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EMT Chapter 26

Total questions: 20

Worksheet time: 15mins

Name
Class
Date
1.

Which of the following body systems or components is the least critical for supplying and maintaining adequate blood flow to the body?

a)

An effectively pumping heart

b)

 An intact system of blood vessels

c)

Adequate blood in the vasculature

d)

The filtering of blood cells in the spleen

2.

Capillaries link the arterioles and the: 

a)

venules

b)

aorta

c)

veins

d)

cells

3.

Hypoperfusion is another name for:

a)

shock

b)

cyanosis

c)

hypoxemia

d)

cellular death

4.

Perfusion is most accurately defined as the:

a)

effective transfer of oxygen from the venules across the systemic capillary membrane walls.

b)

 ability of the systemic arteries to constrict as needed to maintain an adequate blood pressure

c)

 effective removal of carbon dioxide and other metabolic waste products from the body’s cells

d)

circulation of blood within an organ in adequate amounts to meet the body’s metabolic needs

5.

Which of the following organs can tolerate inadequate perfusion for two to three hours?

a)

Brain

b)

Heart

c)

Kidneys

d)

Skeletal muscle

6.

An organ or tissue might better resist damage from hypoperfusion if the:

a)

 body’s demand for oxygen is markedly increased

b)

body’s temperature is considerably less than 98.6°F (37.0°C)

c)

systolic arterial blood pressure is at least 60 mm Hg

d)

heart rate is maintained at more than 100 beats/min

7.

Significant vital sign changes will occur if the typical adult acutely loses more than ______ of his or her total blood volume

a)

5%

b)

10%

c)

15%

d)

20%

8.

The ability of a person’s cardiovascular system to compensate for blood loss is most related to:

a)

his or her baseline blood pressure

b)

 the part of the body injured

c)

how rapidly he or she bleeds

d)

how fast his or her heart beats

9.

A fractured femur can result in the loss of ______ or more of blood into the soft tissues of the thigh

a)

 250 mL

b)

 500 mL

c)

1 L

d)

 2 L

10.

In older patients, the first indicator of nontraumatic internal bleeding might be:

a)

weakness or dizziness

b)

a low blood pressure

c)

diaphoresis and pale skin

d)

a heart rate over 120 beats/min

11.

Gastrointestinal bleeding should be suspected if a patient presents with:

a)

dyspnea

b)

hematuria

c)

hemoptysis

d)

hematemesis

12.

In nontrauma patients, an early indicator of internal bleeding is:

a)

a rapid, thready pulse

b)

rapid, shallow breathing

c)

 dizziness upon standing

d)

a decreasing blood pressure

13.

Most cases of external bleeding from an extremity can be controlled by:

a)

elevating the injured extremity

b)

 packing the wound with gauze

c)

compressing a pressure point

d)

applying local direct pressure

14.

Which of the following splinting devices would be most appropriate to use for a patient who has an open fracture of the forearm with external bleeding?

a)

 Air splint

b)

Vacuum splint

c)

Sling and swathe

d)

Cardboard splint

15.

Bleeding from the nose following head trauma:

a)

 is a sign of a skull fracture and should not be stopped

b)

should be controlled by packing the nostril with gauze

c)

should be assumed to be caused by a fractured septum

d)

is usually due to hypertension caused by the head injury

16.

 Internal bleeding into a fractured extremity is most often controlled by: 

a)

applying a tourniquet

b)

 splinting the extremity

c)

 keeping the patient warm

d)

 applying chemical ice pack

17.

Hypovolemic shock occurs when:

a)

the clotting ability of the blood is enhanced

b)

 low fluid volume leads to inadequate perfusion

c)

the patient’s systolic BP is less than 100 mm Hg

d)

 at least 10% of the patient’s blood volume is lost

18.

The severity of bleeding should be based on all of the following findings, except:

a)

systolic blood pressure

b)

poor general appearance

c)

the mechanism of injury

d)

clinical signs and symptoms

19.

External bleeding from a vein is relatively easy to control because:

a)

 veins carry deoxygenated blood

b)

 veins hold smaller blood volume

c)

veins are under a lower pressure

d)

blood typically oozes from a vein

20.

Early signs and symptoms of intra-abdominal bleeding include:

a)

 bruising only

b)

pain and distention

c)

 widespread ecchymosis

d)

significant hypotension