Question 1

The blood flowing to the heart best describes:

Accepted Answer

A)  contractility. 
B)  afterload. 
C)  preload. 
D)  vascular phase. 
A)  contractility. 
B)  afterload. 
C)  preload. 
D)  vascular phase.

Question 2

On maximal expiration, the diaphragm may be:

Accepted Answer

A)  as high as the fourth intercostal space anteriorly. 
B)  as high as the second intercostal space anteriorly. 
C)  as low as the ninth intercostal space anteriorly. 
D)  as low as the eleventh intercostal space anteriorly. 
A)  as high as the fourth intercostal space anteriorly. 
B)  as high as the second intercostal space anteriorly. 
C)  as low as the ninth intercostal space anteriorly. 
D)  as low as the eleventh intercostal space anteriorly.

Question 3

Which of the following patients is NOT a candidate for air medical transport?

Accepted Answer

A)  Combative trauma patient 
B)  Seriously injured patient with cardiac tamponade 
C)  Patient with prolonged extrication time 
D)  Burn patient with over 50 percent second-degree burns 
A)  Combative trauma patient 
B)  Seriously injured patient with cardiac tamponade 
C)  Patient with prolonged extrication time 
D)  Burn patient with over 50 percent second-degree burns

Question 4

The central area in the thorax that contains the heart, great vessels, trachea, and esophagus is the:

Accepted Answer

A)  mediastinum. 
B)  pulmonary hilum. 
C)  hemothorax. 
D)  carina. 
A)  mediastinum. 
B)  pulmonary hilum. 
C)  hemothorax. 
D)  carina.

Question 5

Tendons connect ________ to ________.

Accepted Answer

A)  muscles; bones 
B)  bones; bones 
C)  cartilage; bones 
D)  muscles; fascia 
A)  muscles; bones 
B)  bones; bones 
C)  cartilage; bones 
D)  muscles; fascia

Question 6

Your patient is a 45-year-old man who has received several stab wounds to the chest and abdomen. Although bleeding was significant at first, the rate of bleeding had slowed considerably before your arrival. The patient is agitated and confused, pale, diaphoretic, and cool to the touch. He lacks a radial pulse, and his carotid pulse is weak and rapid. Respirations are 28 and shallow. Which of the following is certain with this patient?

Accepted Answer

A)  He is in irreversible shock. 
B)  He is in decompensated shock. 
C)  He is in compensated shock. 
D)  None of the above is certain. 
A)  He is in irreversible shock. 
B)  He is in decompensated shock. 
C)  He is in compensated shock. 
D)  None of the above is certain.

Question 7

The amount of fluid that enters the lungs in a drowning case is:

Accepted Answer

A)   30 mL. 
C)   20 mL. 
A)   30 mL. 
C)   20 mL.

Question 8

Under normal circumstances, at any given moment most of the blood is in the ________ system.

Accepted Answer

A)  venous 
B)  capillary 
C)  hematopoietic 
D)  arterial 
A)  venous 
B)  capillary 
C)  hematopoietic 
D)  arterial

Question 9

When assessing the chest during a rapid trauma assessment, what is MOST likely to indicate major internal hemorrhage?

Accepted Answer

A)  Hyporesonance to percussion 
B)  Increased respiratory rate 
C)  Distended neck veins 
D)  Muffled heart tones 
A)  Hyporesonance to percussion 
B)  Increased respiratory rate 
C)  Distended neck veins 
D)  Muffled heart tones

Question 10

Which of the following is TRUE of shotgun ammunition?

Accepted Answer

A)  A shotgun may either fire one slug or use ammunition with multiple pellets. 
B)  The shot is dispersed from the cartridge with high velocity. 
C)  The closer the shooter is to the victim, the larger the area of visible damage. 
D)  "Double ought" or #00 shot contains a large number of relatively small pellets. 
A)  A shotgun may either fire one slug or use ammunition with multiple pellets. 
B)  The shot is dispersed from the cartridge with high velocity. 
C)  The closer the shooter is to the victim, the larger the area of visible damage. 
D)  "Double ought" or #00 shot contains a large number of relatively small pellets.

Question 11

You are caring for a 20-year-old skateboarder who crashed into a brick retaining wall at the bottom of a steep hill. He has blunt trauma to his face with nose deformity, loose teeth, and bleeding from the nose and mouth. Although you have answered him several times, he keeps repeating to you, "What happened? It seems like I'm having a bad day." This is most indicative of which of the following?

Accepted Answer

A)  Aphasia 
B)  Retrograde amnesia 
C)  Decorticate disorientation 
D)  Anterograde amnesia 
A)  Aphasia 
B)  Retrograde amnesia 
C)  Decorticate disorientation 
D)  Anterograde amnesia

Question 12

Which of the following mechanisms are involved in neurogenic shock? 
1)Unopposed vasodilation
2) Loss of innervation to the adrenal medulla
3) Decreased preload
4) Unopposed sympathetic tone

Accepted Answer

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

Question 13

Axial loading is MOST likely to occur in which type of impact?

