Question 1

Which of the following most accurately describes the injury that removes the epidermis and the upper portion of the dermis?

Accepted Answer

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

Question 2

Which of the following guidelines applies to the prehospital administration of IV fluids in the patient with hemorrhagic shock?

Accepted Answer

A)  Administer hypertonic saline solution or colloids at a keep-open rate. 
B)  Administer synthetic oxygen-carrying fluids as necessary to increase the level of consciousness. 
C)  Begin with a 2,000 mL bolus of isotonic crystalloid solution infused under pressure. 
D)  Administer isotonic crystalloid fluids only as necessary to maintain perfusion. 
A)  Administer hypertonic saline solution or colloids at a keep-open rate. 
B)  Administer synthetic oxygen-carrying fluids as necessary to increase the level of consciousness. 
C)  Begin with a 2,000 mL bolus of isotonic crystalloid solution infused under pressure. 
D)  Administer isotonic crystalloid fluids only as necessary to maintain perfusion.

Question 3

Which of the following statements about entrance and exit wounds is TRUE?

Accepted Answer

A)  Exit wounds are usually the size of the bullet's profile. 
B)  Entrance wounds most often appear as stellate. 
C)  Cavitational wave energy is greatest at a bullet's point of entrance. 
D)  Only a thorough forensic examination by a qualified expert can determine with certainty whether a given wound is an entrance wound or an exit wound. 
A)  Exit wounds are usually the size of the bullet's profile. 
B)  Entrance wounds most often appear as stellate. 
C)  Cavitational wave energy is greatest at a bullet's point of entrance. 
D)  Only a thorough forensic examination by a qualified expert can determine with certainty whether a given wound is an entrance wound or an exit wound.

Question 4

According to the Haddon Matrix, which of the following would be a pre-event host factor affecting the risk for injury in a vehicle collision?

Accepted Answer

A)  Level of EMS providers responding to the scene 
B)  Presence of crash barriers near bridge abutments 
C)  Texting and/or talking on a cellphone while driving 
D)  Advanced automatic collision notification 
A)  Level of EMS providers responding to the scene 
B)  Presence of crash barriers near bridge abutments 
C)  Texting and/or talking on a cellphone while driving 
D)  Advanced automatic collision notification

Question 5

What is the best course of action in the case of hemorrhage from either the nose or ear canal?

Accepted Answer

A)  Cover the area with a soft, porous dressing 
B)  Apply direct pressure to the upper face 
C)  Squeeze the nostrils closed 
D)  Apply pressure to the forehead 
A)  Cover the area with a soft, porous dressing 
B)  Apply direct pressure to the upper face 
C)  Squeeze the nostrils closed 
D)  Apply pressure to the forehead

Question 6

Paramedics should do everything possible to ensure that they are on the scene of a traumatic emergency for no more than ________ minutes.

Accepted Answer

A)  15 
B)  20 
C)  10 
D)  25 
A)  15 
B)  20 
C)  10 
D)  25

Question 7

A hematoma resulting from a fracture of the humerus may contain enough blood to make it a class ________ hemorrhage.

Accepted Answer

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

Question 8

Assuming that none of the following patients has any neurologic deficits, which patient requires cervical spinal immobilization?

Accepted Answer

A)  A 19-year-old man who has a gunshot wound to the right thigh 
B)  A 3-year-old girl who fell on the sidewalk while running and who has a bite injury to her tongue 
C)  A 10-year-old male skateboarder who fell while skating down a hill and received abrasions to his hands, elbows, chest, and knees 
D)  A 70-year-old woman involved in a moderate-speed, lateral-impact motor vehicle collision, who is complaining of left arm pain 
A)  A 19-year-old man who has a gunshot wound to the right thigh 
B)  A 3-year-old girl who fell on the sidewalk while running and who has a bite injury to her tongue 
C)  A 10-year-old male skateboarder who fell while skating down a hill and received abrasions to his hands, elbows, chest, and knees 
D)  A 70-year-old woman involved in a moderate-speed, lateral-impact motor vehicle collision, who is complaining of left arm pain

Question 9

All of the following are used in the sedation of patients for rapid sequence intubation, EXCEPT:

Accepted Answer

A)  Valium. 
B)  Romazicon. 
C)  etomidate. 
D)  ketamine. 
A)  Valium. 
B)  Romazicon. 
C)  etomidate. 
D)  ketamine.

