Basic EMT Fall Session Quiz Chapter 22

Evaluation of the interior of a crashed motor vehicle during extrication will allow the EMT to: Choose one answer. A. assess the severity of the third collision of the crash. Incorrect B. identify contact points and predict potential injuries. Correct C. determine the vehicle's speed at the time of impact. Incorrect D. recognize if the driver hit the brakes before impact. Incorrect

B. identify contact points and predict potential injuries.

Internal injuries caused by gunshot wounds are difficult to predict because: Choose one answer. A. the area of damage is usually smaller than the bullet. Incorrect B. the bullet may tumble or ricochet within the body. Correct C. exit wounds caused by the bullet are usually small. Incorrect D. the caliber of the bullet is frequently unknown. Incorrect

B. the bullet may tumble or ricochet within the body.

A 40-year-old unrestrained female impacted the steering wheel of her vehicle with her chest when she hit a tree while traveling at 45 mph. She is conscious and alert, but is experiencing significant chest pain and shortness of breath. Which of the following injuries did this patient likely NOT experience? Choose one answer. A. head injury Correct B. multiple rib fractures Incorrect C. cardiac contusion Incorrect D. pulmonary contusion Incorrect

A. head injury.

When assessing an elderly patient who fell, it is important to remember that: Choose one answer. A. osteoporosis can cause a fracture that may have resulted in the fall. Correct B. any fall in the elderly is considered to be high-energy trauma. Incorrect C. elderly patients who fall usually have a secondary head injury. Incorrect D. bilateral hip fractures usually occur when an elderly person falls. Incorrect

A. osteoporosis can cause a fracture that may have resulted in the fall.

A 30-year-old male sustained a stab wound to the neck when he was attacked outside a nightclub. During your assessment, you should be MOST alert for: Choose one answer. A. potential airway compromise. Correct B. injury to the cervical spine. Incorrect C. alterations in his mental status. Incorrect D. damage to internal structures. Incorrect

A. potential airway compromise.

Passengers who are seated in the rear of a vehicle and are wearing only lap belts have a higher incidence of injuries to the: Choose one answer. A. thoracic and lumbar spine. Correct B. lumbar and sacral spine. Incorrect C. thoracic and sacral spine. Incorrect D. lumbar and coccygeal spine. Incorrect

A. thoracic and lumbar spine.

The cervical spine is MOST protected from whiplash-type injuries when the: Choose one answer. A. patient tenses up at the time of impact. Incorrect B. air bag correctly deploys upon impact. Incorrect C. rear end of the vehicle is initially struck. Incorrect D. headrest is appropriately positioned. Correct

D. headrest is appropriately positioned.

Factors that should be considered when assessing a patient who has fallen include all of the following, EXCEPT: Choose one answer. A. the surface struck. Incorrect B. the primary impact point. Incorrect C. the height of the fall. Incorrect D. the speed of the fall. Correct

D. the speed of the fall.

If one or more occupants in the same vehicle are killed in a crash, the EMT should: Choose one answer. A. suspect that all living occupants experienced the same serious trauma. Correct B. allow the survivors to refuse transport if they have no obvious injuries. Incorrect C. rapidly assess only the survivors who have experienced obvious trauma. Incorrect D. transport the survivors only if they have injuries or complain of pain. Incorrect

A. suspect that all living occupants experienced the same serious trauma.

The driver of a sport utility vehicle lost control and struck a utility pole head-on. The driver was killed instantly. The passenger, a young female, is conscious and alert and has several small abrasions and lacerations to her left forearm. Treatment for the passenger should include: Choose one answer. A. transport to a trauma center. Correct B. a focused exam of her forearm. Incorrect C. transport to a community hospital. Incorrect D. a secondary assessment at the scene. Incorrect

A. transport to a trauma center.

A small compact car was involved in a rollover crash. As you are approaching the vehicle, you note that the roof is significantly collapsed. The patient, a 29-year-old male, is complaining of severe pain in his neck and to the top of his head as well as numbness and tingling in his extremities. Witnesses who removed the patient from the vehicle state that he was wearing his seatbelt. What injury mechanism is MOST likely responsible for this patient's condition? Choose one answer. A. lateral bending of the neck during the crash Incorrect B. compression of the head against the roof Correct C. whiplash injury to the neck during the rollover Incorrect D. impact of the head against the steering wheel Incorrect

B. compression of the head against the roof.

uring your assessment of a patient who experienced a blast injury, you note that he has a depressed area to the front of his skull. This injury MOST likely occurred: Choose one answer. A. during the secondary phase. Incorrect B. during the tertiary phase. Correct C. as a direct result of the pressure wave. Incorrect D. during the primary phase. Incorrect

B. during the tertiary phase.

During your assessment of a patient with a head injury, you note that he opens his eyes when you pinch his trapezius muscle, is mumbling, and has his arms curled in toward his chest. You should assign him a GCS score of: Choose one answer. A. 10. Incorrect B. 9. Incorrect C. 7. Correct D. 8. Incorrect

C. 7.

When evaluating the mechanism of injury of a car versus pedestrian collision, you should first: Choose one answer. A. evaluate the vehicle that struck the patient for structural damage. Incorrect B. determine if the patient was struck and pulled under the vehicle. Incorrect C. approximate the speed of the vehicle that struck the pedestrian. Correct D. determine if the patient was propelled away from the vehicle. Incorrect

C. approximate the speed of the vehicle that struck the pedestrian.

A 12-year-old male jumped approximately 12′ 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? Choose one answer. A. lateral impact to the spine Incorrect B. secondary fall after the initial impact Incorrect C. energy transmission to the spine Correct D. direct trauma to the spinal column Incorrect

C. energy transmission to the spine.

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: Choose one answer. A. spinal cord injury. Incorrect B. a fracture of the skull. Incorrect C. intracranial bleeding. Correct D. airway compromise. Incorrect

C. intracranial bleeding.

Signs of a pulmonary blast injury include: Choose one answer. A. multiple rib fractures. Incorrect B. vomiting blood. Incorrect C. an irregular pulse. Incorrect D. coughing up blood. Correct

D. coughing up blood.

Two of the MOST common mechanisms of injury for blunt trauma are: Choose one answer. A. low-caliber gunshot wounds and falls. Incorrect B. gunshot wounds and vehicle ejections. Incorrect C. motor vehicle collisions and stabbings. Incorrect D. falls and motor vehicle collisions. Correct

D. falls and motor vehicle collisions.

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: Choose one answer. A. inspect the helmet for cracks. Incorrect B. leave her bicycle helmet on. Incorrect C. obtain baseline vital signs. Incorrect D. stabilize her entire spine. Correct

D. stabilize her entire spine.

According to the Association of Air Medical Services (AAMS), you should consider air medical transport of a trauma patient if: Choose one answer. A. ground transport will take your ambulance out of service for an extended period of time, regardless of the severity of the patient's injuries. Incorrect 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. Incorrect C. the patient requires advanced life support care and stabilization, and the nearest ALS-ground ambulance is more than 5 to 10 minutes away. Incorrect D. 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. Correct

D. 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.