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					                                    RICHMOND TECHNICAL CENTER
                                       EMT B CHAPTER 5, 29 TEST
 Name___________________________________                                                          Date_______________

MULTIPLE CHOICE. Choose the one alternative that best completes the statement or answers the question.
     1) When moving a patient, which of the following is the safest height of the stretcher?
         A) Fully elevated                                         B) Fully lowered
         C) Elevated three-quarters of the way                    D) Midway between highest and lowest position

       2) Which of the following is NOT correct when performing a log-roll?
           A) Lean forward from the hips                           B) Keep your back straight
           C) Roll the patient away from you                      D) Use your shoulder muscles

       3) Which of the following is used to immobilize a patient with a suspected spinal injury?
           A) Basket stretcher           B) Scoop stretcher          C) Long backboard           D) Portable stretcher

       4) You have an unconscious patient who does not have a possibility of spinal injury and who is breathing
          adequately. Which of the following is the best position for transporting the patient?
            A) Fowler's position                                       B) Supine
            C) Semi-Fowler's position                                  D) Recovery position

       5) When moving an object across the floor, which of the following is the best technique?
           A) Standing behind the object and pushing it in front of you
           B) Face away from the object and walk forward, pulling it behind you
           C) Place your back against the object and push backwards with your legs to move the object
           D) Face the object and walk backward, pulling it toward you

       6) Which of the following should NOT be done when using a stair chair?
           A) Lean forward from the hips                         B) Keep your knees straight
           C) Flex your knees                                    D) Lean forward from the waist

       7) Which of the following moves should be used for a patient who has been entrapped in wreckage for a long
          period of time but has now been freed?
            A) Non-urgent move          B) Urgent move              C) Emergency move         D) Elective move

       8) Which urgent move should be performed for a patient seated in a vehicle?
           A) Rapid immobilization                                 B) Rapid extrication
           C) Rapid takedown                                      D) Rapid takeout

       9) When using the Power Lift, which of the following body mechanics is NOT correct?
           A) Raise your upper body prior to your lower body
           B) Raise your lower body prior to your upper body
           C) Keep the weight primarily on the balls of your feet
           D) Your back should be locked in

      10) How far apart should your hands be when using a power grip?
           A) 24 inches                B) 15 inches              C) 10 inches                    D) 12 inches

      11) Which of the following best describes the Trendelenburg position?
           A) Feet elevated 8 to 12 inches above the head
           B) Head elevated 8 to 12 inches above the feet
           C) Patient's knees are bent with the feet flat on the stretcher
      D) Patient is lying flat

12) For a patient without a possibility of spinal injury, which of the following carries should be used to move
    him from a bed to a stretcher?
      A) Extremity carry            B) Extremity lift             C) Direct carry             D) Direct ground lift

13) Where should you position the weight of the object being lifted?
     A) Below your waist                                       B) As close to the body as possible
     C) An arm's length away from the body                     D) As far from the body as possible

14) Which of the following should you use when you want to move a patient from a wheelchair to a stretcher?
     A) Clothing lift             B) Extremity lift        C) Ground transfer         D) Modified direct
                                                                                         lift

15) Which of the following is appropriate when carrying equipment with one hand?
     A) Lead forward for balance                             B) Keep your back straight and locked
     C) Lean to the opposite side for leverage               D) Lean backward for balance

16) Which of the following is the correct position of an EMT-B's feet when lifting?
     A) As close together as possible                           B) Shoulder width apart
     C) Two feet apart                                         D) As wide as possible

17) Which of the methods listed below is best described as moving a patient from the floor to a stretcher by
    having two or more rescuers kneel, curl the patient to their chests, stand, and then reverse the process to
    place the patient on the stretcher?
      A) Power lift                                              B) Direct carry
      C) Draw sheet method                                      D) Direct ground lift

18) Which of the following are goals of lifting and moving patients?
     A) Safety of the patient                                  B) Speed
     C) Safety of the EMS provider                             D) All of the above

19) Which one of the following factors should be considered prior to lifting any patient?
     A) Your physical limitations                             B) The weight of the patient
     C) Communications                                        D) All of the above

20) Which of the following describes the difference between an emergency and an urgent move?
     A) Urgent moves are performed when there are no life-threats
     B) Urgent moves are performed with precautions for spinal injuries
     C) Urgent moves are performed when an emergency move is not possible
     D) Urgent moves are performed when there are major life-threats

21) When placing all fingers and the palm in contact with the object being lifted, you are using which of the
    following?
      A) Power grip                B) Power lift               C) Lock grip                  D) All of the above

