Question 1

Which statement about ballistics is TRUE?

Accepted Answer

A)  Damage is less when the bullet does not exit the body. 
B)  When a bullet tumbles, it decreases the damage. 
C)  In penetrating trauma, the mass of a projectile is more significant than its velocity when determining kinetic energy. 
D)  When a bullet yaws, it increases the damage. 
A)  Damage is less when the bullet does not exit the body. 
B)  When a bullet tumbles, it decreases the damage. 
C)  In penetrating trauma, the mass of a projectile is more significant than its velocity when determining kinetic energy. 
D)  When a bullet yaws, it increases the damage.

Question 2

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 3

Which of the following best defines the term energy?

Accepted Answer

A)  The ability to deform solid objects 
B)  The rate of motion related to time 
C)  The capacity to do work 
D)  The amount of heat generated through friction 
A)  The ability to deform solid objects 
B)  The rate of motion related to time 
C)  The capacity to do work 
D)  The amount of heat generated through friction

Question 4

Field assessment/management for pnemomediastinum includes:

Accepted Answer

A)  administer high-flow oxygen. 
B)  contact DAN. 
C)  check for pneumothorax. 
D)  all of the above. 
A)  administer high-flow oxygen. 
B)  contact DAN. 
C)  check for pneumothorax. 
D)  all of the above.

Question 5

You and your partner are working a day shift. It is a sunny day, and the temperature is 95°F. You are dispatched to the town soccer field for an 85-year-old woman complaining of cramping to her fingers. The patient denies any other complaint of dizziness, nausea, or vomiting. The patient tells you it feels like her arthritis but much worse. Her vital signs are all within normal limits, and her skin is warm and moist. What is the MOST likely problem this patient is experiencing?

Accepted Answer

A)  Heat stroke 
B)  Heat exhaustion 
C)  Heat cramps 
D)  Arthritis 
A)  Heat stroke 
B)  Heat exhaustion 
C)  Heat cramps 
D)  Arthritis

Question 6

You are reassessing the distal circulation on a patient's forearm you have bandaged. The distal hand and wrist are cool to the touch and turning pale. The patient complains of numbness and tingling in that hand. What is your next course of action?

Accepted Answer

A)  Loosen the bandage and see if that relieves the signs and symptoms. 
B)  Keep the dressing and bandage in place and expedite transport. 
C)  Administer pain medication to help relieve the symptoms. 
D)  Sling and swathe the arm to the chest and reassess the distal circulation. 
A)  Loosen the bandage and see if that relieves the signs and symptoms. 
B)  Keep the dressing and bandage in place and expedite transport. 
C)  Administer pain medication to help relieve the symptoms. 
D)  Sling and swathe the arm to the chest and reassess the distal circulation.

Question 7

You have arrived on the scene of a paramedic who was shot as she approached a residence on a call. The scene has since been secured. Your patient is a 38-year-old woman with one gunshot wound to the left side of the chest at the fifth intercostal space in the midaxillary line. She is pale, cool, and awake but agitated. She is diaphoretic and complaining of pain in her left side and difficulty breathing. The patient's EMT partner has applied oxygen by nonrebreather mask and placed an occlusive dressing over the entry wound before your arrival. As you continue your assessment, the patient's level of consciousness decreases. She responds to verbal stimuli. Her airway is clear, her respiratory rate is 38 per minute and shallow, her neck veins are flat, and her breath sounds are absent on the left side. The patient lacks a radial pulse, and her abdomen is non-guarded and non-tender. Which of the following best explains the presentation of this patient?

Accepted Answer

A)  Simple pneumothorax 
B)  Tension pneumothorax 
C)  Pericardial tamponade 
D)  Hemothorax 
A)  Simple pneumothorax 
B)  Tension pneumothorax 
C)  Pericardial tamponade 
D)  Hemothorax

Question 8

In which of the following patients would you expect to see a subacute exposure to cold?

Accepted Answer

A)  A homeless person 
B)  A mountain climber 
C)  A chronically ill patient 
D)  A patient who fell through ice into water 
A)  A homeless person 
B)  A mountain climber 
C)  A chronically ill patient 
D)  A patient who fell through ice into water

Question 9

Your patient is a 30-year-old pregnant woman at 36 weeks' gestation. She was injured in a fall from a horse and is complaining of painful contractions. Her abdomen is tender to palpation over the uterus, and the uterus becomes firm with contractions, but she denies vaginal bleeding. The patient is anxious, but her skin is warm and dry. Her blood pressure is 112/70, her heart rate is 92, and her respirations are 24. Which of the following statements best describes this situation?

