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Exam 29: Trauma to the Head, neck, and Spine

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Question 41

Multiple Choice

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Which of the following observations may the EMT use to rule out a spinal injury in a trauma patient?

A) Patient is able to walk at the scene.
B) There is a lack of mechanism of injury.
C) There is a lack of numbness and paralysis of the extremities.
D) Patient denies pain in his spine.

E) None of the above
F) C) and D)

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Question 42

Multiple Choice

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Which of the following is a sign of possible brain injury?

A) Deep laceration of the scalp
B) Projectile vomiting
C) Irregular breathing pattern
D) All of the above

E) A) and B)
F) A) and C)

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Question 43

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Your patient is a 21-year-old male who slid head-first down a water slide at his fraternity house and impacted the bales of straw that his fraternity brothers had erected as a barrier to keep participants from sliding onto the adjacent highway.The patient is conscious and complaining of neck pain.Which of the following should be included in your assessment?

To which of the following sections of the spine are the ribs attached?

Your patient is a 27-year-old male who has been involved in a motorcycle collision in which he was not wearing a helmet.He does not respond when you speak to him,but he makes incomprehensible sounds when you press your knuckles on his sternum.Which of the following BEST describes his level of consciousness?

Which of the following is the correct sequence for securing the straps on a long spine board?

A 44-year-old male involved in a collision at 50 mph struck the windshield of his vehicle with his face.Which of the following injuries should you prepare to treat?

Which of the following may result from the application of a cervical collar that is too large for the patient?

In most cases,which of the following is the correct way to provide initial management of a suspected cervical spine injury?

How many cervical vertebrae are there?

When log-rolling a patient with a suspected spinal injury,which of the following EMTs directs the move?

Your patient is a 10-year-old male whose jacket hood caught on a branch as he jumped out of a tree.He was momentarily suspended about 12 inches off the ground but was immediately lowered to the ground by his brothers.Which of the following injuries should you suspect?

Which of the following describes the proper position of the patient's head for spinal immobilization?

Your patient is a 16-year-old centerfielder on his high school baseball team.He was injured when he and the left fielder collided trying to catch a fly ball.He is disoriented and is unable to tell you what happened.His vital signs are pulse 88,blood pressure 132/86,respiratory rate 16,and pupils equal.As you assess his head,you do not see any cuts or bleeding,but you feel a spongy,depressed area over his left ear.You should suspect a(n) :

Your patient has sustained a serious laceration to his neck.He appears to have lost a lot of blood and you are considering how you will control the bleeding.Your primary treatment should be to place a(n) :

As pressure within the cranium increases,which of the following is the result?