Term
1.01 When attending a major trauma patient, the use of the Priority Action Approach helps the attendant:
a)ensure there is no further danger to the attendant of the patient at the scene
b)quickly asses the situation, perform critical interventions and arrange transport to the hospital.
c)treat all patients the same way so that nothing is missed
d)remember to complete the secondary survey prior to treating the patient |
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Definition
| quickly asses the situation, perform critical interventions and arrange transport to the hospital. |
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Term
1.02 Which of the following lists the stages of the priority actions approach?
a)identify hazards, determine the mechanism of injury, make a transport decision, and determine the number of injured workers
b)scene assessment, primary survey, transport decision/critical interventions, and secondary survey.
c)gather equipment, determine the quickest way to get to the worker, locate and summon assistance, and determine the need for rapid transport
d)scene assessment, airway (with C-spine control as required), breathing assessment, and circulatory assessment |
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Definition
| scene assessment, primary survey, transport decision/critical interventions, and secondary survey. |
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Term
1.03 Any action taken by the attendant when correcting life-threatening conditions is referred to as:
a)RTC (rapid transport category)
b)the priority action approach
c)a critical intervention
d)the scene assessment |
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Definition
| c)a critical intervention. |
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Term
1.04 A painter slipped and fell 3 metres to the ground. The patient is face down (prone) on concrete and does not respond to verbal stimuli. When do you establish C-Spine control?
a)after checking the patient's back for injuries
b)immediately after the scene assessment
c)after the primary survey is complete
d)after the patient's breathing has been assessed |
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Definition
| b)immediately after the scene assessment |
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Term
1.05 A patient walks into the first aid room and makes the statement "I hurt my wrist. I think it might be broken!" Which of the following questions should you ask first?
a)is there anyone else hurt?
b)what happened?
c)did you fall and hit your head?
d)did you lose consciousness? |
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Definition
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Term
1.06 A patient has walked into your first aid room complaining of a hand injury. When you assess the patient's appearance Which of the following are you considering?
1. Clothing for grease or oil.
2. breathing distress
3. mechanism of injury
4. level of anxiety
5. skin colour
6. was anyone else hurt |
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Definition
| 2. breathing distress 3. mechanism of injury 6. was anyone else hurt |
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Term
1.07 It is important to give clear instructions to helpers. When instructing untrained helpers to maintain C-spine control you must tell them:
1. to keep elbows firmly braced on knees or ground
2. to tell you if they are having any difficulty
3. not to talk to the patient
4. it is important that the patient's head doesn't move
5. to move quickly out of the way when the ambulance arrive
6. to move their hands when you are conducting an RBS |
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Definition
| 1 to keep elbows firmly braced on knees or ground 2. to tell you if they are having any difficulty 4. it is important that the patient's head doesn't move |
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Term
1.08 You are called to the loading area in a lumber yard. A 20 year old worker has fallen from the top of a stack of pallets. You observe the patient lying between the lumber stacks in the prone position with the head turned to the side. As you approach the accident site your first priority is to assess:
a)the patient's airway
b)hazards to yourself and the patient
c)the patient's breathing
d)for the presence of external bleeding |
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Definition
| b)hazards to yourself and the patient |
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Term
1.09 Which position should the patient be placed, providing the airway is clear, in order to conduct the primary survey?
a) semi-recumbent
b) supine
c) lateral
d) 3/4 prone |
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Definition
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Term
1.10 Which of the following would prevent you from aligning the patient's head and neck?
a) the patient's airway becomes blocked by the tongue
b) resistance is met during rotation c)sandbags are not immediately available
d) the patient has suffered a fall |
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Definition
| b) resistance is met during rotation of the neck |
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Term
| T or F 1.11 An attendant must have his or her certificate at the workplace and must produce the certificate for inspection at the request of an officer of the board. |
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Definition
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Term
| T or F 1.12 Vital signs do not have to be assessed on the patient with a minor wound even if the patient is being referred to a physician. |
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Definition
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Term
| T or F 1.13 All first aid records should be accessible to all workers as they provide good safety messages. |
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Definition
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Term
| T or F 1.14 The worker's direct supervisor has the final say on if and when to transport the injured worker. |
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Definition
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Term
| T or F 1.15 A first aid treatment area of kit must not contain prescription drugs or medications unless approved in writing by a physician or qualified practitioner |
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Definition
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Term
| T or F 1.16 Non-prescription drugs may be kept in the first aid room and workers can help themselves when needed. |
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Definition
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Term
| T or F 1.17 Signs and symptoms of critical incident stress will appear within 24 hours of the incident. |
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Definition
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Term
| T or F 1.18 A defusing session should be held as soon as possible after a critical incident. |
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Definition
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Term
| T or F 1.19 The signs and symptoms of critical incident stress are all emotional in nature (i.e. feelings such as depression, grief, guilt etc.) |
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Definition
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Term
| T or F 1.20 When the ambulance service arrives the attendant will be requested to provide specific information about the patient. |
