Question 1

Infants and very small children (up to two years of age) should have their child safety seat positioned where in a car?

Accepted Answer

A)  The front seating area, facing backward 
B)  The rear seating area, facing backward 
C)  The front seating area, facing frontward 
D)  The rear seating area, facing frontward 
A)  The front seating area, facing backward 
B)  The rear seating area, facing backward 
C)  The front seating area, facing frontward 
D)  The rear seating area, facing frontward

Question 2

Which of the following is NOT a complication of crush injury?

Accepted Answer

A)  Renal failure 
B)  Difficult-to-control hemorrhage 
C)  Cardiac arrhythmias 
D)  Systemic alkalosis 
A)  Renal failure 
B)  Difficult-to-control hemorrhage 
C)  Cardiac arrhythmias 
D)  Systemic alkalosis

Question 3

Which of the following is NOT considered penetrating trauma?

Accepted Answer

A)  Receiving a wood splinter in the foot while walking on an unfinished deck 
B)  A superficial wound resulting from a pellet from a pellet gun being lodged under the skin 
C)  A laceration from a kitchen knife 
D)  A laceration on the forehead as a result of being struck with a metal pipe 
A)  Receiving a wood splinter in the foot while walking on an unfinished deck 
B)  A superficial wound resulting from a pellet from a pellet gun being lodged under the skin 
C)  A laceration from a kitchen knife 
D)  A laceration on the forehead as a result of being struck with a metal pipe

Question 4

Greater velocity of a bullet will cause a ________ path of travel and a ________ trajectory.

Accepted Answer

A)  wavier; straighter 
B)  flatter; wavier 
C)  more rounded; curved 
D)  flatter; straighter 
A)  wavier; straighter 
B)  flatter; wavier 
C)  more rounded; curved 
D)  flatter; straighter

Question 5

For which of the following impacts should you maintain a higher index of suspicion because the degree of injury may be greater than the damage alone indicates?

Accepted Answer

A)  Rear-end 
B)  Oblique 
C)  Lateral 
D)  Frontal 
A)  Rear-end 
B)  Oblique 
C)  Lateral 
D)  Frontal

Question 6

Which of the following statements is TRUE of the permanent cavity created by penetrating trauma?

Accepted Answer

A)  It is filled with disrupted tissues, some air, fluid, and debris. 
B)  It is the damage done when the projectile fragments penetrate. 
C)  It is a space created by a projectile as tissue moves rapidly away in its path. 
D)  It is a potential space, not an actual space. 
A)  It is filled with disrupted tissues, some air, fluid, and debris. 
B)  It is the damage done when the projectile fragments penetrate. 
C)  It is a space created by a projectile as tissue moves rapidly away in its path. 
D)  It is a potential space, not an actual space.

Question 7

As the mass of an object increases, which of the following occurs?

Accepted Answer

A)  The maximum speed it can attain increases. 
B)  The amount of energy decreases. 
C)  The maximum speed it can attain decreases. 
D)  The amount of energy increases. 
A)  The maximum speed it can attain increases. 
B)  The amount of energy decreases. 
C)  The maximum speed it can attain decreases. 
D)  The amount of energy increases.

Question 8

Which of the following is TRUE of body armor use?

Accepted Answer

A)  There are no reported cases of penetrating trauma among victims who were shot while wearing body armor. 
B)  Blunt trauma may be significant, but the potential for life-threatening injury is less than if armor had not been worn. 
C)  Blunt trauma occurs only if ceramic inserts are placed in the vest. 
D)  Ceramic inserts are dangerous and should not be used, because they generally fragment and create secondary projectiles when they are struck by a bullet. 
A)  There are no reported cases of penetrating trauma among victims who were shot while wearing body armor. 
B)  Blunt trauma may be significant, but the potential for life-threatening injury is less than if armor had not been worn. 
C)  Blunt trauma occurs only if ceramic inserts are placed in the vest. 
D)  Ceramic inserts are dangerous and should not be used, because they generally fragment and create secondary projectiles when they are struck by a bullet.

