Question 1

The cerebrum, cerebellum, and brainstem account for what percentage of the cranial volume?

Accepted Answer

A)  60 percent 
B)  80 percent 
C)  50 percent 
D)  75 percent 
A)  60 percent 
B)  80 percent 
C)  50 percent 
D)  75 percent

Question 2

Your patient is a 27-year-old man with one stab wound at the fifth intercostal space posteriorly, on the right. He is ambulatory at the scene, but dyspneic and has air movement at the site of the injury. Which of the following should you do first?

Accepted Answer

A)  Apply oxygen by nonrebreather. 
B)  Cover the wound with your gloved hand. 
C)  Prepare an occlusive dressing. 
D)  Perform a needle thoracostomy. 
A)  Apply oxygen by nonrebreather. 
B)  Cover the wound with your gloved hand. 
C)  Prepare an occlusive dressing. 
D)  Perform a needle thoracostomy.

Question 3

Which of the following best describes what happens to the kinetic energy of a vehicle traveling at 65 miles per hour when it collides into a concrete barrier wall?

Accepted Answer

A)  The energy dissipates as sound waves. 
B)  The body of the vehicle and its occupants absorb the energy. 
C)  The wall's foundation absorbs the energy. 
D)  The energy converts to heat through friction. 
A)  The energy dissipates as sound waves. 
B)  The body of the vehicle and its occupants absorb the energy. 
C)  The wall's foundation absorbs the energy. 
D)  The energy converts to heat through friction.

Question 4

Although the hypothalamus plays a key role in body temperature regulation, there are two types of thermoreceptors elsewhere in the body. They are the:

Accepted Answer

A)  peripheral thermoreceptors and central thermoreceptors. 
B)  appendicular thermoreceptors and axial thermoreceptors. 
C)  internal thermoreceptors and external thermoreceptors. 
D)  aortic thermoreceptors and carotid thermoreceptors. 
A)  peripheral thermoreceptors and central thermoreceptors. 
B)  appendicular thermoreceptors and axial thermoreceptors. 
C)  internal thermoreceptors and external thermoreceptors. 
D)  aortic thermoreceptors and carotid thermoreceptors.

Question 5

A critical trauma patient should be reassessed every ________ minute(s) en route to the trauma center.

Accepted Answer

A)  5 
B)  10 
C)  15 
D)  1 
A)  5 
B)  10 
C)  15 
D)  1

Question 6

Which of the following best describes shear injuries to the abdominal organs?

Accepted Answer

A)  Sudden compression of gas-containing hollow organs, resulting in their rupture 
B)  Sudden decompression of solid or hollow organs 
C)  Tearing of the organ in which the organ is fixed at its point of attachment but free to move otherwise 
D)  Impact of solid organs with the abdominal wall in rapid deceleration 
A)  Sudden compression of gas-containing hollow organs, resulting in their rupture 
B)  Sudden decompression of solid or hollow organs 
C)  Tearing of the organ in which the organ is fixed at its point of attachment but free to move otherwise 
D)  Impact of solid organs with the abdominal wall in rapid deceleration

Question 7

Which of the following patients may have trauma to abdominal organs? 
1) A 30-year-old construction worker who fell from a second-story roof but managed to land on his feet
2) A 17-year-old male with a gunshot wound to the right buttock
3) A 50-year-old male with a stab wound 4 cm inferior to the right scapula
4) A 45-year-old female restrained driver of an SUV with a moderate-speed frontal impact

Accepted Answer

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

Question 8

Which of the following factors is NOT a consideration in the severity of injury related to falls?

Accepted Answer

A)  Landing surface 
B)  Wind resistance 
C)  The initial point of impact 
D)  Distance of the fall 
A)  Landing surface 
B)  Wind resistance 
C)  The initial point of impact 
D)  Distance of the fall

Question 9

Your patient is a 29-year-old man who works in a meat-processing plant. He received a knife wound in the proximal anteromedial thigh, which is continuing to bleed on your arrival. He is restless and thirsty and has pale, cool skin. He has a weak radial pulse of 130 and a blood pressure of 118/88 mmHg. This patient is exhibiting signs and symptoms consistent with a class ________ hemorrhage.

Accepted Answer

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

Question 10

________ refers to a reduction in blood pressure caused by cardiac, vascular, neurogenic, or volume problems to a level that is lower than normal for the patient.

Accepted Answer

A)  Hypotension 
B)  Hypovolemia 
C)  Hypoperfusion 
D)  Hypothermia 
A)  Hypotension 
B)  Hypovolemia 
C)  Hypoperfusion 
D)  Hypothermia

Question 11

A sprain is an injury best defined as which of the following?

