Question 1

Which of the following BEST explains the reason for minimizing scene-time for the trauma patient with significant hemorrhage or the potential for significant hemorrhage?

Accepted Answer

A)  There is nothing the EMT can do for a patient in shock. 
B)  It gives the EMT less opportunity to make mistakes in the patient's care. 
C)  Studies have indicated that trauma patients who receive surgery within 1 hour of injury have better chances of survival. 
D)  The clock for the "golden hour" of trauma begins at the time of your arrival. 
A)  There is nothing the EMT can do for a patient in shock. 
B)  It gives the EMT less opportunity to make mistakes in the patient's care. 
C)  Studies have indicated that trauma patients who receive surgery within 1 hour of injury have better chances of survival. 
D)  The clock for the "golden hour" of trauma begins at the time of your arrival.

Question 2

Which of the following is the most important reason for controlling external bleeding?

Accepted Answer

A)  To prevent hypoperfusion 
B)  To prevent the spread of infectious diseases 
C)  To make clean-up of the ambulance and your equipment easier after the call 
D)  To prevent the patient from becoming upset at the sight of blood 
A)  To prevent hypoperfusion 
B)  To prevent the spread of infectious diseases 
C)  To make clean-up of the ambulance and your equipment easier after the call 
D)  To prevent the patient from becoming upset at the sight of blood

Question 3

Limiting time spent at a scene can be especially important if the mechanism of injury suggests that the patient could go into shock.In order to keep the time at the scene to a minimum,which of the following assessments or treatments should NOT be performed on the scene?

Accepted Answer

A)  ABCs with spinal precautions 
B)  Immobilization 
C)  Rapid trauma exam 
D)  Splinting swollen extremities 
A)  ABCs with spinal precautions 
B)  Immobilization 
C)  Rapid trauma exam 
D)  Splinting swollen extremities

Question 4

Which of the following distinguishes decompensated shock from compensated stage of shock?

Accepted Answer

A)  Cell damage and death in the vital organs 
B)  Altered mental status 
C)  Delayed capillary refill time 
D)  Low blood pressure 
A)  Cell damage and death in the vital organs 
B)  Altered mental status 
C)  Delayed capillary refill time 
D)  Low blood pressure

Question 5

Which one of the following is incorrect in the application of a tourniquet?

Accepted Answer

A)  The tourniquet should be placed approximately 2 inches above the bleeding. 
B)  The tourniquet should be 2 to 4 inches wide. 
C)  A blood pressure cuff can be used as a tourniquet. 
D)  If possible, the tourniquet should be placed on a joint. 
A)  The tourniquet should be placed approximately 2 inches above the bleeding. 
B)  The tourniquet should be 2 to 4 inches wide. 
C)  A blood pressure cuff can be used as a tourniquet. 
D)  If possible, the tourniquet should be placed on a joint.

Question 6

Which of the following is NOT the purpose of making airway management the highest priority of patient care when managing the patient in shock?

Accepted Answer

A)  It allows for oxygenation of the lungs. 
B)  It allows for improved elimination of carbon dioxide. 
C)  It minimizes the chances of aspiration of blood or vomit. 
D)  It allows the bronchoconstriction of the smaller airways to be reversed. 
A)  It allows for oxygenation of the lungs. 
B)  It allows for improved elimination of carbon dioxide. 
C)  It minimizes the chances of aspiration of blood or vomit. 
D)  It allows the bronchoconstriction of the smaller airways to be reversed.

Question 7

Your patient is a 33-year-old man who has a gunshot wound to his right leg and has active,steady,dark red bleeding.He is awake,pale,and diaphoretic.He has a strong radial pulse of 112 per minute,a respiratory rate of 24 breaths per minute,and a blood pressure of 122/82 mmHg.He has no other injuries or complaints.Which of the following is the BEST sequence of steps in the management of this patient?

Accepted Answer

A)  High-concentration oxygen, elevation of the extremity, and application of ice 
B)  Cervical spine immobilization, high-concentration oxygen, direct pressure, and pressure point compression 
C)  High-concentration oxygen, tourniquet, PASG, and elevation of the extremity 
D)  Direct pressure, high-concentration oxygen, and splinting the leg 
A)  High-concentration oxygen, elevation of the extremity, and application of ice 
B)  Cervical spine immobilization, high-concentration oxygen, direct pressure, and pressure point compression 
C)  High-concentration oxygen, tourniquet, PASG, and elevation of the extremity 
D)  Direct pressure, high-concentration oxygen, and splinting the leg

Question 8

If you do not have a commercial tourniquet available,what common device found on the ambulance can be used as a substitute?

Accepted Answer

A)  Air or vacuum splint 
B)  Blood pressure cuff 
C)  Ice packs tied in place with triangle bandage 
D)  Use a rope tie-down to make a tourniquet 
A)  Air or vacuum splint 
B)  Blood pressure cuff 
C)  Ice packs tied in place with triangle bandage 
D)  Use a rope tie-down to make a tourniquet

Question 9

Which of the following is recommended in situations in which a tourniquet must be used?

Accepted Answer

A)  Apply a bulky dressing and bandage over the tourniquet. 
B)  Apply the tourniquet over the elbow or knee. 
C)  Use a material that is wide and thick. 
D)  Remove the tourniquet as soon as bleeding is controlled to minimize further damage to the limb. 
A)  Apply a bulky dressing and bandage over the tourniquet. 
B)  Apply the tourniquet over the elbow or knee. 
C)  Use a material that is wide and thick. 
D)  Remove the tourniquet as soon as bleeding is controlled to minimize further damage to the limb.

Question 10

Which of the following is the LEAST effective method of controlling bleeding?

Accepted Answer

A)  Direct pressure 
B)  Elevation 
C)  Tourniquet 
D)  Hemostatic agent 
A)  Direct pressure 
B)  Elevation 
C)  Tourniquet 
D)  Hemostatic agent

Question 11

As an EMT,your BEST clue indicating the possibility of internal bleeding may be the presence of:

Accepted Answer

A)  a tender, rigid, or distended abdomen. 
B)  painful, swollen, or deformed extremities. 
C)  mechanism of injury. 
D)  bruising, swelling, or pain over vital organs. 
A)  a tender, rigid, or distended abdomen. 
B)  painful, swollen, or deformed extremities. 
C)  mechanism of injury. 
D)  bruising, swelling, or pain over vital organs.

Exam 25: Bleeding and Shock

Which of the following BEST explains the reason for minimizing scene-time for the trauma patient with significant hemorrhage or the potential for significant hemorrhage?

Which of the following is the most important reason for controlling external bleeding?

Limiting time spent at a scene can be especially important if the mechanism of injury suggests that the patient could go into shock.In order to keep the time at the scene to a minimum,which of the following assessments or treatments should NOT be performed on the scene?

Which of the following distinguishes decompensated shock from compensated stage of shock?

Which one of the following is incorrect in the application of a tourniquet?

Which of the following is NOT the purpose of making airway management the highest priority of patient care when managing the patient in shock?

If you do not have a commercial tourniquet available,what common device found on the ambulance can be used as a substitute?

Which of the following is recommended in situations in which a tourniquet must be used?

Which of the following is the LEAST effective method of controlling bleeding?

As an EMT,your BEST clue indicating the possibility of internal bleeding may be the presence of:

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

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