Question 1

Which of the following is TRUE of pulmonary contusion?

Accepted Answer

A)  Signs and symptoms generally develop gradually. 
B)  Pulmonary contusion is typically an isolated injury. 
C)  The primary pathophysiology is that the alveoli are filled with blood. 
D)  Pulmonary contusion results in paradoxical motion of the chest wall. 
A)  Signs and symptoms generally develop gradually. 
B)  Pulmonary contusion is typically an isolated injury. 
C)  The primary pathophysiology is that the alveoli are filled with blood. 
D)  Pulmonary contusion results in paradoxical motion of the chest wall.

Question 2

Your patient is a 17-year-old male driver of a vehicle that received a lateral impact at the driver's side door. There are no side-impact airbags, and there is about 8 inches of intrusion into the passenger compartment at the left door. Your patient is complaining of left shoulder pain and pain "in his left side." He has a contusion on the left shoulder and deformity of the left clavicle. He has erythema over the left lateral thorax from ribs 6 through 12 with crepitus on palpation. Which of the following injuries should you suspect?
1) Blunt trauma to the spleen
2) Blunt trauma to the liver
3) Penetrating trauma to the spleen
4) Penetrating trauma to the liver
5) Left pneumothorax
6) Fracture of the left clavicle

Accepted Answer

A)  1, 2, 6 
B)  2, 4, 6 
C)  1, 5, 6 
D)  2, 5, 6 
A)  1, 2, 6 
B)  2, 4, 6 
C)  1, 5, 6 
D)  2, 5, 6

Question 3

Which of the following is most important when assessing the damage done by a gunshot?

Accepted Answer

A)  The type of gun used 
B)  The size of the bullet 
C)  The distance from the shooter 
D)  Whether there was an upward or a downward trajectory when the bullet was fired 
A)  The type of gun used 
B)  The size of the bullet 
C)  The distance from the shooter 
D)  Whether there was an upward or a downward trajectory when the bullet was fired

Question 4

When is hyperbaric therapy NOT usually necessary?

Accepted Answer

A)  Pulmonary overpressure accident 
B)  Decompression sickness 
C)  Acute mountain sickness 
D)  HAPE 
A)  Pulmonary overpressure accident 
B)  Decompression sickness 
C)  Acute mountain sickness 
D)  HAPE

Question 5

Recent research has provided evidence of which of the following regarding spinal injury assessment?

Accepted Answer

A)  Only trauma patients with signs and symptoms of neurological deficit need to receive spinal immobilization. 
B)  Paramedics cannot reliably identify patients who are likely to have spinal injuries. 
C)  All trauma patients should be assumed to have spinal injuries. 
D)  There are reliable criteria for determining the likelihood of spinal injury. 
A)  Only trauma patients with signs and symptoms of neurological deficit need to receive spinal immobilization. 
B)  Paramedics cannot reliably identify patients who are likely to have spinal injuries. 
C)  All trauma patients should be assumed to have spinal injuries. 
D)  There are reliable criteria for determining the likelihood of spinal injury.

Question 6

Which of the following is TRUE about determining the pathway of the bullet when assessing a patient with a gunshot wound?

Accepted Answer

A)  You should try to determine the bullet's pathway. 
B)  The purpose of determining the bullet's pathway is to anticipate which organs may have been affected, which will help to guide your priorities for on-scene care or rapid transport. 
C)  It is difficult to determine the pathway of a bullet because it may not travel in a straight line, possibly being deflected by structures in its path or being shifted by natural movements of the diaphragm and other organs and structures of the body. 
D)  All of the above 
A)  You should try to determine the bullet's pathway. 
B)  The purpose of determining the bullet's pathway is to anticipate which organs may have been affected, which will help to guide your priorities for on-scene care or rapid transport. 
C)  It is difficult to determine the pathway of a bullet because it may not travel in a straight line, possibly being deflected by structures in its path or being shifted by natural movements of the diaphragm and other organs and structures of the body. 
D)  All of the above

Question 7

During the scene size-up on a call for a patient with penetrating trauma due to a stab wound, which of the following should you do?

Accepted Answer

A)  Collect anything that could be used as evidence. 
B)  Check for weapons on or near the patient. 
C)  Try to find out in which direction the assailant fled. 
D)  Assume that the patient has no weapons if law enforcement is on the scene. 
A)  Collect anything that could be used as evidence. 
B)  Check for weapons on or near the patient. 
C)  Try to find out in which direction the assailant fled. 
D)  Assume that the patient has no weapons if law enforcement is on the scene.

Question 8

The voltage of a bolt of lightning may be as much as ________ volts, and its temperature may reach ________ degrees Fahrenheit.

Accepted Answer

A)  5,000; 150,000 
B)  150,000; 5,000 
C)  50,000; 100,000 
D)  100,000; 50,000 
A)  5,000; 150,000 
B)  150,000; 5,000 
C)  50,000; 100,000 
D)  100,000; 50,000

Question 9

Which of the following offers a valuable model for EMS to consider when trying to reduce injury-related morbidity and mortality?

