Question 1

The study of the characteristics of projectiles in motion and their effects on the objects they impact is called:

Accepted Answer

A)  trajectory. 
B)  cavitation. 
C)  ballistics. 
D)  forensics. 
A)  trajectory. 
B)  cavitation. 
C)  ballistics. 
D)  forensics.

Question 2

Which of the following is a common mechanism of injury associated with spinal cord injuries?

Accepted Answer

A)  Falls greater than 20 feet 
B)  Bungee jumping 
C)  Shallow water diving 
D)  All of the above 
A)  Falls greater than 20 feet 
B)  Bungee jumping 
C)  Shallow water diving 
D)  All of the above

Question 3

Which of the following is the preferred in-hospital fluid for resuscitation in hemorrhagic shock?

Accepted Answer

A)  Fresh frozen plasma 
B)  Lactated Ringer's 
C)  Whole blood 
D)  Normal saline 
A)  Fresh frozen plasma 
B)  Lactated Ringer's 
C)  Whole blood 
D)  Normal saline

Question 4

Which of the following injuries is associated with the pressure wave produced by a blast?

Accepted Answer

A)  Pneumothorax 
B)  Lacerated liver 
C)  Fractures 
D)  Ruptured spleen 
A)  Pneumothorax 
B)  Lacerated liver 
C)  Fractures 
D)  Ruptured spleen

Question 5

The elderly patient in shock may be less likely to exhibit which of the following expected manifestations of shock?

Accepted Answer

A)  Cardiac arrhythmias 
B)  Hypothermia 
C)  Altered mental status 
D)  Tachycardia 
A)  Cardiac arrhythmias 
B)  Hypothermia 
C)  Altered mental status 
D)  Tachycardia

Question 6

All of the following are signs of mild hypothermia EXCEPT:

Accepted Answer

A)  tachycardia. 
B)  vasodilation. 
C)  impaired judgment. 
D)  fatigue. 
A)  tachycardia. 
B)  vasodilation. 
C)  impaired judgment. 
D)  fatigue.

Question 7

For the patient with suspected traumatic brain injury, the ideal positioning of the patient for transport is:

Accepted Answer

A)  in a left lateral recumbent position on the backboard. 
B)  on a long backboard with the foot of the backboard in a 15-degree Trendelenburg position. 
C)  on a long backboard with the patient's feet elevated on pillows to achieve a 15-degree angle. 
D)  on a long backboard with the head of the backboard elevated 15 to 30 degrees. 
A)  in a left lateral recumbent position on the backboard. 
B)  on a long backboard with the foot of the backboard in a 15-degree Trendelenburg position. 
C)  on a long backboard with the patient's feet elevated on pillows to achieve a 15-degree angle. 
D)  on a long backboard with the head of the backboard elevated 15 to 30 degrees.

Question 8

Which of the following is TRUE of the pressure wave that accompanies high-velocity penetrating trauma?

Accepted Answer

A)  Hollow organs are less tolerant of the stress than solid organs are. 
B)  Pressure waves cause no injury to surrounding tissues; they only momentarily disrupt function. 
C)  Elastic tissues are less tolerant of the stress than non-elastic tissues. 
D)  The pressure wave may be transmitted through blood, resulting in damage to blood vessels some distance from the primary wound. 
A)  Hollow organs are less tolerant of the stress than solid organs are. 
B)  Pressure waves cause no injury to surrounding tissues; they only momentarily disrupt function. 
C)  Elastic tissues are less tolerant of the stress than non-elastic tissues. 
D)  The pressure wave may be transmitted through blood, resulting in damage to blood vessels some distance from the primary wound.

Question 9

Your patient is a 23-year-old woman who was rescued from a burning house. She was asleep in a back bedroom when the fire started, and there was no smoke alarm. She has a pulse oximetry reading of 99 percent after receiving oxygen by nonrebreather mask. What is the most appropriate interpretation of this finding?

Accepted Answer

A)  Effects of smoke inhalation have been resolved by oxygen administration. 
B)  You cannot rely on this alone to assess oxygenation. 
C)  There was minimal smoke inhalation. 
D)  Carboxyhemoglobin is less than 1 percent. 
A)  Effects of smoke inhalation have been resolved by oxygen administration. 
B)  You cannot rely on this alone to assess oxygenation. 
C)  There was minimal smoke inhalation. 
D)  Carboxyhemoglobin is less than 1 percent.