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Definition
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Term
2.01 What is the main objective of airway management?
a)to ensure that a patient's airway remains open and clear
b)to prevent a partial airway obstruction from becoming complete
c)to constantly monitor a patient's upper air passages for blood or vomitus
d)to conduct ABC reassessments |
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Definition
| a)to ensure that a patient's airway remains open and clear. |
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Term
2.02 Which of the following would NOT provide you with an assessment of the patient's airway?
a)the patient is talking with clear speech
b)the patient accepts and oral airway
c) the patient's chest rises with each ventilation
d) you can feel the patient's breath on your cheek. |
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Definition
| b) the patient accepts an oral airway |
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Term
2.03 If the oral airway becomes obstructed with foreign matter of blood clots you should:
a) remove the airway and position the patient lateral
b) leave the airway in to hold the tongue forward
c) quickly remove, clean and replace the airway
d) leave the airway in and position the patient lateral. |
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Definition
| c) quickly remove, clean and replace the airway |
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Term
2.04 What is the danger of inserting an oral airway that is too small?
a) the patient will gag
b) it will prevent a proper seal with a pocket mask
c) it may cause an airway obstruction
d) it could dislodge dentures |
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Definition
| c) it may cause an airway obstruction |
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Term
2.05 Last week you attended a serious workplace accident. You have been experiencing anxiety, confusion and fatigue. You are likely suffering from:
a) hypoglycemia
b) depression
c) the flu
d) critical incident stress |
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Definition
| d) critical incident stress |
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Term
2.06 Which of the following safety precautions apply to the use and storage of oxygen therapy units?
1) no smoking allowed when oxygen in use
2) cylinders are refilled by authorized personnel only
3) the regulator should be detached when the unit is not in use
4) cylinders must be stored in an upright position
5) keep grease and oil away from all fittings |
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Definition
| 1) no smoking allowed when oxygen in use 2) cylinders are refilled by authorized personnel only 5) keep grease and oil away from all fittings |
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Term
2.07 In your first set of vitals you calculate a patient's level of consciousness using the Glasgow Coma Scale (GCS) to help determine the severity of a head injury. During your ongoing care of the patient what will provide important about the severity of the injury to the patient's brain function?
a) the patient's response to verbal stimuli and ability to accept an oral airway
b) the change and direction of change in the patient's subsequent GCS responses
c) the patient's skin colour, skin temperature, pulse rate and respiratory rate
d) deformity of the skull indicating a possible fracture and bleeding from the scalp. |
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Definition
| b) the change and direction of change in the patient's subsequent GCS |
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Term
2.08 From the list below identify the signs and symptoms which could indicate a possible spinal cord injury.
1) complete loss of feeling the the lower limbs
2) pain and stiffness at the base of the neck
3) partial loss of motor and sensory functions in both arms
4)pain and spasms in the lower lumbar area
5) numbness, tingling or weakness in one or more extremities
6) back pain after a twisting motion |
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Definition
| 1) complete loss of feeling the the lower limbs 3) partial loss of motor and sensory functions in both arms 5) numbness, tingling or weakness in one or more extremities |
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Term
2.09 What information does assessing the temperature, colour and moisture of a patient's skin provide you with?
a) assessing the skin enables you to approximate a patient's blood pressure
b) assessing the skin enables you to gain an understanding of how the circulatory system is functioning so you do not have to assess the pulse
c) the skin will provide you with an indication of the ability of the body to react appropriately with the environment
d) the skin provides an observable indication of how the body organs react to injury. |
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Definition
| d) the skin provides an observable indication of how the body organs react to injury. |
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Term
2.10 When rolling the patient from the prone position, what are the purposes of stopping in the lateral position?
1)change hand positions
2)check the patient's back
3)perform the primary survey
4)assess the patient's airway
5) attempt to ventilate the patient |
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Definition
| 1) change hand positions 4) assess the patient's airway |
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Term
| 2.11 T or F A stoke patient with a decreased level of consciousness must not be left unattended with a mask affixed to the face as they may aspirate if vomiting occurs. |
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Definition
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Term
| 2.12 T or F A patient with a CVA may not be able to talk and are usually not able to hear what is going on around them |
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Definition
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Term
| 2.13 T or F Stroke patients with a decrease level of consciousness will often have airway and respiratory problems |
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Definition
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Term
| 2.14 T or F Petit Mal seizures are common in adults and are often mistaken for epilepsy |
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Definition
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Term
| 2.15T or F Grand Mal seizures follow a classic pattern and the patient will have an aura just prior to the seizure |
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Definition
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Term
| 2.16 T or F A focal motor seizure may progress to a grand mal seizure. |
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Definition
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Term
| 2.17 T or F Status epilepticus is a life-threatening medical emergency |
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Definition
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Term
| 2.18 T or F It is important to place a bite stick in the mouth of a patient having convulsions |
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Definition
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Term
| 2.19 T or F Seizures are the manifestation of a massive discharge of electrical impulses from the brain cells. |
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Definition
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Term
| 2.20 T or F After a seizure the patient is usually confused, with no memory of the seizure. |
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Definition
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Term
3.01 A patient has walked to your first aid room complaining of a hand injury. What is the purpose of assessing the patient's initial appearance?
