Question 1

A man who fell from a 15 foot ladder broke his right humerus but otherwise has no complaints. You should

Accepted Answer

A)  test the man's nerve sensations near the affected area. 
B)  transport to a trauma center for an internal bleeding examination. 
C)  provide the man with a splint and some extra dressings from your medical kit. 
D)  refer the man to visit his primary physician on his own time. 
A)  test the man's nerve sensations near the affected area. 
B)  transport to a trauma center for an internal bleeding examination. 
C)  provide the man with a splint and some extra dressings from your medical kit. 
D)  refer the man to visit his primary physician on his own time.

Question 2

What is happening if a patient is having a splenic hemorrhage?

Accepted Answer

A)  There is a massive blood clot in the spleen. 
B)  The lymph vessels are torn. 
C)  The spleen is engorged with blood. 
D)  There is a massive blood loss from the spleen. 
A)  There is a massive blood clot in the spleen. 
B)  The lymph vessels are torn. 
C)  The spleen is engorged with blood. 
D)  There is a massive blood loss from the spleen.

Question 3

Your patient burned his hand in a camp fire. How should you treat his burn?

Accepted Answer

A)  Pour ice water over it. 
B)  Rub petroleum across it. 
C)  Wrap it in a wet towel. 
D)  Cover it in dry dressings. 
A)  Pour ice water over it. 
B)  Rub petroleum across it. 
C)  Wrap it in a wet towel. 
D)  Cover it in dry dressings.

Question 4

What is a splint?

Accepted Answer

A)  A device that stops all blood circulation to an arm or leg. 
B)  A device used to apply pressure to a large open wound. 
C)  A device used to limit movement of an injured arm or leg. 
D)  A device that restrains the movement of the cervical spine. 
A)  A device that stops all blood circulation to an arm or leg. 
B)  A device used to apply pressure to a large open wound. 
C)  A device used to limit movement of an injured arm or leg. 
D)  A device that restrains the movement of the cervical spine.

Question 5

How does the skin appear in a full thickness burn?

Accepted Answer

A)  The color is red and there are usually no blisters. 
B)  The color ranges from yellow to black and has a leathery or waxy texture. 
C)  The entry site is leathery and the exit site is blackened. 
D)  The color ranges from pink to maroon and has blisters. 
A)  The color is red and there are usually no blisters. 
B)  The color ranges from yellow to black and has a leathery or waxy texture. 
C)  The entry site is leathery and the exit site is blackened. 
D)  The color ranges from pink to maroon and has blisters.

Question 6

Your patient has a thermal burn on her eye and is wearing contact lenses. You should

Accepted Answer

A)  leave the contact lens in place and administer an irrigating solution. 
B)  have the patient remove her contact lens and administer an irrigating solution. 
C)  have the patient remove her contact lens and apply cool, saline soaked gauze to the eye. 
D)  leave the contact lens in place and apply cool, saline soaked gauze to the eye. 
A)  leave the contact lens in place and administer an irrigating solution. 
B)  have the patient remove her contact lens and administer an irrigating solution. 
C)  have the patient remove her contact lens and apply cool, saline soaked gauze to the eye. 
D)  leave the contact lens in place and apply cool, saline soaked gauze to the eye.

Question 7

What is the definition of an open wound?

Accepted Answer

A)  A soft tissue injury when the skin is intact. 
B)  A torn blood vessel that is hemorrhaging. 
C)  An injury when the skin surface is broken. 
D)  An injury that needs invasive surgery. 
A)  A soft tissue injury when the skin is intact. 
B)  A torn blood vessel that is hemorrhaging. 
C)  An injury when the skin surface is broken. 
D)  An injury that needs invasive surgery.

