Chapter 10

​Question 1

A 29-year-old male with a head injury opens his eyes when you speak to him, is confused as to the time and date,

and is able to move all of his extremities on command. His Glasgow Coma Scale (GCS) score is:

Select one:

A. 12.

B. 13.

C. 10.

D. 14.

Question 2

A blood pressure cuff that is too small for a patient’s arm will give a:

Select one:

A. falsely low systolic and diastolic reading.

B. falsely low systolic but high diastolic reading.

C. falsely high systolic and diastolic reading.

D. falsely high systolic but low diastolic reading.

Question 3

A patient’s short-term memory is MOST likely intact if they correctly answer questions regarding:

Select one:

A. time and place.

B. event and person.

C. day and event.

D. person and place.

Question 4

A properly sized blood pressure cuff should cover:

Select one:

A. one half the length between the armpit and the crease at the elbow.

B. two thirds the length from the armpit to the crease at the elbow.

C. the entire upper arm between the armpit and the crease at the elbow.

D. one third the length from the armpit to the crease at the elbow.

Question 5

After performing a primary assessment, a rapid exam of the body should be performed to:

Select one:

A. look specifically for signs and symptoms of inadequate perfusion.

B. identify less-obvious injuries that require immediate treatment.

C. find and treat injuries or conditions that do not pose a threat to life.

D. determine the need for spinal motion restriction precautions.

Question 6

As you assess the head of a patient with a suspected spinal injury, your partner should:

Select one:

A. look in the ears for gross bleeding.

B. prepare the immobilization equipment.

C. assess the rest of the body for bleeding.

D. maintain stabilization of the head.

Question 7

Capnography is used to:

Select one:

A. assess how much oxygen is reaching the body’s tissues.

B. determine how much carbon dioxide is being exhaled.

C. trend a patient’s blood pressure and assess for shock.

D. assess how much oxygen is bound to the hemoglobin.

Question 8

Cyanosis of the skin is caused by:

Select one:

A. venous vasoconstriction.

B. increased blood oxygen.

C. peripheral vasodilation.

D. decreased blood oxygen.

Question 9

In responsive patients who are older than 1 year of age, you should palpate the pulse at the ________ artery.

Select one:

A. radial

B. carotid

C. femoral

D. brachial

Question 10

In the adult, bradycardia is defined as a pulse rate less than _______ beats/min, and tachycardia is defined as a

heart rate greater than _______ beats/min.

Select one:

A. 50, 110

B. 40, 120

C. 30, 130

D. 60, 100

Question 11

The goal of oxygenation for most patients is an oxygen saturation of:

Select one:

A. 88% to 90%

B. 94% to 99%

C. 90% to 94%

D. 100%

Question 12

The goal of the systematic head-to-toe exam that is performed during the secondary assessment is to:

Select one:

A. locate injuries not found in the primary assessment.

B. assess only the parts of the body that are injured.

C. definitively rule out significant internal injuries.

D. detect and treat all non–life-threatening injuries.

Question 13

The systematic head-to-toe assessment should be performed on:

Select one:

A. stable patients who are able to tell you exactly what happened.

B. all patients with traumatic injuries who will require EMS transport.

C. patients with a significant MOI and unresponsive medical patients.

D. responsive medical patients and patients without a significant MOI.

Question 14

Treatment and transport priorities at the scene of a mass-casualty incident should be determined after:

Select one:

A. a physician arrives at the scene.

B. area hospitals have been notified.

C. medical control has been contacted.

D. all the patients have been triaged.

Question 15

When performing a reassessment of your patient, you should first:

Select one:

A. confirm medical history findings.

B. reassess your interventions.

C. obtain updated vital signs.

D. repeat the primary assessment.

Question 16

When you use the palpation method to obtain a blood pressure, the measurement you obtain is the:

Select one:

A. systolic blood pressure.

B. diastolic blood pressure.

C. pulse pressure.

D. cardiac output pressure.

Question 17

Which of the following findings indicates that your patient has a patent airway?

Select one:

A. Unresponsiveness

B. Inspiratory stridor

C. Ability to speak

D. Audible breathing

Question 18

Which of the following is an example of a symptom?

Select one:

A. Tachycardia

B. Headache

C. Cyanosis

D. Hypertension

Question 19

Which of the following medical history questions would be of LEAST pertinence in an acute situation?

Select one:

A. “Does the pain stay in your chest?”

B. “Has this ever happened to you before?”

C. “Does your mother have diabetes?”

D. “Are there medications that you cannot take?”

Question 20

Which of the following would the EMT likely NOT perform on a responsive patient with a headache and no

apparent life-threatening conditions?

Select one:

A. Noninvasive blood pressure monitoring

B. Assessment of oxygen saturation

C. Systematic head-to-toe examination

D. Focused secondary assessment