Question 1

Which of the following is NOT an element of the scene size-up on a trauma response?

Accepted Answer

A)  Assessing for scene hazards 
B)  Determining the number of patients 
C)  Setting up an IV 
D)  Evaluating the mechanism of injury 
A)  Assessing for scene hazards 
B)  Determining the number of patients 
C)  Setting up an IV 
D)  Evaluating the mechanism of injury

Question 2

Which of the following is TRUE of the differences between adult and pediatric pedestrians when struck by a vehicle?

Accepted Answer

A)  Adults tend to be thrown under the vehicle. 
B)  Children tend to be thrown onto the hood of the vehicle. 
C)  Children tend to be thrown under the vehicle. 
D)  Adults tend to have injuries higher on the body. 
A)  Adults tend to be thrown under the vehicle. 
B)  Children tend to be thrown onto the hood of the vehicle. 
C)  Children tend to be thrown under the vehicle. 
D)  Adults tend to have injuries higher on the body.

Question 3

Which of the following features of the cranium exacerbates the severity of intracranial trauma?

Accepted Answer

A)  It is rigid. 
B)  It is formed of dense, heavy bone. 
C)  It is relatively thin in the frontal region. 
D)  The sutures allow for separation of the bones. 
A)  It is rigid. 
B)  It is formed of dense, heavy bone. 
C)  It is relatively thin in the frontal region. 
D)  The sutures allow for separation of the bones.

Question 4

Which of the following statements about crush injuries is most accurate?

Accepted Answer

A)  Only closed injuries can be classified as crush injuries. 
B)  The actual source of bleeding in crush injuries may be hard to identify. 
C)  A spongy sensation on palpation of the injured area indicates crush injury. 
D)  Crush injuries are easily identifiable because they invariably result in deformity. 
A)  Only closed injuries can be classified as crush injuries. 
B)  The actual source of bleeding in crush injuries may be hard to identify. 
C)  A spongy sensation on palpation of the injured area indicates crush injury. 
D)  Crush injuries are easily identifiable because they invariably result in deformity.

Question 5

Vehicle supplemental restraint systems (air bags) are meant to:

Accepted Answer

A)  prevent unrestrained occupants from taking the down-and-under pathway in frontal impacts. 
B)  protect infants and children who ride in the front seat of the vehicle. 
C)  prevent injury from secondary impacts. 
D)  absorb the energy exchange of rapid deceleration. 
A)  prevent unrestrained occupants from taking the down-and-under pathway in frontal impacts. 
B)  protect infants and children who ride in the front seat of the vehicle. 
C)  prevent injury from secondary impacts. 
D)  absorb the energy exchange of rapid deceleration.

Question 6

Your patient is the 40-year-old male driver of a vehicle that was struck in the driver's-side door by another vehicle at an intersection. The estimated speed of the vehicle that struck the patient's car is 30 miles per hour. The patient was restrained, but his vehicle lacks side-impact airbags. On your arrival, he is awake and complaining of head pain. He has a 4 cm laceration to the left posterior parietal area of the head. There was moderate bleeding before your arrival, but the bleeding is now minor. Witnesses state that there was no loss of consciousness, but immediately following the collision, the patient seemed confused and did not immediately understand that witnesses wanted him to unlock his door and use his cell phone to call for help. The patient's skin is warm and dry, his respirations are 16, and the radial pulse is strong at 88 per minute. Which of the following most accurately describes how to best remove the patient from the vehicle?

Accepted Answer

A)  Place a cervical collar, maintain manual stabilization of the cervical spine, place a vest-type extrication device, and remove the patient onto a long backboard. 
B)  Place a cervical collar, assist the patient in standing up, and then use a "standing take-down" to place him on a long backboard. 
C)  Place a cervical collar, place a long backboard on the stretcher, and position it next to the driver's door. Instruct the patient to slide onto the board as you maintain manual stabilization of the cervical spine. 
D)  Place a cervical collar, maintain manual stabilization of the cervical spine, and have the patient take several rest breaks, then move onto a long backboard. 
A)  Place a cervical collar, maintain manual stabilization of the cervical spine, place a vest-type extrication device, and remove the patient onto a long backboard. 
B)  Place a cervical collar, assist the patient in standing up, and then use a "standing take-down" to place him on a long backboard. 
C)  Place a cervical collar, place a long backboard on the stretcher, and position it next to the driver's door. Instruct the patient to slide onto the board as you maintain manual stabilization of the cervical spine. 
D)  Place a cervical collar, maintain manual stabilization of the cervical spine, and have the patient take several rest breaks, then move onto a long backboard.