a) to determine how badly the hand is injured
b) to determine if the patient is going to medical aid
c) to determine whether a complete primary survey must be conducted
d) to determine the need for C-spine control |
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Definition
| c) to determine whether a complete primary survey must be conducted |
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Term
3.02 What is the most effective method a first aid attendant can use to prevent the transfer of infection?
a) soak all instruments in a non-rusting germicide
b) wash hands with soap and water before and after every treatment
c) disinfect equipment and work surfaces with mild detergent and water
d) wear disposable medical gloves |
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Definition
| b) wash hands with soap and water before and after every treatment |
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Term
3.03 Which of the following would NOT provide you with informatin about a patient's circulation?
a) the patient's feet feel cool to the touch
b) the patient can not identify which toe you touch
c) the pulses in the feet are hard to find
d) the patient's feet look very pale. |
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Definition
| b) the patient can not identify which toe you touch |
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Term
3.04 How should you prepare an amputated finger for transport with the patient?
1) clean the finger with peroxide
2) place the finger in a container of antiseptic solution
3) protect the finger with sterile gauze
4) put the finger back in place and bandage it to the hand
5) keep the finger cool |
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Definition
| 3) protect the finger with sterile gauze 5) keep the finger cool |
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Term
For less serious lacerations and wounds when the worker will be returning to work, which of the following best describes the cleansing procedure? After covering the wound with sterile gauze and cleaning around the wound with an antibacterial detergent solution, then
a)clean the inside of the wound with Zephirin hydrochloride
b) clean the inside of the wound with hydrogen peroxide
c)apply Polysporin to the inside of the wound
d) clean the inside of the wound with sterile saline |
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Definition
| d) clean the inside of the wound with sterile saline |
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Term
3.06 A patient returns for a follow up visit regarding a cut you treated two days ago. Which of these signs and symptoms require the patient to be referred to medical aid?
a) the area around the wound is significantly more swollen and tender
b) the patient complains that "it still hurts"
c) the scab over the area has been scraped off and the wound is bleeding
d) there is redness in the area immediately surrounding the wound. |
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Definition
| a) the area around the wound is significantly more swollen and tender |
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Term
3.07 A worker tripped going down the stairs and is complaining of pain in the right ankle. Which signs and symptoms would indicate the patient will be able to return to work
1) patient walked in limping slightly
2)obvious swelling and discolouration
3)patient hopped in on one foot
4) patient says right foot is tingling
5) minimal swelling, no discolouration
6)pedal pulses are strong and equal in both feet. |
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Definition
| 1) patient walked in limping slightly 5) minimal swelling, no discolouration 6)pedal pulses are strong and equal in both feet. |
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Term
3.08 Which of the following wounds must be referred to medical aid?
1) puncture wound to the back of the hand in the area of a tendon
2) laceration that is 2cm long and 2mm deep 2cm laceration near the corner of the mouth
