Question 1

Which of the following is the outermost layer of the skin?

Accepted Answer

B) Epidermis

Question 2

) You are examining a 48-year-old patient who has been burned. You decide to use the rule of palm to measure the extent of the burn. What does this mean?

Accepted Answer

B) The palm of the patient\'s hand equals about 1% of the body\'s surface area.

Question 3

Which of the following is a description of the rule of nines for an adult?

Accepted Answer

The rule of nines assigns 9% to the head and neck, each upper extremity, the chest, the abdomen, the upper back, the lower back and buttocks, the front of each lower extremity, and the back of each lower extremity, then 1% to the genital region.

Question 4

Which of the following is NOT a major function of the skin?

Accepted Answer

D) Regulates the pH balance of the body

Question 5

Which of the following layers of the skin is the MOST important in insulating the body against heat loss?

Accepted Answer

B) Subcutaneous layer

Question 6

Which of the following is NOT considered soft tissue?

Accepted Answer

D) Cartilage

Question 7

The meatus is:

Accepted Answer

A) an orifice of the urethra.

Question 8

An injury in which the epidermis remains intact, but blood vessels and cells in the dermis are injured, is called a(n):

Accepted Answer

A) contusion.

Question 9

An injury caused by heavy pressure to the tissues, such as when an extremity is trapped under a fallen tree, that results in damage to muscle cells and the accumulation of waste products in the tissue is called a(n):

Accepted Answer

A) crush injury.

Question 10

Your patient is a 55-year-old male who was found in the parking lot behind a tavern. He states that he was assaulted and robbed by three individuals. He is complaining of being \"hit in the face and kicked and punched in his ribs and stomach.\" Your examination reveals contusions and swelling around both eyes, bleeding from the nose, a laceration of his upper lip, and multiple contusions of the chest, abdomen, and flanks. Which of the following should cause the greatest concern regarding the prehospital care of this patient?

Accepted Answer

C) Potential internal injuries

Question 11

Which of the following is NOT appropriate in caring for a patient with closed soft-tissue injuries and a significant mechanism of injury?

Accepted Answer

D) Allow the patient to have small sips of water.

Question 12

Which of the following is NOT true concerning lacerations?

Accepted Answer

D) They may be degloving injuries to the skin or tissue.

Question 13

Which of the following is of concern with a puncture wound?

Accepted Answer

D) All of the above

Question 14

Which of the following is NOT an open tissue injury?

Accepted Answer

B) Contusion

Question 15

Which type of wound has a small opening into the skin, but may be quite deep, and is often caused by instruments such as nails, ice picks, or pencils?

Accepted Answer

C) Puncture

Question 16

) A wound in which the epidermis is scraped away with minimal bleeding, such as commonly occurs when a child falls on his knees on a sidewalk, is called a(n):

Accepted Answer

A) abrasion.

Question 17

Bleeding from soft-tissue injuries should initially be controlled with which one of the following techniques?

Accepted Answer

B) Direct pressure

Question 18

Which of the following is required in the management of all open soft-tissue injuries?

Accepted Answer

B) Use of Standard Precautions by the EMT

Question 19

Which of the following BEST describes an avulsion?

Accepted Answer

B) Flap of skin that is partially or completely torn away from the underlying tissue

Question 20

) Which of the following is NOT a type of avulsion?

Accepted Answer

B) A finger is cut off with a butcher\'s saw.

Question 21

You are assessing a 30-year-old male patient that had his arm caught in a piece of machinery. By the time you arrive he has been freed. The patient tells you that he does not understand why you were called, but as you inspect the injured limb you notice a small puncture wound. You should have a high index of suspicion of which of the following injuries?

Accepted Answer

D) High-pressure injection

Question 22

Your patient is a 14-year-old male who crashed his bicycle, landing prone and sliding along a gravel trail. He has deep abrasions to his hands, arms, chest, and knees. The patient has small pieces of gravel, twigs, and dirt embedded in the abrasions. Which of the following is the best way to manage this situation after taking cervical spine immobilization?

Accepted Answer

D) Assess for additional injuries, flush away large pieces of debris with a sterile dressing, place dressings on the abrasions, bandage them in place, and transport.

Question 23

You are dispatched to an auto repair shop for an \"accident.\" You arrive and are told by the owner that one of the workers apparently got his hand in the way while using a high-pressure grease gun and injected the grease into his hand. You find the patient seated in a chair with a coworker applying ice to the injured hand. Your examination reveals a minor round laceration in the hand. The patient is complaining of pain in the area but wants to let the wound take care of itself and go back to work. What should you do?

Accepted Answer

B) Remove the ice from the wound, then elevate and splint the limb. Transport the patient high priority.

Question 24

Which of the following statements is NOT true concerning the proper transport of an avulsed ear?

Accepted Answer

D) It should be in a dry sterile dressing.

Question 25

A 36-year-old man has accidentally shot a nail into his thigh while using a nail gun. Under which of the following circumstances should the EMT remove the nail from the injury site?

Accepted Answer

D) None of the above

Question 26

In caring for a 27-year-old male who has a large laceration on his anterior forearm, you have noticed that your pressure dressing has become saturated with blood. Which of the following should you do next?

Accepted Answer

D) Apply additional dressing material over the top of the original dressing and bandage it in place.

Question 27

Your patient is a 32-year-old man with a fish hook that has perforated his hand between the thumb and index finger. Which of the following is the best way to manage the situation in the prehospital setting?

Accepted Answer

B) Leave the hook in place and try not to disturb it.