22) Which of the following best describes body mechanics?
     A) Movement of the body
     B) Proper use of the body to facilitate lifting and moving objects
     C) Proper use of the body to prevent injury
     D) Both B & C
23) Which of the following is another name for a cot or litter?
     A) Stair chair                                             B) Reeve's stretcher
     C) Wheeled ambulance stretcher                             D) Scoop stretcher

24) Which of the following devices should be used to carry a patient down stairs whenever possible?
     A) Wheeled ambulance stretcher                            B) Basket stretcher
     C) Stair chair                                           D) Scoop stretcher

25) Which of the following situations would require the use of an emergency move?
     A) A patient with a life-threatening condition requires repositioning
     B) The scene is hazardous
     C) You must reach other, more critically injured patients
     D) All of the above

26) You have responded to a nursing home and find an elderly patient in his bed in cardiac arrest. Which type
    of move would you perform to get the patient to a hard surface so you can perform chest compressions?
      A) Emergency move          B) Firefighter's carry       C) Clothing drag            D) Urgent move

27) For which of the following types of patients should a stair chair NOT be used?
      A) A patient who is nauseated                              B) A patient with difficulty breathing
      C) A patient found lying in bed                            D) A patient with a suspected spinal injury

28) When moving a patient down an incline, which part of the body should be first?
     A) Head                   B) Left side                  C) Right side                  D) Feet

29) Which of the following is another name for the squat-lift position?
     A) Power lift                                              B) Olympic lift
     C) Weight lifter technique                                 D) Power grip

30) Which of the following should you do when reaching for something?
     A) Keep your back in a locked-in position
     B) Avoid reaching more than 15 to 20 inches in front of your body
     C) Avoid twisting
     D) All of the above

31) Your patient is pregnant at full term and has been thrown from a horse. She is complaining of back pain.
    Which of the following is the correct procedure for immobilizing her spine?
      A) Place the patient supine on the backboard
      B) Place the patient supine on the backboard, then put a pillow under the right side of the backboard
      C) Place the patient on her left side on the backboard
      D) Use a short immobilization device and transport the patient in a sitting position

32) Which of the following measures is NOT appropriate for a patient with a significant isolated head injury?
     A) Try to keep the patient from being agitated
     B) Treat for shock by elevating the foot of the backboard
     C) Control bleeding from head wounds
     D) Keep the patient from becoming overheated

33) Which of the following statements concerning a concussion is true?
     A) It is accompanied by recurrent episodes of unconsciousness
     B) It is a bruising of the brain tissue
     C) The patient may not have any symptoms of the injury
      D) All of the above

34) Which of the following pieces of equipment is acceptable for use in the prehospital stabilization of suspected
    cervical spine injuries?
      A) Soft cervical collars                                 B) Rigid cervical collars
      C) 5 pound sand bags                                     D) All of the above

35) The proper procedure for opening the airway of an unresponsive trauma patient is:
      A) Sellick's maneuver                                  B) Head-tilt without chin lift
      C) Jaw thrust maneuver                                D) Head-tilt chin-lift

36) When using a short spine immobilization device, which part of the body is secured last?
     A) Legs                    B) Head                     C) Arms                       D) Torso

37) Which of the following signs is LEAST likely to indicate a traumatic brain injury?
     A) Low blood pressure                                       B) Vomiting
     C) Irrational behavior                                     D) Irregular breathing pattern

38) As pressure within the cranium increases, which of the following is the result?
     A) Decreased blood pressure, decreased pulse              B) Decreased blood pressure, increased pulse
      C) Increased blood pressure, increased pulse             D) Increased blood pressure, decreased pulse

39) The maxillae form which of the following structures?
      A) Forehead                 B) Lower jaw                  C) Cheek bones              D) Upper jaw

40) Which of the following is NOT a common field finding in spinal injuries?
     A) Pain                                                 B) Deformity
     C) Tenderness                                           D) Impaired breathing

41) At which point may manual stabilization of the cervical spine be terminated?
      A) After a cervical collar has been applied
      B) When the patient is secured to a long backboard
      C) Only when directed to do so by medical control
      D) After a short immobilization device has been applied

42) In the majority of cases, which of the following is the correct way to provide initial management of a
    suspected cervical spine injury?
      A) Gently apply pressure to the top of the head
       B) Hold the head still in a neutral, "eyes forward" position
       C) Provide approximately 15 pounds of upward cervical traction
      D) Maintain the head and neck in the position they are found

43) Your patient is a 30-year-old construction worker who fell from a scaffolding and has been impaled through
    the right orbit by a 36 inch piece of concrete reinforcement bar. The patient responds to verbal stimuli and
    appears to have multiple other injuries. Which of the following is the best course of action?
      A) Test the reinforcement bar for stability and remove only if it is loose enough to be easily pulled from
          the wound
       B) Transport with the reinforcement bar in place to prevent delay at the scene
      C) Firmly stabilize the reinforcement bar in place so that the rescue crew can cut it short
      D) Remove the reinforcement bar and pack the orbit with sterile moist dressings to keep the scene time
          under 10 minutes
44) Messages from the body to the brain are carried by which of the following types of nerves?
     A) Sensory                   B) Cranial                  C) Skeletal                  D) Motor

