ is the best-protected part of the CNS and controls the functions of the cardiac and respiratory systems.

    <p>Brain stem</p> Signup and view all the answers

    An epidural hematoma is MOST accurately defined as:

    <p>Bleeding between the skull and dura mater</p> Signup and view all the answers

    Rapid deceleration of the head, such as when it impacts the windshield, causes:

    <p>Compression injuries or bruising to the anterior portion of the brain and stretching or tearing to the posterior portion of the brain</p> Signup and view all the answers

    When assessing a patient with a head injury, you note the presence of thin, bloody fluid draining from his right ear. This indicates:

    <p>Rupture of the tympanic membrane following diffuse impact to the head</p> Signup and view all the answers

    The central nervous system (CNS) is composed of the:

    <p>Brain and spinal cord</p> Signup and view all the answers

    When controlling bleeding from a scalp laceration with a suspected underlying skull fracture, you should:

    <p>Avoid excessive pressure when applying the bandage</p> Signup and view all the answers

    When the parasympathetic nervous system is activated:

    <p>The heart rate decreases and the blood vessels dilate</p> Signup and view all the answers

    Which of the following sets of vital signs depicts Cushing's triad?

    <p>Blood pressure, 190/110 mm Hg; pulse, 55 beats/min; respirations, 30 breaths/min</p> Signup and view all the answers

    The effectiveness of positive-pressure ventilations when treating a head-injured patient can ONLY be determined...

    <p>by monitoring the patient's response and assessing airway and breathing.</p> Signup and view all the answers

    Study Notes

    Spinal Cord and Protection

    • The spinal cord is protected by the spinal canal.
    • A cervical collar should only be removed if it hinders airway management (ABCs).

    Patient Immobilization

    • Apply a cervical collar after assessing distal neurovascular functions.
    • Short backboards or vest-style devices are suitable for clinically stable patients in a sitting position.

    Central Nervous System (CNS)

    • The most protected part of the CNS is the brain stem, vital for cardiac and respiratory functions.
    • The CNS comprises the brain and spinal cord.

    Head Injuries and Hematomas

    • An epidural hematoma occurs due to bleeding between the skull and dura mater.
    • Rapid head deceleration leads to anterior compression injuries and posterior stretching or tearing.

    Assessment of Head Injury

    • Thin, bloody fluid from the ear suggests tympanic membrane rupture due to head impact.
    • Avoid excessive pressure on scalp lacerations with potential skull fractures.

    Nervous System Response

    • Activation of the parasympathetic nervous system results in decreased heart rate and dilated blood vessels.

    Vital Signs and Cushing's Triad

    • Cushing's triad is characterized by elevated blood pressure (190/110 mm Hg), bradycardia (pulse 55 beats/min), and irregular respirations (30 breaths/min).

    Ventilation in Head-Injured Patients

    • The efficacy of positive-pressure ventilation in head-injured patients can only be determined through appropriate assessment methods.

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    Description

    Test your knowledge of key concepts from Chapter 26 of the Emergency Medical Technician-Basic (EMTB) curriculum. This quiz focuses on important terms and procedures related to spinal cord protection and immobilization techniques. Prepare effectively for your assessments with these flashcards.

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