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Rough handling of a patient with severe hypothermia may result in which of the following?


A) Ventricular fibrillation
B) Seizures
C) Heart attack
D) Rewarming shock

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

Correct Answer

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Which of the following signs would you NOT expect to see in a patient suffering from severe hypothermia?


A) Numbness
B) Shivering
C) Drowsiness
D) Skin cool to touch

E) All of the above
F) B) and D)

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You are on a stand-by at a local high school football game.One of the football players comes over to the ambulance and complains that his face feels numb and that he has a burning sensation in his fingers.You notice that the patient's cheeks and fingers are bright red.How should you treat the patient?


A) Allow the patient to warm up inside the ambulance by passive rewarming measures.
B) Place the patient inside the ambulance and begin active rewarming measures.
C) Warm the affected areas with gentle rubbing.
D) Tell the patient that his condition is superficial and allow him to return to the game.

E) All of the above
F) None of the above

Correct Answer

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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

E) A) and D)
F) A) and B)

Correct Answer

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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

E) A) and B)
F) A) and D)

Correct Answer

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Which of the following is NOT a classification of localized cold injury?


A) Hypothermia
B) Frostbite
C) Frostnip
D) All of the above

E) B) and D)
F) All of the above

Correct Answer

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The technique for central rewarming requires the application of heat to which of the following areas of the patient's body?


A) Chest, back, neck, and armpits
B) Lateral chest, neck, armpits, and groin
C) Head, neck, chest, and back
D) Head, neck, chest, and groin

E) A) and B)
F) A) and D)

Correct Answer

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Which of the following types of snake is NOT a pit viper?


A) Water moccasin
B) Rattlesnake
C) Coral snake
D) Copperhead

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

Correct Answer

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Why are infants and young children more prone to hypothermia than adults?


A) Their immune system is not fully developed.
B) They are unable to recognize how cold they are.
C) They shiver more than adults.
D) They have less fat than adults.

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

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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

E) C) and D)
F) B) and D)

Correct Answer

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When the body is in water,how many times faster does it lose heat than when it is in still air?


A) 2
B) 100
C) 10
D) 25

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

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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.

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

Correct Answer

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Heat stroke is caused by which of the following mechanisms?


A) Blockage of blood flow to the brain
B) Extreme dilation of all the blood vessels
C) Failure of temperature regulation mechanisms
D) Heat-induced swelling of brain tissue

E) B) and D)
F) B) and C)

Correct Answer

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The term blanching,used to describe localized cold injury,means the tissue has turned to which of the following colors?


A) White or lighter
B) Blue or purple
C) Red
D) Black

E) B) and D)
F) B) and C)

Correct Answer

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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.

E) All of the above
F) None of the above

Correct Answer

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A patient who is lying on cold ground is losing the most amount of heat by what mechanism?


A) Radiation
B) Convection
C) Conduction
D) Shivering

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

Correct Answer

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In which of the following situations would a person lose heat by conduction?


A) Sitting on cold metal bleachers at a football game
B) Wearing wet clothing in windy weather
C) Breathing
D) Going outside without a coat during a cold but calm day

E) B) and D)
F) B) and C)

Correct Answer

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In cases of extreme hypothermia,you will find the patient unconscious,with no discernible vital signs,and skin cold to your touch with stiff joints as if they appear dead.What is the emergency care for these patients?


A) Contact medical control for input into the best treatment for this patient.
B) Call the coroner as indications are the patient is cold and deceased, which is a definitive sign of death.
C) Check distal CSM, apply warming packs to the extremities, and transport the patient.
D) Assess the carotid pulse for 30 to 45 seconds; if there is no pulse, start CPR immediately and prepare to apply the AED.

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

Correct Answer

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Which of the following BEST describes a localized cold injury with a clear line of demarcation of its limits?


A) Early frostnip
B) Late frostbite
C) Immersion foot
D) Deep frostnip

E) A) and D)
F) A) and C)

Correct Answer

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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

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

Correct Answer

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