Quiz Chapter 29

Which of the following terms refers to the delivery of oxygen and nutrients and the removal of wastes at the body's cellular level?

• Perfusion

• Circulation

• Cardiopulmonary response

• Compensation

Which of the following blood vessels cannot stop bleeding by constricting?

• Veins

• Arteries

• Capillaries

• Arterioles

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?

• Direct pressure, high-concentration oxygen, and splinting the leg

• High-concentration oxygen, elevation of the extremity, and application of ice

• Cervical spine immobilization, high-concentration oxygen, direct pressure, and pressure point compression

• High-concentration oxygen, tourniquet, PASG, and elevation of the extremity

Which of the following is the most effective way of controlling external bleeding in superficial wounds?

• Running cold water over the wound

• Elevating the affected part

• Using direct pressure with a dressing

• Using an ice pack

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

• High-speed motor vehicle collision

• Fall from a height two or more times the patient's height

• Penetrating trauma to the chest or abdomen

• All of the above

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

• 1, 2, 3, 4

• 1, 2, 3

• 2, 3

• 1, 4

Which of the following is responsible for most of the early signs and symptoms of shock?

• The body's attempts at compensation for blood loss

• Dilation of the peripheral blood vessels

• Increased respirations of the patient

• Constriction of the peripheral blood vessels

Which of the following is part of the body's compensatory response to blood loss?

• Blood vessels dilate and the heart rate decreases.

• Blood vessels constrict and the heart rate increases.

• Blood vessels constrict and the heart rate decreases.

• Blood vessels dilate and the heart rate increases.

Which of the following statements about neurogenic shock is true?

• Neurogenic shock is the result of the blood vessels decreasing in size.

• Neurogenic shock is caused by the blood vessels overfilling with blood, causing leaking into the nerves.

• Neurogenic shock is sometimes caused by spinal injuries.

• Neurogenic shock is the most common type of shock.

When deciding where to transport a patient who has internal bleeding or who has the potential for internal bleeding, which of the following is the most important service to be provided by the receiving hospital?

• Availability of a chaplain

• Immediate surgical capabilities

• Critical-care nursing

• Rehabilitation services