Accepted Answer

A)  The Pan American Health Organization 
B)  American Society for Testing Materials (ASTM) 
C)  The fire service 
D)  Drug Abuse Resistance Education (DAR
E)  
A)  The Pan American Health Organization 
B)  American Society for Testing Materials (ASTM) 
C)  The fire service 
D)  Drug Abuse Resistance Education (DAR
E)

Question 10

Your patient is a 50-year-old man with a gunshot wound to the right anterior chest. He is unresponsive. Which of the following should you do first?

Accepted Answer

A)  Check for a carotid pulse. 
B)  Seal the chest wound. 
C)  Auscultate breath sounds. 
D)  Check for breathing. 
A)  Check for a carotid pulse. 
B)  Seal the chest wound. 
C)  Auscultate breath sounds. 
D)  Check for breathing.

Question 11

Which of the following statements about the impact of motorcycle helmet usage is TRUE?

Accepted Answer

A)  Helmet use moderately increases the incidence of cervical spine injury. 
B)  Helmet use moderately decreases the incidence of cervical spine injury. 
C)  Helmet use substantially decreases the incidence of cervical spine injury. 
D)  Helmet use neither increases nor decreases the incidence of cervical spine injury. 
A)  Helmet use moderately increases the incidence of cervical spine injury. 
B)  Helmet use moderately decreases the incidence of cervical spine injury. 
C)  Helmet use substantially decreases the incidence of cervical spine injury. 
D)  Helmet use neither increases nor decreases the incidence of cervical spine injury.

Question 12

A patient who had a spinal cord T4 injury two years ago calls 911 for a pounding headache, blurred vision, and flushing. On your arrival, her vital signs include a blood pressure of 240/120 and pulse of 58. What is this condition called?

Accepted Answer

A)  Autonomic hyperreflexia syndrome 
B)  Spinal shock 
C)  Malignant hypertension 
D)  Brown-Séquard syndrome 
A)  Autonomic hyperreflexia syndrome 
B)  Spinal shock 
C)  Malignant hypertension 
D)  Brown-Séquard syndrome

Question 13

Which of the following is TRUE of abdominal trauma?

Accepted Answer

A)  A soft, non-tender, non-distended abdomen with intact bowel sounds reliably rules out hollow organ injury. 
B)  Due to the vascular nature of abdominopelvic organs, the onset of signs and symptoms is abrupt and severe. 
C)  A soft, non-tender, non-distended abdomen reliably rules out solid organ injury. 
D)  A significant amount of blood can accumulate in the abdominal cavity before signs and symptoms of abdominal injury appear. 
A)  A soft, non-tender, non-distended abdomen with intact bowel sounds reliably rules out hollow organ injury. 
B)  Due to the vascular nature of abdominopelvic organs, the onset of signs and symptoms is abrupt and severe. 
C)  A soft, non-tender, non-distended abdomen reliably rules out solid organ injury. 
D)  A significant amount of blood can accumulate in the abdominal cavity before signs and symptoms of abdominal injury appear.

Question 14

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 15

Which tissue layer(s) is (are) affected by partial thickness burns? 
1)Epidermis
2) Dermis
3) Subcutaneous
4) Muscle

Accepted Answer

A)  1, 2, 3, and 4 
B)  1 and 2 
C)  1, 2, and 3 
D)  1 
A)  1, 2, 3, and 4 
B)  1 and 2 
C)  1, 2, and 3 
D)  1

Question 16

Heat loss occurs in all the following ways EXCEPT:

Accepted Answer

A)  conduction. 
B)  evaporation. 
C)  convection. 
D)  ingestion. 
A)  conduction. 
B)  evaporation. 
C)  convection. 
D)  ingestion.

Question 17

Your patient is a 17-year-old female who fell from a horse. She is complaining of being unable to move. During your assessment, you have placed her arms at her sides, but her arms keeping returning to a "stick-up" or "hold-up" position. Based on this, which of the following is MOST likely?

Accepted Answer

A)  The patient has a spinal-cord injury at T-1. 
B)  The patient has Brown-Séquard syndrome. 
C)  The patient is feigning the injury. 
D)  The patient has a spinal cord injury in the midcervical region. 
A)  The patient has a spinal-cord injury at T-1. 
B)  The patient has Brown-Séquard syndrome. 
C)  The patient is feigning the injury. 
D)  The patient has a spinal cord injury in the midcervical region.

Question 18

Which two factors related to kinetic energy proportionately affect the damage a projectile will do?