Accepted Answer

A)  Frontal with an up-and-over pathway 
B)  Frontal with a down-and-under pathway 
C)  Rear with the headrest too low 
D)  Lateral on the side of the vehicle opposite the occupant 
A)  Frontal with an up-and-over pathway 
B)  Frontal with a down-and-under pathway 
C)  Rear with the headrest too low 
D)  Lateral on the side of the vehicle opposite the occupant

Question 14

Which of the following terms is best described as the loss of blood from the vascular space?

Accepted Answer

A)  Hypovolemia 
B)  Hemorrhage 
C)  Hemostasis 
D)  Shock 
A)  Hypovolemia 
B)  Hemorrhage 
C)  Hemostasis 
D)  Shock

Question 15

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 16

A diving injury commonly called "the squeeze" occurs during which phase of diving?

Accepted Answer

A)  Descent 
B)  Ascent 
C)  On the surface 
D)  On the bottom 
A)  Descent 
B)  Ascent 
C)  On the surface 
D)  On the bottom

Question 17

Which of the following medications may be indicated in the treatment of a patient with a crush injury?

Accepted Answer

A)  Sodium bicarbonate 
B)  Potassium chloride 
C)  Lactated Ringer's 
D)  Furosemide 
A)  Sodium bicarbonate 
B)  Potassium chloride 
C)  Lactated Ringer's 
D)  Furosemide

Question 18

Peripheral vascular resistance is measured as which of the following?

Accepted Answer

A)  Pulse pressure 
B)  Mean arterial pressure 
C)  Hydrostatic pressure 
D)  Oncotic pressure 
A)  Pulse pressure 
B)  Mean arterial pressure 
C)  Hydrostatic pressure 
D)  Oncotic pressure

Question 19

Your patient complains of elbow pain and states his doctor told him he had "the bursitis" in his elbow. The patient's condition is characterized by inflammation of the:

Accepted Answer

A)  articular cartilage. 
B)  synovial sacs. 
C)  tendons. 
D)  bone. 
A)  articular cartilage. 
B)  synovial sacs. 
C)  tendons. 
D)  bone.

Question 20

The location of the neurovascular bundles containing the intercostal arteries is best described as the bundle that runs along the:

Accepted Answer

A)  intercostal space equally distant from both associated ribs. 
B)  posterior surface of the associated rib. 
C)  superior margin of the associated rib. 
D)  lower rib margin of the associated rib. 
A)  intercostal space equally distant from both associated ribs. 
B)  posterior surface of the associated rib. 
C)  superior margin of the associated rib. 
D)  lower rib margin of the associated rib.

The blood flowing to the heart best describes:

On maximal expiration, the diaphragm may be:

Which of the following patients is NOT a candidate for air medical transport?

The central area in the thorax that contains the heart, great vessels, trachea, and esophagus is the:

Tendons connect to .

The amount of fluid that enters the lungs in a drowning case is:

Under normal circumstances, at any given moment most of the blood is in the ________ system.

When assessing the chest during a rapid trauma assessment, what is MOST likely to indicate major internal hemorrhage?

Which of the following is TRUE of shotgun ammunition?

Which of the following mechanisms are involved in neurogenic shock? 1)Unopposed vasodilation 2) Loss of innervation to the adrenal medulla 3) Decreased preload 4) Unopposed sympathetic tone

Axial loading is MOST likely to occur in which type of impact?

Which of the following terms is best described as the loss of blood from the vascular space?

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 diving injury commonly called "the squeeze" occurs during which phase of diving?

Which of the following medications may be indicated in the treatment of a patient with a crush injury?

Peripheral vascular resistance is measured as which of the following?

Your patient complains of elbow pain and states his doctor told him he had "the bursitis" in his elbow. The patient's condition is characterized by inflammation of the:

The location of the neurovascular bundles containing the intercostal arteries is best described as the bundle that runs along the:

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Exam 4: Trauma and Trauma Systems

The blood flowing to the heart best describes:

On maximal expiration, the diaphragm may be:

Which of the following patients is NOT a candidate for air medical transport?

The central area in the thorax that contains the heart, great vessels, trachea, and esophagus is the:

Tendons connect ________ to ________.

The amount of fluid that enters the lungs in a drowning case is:

Under normal circumstances, at any given moment most of the blood is in the ________ system.

When assessing the chest during a rapid trauma assessment, what is MOST likely to indicate major internal hemorrhage?

Which of the following is TRUE of shotgun ammunition?

Which of the following mechanisms are involved in neurogenic shock? 1)Unopposed vasodilation 2) Loss of innervation to the adrenal medulla 3) Decreased preload 4) Unopposed sympathetic tone

Axial loading is MOST likely to occur in which type of impact?

Which of the following terms is best described as the loss of blood from the vascular space?

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 diving injury commonly called "the squeeze" occurs during which phase of diving?

Which of the following medications may be indicated in the treatment of a patient with a crush injury?

Peripheral vascular resistance is measured as which of the following?

Your patient complains of elbow pain and states his doctor told him he had "the bursitis" in his elbow. The patient's condition is characterized by inflammation of the:

The location of the neurovascular bundles containing the intercostal arteries is best described as the bundle that runs along the:

Introduction to Paramedicine

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Tendons connect to .