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As pressure within the cranium increases,which of the following is the result?


A) Decreased blood pressure, decreased pulse
B) Increased blood pressure, decreased pulse
C) Decreased blood pressure, increased pulse
D) Increased blood pressure, increased pulse

E) None of the above
F) A) and D)

Correct Answer

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Your patient is a 16-year-old centerfielder on his high school baseball team.He was injured when he and the left fielder collided trying to catch a fly ball.He is disoriented and is unable to tell you what happened.His vital signs are pulse 88,blood pressure 132/86,respiratory rate 16,and pupils equal.As you assess his head,you do not see any cuts or bleeding,but you feel a spongy,depressed area over his left ear.You should suspect a(n) :


A) closed head injury.
B) skull injury.
C) open head injury.
D) direct injury.

E) A) and B)
F) None of the above

Correct Answer

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Your patient is a 21-year-old male who slid head-first down a water slide at his fraternity house and impacted the bales of straw that his fraternity brothers had erected as a barrier to keep participants from sliding onto the adjacent highway.The patient is conscious and complaining of neck pain.Which of the following should be included in your assessment?


A) If the patient has no numbness or tingling, ask him to stand and try to walk.
B) Apply painful stimuli to his extremities, starting distally and moving closer and closer to the body.
C) Ask the patient to cautiously touch his chin to his chest to check for range of motion.
D) Ask the patient to grasp and squeeze your hands.

E) C) and D)
F) None of the above

Correct Answer

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Which of the following describes the proper position of the patient's head for spinal immobilization?


A) Chin tilted upward for airway maintenance
B) Neutral, in-line "eyes forward" position
C) Stabilized in position found
D) The "sniffing" position

E) A) and D)
F) All of the above

Correct Answer

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Which of the following observations may the EMT use to rule out a spinal injury in a trauma patient?


A) Patient is able to walk at the scene.
B) There is a lack of mechanism of injury.
C) There is a lack of numbness and paralysis of the extremities.
D) Patient denies pain in his spine.

E) All of the above
F) None of the above

Correct Answer

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A 44-year-old male involved in a collision at 50 mph struck the windshield of his vehicle with his face.Which of the following injuries should you prepare to treat?


A) Cervical spine trauma
B) Brain injury
C) Airway obstruction
D) All of the above

E) B) and C)
F) None of the above

Correct Answer

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In most cases,which of the following is the correct way to provide initial management of a suspected cervical spine injury?


A) Hold the patient's head still in a neutral, "eyes forward" position.
B) Gently apply pressure to the top of the patient's head.
C) Maintain the patient's head and neck in the position they are found.
D) Provide approximately 15 pounds of upward cervical traction.

E) B) and D)
F) A) and B)

Correct Answer

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When log-rolling a patient with a suspected spinal injury,which of the following EMTs directs the move?


A) EMT at the head of the patient
B) EMT with the highest level of training
C) EMT with the most seniority
D) EMT at the heaviest portion of the patient

E) All of the above
F) A) and B)

Correct Answer

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Your patient has sustained a serious laceration to his neck.He appears to have lost a lot of blood and you are considering how you will control the bleeding.Your primary treatment should be to place a(n) :


A) pressure dressing.
B) occlusive dressing.
C) dry, sterile dressing.
D) bulky dressing.

E) A) and C)
F) A) and B)

Correct Answer

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To which of the following sections of the spine are the ribs attached?


A) Thoracic
B) Sacral
C) Cervical
D) Lumbar

E) B) and D)
F) B) and C)

Correct Answer

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Which of the following is a sign of possible brain injury?


A) Deep laceration of the scalp
B) Projectile vomiting
C) Irregular breathing pattern
D) All of the above

E) None of the above
F) A) and B)

Correct Answer

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Your patient is a 10-year-old male whose jacket hood caught on a branch as he jumped out of a tree.He was momentarily suspended about 12 inches off the ground but was immediately lowered to the ground by his brothers.Which of the following injuries should you suspect?


A) Cervical spine injury
B) Lumbar spine injury
C) Soft-tissue injury of the neck only
D) Thoracic spine injury

E) A) and D)
F) B) and C)

Correct Answer

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How many cervical vertebrae are there?


A) 7
B) 12
C) 5
D) 4

E) A) and D)
F) None of the above

Correct Answer

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Your patient is a 27-year-old male who has been involved in a motorcycle collision in which he was not wearing a helmet.He does not respond when you speak to him,but he makes incomprehensible sounds when you press your knuckles on his sternum.Which of the following BEST describes his level of consciousness?


A) Alert
B) Verbal
C) Painful
D) Unresponsive

E) A) and B)
F) A) and C)

Correct Answer

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Which of the following is the correct sequence for securing the straps on a long spine board?


A) Legs, torso, head
B) Head, torso, legs
C) Torso, legs, head
D) Head, legs, torso

E) C) and D)
F) B) and D)

Correct Answer

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Which of the following may result from the application of a cervical collar that is too large for the patient?


A) Rotation of the head and neck
B) Hyperflexion of the neck
C) Hyperextension of the neck
D) Excessive lateral movement of the mandible

E) None of the above
F) All of the above

Correct Answer

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