Accepted Answer

A)  Velocity and yaw 
B)  Velocity and mass 
C)  Mass and fragmentation 
D)  Fragmentation and velocity 
A)  Velocity and yaw 
B)  Velocity and mass 
C)  Mass and fragmentation 
D)  Fragmentation and velocity

Question 19

To treat for the excessive loss of sodium in patients with hyperthermic emergencies, the paramedic should:

Accepted Answer

A)  always administer salt tablets in all patients with heat emergency. 
B)  never administer salt tablets under any circumstance. 
C)  administer salt tablets only to patients experiencing heat exhaustion. 
D)  administer salt tablets to patients only if they are conscious and alert. 
A)  always administer salt tablets in all patients with heat emergency. 
B)  never administer salt tablets under any circumstance. 
C)  administer salt tablets only to patients experiencing heat exhaustion. 
D)  administer salt tablets to patients only if they are conscious and alert.

Question 20

As a paramedic, your role in trauma care consists of all of the following, EXCEPT:

Accepted Answer

A)  providing rapid transport to appropriate facilities. 
B)  promoting injury prevention. 
C)  providing care to seriously injured trauma patients. 
D)  providing surgical interventions to stop hemorrhage. 
A)  providing rapid transport to appropriate facilities. 
B)  promoting injury prevention. 
C)  providing care to seriously injured trauma patients. 
D)  providing surgical interventions to stop hemorrhage.

Which of the following is TRUE of pulmonary contusion?

Which of the following is most important when assessing the damage done by a gunshot?

When is hyperbaric therapy NOT usually necessary?

Recent research has provided evidence of which of the following regarding spinal injury assessment?

Which of the following is TRUE about determining the pathway of the bullet when assessing a patient with a gunshot wound?

During the scene size-up on a call for a patient with penetrating trauma due to a stab wound, which of the following should you do?

The voltage of a bolt of lightning may be as much as volts, and its temperature may reach degrees Fahrenheit.

Which of the following offers a valuable model for EMS to consider when trying to reduce injury-related morbidity and mortality?

Your patient is a 50-year-old man with a gunshot wound to the right anterior chest. He is unresponsive. Which of the following should you do first?

Which of the following statements about the impact of motorcycle helmet usage is TRUE?

A patient who had a spinal cord T4 injury two years ago calls 911 for a pounding headache, blurred vision, and flushing. On your arrival, her vital signs include a blood pressure of 240/120 and pulse of 58. What is this condition called?

Which of the following is TRUE of abdominal trauma?

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?

Which tissue layer(s) is (are) affected by partial thickness burns? 1)Epidermis 2) Dermis 3) Subcutaneous 4) Muscle

Heat loss occurs in all the following ways EXCEPT:

Your patient is a 17-year-old female who fell from a horse. She is complaining of being unable to move. During your assessment, you have placed her arms at her sides, but her arms keeping returning to a "stick-up" or "hold-up" position. Based on this, which of the following is MOST likely?

Which two factors related to kinetic energy proportionately affect the damage a projectile will do?

To treat for the excessive loss of sodium in patients with hyperthermic emergencies, the paramedic should:

As a paramedic, your role in trauma care consists of all of the following, EXCEPT:

Introduction to Paramedicine

Scene Size-Up

Pulmonology

Gynecology

Filters

Exam 4: Trauma and Trauma Systems

Which of the following is TRUE of pulmonary contusion?

Which of the following is most important when assessing the damage done by a gunshot?

When is hyperbaric therapy NOT usually necessary?

Recent research has provided evidence of which of the following regarding spinal injury assessment?

Which of the following is TRUE about determining the pathway of the bullet when assessing a patient with a gunshot wound?

During the scene size-up on a call for a patient with penetrating trauma due to a stab wound, which of the following should you do?

The voltage of a bolt of lightning may be as much as ________ volts, and its temperature may reach ________ degrees Fahrenheit.

Which of the following offers a valuable model for EMS to consider when trying to reduce injury-related morbidity and mortality?

Your patient is a 50-year-old man with a gunshot wound to the right anterior chest. He is unresponsive. Which of the following should you do first?

Which of the following statements about the impact of motorcycle helmet usage is TRUE?

A patient who had a spinal cord T4 injury two years ago calls 911 for a pounding headache, blurred vision, and flushing. On your arrival, her vital signs include a blood pressure of 240/120 and pulse of 58. What is this condition called?

Which of the following is TRUE of abdominal trauma?

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?

Which tissue layer(s) is (are) affected by partial thickness burns? 1)Epidermis 2) Dermis 3) Subcutaneous 4) Muscle

Heat loss occurs in all the following ways EXCEPT:

Your patient is a 17-year-old female who fell from a horse. She is complaining of being unable to move. During your assessment, you have placed her arms at her sides, but her arms keeping returning to a "stick-up" or "hold-up" position. Based on this, which of the following is MOST likely?

Which two factors related to kinetic energy proportionately affect the damage a projectile will do?

To treat for the excessive loss of sodium in patients with hyperthermic emergencies, the paramedic should:

As a paramedic, your role in trauma care consists of all of the following, EXCEPT:

Introduction to Paramedicine

Scene Size-Up

Pulmonology

Gynecology

Filters

The voltage of a bolt of lightning may be as much as volts, and its temperature may reach degrees Fahrenheit.