Emergency Or Life-threatening Situations

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Question 1

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Multiple Choice

During initial ABCDE assessments of life-threatening conditions, D (disability) in neurologic status is assessed by the patient's:

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pupil size.

degree of responsiveness.

nuchal rigidity.

mood and affect.

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Question 2

Free

Multiple Choice

You have gone by ambulance to a construction site where an adult male is lying on the street. The only information you have is that he fell three stories. His neck is immobilized with sacks of concrete mix on either side. Your first action should be to determine:

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airway patency.

bleeding sites.

cranial nerve function.

limb position.

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Question 3

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Multiple Choice

The ABCs of a primary survey would be interrupted to:

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complete the assessment record.

manage life-threatening conditions.

reassess the patient's temperature.

transport the patient via airlift.

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Question 4

Free

Multiple Choice

The term status epilepticus is defined as:

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convulsive activity uncontrolled by medication.

nonconvulsive brain wave disturbance, with psychomotor dysfunction.

prolonged seizures that occur without recovery of consciousness.

seizures that result in hypotension, pallor, and prolonged diaphoresis.

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Question 5

Free

Multiple Choice

Pulsus paradoxus greater than 20 mm Hg, tachycardia greater than 130 beats/min, and increasing dyspnea are signs of:

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intracranial pressure.

pulmonary hypertension.

status asthmaticus.

tetanic contractions.

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Question 6

Multiple Choice

The Cushing triad includes:

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tachycardia.

irregular respirations.

tachypnea.

constricted pupils.

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Question 7

Multiple Choice

Blood, vomitus, and foreign bodies are removed from the oropharynx of the unconscious patient by:

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stimulating the cough reflex.

using a sweeping motion with the finger.

performing a back thrust.

using suction.

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Question 8

Multiple Choice

While performing the primary survey on a trauma victim, the patient is answering your questions. You may assume that during the time of the questioning:

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his airway is open.

he is alert and oriented.

no head injury has occurred.

there is no respiratory compromise.

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Question 9

Multiple Choice

If trauma above the clavicle is suspected, it is important to:

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test range of motion of the neck.

remove any headgear.

arrange for neck extension x-ray studies.

stabilize the neck in a neutral position.

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Question 10

Multiple Choice

Paradoxical chest movement suggests a:

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spontaneous pneumothorax.

flail chest.

clavicle fracture.

pulmonary contusion.

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Question 11

Multiple Choice

Respiratory distress may be evidenced by:

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retractions of accessory muscles.

bradycardia.

flushed skin.

decreased capillary refill time.

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Question 12

Multiple Choice

On palpating the chest wall of a trauma patient, you feel subcutaneous crepitus (emphysema), which is a sign that:

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air has leaked into soft tissue.

a fracture underlies the injury.

a foreign body is present.

there is vascular obstruction.

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Question 13

Multiple Choice

Clear or amber drainage from the nose or ears of a blunt trauma patient may indicate:

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epiglottitis.

a retropharyngeal abscess.

a basilar skull fracture.

a perforated tympanic membrane.

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Question 14

Multiple Choice

Delayed capillary refill may alert you to:

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hypovolemic shock.

moderate hypoxemia.

subnormal intracranial pressure.

upper respiratory infection.

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Question 15

Multiple Choice

Capillary refill can be assessed by applying pressure over a nail bed or a(n):

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bony prominence.

eyelid.

mucous membrane.

femoral vein.

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Question 16

Multiple Choice

The secondary survey of a patient with hypotension would begin with the assessment of:

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blood type.

level of consciousness.

number of fractures.

swallowing ability.

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Question 17

Multiple Choice

You would complete a Glasgow Coma Scale rating during the:

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health history.

physical examination.

primary survey.

secondary survey.

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Question 18

Multiple Choice

Mr. Stinson is a 34-year-old patient who presents to the emergency department after an auto accident. On examination, you note raccoon eyes and a positive Battle sign. Raccoon eyes and the Battle sign are associated with:

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multisystem trauma.

orbital fractures.

basilar skull fractures.

subdural hematoma.

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Question 19

Multiple Choice

A life-threatening condition is recognized with the assessment of:

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pain with downward pressure on both anterior superior iliac spines.

guarding and intense pain with deep palpation of the abdomen.

distant and muffled heart sounds, with distended neck veins.

severe throbbing pain in one eye, with photophobia.

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Question 20

Multiple Choice

The application of blunt sternal pressure is used to detect:

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a fracture of attached ribs.

the motor function of the T7 dermatome.

pneumothorax.

cardiac contusion.

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