COMPLETE QUESTIONS AND
VERIFIED ANSWERS
◉ What condition should you suspect with the presence of subcutaneous
emphysema following blunt trauma to the anterior neck? Answer:
Fractured larynx.
◉ What is the first step in treating a 22-year-old man who had strong
acid splashed into both of his eyes while wearing contact lenses?
Answer: Remove the contact lenses and begin irrigation of both eyes.
◉ What best describes the pathophysiology of a patient with difficulty
breathing, distended jugular veins, absent breath sounds on one side, and
hypotension after blunt force trauma to the chest? Answer: Increased
pressure in the pleural space is compressing the great vessels.
◉ What should an EMT do for an unresponsive patient with snoring
respirations and a severe arm injury? Answer: Apply a proximal
tourniquet.
◉ What emergency care should be avoided for a 68-year-old man with
partial- and full-thickness burns to his chest and upper extremities?
Answer: Flushing the burns with cool water for 10 minutes.
,◉ What is the correct action after covering a large open chest wound
with an occlusive dressing and needing to ventilate the patient? Answer:
Ensure the dressing remains sealed while ventilating with a bag-mask
device.
◉ What should you do after covering a large open chest wound with an
occlusive dressing and needing to ventilate the patient? Answer:
Remove the occlusive dressing.
◉ Which factor would reduce the blood's natural ability to clot,
worsening bleeding? Answer: Hypothermia.
◉ In which patient would internal or external bleeding be especially
severe? Answer: A patient with hemophilia.
◉ What does it indicate if a patient's chest collapses and abdomen rises
during inhalation? Answer: Spinal cord injury.
◉ What should you do for a man bleeding heavily from a cut on the left
side of the neck with a patent airway? Answer: Cover the wound with an
occlusive dressing and apply direct pressure.
◉ What is the most likely cause of collapse in a baseball player struck in
the chest who is unresponsive and pulseless? Answer: Ventricular
fibrillation.
,◉ What does the presence of a hyphema indicate in a patient with blunt
facial trauma? Answer: Direct trauma to the eyeball.
◉ What assessment finding indicates a patient with a closed lower
extremity fracture may be developing compartment syndrome? Answer:
The pain is greater than one would expect for the injury.
◉ Which assessment finding provides the most information regarding a
head-injured patient's condition? Answer: Mental status.
◉ What should you do if a patient with an open chest wound covered
with an occlusive dressing shows signs of increased heart rate and
decreased oxygen saturation? Answer: Remove the occlusive dressing.
◉ What is the recommended ventilation rate for a patient needing
assistance with a bag-mask device? Answer: Ventilate at 24 breaths/min.
◉ What is the first step in managing a patient with a neck wound who is
bleeding heavily but has an adequate airway? Answer: Apply high-flow
oxygen via a nonrebreathing mask at 15 L/min.
◉ What is a common complication in patients with hemophilia when
experiencing bleeding? Answer: Severe internal or external bleeding.
◉ What should an EMT suspect if a patient shows abnormal chest and
abdominal movement during inhalation? Answer: Ruptured diaphragm.
, ◉ What is the immediate action for a patient with a neck wound and
adequate breathing? Answer: Apply a tight pressure dressing and secure
it in place.
◉ What condition is indicated by a patient being apneic and pulseless
after chest trauma? Answer: Possible myocardial contusion.
◉ What is a sign of compartment syndrome in a limb? Answer:
Increased pain compared to expected injury.
◉ What does a change in mental status indicate in a head-injured
patient? Answer: Potential deterioration in condition.
◉ What should be monitored in a patient with an open chest wound
during transport? Answer: Heart rate, oxygen saturation, and signs of
shock.
◉ What is the significance of a patient becoming pale and diaphoretic
during transport? Answer: Possible hypovolemic shock.
◉ What is the purpose of applying an occlusive dressing to a chest
wound? Answer: To prevent air from entering the chest cavity.
◉ What is the primary concern when managing a patient with a
significant neck injury? Answer: Maintaining airway patency.