Question 10

The shearing, stretching, and tearing associated with rapid acceleration/deceleration forces acting on the brain result in which of the following types of brain injury?

Accepted Answer

A)  Direct, diffuse 
B)  Indirect, diffuse 
C)  Indirect, focal 
D)  Direct, focal 
A)  Direct, diffuse 
B)  Indirect, diffuse 
C)  Indirect, focal 
D)  Direct, focal

Question 11

Which of the following vessels has the greatest ability to change diameter?

Accepted Answer

A)  Arteriole 
B)  Capillary 
C)  Systemic artery 
D)  Aorta 
A)  Arteriole 
B)  Capillary 
C)  Systemic artery 
D)  Aorta

Question 12

Which of the following about the use of prehospital fluid resuscitation in the patient with a traumatic brain injury is TRUE?

Accepted Answer

A)  Administer fluids aggressively regardless of the patient's blood pressure. 
B)  Do not administer fluids unless the patient's blood pressure drops below 60 mmHg, because the administration of fluids leads to increased cerebral edema. 
C)  Administer fluids as needed to maintain a systolic blood pressure above 90 mmHg. 
D)  The use of hypertonic fluids is indicated to maintain vascular volume while reducing tissue edema. 
A)  Administer fluids aggressively regardless of the patient's blood pressure. 
B)  Do not administer fluids unless the patient's blood pressure drops below 60 mmHg, because the administration of fluids leads to increased cerebral edema. 
C)  Administer fluids as needed to maintain a systolic blood pressure above 90 mmHg. 
D)  The use of hypertonic fluids is indicated to maintain vascular volume while reducing tissue edema.

Question 13

A vehicle is struck in its right front as it passes through an intersection, resulting in an oblique impact. Which of the passengers is subjected to the greatest acceleration forces?

Accepted Answer

A)  The right-rear passenger 
B)  The left-rear passenger 
C)  The front-seat passenger 
D)  The driver 
A)  The right-rear passenger 
B)  The left-rear passenger 
C)  The front-seat passenger 
D)  The driver

Question 14

Which of the following is NOT an example of trauma?

Accepted Answer

A)  An abrasion to the knee 
B)  Chest pain 
C)  Cerebral contusion 
D)  A stab wound to the abdomen 
A)  An abrasion to the knee 
B)  Chest pain 
C)  Cerebral contusion 
D)  A stab wound to the abdomen

Question 15

You have arrived on the scene of a 17-year-old male patient with a gunshot wound to the thigh. Police are on the scene. There is significant ongoing hemorrhage from the wound. The patient is screaming for someone to help him. Which of the following should you do first?

Accepted Answer

A)  Control hemorrhage with direct pressure. 
B)  Perform a rapid trauma assessment. 
C)  Ask the police if they have searched the patient for weapons yet. 
D)  Begin high-concentration oxygen administration. 
A)  Control hemorrhage with direct pressure. 
B)  Perform a rapid trauma assessment. 
C)  Ask the police if they have searched the patient for weapons yet. 
D)  Begin high-concentration oxygen administration.

Question 16

Active rewarming should not be attempted in the field unless the emergency department is more than ________ minutes away.

Accepted Answer

A)  10 
B)  30 
C)  45 
D)  15 
A)  10 
B)  30 
C)  45 
D)  15

Question 17

Your patient has sustained trauma to the eye. Upon examination, you see blood pooling in the anterior chamber and in front of the iris and pupil. What is this condition called?

Accepted Answer

A)  Mediastinitis 
B)  Otorrhea 
C)  Icterus 
D)  Hyphema 
A)  Mediastinitis 
B)  Otorrhea 
C)  Icterus 
D)  Hyphema

Question 18

Which of the following mechanisms causes indirect brain injury?

Accepted Answer

A)  Coup/contrecoup injuries 
B)  Systemic hypotension combined with increasing intracranial pressure 
C)  Cushing's reflex 
D)  Acceleration/deceleration forces without a direct blow to the cranium 
A)  Coup/contrecoup injuries 
B)  Systemic hypotension combined with increasing intracranial pressure 
C)  Cushing's reflex 
D)  Acceleration/deceleration forces without a direct blow to the cranium

Question 19

The difference in temperature between the environment and the body is known as the:

Accepted Answer

A)  thermal gradient. 
B)  ambient temperature. 
C)  thermal temperature. 
D)  ambient gradient. 
A)  thermal gradient. 
B)  ambient temperature. 
C)  thermal temperature. 
D)  ambient gradient.