Accepted Answer

A)  The mechanism and patient complaints are suspicious for abruptio placentae. The mother's condition is not life threatening, but fetal demise has most likely already occurred. 
B)  The mechanism and patient complaints are consistent with placenta previa. The mother is stable, but the fetus is in jeopardy. 
C)  The mechanism and patient complaints are consistent with uterine rupture. Both the mother and fetus are in jeopardy. 
D)  The mechanism and patient complaints are suspicious for abruptio placentae. Both the mother and the fetus are in jeopardy. 
A)  The mechanism and patient complaints are suspicious for abruptio placentae. The mother's condition is not life threatening, but fetal demise has most likely already occurred. 
B)  The mechanism and patient complaints are consistent with placenta previa. The mother is stable, but the fetus is in jeopardy. 
C)  The mechanism and patient complaints are consistent with uterine rupture. Both the mother and fetus are in jeopardy. 
D)  The mechanism and patient complaints are suspicious for abruptio placentae. Both the mother and the fetus are in jeopardy.

Question 10

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 11

Damage to which of the following organs is MOST likely to induce severe infection in the abdominal cavity?

Accepted Answer

A)  Urinary bladder 
B)  Colon 
C)  Stomach 
D)  Ureter 
A)  Urinary bladder 
B)  Colon 
C)  Stomach 
D)  Ureter

Question 12

Which of the following is MOST likely to occur to the bullet when military ammunition is used?

Accepted Answer

A)  It will "mushroom" or flatten. 
B)  It will remain intact. 
C)  It will fragment. 
D)  It will explode. 
A)  It will "mushroom" or flatten. 
B)  It will remain intact. 
C)  It will fragment. 
D)  It will explode.

Question 13

In which type of soft tissue injury is the skin cut or torn, leaving a flap of skin attached?

Accepted Answer

A)  Avulsion 
B)  Laceration 
C)  Amputation 
D)  Abrasion 
A)  Avulsion 
B)  Laceration 
C)  Amputation 
D)  Abrasion

Question 14

You are treating a 16-year-old male patient who fell while practicing a new move on his skateboard. Bystanders relate that the patient was not wearing a helmet. The bystanders also relate that the patient was alert and oriented following the fall; however, while waiting for you to arrive, the patient became unconscious. While performing your physical exam, you note that the patient has a hematoma to the right temporal area. Your assessment leads you to believe that your patient has an epidural hematoma. You know that an epidural hematoma is caused by what type of bleeding?

Accepted Answer

A)  Venous bleeding 
B)  Capillary bleeding 
C)  Arterial bleeding 
D)  Venous and capillary bleeding 
A)  Venous bleeding 
B)  Capillary bleeding 
C)  Arterial bleeding 
D)  Venous and capillary bleeding

Question 15

Which of the following is a "mental summation of suspected injuries based on the event analysis"?

Accepted Answer

A)  Index of injury 
B)  Index of suspicion 
C)  Newton's First Law of Motion 
D)  Mechanism of injury 
A)  Index of injury 
B)  Index of suspicion 
C)  Newton's First Law of Motion 
D)  Mechanism of injury

Question 16

Your patient is an obese 39-year-old woman involved in a lateral-impact motor vehicle collision. Which of the following should you remember when assessing and treating this patient?

Accepted Answer

A)  Relative to body size, this patient can tolerate a larger amount of hemorrhage before showing signs of shock. 
B)  This patient will tolerate blood loss well, as only non-vital tissues will become ischemic. 
C)  Relative to body weight, a smaller amount of hemorrhage may result in shock. 
D)  Blood volume increases proportionally with body weight, and the patient will experience signs of shock consistent with the classic stages of hemorrhage. 
A)  Relative to body size, this patient can tolerate a larger amount of hemorrhage before showing signs of shock. 
B)  This patient will tolerate blood loss well, as only non-vital tissues will become ischemic. 
C)  Relative to body weight, a smaller amount of hemorrhage may result in shock. 
D)  Blood volume increases proportionally with body weight, and the patient will experience signs of shock consistent with the classic stages of hemorrhage.

Question 17

Which of the following best describes the role of rapid sequence intubation (RSI) in the prehospital management of patients with traumatic brain injury?

Accepted Answer

A)  It is beneficial and should be used for all patients with traumatic brain injury who are experiencing trismus or who have an intact gag reflex. 
B)  It is supported by anecdotal evidence, but no studies have been done to determine its feasibility or usefulness. 
C)  It is controversial because of conflicting study results. 
D)  It is detrimental, resulting in poorer neurological outcomes than in patients who received standard airway management. 
A)  It is beneficial and should be used for all patients with traumatic brain injury who are experiencing trismus or who have an intact gag reflex. 
B)  It is supported by anecdotal evidence, but no studies have been done to determine its feasibility or usefulness. 
C)  It is controversial because of conflicting study results. 
D)  It is detrimental, resulting in poorer neurological outcomes than in patients who received standard airway management.

