24 TRAUMA EMT

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. Dismounted seats C. Intrusion into the vehicle D. Steering wheel deformity

A. Deployment of the air bag

Whiplash injuries are MOST common following _________ impacts. A.rear-end B.rollover C.frontal D.lateral

A. Rear-end

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. assess for an exit wound. B. apply a cervical collar. C. obtain baseline vital signs. D. auscultate bowel sounds.

A. 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. has a bleeding disorder or takes anticoagulant medications and has any blunt or penetrating injury. C. has a systolic blood pressure of less than 110 mm Hg or a heart rate greater than 110 beats/min. D. was involved in a motor vehicle crash in which another patient in the same vehicle was killed.

A. 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. intracranial bleeding. B. airway compromise. C. a fracture of the skull. D. spinal cord injury.

A. intracranial bleeding.

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. neck and facial injuries. B. blunt trauma to the head. C. lower extremity fractures. D. open abdominal trauma.

A. neck and facial injuries.

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

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

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. stabilize her entire spine. B. inspect the helmet for cracks. C. obtain baseline vital signs. D. leave her bicycle helmet on.

A. 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. the patient requires advanced life support care and stabilization, and the nearest ALS-ground ambulance is more than 5 to 10 minutes away. C. 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. 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.

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.

An unrestrained driver collided with a bridge pillar. Upon inspection of the interior of his vehicle, you note that the lower dashboard is crushed. During your assessment of the patient, you will MOST likely encounter: A. trauma to the pelvis. B .blunt abdominal trauma. C.a severe closed head injury. D.penetrating thoracic trauma.

A. trauma to the pelvis.

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

A. your awareness and concern for potentially serious underlying injuries.

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. 8. B. 9. C. 10. D. 11.

B. 9.

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

B. Rapid transport to a trauma center

Kinetic energy is a calculation of: A. weight and size. B. weight and speed. C. mass and weight. D. speed and force.

B. Weight and Speed

A young male experienced severe blunt chest trauma when his passenger car struck another vehicle head-on. During your inspection of the interior of his vehicle, you would MOST likely find: A. deployed airbags. B. steering wheel deformity. C. starring of the windshield. D. a crushed instrument panel.

B. steering wheel deformity

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. Any designated trauma center is acceptable. B. A Level IV or Level III trauma center C. A Level I or Level II trauma center D. Only a Level I trauma center

C. A Level I or Level II trauma center

Severe abrasion injuries can occur when motorcycle riders are slowed after a collision by road drag. Road drag is most often associated with which type of motorcycle impact? A. Head-on collision B. Angular collision C. Ejection D. Controlled crash

C. Ejection

A 20-year-old man has major open facial injuries after his vehicle struck a tree head-on. Which of the following findings within the car would MOST likely explain his injury pattern? A. Deployed airbag B. Bent steering wheel C. Non-intact windshield D. Crushed instrument panel

C. Non-Intact windshield

Which of the following statements regarding gunshot wounds is correct? Select one: A. Low-velocity bullets will cause the greatest amount of trauma. 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. The size of a bullet has the greatest impact on the injury produced.

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

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

C. quadruples.

A 40-year-old man was standing near a building when it exploded. He has multiple injuries, including a depressed skull fracture, severe burns, and an impaled object in his abdomen. His head injury was MOST likely caused by ___________ blast injuries. A. primary B. secondary C. tertiary D. quaternary

C. tertiary

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. Extremity fractures B. Forehead lacerations C. Flail chest D. Aortic rupture

D. Aortic rupture

Which of the following would MOST likely result from the third collision in the "three- collision" effect that occurs during a high- speed, frontal impact motor vehicle crash? A. Extensive damage to the automobile B. Flail chest and lower extremity fractures C.Massive external trauma with severe bleeding D. Aortic rupture or compression injury to the brain

D. Aortic rupture or compression injury to the brain

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. Direct trauma to the spinal column C. Lateral impact to the spine D. Energy transmission to the spine

D. Energy transmission to the spine

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

D. Rotational and rollover

Death from a rollover motor vehicle crash is MOST often secondary to: A. crushing injuries. B. airbag-related trauma. C. multiple collisions to the interior of the car. D. ejection of the patient from the motor vehicle.

D. ejection of the patient from the motor vehicle.

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

D. lateral collisions.

When assessing a stab wound, it is important for the EMT to remember that: A. stabbings to an extremity are rarely associated with an exit wound. B. the majority of the internal trauma will be near the path of the knife. C. most stabbings are unintentional and cause less severe internal injury. D. more internal damage may be present than the external wound suggests.

D. more internal damage may be present than the external wound suggests.

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

D. primary blast injuries are the most easily overlooked.

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

D. work.