Accepted Answer

A)  Bone ends not anatomically aligned 
B)  Muscle fibers stretched and torn 
C)  Partial or complete tearing of the ligaments of the joint capsule 
D)  A violent muscle spasm that tears away a small piece of bone 
A)  Bone ends not anatomically aligned 
B)  Muscle fibers stretched and torn 
C)  Partial or complete tearing of the ligaments of the joint capsule 
D)  A violent muscle spasm that tears away a small piece of bone

Question 12

The cerebral perfusion pressure is represented by which of the following equations?

Accepted Answer

A)  CPP = MAP - CVP 
B)  CPP = CVP - ICP 
C)  CPP = MAP - ICP 
D)  CPP = ICP - MAP 
A)  CPP = MAP - CVP 
B)  CPP = CVP - ICP 
C)  CPP = MAP - ICP 
D)  CPP = ICP - MAP

Question 13

Which of the following statements about the administration of dextrose to the patient with a traumatic brain injury is TRUE?

Accepted Answer

A)  Hypoglycemia is associated with a poorer neurologic outcome; if the blood glucose level is less than 60 mg/dL, administer 25 grams of dextrose. 
B)  Hypoglycemia is inconsequential to neurologic outcome; assessing the blood glucose level is not a priority. 
C)  Hyperglycemia is associated with a poorer neurologic outcome; never administer dextrose to a patient with traumatic brain injury. 
D)  Hypoglycemia is associated with a poorer neurologic outcome. All patients with suspected traumatic brain injury who have an altered mental status should receive 25 grams of dextrose intravenously. 
A)  Hypoglycemia is associated with a poorer neurologic outcome; if the blood glucose level is less than 60 mg/dL, administer 25 grams of dextrose. 
B)  Hypoglycemia is inconsequential to neurologic outcome; assessing the blood glucose level is not a priority. 
C)  Hyperglycemia is associated with a poorer neurologic outcome; never administer dextrose to a patient with traumatic brain injury. 
D)  Hypoglycemia is associated with a poorer neurologic outcome. All patients with suspected traumatic brain injury who have an altered mental status should receive 25 grams of dextrose intravenously.

Question 14

As a patient with hemorrhagic blood loss becomes more acidotic, what homeostatic process is usually impaired?

Accepted Answer

A)  Coagulation 
B)  Hemoptysis 
C)  Vascular phase 
D)  Aerobic metabolism 
A)  Coagulation 
B)  Hemoptysis 
C)  Vascular phase 
D)  Aerobic metabolism

Question 15

Which of the following statements about rifles is TRUE?

Accepted Answer

A)  Assault rifles generally increase the number of wounds the victim sustains. 
B)  Hunting rifles have larger magazines and operate semiautomatically. 
C)  Assault rifles do not accept domestic hunting ammunition and thus create a projectile profile that is smaller and causes less damage. 
D)  Assault rifles have greater velocity than hunting rifles and only operate automatically. 
A)  Assault rifles generally increase the number of wounds the victim sustains. 
B)  Hunting rifles have larger magazines and operate semiautomatically. 
C)  Assault rifles do not accept domestic hunting ammunition and thus create a projectile profile that is smaller and causes less damage. 
D)  Assault rifles have greater velocity than hunting rifles and only operate automatically.

Question 16

You arrive on the scene of a patient with severe blunt trauma to the face. You hear gurgling as you approach the patient. After opening the airway with a manual maneuver, what should your next action be?

Accepted Answer

A)  Ventilate 
B)  Apply a cervical collar 
C)  Control the source of hemorrhage 
D)  Suction 
A)  Ventilate 
B)  Apply a cervical collar 
C)  Control the source of hemorrhage 
D)  Suction

Question 17

Which of the following is most susceptible to damage from the pressure wave when a bullet enters it?

Accepted Answer

A)  Intestines 
B)  Femoral artery 
C)  Liver 
D)  Lungs 
A)  Intestines 
B)  Femoral artery 
C)  Liver 
D)  Lungs

Question 18

A reflex that occurs when a person dives into cold water in which his breathing is inhibited, his heart rate becomes bradycardic, and vasoconstriction occurs is known as the:

Accepted Answer

A)  diving reflex. 
B)  mammalian diving reflex. 
C)  submersion reflex. 
D)  mammalian submersion reflex. 
A)  diving reflex. 
B)  mammalian diving reflex. 
C)  submersion reflex. 
D)  mammalian submersion reflex.

Question 19

Which of the following would be the MOST likely cause of neurogenic shock?