Question 18

When providing fluid resuscitation to a hypothermic patient, the rate of infusion should be:

Accepted Answer

A)  150 to 200 mL/hour. 
B)  500 to 600 mL/hour. 
C)  100 to 125 mL/hour. 
D)  250 to 275 mL/hour. 
A)  150 to 200 mL/hour. 
B)  500 to 600 mL/hour. 
C)  100 to 125 mL/hour. 
D)  250 to 275 mL/hour.

Question 19

You have intubated a 5-year-old girl with a suspected head injury. You note that the patient is exhibiting signs of herniation. What is the desired range for this patient's end-tidal CO2?

Accepted Answer

A)  35 to 40 
B)  30 to 35 
C)  25 to 30 
D)  40 to 45 
A)  35 to 40 
B)  30 to 35 
C)  25 to 30 
D)  40 to 45

Question 20

Which of the following best describes definitive care for the pregnant trauma patient with ongoing, significant hemorrhage?

Accepted Answer

A)  Invasive hemodynamic monitoring and serial hematocrits 
B)  Administration of hypertonic crystalloid or colloid solution 
C)  Immediate surgery 
D)  Administration of blood or blood products 
A)  Invasive hemodynamic monitoring and serial hematocrits 
B)  Administration of hypertonic crystalloid or colloid solution 
C)  Immediate surgery 
D)  Administration of blood or blood products

Which statement about ballistics is TRUE?

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

Which of the following best defines the term energy?

Field assessment/management for pnemomediastinum includes:

You are reassessing the distal circulation on a patient's forearm you have bandaged. The distal hand and wrist are cool to the touch and turning pale. The patient complains of numbness and tingling in that hand. What is your next course of action?

In which of the following patients would you expect to see a subacute exposure to cold?

Which of the following is TRUE of body armor use?

Damage to which of the following organs is MOST likely to induce severe infection in the abdominal cavity?

Which of the following is MOST likely to occur to the bullet when military ammunition is used?

In which type of soft tissue injury is the skin cut or torn, leaving a flap of skin attached?

Which of the following is a "mental summation of suspected injuries based on the event analysis"?

Your patient is an obese 39-year-old woman involved in a lateral-impact motor vehicle collision. Which of the following should you remember when assessing and treating this patient?

Which of the following best describes the role of rapid sequence intubation (RSI) in the prehospital management of patients with traumatic brain injury?

When providing fluid resuscitation to a hypothermic patient, the rate of infusion should be:

You have intubated a 5-year-old girl with a suspected head injury. You note that the patient is exhibiting signs of herniation. What is the desired range for this patient's end-tidal CO₂?

Which of the following best describes definitive care for the pregnant trauma patient with ongoing, significant hemorrhage?

Introduction to Paramedicine

Scene Size-Up

Pulmonology

Gynecology

Filters

Exam 4: Trauma and Trauma Systems

Which statement about ballistics is TRUE?

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

Which of the following best defines the term energy?

Field assessment/management for pnemomediastinum includes:

You are reassessing the distal circulation on a patient's forearm you have bandaged. The distal hand and wrist are cool to the touch and turning pale. The patient complains of numbness and tingling in that hand. What is your next course of action?

In which of the following patients would you expect to see a subacute exposure to cold?

Which of the following is TRUE of body armor use?

Damage to which of the following organs is MOST likely to induce severe infection in the abdominal cavity?

Which of the following is MOST likely to occur to the bullet when military ammunition is used?

In which type of soft tissue injury is the skin cut or torn, leaving a flap of skin attached?

Which of the following is a "mental summation of suspected injuries based on the event analysis"?

Your patient is an obese 39-year-old woman involved in a lateral-impact motor vehicle collision. Which of the following should you remember when assessing and treating this patient?

Which of the following best describes the role of rapid sequence intubation (RSI) in the prehospital management of patients with traumatic brain injury?

When providing fluid resuscitation to a hypothermic patient, the rate of infusion should be:

You have intubated a 5-year-old girl with a suspected head injury. You note that the patient is exhibiting signs of herniation. What is the desired range for this patient's end-tidal CO2?

Which of the following best describes definitive care for the pregnant trauma patient with ongoing, significant hemorrhage?

Introduction to Paramedicine

Scene Size-Up

Pulmonology

Gynecology

Filters

You have intubated a 5-year-old girl with a suspected head injury. You note that the patient is exhibiting signs of herniation. What is the desired range for this patient's end-tidal CO₂?