Question 1

Which of the following signifies a failure in the patient's compensatory response to blood loss?

Accepted Answer

A)  Hypotension 
B)  Tachycardia 
C)  Tachypnea 
D)  Pale, cool skin 
A)  Hypotension 
B)  Tachycardia 
C)  Tachypnea 
D)  Pale, cool skin

Question 2

Cold is sometimes used to help control bleeding.When using cold,the following guidelines and statements are true except:

Accepted Answer

A)  it should not be used alone but rather in conjunction with other manual techniques. 
B)  it should be applied directly to the skin; it will not be effective if anything is between the cold agent and the wound. 
C)  it should not be left in place for more than 20 minutes. 
D)  it will reduce pain. 
A)  it should not be used alone but rather in conjunction with other manual techniques. 
B)  it should be applied directly to the skin; it will not be effective if anything is between the cold agent and the wound. 
C)  it should not be left in place for more than 20 minutes. 
D)  it will reduce pain.

Question 3

Which of the following is a characteristic of arterial bleeding?

Accepted Answer

A)  Steady flow 
B)  Dark red color 
C)  Spurting under pressure 
D)  Both B and C 
A)  Steady flow 
B)  Dark red color 
C)  Spurting under pressure 
D)  Both B and C

Question 4

Which of the following is NOT recommended when controlling epistaxis?

Accepted Answer

A)  Pinching the nostrils together 
B)  Keeping the patient calm and quiet 
C)  Having the patient tilt the head backward to elevate the nose 
D)  Placing the unconscious patient in the recovery position 
A)  Pinching the nostrils together 
B)  Keeping the patient calm and quiet 
C)  Having the patient tilt the head backward to elevate the nose 
D)  Placing the unconscious patient in the recovery position

Question 5

You will frequently be called upon to deal with internal bleeding.Blunt trauma is the leading cause of internal injuries and bleeding.Which of the following are mechanisms of blunt trauma that may cause internal bleeding?
1)Falls
2)Motor vehicle or motorcycle crashes
3)Auto-pedestrian collisions
4)Blast injuries

Accepted Answer

A)  1, 2, 3 
B)  2, 3 
C)  1, 2, 3, 4 
D)  1, 4 
A)  1, 2, 3 
B)  2, 3 
C)  1, 2, 3, 4 
D)  1, 4

Question 6

Your patient is a 28-year-old male who cut his thigh with a chain saw.It appears that he has lost about 600 cc of blood.Which of the following is NOT part of the proper management of this patient?

Accepted Answer

A)  Use of a tourniquet 
B)  Replacement of fluid level by giving the patient adequate amounts of water 
C)  Using direct pressure to control the bleeding 
D)  Administering oxygen 
A)  Use of a tourniquet 
B)  Replacement of fluid level by giving the patient adequate amounts of water 
C)  Using direct pressure to control the bleeding 
D)  Administering oxygen

Question 7

Which of the following statements is NOT true when you are on-scene and treating a patient that appears to be in shock?

Accepted Answer

A)  It is important to spend on-scene time to be sure you have corrected and dealt with any of the causes of the shock so that it does not get worse. This is more important than rapid transport. 
B)  The patient should be promptly put on high-concentration oxygen. 
C)  Airway management is of top priority. 
D)  Prompt transportation is a very high priority. 
A)  It is important to spend on-scene time to be sure you have corrected and dealt with any of the causes of the shock so that it does not get worse. This is more important than rapid transport. 
B)  The patient should be promptly put on high-concentration oxygen. 
C)  Airway management is of top priority. 
D)  Prompt transportation is a very high priority.

Question 8

Your patient has attempted suicide by slitting his wrists.You notice that he has run the knife across his wrist,perpendicular to the arm,and that the wound is rather deep.Which of the following statements is true regarding the likelihood for serious blood loss?

Accepted Answer

A)  You should expect severe blood loss. 
B)  There is most likely tremendous internal blood loss. 
C)  Blood loss is probably not life-threatening. 
D)  A tourniquet will probably be necessary. 
A)  You should expect severe blood loss. 
B)  There is most likely tremendous internal blood loss. 
C)  Blood loss is probably not life-threatening. 
D)  A tourniquet will probably be necessary.

Question 9

Which of the following should increase the EMT's suspicion of internal bleeding?

Accepted Answer

A)  Penetrating trauma to the chest or abdomen 
B)  High-speed motor vehicle collision 
C)  Fall from a height three or more times the patient's height 
D)  All of the above 
A)  Penetrating trauma to the chest or abdomen 
B)  High-speed motor vehicle collision 
C)  Fall from a height three or more times the patient's height 
D)  All of the above

Question 10

Which of the following is a classification of the severity of shock?

Accepted Answer

A)  Consumption 
B)  Compensated 
C)  Uncompensated 
D)  Non-compensated 
A)  Consumption 
B)  Compensated 
C)  Uncompensated 
D)  Non-compensated

Question 11

The most common form of a hemostatic agent is hemostatic:

Accepted Answer

A)  granules. 
B)  dressings. 
C)  tourniquet. 
D)  powders. 
A)  granules. 
B)  dressings. 
C)  tourniquet. 
D)  powders.

Question 12

In which of the following vessels does the vital exchange take place and also has the thinnest walls through which oxygen,nutrients,and wastes can pass?

Accepted Answer

A)  Capillaries 
B)  Microvenules 
C)  Arterioles 
D)  Veins 
A)  Capillaries 
B)  Microvenules 
C)  Arterioles 
D)  Veins

Question 13

Which of the following is the MOST sensitive indicator of hypoperfusion?

