Multiple Choice
Identify the
choice that best completes the statement or answers the question.
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1.
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You are dispatched to an “ill person.”
Upon arrival, you find a 64-year-old patient who tells you he just doesn’t feel well. He is
anxious and breathing at 26 times per minute, pulse 96 and regular, BP 128/92. He tells you he used
his inhaler for his breathing. He is shaky and his skin is pale, cool, and sweaty. Which of the
following do you suspect is his primary problem?
a. | Difficulty
breathing/respiratory | b. | Chest
pain/cardiac | c. | Altered level of
consciousness/neurological | d. | Behavioral/psychiatric |
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2.
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Which of the following patients does
NOT have an altered mental status?
a. | A 1-year-old who points to his injured foot when asked
where he hurts but does not speak | b. | A 16-year-old who
mumbles “Where am I?” when asked his name | c. | A 64-year-old who yells obscenities when asked what
happened | d. | An 82-year-old who tells you it is morning when it is
actually evening |
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3.
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Which of the following is NOT a
component of the Cincinnati Prehospital Stroke Scale?
a. | Ask the patient to show his or her teeth or
smile. | b. | Have the patient close his or her eyes and hold out both
arms for 10 seconds. | c. | Have the patient
say “You can’t teach an old dog new tricks.” | d. | Shine a light in the patient’s eyes to assess for equality and
reactivity. |
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4.
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You respond to a patient who was complaining of a
severe headache. She has a history of hypertension and heart disease. You find a patient who is
unresponsive with snoring respirations. Care for this patient would include all of the following
EXCEPT _____.
a. | Sitting her in an upright
position | b. | Opening her airway with a jaw
thrust | c. | Completing a more thorough history and
assessment | d. | Administering high
concentration oxygen |
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5.
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You respond to a patient who is confused and is
nauseated and vomiting. Family tells you he is an insulin-dependent diabetic. They tell you he has
been sick a few days and is getting worse. He appears dehydrated. You suspect which of the
following?
a. | Hyperglycemia | b. | Hypoglycemia | c. | The flu with no
diabetic problems | d. | An acute abdomen
with no diabetic problems |
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6.
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You respond to a patient with diabetes. The family
tells you the patient is in insulin shock. Which of the following assessment findings would help you
confirm insulin shock?
a. | The patient took his insulin but did not
eat. | b. | The patient just finished his football
workout. | c. | The patient decreased his usual dose of
insulin | d. | Both a and b |
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7.
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Which of the following statements is
TRUE of a seizure?
a. | It may be caused by problems such as fever, infections,
and low blood sugar. | b. | The body may have
convulsions and may stiffen and violently jerk. | c. | The patient may be
incontinent of stool and urine and sleepy after the seizure. | d. | All of the above |
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8.
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Your patient is complaining of abdominal pain and
is nauseated and vomiting. What other signs and symptoms may be present and suggestive of an acute
abdomen?
a. | Abdominal guarding and shock | b. | Loss of control of bladder and bowel | c. | Loss of sensation to the affected area | d. | Difficulty breathing and headache |
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9.
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You respond to a patient with trouble breathing. It
is 3:00 in the morning and you find the patient sitting up in a chair in her bedroom. She tells you
she has chest pain that is 2 on a scale of 1 to 10 and cannot get her breath. She takes Lasix and
Digoxin. She has a history of heart problems. Her feet are swollen and her lungs have crackles. Her
skin is warm and diaphoretic. Her nail beds are cyanotic. You suspect which of the following
conditions?
a. | Myocardial infarction | b. | Angina | c. | Pulmonary
emboli | d. | Congestive heart
failure |
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10.
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You are a member of a search and rescue team and
find a hiker who was lost. When you assess him, his fingers, nose, and cheeks are white, waxy, and
hard to touch. You suspect which of the following conditions?
a. | Superficial frostbite | b. | Deep frostbite | c. | Cold
shock | d. | Cold stroke |
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11.
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Your patient was found outside on a cold rainy
night. She is unresponsive and cold to the touch. Her carotid pulse is 30 and very weak at the
carotid. She is breathing 6 times per minute and shallow. You suspect which of the following
conditions?
a. | Hyperthermia | b. | Hypothermia | c. | Deep
frostbite | d. | Superficial
frostbite |
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12.