4)wooden sliver in the soft tissue of the thumb
5) nose bleed that stops bleeding after pinching for 10 minutes
6) 2cm laceration to the forearm that contains organic material. |
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Definition
1) puncture wound to the back of the hand in the area of a tendon
3) laceration near the corner of the mouth
6)2 cm laceration to the forearm that contains organic matter |
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Term
3.09 The "Description of Injury or Report of Illness" on the First Aid Record is where you write
a) a complete description of what happened to cause the injury or illness
b) a complete description of what you find when you examine the injury
c) only what the worker told you happened when the injury occurred
d) what the initial caller told you happened when the injury occurred. |
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Definition
| c) only what the worker told you happened when the injury occurred |
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Term
3.10 If a patient was treated, but not referred to medical aid which of the following must be completed?
a) patient assessment chart
b) form "6"
c) form "7"
d) first aid record |
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Definition
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Term
| T or F 3.11 Treatment for a nose bleed includes laying a patient supine with an icepack on the bridge of the nose. |
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Definition
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Term
| T or F 3.12 The attendant should use eye and face protection when treating a subungal hematoma (while drilling through the nail to release the pressure) |
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Definition
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Term
| T or F 3.13 closed wounds cannot be considered minor injuries with little need of assessment because there may be considerable damage beneath the skin. |
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Definition
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Term
| T or F 3.14 Metal instruments are cleaned in 70% bleach for a minimum of 10 minutes. |
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Definition
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Term
| T or F 3.15 An abrasion is the most serious type of open wound because of the danger of infection |
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Definition
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Term
| T or F 3.15 Tincture of Benzoin (Friar's balsam) may be used to help skin closures stick |
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Definition
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Term
| T or F 3.17 If required, tetanus immunization must be obtained within 36 hours |
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Definition
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Term
| T or F 3.18 With any penetrating wound there is danger of infection due to the likelihood of contamination below the surface |
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Definition
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Term
| T or F 3.19 Absorbent cotton or paper tissues can be used to cleanse around a wound. |
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Definition
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Term
| T or F 3.20 Mild antibacterial detergent solutions can be used to clean around wounds, but the wound should only be cleaned and flushed with saline. |
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Definition
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Term
| 4.01 The dislocation of a joint is usually characteried by which of the following signs and symptoms? 1) pain 2)deformity 3)exaggerated range of motion at the joint 4) inability to move the joint 5) bruising 6) crepitus |
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Definition
| 1) pain 2)deformity 4) inability to move the joint |
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Term
| 4.02 To remove an unknown chemical from a patient's eye you should flush with: a) green soap b)amethacaine c) a chemical neutralizing agent d) saline |
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Definition
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Term
| 4.03 When flushing a chemical from a patient's eyes, you must flush for a minimum of: a) 30 minutes by the clock b) 15 minutes followed by wet compresses c) 60 minutes by the clock d) until the patient feels relief |
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Definition
| a) 30 minutes by the clock |
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Term
| 4.04 Which of the following are included in the management of flashburn (ultraviolet light burn to the cornea)? 1) apply oxygen 2) evert the eye lids 3) examine the eyes for foreign bodies 4) cover both eyes and refer the patient to medical aid 5) apply cold compresses to the eyes |
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Definition
| 3) examine the eyes for foreign bodies 5) apply cold compresses |
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Term
| 4.05 Which of the following signs would indicate the most advanced sign of infection? a) aching and local tenderness around the wound b) red streaks extending from the wound c) pus draining from the wound d) redness in the area surrounding the wound |
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Definition
| b) red streaks extending from the wound |
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Term
| 4.06 what is the most important consideration an attendant must address when treating a victim with facial burns? a) potential airway complications b) damage to the eyes c) the degree and depth of the burn area d) scarring of facial tissue |
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Definition
| a) potential airway complications |
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Term
| 4.07 Why is cooling burns limited to a certain percentage of the body? a)cooling can cause hypovolemic shock b)cooling can cause hypothermia c)blisters could break d)cooling could mask internal injuries |
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Definition
| b) cooling can cause hypothermia |
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Term
| 4.08 The best definition of a tendon is: a)a band of fibrous tissue that connects bone to bone at a joint b)a sheath of specialized tissue that protects the muscle to bone c) a band of fibrous tissue that connects muscle to a bone d)a sheath of specialized tissue that protects bone ends at a joint |
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Definition
| c) a band of fibrous tissue that connects muscle to a bone |
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Term
| 4.09 What is the purpose for splinting the wrist for suspected tendonitis? a)to ensure that the patient is unable to work with the injured wrist and hand b) to protect the tendon from the bone c) to stop the tendons from moving and permit them to heal d)to permit the patient to exercise the tendon without flexing the wrist. |
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Definition
| c) to stop the tendons from moving and permit them to heal |
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Term
| 4.10 How long should a patient with tendonitis be treated at the first aid level before a referral to medical aid is made? a) send immediately after immobilizing the arm b) 24 hours c)72 hours d) at the end of worker's shift |
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Definition
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Term
| T of F 4.11 The lacrimal system protects, cleans and lubricates the eyes. |
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Definition
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Term
| T of F 4.12 The size of the pupil and the colour of the iris in a person's eye remain constant for life. |
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Definition
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Term
| T of F 4.13 Cold compresses and mild pain relievers (ASA or acetaminophen) should be used to treat flashburn |
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Definition
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Term
| T of F 4.14 Welders should be given local anesthetic drops to be used as needed |
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Definition
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Term
| T of F 4.15 Inflammation may be caused by infection, physical injury and chemical injury |
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Definition
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Term
| T of F 4.16 Inflammatory exudate may still contain live bacteria or germs |
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Definition
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Term
| T of F 4.17 Pressure injection injuries generally produce very small wounds, they are not serious and the patient can return to work with a simple dressing |
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Definition
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Term
| T of F 4.18 Any open wounds associated with a fracture should not be treated until after splinting the limb |
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Definition
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Term
| T of F 4.19 the signs and symptoms of a dislocation are essentially the same as for a fracture |
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Definition
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Term
| T of F 4.20 If the fracture is in the upper or lower third of a limb it is assumed the joint may be injured |
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Definition
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Term
5.01 You are called to attend a worker that has been struck on the head by flying rock. The patient is supine and does not respond to your voice. While applying C-spine control, you notice there are no obvious signs of breathing, and the patient's lips are cyanotic. Which of the following interventions must be done first?
