Which of the following is the first sign of shock that usually appears….docx

Which of the following is the first sign of shock that usually appears in patients? A. Altered mental status B. Nausea and vomiting C. Pale, cool, and clammy skin D. Changes in vital signs ANSWER: A A tachypneic 17 year old male has an open gunshot wound to the right anterior chest. What should you...

Which of the following is the first sign of shock that usually appears in patients? A. Altered mental status B. Nausea and vomiting C. Pale, cool, and clammy skin D. Changes in vital signs ANSWER: A A tachypneic 17 year old male has an open gunshot wound to the right anterior chest. What should you do? A. Begin bag valve mask ventilation. B. Administer high-flow oxygen. C. Apply an occlusive dressing. D. Decompress the right chest. ANSWER: C A 34 year old male was hit in the chest with a baseball bat. Portions of his chest move in the opposite directions when he breathes. What should you suspect? A. Pulmonary contusion B. Pneumothorax C. Flail chest D. Rib fracture ANSWER: C What is a contraindication of a traction splint? A. Swelling or deformity to the thigh B. Pelvic fracture C. Signs of hypoperfusion D. Potential spinal injury ANSWER: B An alert 75 year old male after slipped on his wet sidewalk. He is sober and denies hitting his head. He states his legs just went out from under him and he fell to his right knee. His right leg is internally rotated and shortened. Vital signs are BP 110/40, P 96, R 18. What should you suspect? A. Hip dislocation B. Femur fracture C. Hip fracture D. Spinal injury ANSWER: A If transport is delayed or prolonged, and if circulation is impaired, an attempt should be made to reposition a grossly deformed fracture or dislocated joint (if allowed by medical control or protocol). The exception is an injury to the _____ A. Ankle B. Elbow C. Knee D. Hip ANSWER: D A factory worker has a 3/4 inch laceration on his forehead that bleeds through the dressings despite direct pressure. What should you do? A. Apply unilateral carotid pressure. B. Remove the dressing and apply direct digital pressure. C. Apply pressure to the facial artery. D. Continue direct pressure and apply additional dressings. ANSWER: D A 20 year old female has burns on her chest, abdomen, and on the anterior side of her right arm. What percentage of body is burned? A. 22.5% B. 40.5% C. 18% D. 27% ANSWER: A Feedback: The Rule of Nines is an quick method for estimating the amount of 2nd and 3rd degree burns covering a patient. Other methods include the Palm Rule and the use of the Lund and Browder Chart. What is the correct technique when splinting a suspected finger fracture? A. Apply a straight, flat, and rigid splint to the finger. B. Immobilize the hand and finger in a pillow and apply ice. C. Place an arm board under the wrist and wrap with curlex. D. Tape the fractured finger to a neighboring finger only. ANSWER: A How should you treat shock resulting from a tension pneumothorax? A. Administration of a fluid challenge B. Pleural decompression C. Cricothorotomy D. Endotracheal intubation and hyperventilation ANSWER: B An alert 17 year old male was struck in the abdomen with a large wrench. Vital signs are BP 90/78, P 120 R 22. He is cool, pale and diaphoretic. Palpation of the abdomen reveal bruising, pain, and rigidity to the right upper quadrant. To which organ should you suspect injury? A. Liver B. Spleen C. Right kidney D. Small intestine ANSWER: A A 50 year old female presents with narrow complex tachycardia and has the following signs and symptoms: respiratory rate of 22 and non labored, BP of 117/68, radial pulse rate of 176 strong and regular, and skin is pink, warm, and dry. What would be the most appropriate first treatment. A. Adenosine 6 mg fast IV push B. vagal maneuvers C. synchronized cardioversion at 50 J D. synchronized cardioversion at 100 J ANSWER: B What pacemaker in the heart has an intrinsic rate of 60-100 beats per minute? A. Ductus arteriosis B. Bundle of His C. AV Node D. SA Node ANSWER: D Why do you administer epinephrine to a patient in cardiac arrest? A. Increased rate of conduction. B. Increased contractility of cardiac muscle. C. Increased bronchodilation. D. Increased blood flow to the heart and brain. ANSWER: D Stroke volume is a function of all of the following EXEPT: A. Cardiac Contractility B. Heart Rate C. Preload D. Afterload ANSWER: B What is a temporary occlusion caused by a coronary artery spasm known as? A. Unstable angina B. Pre-infarct angina C. Prinzmetal's angina D. Acute angina pectoris ANSWER: C A 78 year old male complains of 10/10 chest pain with palpitations. He is short of breath. His skin is pale, cool and clammy. An ECG shows an narrow complex at a rate of 200. What should you do? A. Start chest compressions B. Administer amiodarone C. Perform a precordial thump D. Administer adenosine ANSWER: D