24) You are dispatched to an auto repair shop for an “accident.” You arrive and are told by the
owner that one of the workers apparently got his hand in the way while using a high-pressure
grease gun and injected the grease into his hand. You find the patient seated in a chair with a
coworker applying ice to the injured hand. Your examination reveals a minor round laceration in
the hand. The patient is complaining of pain in the area but wants to let the wound take care of
itself and go back to work. What should you do?
A) The patient is correct. This type of wound will heal on its own and he can go back to work.
B) Remove the ice from the wound, then elevate and splint the limb. Transport the patient high
priority.
C) Continue to apply cold, elevate and splint the limb, and transport the patient high priority.
D) Tell the patient that if it does not get better within the next few days he should consult his
own doctor.
Objective: 26.6
25) Which of the following statements is NOT true concerning the proper transport of an avulsed
ear?
A) It should be labeled with the patient’s name, as well as the date and time it was bagged.
B) It should be kept as cool as possible.
C) It should not be immersed in cooled water or saline.
D) It should be in a dry sterile dressing.
Objective: 26.6
11
26) A 36-year-old man has accidentally shot a nail into his thigh while using a nail gun. Under
which of the following circumstances should the EMT remove the nail from the injury site?
A) The nail is less than 2 inches in length.
B) The patient’s distal pulse, motor function, and sensation are intact.
C) Bleeding from the wound is minimal.
D) None of the above
Objective: 26.6
27) In caring for a 27-year-old male who has a large laceration on his anterior forearm, you have
noticed that your pressure dressing has become saturated with blood. Which of the following
should you do next?
A) Remove the saturated dressings and apply a large trauma dressing.
B) Apply an ice pack over the original dressing.
C) Apply a tourniquet.
D) Apply additional dressing material over the top of the original dressing and bandage it in
place.
Objective: 26.6
12
28) Your patient is a 32-year-old man with a fish hook that has perforated his hand between the
thumb and index finger. Which of the following is the best way to manage the situation in the
prehospital setting?
A) Push the hook through the wound to avoid further damage from the barbed end.
B) Leave the hook in place and try not to disturb it.
C) Apply a pressure dressing over the hook.
D) Pull the hook out from the same direction in which it entered the hand.
Objective: 26.6
29) You are caring for a 23-year-old female who fell off of a bicycle and sustained a severe
laceration on the inside of her upper thigh. Her slacks are torn, and you can see most of the
wound. What is the next step?
A) You can treat the wound without total exposure as exposing a wound in that area of the body
could be embarrassing.
B) You need to expose the wound completely because you need to clear away any embedded
particles and debris from the wound.
C) You need to expose the wound completely, control bleeding, clean the surface by simply
removing large pieces of foreign matter if any, and dress and bandage the wound.
D) You need to make sure the wound is very clean before trying to control bleeding by exposing
the wound completely and cleaning it with alcohol.
Objective: 26.6
13
30) A 37-year-old male was hit by a trolley and his foot was almost severed. It is only connected
by some skin and crushed bone. What should you do?
A) Immediately apply a tourniquet to control bleeding.
B) Complete the amputation. It will make the injury much easier to handle.
C) Because of the seriousness of the injury, wait for ALS before providing any care.
D) Apply a pressure dressing to control bleeding, stabilize the foot by splinting, apply oxygen,
and transport as a priority patient.
Objective: 26.6
31) You are treating the amputation of three fingers on a 40-year-old male. The fingers were torn
off while he was cleaning his snow blower. You have stopped the bleeding. What should you do
with the amputated fingers?
A) Fingers cannot be reattached so you can discard them in red bag trash.
B) Because it is cold out, you merely need to wrap them in a 5 × 9 dressing and give them to the
staff at the ED.
C) Wrap them in a sterile dressing, put them in a plastic bag, and keep them cool.
D) Place the fingers directly on ice or use cold packs, as they must be kept very cold.
Objective: 26.6
14
32) Which of the following is recommended when caring for an amputated part?
A) Rinse away debris with saline solution and place the part in a container of ice.
B) Wrap the part in aluminum foil to preserve body temperature.
C) Seal the part in a plastic bag and place it in a pan of water cooled by an ice pack.
D) Always transport the amputated part with the patient.
Objective: 26.6
33) For which of the following patients should the EMT carefully continue to monitor the
patient’s ventilatory status throughout treatment and transport due to the greatest risk of
respiratory failure?
A) 17-year-old male with a blistering sunburn on his face
B) 34-year-old male who opened the radiator of his car and had hot fluid spray on his chest,
resulting in redness and pain in an area about the size of the patient’s hand
C) 28-year-old male who spilled a strong industrial acid on his legs
D) 16-year-old male whose shirt caught on fire, resulting in circumferential burns of his chest
Objective: 26.7
15
34) While assessing a 78-year-old male patient who escaped an apartment fire with partial
thickness burns to both arms, the EMT must be aware of which of the following?
A) Being involved in a crime makes the patient part of the chain of evidence, requiring a police
officer to ride with you to the hospital.
B) The burn is the most serious injury to the patient.
C) Medical conditions may be aggravated by the burn.
D) The patient may need to be questioned by police and fire officials about the cause of the fire.
Objective: 26.7
35) Burns pose a greater risk to infants and children for which of the following reasons?
A) Pediatric patients have a greater risk of heart problems associated with the burn.
B) Pediatric patients have a greater risk of shock from the burn.
C) Infants and children have a greater risk of infection from the burn.
D) None of the above
Objective: 26.7
16
36) You are treating a 5-year-old for extensive burns. You know that burns pose a greater risk to
infants and children. The reason for this is:
A) the parents’ interference with your assessment and treatment can delay your response.
B) the child will likely be upset and crying and therefore hard to evaluate.
C) child abuse is usually the reason for the burns.
D) their body surface area is greater in relation to their total body size.
Objective: 26.7
37) Which of the following BEST describes a partial thickness burn?
A) The skin is red, but dry and painful.
B) The skin is charred or blackened and lacks sensation.
C) The skin is white and dry with no sensation of pain.
D) The skin is red and moist with blister formation.
Objective: 26.8
17
38) A burn extending into the subcutaneous fat would be classified as which type of burn?
A) Deep partial thickness
B) Full thickness
C) Superficial partial thickness
D) Superficial
Objective: 26.8
39) Which of the following is a consideration in determining a burn’s severity?
A) Other illnesses or injuries the patient may have
B) Body surface area (BSA) involved in the burn
C) The type of agent that caused the burn
D) All of the above
Objective: 26.8
18
40) Your patient is a 40-year-old man who was burned when he spilled gasoline on his pants as
he was standing near the pilot light of his hot water heater. He has partial thickness burns from
his feet to just above his knees, and circumferentially around both legs. Using the rule of nines,
which of the following most accurately represents the extent of body surface area burned?
A) 18%
B) 9%
C) 36%
D) 4.5%
Objective: 26.8
41) When using the rule of palm to estimate the approximate body surface area burned, the
patient’s palm equals about what percentage of the body’s surface area (BSA)?
A) 1%
B) 2%
C) 5%
D) 3%
Objective: 26.8
19