a) apply oxygen at 10 lpm
b)check carotoid pulse
c)perform a jaw thrust
d)ventilate the patient |
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Definition
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Term
| 5.02 A piece of apple, that had been totally obstructing a conscious patient's airway, was cleared by 4 abdominal thrusts. During your primary and secondary assessments which of the following would indicate the need to refer the patient to medical aid? 1)more than 3 abdominal thrusts were given 2)the patient shows signs of oxygen deficiency 3)the patient complains of abdominal pain 4)complete obstructions are in the RTC 5)the patient was unable to breathe for 5 to 10 seconds |
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Definition
| 2)the patient shows signs of oxygen deficiency 3)the patient complains of abdominal pain |
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Term
| 5.01 Abdominal thrusts are appropriate for conscious patients who have a complete airway obstructions caused by a) swelling b)a foreign body c)smoke inhalation d)bleeding from the upper airway |
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Definition
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Term
| 5.04 While having lunch, one of your co-workers stands and clutches the throat. The worker is very anxious and unable to cough or speak. Which of the following interventions is appropriate? a)perform abdominal thrusts on the patient b)look in the patient's mouth and finger sweep if necessary c)sit the patient down d)attempt to ventilate the patient |
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Definition
| a)perform abdominal thrusts on the patient |
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Term
| 5.05 While having lunch, one of your co-workers stands and clutches the throat. The worker is very anxious and unable to cough or speak. The level of consciousness of the patient decreases and the patient has been positioned supine. There has been no trama. Which of the following actions are immediately appropriate? a)measure and insert an oral airway b)expose the patient's check and apply oxygen c)look in the mouth and attempt to ventilate the patient d)landmark and perform chest compressions on the patient |
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Definition
| c)look in the mouth and attempt to ventilate the patient |
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Term
| 5.06 After approximately 1 to 2 minutes working to clear the airway you are able to sweep a candy from the patient's mouth. The patient is still not breathing but your two ventilations go in and the patient's chest rises. Your next step should be to: a)assess the carotid pulse for 10 seconds b)train a helper to assist ventilation and apply oxygen c)apply oxygen at 10 lpm with a simple face mask d)measure and insert an oral airway |
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Definition
| a) assess the carotid pulse for 10 seconds |
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Term
| 5.07 Why is the treatment for a partial airway obstruction different from a complete airway obstruction? a)efforts to clear a partial airway obstruction may make it worse b)a partial airway obstruction is caused by a non-traumatic mechanicism c)a patient with a partial airway obstruction is not in the RTC d) a conscious patient will resist efforts to clear the obstruction. |
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Definition
| d) a conscious patient will resist efforts to clear the obstruction. |
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Term
| 5.08 Which of the following airway interventions is attempted for an unwitnessedunconscious airway obstruction but not for a witnessed unconscious airway obstruction? a) attempting to ventilate the patient b)performing a tongue0jaw lift and finger sweep c) performing chest compressions d)attempting to insert an oral airway |
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Definition
| d)attempting to insert an oral airway |
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Term
| 5.09 The main objective to airway management is to: a)ensure that a patient's airway remains open and clear b)prevent a partial airway obstruction from becoming complete c)constantly monitor a patient's upper air passages for blood or vomitus d)conduct ABC reassessments |
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Definition
| a)ensure that a patient's airway remains open and clear |
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Term
| 5.10 When ventilating a patient with a bag-valve mask the two most common reasons for inadequate ventilation are: 1) oxygen litre flow set too high 2) compressing the bag too slowly 3)an ineffective seal with the mask 4)failure to maintain a proper jaw position |
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Definition
| 3)an ineffective seal with the mask 4)failure to maintain a proper jaw position |
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Term
| T or F 5.11 In instances of inhaled poisons, a crucial point in management is to extricate the patient from further exposure without endangering yourself. |
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Definition
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Term
| T or F 5.12 Product labels are the best source of this information for the attendant. |
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Definition
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Term
| T or F 5.13 First Aid attendants are responsible for ensuring their workplace is in compliance with the WHMIS regulations. |
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Definition
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Term
| T or F 5.14 With some poisons the onset of toxic effects may be delayed |
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Definition
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Term
| T or F 5.16 If first aid information is available on the MSDS it is not necessary to phone the poison control center |
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Definition
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Term
| T or F 5.16 It is imperative to get a snake-bitten patient to medical aid as quickly as possible so specific antivenin treatments can be started. |
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Definition
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Term
| T or F 5.18 A substance abuse is hard to identify in the workplace because they are as productive as any other worker. |
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Definition
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Term
| T or F 5.19 The attendant's main responsibility in cases of drug abuse is to maintain life support while obtaining medical help. |
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Definition
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Term
| T or F 5.20 The Attendant must be careful not to overlook serious injuries or illness in the intoxicated patient. |
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Definition
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Term
| 6.01 From the list below identify the signs and symptoms which would indicate that assisted ventilation must be initiated during the primary survey: 1)respiration rate of 36 2)gasping, distressed breathing 3)pale, cool and clammy skin 4)respiration rate of 8 5)patient unresponsive to verbal stimuli 6)obvious cyanosis |
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Definition
| 2)gasping, distressed breathing 4)respiration rate of 8 6)obvious cyanosis |
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Term
7.01 Shock is:
a)a progressive condition that can eventually become irreversible and result in death
b)a three staged condition that requires unique procedures aimed at reversing the effects
c)a gradual series of changes with the body that can be reversed at any point
d)an inevitable result of all trauma that demands immediate and specific treatment |
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Definition
| a)a progressive condition that can eventually become irreversible and result in death |
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Term
6.02 If you discover an open wound with blood stained bubbles when you expose the chest, you immediately:
a) apply sterile air tight dressings and bandage
b)cover with a gloved hand to seal it
c)ensure the wound stays open to allow air to escape
d)apply oxygen at a 10 litre flow |
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Definition
| b)cover with a gloved hand to seal it |
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Term
6.04 When managing a patient with an open sucking chest wound, and effective respiration, which of the following critical interventions are required prior to completing the primary survey?