Question 7

Your patient is an 80-year-old woman who fractured a vertebra while coughing. This type of fracture is best described as a(n) ________ fracture.

Accepted Answer

A)  pathological 
B)  greenstick 
C)  epiphyseal 
D)  comminuted 
A)  pathological 
B)  greenstick 
C)  epiphyseal 
D)  comminuted

Question 8

Your patient received a blow to the left lateral chest at the level of the sixth and seventh ribs. You should suspect fractures at:

Accepted Answer

A)  the point of impact of the sixth rib only. 
B)  the point of impact and the posterior axillary line of the sixth rib only. 
C)  the point of impact on both ribs. 
D)  the point of impact and the posterior axillary line of both ribs. 
A)  the point of impact of the sixth rib only. 
B)  the point of impact and the posterior axillary line of the sixth rib only. 
C)  the point of impact on both ribs. 
D)  the point of impact and the posterior axillary line of both ribs.

Question 9

For most open soft tissue wounds managed by the paramedic in the prehospital setting, which of the following is a desirable characteristic of the dressing applied?

Accepted Answer

A)  Occlusive 
B)  Dry 
C)  Adherent 
D)  Nonabsorbent 
A)  Occlusive 
B)  Dry 
C)  Adherent 
D)  Nonabsorbent

Question 10

People in which of the following age groups are prone to significant trauma due to falls?

Accepted Answer

A)  College-aged adults 
B)  Geriatric population 
C)  Pediatric population 
D)  Teenagers 
A)  College-aged adults 
B)  Geriatric population 
C)  Pediatric population 
D)  Teenagers

Question 11

You and your partner are treating a 25-year-old man with frostbite on the left hand. Your BLS unit is going to be delayed because of a severe winter storm that is occurring. You and your partner decide that you must rewarm the patient's hand while waiting for your BLS unit. You are in the patient's house, and there is no chance of the hand being refrozen. To rewarm the patient's hand, you are going to submerge the hand in water. You know that the water must be between ________ and ________ degrees F.

Accepted Answer

A)  98; 102 
B)  104; 108 
C)  102; 104 
D)  110; 112 
A)  98; 102 
B)  104; 108 
C)  102; 104 
D)  110; 112

Question 12

Which of the following mechanisms may result in a conventional explosion?

Accepted Answer

A)  Fumes 
B)  Dust 
C)  Natural gas 
D)  All of the above 
A)  Fumes 
B)  Dust 
C)  Natural gas 
D)  All of the above

Question 13

When developing a spinal clearance policy, age:

Accepted Answer

A)  should never be considered, as age does not matter. 
B)  should be considered only when the patient is a man between the ages of 21 and 35. 
C)  should be considered, as the very old may not be able to describe their symptoms accurately. 
D)  should be considered only if the patient is a minor. 
A)  should never be considered, as age does not matter. 
B)  should be considered only when the patient is a man between the ages of 21 and 35. 
C)  should be considered, as the very old may not be able to describe their symptoms accurately. 
D)  should be considered only if the patient is a minor.

Question 14

Concussion is a(n) ________ injury.

Accepted Answer

A)  direct. 
B)  indirect. 
C)  diffuse. 
D)  delayed. 
A)  direct. 
B)  indirect. 
C)  diffuse. 
D)  delayed.

Question 15

The spinal cord is continuous from the brain to the level of:

Accepted Answer

A)  T-12 or T-13. 
B)  L-5 or L-6. 
C)  the coccyx. 
D)  L-1 or L-2. 
A)  T-12 or T-13. 
B)  L-5 or L-6. 
C)  the coccyx. 
D)  L-1 or L-2.

Question 16

Which of the following body structures is the best electricity conductor?

Accepted Answer

A)  Bones 
B)  Nerves 
C)  Muscle 
D)  Skin 
A)  Bones 
B)  Nerves 
C)  Muscle 
D)  Skin

Question 17

A patient who has dived into a shallow pool and hit his head on the bottom is MOST likely to have which of the following types of injuries?