Question 8

Your patient has a 4 inch stick lodged in her eye. You should

Accepted Answer

A)  stabilize the stick with gauze, place a paper cup over the affected eye, and then dress the unaffected eye. 
B)  stabilize the stick with gauze and place a paper cup over the affected eye. 
C)  fully cover the stick with gauze and also dress the unaffected eye. 
D)  gently remove the stick, apply pressure to the affected eye with moistened gauze, and rapidly transport. 
A)  stabilize the stick with gauze, place a paper cup over the affected eye, and then dress the unaffected eye. 
B)  stabilize the stick with gauze and place a paper cup over the affected eye. 
C)  fully cover the stick with gauze and also dress the unaffected eye. 
D)  gently remove the stick, apply pressure to the affected eye with moistened gauze, and rapidly transport.

Question 9

You arrive on the scene of a multiple car crash and find a victim with tape on his forehead. The tape reads, "TK-1827." This patient

Accepted Answer

A)  is listed in the patient database under TK-1827. 
B)  had a tourniquet applied at 6:27PM. 
C)  received a drug named "TK-1827." 
D)  exhibited signs of tachycardia at 6:27PM. 
A)  is listed in the patient database under TK-1827. 
B)  had a tourniquet applied at 6:27PM. 
C)  received a drug named "TK-1827." 
D)  exhibited signs of tachycardia at 6:27PM.

Question 10

What is the optimal size of a dressing for a wound?

Accepted Answer

A)  Thick enough to absorb all the blood. 
B)  Extending beyond the edges of the wound. 
C)  Slightly smaller than the wound. 
D)  Close to the size of the wound. 
A)  Thick enough to absorb all the blood. 
B)  Extending beyond the edges of the wound. 
C)  Slightly smaller than the wound. 
D)  Close to the size of the wound.

Question 11

About 10-14 days after the initial injury, a contusion will appear

Accepted Answer

A)  green and then yellow. 
B)  purple or blue. 
C)  brownish-yellow. 
D)  as normal skin. 
A)  green and then yellow. 
B)  purple or blue. 
C)  brownish-yellow. 
D)  as normal skin.

Question 12

Your patient was trapped in a house fire for 20 minutes. When firefighters bring him to you, he is unresponsive with obvious burns on his left leg and left arm. You should first

Accepted Answer

A)  calculate the total body surface area burned. 
B)  check for potential airway problems. 
C)  pour cold water over the burns. 
D)  keep the burned extremities below heart level. 
A)  calculate the total body surface area burned. 
B)  check for potential airway problems. 
C)  pour cold water over the burns. 
D)  keep the burned extremities below heart level.

Question 13

What is a sucking chest wound?

Accepted Answer

A)  A chest wound in which the lungs either partially or fully collapse. 
B)  A chest wound in which air enters and exits the pleural cavity with each breath. 
C)  A chest wound in which mucus clots the lung and needs suction for cleaning. 
D)  A chest wound in which the lungs bleed into the abdominal cavity. 
A)  A chest wound in which the lungs either partially or fully collapse. 
B)  A chest wound in which air enters and exits the pleural cavity with each breath. 
C)  A chest wound in which mucus clots the lung and needs suction for cleaning. 
D)  A chest wound in which the lungs bleed into the abdominal cavity.

Question 14

Your patient's finger was amputated in a farming accident. You should

Accepted Answer

A)  reassure the victim that the finger will be reattached. 
B)  have the victim hold the finger in place on his hand. 
C)  place the finger in a paper bag and seal tightly. 
D)  place the finger in a waterproof bag and keep it cool. 
A)  reassure the victim that the finger will be reattached. 
B)  have the victim hold the finger in place on his hand. 
C)  place the finger in a paper bag and seal tightly. 
D)  place the finger in a waterproof bag and keep it cool.

Question 15

Your patient suffered an electric shock on a construction site. His coworkers tell you that he was briefly unresponsive, but now he is alert and oriented and does not want to go to the hospital. You should

Accepted Answer

A)  ask his coworkers to monitor him and call 911 if he becomes ill. 
B)  tell him that he may have internal damage that needs to be assessed at the hospital. 
C)  tell him that very few people survive electrical burns without hospital treatment. 
D)  carefully document his refusal of care. 
A)  ask his coworkers to monitor him and call 911 if he becomes ill. 
B)  tell him that he may have internal damage that needs to be assessed at the hospital. 
C)  tell him that very few people survive electrical burns without hospital treatment. 
D)  carefully document his refusal of care.