Accepted Answer

A)  Delayed capillary refill 
B)  Dilation of the pupils 
C)  Increased heart rate 
D)  Altered mental status 
A)  Delayed capillary refill 
B)  Dilation of the pupils 
C)  Increased heart rate 
D)  Altered mental status

Question 14

Which of the following BEST describes the delivery of oxygen and nutrients at the body's cellular level?

Accepted Answer

A)  Hydrostatic pressure 
B)  Perfusion 
C)  Osmosis 
D)  Circulation 
A)  Hydrostatic pressure 
B)  Perfusion 
C)  Osmosis 
D)  Circulation

Question 15

Which of the following is NOT indicated in the management of a patient in shock?

Accepted Answer

A)  Minimizing on-scene time 
B)  Delaying a detailed exam until en route to the hospital 
C)  High-speed ambulance transportation 
D)  On-scene spinal precautions, if indicated 
A)  Minimizing on-scene time 
B)  Delaying a detailed exam until en route to the hospital 
C)  High-speed ambulance transportation 
D)  On-scene spinal precautions, if indicated

Question 16

In the average adult,the sudden loss of ________ cc of blood is considered serious.

Accepted Answer

A)  150 
B)  500 
C)  1,000 
D)  750 
A)  150 
B)  500 
C)  1,000 
D)  750

Question 17

Which of the following is another name for describing the condition of shock?

Accepted Answer

A)  Internal bleeding 
B)  Hypotension 
C)  Hypoperfusion 
D)  Hemorrhage 
A)  Internal bleeding 
B)  Hypotension 
C)  Hypoperfusion 
D)  Hemorrhage

Question 18

Which of the following may occur when there is bleeding from a large vein?

Accepted Answer

A)  Transmission of bloodborne illnesses 
B)  Air embolism 
C)  Hypoperfusion 
D)  All of the above 
A)  Transmission of bloodborne illnesses 
B)  Air embolism 
C)  Hypoperfusion 
D)  All of the above

Question 19

Which of the following is the major cause of shock that the EMT will encounter?

Accepted Answer

A)  Vomiting 
B)  High blood pressure 
C)  Hemorrhage 
D)  Excessive sweating 
A)  Vomiting 
B)  High blood pressure 
C)  Hemorrhage 
D)  Excessive sweating

Question 20

Shock is the circulatory system's failure to provide sufficient blood and oxygen to all the body's tissues.Which of the answers is NOT a major type of shock?

Accepted Answer

A)  Hypovolemic 
B)  Hemorrhagic 
C)  Hypervolemic 
D)  Cardiogenic 
A)  Hypovolemic 
B)  Hemorrhagic 
C)  Hypervolemic 
D)  Cardiogenic

Exam 25: Bleeding and Shock

Which of the following signifies a failure in the patient's compensatory response to blood loss?

Cold is sometimes used to help control bleeding.When using cold,the following guidelines and statements are true except:

Which of the following is a characteristic of arterial bleeding?

Which of the following is NOT recommended when controlling epistaxis?

Your patient is a 28-year-old male who cut his thigh with a chain saw.It appears that he has lost about 600 cc of blood.Which of the following is NOT part of the proper management of this patient?

Which of the following statements is NOT true when you are on-scene and treating a patient that appears to be in shock?

Your patient has attempted suicide by slitting his wrists.You notice that he has run the knife across his wrist,perpendicular to the arm,and that the wound is rather deep.Which of the following statements is true regarding the likelihood for serious blood loss?

Which of the following should increase the EMT's suspicion of internal bleeding?

Which of the following is a classification of the severity of shock?

The most common form of a hemostatic agent is hemostatic:

In which of the following vessels does the vital exchange take place and also has the thinnest walls through which oxygen,nutrients,and wastes can pass?

Which of the following is the MOST sensitive indicator of hypoperfusion?

Which of the following BEST describes the delivery of oxygen and nutrients at the body's cellular level?

Which of the following is NOT indicated in the management of a patient in shock?

In the average adult,the sudden loss of ________ cc of blood is considered serious.

Which of the following is another name for describing the condition of shock?

Which of the following may occur when there is bleeding from a large vein?

Which of the following is the major cause of shock that the EMT will encounter?

Shock is the circulatory system's failure to provide sufficient blood and oxygen to all the body's tissues.Which of the answers is NOT a major type of shock?

Introduction to Emergency Medical Care

The Well-Being of the Emt

Lifting and Moving Patients

Medicallegal and Ethical Issues

Medical Terminology

Anatomy and Physiology

Ventilation, perfusion, and Shock: Understanding Pathophysiology

Life Span Development

Airway Management

Respiration and Artificial Ventilation

Scene Size-Up

The Primary Assessment

Vital Signs and Monitoring Devices

The Secondary Assessment

Communication and Documentation

General Pharmacology

Respiratory Emergencies

Cardiac Emergencies

Diabetic Emergencies and Altered Mental Status

Allergic Reaction

Poisoning and Overdose Emergencies

Abdominal Emergencies

Behavioral and Psychiatric Emergencies and Suicide

Hematologic and Renal Emergencies

Soft-Tissue Trauma

Chest and Abdominal Trauma

Musculoskeletal Trauma

Trauma to the Head, neck, and Spine

Multisystem Trauma

Environmental Emergencies

Obstetric and Gynecologic Emergencies

Pediatric Emergencies

Geriatric Emergencies

Emergencies for Patients With Special Challenges

Ems Operations

Hazardous Materials, multiple-Casualty Incidents,

Highway Safety and Vehicle Extrication

Ems Response to Terrorism

Filters