QI. Read the following questions and choose the most correct answer (20 Marks):

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1 Question One: QI. Read the following questions and choose the most correct answer (20 Marks): 1- Some people are very allergic to some drugs like penicillin. This condition is called: a) Septic shock. b) Cardiac arrest. c) Toxic shock syndrome. d) Anaphylactic shock. 2- The accepted treatment for a nose bleed is: a- Use direct pressure, elevation and pressure points to control the bleeding. b- Tilt the head back and tightly squeeze the nostrils. c- Have the victim lean forward. Apply gentle pressure on the nostril for 10 minutes. d- Lay the victim on his back and treat for shock. Apply heat if available. 3- A victim has lost a lot of blood through a deep cut wound in his leg. He is breathing fast and seems pail, sweaty and restless. He is probably. a- Having a stroke. b- Having a heart attack. c- In shock. d- Choking. 4- A 15-year-old boy has just splashed a chemical substance on his face. After sending someone to call for an ambulance, you would. a) Cover the burned area. b) Have the victim stay calm until ambulance arrives. c) Flush the burned area with large amounts of water until the ambulance arrives. d) Immediately drive the victim to the hospital. 5- A victim has a large piece of glass sticking in his leg. You should. a) Leave the glass in his leg and control the bleeding. b) Call your local emergency phone number. c) Remove the piece of glass and then control the bleeding. d) Both a and b. 6- Which should be the first part of your care for a severely bleeding open wound? a) Allow the wound to bleed in order to minimize infection. b) Apply direct pressure and elevate the injured area. (If no broken bones). c) Use a tourniquet to stop all blood flow and be careful not to cut blood supply. d) Both b and c. 7- What should you do if you think and suspect that a victim has serious internal bleeding? a) Apply heat to the injured area. b) Call your local emergency phone number for help. c) Place the victim in a sitting position. d) Give fluids and solutions to replace blood loss. 1/5

2 8- Which is the first step when caring for bleeding wounds? a. direct pressure with a clean or sterile dressing. b. Apply pressure below the site of wound c. Add bulky dressings to reinforce blood soaked bandages. d. Elevate the wound a. 9- can you reduce the risk of disease transmission when caring for open, bleeding wounds? a) Wash your hands immediately after giving care. b) Avoid direct contact with victim blood. c) Use protective barriers such as gloves or plastic wrap. d) All of the above. 10- Dressing and bandages are used to cover the wound to: a) Reduce the victim's pain. b) Reduce internal bleeding. c) Help control bleeding and prevent infection. d) Make it easier to take the victim to the hospital. 11- When helping an unconscious choking victim, you would give an adult chest thrusts. For an infant you would give back blows and chest thrusts. a) 3,3,3. b) 5,3,3. c) 5,5,5. d) 3,5, Which is not a symptom of heart attack? a) Chest pain. b) Red, hot or dry skin. c) Pale or bluish in color. d) Profuse sweating. 13- When caring for a victim who has an object implanted in their hand, you should. a) Remove the object, flush with cool water, and transport to hospital. b) Immobilize and fix the object by placing several dressings around it. c) Break object off where it sticks out, and bandage injury. d) None of the above. 14- You may suspect that a student has been poisoned if they. a) Are experiencing nausea, vomiting or diarrhea. b) Have chest or abdominal pain, breathing difficulty. c) Burns around the lips, tongue, or on the skin. d) All of the above. 2/5

3 15. All of the following signs and symptoms of poisons except a. loss of memory b- headache c. vomiting d. abdominal pain 16. To use the gravity to reduce the blood flow to the injury site a. apply direct pressure to the stem bleeding b. elevate the wound site above the heart level c. examine the wound for the presence of any foreign objects d. no answer is correct 17.all of the following characteristics of pain in the cardiac attack except a. the onset is sudden b. more sever c. relieved immediately by rest d. last longer than 30 minutes 18. which of the following considered cause of hypovolemic shock a. cardiac valve diseases b. external or internal bleeding c. dilatation of blood vessels d. cardiac arrest 19. when the heart become not pumping well effectively this occurs in a.cardiogenic shock b. Hypovolemic shock c.anaphylactic shock d. In case of fainting 20. the effect of loss blood from the body may result in all of the following signs and symptoms except a. increase pulse rate b. pale skin c. increase blood pressure d. low level of consciousness Answer for multiple choice questions Question no. Answer Question no. Answer /5

4 Question II: Put ( ) in front of correct statement and put (X) in front of incorrect statement: (15 Marks) 1. (..) Signs and symptoms of poisoning varied depends on the poisons substance 2. (..) Acids and petrol substances considered from corrosive substances 3. (..) Internal bleeding is easy to recognize 4. (..) wound dressing should be absorbent and not stick to the clotting blood 5. (..) A venous bleeding is more severe than arterial bleeding 6. (..) The first thing we do for treatment of external bleeding is to prevent the infection of the wound 7. (..) If a splinter embedded deeply in the wound or in a joint leave it in place 8. (..) The onset of angina attack " myocardial infarction" occurs gradually 9. (..) Pain result from myocardial infarction is subsides by rest 10. (..) Fainting is caused due to poor nervous control of the blood vessels 11. (..) Anaphylaxis can cause shock because of large quantity of adrenaline is released in the blood 12. (..) Croups usually suffered by old age people 13. (..) feeling of "impending doom" is a sign of cardiac attack 14. (..) feeling of pins and needles in the arms and hands are from signs of hyperventilation 15. (..) cardiogenic shock is considered the most common type of shock Question 3: Match the following words with the appropriate sentence (10 Marks) 1-Incision, 2 Anaphylaxis, 3- Contusion, 4- Asthma, 5-, 6- Croup, 7- Puncture, 8- Hypoxia, 9- Abrasion, 10 gun shot, 11, shock ( ) extremely dangerous allergic reaction caused by a massive over-reaction of the body's protection (immune) system. 2. ( ) a condition means low oxygen concentration in the blood 3. ( ) a condition usually suffered by very young children, where the larynx and trachea become infected and swollen 4. ( ) Any substance that cause damage when it enter the body in a sufficient quantity 5. ( ) The top layers of skin are scraped off, usually as the result of a friction bum or sliding fall. 6. ( ) inadequate tissue perfusion, caused by a fall in blood pressure or blood volume. 7. ( ) Caused by ruptured capillaries bleeding under the skin. This may have been the cause of a blunt blow, or by bleeding from underlying damage, such a s a fracture. 8. ( ) a condition caused by an allergic reaction in the lungs, often to substances such as dust, traffic fumes, or pollen. 9. ( ) A clean cut wound, usually caused by a sharp object such a s a knife 10. (.. ) A stabbing wound, could be as a result of standing on a nail or being Stabbed. 4/5

5 Question Two:(30 Marks) Q IV. Discussion questions: (Answer only three 3 questions only from the following) ( 15 Marks): 1. What are the routs that poisons can enter the body 2. Mention the possible signs and symptoms of internal bleeding 3. Talk briefly about the most common types of shock 4. Talk briefly about the pain in angina and cardiac attack 5. Mention the possible signs and symptoms of hypovoelmic shock Good luck for all 5/5