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Care for a patient with deep frostbite to the hand
and fingers would include which of the following?
a. | Breaking the blisters | b. | Rubbing and massaging the area | c. | Encouraging the patient to use his or her hand | d. | Having the patient place his or her hand in the
armpit |
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13.
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You are doing stand-by for a large outdoor concert
in the summer time. It is hot, humid, and mid-afternoon when friends bring a 28-year-old male to you.
He had been playing Frisbee when he started having stomach cramps. He is warm and sweaty and
complaining of abdominal cramps. He is alert and oriented and denies any other medical problems. You
suspect which of the following conditions?
a. | Heat stroke | b. | Heat exhaustion | c. | Heat
cramps | d. | Hypothermia |
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14.
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Your patient was eating at a buffet style
restaurant when she developed difficulty breathing. She has hives and tells you her chest is
“tight.” She has wheezing in her lungs. She is allergic to peanuts. One of the waitresses
confirms that some of the foods were made with peanut oil. You suspect which of the following
conditions?
a. | Anaphylactic reaction | b. | Poisoning due to inhalation | c. | Injection reaction | d. | Asthma |
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15.
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A First Responder should take all of the following
steps when caring for a poisoning patient EXCEPT _____.
a. | Call the poison control
center | b. | Dispose of any vomit to prevent additional
exposure | c. | Try to identify what type and how much poison was
involved | d. | Remove the patient to a safe area if
needed |
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16.
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You are dispatched to the home of a patient who is
threatening to kill himself. Which of the following is your first action?
a. | Do not enter until police officers
arrive. | b. | Try to talk calmly to the
patient. | c. | Distract the patient so your partner can restrain
him. | d. | Explain to the patient what you are
doing. |
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17.
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Which of the following statements describes
arterial bleeding?
a. | Bright red blood spurting from a
laceration | b. | Darker red blood
flowing from a laceration | c. | Dark red blood
oozing from abrasions | d. | Clotted blood in a
wound |
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18.
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Which of the following statements describes venous
bleeding?
a. | Bright red blood spurting from a
laceration | b. | Darker red blood
flowing from a laceration | c. | Dark red blood
oozing from abrasions | d. | Clotted blood in a
wound |
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19.
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Your patient is a 7-year-old child who was hit in
the head with a baseball. He has a wound on his left forehead that is bleeding profusely. Which of
the following describes the first action you should take?
a. | Clean the wound and apply a
dressing. | b. | Apply direct pressure to the
area. | c. | Rinse the area with sterile
water. | d. | Apply pressure to the pressure
points. |
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20.
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You are caring for a patient with large laceration
to his foot. A dressing is in place, but it is soaked with blood. Which of the following describes
the correct action to take?
a. | Remove the dressing and apply another in its
place. | b. | Apply pressure to the
dressing. | c. | Apply an additional dressing on top and then apply
pressure. | d. | Apply a
tourniquet. |
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21.
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In which of the following patients would a
tourniquet be the next choice?
a. | You arrive to find a patient with a 2-inch laceration to
the arm spurting bright red blood. | b. | Your partner has
applied one pressure dressing and it is saturated with blood. | c. | You have applied multiple dressings and attempted pressure points to control
bleeding, but the patient continues to bleed profusely. | d. | Your patient has amputated two toes in a lawn mower incident; there is very
little bleeding present. |
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22.
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Your patient was the driver of a motorcycle that
crashed as he was leaving a party. He had been drinking and was obviously intoxicated according to
witnesses. He is lying on his side mumbling that his leg hurts. His skin is cool, pale, and moist. He
has a small laceration to his lower leg and some abrasions to his arms. He is breathing 36 times per
minute and his heart rate is 136. His radial pulse is weak. Which of the following do you
suspect?
a. | The patient is drunk and his wounds are
minor. | b. | The patient may be going into shock from the injuries to
his arms and leg. | c. | The patient may be
going into shock from internal bleeding. | d. | The patient is
stable, and you should control the bleeding from his arms and
leg. |
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23.
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You respond to a child who fell from a slide. He
has an obviously deformed forearm and has scrapes on his hands and knees that are oozing a small
amount of blood. The scrapes are referred to as ____.
a. | Abrasions | b. | Contusions | c. | Lacerations | d. | Avulsions |
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24.