Accepted Answer

A)  Cervical hyperextension 
B)  Cervical hyperflexion 
C)  Axial distraction 
D)  Axial loading 
A)  Cervical hyperextension 
B)  Cervical hyperflexion 
C)  Axial distraction 
D)  Axial loading

Question 18

Which of the following is the primary prehospital concern with a simple, isolated fracture of the fifth rib in the right posterior-axillary line?

Accepted Answer

A)  Hemorrhage 
B)  Pneumonia 
C)  Hypoventilation 
D)  Liver contusion 
A)  Hemorrhage 
B)  Pneumonia 
C)  Hypoventilation 
D)  Liver contusion

Question 19

Which of the following is NOT a measure to take to prevent cold-related illness?

Accepted Answer

A)  Dress warmly. 
B)  Get plenty of rest. 
C)  Eat more fat than normal. 
D)  Limit exposure to cold environments. 
A)  Dress warmly. 
B)  Get plenty of rest. 
C)  Eat more fat than normal. 
D)  Limit exposure to cold environments.

Question 20

All the following are complications of hypothermia in the trauma patient EXCEPT:

Accepted Answer

A)  inhibited clotting cascade. 
B)  release of anticoagulant agents. 
C)  reduction in blood loss. 
D)  increased energy use. 
A)  inhibited clotting cascade. 
B)  release of anticoagulant agents. 
C)  reduction in blood loss. 
D)  increased energy use.

Which of the following is NOT an element of the scene size-up on a trauma response?

Which of the following is TRUE of the differences between adult and pediatric pedestrians when struck by a vehicle?

Which of the following features of the cranium exacerbates the severity of intracranial trauma?

Which of the following statements about crush injuries is most accurate?

Vehicle supplemental restraint systems (air bags) are meant to:

Your patient is an 80-year-old woman who fractured a vertebra while coughing. This type of fracture is best described as a(n) ________ fracture.

Your patient received a blow to the left lateral chest at the level of the sixth and seventh ribs. You should suspect fractures at:

For most open soft tissue wounds managed by the paramedic in the prehospital setting, which of the following is a desirable characteristic of the dressing applied?

People in which of the following age groups are prone to significant trauma due to falls?

Which of the following mechanisms may result in a conventional explosion?

When developing a spinal clearance policy, age:

Concussion is a(n) ________ injury.

The spinal cord is continuous from the brain to the level of:

Which of the following body structures is the best electricity conductor?

A patient who has dived into a shallow pool and hit his head on the bottom is MOST likely to have which of the following types of injuries?

Which of the following is the primary prehospital concern with a simple, isolated fracture of the fifth rib in the right posterior-axillary line?

Which of the following is NOT a measure to take to prevent cold-related illness?

All the following are complications of hypothermia in the trauma patient EXCEPT:

Introduction to Paramedicine

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Exam 4: Trauma and Trauma Systems

Which of the following is NOT an element of the scene size-up on a trauma response?

Which of the following is TRUE of the differences between adult and pediatric pedestrians when struck by a vehicle?

Which of the following features of the cranium exacerbates the severity of intracranial trauma?

Which of the following statements about crush injuries is most accurate?

Vehicle supplemental restraint systems (air bags) are meant to:

Your patient is an 80-year-old woman who fractured a vertebra while coughing. This type of fracture is best described as a(n) ________ fracture.

Your patient received a blow to the left lateral chest at the level of the sixth and seventh ribs. You should suspect fractures at:

For most open soft tissue wounds managed by the paramedic in the prehospital setting, which of the following is a desirable characteristic of the dressing applied?

People in which of the following age groups are prone to significant trauma due to falls?

Which of the following mechanisms may result in a conventional explosion?

When developing a spinal clearance policy, age:

Concussion is a(n) ________ injury.

The spinal cord is continuous from the brain to the level of:

Which of the following body structures is the best electricity conductor?

A patient who has dived into a shallow pool and hit his head on the bottom is MOST likely to have which of the following types of injuries?

Which of the following is the primary prehospital concern with a simple, isolated fracture of the fifth rib in the right posterior-axillary line?

Which of the following is NOT a measure to take to prevent cold-related illness?

All the following are complications of hypothermia in the trauma patient EXCEPT:

Introduction to Paramedicine

Scene Size-Up

Pulmonology

Gynecology

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