Question 9

Which of the following "paper bag syndrome" injuries may occur due to sudden compression of the thorax or abdomen?

Accepted Answer

A)  Pulmonary and myocardial contusions 
B)  Pneumothorax and diaphragmatic rupture 
C)  Cardiac tamponade and aortic dissection 
D)  Pneumothorax and myocardial contusion 
A)  Pulmonary and myocardial contusions 
B)  Pneumothorax and diaphragmatic rupture 
C)  Cardiac tamponade and aortic dissection 
D)  Pneumothorax and myocardial contusion

Question 10

Which of the following best describes why the occupants of a vehicle moving at 50 miles per hour will be injured when the vehicle strikes a tree, but not when it brakes to a stop?

Accepted Answer

A)  Braking allows the kinetic energy to be absorbed evenly into the frame of the vehicle, rather than concentrating it at the point of impact. 
B)  The energy gradually dissipates as heat due to the friction of braking, rather than transferring to the vehicle and its occupants. 
C)  The inertia of the tree increases the kinetic energy transmitted to the occupants by a factor of 10. 
D)  None of the above describes why. 
A)  Braking allows the kinetic energy to be absorbed evenly into the frame of the vehicle, rather than concentrating it at the point of impact. 
B)  The energy gradually dissipates as heat due to the friction of braking, rather than transferring to the vehicle and its occupants. 
C)  The inertia of the tree increases the kinetic energy transmitted to the occupants by a factor of 10. 
D)  None of the above describes why.

Question 11

Which of the following is TRUE regarding a motorcycle collision?

Accepted Answer

A)  Frontal impact can result in intraabdominal, pelvic, and femur injuries. 
B)  A rider who "lays down the bike" will generally receive more severe injuries than a rider who stays with the bike. 
C)  The structural steel of the vehicle absorbs most of the kinetic energy in a motorcycle collision. 
D)  The use of helmets has drastically reduced the incidence of cervical spine injuries. 
A)  Frontal impact can result in intraabdominal, pelvic, and femur injuries. 
B)  A rider who "lays down the bike" will generally receive more severe injuries than a rider who stays with the bike. 
C)  The structural steel of the vehicle absorbs most of the kinetic energy in a motorcycle collision. 
D)  The use of helmets has drastically reduced the incidence of cervical spine injuries.

Question 12

Which of the following is TRUE of defense wounds in the victim of a knife attack?

Accepted Answer

A)  They usually occur to the shoulder as the victim attempts to turn away from the attack. 
B)  They often occur to the neck and head as the victim doubles over into a protective posture. 
C)  They usually occur to the hands and arms as the victim raises them to ward off the attacker. 
D)  They rarely occur because the victim is usually taken by surprise. 
A)  They usually occur to the shoulder as the victim attempts to turn away from the attack. 
B)  They often occur to the neck and head as the victim doubles over into a protective posture. 
C)  They usually occur to the hands and arms as the victim raises them to ward off the attacker. 
D)  They rarely occur because the victim is usually taken by surprise.

Question 13

Which of the following injuries is NOT commonly related to snowmobiling?

Accepted Answer

A)  Ejections 
B)  Crush injuries 
C)  Drowning 
D)  Glancing blows against obstructions in the snow 
A)  Ejections 
B)  Crush injuries 
C)  Drowning 
D)  Glancing blows against obstructions in the snow

Question 14

Vehicle supplemental restraint systems (air bags) are meant to:

Accepted Answer

A)  prevent unrestrained occupants from taking the down-and-under pathway in frontal impacts. 
B)  protect infants and children who ride in the front seat of the vehicle. 
C)  prevent injury from secondary impacts. 
D)  absorb the energy exchange of rapid deceleration. 
A)  prevent unrestrained occupants from taking the down-and-under pathway in frontal impacts. 
B)  protect infants and children who ride in the front seat of the vehicle. 
C)  prevent injury from secondary impacts. 
D)  absorb the energy exchange of rapid deceleration.