1) ventilate with pocket mask
2)take an airtight dressing over the wound
3)administer oxygen
4)position patient lateral with injured side down
5)seal wound with a gloved hand |
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Definition
| 3)administer oxygen 5)seal wound with a gloved hand |
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Term
6.05 You are waiting for the ambulance to arrive to transport a patient to the hospital and the secondary survey has been completed. You elect to switch from the pocket mask to the bag-valve mask to relieve your helper. You would squeee the bag:
a)20 times per minute
b)approximately once every 5 seconds, time with the patient's breathing if possible
c)every time the patient takes a breath
d)whenever the bag is fully inflated and the patient is attempting to take a breath |
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Definition
| b)approximately once every 5 seconds, time with the patient's breathing if possible |
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Term
| 6.06 Each living cell in the body requires a constant supply of oxygen, although some cells are more dependent than others. Without oxygen, cells in the brain and central nervous system begin to die in: a)2 hours b)30 minutes c)4 to 6 minutes d)1 to 2 minutes |
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Definition
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Term
6.07 There are two phases of breathing, inhalation and exhalation. During inhalation:
1)the muscles of respiration contract
2)the muscles of respiration relax
3)an initial increase of air pressure occurs
4)an initial decrease of air pressure occurs. |
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Definition
| 1)the muscles of respiration contract 4)an initial decrease of air pressure occurs. |
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Term
6.08 A worker was in close proximity to an explosion but was not struck by any debris and did not fall. Primary survey findings are all within normal range. You notice the patient's eyes look bloodshot and there are tiny red spots on the patient's face and neck. this patient:
a)requires assisted ventilation by pocket mask and oxygen at 10 lpm
b)must be placed in C-spine control and packaged for transport
c)requires careful monitoring and urgent medical attention
d)can return to work after a complete secondary survey has determined no injuries exist |
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Definition
| c)requires careful monitoring and urgent medical attention |
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Term
6.09 A fire broke out in a chemistry lab and a worker spent at least 10 minutes trying to put the fire out before being forced from the room by flames and smoke. The primary survey findings are all within normal range but the patient is coughing and complaining of a sore throat. Serveral small first and second degree burns are seen on each hand. This patient requires:
1)oxygen at 10 lpm
2)assisted ventilation
3)insertion of an oral airway to prevent swelling
4)a thorough head to toe examination
5)urgent medical aid |
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Definition
| 1)oxygen at 10 lpm 5)urgent medical aid |
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Term
6.10 asthma accounts for a signiciant amount of time loss in the work place. The chief symptom of asthma is:
a)jugular vein distension
b)shortness of breath(dyspnea)
c)red, blotchy skin
d)anxiety and exhaustion |
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Definition
| b)shortness of breath(dyspnea) |
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Term
| 6.11 T or F Asthma most commonly results form previous traumatic chest injuries |
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Definition
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Term
| 6.12 T or F Asthma is a disease characterized by attacks of narrowing of the airways. |
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Definition
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Term
| 6.14 T or F A person suffering an asthma attack has the greatest difficulty with expiration or pushing air out of the lungs. |
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Definition
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Term
| 6.15 T or F Asthma patients usually have their own prescription medication and may require the attendant's assistance to take it. |
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Definition
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Term
| 6.17 The most serious wounds caused by electrical injuries and the entrance and exit burns. |
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Definition
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Term
| 6.18 The attendant must be carefully examine the lightening strike patient to rule out injuries which may have been caused by blunt trauma associated with a fall at the time of the lightening strike. |
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Definition
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Term
| 6.19 T or F Any patient who has sustained a significant electrical injury, as evidenced by a burn, requires urgent medical attention. |
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Definition
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Term
| 6.20 If caught in the open during a lightening storm, a person should lay on the ground to reduce his or her height above ground. |
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Definition
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Term
6.03 The application of an occlusive (air-tight) dressing to an open chest wound may result in:
a)tension pneumothorax
b)decreased level of consciousness
c)airway obstruction
d)spontaneous pneumothorax |
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Definition
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Term
7.02 The primary objective of shock management is:
a)early recognition and prompt medical aid
b)controlling all external bleeding
c)applying oxygen at 10 lpm
d)providing warmth and assurance |
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Definition
| a)early recognition and prompt medical aid |
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Term
7.03 The early stage of shock is indicated best by:
a)altered (decreased) level of consciousness
b)sweating
c)cool, pale skin
d)increased heart rate (greater than 100/min.) |
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Definition
| a)altered (decreased) level of consciousness |
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Term
7.04 The 3P's of hemorrhage control for venous bleeding to the back of the lower leg include:
1)sit the patient down
2)elevate the injured leg if injuries permit
3)apply direct pressure
4)lay the patient down
5)apply cold to the injury site
6)apply the pressure point |
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Definition
| 2)elevate the injured leg if injuries permit 3)apply direct pressure 6)apply the pressure point |
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Term
7.05 When a pressure point is required it must be held for 5 minutes in combination with direct pressure. The pressure point provides time for:
a)the completion of the primary survey
b)the blood to clot
c)packaging the patient for rapid transport
d)applying a bandage |
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Definition
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Term
7.06 A tourniquet was necessary to control bleeding. It is necessary to release it for 1 minute every 45 minutes if:
a)there is an extremity distal to the tourniquet
b)the tourniquet is causing numbness and tingling in the injured limb
c)the tourniquet is causing pain
d)the patient is going into shock |
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Definition
| a)there is an extremity distal to the tourniquet |
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Term
7.07 a tree pruner has received a chainsaw cut to the upper thigh. The pants have been ripped away revealing a 25 cm cut and arterial (femoral) bleeding. The patient looks pale and complains of severe pain in the upper thigh. Direct pressure applied to the wound is not controlling the bleeding. Which one of the following interventions should be done next?
