Chapter 35

25. The FIRST step for treating a patient who has been contaminated with dry lime is to:

27. A 44-year-old electrician has been shocked. He is responsive to verbal stimuli and has garbled speech. His airway is open and he is breathing shallowly at a rate of eight times per minute. His pulse is slow and irregular. Which one of the following actions should the AEMT perform next?

3. While responding to a domestic emergency with possible injuries, the dispatcher informs you that the police on-scene report a male patient knife cut and arterial bleeding. Given this information, which one of the following do you expect?

17. The rule of palms is BEST used when:

33. The only time an impaled object should be removed is when:

32. Your patient has been impaled on a metal fence. The object is through the medial thigh and the patient is still on the fence. You should:

26. You have been called for a patient who had a large bag of lime powder tear as he was unloading it from a truck. On arrival you notice that the patient is wearing shorts and has lime dust covering both lower legs. He is complaining of leg pain from the chemical powder. Which one of the following should be the AEMT's next immediate action?

20. Which of the following burns would be classified as a moderate burn?

31. Management of a minor laceration should include:

23. Which type of burn denatures the biochemical makeup of cell membranes and destroys the cell?

14. You can differentiate a partial-thickness burn from a superficial burn by the presence of:

41. You are having a difficult time controlling bleeding from a small skin avulsion to a patient's ankle. Which one of the following statements made by the patient BEST explains why control has been difficult to achieve?

9. You are dispatched to a house fire where a 67-year-old male patient has been removed from the structure. The patient is alert and oriented, with obvious burns to the hands. His respirations are 24, pulse 110, and the blood pressure 130/84. He states that the fire started in his television set and that he tried to put it out but could not. As he speaks, hoarseness is developing and blisters are starting to form on his hands. Your major concern with this patient is:

19. A patient walks to your location following an accident involving an afternoon barbeque where the patient tried to light the fire with gasoline. He presents with severely burned hands that are white and have areas of charred, black patches. He is complaining of pain to his upper arms and back with some blistering. This patient has:

5. Puncture wounds have a high risk of:

45. A patient has had part of his right thumb amputated in an industrial accident. Coworkers have retrieved the thumb and wrapped it in a towel. The AEMT demonstrates appropriate handling of the amputated part when he:

4. Despite the visual appearance of soft-tissue injuries like burns, it is important that the AEMT:

38. Which one of the following patients requires the AEMT to remove an impaled object in the field?

39. Because the burn patient's injured tissue will swell, it is important to:

34. You have been dispatched for a patient whose arm was caught in a grinding machine. Assessment reveals a deformed arm covered with a bloody towel. The patient is alert and anxious, and he has a patent airway. His breathing is adequate. Radial pulse is fast but strong. Which one of the following should you do next?

18. You are dispatched to a structural fire in which a 32-year-old man has been burned in a steam blast. Upon assessment, you note blisters to the anterior chest and circumferential burns to both lower extremities. Using the rules of nines, what percentage of burn does this patient have?

36. Prior to your arrival on the scene of a motorcycle crash, an EMR contacts you via radio and reports that there is one patient who has an avulsion to her left arm. As a knowledgeable AEMT, you should anticipate which one of the following?

28. Current fluid resuscitation guidelines recommend:

37. A patient has suffered an open crush injury to his elbow. As you approach, you note the patient sitting upright holding a towel to his elbow. Although the towel is soaked with blood, the elbow does not appear to be actively bleeding. Your FIRST action in caring for this patient should be to:

10. Airway thermal burns are generally associated with injuries to the:

29. Which of the following is the Parkland formula for determining fluid resuscitation in patients with moderate to severe burns?

43. While cleaning a gun, a 44-year-old man accidentally shot himself in the abdomen. On arrival the patient is responsive to painful stimuli and lying on his side with his legs drawn to his chest. Blood is evident on his shirt and pants. Which one of the following shows the CORRECT sequence of events for caring for this patient?

11. Firefighters have pulled a middle-age man from a burning bedroom. The patient is unresponsive and has obvious deformity to his left ankle. His respirations are rapid, stridorous and shallow. Your partner inserts an oropharyngeal airway and begins ventilating the patient with a bag-valvemask. Which one of the following actions would you perform next?

16. A patient has been burned to the entire anterior chest, abdomen, neck and face. Using the rule of nines, approximately what percentage of the patient is burned?

24. You are assessing a patient who was burned when she dropped a hot iron on her bare foot. Her foot is red and has a small partial-thickness burn near the ankle. When completing the prehospital care report, what cause should you document?

6. Care for burns should include:

7. When the skin comes into contact with acids, it forms a thick, insoluble mass at the point of contact. This process is called:

15. The rule of nines identifies topographical regions that are approximately:

21. You are dispatched to a beach where a patient has been sunburned. Upon arrival, you find a 23-year-old woman who was sunbathing and fell asleep. She is alert and oriented, in moderate pain, and has blisters covering all four extremities. She also has blisters on her abdomen, face, and chest. You should consider this patient to have ________ burns.

30. The potential effects of crush injury syndrome when the object is removed from the patient include all of the following EXCEPT:

42. When performing the primary assessment, which one of the following signs or symptoms BEST shows that the patient is in shock?

44. You are called for a 78-year-old woman who fell earlier in the day. As you enter her kitchen, you observe her sitting in a chair with ecchymotic areas to her left cheek and left arm. There also appears to be some blood on her pants. She is on oxygen and appears to have slightly labored respirations. She states that she fell a few hours ago and now the pain and swelling in her arm are unbearable. Which one of the following should you do FIRST?

8. The area in a burn surrounding the zone of coagulation and that is characterized by decreased blood flow is the ________.

12. Treatment of all serious burns includes all of the following EXCEPT:

22. Your patient has come into contact with a strong acid that has created an open wound into the abdomen. You should classify this would as a:

40. Direct pressure has failed to control an arterial bleed on a patient's leg. Which one of the following should the AEMT do next?

1. Your patient who has been involved in a flash fire tells you he was working on a small engine when volatile chemicals ignited and burned him. He has burned facial hair, and you suspect inhalation injury. Considering their depth, you would classify his burns as:

13. Which of the following burn classifications describes a first-degree burn?

35. Which one of the following assessment findings BEST shows that the patient's injury should be classified as an abrasion?

2. A patient has cut his arm with a table saw. Assessment reveals dark red blood flowing steadily from the wound. As an AEMT, you should recognize this as what type of bleeding?