26. EMT 26 – Flashcards

Unlock all answers in this set

Unlock answers
question
A female patient with a suspected spinal injury is breathing with a marked reduction in tidal volume. The MOST appropriate airway management for her includes:
answer
assisting ventilations at an age-appropriate rate.
question
During your primary assessment of a semiconscious 30-year-old female with closed head trauma, you note that she has slow, shallow breathing and a slow, bounding pulse. As your partner maintains manual in-line stabilization of her head, you should:
answer
instruct him to assist her ventilations while you perform a rapid assessment.
question
A 45-year-old male was working on his roof when he fell approximately 12′,landing on his feet. He is conscious and alert and complains of an ache in his lower back. He is breathing adequately and has stable vital signs. You should:
answer
immobilize his spine and perform a focused secondary exam.
question
A temporary loss or alteration of part or all of the brain's abilities to function without physical damage to the brain MOST accurately describes a(n):
answer
cerebral concussion.
question
An indicator of an expanding intracranial hematoma or rapidly progressing brain swelling is:
answer
a rapid deterioration of neurologic signs.
question
It would be MOST appropriate to perform a focused secondary assessment on a patient who:
answer
fainted and fell to the ground from a standing position.
question
The MOST common and serious complication of a significant head injury is:
answer
cerebral edema.
question
The MOST important treatment for patients with a head injury, regardless of severity, is
answer
establish an adequate airway.
question
A patient who cannot remember the events that preceded his or her head injury is experiencing
answer
retrograde amnesia
question
Which of the following statements regarding a basilar skull fracture is correct?
answer
The absence of raccoon eyes or Battle's sign does not rule it out.
question
Bleeding within the brain tissue itself is called a(n)
answer
intracerebral hematoma.
question
When immobilizing a trauma patient's spine, the EMT manually stabilizing the head should not let go until:
answer
the patient has been completely secured to the backboard.
question
Which of the following statements regarding motor nerves is correct
answer
They carry information from the CNS to the muscles.
question
Which of the following head injuries would cause the patient's condition to deteriorate MOST rapidly?
answer
epidural hematoma
question
A tight-fitting motorcycle helmet should be left in place unless:
answer
it interferes with your assessment of the airway.
question
When immobilizing a child on a long backboard, you should:
answer
place padding under the child's shoulders as needed.
question
An epidural hematoma is MOST accurately defined as:
answer
bleeding between the skull and dura mater.
question
The central nervous system (CNS) is composed of the:
answer
brain and spinal cord.
question
The _________ nervous system consists of 31 pairs of spinal nerves and 12 pairs of cranial nerves.
answer
peripheral
question
When immobilizing a patient on a long backboard, you should:
answer
ensure that you secure the torso before securing the head.
question
Which of the following statements regarding motor nerves is correct?
answer
They carry information from the CNS to the muscles.
question
In contrast to a cerebral concussion, a cerebral contusion:
answer
involves physical injury to the brain tissue.
question
The body's functions that occur without conscious effort are regulated by the _________ nervous system.
answer
autonomic
question
The hormone responsible for the actions of the sympathetic nervous system is:
answer
epinephrine.
question
The five sections of the spinal column, in descending order, are the:
answer
cervical, thoracic, lumbar, sacral, and coccygeal.
question
The MOST reliable sign of a head injury is:
answer
a decreased level of consciousness.
question
When immobilizing a seated patient with a short backboard or vest-style immobilization device, you should apply a cervical collar:
answer
after assessing distal neurovascular functions.
question
When the parasympathetic nervous system is activated:
answer
the heart rate decreases and the blood vessels dilate.
question
Coordination of balance and body movement is controlled by the:
answer
cerebellum.
question
Lacerations to the scalp
answer
may be an indicator of deeper, more serious injuries.
question
Which of the following nerves carry information from the body to the brain via the spinal cord?
answer
sensory
question
Which of the following sets of vital signs depicts Cushing's triad?
answer
blood pressure, 190/110 mm Hg; pulse, 55 beats/min; respirations, 30 breaths/min
question
During your primary assessment of a 19-year-old unconscious male who experienced severe head trauma, you note that his respirations are rapid, irregular, and shallow. He has bloody secretions draining from his mouth and nose. You should:
answer
suction his oropharynx for up to 15 seconds.
question
Rapid deceleration of the head, such as when it impacts the windshield, causes:
answer
compression injuries or bruising to the anterior portion of the brain and stretching or tearing to the posterior portion of the brain.
question
A patient with a head injury presents with abnormal flexion of his extremities. What numeric value should you assign to him for motor response?
answer
3
question
When caring for a patient with a possible head injury, it is MOST important to monitor the patient's:
answer
level of consciousness.
question
Following a head injury, a 20-year-old female opens her eyes spontaneously, is confused, and obeys your commands to move her extremities. You should assign her a GCS score of:
answer
14
question
If you do not have the appropriate size cervical collar, you should:
answer
use rolled towels to immobilize the patient's head.
question
Bleeding within the brain tissue itself is called a(n):
answer
intracerebral hematoma.
question
Which of the following skull fractures would be the LEAST likely to present with palpable deformity or other outward signs?
answer
linear
question
Which of the following statements regarding the cranium is correct?
answer
Eighty percent of the cranium is occupied by brain tissue.
question
Common signs and symptoms of a serious head injury include all of the following, EXCEPT:
answer
constricted pupils.
question
The _________ contain(s) about 75% of the brain's total volume.
answer
cerebrum
question
An indicator of an expanding intracranial hematoma or rapidly progressing brain swelling is:
answer
a rapid deterioration of neurologic signs.
question
When assessing a conscious patient with an MOI that suggests spinal injury, you should:
answer
determine if the strength in all extremities is equal.
question
Moderate elevation in intracranial pressure with middle brain stem involvement is characterized by:
answer
sluggishly reactive pupils, widened pulse pressure, bradycardia, and posturing.
question
You should be MOST suspicious that a patient has experienced a significant head injury if his or her pulse is:
answer
slow.
question
The _________ is the best-protected part of the CNS and controls the functions of the cardiac and respiratory systems.
answer
brain stem
question
The meninges, along with the cerebrospinal fluid (CSF) that circulates in between each meningeal layer, function by:
answer
acting as a shock absorber for the brain and spinal cord.
question
Which of the following nerves allow sensory and motor impulses to be sent from one nerve directly to another?
answer
connecting
question
When controlling bleeding from a scalp laceration with a suspected underlying skull fracture, you should:
answer
avoid excessive pressure when applying the bandage.
question
When opening the airway of a patient with a suspected spinal injury, you should use the:
answer
jaw-thrust maneuver.
question
After your partner assumes manual in-line stabilization of the patient's head, you should:
answer
assess distal neurovascular status in the extremities.
question
The frontal and parietal bones of the skull are especially susceptible to:
answer
compressed skull fractures.
question
Lacerations to the scalp:
answer
may be an indicator of deeper, more serious injuries.
question
Which of the following statements regarding secondary brain injury is correct?
answer
Hypoxia and hypotension are the two most common causes of secondary brain injury.
question
Distraction injuries of the spine are MOST commonly the result of:
answer
hangings.
question
What part of the nervous system controls the body's voluntary activities?
answer
somatic
question
The tough, fibrous outer meningeal layer is called the:
answer
dura mater
question
When a patient experiences a severe spinal injury, he or she:
answer
may lose sensation below level of injury
question
A short backboard or vest-style immobilization device is indicated for patients who:
answer
are in a sitting position and are clinically stable
Get an explanation on any task
Get unstuck with the help of our AI assistant in seconds
New