Question 1

A fracture in which significant energy exchange shatters or splinters bone, creating many fragments, is called a(n) ________ fracture.

Accepted Answer

A)  impacted 
B)  comminuted 
C)  oblique 
D)  spiral 
A)  impacted 
B)  comminuted 
C)  oblique 
D)  spiral

Question 2

Which of the following organs is LEAST likely to be injured in penetrating trauma to the abdomen?

Accepted Answer

A)  Spleen 
B)  Kidney 
C)  Pancreas 
D)  Small intestine 
A)  Spleen 
B)  Kidney 
C)  Pancreas 
D)  Small intestine

Question 3

Which of the following supplies articular cartilage with oxygen and nutrients?

Accepted Answer

A)  Bursae 
B)  Capillary beds 
C)  Synovial fluid 
D)  The Haversian system 
A)  Bursae 
B)  Capillary beds 
C)  Synovial fluid 
D)  The Haversian system

Question 4

Which of the following best describes the threat to life associated with traumatic rupture of the esophagus?

Accepted Answer

A)  Entry of gastric contents into the mediastinum 
B)  Hypoxia 
C)  Decreased cardiac output 
D)  Massive hemorrhage 
A)  Entry of gastric contents into the mediastinum 
B)  Hypoxia 
C)  Decreased cardiac output 
D)  Massive hemorrhage

Question 5

Which of the following impairs blood clotting?

Accepted Answer

A)  Hypothermia 
B)  Administration of IV fluids 
C)  Use of nonsteroidal, anti-inflammatory medications 
D)  All of the above 
A)  Hypothermia 
B)  Administration of IV fluids 
C)  Use of nonsteroidal, anti-inflammatory medications 
D)  All of the above

Question 6

Which of the following scenarios would likely lead to the development of compartment syndrome?

Accepted Answer

A)  A crush injury to the lower leg 
B)  A loose-fitting cast that covers the thigh and leg 
C)  An excessive release of intracellular potassium 
D)  A tennis shoe that doesn't fit correctly 
A)  A crush injury to the lower leg 
B)  A loose-fitting cast that covers the thigh and leg 
C)  An excessive release of intracellular potassium 
D)  A tennis shoe that doesn't fit correctly

Question 7

You are caring for a 22-year-old amateur boxer who complained of a sudden obstruction of part of his visual field. This complaint is most consistent with which of the following conditions?

Accepted Answer

A)  Extrusion of the eyeball 
B)  Subconjunctival hemorrhage 
C)  Hyphema 
D)  Retinal detachment 
A)  Extrusion of the eyeball 
B)  Subconjunctival hemorrhage 
C)  Hyphema 
D)  Retinal detachment

Question 8

Which of the following is TRUE of the injuries sustained by the elderly due to falls?

Accepted Answer

A)  The injuries sustained by the elderly are less likely to result in hospitalization. 
B)  Only more significant falls cause fractures. 
C)  Less-significant falls may cause fractures. 
D)  The elderly sustain injuries similar to other age groups in comparable falls. 
A)  The injuries sustained by the elderly are less likely to result in hospitalization. 
B)  Only more significant falls cause fractures. 
C)  Less-significant falls may cause fractures. 
D)  The elderly sustain injuries similar to other age groups in comparable falls.

Question 9

Which of the following is the best, most cost-effective way for EMS personnel to help reduce trauma-related morbidity and mortality?

Accepted Answer

A)  Participate in injury prevention programs. 
B)  Keep up to date on trauma management knowledge and skills. 
C)  Transport all trauma patients to a trauma center. 
D)  Provide complete patient care reports so that accurate data can be entered into the trauma registry. 
A)  Participate in injury prevention programs. 
B)  Keep up to date on trauma management knowledge and skills. 
C)  Transport all trauma patients to a trauma center. 
D)  Provide complete patient care reports so that accurate data can be entered into the trauma registry.

Question 10

Flash burns associated with electricity occur because:

Accepted Answer

A)  air is a moderately good conductor of electricity, generating moderate heat. 
B)  air is an excellent conductor of electricity, generating moderate heat. 
C)  air is mildly resistant to the passage of electricity, generating only enough heat to cause superficial burns. 
D)  air is highly resistant to the passage of electricity, generating intense heat. 
A)  air is a moderately good conductor of electricity, generating moderate heat. 
B)  air is an excellent conductor of electricity, generating moderate heat. 
C)  air is mildly resistant to the passage of electricity, generating only enough heat to cause superficial burns. 
D)  air is highly resistant to the passage of electricity, generating intense heat.

