Question 1

What should you assume when approaching this scene?

Accepted Answer

A)  Bystanders will be responsible for keeping themselves out of harm's way and avoiding the scene. 
B)  Emergency responders at the scene have already performed a scene size up so you can focus on the patient. 
C)  The patient has most likely suffered from multi system trauma and you need to call for additional resources. 
D)  One crew member should treat the patient immediately while others assess the need for additional resources. 
A)  Bystanders will be responsible for keeping themselves out of harm's way and avoiding the scene. 
B)  Emergency responders at the scene have already performed a scene size up so you can focus on the patient. 
C)  The patient has most likely suffered from multi system trauma and you need to call for additional resources. 
D)  One crew member should treat the patient immediately while others assess the need for additional resources. C

Question 2

Your 37 year old female patient has suffered multisystem trauma from a motor vehicle collision. What should you do first?

Accepted Answer

A)  Call for advanced life support. 
B)  Perform a primary survey. 
C)  Suction the airway. 
D)  Stabilize the patient. 
A)  Call for advanced life support. 
B)  Perform a primary survey. 
C)  Suction the airway. 
D)  Stabilize the patient. A

Question 3

Blast injuries which occur when a victim is thrown to the ground or through the air are

Accepted Answer

A)  quaternary blast injuries. 
B)  primary blast injuries. 
C)  tertiary blast injuries. 
D)  secondary blast injuries. 
A)  quaternary blast injuries. 
B)  primary blast injuries. 
C)  tertiary blast injuries. 
D)  secondary blast injuries. C

Question 4

Any patient who has been subjected to significant forces is at risk for

Accepted Answer

A)  ditrauma. 
B)  teratrauma. 
C)  quartrauma. 
D)  polytrauma. 
A)  ditrauma. 
B)  teratrauma. 
C)  quartrauma. 
D)  polytrauma.

Question 5

If a victim of a multi system trauma must be transported immediately, you should

Accepted Answer

A)  determine the appropriate destination based on your knowledge of the local trauma system. 
B)  consult with EMS transporters on the best place to transport the patient for treatment. 
C)  call the nearest emergency hospital to see if they have the capabilities to handle the patient's injuries. 
D)  All of these may be correct 
A)  determine the appropriate destination based on your knowledge of the local trauma system. 
B)  consult with EMS transporters on the best place to transport the patient for treatment. 
C)  call the nearest emergency hospital to see if they have the capabilities to handle the patient's injuries. 
D)  All of these may be correct

Question 6

A quaternary blast injury may include

Accepted Answer

A)  extremity fractures. 
B)  impaled objects. 
C)  respiratory illness. 
D)  exposure to bacteria. 
A)  extremity fractures. 
B)  impaled objects. 
C)  respiratory illness. 
D)  exposure to bacteria.

Question 7

A victim who absorbs radiation as the result of a blast may suffer from what type of blast injury?

Accepted Answer

A)  Secondary blast injury 
B)  Quinary blast injury 
C)  Quarternary blast injury 
D)  Tertiary blast injury 
A)  Secondary blast injury 
B)  Quinary blast injury 
C)  Quarternary blast injury 
D)  Tertiary blast injury

Question 8

What is the level of oxygen saturation that must be maintained in trauma patients?

Accepted Answer

A)  95% and above 
B)  at least 82% 
C)  at least 90% 
D)  88% and above 
A)  95% and above 
B)  at least 82% 
C)  at least 90% 
D)  88% and above

Question 9

Which of the following statements regarding blast injuries is correct?

Accepted Answer

A)  Primary blast injuries can include damage to the ears. 
B)  Tertiary blast injuries are rarely accompanied by secondary injuries. 
C)  Blast injuries are divided into four distinct categories. 
D)  Most deaths in an explosion are due to quaternary blast injuries. 
A)  Primary blast injuries can include damage to the ears. 
B)  Tertiary blast injuries are rarely accompanied by secondary injuries. 
C)  Blast injuries are divided into four distinct categories. 
D)  Most deaths in an explosion are due to quaternary blast injuries.

Question 10

Which of the following statements regarding patient trauma care is correct?

Accepted Answer

A)  Patients with suspected internal bleeding should be cooled to slow blood loss. 
B)  A head-to-toe physical exam must be performed before transport. 
C)  Protruding organs should be covered with moistened sterile dressings. 
D)  Oxygen saturation must be maintained between 85% to 90%. 
A)  Patients with suspected internal bleeding should be cooled to slow blood loss. 
B)  A head-to-toe physical exam must be performed before transport. 
C)  Protruding organs should be covered with moistened sterile dressings. 
D)  Oxygen saturation must be maintained between 85% to 90%.