Question 28

You are caring for a 23-year-old female who fell off of a bicycle and sustained a severe laceration on the inside of her upper thigh. Her slacks are torn, and you can see most of the wound. What is the next step?

Accepted Answer

C) You need to expose the wound completely, control bleeding, clean the surface by simply removing large pieces of foreign matter if any, and dress and bandage the wound.

Question 29

A 37-year-old male was hit by a trolley and his foot was almost severed. It is only connected by some skin and crushed bone. What should you do?

Accepted Answer

D) Apply a pressure dressing to control bleeding, stabilize the foot by splinting, apply oxygen, and transport as a priority patient.

Question 30

You are treating the amputation of three fingers on a 40-year-old male. The fingers were torn off while he was cleaning his snow blower. You have stopped the bleeding. What should you do with the amputated fingers?

Accepted Answer

C) Wrap them in a sterile dressing, put them in a plastic bag, and keep them cool.

Question 31

Which of the following is recommended when caring for an amputated part?

Accepted Answer

C) Seal the part in a plastic bag and place it in a pan of water cooled by an ice pack.

Question 32

For which of the following patients should the EMT carefully continue to monitor the patient\'s ventilatory status throughout treatment and transport due to the greatest risk of respiratory failure?

Accepted Answer

D) 16-year-old male whose shirt caught on fire, resulting in circumferential burns of his chest

Question 33

While assessing a 78-year-old male patient who escaped an apartment fire with partial thickness burns to both arms, the EMT must be aware of which of the following?

Accepted Answer

C) Medical conditions may be aggravated by the burn.

Question 34

Burns pose a greater risk to infants and children for which of the following reasons?

Accepted Answer

B) Pediatric patients have a greater risk of shock from the burn.

Question 35

You are treating a 5-year-old for extensive burns. You know that burns pose a greater risk to infants and children. The reason for this is:

Accepted Answer

D) their body surface area is greater in relation to their total body size.

Question 36

Which of the following BEST describes a partial thickness burn?

Accepted Answer

D) The skin is red and moist with blister formation.

Question 37

A burn extending into the subcutaneous fat would be classified as which type of burn?

Accepted Answer

B) Full thickness

Question 38

Which of the following is a consideration in determining a burn\'s severity?

Accepted Answer

D) All of the above

Question 39

Your patient is a 40-year-old man who was burned when he spilled gasoline on his pants as he was standing near the pilot light of his hot water heater. He has partial thickness burns from his feet to just above his knees, and circumferentially around both legs. Using the rule of nines, which of the following most accurately represents the extent of body surface area burned?

Accepted Answer

A) 18%

Question 40

When using the rule of palm to estimate the approximate body surface area burned, the patient\'s palm equals about what percentage of the body\'s surface area (BSA)?

Accepted Answer

A) 1%

Question 41

) According to the rule of nines for infants and young children, the patient\'s head and neck account for what percentage of the total body surface area?

Accepted Answer

D) 18%

Question 42

While assessing a patient with partial thickness burns to his chest and neck, what should be your highest priority (even if there are no symptoms presently)?

Accepted Answer

B) Airway

Question 43

Which of the following patients has the greatest likelihood of being cared for in a burn center?

Accepted Answer

B) 30-year-old woman who has deep partial thickness burns on her hand and arm as a result of spilling hot cooking oil on herself

Question 44

Your patient is a 25-year-old man who picked up an iron skillet with a very hot handle. He has a reddened area with blisters across the palm of his hand. Which of the following must be avoided in the prehospital management of this wound?

Accepted Answer

B) Application of antibiotic ointment

Question 45

Your patient is a 35-year-old female who spilled a cup of hot coffee on herself. She has an area about twice the size of the palm of her hand on her right thigh that is red and painful, but without blisters. When caring for this injury in the prehospital setting, which of the following is appropriate?

Accepted Answer

D) Apply a dry sterile dressing.

Question 46

Your patient is a 40-year-old male who has been exposed to a dry chemical powder and is complaining of severe pain on both of his hands, the site of the contact. He is working in an illegal chemical manufacturing plant and there is no decontamination shower on site. Which of the following would be the BEST way to manage this situation?

Accepted Answer

C) Brush away as much of the powder as possible and then have the patient hold his hands under running water from a faucet or regular garden hose.

Question 47

You assess a 35-year-old female patient with a chemical burn to her right forearm and hand. As you assess the burn, you notice a white powder on the burn. What should be your next step?

Accepted Answer

B) Brush the powder off the patient\'s arm and hand, and then flush with copious amounts of water.

Question 48

You are dispatched to an industrial plant for a burn. You arrive and find a 60-year-old male who came in contact with a broken steam line and appears to have partial thickness burns on both hands and arms. He is lying on the ground and coworkers are gently spraying him with water from a nearby hose. What should you do?

Accepted Answer

C) Care for the burn and do a complete patient assessment, including cervical spine precautions.

Question 49

Which of the following is of concern in a patient who received burns to his hand when he grabbed a live electrical wire?

Accepted Answer

A) The extent of tissue damage may be much greater than it appears on the surface.

Question 50

When managing an electrical burn, the EMT should:

Accepted Answer

B) check for a source and ground burn injury.

Question 51

Which of the following statements is incorrect regarding an electrical injury?

Accepted Answer

C) Injury is usually limited to the area around the source and ground burns.

Question 52

Which of the following injuries requires the use of an occlusive dressing?

Accepted Answer

D) All of the above

Question 53

Which of the following is a desirable characteristic of dressings used in the prehospital management of most open wounds?

Accepted Answer

D) Sterile

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