1. A person is in a hot environment, and his body is trying to compensate. He is beginning to exhibit signs of heat exhaustion.

Which of the following signs/symptoms would you expect to see? a. ool and clammy s!in, bradycardia, slow respirations b. Warm and very sweaty s!in, elevated body temperature, headache c. "iaphoretic s!in, decreased heart rate, hunger d. Hot dry s!in, elevated heart rate, elevated body temperature Answer# b $b%ective# &'(& )eference# *+, &. Which of the following processes is the body-s most important cooling mechanism? a. onduction b. )espiration c. )adiation d. .vaporation Answer# d $b%ective# &'(1 )eference# */, ,. 0ou are at a football practice on a very hot summer day. A young player is panting and lying under a tree. His s!in is flushed, and his teammates are continually wiping the sweat off his face, arms, and chest with towels and offering him fluids to drin!. Which of the following statements is most appropriate for this situation? a. b. c. d. 12eep wiping. 0ou are helping him retain water that his body needs.3 1"on-t give him fluids. 4t will only ma!e him sweat more.3 14t-s $2 for him to sweat. 4t is helping his body cool down.3 15et-s put his shirt bac! on to !eep him from sweating.3

Answer# c $b%ective# &'(, )eference# *,6 +. 0ou recogni7e that heat cramps are the probable cause of a patient-s problem when the patient ma!es which of the following statements? a. b. c. d. 14 am having a hard time moving my fingers.3 14 cannot remember what day it is.3 14 have pain in my belly and legs.3 18y nec! feels as though it is in spasm.3

Answer# c $b%ective# &'(& )eference# *+,, */1

/. At an in(service, your medical director as!s if anyone can tell her the cause of heat cramps. Which of the following responses would be most appropriate? a. b. c. d. 9hey are thought to occur when a patient uses his muscles too much. 9hey are caused when a patient-s electrolytes have been lost and he becomes dehydrated. 9hey occur when a patient-s body can no longer compensate and off(load excess heat. 9hey occur when a patient-s blood vessels constrict and decrease blood flow to the affected muscles.

Answer# b $b%ective# :upplemental )eference# *+, '. An $. 9echnician indicates that he understands the danger of heat stro!e when he ma!es which of the following statements? a. 14n heat stro!e, the body loses its ability to lose excess heat, causing the body-s core temperature to rise.3 b. 1Heat stro!e is not a dire emergency because the body has not lost too much fluid.3 c. 1Heat stro!e resolves ;uic!ly with the administration of fluids and electrolytes.3 d. 1Heat stro!e occurs when a patient-s blood vessels are dilated, causing a mild state of shoc!.3 Answer# a $b%ective# :upplemental )eference# *+, <. Which of the following patients would have the highest priority for transport? a. b. c. d. A &+(year(old who is intoxicated and is complaining of pain and spasms in his legs A ,+(year(old who is responsive, has cool diaphoretic s!in, and is complaining of nausea A &*(year(old who is responsive, has tachycardia, and has cool, moist s!in A 16(year(old who is lethargic, has hot dry s!in, and has tachycardia

Answer# d $b%ective# &'(1 )eference# *+, *. 0ou are at a par! with your family when you hear a call for help. 9here is a teenager who is 1sic!.3 $n scene you find a 1'(year(old boy who is mildly confused. =riends state that they have been playing bas!etball for most of the morning and afternoon. 9he temperature is in the 6>s and the humidity is high. 9he boy-s airway is patent and his breathing rate is elevated but ade;uate. His pulse is wea! and rapid. $bservation of his s!in reveals it to be pale, cool, and moist. Which of the following would you do first for this patient? a. 5ay him in the shade in a supine position, and elevate his feet. b. 5ay him down in a side(lying position. c. Administer salt tablets by mouth every 1/ minutes.

d. ?et some newspaper and fan him vigorously. Answer# a $b%ective# &'(, )eference# */&, */+ 6. 9he primary assessment of a male teenager who is unresponsive and has s!in that is hot, moist, and flushed reveals that his airway is open, his breathing is shallow, and his radial pulse is wea!. 0ou have placed him on high(flow oxygen. Which of the following actions should you ta!e next? a. @erform a secondary assessment. b. all for an A5: ambulance. c. ?et a medical history. d. )e(perform the primary assessment. Answer# b $b%ective# &'(, )eference# */, 1>. When cooling a patient with a possible heat stro!e, which of the following findings would be of most concern to a rescuer? a. b. c. d. An increase in blood pressure to 1>>/*> A decrease in heart rate from 1+> beats per minute to 1&> beats per minute $bserving your partner applying an ice pac! to the patient-s nec! $bserving your partner giving the patient two aspirin to bring down his temperature

Answer# d $b%ective# &'(, )eference# */+ 11. 0ou are in the aid room with a patient who is unresponsive and has hot, dry s!in. His friends state that he has been drin!ing and passed out in the hot sun for several hours. A patroller is ventilating the patient with a bag(valve mas! attached to high(flow oxygen. Which of the following actions would be most beneficial to this patient at this time? a. b. c. d. @repare the patient for vomiting by placing him in a prone position. 9ry to give the patient sugar because he could be having a diabetic reaction. @lace cold pac!s on the patient-s groin and armpits. ?ently pour cold water over the patient to rapidly cool him down.

Answer# c $b%ective# &'(, )eference# */, 1&. 0our friend, who is a landscaper, tells you that he got really sunburned at wor! today. He describes his torso and face as being very red, and he has blisters on his bac!. He as!s you what to do. Aased on his description, your recommendation would be to#

a. b. c. d.

apply cool compresses and consult a physician. apply a thic! layer of an aloe(based lotion on the sunburned areas. ta!e ibuprofen for the discomfort. cover the sunburned areas with 7inc oxide.

Answer# a $b%ective# &'(, )eference# */&, */+ 1,. 0ou are treating a patient with suspected heat cramps. Which of the following treatments is the usual recommended treatment? a. b. c. d. Have the patient drin! a mixture of one tablespoon of table salt in one ;uart of ?atorade. Have the patient drin! a mixture of B to C teaspoon of table salt in a ;uart of cool water. Administer salt tablets every 1/ minutes until the cramping subsides. Have the patient drin! one ;uart of cold tap water every 1/ minutes until he has to urinate.

Answer# b $b%ective# &'(, )eference# */& 1+. A man has been struc! by lightning at a picnic. As you arrive on scene, his friend states that the patient was in cardiac arrest after the stri!e, but after one minute of @) he has a heartbeat and wea! respirations. 9he patient remains unresponsive. Which of the following actions should you ta!e immediately? a. b. c. d. @rovide care to the burn in%ury on the patient-s bac!. @erform the %aw(thrust maneuver. 4nitiate positive pressure ventilation. Attach an automated external defibrillator.

Answer# b $b%ective# &'(/ )eference# *// 1/. A group of three golfers have been struc! by lightning on a golf course. 9wo of the golfers are respondingD the third is in cardiac arrest. 0ou are the lone witness. When deciding which patient to treat first, you should remember that# a. b. c. d. to save the most people, the patient in cardiac arrest should be treated last. you must somehow provide head stabili7ation for all three victims. in a lightning stri!e, patients who are apparently dead should be treated first. you can-t do everything by yourselfD run and get help.

Answer# c $b%ective# &'(/ )eference# *//