1. Which of the following statements is true regarding the control of external venous bleeding from an extremity?
A.Direct pressure is usually not effective in controlling bleeding.
B.Elevation and direct pressure should be accomplished together.
C.Pressure on a distal arterial point is very effective in controlling bleeding.
D.Once bleeding has been controlled by direct pressure, a tourniquet should be applied.


2. Which of the following components is NOT a part of the cardiovascular system?
A.The alveoli
B.The pulmonary arteries
C.The coronary arteries
D.The capillary beds


3. A patient was involved in a motorcycle accident and has sustained multiple lacerations and abrasions. When assessing for bleeding, which of the following injuries would have priority?
A.A 3" laceration to the forearm with dark red, freely flowing blood
B.Widespread abrasions to the patient's back with pinkish ooze
C.A 1" laceration to the patient's thigh with spurting, bright red blood
D.A 4" laceration to the patient's forehead with dark red flowing blood


4. The best way to control bleeding from an extremity is with:
A.bandaging.
B.a tourniquet and elevation.
C.direct pressure and elevation.
D.pressure on arterial pulse points.


5. When managing a patient with a nosebleed (epistaxis), the BEST way to prevent possible aspiration of blood is to:
A.place the patient supine with his or her head in the flexed position.
B.tilt the patient's head forward while he or she is leaning forward.
C.tilt the patient's head forward while he or she is leaning backward.
D.insert a nasopharyngeal airway and lean the patient back.


6. Which of the following sets of vital signs would be MOST indicative of internal bleeding?
A.BP, 140/90 mm Hg; pulse rate, 104 beats/min; dry skin
B.BP, 90/50 mm Hg; pulse rate, 66 beats/min; cool skin
C.BP, 100/62 mm Hg; pulse rate,112 beats/min; moist skin
D.BP, 160/78 mm Hg; pulse rate,124 beats/min; warm skin


7. To appropriately record the time a tourniquet is applied, you must:
A.call medical control immediately after application.
B.write "applied at" and the time on the tourniquet once it has been applied.
C.write the time of application in the patient's medical record at the hospital.
D.write TK and the time of application on tape and place it on the patient's forehead.


8. A 70-kg trauma patient without evidence of external bleeding is displaying signs and symptoms of shock. At a minimum, you can estimate that this patient has lost how much blood internally?
A.650 mL
B.725 mL
C.980 mL
D.1,200 mL


9. If a patient is bleeding from the lower extremities, you can control bleeding using a:
A.tourniquet.
B.pressure dressing.
C.PSAG.
D.splint.


10. When applying a tourniquet to an amputated arm, the EMT-B should:
A.avoid applying the tourniquet over a joint.
B.use the narrowest bandage possible.
C.cover the tourniquet with a sterile bandage.
D.use rope to ensure that the tourniquet is tight.


11. Which of the following is best used as a tourniquet?
A.Belt
B.Rope
C.Blood pressure cuff
D.Narrow strip of bandage


12. A 69-year-old woman calls EMS because of a severe nosebleed. Upon arrival, you note that the patient is leaning over a basin that contains an impressive amount of blood. She states that she has a history of diabetes, coronary artery disease, and migraine headaches. Her blood pressure is 170/100 mm Hg and her heart rate is 112 beats/min. Which of the following is the MOST contributive factor to her nosebleed?
A.Her blood pressure
B.Her history of diabetes
C.The fact that she is elderly
D.Her heart rate of 112 beats/min


13. Venous bleeding is characterized by:
A.bright red blood flowing steadily from the wound.
B.bright red blood spurting from the wound.
C.dark maroon blood flowing steadily from the wound.
D.dark maroon blood spurting from the wound.


14. A 50-year-old man was involved in a motor vehicle accident and has sustained a fractured pelvis as well as bilateral femur fractures. His blood pressure is 70/40 mm Hg; pulse rate is 130 beats/min, and respirations are 28 breaths/min and shallow. The patient has a past medical history of congestive heart failure and gout. Which of the following is the BEST method of stabilizing this patient's fractures?
A.Apply and inflate the entire PASG.
B.Apply and inflate only the legs of the PASG.
C.Secure the patient to a long spineboard.
D.Apply two traction splints to the patient's legs.


15. In providing treatment to a patient with internal bleeding, the EMT-B must first:
A.ensure a patent airway.
B.control the bleeding.
C.assess the blood pressure.
D.put on a pair of gloves.



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