Question 11

The primary assessment of a patient with a gunshot wound to the chest should focus on detecting which of the following?

Accepted Answer

A)  Pancreatitis 
B)  Tension pneumothorax 
C)  Cardiac contusion 
D)  Peritonitis 
A)  Pancreatitis 
B)  Tension pneumothorax 
C)  Cardiac contusion 
D)  Peritonitis

Question 12

When you are assessing someone with a gunshot wound from a rifle, which of the following is important to remember?

Accepted Answer

A)  The zone of injury is larger than that expected with other types of weapons. 
B)  The muzzle velocity is less than that of a handgun. 
C)  The trajectory is longer, allowing more energy to be dissipated by drag before it strikes the victim. 
D)  The cavitation is limited to the direct path of the bullet. 
A)  The zone of injury is larger than that expected with other types of weapons. 
B)  The muzzle velocity is less than that of a handgun. 
C)  The trajectory is longer, allowing more energy to be dissipated by drag before it strikes the victim. 
D)  The cavitation is limited to the direct path of the bullet.

Question 13

Which of the following injuries is MOST likely in a rear-end collision?

Accepted Answer

A)  Thoracic and abdominal injuries 
B)  Head and neck injuries 
C)  Pelvic fractures 
D)  Lumbar spine injuries 
A)  Thoracic and abdominal injuries 
B)  Head and neck injuries 
C)  Pelvic fractures 
D)  Lumbar spine injuries

Question 14

You are assessing an assault victim and note a contusion over the abdomen. Which of the following should you remember while caring for this patient?

Accepted Answer

A)  Unless the contusion is over a critical area, such as the spleen or liver, the likelihood of serious injury is minimal. 
B)  A contusion to the abdomen should always increase your index of suspicion for underlying injury. 
C)  If there is no rigidity or distension of the abdomen, serious injury is unlikely. 
D)  The significance of the trauma is related to the amount of pain the patient experiences on palpation. 
A)  Unless the contusion is over a critical area, such as the spleen or liver, the likelihood of serious injury is minimal. 
B)  A contusion to the abdomen should always increase your index of suspicion for underlying injury. 
C)  If there is no rigidity or distension of the abdomen, serious injury is unlikely. 
D)  The significance of the trauma is related to the amount of pain the patient experiences on palpation.

Question 15

For which of the following burn patients could you use local cooling?

Accepted Answer

A)  An 18-month-old child with partial and full thickness scald burns on the lower extremities, buttocks, genitalia, and lower abdomen 
B)  A 19-year-old woman with approximately 40 percent superficial and 45 percent partial thickness burns from sunbathing 
C)  A 15-year-old man with partial thickness burns of his left upper extremity, anterior chest, and neck resulting from playing with gasoline and matches 
D)  A 52-year-old man with a 1-inch-wide full thickness burn across the entire width of the palm of his right hand resulting from picking up a hot grate from a barbecue grill 
A)  An 18-month-old child with partial and full thickness scald burns on the lower extremities, buttocks, genitalia, and lower abdomen 
B)  A 19-year-old woman with approximately 40 percent superficial and 45 percent partial thickness burns from sunbathing 
C)  A 15-year-old man with partial thickness burns of his left upper extremity, anterior chest, and neck resulting from playing with gasoline and matches 
D)  A 52-year-old man with a 1-inch-wide full thickness burn across the entire width of the palm of his right hand resulting from picking up a hot grate from a barbecue grill

Question 16

When a patient has lost 2 liters or more of blood from hemorrhage, which classification is that?

Accepted Answer

A)  I 
B)  III 
C)  IV 
D)  II 
A)  I 
B)  III 
C)  IV 
D)  II

Question 17

Another name for an open pneumothorax is:

Accepted Answer

A)  tension pneumothorax. 
B)  sucking chest wound. 
C)  flail chest. 
D)  hemopneumothorax. 
A)  tension pneumothorax. 
B)  sucking chest wound. 
C)  flail chest. 
D)  hemopneumothorax.

Question 18

When assessing a long bone injury, you should assume that you are dealing with a joint injury when the site of injury is within ________ inch(es) of the joint.

