EMS Ch 24 JB

Your patient has a Glasgow Coma Scale (GCS) score of 13, a systolic blood pressure of 80 mm Hg, and a respiratory rate of 8 breaths/min. His Revised Trauma Score (RTS) is: Select one: A. 9. B. 8. C. 10. D. 11.

9.

Which of the following destinations is most appropriate for a 41-year-old male patient who was involved in a rollover motor vehicle collision and is unconscious and unresponsive, assuming that travel times to each is equal? Select one: A. A Level I or Level II trauma center B. Any designated trauma center is acceptable. C. A Level IV or Level III trauma center D. Only a Level I trauma center

A Level I or Level II trauma center

Which of the following injuries would MOST likely occur as a direct result of the third collision in a motor vehicle crash? Select one: A. Flail chest B. Forehead lacerations C. Extremity fractures D. Aortic rupture

Aortic rupture

Which of the following findings would be LEAST suggestive of the presence of high-energy trauma? Select one: A. Deployment of the air bag B. Intrusion into the vehicle C. Steering wheel deformity D. Dismounted seats

Deployment of the air bag

A 12-year-old male jumped approximately 12 feet from a tree and landed on his feet. He complains of pain to his lower back. What injury mechanism is MOST likely responsible for his back pain? Select one: A. Secondary fall after the initial impact B. Energy transmission to the spine C. Direct trauma to the spinal column D. Lateral impact to the spine

Energy transmission to the spine

Which of the following interventions is the MOST critical to the outcome of a patient with multisystem trauma? Select one: A. Rapid transport to a trauma center B. Elevation of the lower extremities C. Early administration of oxygen D. Intravenous fluid administration

Rapid transport to a trauma center

Which types of motor vehicle collisions present the greatest potential for multiple impacts? Select one: A. Rear-end and rotational B. Frontal and rotational C. Lateral and rollover D. Rotational and rollover

Rotational and rollover

Which of the following statements regarding gunshot wounds is correct? Select one: A. The size of a bullet has the greatest impact on the injury produced. B. High-velocity bullets will cause less severe internal injuries. C. The speed of a bullet has the greatest impact on the injury produced. D. Low-velocity bullets will cause the greatest amount of trauma.

The speed of a bullet has the greatest impact on the injury produced.

A young male sustained a gunshot wound to the abdomen during an altercation. As your partner is assessing and managing his airway, you should control the obvious bleeding and then: Select one: A. obtain baseline vital signs. B. auscultate bowel sounds. C. apply a cervical collar. D. assess for an exit wound.

assess for an exit wound.

According to the American College of Surgeons Committee on Trauma (ACS-COT), an adult trauma patient should be transported to the highest level of trauma center if he or she: Select one: A. has a GCS score of less than or equal to 13 with a mechanism attributed to trauma. B. was involved in a motor vehicle crash in which another patient in the same vehicle was killed. C. has a systolic blood pressure of less than 110 mm Hg or a heart rate greater than 110 beats/min. D. has a bleeding disorder or takes anticoagulant medications and has any blunt or penetrating injury.

has a GCS score of less than or equal to 13 with a mechanism attributed to trauma.

Following a blunt injury to the head, a 22-year-old female is confused and complains of a severe headache and nausea. On the basis of these signs and symptoms, you should be MOST concerned with the possibility of: Select one: A. a fracture of the skull. B. spinal cord injury. C. intracranial bleeding. D. airway compromise.

intracranial bleeding.

Approximately 25% of severe injuries to the aorta occur during: Select one: A. lateral collisions. B. frontal collisions. C. rear-end collisions. D. rollover collisions.

lateral collisions.

While en route to a major motor vehicle crash, an on-scene police officer advises you that a 6-year-old male who was riding in the front seat is involved. He further states that the child was only wearing a lap belt and that the air bag deployed. On the basis of this information, you should be MOST suspicious that the child has experienced: Select one: A. open abdominal trauma. B. blunt trauma to the head. C. neck and facial injuries. D. lower extremity fractures.

neck and facial injuries.

When assessing an elderly patient who fell, it is important to remember that: Select one: A. any fall in the elderly is considered to be high-energy trauma. B. bilateral hip fractures usually occur when an elderly person falls. C. elderly patients who fall usually have a secondary head injury. D. osteoporosis can cause a fracture as a result of a fall from a standing position.

osteoporosis can cause a fracture as a result of a fall from a standing position.

When assessing a patient who experienced a blast injury, it is important to remember that: Select one: A. solid organs usually rupture from the pressure wave. B. secondary blast injuries are usually the least obvious. C. primary blast injuries are the most easily overlooked. D. primary blast injuries are typically the most obvious.

primary blast injuries are the most easily overlooked.

When the speed of a motor vehicle doubles, the amount of kinetic energy: Select one: A. is not affected. B. triples. C. quadruples. D. doubles.

quadruples.

A 15-year-old female was struck by a small car while riding her bicycle. She was wearing a helmet and was thrown to the ground, striking her head. In addition to managing problems associated with airway, breathing, and circulation, it is MOST important for you to: Select one: A. leave her bicycle helmet on. B. obtain baseline vital signs. C. inspect the helmet for cracks. D. stabilize her entire spine.

stabilize her entire spine.

According to the Association of Air Medical Services, you should consider air medical transport of a trauma patient if: Select one: A. traffic conditions hamper the ability to get the patient to a trauma center by ground within the ideal time frame for the best clinical outcome. B. he or she was involved in a motor vehicle crash in which another occupant in the same vehicle was killed, even if your patient's injuries are minor. C. the patient requires advanced life support care and stabilization, and the nearest ALS-ground ambulance is more than 5 to 10 minutes away. D. ground transport will take your ambulance out of service for an extended period of time, regardless of the severity of the patient's injuries.

traffic conditions hamper the ability to get the patient to a trauma center by ground within the ideal time frame for the best clinical outcome.

Force acting over a distance is the definition of: Select one: A. kinetic energy. B. potential energy. C. work. D. latent energy.

work.

The index of suspicion is MOST accurately defined as: Select one: A. the detection of less obvious life-threatening injuries. B. the way in which traumatic injuries occur. C. your awareness and concern for potentially serious underlying injuries. D. a predictable pattern that leads to serious injuries.

your awareness and concern for potentially serious underlying injuries.