Question 10

Circulation to the face is provided by the ________ artery.

Accepted Answer

A)  external carotid 
B)  internal carotid 
C)  midfacial 
D)  mandibular 
A)  external carotid 
B)  internal carotid 
C)  midfacial 
D)  mandibular

Question 11

Which of the following burns would be classified as moderate?

Accepted Answer

A)  Superficial  30 percent BSA 
A)  Superficial  30 percent BSA

Question 12

Which of the following Glasgow Coma Scale scores indicates serious brain injury?

Accepted Answer

A)  < 3 
B)  Between 12 and 15 
C)  < 8 
D)  < 15 
A)  < 3 
B)  Between 12 and 15 
C)  < 8 
D)  < 15

Question 13

Which of the following is TRUE of the temporary cavity formed by penetrating trauma?

Accepted Answer

A)  It heals more slowly than the permanent cavity because of the nature of the tissue damage. 
B)  It fills with disrupted tissues, some air, fluid, and debris. 
C)  It is a space indirectly created by a projectile as tissue moves rapidly away from its path. 
D)  It is the damage that occurs when the projectile fragments. 
A)  It heals more slowly than the permanent cavity because of the nature of the tissue damage. 
B)  It fills with disrupted tissues, some air, fluid, and debris. 
C)  It is a space indirectly created by a projectile as tissue moves rapidly away from its path. 
D)  It is the damage that occurs when the projectile fragments.

Question 14

Which of the following injuries is associated with the tertiary phase of a blast?

Accepted Answer

A)  Crush injuries 
B)  Barotrauma 
C)  Burns 
D)  Projectile injuries 
A)  Crush injuries 
B)  Barotrauma 
C)  Burns 
D)  Projectile injuries

Question 15

One in ________ open wounds becomes infected.

Accepted Answer

A)  5 
B)  10 
C)  15 
D)  20 
A)  5 
B)  10 
C)  15 
D)  20

Question 16

Which of the following statements about bullets is TRUE?

Accepted Answer

A)  A high-velocity bullet is three times less likely to do major harm. 
B)  The larger the bullet, the smaller its energy. 
C)  A small, light bullet can do significant harm. 
D)  The hunting rifle's bullet is usually a lighter bullet, but it travels faster. 
A)  A high-velocity bullet is three times less likely to do major harm. 
B)  The larger the bullet, the smaller its energy. 
C)  A small, light bullet can do significant harm. 
D)  The hunting rifle's bullet is usually a lighter bullet, but it travels faster.

Question 17

Which of the following statements about the pediatric pedestrian who is struck by a vehicle is NOT true?

Accepted Answer

A)  A child commonly turns toward the oncoming vehicle at the moment of impact. 
B)  Smaller children are likely to suffer fractures of the tibia and fibula as a result of impact with the vehicle's bumper. 
C)  A smaller child is more likely to be thrown to the ground following initial impact, versus being thrown onto the hood. 
D)  Anatomically, the injuries caused by the initial impact of the vehicle will be higher on the body than in an adult. 
A)  A child commonly turns toward the oncoming vehicle at the moment of impact. 
B)  Smaller children are likely to suffer fractures of the tibia and fibula as a result of impact with the vehicle's bumper. 
C)  A smaller child is more likely to be thrown to the ground following initial impact, versus being thrown onto the hood. 
D)  Anatomically, the injuries caused by the initial impact of the vehicle will be higher on the body than in an adult.

Question 18

Which of the following mechanisms is most consistent with fractured vertebrae from a rapid lateral twisting motion?