Question 16

In a degloving injury,

Accepted Answer

A)  the hands succumb to a crush injury. 
B)  the wrists are lacerated and the radial arteries bleed out. 
C)  all tissue has been stripped down to the bone. 
D)  skin and fatty tissue are stripped away from an extremity. 
A)  the hands succumb to a crush injury. 
B)  the wrists are lacerated and the radial arteries bleed out. 
C)  all tissue has been stripped down to the bone. 
D)  skin and fatty tissue are stripped away from an extremity.

Question 17

Which is most important to be aware of with a lower jaw fracture?

Accepted Answer

A)  The tongue could block the airway. 
B)  A broken maxilla is often accompanied by a black eye. 
C)  Broken teeth could cut your gloves. 
D)  Lower jaw fractures often have significant blood loss. 
A)  The tongue could block the airway. 
B)  A broken maxilla is often accompanied by a black eye. 
C)  Broken teeth could cut your gloves. 
D)  Lower jaw fractures often have significant blood loss.

Question 18

You have wrapped a roller bandage around your patient's wrist. How should you make sure that the bandage is not too tight?

Accepted Answer

A)  Check her finger color and ask the patient if she is comfortable. 
B)  Check her pulse distal to the bandage and evaluate finger color. 
C)  Ask the patient to squeeze your hand and assess her grip. 
D)  Ask the patient whether she can comfortably flex her wrist. 
A)  Check her finger color and ask the patient if she is comfortable. 
B)  Check her pulse distal to the bandage and evaluate finger color. 
C)  Ask the patient to squeeze your hand and assess her grip. 
D)  Ask the patient whether she can comfortably flex her wrist.

Question 19

What is hemophilia?

Accepted Answer

A)  A condition where the hemoglobin carries too much oxygen 
B)  When a major blood vessel has a massive blood loss 
C)  A disorder in which the blood does not clot normally 
D)  The attraction of platelets to the location of an injury 
A)  A condition where the hemoglobin carries too much oxygen 
B)  When a major blood vessel has a massive blood loss 
C)  A disorder in which the blood does not clot normally 
D)  The attraction of platelets to the location of an injury

Question 20

A coworker comes to you with what appears to be a minor chemical burn. You should first

Accepted Answer

A)  cut all clothes off the affected area. 
B)  perform a rapid trauma assessment. 
C)  put on personal protective equipment. 
D)  wash the affected area with water. 
A)  cut all clothes off the affected area. 
B)  perform a rapid trauma assessment. 
C)  put on personal protective equipment. 
D)  wash the affected area with water.

Exam 34: Bleeding and Soft Tissue

A man who fell from a 15 foot ladder broke his right humerus but otherwise has no complaints. You should

What is happening if a patient is having a splenic hemorrhage?

Your patient burned his hand in a camp fire. How should you treat his burn?

What is a splint?

How does the skin appear in a full thickness burn?

Your patient has a thermal burn on her eye and is wearing contact lenses. You should

What is the definition of an open wound?

Your patient has a 4 inch stick lodged in her eye. You should

You arrive on the scene of a multiple car crash and find a victim with tape on his forehead. The tape reads, "TK-1827." This patient

What is the optimal size of a dressing for a wound?

About 10-14 days after the initial injury, a contusion will appear

Your patient was trapped in a house fire for 20 minutes. When firefighters bring him to you, he is unresponsive with obvious burns on his left leg and left arm. You should first

What is a sucking chest wound?

Your patient's finger was amputated in a farming accident. You should

Your patient suffered an electric shock on a construction site. His coworkers tell you that he was briefly unresponsive, but now he is alert and oriented and does not want to go to the hospital. You should

In a degloving injury,

Which is most important to be aware of with a lower jaw fracture?

You have wrapped a roller bandage around your patient's wrist. How should you make sure that the bandage is not too tight?

What is hemophilia?

A coworker comes to you with what appears to be a minor chemical burn. You should first

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