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Shock / Review from Previous Sections

Total questions: 20

Worksheet time: 10mins

Name
Class
Date
1.
Complications associated with chest compressions include all of the following, EXCEPT:
a)
gastric distension.
b)
rib fractures.
c)
a fractured sternum.
d)
liver laceration
2.
Hemoglobin is a molecule that attaches to ___________ and carries oxygen.
a)
thrombocytes
b)
leukocytes
c)
monocytes
d)
erythrocytes
3.
Your protocols state that during the first few minutes of working on a cardiac arrest patient, you should provide passive ventilation. This means that you will:
a)
time your positive-pressure ventilations to occur during chest recoil.
b)
allow recoil of the chest between compressions to draw air into the lungs.
c)
deliver positive-pressure ventilation at rate of only 5 or 6 breaths/min.
d)
ventilate with a bag-valve mask that is not attached to oxygen.
4.
Shock due to severe infection is called ________.
a)
septic shock 
b)
neurogenic shock
c)
anaphylactic shock
d)
hypovolemic shock
5.
Burns tend to result in hypovolemic shock resultant from a loss in:
a)
whole blood
b)
erythrocytes
c)
plasma
d)
platelets
6.
You recognize that your patient may be in shock, but his body has been able to maintain adequate circulation. You recognize this patient is in:
a)
late shock
b)
irreversible shock
c)
compensated shock
d)
decompensated shock
7.
Clinical signs of labored breathing include all of the following, EXCEPT:
a)
supraclavicular retractions.
b)
gasping attempts to breathe.
c)
use of accessory muscles.
d)
shallow chest movement.
8.
A patient with spontaneous respirations is breathing:
a)
without assistance.
b)
with shallow depth.
c)
without difficulty.
d)
at a normal rate.
9.
Inadequate circulation of blood throughout the body is called ________.
a)
shock
b)
hypotension
c)
hypoxia
d)
perfusion
10.
In order to maintain the function of vital organs, the body will direct blood from organs that are more tolerant of this low flow, such as:
a)
the brain
b)
the heart
c)
the lungs
d)
the skin
11.
Carbon monoxide blocks the ability of the blood to oxygenate the body because it:
a)
causes the body to expel too much carbon dioxide.
b)
destroys the number of circulating red blood cells.
c)
binds with the hemoglobin in red blood cells.
d)
fills the alveoli in the lungs with thick secretions.
12.
Which are of the following is NOT a component of the perfusion triangle?
a)
Heart
b)
Blood Vessels
c)
Blood
d)
Lungs
13.
A 25-year-old unrestrained female struck the steering wheel with her chest when her car hit a tree while traveling at a high rate of speed. She has signs and symptoms of shock, which you suspect are the result of intrathoracic bleeding. Which of the following interventions will provide this patient with the greatest chance for survival?
a)
High-flow oxygen administration 
b)
Rapid transport to a trauma center 
c)
Full immobilization of her spine 
d)
Intravenous fluid administration
14.
You respond to a residence for a patient with a severe leg injury following an accident with a chainsaw. When you arrive, you find the patient, a 44-year-old male, lying supine in the backyard. He has a partial amputation of his right lower leg that is actively bleeding. The patient is conscious and breathing adequately; however, he is restless and his skin is diaphoretic. You should:
a)
apply direct pressure to the wound. 
b)
immediately evaluate his airway. 
c)
assess the rate and quality of his pulse. 
d)
obtain a comprehensive patient history.
15.
While transporting a woman with diabetes, you inadvertently give her oral glucose even though her blood glucose level was high. You reassess the patient and note that her condition did not change; she remained stable. You should:
a)
contact medical control and notify them of the error.
b)
document the error and report it to your supervisor.
c)
notify law enforcement so they can file an incident report
d)
exclude this intervention from the PCR because it did not harm the patient.
16.
According to the National EMS Scope of Practice Model, an EMT should be able to:
a)
administer epinephrine via the subcutaneous route.
b)
assist a patient with certain prescribed medications.
c)
interpret a basic (ECG) rhythm and treat accordingly.
d)
insert a peripheral IV line and infuse fluids.
17.
Which of the following statements regarding agonal respirations is correct?
a)
Agonal respirations are ineffective and need to be assisted.
b)
Agonal respirations are characterized by fast, irregular breaths.
c)
Agonal respirations result in excessive tidal volume.
d)
Agonal respirations typically occur before the heart stops.
18.
A 60-year-old man is found to be unresponsive, pulseless, and apneic. You should:
a)
begin CPR until an AED is available.
b)
start CPR and transport immediately.
19.
When should non-lifesaving interventions be performed for a multisystem trauma patient?
a)
Prior to transport
b)
En route to the hospital
c)
During the primary assessment
d)
immediately after injuries are discovered
20.
Foods, medications, and insects are common causes of:
a)
septic shock
b)
neurogenic shock
c)
psychogenic shock
d)
anaphylactic shock