EMT FISDAP FINAL EXAM LATEST 300 REVIEW

EMT FISDAP FINAL EXAM (LATEST) 300+ REVIEW

QUESTIONS AND CORRECT ANSWERS 2023/2024

• A 43-year-old man is experiencing a severe nosebleed. His blood pressure is 190/110 mm Hg

and his heart rate is 90 beats/min and bounding. Preferred treatment for this patient includes:

• packing both nostrils with gauze pads until the bleeding stops.
• placing a rolled 4² × 4² dressing between his lower lip and gum.
• pinching the patient's nostrils and having him lean forward.
• having the patient pinch his own nostrils and then lie supine.

• A 67-year-old male presents with weakness, dizziness, and melena that began approximately 2

days ago. He denies a history of trauma. His blood pressure is 90/50 mm Hg and his pulse is 120 beats/min and thready. You should be MOST suspicious that this patient is experiencing:

• an aortic aneurysm.
• acute appendicitis.
• gastrointestinal bleeding.
• intrathoracic hemorrhaging.

• A young male was shot in the abdomen by an unknown type of gun. He is semiconscious, has

shallow breathing, and is bleeding externally from the wound. As you control the external

bleeding, your partner should:

• perform a secondary assessment.
• apply a nonrebreathing mask.
• obtain baseline vital signs.
• assist the patient's ventilations.

• Circulation of blood within an organ or tissue in adequate amounts to meet the cells' oxygen,

nutritional, and waste-removal needs is termed .

• perfusion
• hypoperfusion
• coagulation
• hemorrhage

• Following blunt trauma to the abdomen, a 21-year-old female complains of diffuse abdominal

pain and pain to the left shoulder. Your assessment reveals that her abdomen is distended and tender to palpation. On the basis of these findings, you should be MOST suspicious of injury to

the:

• spleen.
• gallbladder.
• pancreas.
• liver. 1 / 4

6. Hypovolemic shock occurs when:

• the patient's systolic blood pressure is less than 100 mm Hg.
• the clotting ability of the blood is enhanced.
• the body cannot compensate for rapid blood loss.
• at least 10% of the patient's blood volume is lost.

• If applying a dressing to control the bleeding of a patient's arm, the EMT should .
• apply direct pressure first
• use large or small gauze pads or dressings depending upon the size of the wound
• cover the entire wound, above and below, with the dressing
• All of these answers are correct.

• If direct pressure fails to immediately stop severe bleeding from an extremity, you should

apply:

• a splint and elevate the extremity.
• a tourniquet proximal to the injury.
• digital pressure to a proximal artery.
• additional sterile dressings.

• In older patients, the first indicator of nontraumatic internal bleeding may be:
• a low blood pressure.
• a heart rate over 120 beats/min.
• diaphoresis and pale skin.
• weakness or dizziness.

10. Internal bleeding into a fractured extremity is MOST often controlled by:

• applying chemical ice pack.
• keeping the patient warm.
• applying a tourniquet.
• splinting the extremity.

• Significant vital sign changes will occur if the typical adult acutely loses more than

of his or her total blood volume.

A. 10%

• 5%

C. 20%

D. 15%

• The severity of bleeding should be based on all of the following findings, EXCEPT:
• systolic blood pressure.
• poor general appearance.
• the mechanism of injury.
• clinical signs and symptoms. 2 / 4

• What mechanism(s) does the body use to control bleeding?
• Clotting
• Coagulation
• Vasoconstriction
• All of these answers are correct.

• Whether you are using a commercial device or a stick and triangular bandage as a tourniquet,

it is important to remember that:

• bulky dressings should be securely applied over the tourniquet to further assist in controlling

the bleeding.

• you should try to control the bleeding by applying pressure to a proximal arterial pressure

point first.

• the tourniquet should be applied directly over a joint if possible because this provides better

bleeding control.

• the tourniquet should only be removed at the hospital because bleeding may return if the

tourniquet is released.

• Which of the following findings would be the MOST significant when assessing a patient

with possible internal bleeding?

• The patient takes rivaroxaban (Xeralto).
• The patient has a history of hypertension.
• The patient has not eaten in 24 hours.
• The patient had a stroke 5 years prior.

• Which of the following splinting devices would be MOST appropriate to use for a patient

who has an open fracture of the forearm with external bleeding?

• Air splint
• Cardboard splint
• Vacuum splint
• Sling and swathe

• Which of the following statements regarding hemophilia is correct?
• Hemophilia is defined as a total lack of platelets.
• Hemophiliacs take aspirin to enhance blood clotting.
• Approximately 25% of the population has hemophilia.
• Patients with hemophilia may bleed spontaneously.

• Which organ or organ system has the greatest tolerance for lack of perfusion (shock)?
• Brain
• Kidneys
• Gastrointestinal system
• Skeletal muscle 3 / 4

• Which portion of the blood carries oxygen to and wastes away from body tissues?
• Red blood cells
• Platelets
• Plasma
• White blood cells

• Which section of the heart receives deoxygenated blood?
• Atria
• Left
• Right
• Ventricles

• A 12-year-old male jumped approximately 12 feet from a tree and landed on his feet. He

complains of pain to his lower back. What injury mechanism is MOST likely responsible for his back pain?

• Lateral impact to the spine
• Secondary fall after the initial impact
• Direct trauma to the spinal column
• Energy transmission to the spine

• A 15-year-old female was struck by a small car while riding her bicycle. She was wearing a

helmet and was thrown to the ground, striking her head. In addition to managing problems associated with airway, breathing, and circulation, it is MOST important for you to:

• leave her bicycle helmet on.
• obtain baseline vital signs.
• stabilize her entire spine.
• inspect the helmet for cracks.

• A young male sustained a gunshot wound to the abdomen during an altercation. As your

partner is assessing and managing his airway, you should control the obvious bleeding and then:

• auscultate bowel sounds.
• assess for an exit wound.
• apply a cervical collar.
• obtain baseline vital signs.

• According to the American College of Surgeons Committee on Trauma (ACS-COT), an adult

trauma patient should be transported to the highest level of trauma center if he or she:

• was involved in a motor vehicle crash in which another patient in the same vehicle was killed.
• has a systolic blood pressure of less than 110 mm Hg or a heart rate greater than 110

beats/min.

• has a bleeding disorder or takes anticoagulant medications and has any blunt or penetrating

injury.

• has a GCS score of less than or equal to 13 with a mechanism attributed to trauma.
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