Question 15

Which of the following statements is NOT true of occupant ejection in motor vehicle collisions?

Accepted Answer

A)  Ejection accounts for 27 percent of motor vehicle fatalities. 
B)  The number of occupant impacts increases with ejection. 
C)  Ejection has not been reported with lateral-impact collisions. 
D)  Ejection is most often associated with frontal-impact collisions. 
A)  Ejection accounts for 27 percent of motor vehicle fatalities. 
B)  The number of occupant impacts increases with ejection. 
C)  Ejection has not been reported with lateral-impact collisions. 
D)  Ejection is most often associated with frontal-impact collisions.

Question 16

Which of the following is TRUE of supplemental restraint systems?

Accepted Answer

A)  They may deploy during rescue operations, injuring the patient and/or EMS personnel. 
B)  When worn incorrectly, they may cause spinal injury or decapitation. 
C)  They guard against thoracic impact with the steering wheel. 
D)  They are primarily useful in preventing injury to infants and children riding in the front seat. 
A)  They may deploy during rescue operations, injuring the patient and/or EMS personnel. 
B)  When worn incorrectly, they may cause spinal injury or decapitation. 
C)  They guard against thoracic impact with the steering wheel. 
D)  They are primarily useful in preventing injury to infants and children riding in the front seat.

Question 17

Which of the following is NOT one of the major types of recreational vehicles involved in crashes?

Accepted Answer

A)  Snowmobiles 
B)  Jet skis 
C)  All-terrain vehicles 
D)  Go-karts 
A)  Snowmobiles 
B)  Jet skis 
C)  All-terrain vehicles 
D)  Go-karts

Question 18

Your patient is an 8-year-old boy with a pencil impaled 2 centimeters inferior to the xiphoid process. You note that the pencil is pulsating. Which of the following is the best action?

Accepted Answer

A)  Start an IV and request orders for analgesia and sedation. 
B)  Remove the pencil and apply direct pressure to the wound; transport to a trauma center if the bleeding does not stop with direct pressure. 
C)  Stabilize the pencil in place and transport to a trauma center. 
D)  Stabilize the pencil in place and transport to the nearest medical facility. 
A)  Start an IV and request orders for analgesia and sedation. 
B)  Remove the pencil and apply direct pressure to the wound; transport to a trauma center if the bleeding does not stop with direct pressure. 
C)  Stabilize the pencil in place and transport to a trauma center. 
D)  Stabilize the pencil in place and transport to the nearest medical facility.

Question 19

Your patient is a construction worker who fell 15 feet and has a 3-foot metal concrete reinforcement bar (rebar) impaled in his right thigh. Which of the following is the best action?

Accepted Answer

A)  Administer sodium bicarbonate to combat acidosis resulting from the destruction of muscle tissue. 
B)  If the proper tools and personnel are present, have rescuers cut the rebar to a manageable length. 
C)  If you can see both ends of the rebar, gently remove it and irrigate the wound with sterile saline. 
D)  Transport the patient without attempting to shorten or remove the rebar. 
A)  Administer sodium bicarbonate to combat acidosis resulting from the destruction of muscle tissue. 
B)  If the proper tools and personnel are present, have rescuers cut the rebar to a manageable length. 
C)  If you can see both ends of the rebar, gently remove it and irrigate the wound with sterile saline. 
D)  Transport the patient without attempting to shorten or remove the rebar.

Question 20

A penetrating injury to which of the following organs is LEAST likely to result in severe hemorrhage?

Accepted Answer

A)  Liver 
B)  Kidney 
C)  Spleen 
D)  Ureter 
A)  Liver 
B)  Kidney 
C)  Spleen 
D)  Ureter

Infants and very small children (up to two years of age) should have their child safety seat positioned where in a car?

Which of the following is NOT a complication of crush injury?

