quiz 8

You arrive at an accident scene to find an alternative-fuel vehicle leaking an unknown substance. You should immediately ______________. A. call for additional resources and keep bystanders away from the vehicle B. apply retardant to the leaking fuel C. disconnect the car battery D. search the vehicle for occupants

A. call for additional resources and keep bystanders away from the vehicle chapter 38 pg 1394

Upon arriving at the scene of a motor vehicle crash, you find a single patient still seated in his car. There are no scene hazards. As you approach the vehicle, you note that the patient is semiconscious and has a large laceration to his forehead. You should: A. call medical control for further direction B. begin triage to determine injury severity A. direct your partner to begin ventilatory assistance D. request law enforcement for traffic control

A. direct your partner to begin ventilatory assistance chapter 38 pg 1392

A 19 year old female has just been extricated from her severely damaged car. She is on a long backboard and has been moved to a place of safety. As your partner maintains manual stabilization of her head, you perform a rapid assessment. The patient is unresponsive, has slow and shallow respirations, and has bilaterally closed femur deformities. You should: A. direct your partner to begin ventilatory assistance B. obtain baseline vital signs and transport at once C. stabilize her legs with long board splints D. apply oxygen via a nonrebreathing mask

A. direct your partner to begin ventilatory assistance chapter 38 pg 1398

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: 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. was involved in a motor vehicle crash in which another patient in the same vehicle was killed D. has a systolic blood pressure of less than 110mm Hg or a heart rate greater than 110 beats/min

A. has a GCS score of less than or equal to 13 with a mechanism attributed to trauma chapter 24 pg 870

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

A. intracranial bleeding chapter 24 pg 865

At a scene with downed electrical lines, the EMT should ______________. A. remain outside the danger (hot) zone B. enter the danger (hot) zone for patient removal only C. relocate the danger (hot) zone away from the patient D. stabilize the patient in the danger (hot) zone

A. remain outside the danger (hot) zone chapter 38 pg 1394

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? A. lateral impact to the spine B. energy transmission to the spine C. direct trauma to the spinal column D. secondary fall after the initial impact

B. energy transmission to the spine chapter 24 pg 858

You are standing by the scene of a hostage situation when the incident commander advises you that one of his personnel has been shot. The patient is lying supine in an open area and is not moving. As the SWAT team escorts you to the patient, you should: A. treat only critical injuries before moving him to a safe place B. grab him by the clothes and immediately move him to safety C. perform a rapid assessment and move him to a place of safety D. limit your primary assessment to airway and breathing only

B. grab him by the clothes and immediately move him to safety chapter 38 pg 1402

Which of the following injuries would MOST likely occur as a direct result of the third collision in a motor vehicle crash? A. forehead lacerations B. fail chest C. aortic rupture D. extremity fractures

C. aortic rupture chapter 24 pg 851

While in route to a major motor vehicle crash, an on-scene police office 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: A. lower extremity fractures B. blunt trauma to the head C. neck and facial injuries D. open abdominal trauma

C. neck and facial injuries chapter 24 pg 854

when assessing an elderly patient who fell, it is important to remember that: 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. osteoporosis can cause a fracture as a result of a fall from a standing position D. elderly patients who fall usually have a secondary head injury

C. osteoporosis can cause a fracture as a result of a fall from a standing position chapter 24 pg 859

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

C. primary blast injuries are the most easily overlooked chapter 24 pg 862

When removing a critically injured patient from his or her vehicle, you should: A. move him or her in one fast, continuous step B. remove him or her using a short backboard C. protect the cervical spine during the entire process D. release c-spine control to facilitate rapid removal

C. protect the cervical spine during the entire process chapter 38 pg 1397

Which types of motor vehicle collisions present the greatest potential for multiple impacts? A. rear-end and rational B. lateral and rollover C. rotational and rollover D. frontal and rotational

C. rotational and rollover chapter 24 pg 850

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

C. stabilize her entire spine chapter 24 pg 857

According to the Association of Air Medical Services, you should consider air medical transport of a trauma patient: 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 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. 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 D. the patient requires advanced life support care and stabilization, and the nearest ALS-ground ambulance is more than 5 to 10 minutes away

C. 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 chapter 24 pg 867

The index of suspicion is MOST accurately defined as: 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

C. your awareness and concern for potentially serious underlying injuries chapter 24 pg 847

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? A. only a level 1 trauma center B. a level IV or level III trauma center C. any designated trauma center is acceptable D. a level I or level II trauma center

D. a level I or level II trauma center chapter 24 pg 868

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

D. assess for an exit wound chapter 24 pg 859

A 33 year old restrained driver of a motor vehicle crash is awake and alert, complaining only of neck pain nd left leg pain. The vehicle is stable and no hazards are present. When removing this patient from his vehicle, you should: A. use the rapid extrication technique B. apply a full leg splint prior to extrication C. maintain slight traction to his neck area D. immobilize him with a vest-style device

D. immobilize him with a vest-style device chapter 38 pg 1397