Question 11

Which of the following statements is NOT true regarding multi trauma care?

Accepted Answer

A)  Avoid the use of tourniquets and instead use direct pressure to control severe extremity bleeding. 
B)  Determine the patient's level of consciousness using the Glasgow Coma Scale and the AVPU scale. 
C)  A detailed head to toe examination should be performed before you leave for the attending facility. 
D)  Notify the receiving facility of the patient's impending arrival while you are en route to the facility. 
A)  Avoid the use of tourniquets and instead use direct pressure to control severe extremity bleeding. 
B)  Determine the patient's level of consciousness using the Glasgow Coma Scale and the AVPU scale. 
C)  A detailed head to toe examination should be performed before you leave for the attending facility. 
D)  Notify the receiving facility of the patient's impending arrival while you are en route to the facility.

Question 12

Patients who have multiple system injuries should be treated with the principles of

Accepted Answer

A)  immediate response. 
B)  emergency patient stabilization. 
C)  prehospital trauma care. 
D)  transport care. 
A)  immediate response. 
B)  emergency patient stabilization. 
C)  prehospital trauma care. 
D)  transport care.

Question 13

You have arrived at a scene where six patients have been injured in a motor vehicle collision (MVC). As you approach the scene, two patients are screaming for help while the other four are lying quietly on the ground. In this scenario, what should you avoid?

Accepted Answer

A)  Tunnel vision 
B)  Secondary survey 
C)  Bystander control 
D)  Mechanism assessment 
A)  Tunnel vision 
B)  Secondary survey 
C)  Bystander control 
D)  Mechanism assessment

Question 14

Most blast deaths caused by an explosion are due to __________ blast injuries.

Accepted Answer

A)  quaternary 
B)  secondary 
C)  quinary 
D)  tertiary 
A)  quaternary 
B)  secondary 
C)  quinary 
D)  tertiary

Question 15

You are at a scene where a 20 year old male has suffered a facial trauma. His breathing is adequate, but he is confused and has increased blood pressure. What type of oxygen administration is PREFERRED for this patient?

Accepted Answer

A)  6 L/min through a nasal cannula 
B)  4 L/min through a nasal cannula 
C)  10L/min through a non-rebreather mask 
D)  15 L/min through a non-rebreather mask 
A)  6 L/min through a nasal cannula 
B)  4 L/min through a nasal cannula 
C)  10L/min through a non-rebreather mask 
D)  15 L/min through a non-rebreather mask

Question 16

You have arrived on scene where a patient has multiple wounds from flying debris that were released with the blast. What type of blast injury is this patient suffering from?

Accepted Answer

A)  Quaternary 
B)  Primary 
C)  Tertiary 
D)  Secondary 
A)  Quaternary 
B)  Primary 
C)  Tertiary 
D)  Secondary

Question 17

A victim in a blast who develops a respiratory illness as a result of inhaling debris from a blast has what type of blast injury?

Accepted Answer

A)  Tertiary blast injury 
B)  Secondary blast injury 
C)  Quarternary blast injury 
D)  Quinary blast injury 
A)  Tertiary blast injury 
B)  Secondary blast injury 
C)  Quarternary blast injury 
D)  Quinary blast injury

Exam 41: Multisystem Trauma

What should you assume when approaching this scene?

Your 37 year old female patient has suffered multisystem trauma from a motor vehicle collision. What should you do first?

Blast injuries which occur when a victim is thrown to the ground or through the air are

Any patient who has been subjected to significant forces is at risk for

If a victim of a multi system trauma must be transported immediately, you should

A quaternary blast injury may include

A victim who absorbs radiation as the result of a blast may suffer from what type of blast injury?

What is the level of oxygen saturation that must be maintained in trauma patients?

Which of the following statements regarding blast injuries is correct?

Which of the following statements regarding patient trauma care is correct?

Which of the following statements is NOT true regarding multi trauma care?

Patients who have multiple system injuries should be treated with the principles of

You have arrived at a scene where six patients have been injured in a motor vehicle collision (MVC). As you approach the scene, two patients are screaming for help while the other four are lying quietly on the ground. In this scenario, what should you avoid?

Most blast deaths caused by an explosion are due to __________ blast injuries.

You are at a scene where a 20 year old male has suffered a facial trauma. His breathing is adequate, but he is confused and has increased blood pressure. What type of oxygen administration is PREFERRED for this patient?

You have arrived on scene where a patient has multiple wounds from flying debris that were released with the blast. What type of blast injury is this patient suffering from?

A victim in a blast who develops a respiratory illness as a result of inhaling debris from a blast has what type of blast injury?

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