Question 1

Even with intervention, survival is unlikely with blood loss over ________ percent of the total blood volume.

Accepted Answer

A)  25 
B)  15 
C)  50 
D)  35 
A)  25 
B)  15 
C)  50 
D)  35

Question 2

Which of the following is a reason for use of air medical transport in the out-of-hospital setting?

Accepted Answer

A)  The patient has a low potential to require high-level life support available from an air medical helicopter, which is not available by ground transport. 
B)  The patient has a significant potential to require a time-critical intervention, and an air medical helicopter will deliver the patient to an appropriate facility faster than ground transport. 
C)  The patient is located in an area that would make ground transport viable or slightly delayed. 
D)  Local EMS resources are acceptable. 
A)  The patient has a low potential to require high-level life support available from an air medical helicopter, which is not available by ground transport. 
B)  The patient has a significant potential to require a time-critical intervention, and an air medical helicopter will deliver the patient to an appropriate facility faster than ground transport. 
C)  The patient is located in an area that would make ground transport viable or slightly delayed. 
D)  Local EMS resources are acceptable.

Question 3

Which of the following best describes why the occupants of a vehicle moving at 50 miles per hour will be injured when the vehicle strikes a tree, but not when it brakes to a stop?

Accepted Answer

A)  Braking allows the kinetic energy to be absorbed evenly into the frame of the vehicle, rather than concentrating it at the point of impact. 
B)  The energy gradually dissipates as heat due to the friction of braking, rather than transferring to the vehicle and its occupants. 
C)  The inertia of the tree increases the kinetic energy transmitted to the occupants by a factor of 10. 
D)  None of the above describes why. 
A)  Braking allows the kinetic energy to be absorbed evenly into the frame of the vehicle, rather than concentrating it at the point of impact. 
B)  The energy gradually dissipates as heat due to the friction of braking, rather than transferring to the vehicle and its occupants. 
C)  The inertia of the tree increases the kinetic energy transmitted to the occupants by a factor of 10. 
D)  None of the above describes why.

Question 4

Hemothorax is primarily a problem of:

Accepted Answer

A)  blood loss. 
B)  impaired ventilation. 
C)  ventilation/perfusion mismatch. 
D)  increased intrathoracic pressure. 
A)  blood loss. 
B)  impaired ventilation. 
C)  ventilation/perfusion mismatch. 
D)  increased intrathoracic pressure.

Question 5

Which of the following changes is NOT of concern in the pregnant trauma patient?

Accepted Answer

A)  Disproportionate increase in vascular volume as compared to red blood cells 
B)  The high likelihood of trauma to the uterus in the first trimester 
C)  Compression of the inferior vena cava 
D)  Rupture of the urinary bladder 
A)  Disproportionate increase in vascular volume as compared to red blood cells 
B)  The high likelihood of trauma to the uterus in the first trimester 
C)  Compression of the inferior vena cava 
D)  Rupture of the urinary bladder

Question 6

Which of the following patients with hemorrhagic shock is likely to be internally bleeding, solely?

Accepted Answer

A)  A 50-year-old man with a stab wound to the neck 
B)  A 45-year-old woman with a suspected ruptured ectopic pregnancy 
C)  A 38-year-old man with an open femur fracture 
D)  A 26-year-old man with a gunshot wound involving the popliteal artery 
A)  A 50-year-old man with a stab wound to the neck 
B)  A 45-year-old woman with a suspected ruptured ectopic pregnancy 
C)  A 38-year-old man with an open femur fracture 
D)  A 26-year-old man with a gunshot wound involving the popliteal artery

Question 7

Which of the following is the highest priority when managing a patient with bilateral closed femur fractures?

Accepted Answer

A)  Assessing distal neurovascular function 
B)  Anticipating hypovolemia 
C)  Providing analgesia 
D)  Anticipating pulmonary embolism as a complication 
A)  Assessing distal neurovascular function 
B)  Anticipating hypovolemia 
C)  Providing analgesia 
D)  Anticipating pulmonary embolism as a complication

Question 8

The ________ is one of the thinnest and most frequently fractured cranial bones.

Accepted Answer

A)  temporal 
B)  ethmoid 
C)  parietal 
D)  occipital 
A)  temporal 
B)  ethmoid 
C)  parietal 
D)  occipital

Question 9

A ________ fracture characteristically involves the entire facial region below the brow ridge, including the zygoma, nasal bone, and maxilla.

Accepted Answer

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

Question 10

Which of the following is NOT part of the prehospital examination of the patient with suspected abdominal trauma?

