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62) Your patient is a 30-year-old female involved in a motorcycle crash. She was not wearing a
helmet and struck her head on the pavement. She is unresponsive and has a blood pressure of
152/110 mmHg. Her pulse is 60 beats per minute and respirations are 8 breaths per minute and
shallow. Which of the following is an appropriate intervention?
A) Elevate the legs.
B) Provide cervical spine immobilization.
C) Hyperventilate at a rate of 24 breaths per minute using supplemental oxygen.
D) Apply a pressure dressing to her scalp lacerations.
Objective: 29.12
63) Your patient is pregnant at 20 weeks' gestation 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) Use a short immobilization device and transport the patient in a sitting position.
B) Place the patient supine on the backboard.
C) Place the patient on her left side on the backboard.
D) Place the patient supine on the backboard, then put a pillow under the right side of the
backboard.
Objective: 29.12
28
64) When log-rolling a patient with a suspected spinal injury, which of the following EMTs
directs the move?
A) EMT at the head of the patient
B) EMT with the highest level of training
C) EMT with the most seniority
D) EMT at the heaviest portion of the patient
Objective: 29.12
65) Which of the following is the correct sequence for securing the straps on a long spine board?
A) Legs, torso, head
B) Head, torso, legs
C) Torso, legs, head
D) Head, legs, torso
Objective: 29.12
66) What is the first step in a rapid takedown of a standing patient ?
A) Applying a properly sized cervical collar
B) Positioning a long spine board behind the patient
C) Applying oxygen
D) Manually stabilize the patient’s head and neck
Objective: 29.12
29
67) Your patient was ejected from his motorcycle when he struck a deer late at night on a
deserted highway. He is drowsy and unable to communicate clearly. As you immobilize him on
the long spine board, you find that you are unable to obtain neutral alignment of his spine due to
the large helmet he has on. You should:
A) pad under his shoulders to straighten his neck.
B) tip his head back to gain neutral alignment.
C) place towels on either side of the helmet to stabilize it.
D) remove the helmet to better manage proper alignment.
Objective: 29.12
68) In which of the following circumstances should a helmet be removed?
A) If you suspect a skull fracture and need to palpate the head
B) If you want to place a nasal cannula on the patient but cannot because his ears are covered by
the helmet
C) If the helmet interferes with airway management
D) If the helmet fits so snugly that you cannot inspect the ears for the presence of blood or fluid
Objective: 29.12
30
69) Which of the following measures is NOT appropriate for a patient with a significant isolated
head injury?
A) Treat for shock by elevating the foot of the backboard.
B) Keep the patient from becoming overheated.
C) Try to keep the patient from being agitated.
D) Control bleeding from head wounds.
Objective: 29.13
70) At which point may manual stabilization of the cervical spine be terminated?
A) Only when directed to do so by medical control
B) When the patient is secured to a long backboard
C) After a short immobilization device has been applied
D) After a cervical collar has been applied
Objective: 29.13
31
71) Which of the following describes the proper position of the patient's head for spinal
immobilization?
A) Chin tilted upward for airway maintenance
B) Neutral, in-line "eyes forward" position
C) Stabilized in position found
D) The "sniffing" position
Objective: 29.13
72) Which of the following may be a hazard of an improperly fitting cervical collar?
A) Allows hyperextension of the neck
B) Prevents the patient from opening his mouth
C) Allows flexion of the neck
D) All of the above
Objective: 29.13
32
73) Your 38-year-old male patient has been injured in an assault. He has several facial lacerations
and a large knot on his head. Bystanders say that he was thrown over a large table and landed on
his head and shoulder. As part of your scene size-up and primary assessment, you should:
A) wait for ALS to treat the patient.
B) immobilize his cervical spine.
C) splint any other bone or joint injuries.
D) complete an initial set of vital signs.
Objective: 29.13
74) Your patient has been injured by a fall down a flight of steps. He is alert and oriented but
complains of back and neck pain. You spinal immobilize him on a long spine board with a
cervical collar on his neck as a precaution because you know that the:
A) cervical spine is the most vulnerable part of the spine.
B) lumbar area is rarely injured due to the rib support.
C) thoracic spine is especially vulnerable to injury.
D) coccyx is easily dislocated.
Objective: 29.13
33
75) You are called for a young man who was diving head first off a dock into a lake. Bystanders
say he struck his head on the bottom because the water was too shallow. They said he was not
breathing when they pulled him from the water and they have been performing rescue breathing
for him. He is awake, but he is unable to breathe on his own. What type of damage or injury does
this indicate?
A) Damage to C-3, C-4, or C5
B) Damage to his thoracic spine
C) Closed head injury
D) Open head injury
Objective: 29.13
76) Your patient is a 16-year-old male who ran his truck off of the road and into a ditch. He was
driving just fast enough to cause the air bag to deploy when he hit the ditch. He is complaining of
some neck and shoulder pain. His vital signs are respirations 20, pulse 110, blood pressure
116/80, and pupils equal and reactive. How should you manage this patient?
A) Perform a rapid extrication and spinal immobilize him on a long spine board.
B) Use a short spine board or vest device, then transfer him to a long spine board.
C) Apply a cervical collar, and then rotate him to a long spine board.
D) Place him on oxygen, and then slowly move him to the stretcher.
Objective: 29.13
34