a)elevate the leg
b)apply oxygen at 10 lpm
c)apply the femoral pressure point
d)dress and bandage the wound |
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Definition
| c)apply the femoral pressure point |
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Term
7.08 A road construction worker has been struck by flying rock from an explosion. The worker is supine and complaining of abdominal pain. The findings of the primary survey are:
1)airway - clear (patient responds appropriately with clear speech)
2)breathing - 24 regular and shallow no distress
3)radial pulse - present
4)skin - cool, pale and dry
5)no open wounds on chest, redness in the upper right abdomen, and lacerations to hands and face.
Which of the primary survey findings and information gathered on approach would lead you to suspect a possible abdominal injury?
a)4, 5 and mechanism of injury
b)1, 2 and 3
c)1, 4 and 5
d)2, 5 and mechanism of injury |
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Definition
| a)4, 5 and mechanism of injury |
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Term
7.09 A road construction worker has been struck by flying rock from an explosion. The worker is supine and complaining of abdominal pain. The findings of the primary survey are:
1)airway - clear (patient responds appropriately with clear speech)
2)breathing - 24 regular and shallow no distress
3)radial pulse - present 4)skin - cool, pale and dry 5)no open wounds on chest, redness in the upper right abdomen, and lacerations to hands and face. Based on the primary survey findings, which one of the following treatments is appropriate during, or immediately after the primary survey?
a)assist ventilation with a pocket mask
b)apply oxygen at 10 lpm
c)apply cold to the abdomen
d)dress and bandage the facial lacerations |
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Definition
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Term
7.10 Which of the following sets of vital signs indicate the patient's condition is getting worse?
a)LOC 15/ respiration 24 regular & shallow/ pulse 96 regular & weak/ pupils equal & reactive/ skin pale, cool & clammy
b)LOC 15/ respiration 28 regular & shallow/ pulse 96 regular & easy to feel/ skin pale, cool & dry
c) LOC 15/ respiration 20 regular & shallow/ pulse 96 regular & weak/ skin pale cool & dry
d)LOC 15/ respiration 24 regular & shallow/ pulse 88 regular & shallow/ pupils equal & reactive/ skin pale, cool & dry |
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Definition
| a)LOC 15/ respiration 24 regular & shallow/ pulse 96 regular & weak/ pupils equal & reactive/ skin pale, cool & clammy |
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Term
| 7.11 T or F Diabetes is a disease of the pancreas and does not affect any other organ in the body |
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Definition
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Term
| 7.12 T or F Hyperglycemia is a result of low blood sugar caused by too much insulin. |
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Definition
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Term
| 7.13 T of F The main disorder of diabetes is the body's inability to regulate the level of blood sugar. |
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Definition
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Term
| 7.14 T or F Failure to treat hypoglycemia risks permanent brain damage and possible death of the patient. |
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Definition
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Term
| 7.15 T or F Diabetes is an incurable disease but can be controlled through diet and medication. |
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Definition
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Term
| 7.16 T or F Among injury victims, shock is almost always caused by the patient's emotional response to the pain of the injuries. |
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Definition
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Term
| 7.17 T or F The fundamental problem in shock, regardless of cause, is a marked reduction in blood flow through the tissues. |
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Definition
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Term
| 7.18 Any condition that impairs adequate air exchange and breathing will worsen the patient's level of shock. |
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Definition
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Term
| 7.19 T or F Is is important to keep a patient suffering from shock active, this will keep the blood flowing through the body and help tissue perfusion. |
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Definition
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Term
| 7.20 T of F It is important to keep a patient suffering from shock warm, hot packs and/or hot water bottles can be used. |
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Definition
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Term
8.01 The blood vessels that carry blood away from the pumbing chambers of the heart and have thicker, more musular walls are called:
a) veins
b)ureters
c) arteries
d) capillaries |
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Definition
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Term
7.02 A forklift has knocked down a worker and, due to mechanism of injury, you suspect internal bleeding. Which of the following signs and symptoms would confirm that the patient is in shock?