Accepted Answer

A)  3 
B)  2 
C)  1 
D)  6 
A)  3 
B)  2 
C)  1 
D)  6

Question 19

Which of the following correctly describes the impact of motorcycle helmet use?

Accepted Answer

A)  Helmet usage is associated with a 10 percent reduction in serious head injuries. 
B)  There have been no reported fatalities from motorcycle collisions in which the riders were wearing helmets. 
C)  Helmet usage decreases the risk of serious head injuries but increases the risk of cervical-spine injuries. 
D)  Helmet usage results in a more than 50 percent reduction in serious head injuries. 
A)  Helmet usage is associated with a 10 percent reduction in serious head injuries. 
B)  There have been no reported fatalities from motorcycle collisions in which the riders were wearing helmets. 
C)  Helmet usage decreases the risk of serious head injuries but increases the risk of cervical-spine injuries. 
D)  Helmet usage results in a more than 50 percent reduction in serious head injuries.

Question 20

Which of the following is a function of the sympathetic nervous system?

Accepted Answer

A)  Digestion 
B)  Sexual functioning 
C)  Constriction of the pupils 
D)  Increased heart rate 
A)  Digestion 
B)  Sexual functioning 
C)  Constriction of the pupils 
D)  Increased heart rate

A fracture in which significant energy exchange shatters or splinters bone, creating many fragments, is called a(n) ________ fracture.

Which of the following organs is LEAST likely to be injured in penetrating trauma to the abdomen?

Which of the following supplies articular cartilage with oxygen and nutrients?

Which of the following best describes the threat to life associated with traumatic rupture of the esophagus?

Which of the following impairs blood clotting?

Which of the following scenarios would likely lead to the development of compartment syndrome?

You are caring for a 22-year-old amateur boxer who complained of a sudden obstruction of part of his visual field. This complaint is most consistent with which of the following conditions?

Which of the following is TRUE of the injuries sustained by the elderly due to falls?

Which of the following is the best, most cost-effective way for EMS personnel to help reduce trauma-related morbidity and mortality?

Flash burns associated with electricity occur because:

The primary assessment of a patient with a gunshot wound to the chest should focus on detecting which of the following?

When you are assessing someone with a gunshot wound from a rifle, which of the following is important to remember?

Which of the following injuries is MOST likely in a rear-end collision?

You are assessing an assault victim and note a contusion over the abdomen. Which of the following should you remember while caring for this patient?

For which of the following burn patients could you use local cooling?

When a patient has lost 2 liters or more of blood from hemorrhage, which classification is that?

Another name for an open pneumothorax is:

When assessing a long bone injury, you should assume that you are dealing with a joint injury when the site of injury is within ________ inch(es) of the joint.

Which of the following correctly describes the impact of motorcycle helmet use?

Which of the following is a function of the sympathetic nervous system?

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Exam 4: Trauma and Trauma Systems

A fracture in which significant energy exchange shatters or splinters bone, creating many fragments, is called a(n) ________ fracture.

Which of the following organs is LEAST likely to be injured in penetrating trauma to the abdomen?

Which of the following supplies articular cartilage with oxygen and nutrients?

Which of the following best describes the threat to life associated with traumatic rupture of the esophagus?

Which of the following impairs blood clotting?

Which of the following scenarios would likely lead to the development of compartment syndrome?

You are caring for a 22-year-old amateur boxer who complained of a sudden obstruction of part of his visual field. This complaint is most consistent with which of the following conditions?

Which of the following is TRUE of the injuries sustained by the elderly due to falls?

Which of the following is the best, most cost-effective way for EMS personnel to help reduce trauma-related morbidity and mortality?

Flash burns associated with electricity occur because:

The primary assessment of a patient with a gunshot wound to the chest should focus on detecting which of the following?

When you are assessing someone with a gunshot wound from a rifle, which of the following is important to remember?

Which of the following injuries is MOST likely in a rear-end collision?

You are assessing an assault victim and note a contusion over the abdomen. Which of the following should you remember while caring for this patient?

For which of the following burn patients could you use local cooling?

When a patient has lost 2 liters or more of blood from hemorrhage, which classification is that?

Another name for an open pneumothorax is:

When assessing a long bone injury, you should assume that you are dealing with a joint injury when the site of injury is within ________ inch(es) of the joint.

Which of the following correctly describes the impact of motorcycle helmet use?

Which of the following is a function of the sympathetic nervous system?

Introduction to Paramedicine

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Pulmonology

Gynecology

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