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49) You have responded to a local pool for a drowning patient. Lifeguards have pulled the patient
out of the pool prior to your arrival. You find a 22-year-old male patient unresponsive with
agonal respirations and a weak carotid pulse. Bystanders state the patient was not using the
diving board and was found in the shallow end. Why are cervical spine precautions necessary?
A) The patient may have suffered a spinal injury by jumping in shallow water.
B) The patient may have suffered a cervical spine injury when pulled out of the water.
C) The patient may have been using the diving board after all and injured his cervical spine.
D) The patient may have hit his head on the side wall while swimming laps.
Objective: 31.10
50) You respond to a boat dock for a diving injury. You find a 24-year-old male patient
unresponsive with frothy blood in the mouth and lung sounds absent on the right side. The
patient's friends state they were diving when he came out of the water complaining of chest pains
and then collapsed. What condition do you suspect?
A) Myocardial infarction
B) Decompression sickness
C) Air embolism
D) Near drowning
Objective: 31.10
21
51) You have responded to a local pool for a drowning patient. Lifeguards have pulled the patient
out of the pool prior to your arrival. You find the 16-year-old patient unresponsive with agonal
respirations and a weak carotid pulse. What is your first action?
A) Apply high-concentration oxygen by nonrebreather mask.
B) Apply high-concentration oxygen by bag-valve mask.
C) Insert a Combitube.
D) Insert an oropharyngeal airway.
Objective: 31.11
52) You respond to a boat dock for a diving injury. You find a 24-year-old male patient
unresponsive with frothy blood in the mouth and lung sounds absent on the right side. The
patient is breathing 28 times a minute. The patient's friends state they were diving when he
unexpectedly came out of the water complaining of chest pains and then collapsed. What is your
first action?
A) Insert an oropharyngeal airway.
B) Place the patient on high-concentration oxygen by nonrebreather mask.
C) Place the patient on high-concentration oxygen by bag-valve mask.
D) Suction the airway.
Objective: 31.11
22
53) Which of the following occurs when gases leave a damaged lung in a diving accident and
enter the bloodstream?
A) Arterial thrombosis
B) Arterial blood gases
C) Hyperbaric arterial injury
D) Arterial gas embolism
Objective: 31.11
54) Which of the following is caused by trapped nitrogen gas in the tissues due to a rapid ascent
from a scuba dive?
A) "Squeeze" injuries of the ear and sinuses
B) Pulmonary embolism
C) Decompression sickness
D) Nitrogen narcosis
Objective: 31.11
55) Which of the following increases a scuba diver's risk of decompression sickness?
A) Taking cold or sinus medications before a dive
B) Flying within several hours after a dive
C) Diving on a full stomach
D) Breathing 100% oxygen before a dive
Objective: 31.11
23
56) You arrive on the scene to find a scuba diver on board a boat slumped over in the captain's
chair with frothy blood in his mouth. The captain states that the diver was down no more than 15
feet when he ascended rapidly and called for help. Which of the following is most likely?
A) Decompression sickness
B) The bends
C) Air embolism
D) Caisson's disease
Objective: 31.11
57) You respond to a boat dock for a diving injury. You find a 22-year-old female patient
unresponsive with frothy blood in the mouth and lung sounds absent on the right side. The
patient is breathing 28 times a minute. The patient's friends state they were diving when she
unexpectedly came out of the water complaining of chest pains and then collapsed. The nearest
hospital is 25 minutes away and the nearest specialty resource center with a hyperbaric chamber
is 30 minutes away. What is the best decision when determining transport?
A) Transport the patient by ground to the specialty center.
B) Transport the patient by air medical to the specialty center.
C) Transport the patient to the nearest facility.
D) Transport the patient by air medical to the nearest facility.
Objective: 31.11
24
58) You are enjoying some time at the beach on your day off when you hear a swimmer crying
for help. As you spot the swimmer about 30 feet from shore, she cries out again but appears to be
getting weaker. Although there is no lifeguard on duty, there is a rowboat and a ring buoy
available. Assuming you do NOT know how to swim or consider yourself a poor swimmer,
which of the following should you do first?
A) Row the boat out to the swimmer.
B) Use the buoy to float out to the swimmer.
C) Find someone who can swim to try to swim out and save the swimmer.
D) Call for help and try to throw the buoy to the swimmer.
Objective: 31.12
59) To rescue someone who has fallen through the ice, which of the following is the safest device
to use?
A) Jet-ski
B) Flat-bottomed aluminum boat
C) Ladder
D) Ring buoy
Objective: 31.12
25
60) Which of the following spiders can cause a characteristic wound with a bite that is often
painless?
A) Brown recluse spider
B) Sheet web spider
C) Argiope spider
D) Black widow spider
Objective: 31.13
61) Which of the following is acceptable in the management of a patient stung by a honey bee?
A) Soak the affected area in warm water.
B) Pull the stinger out using tweezers.
C) Remove jewelry from any affected limbs.
D) Elevate the affected site above the level of the heart to reduce swelling.
Objective: 31.13
26
62) You respond to the scene of a local campground. Your patient is a 15-year-old female patient
who was stung in the arm by a bee. The patient is anxious and hyperventilating at 28 times a
minute. The patient is alert and oriented to time, place, person, and event. Lung sounds are clear
bilaterally. The left arm is swollen and the stinger is not present. Blood pressure is 118/72 and
pulse is 110. The patient's mother states she is allergic to bee stings and has an epinephrine auto-
injector. She called 911 because she was afraid the patient would stop breathing. Which of the
following is the best treatment plan?
A) Place a constricting band around the arm to minimize the spread of the venom.
B) Assist the patient in administering her epinephrine auto-injector.
C) Monitor the patient for shock and transport.
D) Place the patient in the Trendelenburg position.
Objective: 31.13
63) You respond to a farm for a possible snake bite. You find a 36-year-old male patient seated
against a tree. Bystanders state the patient was bitten on the arm by a rattlesnake and is "really
sick." As you approach, you notice that the patient appears in obvious distress, diaphoretic, and
holding his right wrist. Which of the following is your highest priority?
A) Perform a primary assessment and identify any potential life threats.
B) Confirm the type of snake and contact medical control for specific instructions.
C) Immediately apply a constricting band to minimize the spread of the venom.
D) Confirm the location and status of the snake.
Objective: 31.13
27
64) Where should a constricting band be placed to reduce lymphatic flow after a venomous snake
bite?
A) 2 inches above the bite
B) 2 inches below the bite
C) 2 inches above and 2 inches below the bite
D) None of the above
Objective: 31.13
65) The purpose of a constricting band after a venomous snake bite is to impede the flow of
which of the following?
A) Lymph
B) Arterial blood
C) Venom
D) Both A and C
Objective: 31.13
66) Of the following venomous snakes, which one usually has the highest incidence of a "dry
bite?"
A) Coral snake
B) Water moccasin
C) Mississauga rattlesnake
D) Copperhead
Objective: 31.13
28
67) Which of the following could worsen the effects of a snake bite?
A) Application of ice
B) Cutting and suctioning out the venom
C) Constricting bands above and below the bite
D) Having the patient lie still
Objective: 31.13
68) Which of the following types of snake is NOT a pit viper?
A) Water moccasin
B) Rattlesnake
C) Coral snake
D) Copperhead
Objective: 31.13
69) Reducing the pain of a marine animal sting can be accomplished by rinsing the affected area
with which of the following?
A) Sterile saline solution
B) Gasoline or kerosene
C) Cold water
D) Vinegar
Objective: 31.13
29
