Deck 33: Trauma Overview

Question 1

What is the definition of "mechanism of injury"?

A) Assessing the scene and evaluating ongoing safety hazards.
B) The way in which an injury occurs and the forces involved in its production.
C) Assessing your susceptibility to injury based on the supply of PPE.
D) The calculation of physical force required to injure the body.

Answer 1

The way in which an injury occurs and the forces involved in its production.

Question 2

Why is it important to evaluate a mechanism of injury?

A) You can often predict the types of injuries.
B) You can estimate costs of property damage.
C) You can collect evidence for law enforcement.
D) You can re-enact the injury to diagnose problems.

Answer 2

You can often predict the types of injuries.

Question 3

On-scene time with a trauma patient should be no more than

A) 30 minutes.
B) 10 minutes.
C) 5 minutes.
D) 1 hour.

Answer 3

10 minutes.

Question 4

You will be on-scene for more than 10 minutes because you must wait for an extrication team. You should report the delay to the

A) receiving hospital.
B) department of transportation.
C) fire department.
D) law enforcement.

Question 5

Which of the following injuries should be treated at a trauma center?

A) A puncture wound to the hand
B) Two broken toes
C) A penetrating injury to the thigh
D) A displaced shoulder

Question 6

Which mechanism of injury would most likely require treatment at a trauma center?

A) A side-impact collision
B) A broken window
C) A deployed airbag
D) A vehicle rollover

Question 7

Which of the following is part of a primary survey?

A) Comparing sides of the body
B) Feeling for a deviated trachea
C) Bandaging a lacerated hand
D) Reassessing mechanisms of injury

Question 8

What is a rapid trauma assessment?

A) The immediate application of bandages to apparent injuries
B) A head-to-toe exam to assess additional injuries
C) A quick verbal communication with the patient
D) A quick visual inspection of an injured patient

Question 9

In which case should you perform a rapid trauma assessment?

A) A man fell through a glass window
B) A child fell from a chair
C) A man has an acute asthma attack
D) A woman goes into labor

Question 10

What is the first step in performing a rapid trauma assessment?

A) Examination of the neck and extremities
B) Assessing the patient's head
C) Comparison of one side of the body to the other
D) Reassessing the patient's mental status

Question 11

What components make up the revised trauma scale?

A) Blood loss, verbal response, and mechanism of injury
B) Eye opening, verbal response, and motor response
C) Diastolic blood pressure, motor response, and blood loss
D) Systolic blood pressure, respiratory rate, and the Glasgow Coma Scale

Question 12

On the Glasgow Coma Scale, which of these motor responses is considered best?

A) Abnormal extension
B) Purposeful response to pain
C) Withdrawing from pain
D) Abnormal flexion

Question 13

You are dispatched to a multiple-vehicle collision. When arriving on the scene, you should

A) begin a primary survey.
B) evaluate the mechanism of injury.
C) estimate the time remaining in the golden hour.
D) size-up the scene.

Question 14

When transporting a priority trauma patient, you should

A) immediately notify the hospital of the patient's Glasgow Coma Scale number.
B) contact the patient's family so that they can assemble at the hospital.
C) notify the receiving hospital of the patient's condition, treatment received, and time of arrival.
D) notify the ambulance that they will need to run through red lights and traffic signs.

Question 15

A focused trauma assessment on a patient with an apparent ankle injury would include

A) reassessing the MOI to determine possible further injury.
B) evaluating the revised trauma score.
C) assessing the patient's overall consciousness.
D) measuring sensation around the injured area.

Question 16

Which of the following would score the most points on the revised trauma score?

A) Eyes opening in response to pain
B) A systolic blood pressure of 110
C) A respiratory rate of 32 per minute
D) Incorrect responses to questions

Question 17

A victim of a car accident appears to have broken his humerus and has sustained minor burns across his chest. You should have the patient

A) arrange care with his primary physician.
B) transported to the closest hospital.
C) undergo a Glasgow Coma Test.
D) transported to a trauma center.

Question 18

A snowmobile rider was thrown 15 feet from his vehicle. During your assessment you note that his finger is deformed and a bruise is forming on his sternum. He says that he "feels fine." You should

A) request air medical transportation to a trauma center, 10 minutes away by helicopter.
B) transport the patient to a trauma center, 30 minutes away.
C) transport the patient to the regional hospital, 10 minutes away.
D) recommend that the patient transport himself to an urgent care clinic, 10 minutes away.

Question 19

At the scene of a car crash, the vehicle's steering wheel is broken. Your patient is the driver who complains of mild abdominal pain, but the primary assessment and rapid trauma exam yield no other significant findings. You should

A) transport the patient to a trauma center.
B) ask the paramedic on your team to repeat the primary assessment and physical exam.
C) transport the patient to the closest hospital.
D) perform a focused physical examination of the patient's abdomen.

Question 20

"Definitive care" for a severely injured trauma patient is

A) surgery.
B) pain relief.
C) hemorrhage control.
D) stabilization.

Question 21

What is the maximum possible revised trauma score?

A) 16
B) 12
C) 23
D) 27

Question 22

When performing a rapid trauma assessment, after assessing a patient's score on the Glasgow Coma Scale, you should

A) examine the patient's chest.
B) take baseline vital signs.
C) assess the patient's head.
D) compare sides of the body.

Question 23

Which is an acceptable reason for delaying the transport of a severe trauma patient?

A) Completing all pre-hospital care paperwork and documents.
B) Convincing a reluctant patient to allow treatment and transport.
C) Observing the patient for signs of recovery or stabilization.
D) Reassessing the mechanism of injury or the patient's diagnosis.

Question 24

The golden hour refers to the maximum amount of time

A) that emergency responders can spend convincing a patient for transportation.
B) between a patient's occurrence of trauma and the arrival of EMS workers.
C) between a patient's occurrence of trauma and their arrival at definitive care.
D) that emergency responders can spend stabilizing a patient on-scene.

Question 25

At a car accident, you see starring on a windshield. You should suspect injury to the patient's

A) arms.
B) spine.
C) pelvis.
D) hands.

Question 26

What is the procedure for a significant MOI?

A) Primary survey, reassessment, rapid trauma assessment, transport
B) Primary survey, focused trauma assessment, transport, reassessment
C) Primary survey, reassessment, focused trauma assessment, transport
D) Primary survey, rapid trauma assessment, transport, reassessment

Question 27

What is the procedure for an insignificant MOI?

A) Primary survey, reassessment, rapid trauma assessment, transport
B) Primary survey, focused trauma assessment, transport, reassessment
C) Primary survey, rapid trauma assessment, transport, reassessment
D) Primary survey, reassessment, focused trauma assessment, transport

Question 28

What are the three categories in the Glasgow Coma Scale?

A) Motor response, blood pressure, and respiratory rate
B) Circulation, respiratory rate, and awareness
C) Eye opening, verbal response, and motor response
D) Verbal response, motor response, and breathing

Question 29

Which is the most important factor to consider in a motor vehicle crash?

A) The sobriety of the driver
B) The speed of impact
C) The weight of the vehicle
D) The skill of the driver

Question 30

Select the BEST response: At the scene of a car crash, you see no obvious major mechanisms of injury. After your primary survey, the victim is walking, but complains of a headache and chest pain. You should:

A) proceed to a rapid trauma assessment.
B) begin transporting the patient to a trauma center.
C) redo your primary assessment.
D) reconsider the mechanism of injury.

Question 31

If a patient becomes unstable while doing a focused trauma assessment, you should

A) expedite transport to the nearest medical facility.
B) redo your primary assessment then transport.
C) restart your focused trauma assessment.
D) reconsider the mechanism of injury.