Accepted Answer

A)  Direct trauma, such as from a blow to the head 
B)  Low-velocity penetrating trauma from an ice pick 
C)  High-velocity penetrating trauma from a gunshot wound 
D)  Lateral-impact motor vehicle collision 
A)  Direct trauma, such as from a blow to the head 
B)  Low-velocity penetrating trauma from an ice pick 
C)  High-velocity penetrating trauma from a gunshot wound 
D)  Lateral-impact motor vehicle collision

Question 19

Modern medicine treats trauma as a:

Accepted Answer

A)  crisis. 
B)  disease. 
C)  life threat. 
D)  medical problem. 
A)  crisis. 
B)  disease. 
C)  life threat. 
D)  medical problem.

Question 20

Which of the following are the two most important prehospital considerations for head injury patients?

Accepted Answer

A)  Cervical spine immobilization and ventilation 
B)  ICP monitoring and administering corticosteroids 
C)  Ventilation and administering corticosteroids 
D)  Ventilation and maintaining adequate blood pressure 
A)  Cervical spine immobilization and ventilation 
B)  ICP monitoring and administering corticosteroids 
C)  Ventilation and administering corticosteroids 
D)  Ventilation and maintaining adequate blood pressure

Which of the following most accurately describes the injury that removes the epidermis and the upper portion of the dermis?

Which of the following guidelines applies to the prehospital administration of IV fluids in the patient with hemorrhagic shock?

Which of the following statements about entrance and exit wounds is TRUE?

According to the Haddon Matrix, which of the following would be a pre-event host factor affecting the risk for injury in a vehicle collision?

What is the best course of action in the case of hemorrhage from either the nose or ear canal?

Paramedics should do everything possible to ensure that they are on the scene of a traumatic emergency for no more than ________ minutes.

A hematoma resulting from a fracture of the humerus may contain enough blood to make it a class ________ hemorrhage.

Assuming that none of the following patients has any neurologic deficits, which patient requires cervical spinal immobilization?

All of the following are used in the sedation of patients for rapid sequence intubation, EXCEPT:

Circulation to the face is provided by the ________ artery.

Which of the following burns would be classified as moderate?

Which of the following Glasgow Coma Scale scores indicates serious brain injury?

Which of the following is TRUE of the temporary cavity formed by penetrating trauma?

Which of the following injuries is associated with the tertiary phase of a blast?

One in ________ open wounds becomes infected.

Which of the following statements about bullets is TRUE?

Which of the following statements about the pediatric pedestrian who is struck by a vehicle is NOT true?

Which of the following mechanisms is most consistent with fractured vertebrae from a rapid lateral twisting motion?

Modern medicine treats trauma as a:

Which of the following are the two most important prehospital considerations for head injury patients?

Introduction to Paramedicine

Scene Size-Up

Pulmonology

Gynecology

Filters

Exam 4: Trauma and Trauma Systems

Which of the following most accurately describes the injury that removes the epidermis and the upper portion of the dermis?

Which of the following guidelines applies to the prehospital administration of IV fluids in the patient with hemorrhagic shock?

Which of the following statements about entrance and exit wounds is TRUE?

According to the Haddon Matrix, which of the following would be a pre-event host factor affecting the risk for injury in a vehicle collision?

What is the best course of action in the case of hemorrhage from either the nose or ear canal?

Paramedics should do everything possible to ensure that they are on the scene of a traumatic emergency for no more than ________ minutes.

A hematoma resulting from a fracture of the humerus may contain enough blood to make it a class ________ hemorrhage.

Assuming that none of the following patients has any neurologic deficits, which patient requires cervical spinal immobilization?

All of the following are used in the sedation of patients for rapid sequence intubation, EXCEPT:

Circulation to the face is provided by the ________ artery.

Which of the following burns would be classified as moderate?

Which of the following Glasgow Coma Scale scores indicates serious brain injury?

Which of the following is TRUE of the temporary cavity formed by penetrating trauma?

Which of the following injuries is associated with the tertiary phase of a blast?

One in ________ open wounds becomes infected.

Which of the following statements about bullets is TRUE?

Which of the following statements about the pediatric pedestrian who is struck by a vehicle is NOT true?

Which of the following mechanisms is most consistent with fractured vertebrae from a rapid lateral twisting motion?

Modern medicine treats trauma as a:

Which of the following are the two most important prehospital considerations for head injury patients?

Introduction to Paramedicine

Scene Size-Up

Pulmonology

Gynecology

Filters