Accepted Answer

A)  Asking the patient about abdominal pain first, then palpating the abdomen in all four quadrants 
B)  Checking for blood in the urine 
C)  Checking for stability of the pelvis 
D)  Assessment of the thorax for injury 
A)  Asking the patient about abdominal pain first, then palpating the abdomen in all four quadrants 
B)  Checking for blood in the urine 
C)  Checking for stability of the pelvis 
D)  Assessment of the thorax for injury

Question 11

Which of the following patients fit the criteria for application of spinal precautions in the prehospital setting?

Accepted Answer

A)  An 85-year-old man who has fallen down three steps and has a large laceration to the occipital region of the skull, but no complaints of pain 
B)  A 21-year-old man who was diving into a pool and states he hit his head, but is out of the pool and ambulatory upon your arrival with no complaint of neck or back pain 
C)  A 36-year-old woman who was involved in a minor motor vehicle crash with an obvious closed tibia fracture 
D)  None of the above 
A)  An 85-year-old man who has fallen down three steps and has a large laceration to the occipital region of the skull, but no complaints of pain 
B)  A 21-year-old man who was diving into a pool and states he hit his head, but is out of the pool and ambulatory upon your arrival with no complaint of neck or back pain 
C)  A 36-year-old woman who was involved in a minor motor vehicle crash with an obvious closed tibia fracture 
D)  None of the above

Question 12

Which of the following groups is NOT among those with the highest incidence of serious head trauma?

Accepted Answer

A)  The elderly 
B)  Young men 
C)  Middle-aged men 
D)  Infants 
A)  The elderly 
B)  Young men 
C)  Middle-aged men 
D)  Infants

Question 13

Which of the following are likely to accumulate in the bloodstream following a large crush injury?

Accepted Answer

A)  Myoglobin 
B)  Potassium 
C)  Lactic acid 
D)  All of the above 
A)  Myoglobin 
B)  Potassium 
C)  Lactic acid 
D)  All of the above

Question 14

Your patient is a 27-year-old male ice skater whose left skate was planted when he was struck and knocked down by another skater. He is agitated and complaining of severe pain in his leg. Your examination reveals an open fracture 6 inches proximal to the ankle joint. Which of the following describes the most appropriate management of this patient?

Accepted Answer

A)  Focused exam, oxygen, spinal immobilization, splint from the foot to above the knee, begin transport, start a large-bore IV, and request orders for analgesia 
B)  Focused exam, cover the open wound, apply a lower extremity traction splint, begin transport, start an IV, and request orders for analgesia 
C)  Focused exam, cover the open wound, splint from the foot to above the knee, begin transport, start an IV, and request orders for analgesia 
D)  Rapid trauma exam, high-concentration oxygen, cervical spine immobilization, cover the open wound, use the long backboard for initial splinting, initiate transport, start a large-bore IV, perform a detailed examination, use padded board splints to immobilize from the ankle to above the knee, and reassess the patient every 5 minutes 
A)  Focused exam, oxygen, spinal immobilization, splint from the foot to above the knee, begin transport, start a large-bore IV, and request orders for analgesia 
B)  Focused exam, cover the open wound, apply a lower extremity traction splint, begin transport, start an IV, and request orders for analgesia 
C)  Focused exam, cover the open wound, splint from the foot to above the knee, begin transport, start an IV, and request orders for analgesia 
D)  Rapid trauma exam, high-concentration oxygen, cervical spine immobilization, cover the open wound, use the long backboard for initial splinting, initiate transport, start a large-bore IV, perform a detailed examination, use padded board splints to immobilize from the ankle to above the knee, and reassess the patient every 5 minutes

Question 15

The purpose of determining the mechanism of injury and the index of suspicion for the trauma patient at the same time is to allow you to:

Accepted Answer

A)  decide whether to transport the patient. 
B)  identify comorbid factors. 
C)  document a complete scene size-up. 
D)  anticipate your patient's injuries. 
A)  decide whether to transport the patient. 
B)  identify comorbid factors. 
C)  document a complete scene size-up. 
D)  anticipate your patient's injuries.

Question 16

What percentage of drowning victims are children under five years of age?

Accepted Answer

A)  10 
B)  20 
C)  40 
D)  60 
A)  10 
B)  20 
C)  40 
D)  60

Question 17

Which of the following requires immediate transport to a trauma center?

Accepted Answer

A)  A 40-year-old who fell 12 feet from a garage roof with a radius fracture 
B)  A 36-year-old woman in a motor vehicle crash who has a blood pressure of 100/60 
C)  A 22-year-old soccer player with lower leg pain 
D)  A 47-year-old involved in a motor vehicle crash that resulted in the death of his passenger 
A)  A 40-year-old who fell 12 feet from a garage roof with a radius fracture 
B)  A 36-year-old woman in a motor vehicle crash who has a blood pressure of 100/60 
C)  A 22-year-old soccer player with lower leg pain 
D)  A 47-year-old involved in a motor vehicle crash that resulted in the death of his passenger

Question 18

Which pathway of patient travel results in higher mortality with a frontal impact collision?