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A child has fallen on a pair of scissors and
stabbed a hole in his leg. This wound is referred to as a(n) ____.
a. | Abrasion | b. | Avulsion | c. | Laceration | d. | Puncture |
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25.
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A factory worker has caught his arm in a piece of
machinery. A large flap of tissue is hanging loose on his upper arm. The flap of tissue is referred
to as a(n) ____.
a. | Abrasion | b. | Avulsion | c. | Amputation | d. | Laceration |
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26.
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Your patient fell while carrying a glass and has an
avulsion to the palm of his hand. It is bleeding moderately. Which of the following actions should
you take?
a. | Apply direct pressure, add a pressure dressing, and
elevate the hand. | b. | Apply a sterile
dressing and lower the hand. | c. | Apply direct
pressure and put apply pressure to the femoral pressure point. | d. | Apply a pressure dressing, lower the extremity, and check distal
circulation. |
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27.
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Which of the following is NOT a
principle of dressing and bandaging?
a. | Expose the area. | b. | Place a sterile dressing over the area with active bleeding, leave the rest of
the injury exposed. | c. | Maintain direct
pressure to control bleeding. | d. | Add additional
dressings without removing the first dressing, if the dressing becomes soaked with
blood. |
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28.
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Your patient has a gunshot wound to the chest.
Which of the following dressings would be most appropriate?
a. | Gauze with direct pressure | b. | Occlusive dressing with direct pressure | c. | Thick, moist dressing | d. | Occlusive dressing
with an opening to let the air escape |
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29.
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Your patient has a deep laceration to her abdomen.
You see a part of her bowel sticking out of the opening. Which of the following dressings would be
most appropriate?
a. | Gauze with direct pressure | b. | Occlusive dressing with direct pressure | c. | Thick, moist dressing | d. | Occlusive dressing
with an opening to let the air escape. |
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30.
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A 5-year-old patient stepped on a nail. The nail is
sticking out of the top of his foot. Which of the following describes the correct action to
take?
a. | Remove the nail and wash the
area. | b. | Stabilize the nail in place with bulky
dressings. | c. | Stabilize the nail
in place with moist, thick dressings. | d. | Monitor the wound
and package him for transport. |
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31.
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Your patient was involved in a house fire and is
anxious and breathing 24 times per minute. He has burns to his back, legs, and upper arms. Which of
the following is NOT true?
a. | You should be concerned about his airway and an
inhalation injury. | b. | If he becomes
hoarse or has shortness of breath, you should be concerned his airway may close
off. | c. | You should remove all his jewelry and clothing even if
you meet resistance. | d. | You should stop
the burning process by flushing the area with water or saline. |
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32.
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Which of the following statements is
FALSE?
a. | One of the most important priorities in electrical burns
is scene safety. | b. | Electrical burns
may cause an irregular heart beat, so an AED may be necessary. | c. | Electrical burns often follow the body’s nerves and blood
vessels. | d. | The patient’s internal injuries are often much
less severe than the external injuries. |
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33.
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Which of the following statements is
FALSE regarding the musculoskeletal system?
a. | Muscles have a blood and nerve supply, but bones do
not. | b. | It gives the body shape. | c. | It protects the vital organs and provides movement. | d. | It includes the bones, muscle, and connective
tissue. |
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34.
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Which of the following statements is
TRUE regarding the anatomy of the musculoskeletal system?
a. | The axial skeleton is made up of the bones of the
extremities. | b. | The appendicular
skeleton supports most on the weight of the body. | c. | The bones of the upper extremity are the humerus, ulna, and
radius. | d. | The bones of the lower extremity are the pelvis,
vertebra, and thorax. |
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35.
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Your patient is a child who was jumping from a
swing. She fell forward on her outstretched arms. She has a deformed left forearm and is complaining
of pain. You suspect injury to which bones?
a. | Humerus and clavicle | b. | Radius and ulna | c. | Tibia and
fibula | d. | Elbow and
shoulder |
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36.
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Your patient was crushed between a truck and a
loading dock. His pelvis was fractured. Which of the following is a concern?
a. | He may have injured his digestive
organs. | b. | His urinary organs may de
damaged. | c. | He may have significant bleeding and
shock. | d. | All of the above |
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37.
