Chapter 24 quiz

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Which of the following statements regarding low energy penetrating injuries is correct?

The area of injury is usually close to the path the object took through the body.

Evaluation of the interior of a crashed motor vehicle during extrication will allow the EMT to:

identify contact points and predict potential injuries.

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

7

A small compact car was involved in a rollover crash. As you are approaching the vehicle, you not 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 patients condition?

Compression of the head against the roof

Which of the following statements regarding the first collision that occurs during a motor vehicle crash is correct?

It is the most dramatic part of the collision and may make extrication difficult.

Passengers who are seated in the rear of a vehicle and are wearing only lap belts have a higher incidence of injuries tot he ___________ spine during a rear end crash

Thoracic and lumbar

Which of the following patients has experienced the MOST significant fall?

a 4′6″ patient who fell 13′

When evaluating the Mechanism of injury of a car versus pedestrian collision you should first

approximate the speed of the vehicle that struck the pedestrian.

When treating a patient who experienced a pulmonary blast injury you should

avoid giving oxygen under positive pressure.

in contrast to a level 3 trauma center, a level 1 trauma center must: a. be involved in trauma prevention progs b. have general surgeons that are in house 24/day c. have access to an emerg. physician within 30 min d. be able to stabilize pts before transferring to higher level facility

b. have general surgeons that are in house 24/day

While assessing a young male who was struck in the chest with a steel pipe, you note that his pulse is rapid and irregular. You should be most suspicious for

bruising of the heart muscle

When a driver is in a car equipped with an air bag, but is not wearing a seatbelt, he or she will most likely strike the ____________ when the air bag deploys upon impact

door

Two of the MOST common mechanisms of injury for blunt trauma are

falls and motor vehicle collisions.

The energy of a moving object is called

kinetic energy

When assessing the interior of a crashed motor vehicle for damage, you are gathering information regarding the:

mechanism of injury

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

potential airway compromise.

If a person is standing near a building that explodes which of the following injuries would he or she MOST likely experience as a result of the pressure wave?

stomach rupture

Internal injuries caused by gunshot wounds are difficult to predict because

the bullet may tumble or ricochet within the body.

Factors that should be considered when assessing a patient who has fallen include all of the following EXCEPT:

the speed of the fall.

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

transport to a trauma center.


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