Accepted Answer

A)  Vertical 
B)  Straight 
C)  Up-and-over 
D)  Down-and-under 
A)  Vertical 
B)  Straight 
C)  Up-and-over 
D)  Down-and-under

Question 19

Anterior cord syndrome is caused by which of the following mechanisms?

Accepted Answer

A)  Tearing of the anterior cord due to hyperextension mechanisms 
B)  Disruption of arterial blood supply to the anterior cord 
C)  Laceration of the anterior cord caused by bone fragments 
D)  Contusion of the anterior cord caused by blunt trauma 
A)  Tearing of the anterior cord due to hyperextension mechanisms 
B)  Disruption of arterial blood supply to the anterior cord 
C)  Laceration of the anterior cord caused by bone fragments 
D)  Contusion of the anterior cord caused by blunt trauma

Question 20

Which of the following best describes the epidemiology of sternal fracture?

Accepted Answer

A)  Low incidence, low mortality 
B)  High incidence, high mortality 
C)  High incidence, low mortality 
D)  Low incidence, high mortality 
A)  Low incidence, low mortality 
B)  High incidence, high mortality 
C)  High incidence, low mortality 
D)  Low incidence, high mortality

Even with intervention, survival is unlikely with blood loss over ________ percent of the total blood volume.

Which of the following is a reason for use of air medical transport in the out-of-hospital setting?

Which of the following best describes why the occupants of a vehicle moving at 50 miles per hour will be injured when the vehicle strikes a tree, but not when it brakes to a stop?

Hemothorax is primarily a problem of:

Which of the following changes is NOT of concern in the pregnant trauma patient?

Which of the following patients with hemorrhagic shock is likely to be internally bleeding, solely?

Which of the following is the highest priority when managing a patient with bilateral closed femur fractures?

The ________ is one of the thinnest and most frequently fractured cranial bones.

A ________ fracture characteristically involves the entire facial region below the brow ridge, including the zygoma, nasal bone, and maxilla.

Which of the following is NOT part of the prehospital examination of the patient with suspected abdominal trauma?

Which of the following patients fit the criteria for application of spinal precautions in the prehospital setting?

Which of the following groups is NOT among those with the highest incidence of serious head trauma?

Which of the following are likely to accumulate in the bloodstream following a large crush injury?

The purpose of determining the mechanism of injury and the index of suspicion for the trauma patient at the same time is to allow you to:

What percentage of drowning victims are children under five years of age?

Which of the following requires immediate transport to a trauma center?

Which pathway of patient travel results in higher mortality with a frontal impact collision?

Anterior cord syndrome is caused by which of the following mechanisms?

Which of the following best describes the epidemiology of sternal fracture?

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Exam 4: Trauma and Trauma Systems

Even with intervention, survival is unlikely with blood loss over ________ percent of the total blood volume.

Which of the following is a reason for use of air medical transport in the out-of-hospital setting?

Which of the following best describes why the occupants of a vehicle moving at 50 miles per hour will be injured when the vehicle strikes a tree, but not when it brakes to a stop?

Hemothorax is primarily a problem of:

Which of the following changes is NOT of concern in the pregnant trauma patient?

Which of the following patients with hemorrhagic shock is likely to be internally bleeding, solely?

Which of the following is the highest priority when managing a patient with bilateral closed femur fractures?

The ________ is one of the thinnest and most frequently fractured cranial bones.

A ________ fracture characteristically involves the entire facial region below the brow ridge, including the zygoma, nasal bone, and maxilla.

Which of the following is NOT part of the prehospital examination of the patient with suspected abdominal trauma?

Which of the following patients fit the criteria for application of spinal precautions in the prehospital setting?

Which of the following groups is NOT among those with the highest incidence of serious head trauma?

Which of the following are likely to accumulate in the bloodstream following a large crush injury?

The purpose of determining the mechanism of injury and the index of suspicion for the trauma patient at the same time is to allow you to:

What percentage of drowning victims are children under five years of age?

Which of the following requires immediate transport to a trauma center?

Which pathway of patient travel results in higher mortality with a frontal impact collision?

Anterior cord syndrome is caused by which of the following mechanisms?

Which of the following best describes the epidemiology of sternal fracture?

Introduction to Paramedicine

Scene Size-Up

Pulmonology

Gynecology

Filters