Emc103 (Chapter 27.2 (Post Q))

21/22

A patient presents with a full thickness burn to his foot.  You should:

 

bandage the foot in dry, sterile gauze.

 

separate the burned toes with dry, sterile gauze.

 

cover the wound with Vaseline gauze.

 

transport to a burn center.

separate the burned toes with dry, sterile gauze

An adult patient has suffered full thickness burns to his anterior chest, anterior abdomen, and his entire left arm.  The total body surface area burned is:

 

45%

 

36%

 

27%

 

18%

27%

A partial thickness burn involves:

 

epidermis, dermis, and subcutaneous tissue.

 

epidermis and parts of the dermis.

 

dermis only.

 

all layers of the skin, muscle, and bone.

epidermis and parts of the dermis

A patient presents with a partial thickness burn to his entire right arm.  Bystanders have placed a moist, sterile dressing from a first aid kit over the entire burn.  You should:

 

obtain a set of vital signs.

 

initiate transport to a burn center.

 

remove the moist dressing and apply a dry, sterile dressing to the wound.

 

remove a ring from the patient’s left index finger.

remove the moist dressing and apply a dry, sterile dressing to the wound.

A patient presents with a thermal burn to her right eye.  You should:

 

transport the patient with the burn uncovered.

 

flush the wound for 20 minutes.

 

open the eyelid to better assess the eye.

 

apply a sterile dressing to both eyes.

apply a sterile dressing to both eyes

Your patient presents with dry lime powder on his arm.  You should:

 

brush the lime off his arm.

 

wrap the area with a sterile burn sheet.

 

flush the area with water.

 

administer oxygen via nonrebreather mask.

brush the lime off his arm

A patient presents with full thickness burns to his anterior and posterior chest (circumferential). Of the following, which is the most immediate threat to life?

 

wound contamination and infection.

 

eschar formation and decreased chest wall movement.

 

severe pain and shock.

 

fluid loss and hypovolemic shock.

eschar formation and decreased chest wall movement

A patient presents conscious and alert with stridorous breathing after being trapped in a house fire.  You note that his respiratory rate is 20/min with good tidal volume.  You should:

 

assist respirations with a BVM

 

suction the airway.

 

insert an OPA

 

administer oxygen via nonrebreather mask.

administer oxygen via nonrebreather mask

A burn that has a charred, leathery appearance and is painless to the touch can be best described as:

 

full-thickness.

 

second degree.

 

superficial.

 

partial-thickness.

full-thickness

A patient presents unconscious and in respiratory arrest after being rescued from a house fire.  There is a weak and rapid radial pulse. Your partner is maintaining cervical spine stabilization and is ventilating the patient.  You should next:

 

perform a full secondary exam.

 

start CPR.

 

attach but do not turn on an AED.

 

prepare for transport.

prepare for transport

A patient presents with partial thickness burns to her legs.  First responders have stopped the burning process and removed her clothes.  You should next:

 

transport immediately. 

 

irrigate the burn with saline.

 

apply moist gauze dressings to the burn.

 

cover the burn with a burn sheet.

cover the burn with a burn sheet

A patient presents with a chemical burn to his left eye.  Which of the following positions would be best while you irrigate the wound?

 

supine, head tilted to right

 

supine, head tilted to left

 

prone

 

left lateral recumbent

supine, head tilted to left

Your patient presents unconscious after being rescued from a house fire.  You note partial thickness burns to both of his arms.  He is tachycardic and has a weak carotid but no radial pulse.  You should:

 

obtain a past medical history from a bystander.

 

obtain a full set of vital signs.

 

perform a rapid trauma exam.

 

perform full spinal immobilization and transport immediately.

perform a rapid trauma exam

A patient presents with a particle thickness chemical burn to his arm.  You note obvious dry lime powder still on his arm.  You should:

 

irrigate the burn with water.

 

determine a heart rate.

 

administer oxygen.

 

brush off the dry lime.

brush off the dry lime

A patient presents with a hoarse voice and rapid and shallow respirations after being trapped in a house fire.  You should:

 

suction the airway.

 

obtain a set of vital signs.

 

administer oxygen via nonrebreather mask.

 

assist ventilations with a BVM.

assist ventilations with a BVM

An adult male has suffered partial thickness burns to all of both arms, and superficial burns to his anterior chest.  The total body surface area burned is:

 

36%

 

18%

 

9%

 

27%

18%

An infant has suffered a full thickness burn to his entire right arm and a partial thickness burn to his entire head. The total body surface area burned is:

 

18%

 

27%

 

9%

 

36%

27%

A patient presents at an industrial site with a chemical burn to her eyes and face.  You should:

 

use absorbent sponges to remove the chemical.

 

apply dry, sterile dressings to both eyes.

 

administer oxygen via nonrebreather mask.

 

flush her face and eyes with water for 20 minutes.

flush her face and eyes with water for 20 minutes

A patient presents with a partial thickness burn to his hand.  You should:

 

bandage the hand in dry, sterile gauze.

 

cover the wound with Vaseline gauze.

 

cool the burn with water.

 

separate the burned fingers with dry, sterile gauze.

cool the burn with water

Signs of inhalation injury include:

 

hoarse voice.

 

dry, leathery skin.

 

full thickness burns.

 

pain on the edges of burns.

hoarse voice

A patient presents unconscious and not breathing after being rescued form a house fire.  You should:

 

check a pulse.

 

assess the airway.

 

stop the burning process.

 

provide BVM ventilations.

stop the burning process.