Accepted Answer

A)  Pericardial tamponade 
B)  Spinal cord injury 
C)  Systemic infection 
D)  Massive histamine release 
A)  Pericardial tamponade 
B)  Spinal cord injury 
C)  Systemic infection 
D)  Massive histamine release

Question 20

Your patient, a 23-year-old woman who is 6 months pregnant, was the unrestrained driver of a vehicle that rear-ended a parked car. The air bag deployed. Considering the likelihood of organ collision, for which of the following injuries should you maintain a high index of suspicion?

Accepted Answer

A)  Cardiac contusion 
B)  Anterior flail segment 
C)  Abruptio placentae 
D)  Fractured sternum 
A)  Cardiac contusion 
B)  Anterior flail segment 
C)  Abruptio placentae 
D)  Fractured sternum

The cerebrum, cerebellum, and brainstem account for what percentage of the cranial volume?

Your patient is a 27-year-old man with one stab wound at the fifth intercostal space posteriorly, on the right. He is ambulatory at the scene, but dyspneic and has air movement at the site of the injury. Which of the following should you do first?

Which of the following best describes what happens to the kinetic energy of a vehicle traveling at 65 miles per hour when it collides into a concrete barrier wall?

Although the hypothalamus plays a key role in body temperature regulation, there are two types of thermoreceptors elsewhere in the body. They are the:

A critical trauma patient should be reassessed every ________ minute(s) en route to the trauma center.

Which of the following best describes shear injuries to the abdominal organs?

Which of the following factors is NOT a consideration in the severity of injury related to falls?

________ refers to a reduction in blood pressure caused by cardiac, vascular, neurogenic, or volume problems to a level that is lower than normal for the patient.

A sprain is an injury best defined as which of the following?

The cerebral perfusion pressure is represented by which of the following equations?

Which of the following statements about the administration of dextrose to the patient with a traumatic brain injury is TRUE?

As a patient with hemorrhagic blood loss becomes more acidotic, what homeostatic process is usually impaired?

Which of the following statements about rifles is TRUE?

You arrive on the scene of a patient with severe blunt trauma to the face. You hear gurgling as you approach the patient. After opening the airway with a manual maneuver, what should your next action be?

Which of the following is most susceptible to damage from the pressure wave when a bullet enters it?

A reflex that occurs when a person dives into cold water in which his breathing is inhibited, his heart rate becomes bradycardic, and vasoconstriction occurs is known as the:

Which of the following would be the MOST likely cause of neurogenic shock?

Your patient, a 23-year-old woman who is 6 months pregnant, was the unrestrained driver of a vehicle that rear-ended a parked car. The air bag deployed. Considering the likelihood of organ collision, for which of the following injuries should you maintain a high index of suspicion?

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Exam 4: Trauma and Trauma Systems

The cerebrum, cerebellum, and brainstem account for what percentage of the cranial volume?

Your patient is a 27-year-old man with one stab wound at the fifth intercostal space posteriorly, on the right. He is ambulatory at the scene, but dyspneic and has air movement at the site of the injury. Which of the following should you do first?

Which of the following best describes what happens to the kinetic energy of a vehicle traveling at 65 miles per hour when it collides into a concrete barrier wall?

Although the hypothalamus plays a key role in body temperature regulation, there are two types of thermoreceptors elsewhere in the body. They are the:

A critical trauma patient should be reassessed every ________ minute(s) en route to the trauma center.

Which of the following best describes shear injuries to the abdominal organs?

Which of the following factors is NOT a consideration in the severity of injury related to falls?

________ refers to a reduction in blood pressure caused by cardiac, vascular, neurogenic, or volume problems to a level that is lower than normal for the patient.

A sprain is an injury best defined as which of the following?

The cerebral perfusion pressure is represented by which of the following equations?

Which of the following statements about the administration of dextrose to the patient with a traumatic brain injury is TRUE?

As a patient with hemorrhagic blood loss becomes more acidotic, what homeostatic process is usually impaired?

Which of the following statements about rifles is TRUE?

You arrive on the scene of a patient with severe blunt trauma to the face. You hear gurgling as you approach the patient. After opening the airway with a manual maneuver, what should your next action be?

Which of the following is most susceptible to damage from the pressure wave when a bullet enters it?

A reflex that occurs when a person dives into cold water in which his breathing is inhibited, his heart rate becomes bradycardic, and vasoconstriction occurs is known as the:

Which of the following would be the MOST likely cause of neurogenic shock?

Your patient, a 23-year-old woman who is 6 months pregnant, was the unrestrained driver of a vehicle that rear-ended a parked car. The air bag deployed. Considering the likelihood of organ collision, for which of the following injuries should you maintain a high index of suspicion?

Introduction to Paramedicine

Scene Size-Up

Pulmonology

Gynecology

Filters