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Your patient is a 56-year-old who fell off a
stepladder and is complaining of ankle pain. You should do which of the following?
a. | Look for deformity and
swelling. | b. | Check a femoral pulse to evaluate distal
circulation. | c. | Check sensation by
having the patient wiggle his toes. | d. | Evaluate movement
by touching the patient’s toes. |
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38.
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The patient is a 26-year-old male involved in a
bicycle crash. He has an open deformed fracture of the forearm. Care for this patient includes which
of the following?
a. | Straighten the arm and immobilize the joint distal to
the injury. | b. | Dress the wound,
immobilize in position found. | c. | Reinsert the bone
ends and immobilize in position found. | d. | Apply direct
pressure, straighten the arm, pad, and splint. |
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39.
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Which of the following statements is
TRUE?
a. | A fracture is another name for a
strain. | b. | Fractures rarely damage nearby soft
tissue. | c. | Fractures are closed
injuries. | d. | It is often difficult to differentiate between a
fracture and a dislocation. |
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40.
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When a muscle is pulled near a joint, it is
referred to as a ____.
a. | Sprain | b. | Strain | c. | Dislocation | d. | Contusion |
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41.
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Your patient was playing football when he was
tackled by another player. He is complaining of left knee pain. You should manually stabilize his
knee by doing which of the following?
a. | Supporting the bones distal and proximal to the
injury. | b. | Holding his ankle and not letting him move his
leg. | c. | Supporting the joints proximal to his
knee. | d. | Pulling slight traction from his
knee. |
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42.
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You respond to a patient who was involved in a
motor vehicle crash. She was not restrained and is complaining of neck pain and difficulty breathing.
Which of the following should you do to manually stabilize the cervical spine?
a. | Hold her head still and tilt her neck to help maintain
her airway. | b. | Slightly flex her
neck until resistance or pain is felt. | c. | Hold her head
still with her eyes forward and the neck hyperextended. | d. | Place her in an eyes forward neutral position and hold her head
still. |
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43.
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Which of the following patients is
LEAST likely to have a neck injury?
a. | A 16-year-old who dove off a dock into shallow
water | b. | A 54-year-old found unresponsive at the foot of a
staircase | c. | An unrestrained 28-year-old driver of a motor vehicle
crash | d. | A 26-year-old who was stabbed in the
chest. |
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44.
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Which of the following signs and symptoms is most
commonly associated with a spinal cord injury?
a. | Paralysis to one side of the
body | b. | Paralysis and numbness of both
legs | c. | Unequal pupils | d. | Bruising or discoloration behind one
ear |
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45.
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Which of the following signs and symptoms is most
commonly associated with a head/brain injury?
a. | Irregular breathing pattern | b. | Altered mental status | c. | Loss of normal
speech | d. | All of the above |
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46.
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Which of the following treatments are indicated for
head injury patients?
a. | Manual stabilization of the head and neck, low
concentration oxygen, head tilt to maintain the airway | b. | Stop bleeding and fluid loss from ears, high concentration oxygen, jaw thrust,
stabilize the spine | c. | High concentration
oxygen, jaw thrust, stabilize cervical spine, control external bleeding | d. | Do not control any bleeding since it may increase intracranial pressure;
assist ventilations as needed. |
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47.
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A patient with an injury to his shoulder is best
splinted using which of the following devices?
a. | Rigid splint | b. | Soft splint | c. | Sling and
swathe | d. | Traction splint |
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48.
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Which of the following are reasons to splint an
injured extremity?
a. | Splints increase the potential for causing an open
injury. | b. | Splints prevent movement of the injured bones or
joints. | c. | Splints increase damage to muscles, nerves, and
joints. | d. | Splints restrict blood flow to the bone ends and
tissue. |
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49.
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A mid-shaft femur fracture is best splinted using
which of the following devices?
a. | Rigid splint | b. | Soft splint | c. | Traction
splint | d. | Sling and swathe |
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50.
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Lightly pressing on a finger and asking a patient
whether he can feel it is an appropriate method to assess which of the following?
a. | Circulation | b. | Sensation | c. | Movement | d. | Tenderness |
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