Which of the following is NOT considered penetrating trauma?

Greater velocity of a bullet will cause a path of travel and a trajectory.

For which of the following impacts should you maintain a higher index of suspicion because the degree of injury may be greater than the damage alone indicates?

Which of the following statements is TRUE of the permanent cavity created by penetrating trauma?

As the mass of an object increases, which of the following occurs?

Which of the following is TRUE of body armor use?

Which of the following "paper bag syndrome" injuries may occur due to sudden compression of the thorax or abdomen?

Which of the following best describes why the occupants of a vehicle moving at 50 miles per hour will be injured when the vehicle strikes a tree, but not when it brakes to a stop?

Which of the following is TRUE regarding a motorcycle collision?

Which of the following is TRUE of defense wounds in the victim of a knife attack?

Which of the following injuries is NOT commonly related to snowmobiling?

Vehicle supplemental restraint systems (air bags) are meant to:

Which of the following statements is NOT true of occupant ejection in motor vehicle collisions?

Which of the following is TRUE of supplemental restraint systems?

Which of the following is NOT one of the major types of recreational vehicles involved in crashes?

Your patient is an 8-year-old boy with a pencil impaled 2 centimeters inferior to the xiphoid process. You note that the pencil is pulsating. Which of the following is the best action?

Your patient is a construction worker who fell 15 feet and has a 3-foot metal concrete reinforcement bar (rebar) impaled in his right thigh. Which of the following is the best action?

A penetrating injury to which of the following organs is LEAST likely to result in severe hemorrhage?

Trauma and Trauma Systems

Hemorrhage and Shock

Soft Tissue Trauma

Burns

Head, Neck, and Spinal Trauma

Chest Trauma

Abdominal and Pelvic Trauma

Orthopedic Trauma

Environmental Trauma

Special Considerations in Trauma

Filters

Exam 2: Mechanism of Injury

Infants and very small children (up to two years of age) should have their child safety seat positioned where in a car?

Which of the following is NOT a complication of crush injury?

Which of the following is NOT considered penetrating trauma?

Greater velocity of a bullet will cause a ________ path of travel and a ________ trajectory.

For which of the following impacts should you maintain a higher index of suspicion because the degree of injury may be greater than the damage alone indicates?

Which of the following statements is TRUE of the permanent cavity created by penetrating trauma?

As the mass of an object increases, which of the following occurs?

Which of the following is TRUE of body armor use?

Which of the following "paper bag syndrome" injuries may occur due to sudden compression of the thorax or abdomen?

Which of the following best describes why the occupants of a vehicle moving at 50 miles per hour will be injured when the vehicle strikes a tree, but not when it brakes to a stop?

Which of the following is TRUE regarding a motorcycle collision?

Which of the following is TRUE of defense wounds in the victim of a knife attack?

Which of the following injuries is NOT commonly related to snowmobiling?

Vehicle supplemental restraint systems (air bags) are meant to:

Which of the following statements is NOT true of occupant ejection in motor vehicle collisions?

Which of the following is TRUE of supplemental restraint systems?

Which of the following is NOT one of the major types of recreational vehicles involved in crashes?

Your patient is an 8-year-old boy with a pencil impaled 2 centimeters inferior to the xiphoid process. You note that the pencil is pulsating. Which of the following is the best action?

Your patient is a construction worker who fell 15 feet and has a 3-foot metal concrete reinforcement bar (rebar) impaled in his right thigh. Which of the following is the best action?

A penetrating injury to which of the following organs is LEAST likely to result in severe hemorrhage?

Trauma and Trauma Systems

Hemorrhage and Shock

Soft Tissue Trauma

Burns

Head, Neck, and Spinal Trauma

Chest Trauma

Abdominal and Pelvic Trauma

Orthopedic Trauma

Environmental Trauma

Special Considerations in Trauma

Filters

Greater velocity of a bullet will cause a path of travel and a trajectory.