1) breathing rate of 24, regular and shallow
2) skin is cool, pale and moist
3) patient is anxious, restless and complaining of thirst
4) pupils are constricted
5) radial pulse is weaker in one wrist than the other |
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Definition
2) skin is cool, pale and moist
5) radial pulse is weaker in one wrist than the other |
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Term
8.02 A forklift has knocked down a worker and , due to the mechanism of injury, you suspect internal bleeding. Which of the following signs and symptoms would confirm that the patient is in shock?
1) breathing rate of 24, regular and shallow
2) skin is cool, pale and moist
3)patient is anxious, restless and complaining of thirst
4)pupils are constricted
5)radical pulse is weaker in one wrist than the other. |
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Definition
2) skin is cool, pale and moist
5)radical pulse is weaker in one wrist than the other. |
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Term
8.03 Which of the following risk factors are associated with an increased incidence of heart disease and heart attack?
1)drug abuse
2)diabetes
3)epilepsy
4)high blood pressure
5)asthma |
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Definition
2)diabetes
4)high blood pressure |
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Term
8.04 which of the following would indicate a patient with chest pain may be experiencing a myocardial infarction (heart attack)?
a) the pain is getting worse inspite of rest and oxygen therapy
b)the pain started 10 minutes ago, at 10/10, but now it is rated as 5/10
3)the pain lessens only when the patient rests, and physical effort makes it worse
4)the pain worsens only when the patient breathes deeply, coughs or moves |
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Definition
| a) the pain is getting worse inspite of rest and oxygen therapy |
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Term
8.5 You have been called to attend a patient that was found on the floor of a warehouse. No one witnessed the accident nor does anyone know how long the patient has been laying there. The patient is not breathing but the chest does rise when you ventilate the patient. You should:
a)train a helper to take over ventilating the patient
b)apply oxygen at 10 lpm
c)assess the carotid pulse
d)begin single rescuer CPR immediately |
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Definition
| c)assess the carotid pulse |
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Term
8.06 A non-breathing patient has no radial pulses but a show, weak and irregular carotid pulse. You should:
a)start CPR
b)breath for the patient and assist the heartbeat with compressions
c)attempt 5 quick compressions to restore a regular heart rhythm
d)ventilate the patient every 5 seconds |
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Definition
| d)ventilate the patient every 5 seconds |
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Term
8.07 You are performing single operator CPR and the patient vomits. Your primary concern must be to:
a)ensure that there is no more than a 5 to 7 second break in CPR
b)ensure that the airway is cleared as soon as possible
c)maintain c-spine control when rolling the patient laterally
d)continue providing assisted ventilation |
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Definition
| b)ensure that the airway is cleared as soon as possible |
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Term
8.08 A construction work walks to your first aid room. The patient is pale, anxious and complains of chest pain that began while shoveling gravel. The patient has a history of angina and takes medication for it. Which one of the following interventions is not necessary.
a)apply oxygen at a 10 litre flow
b)assist the patient to taking hear medication
c)expose and examine the patient's chest
d)place the patient in the position of most comfort |
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Definition
| c)expose and examine the patient's chest |
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Term
8.09 An attendant is permitted to assist an angina patient to take medication. Where would a nitroglycerine tablet be placed?
a)under the patient's tongue
b)rectally if the patient has a decreased level of consciousness
d)in a glass of water for the patient to drink. |
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Definition
| a)under the patient's tongue |
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Term
8.10 a patient with a history of heart problems has collapsed. On your assessment you discover that the patient is very apprehensive,, short of breath, pale and sweating. The patient tells you the pain started 1 hour ago, bu only got intense in the last 15 minutes. The patient has not experienced such intense pain before. You should:
a)determine if the patient has any heart medication at work and assist the patient to take it as prescribed
b)continue you assessments and find out if the pain will last longer than 30 minutes
c)get a full history from the patients and bystanders, complete a patient assessment chart including the PPQRRST's
d)apply oxygen to the patient at 10 lpm and send someone to call the ambulance |
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Definition
| d)apply oxygen to the patient at 10 lpm and send someone to call the ambulance |
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Term
| 8.11 T or F The recommended treatment for heat creamps is drinking a solution of 1 teaspoon of salt for half-litre of water |
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Definition
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Term
| 8.12 T or F Patients with heat exhaustion require urgent medical attention |
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Definition
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Term
| 8.14 T or F Radiation of heat into the air is the fastest method of body heat loss |
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Definition
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Term
| 8:15 T or F Frostbitten tissue should never be rubbed as it increased the extent of injury |
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Definition
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Term
| 8.16 A bloodborne pathogen is an organism present in the workplace that can cause disease in humans |
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Definition
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Term
| 8.17 Vaccines are available for Hepatitis B, but there is no vaccine for Hepatitis C or HIV |
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Definition
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Term
| 8.18 T or F Workers with HIV/AIDS are legally obliged to tell their employers of their medical condition. |
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Definition
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Term
| 8.19 T or F Hand washing is one of the best defenses against spreading infections. |
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Definition
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Term
| 8.20 T or F Latex gloves can be washed and reused as long as there are no tears in them |
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Definition
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