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26) Your patient is a 28-year-old male who cut his thigh with a chain saw. It appears that he has
lost about 600 cc of blood. Which of the following is NOT part of the proper management of this
patient?
A) Use of a tourniquet
B) Replacement of fluid level by giving the patient adequate amounts of water
C) Using direct pressure to control the bleeding
D) Administering oxygen
Objective: 25.7
27) Your patient is a 12-year-old boy who ran his arm through a glass window and has an 8-inch
laceration on his anterior forearm. You have applied a pressure dressing and bandage, but these
have become saturated due to continued bleeding. Which of the following should you do now?
A) Remove the pressure dressing and bandage, apply an ice pack to the wound, and bandage it in
place with an elastic bandage.
B) Elevate that arm and prepare to apply a tourniquet or consider administering a hemostatic
agent.
C) Apply additional dressing material, bandage it in place, and apply pressure to the brachial
artery.
D) Remove the pressure dressing and bandage, apply direct pressure with your gloved hand, and
elevate the arm.
Objective: 25.7
11
28) If you do not have a commercial tourniquet available, what common device found on the
ambulance can be used as a substitute?
A) Air or vacuum splint
B) Blood pressure cuff
C) Ice packs tied in place with triangle bandage
D) Use a rope tie-down to make a tourniquet
Objective: 25.7
29) The most common form of a hemostatic agent is hemostatic:
A) granules.
B) dressings.
C) tourniquet.
D) powders.
Objective: 25.7
12
30) Which of the following should increase the EMT's suspicion of internal bleeding?
A) Penetrating trauma to the chest or abdomen
B) High-speed motor vehicle collision
C) Fall from a height three or more times the patient's height
D) All of the above
Objective: 25.8
31) As an EMT, your BEST clue indicating the possibility of internal bleeding may be the
presence of:
A) a tender, rigid, or distended abdomen.
B) painful, swollen, or deformed extremities.
C) mechanism of injury.
D) bruising, swelling, or pain over vital organs.
Objective: 25.8
13
32) You will frequently be called upon to deal with internal bleeding. Blunt trauma is the leading
cause of internal injuries and bleeding. Which of the following are mechanisms of blunt trauma
that may cause internal bleeding?
1. Falls
2. Motor vehicle or motorcycle crashes
3. Auto-pedestrian collisions
4. Blast injuries
A) 1, 2, 3
B) 2, 3
C) 1, 2, 3, 4
D) 1, 4
Objective: 25.8
33) Which of the following is another name for describing the condition of shock?
A) Internal bleeding
B) Hypotension
C) Hypoperfusion
D) Hemorrhage
Objective: 25.9
14
34) Which of the following is the MOST sensitive indicator of hypoperfusion?
A) Delayed capillary refill
B) Dilation of the pupils
C) Increased heart rate
D) Altered mental status
Objective: 25.10
35) Which of the following is responsible for most of the signs and symptoms of early shock?
A) Increased respirations of the patient
B) Constriction of the peripheral blood vessels
C) Dilation of the peripheral blood vessels
D) The body's attempts at compensation for blood loss
Objective: 25.10
15
36) Which of the following is NOT a consequence of hypoperfusion?
A) Cellular waste products are not removed.
B) Cells are not supplied with nutrients.
C) Cells are not supplied with oxygen.
D) Aerobic metabolism will continue in the cell.
Objective: 25.10
37) Which of the following is part of the body's compensatory response to blood loss?
A) Blood vessels constrict and the heart rate increases.
B) Blood vessels dilate and the heart rate increases.
C) Blood vessels dilate and the heart rate decreases.
D) Blood vessels constrict and the heart rate decreases.
Objective: 25.10
16
38) Which of the following signifies a failure in the patient's compensatory response to blood
loss?
A) Hypotension
B) Tachycardia
C) Tachypnea
D) Pale, cool skin
Objective: 25.10
17