Question 20

Which of the following is a manifestation of orthostatic hypotension?

Accepted Answer

A)  Your patient's pulse is 76 when he is supine but 88 when he sits up. 
B)  Your patient's blood pressure is 142/90 when she is supine but 116/88 when she sits up. 
C)  Your patient's blood pressure is 150/100 when he is supine but 134/90 when he sits up. 
D)  Your patient's pulse is 80 when she is supine but 96 when she sits up. 
A)  Your patient's pulse is 76 when he is supine but 88 when he sits up. 
B)  Your patient's blood pressure is 142/90 when she is supine but 116/88 when she sits up. 
C)  Your patient's blood pressure is 150/100 when he is supine but 134/90 when he sits up. 
D)  Your patient's pulse is 80 when she is supine but 96 when she sits up.

The study of the characteristics of projectiles in motion and their effects on the objects they impact is called:

Which of the following is a common mechanism of injury associated with spinal cord injuries?

Which of the following is the preferred in-hospital fluid for resuscitation in hemorrhagic shock?

Which of the following injuries is associated with the pressure wave produced by a blast?

The elderly patient in shock may be less likely to exhibit which of the following expected manifestations of shock?

All of the following are signs of mild hypothermia EXCEPT:

For the patient with suspected traumatic brain injury, the ideal positioning of the patient for transport is:

Which of the following is TRUE of the pressure wave that accompanies high-velocity penetrating trauma?

The shearing, stretching, and tearing associated with rapid acceleration/deceleration forces acting on the brain result in which of the following types of brain injury?

Which of the following vessels has the greatest ability to change diameter?

Which of the following about the use of prehospital fluid resuscitation in the patient with a traumatic brain injury is TRUE?

A vehicle is struck in its right front as it passes through an intersection, resulting in an oblique impact. Which of the passengers is subjected to the greatest acceleration forces?

Which of the following is NOT an example of trauma?

You have arrived on the scene of a 17-year-old male patient with a gunshot wound to the thigh. Police are on the scene. There is significant ongoing hemorrhage from the wound. The patient is screaming for someone to help him. Which of the following should you do first?

Active rewarming should not be attempted in the field unless the emergency department is more than ________ minutes away.

Your patient has sustained trauma to the eye. Upon examination, you see blood pooling in the anterior chamber and in front of the iris and pupil. What is this condition called?

Which of the following mechanisms causes indirect brain injury?

The difference in temperature between the environment and the body is known as the:

Which of the following is a manifestation of orthostatic hypotension?

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Exam 4: Trauma and Trauma Systems

The study of the characteristics of projectiles in motion and their effects on the objects they impact is called:

Which of the following is a common mechanism of injury associated with spinal cord injuries?

Which of the following is the preferred in-hospital fluid for resuscitation in hemorrhagic shock?

Which of the following injuries is associated with the pressure wave produced by a blast?

The elderly patient in shock may be less likely to exhibit which of the following expected manifestations of shock?

All of the following are signs of mild hypothermia EXCEPT:

For the patient with suspected traumatic brain injury, the ideal positioning of the patient for transport is:

Which of the following is TRUE of the pressure wave that accompanies high-velocity penetrating trauma?

The shearing, stretching, and tearing associated with rapid acceleration/deceleration forces acting on the brain result in which of the following types of brain injury?

Which of the following vessels has the greatest ability to change diameter?

Which of the following about the use of prehospital fluid resuscitation in the patient with a traumatic brain injury is TRUE?

A vehicle is struck in its right front as it passes through an intersection, resulting in an oblique impact. Which of the passengers is subjected to the greatest acceleration forces?

Which of the following is NOT an example of trauma?

You have arrived on the scene of a 17-year-old male patient with a gunshot wound to the thigh. Police are on the scene. There is significant ongoing hemorrhage from the wound. The patient is screaming for someone to help him. Which of the following should you do first?

Active rewarming should not be attempted in the field unless the emergency department is more than ________ minutes away.

Your patient has sustained trauma to the eye. Upon examination, you see blood pooling in the anterior chamber and in front of the iris and pupil. What is this condition called?

Which of the following mechanisms causes indirect brain injury?

The difference in temperature between the environment and the body is known as the:

Which of the following is a manifestation of orthostatic hypotension?

Introduction to Paramedicine

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Pulmonology

Gynecology

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