45) Which of the following is classified as an open head injury?
     A) Contusion without a skull fracture                       B) Laceration with a skull fracture
     C) Laceration without a skull fracture                     D) Both A & B

46) Which of the following devices is best suited for maneuvering a patient through a narrow hallway?
     A) Flexible stretcher        B) Long backboard            C) Cot                      D) Basket stretcher

47) Which of the following statements regarding body mechanics is true?
     A) Use your legs to lift                               B) Twist your torso while lifting
     C) Position your feet close together                  D) Use your back to lift

48) During an emergency move, which of the following techniques should be used, whenever possible, to
    minimize the possibility of further aggravating a possible spinal injury?
     A) Roll the patient over
      B) Move the patient sideways, alternating moving the shoulders, then the hips
      C) Move the patient in the direction of the long axis of the body
     D) Pull the patient from the feet, not the shoulders

49) You have responded to a multiple casualty incident involving an overturned bus. Patients have been thrown
    around the interior of the bus and several are piled on top of each other. What type of move would you
    perform to gain access to the most critically injured patients?
      A) Urgent move                B) Extremity drag            C) Emergency move          D) Non-urgent move

50) How many cervical vertebrae are there?
     A) 4                        B) 12                           C) 7                             D) 5

51) Which of the following causes worsening of the damage in a brain injury?
     A) Administration of 100% oxygen
     B) Failure to keep the patient awake and talking
     C) Improper management of airway and ventilation
     D) Allowing seepage of cerebrospinal fluid from the ears or nose

52) Which of the following is a sign of a brain injury?
     A) A deep laceration of the scalp                           B) Projectile vomiting
     C) Irregular breathing pattern                              D) All of the above

53) Which of the following is controlled by the left side of the brain?
     A) Movement of both lower extremities                        B) Sensation in the left arm
     C) Movement of the left arm                                  D) Sensation of the right leg

54) Which of the following is a function of the autonomic nervous system?
     A) Solving complex math problems                          B) Constriction of blood vessels
     C) Speaking                                              D) Running or walking

55) Of the following patients, which should receive controlled hyperventilation?
      A) A 25-year-old female victim of battery who is awake but complains of a headache and has bloody fluid
         draining from her nose and left ear
      B) A 70-year-old male who struck his head when he fell in the parking lot and has a large laceration on his
         forehead and is disoriented
      C) A 15-year-old female who was ejected from a vehicle and struck her head on a tree and displays
         decerebrate movements in response to painful stimuli
      D) A 25-year-old male who regained consciousness one or two minutes after being struck on the head by a
         baseball bat and is now asking repetitive questions

56) Which of the following is the underlying cause of spinal, or neurogenic, shock?
     A) Dilation of blood vessels                               B) Blood loss from damaged spinal blood vessels
     C) Failure of the heart to adequately pump blood           D) Extreme emotional response to paralysis

57) In which of the following circumstances should a helmet be removed?
      A) The helmet fits so snugly that you cannot inspect the ears for the presence of blood or fluid
       B) You believe the patient may have a skull fracture and need to palpate the head
       C) The helmet interferes with airway management
      D) You would like to place a nasal cannula on the patient but can't because his ears are covered by the
          helmet

58) Your patient is a 38-year-old male driver of a vehicle that left the roadway and struck a bus stop shelter and
    a tree. He is conscious and alert, he has some abrasions on his forehead, his skin is warm and dry, and he
    has a strong radial pulse and no difficulty breathing. Which of the following descriptions represents the
    most appropriate way for removing the patient from the vehicle?
       A) Have the patient stand up and then do a "standing take-down" onto a long backboard
       B) Application of cervical collar and rapid extrication onto a long backboard
       C) Application of a cervical collar and short spine immobilization device before removing to a long
          backboard
       D) Place the backboard on the stretcher and have the patient stand, turn, and lie down on the backboard
          while you maintain manual in-line stabilization of the cervical spine

59) A 44-year-old male struck the windshield of his vehicle with his face in a 35 mile per hour crash. Which of
    the following injuries should you be prepared to treat?
      A) Brain injury                                          B) Airway obstruction
      C) Cervical spine trauma                                 D) All of the above

60) Which portions of the spine are the most vulnerable to injury?
     A) Thoracic and sacra                                      B) Thoracic and lumbar
     C) Cervical and sacra                                     D) Cervical and lumbar

				
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