| Question | Answer |
|---|---|
| A 12 year old male jumped approximately 12 feet from a tree and landed on his feet. He complains of pain to his lower back. What injury mechanism is MOST likely responsible for his back pain? A. Secondary fall after the initial impact B. Direct trauma to the spinal column C. Lateral impact to the spine D. Energy transmission to the spine | D. Energy Transmission to the Spine p.858-859 Blunt Trauma |
| A 15-year-old female was struck by a small car while riding her bicycle. She was wearing a helmet and was thrown to the ground, striking her head. In addition to managing problems associated with airway, breathing, and circulation, it is MOST important for you to: A. Stabilize her spine B. Leave her bicycle helmet on C. Inspect the helmet for cracks D. Obtain baseline vital signs | A. Stabilize her spine p.857, Blunt Trauma |
| Question | Answer | Page |
|---|---|---|
| A young male sustained a gunshot wound to the abdomen during an altercation. As your partner is assessing and managing his airway, you should control the obvious bleeding and then: | C. Assess for an exit wound | p.859-860 Penetrating trauma |
| According to the American College of Surgeons Committee on Trauma (ACS-COT), an adult trauma patient should be transported to the highest level of trauma center if he or she: | D. Has a GCS score of less than or equal to 13 with a mechanism attributed to trauma | p.870 Management, Transport and Designation |
| Approximately 25% of severe injuries to the aorta occur during: | C. Lateral Collisions | p.856, Blunt Trauma |
| Following a blunt injury to the head, a 22-year old female is confused and complains of a severe headache and nausea. On the basis of the sign and symptoms, you should be MOST concerned with the possibility of: | B. intracranial bleeding | p.865, Patient Assessment |
| Force acting over a distance is the definition of: | B. Work | p.848 Energy and Trauma |
| The Index of Suspicion is the MOST accurately defined as: | C. your awareness and concern for potentially serious underlying injuries | p.847 |
| When assessing a patient who experienced a blast injury, it is important to remember that: | B. Primary blast injuries are the most easily overlooked | p.862 Blast injuries |
| When assessing an elderly patient who fell, it is most important to remember that: | osteoporosis can cause a fracture as a result of a fall from a standing position | p.859 Blunt Trauma |
| When the speed of a motor vehicle doubles, the amount of kinetic energy | Quadruples | p.848-849, Energy and Trauma |
| Which of the following destinations is most appropriate for a 41 year old male patient who was involved in a rollover motor vehicle collision and is unconscious and unresponsive assuming that travel times to each is equal | Level 1 or Level II trauma center | p.868 Management: Transport and Destination |
| Which findings would be LEAST suggestive of the presence of high energy trauma | B. Deployment of Airbag | p.850-851 Blunt Trauma |
| Which of the following injuries would most likely occur as a direct result of the third collision in a motor vehicle crash? | B. Aortic Rupture | p.851 Blunt Trauma |
| Which of the following interventions is the MOST critical to the outcome of a patient with multisystem trauma? | C. Rapid Transport to a trauma center | p.864 Multisystem Trauma |
| Which of the following statements regarding gunshot wounds is correct? | A. the speed of a bullet has the greatest impact on the injury produced | p.849 Energy and Trauma |
| Which types of motor vehicle collisions present the greatest potential for multiple impacts? | Rotational and Rollover | p. 850 Blunt Trauma |
| While en route to a major motor vehicle crash, an on-scene police officer advises you that a 6-year-old male who was riding in the front seat is involved. He further states that the child was only wearing a lap belt and that the air bag deployed. On the basis of this information, you should be MOST suspicious that the child has experienced: | neck and facial injuries | p.854, Blunt Trauma |
| Trauma Scoring | Your patient has a Glasgow Coma Scale Score of 13, a systolic blood pressure of 80 mm Hg and respiratory rate of 8 breaths/min. He revised Trauma Score (RTS) is | p.869 Management Transport and Destination |
| Energy | The product of mass, gravity, and height | |
| Trauma Types | Injury caused by objects that pierce the surface of the body | Penetrating trauma |
| Trauma Types | Result of force to the body that causes injury but does not pierce soft tissue or internal organs and cavities | Blunt Trauma |
| Energy | Energy of a moving object | Kinetic energy |
| Mechanism of Injury | How trauma occurs | Mechanism of Injury (MOI) |
| Multisystem Trauma | Significant MOI that causes injuries to more than one body system | Multisystem Trauma |
| Energy | Emanation of pressure waves that can damage nearby structures | Cavitation |
| Energy | Force acting over a distance | Work |
| Fall Injuries | A fall from more than ______ times the patient’s height is considered significant | Three |
| Blast Injuries | A patient complaining of chest tightness, coughing up blood, and subcutaneous emphysema following an explosion may be suffering from a: | Pulmonary blast injury, p.863 Blast injuries |
| Blunt Trauma | A young boy was riding his bicycle down the street when he hit a parked car. What is the second collision? | The bike rider hitting his bike or the car, p.851 Blunt trauma |
| Trauma Assessment | Awareness of and concern for potentially serious obvious and underlying injuries is referred to as | Index of suspicion, p.847 |
| Motor Vehicle Collisions | Significant clues to the possibility of severe injuries in motor vehicle collisions include | Death of a passenger |
| Motor Vehicle Collisions | Which of the following is considered a type of motor vehicle collision? <br> a. penetration <br> b. crush <br> c. rollover <br> d. ejection | Rollover, p. 850 Blunt trauma |
| Brain Injuries | A compression injury to the anterior portion of the brain and stretching of the posterior portion is called a __________ brain injury | Coup-contrecoup, p.851 Blunt Trauma |
| Topic | Term/Phrase |
|---|---|
| Injury caused by objects that pierce the surface of the body | Penetrating trauma |
| How trauma occurs | Mechanism of (MOI) |
| Significant MOI that causes injuries to more than one body system | Multisystem trauma |
| Result of force to the body that causes injury but does not pierce soft tissue or internal organs and cavities | Blunt trauma |
| Product of mass, gravity, and height | Potential energy |
| Force acting over a distance | Work |
| Energy of a moving object | Kinetic energy |
| Emanation of pressure waves that can damage nearby structures | Cavitation |
| A fall from more than _____ times the patient’s height is considered to be significant. | Three |
| A patient complaining of chest tightness, coughing up blood, and subcutaneous emphysema following an explosion may be suffering from a: | Pulmonary blast injury |
| A young boy was riding his bicycle down the street when he hit a parked car. What was the second collision? | The bike rider hitting his bike or the car |
| Awareness of and concern for potentially serious obvious and underlying injuries is referred to as the: | Index of suspicion |
| Significant clues to the possibility of severe injuries in motor vehicle collisions include: | Death of a passenger |
| Which of the following is considered a type of motor vehicle collision? | Rollover |
| A driver involved in a rollover motor vehicle crash will MOST likely experience serious injuries or death if he or she: | Is ejected or partially ejected |
| Air bags are designed to: | Decrease the severity of deceleration injuries |
| By what mechanism is a person injured when he or she falls from a significant height? | Potential energy is converted to kinetic energy; the kinetic energy is then converted into the work of bringing the body to a stop |
| If one or more occupants in the same vehicle are killed in a crash, the EMT should: | Suspect that all living occupants experienced the same serious trauma |
| Signs of a pulmonary blast injury include: | Coughing up blood |
| The cervical spine is MOST protected from whiplash-type injuries when the: | Headrest is appropriately positioned |
| The phenomenon of pressure waves emanating from the bullet, causing damage remote from its path, is known as: | Cavitation |
| When a motor vehicle strikes a tree while traveling at 40 mph, the unrestrained occupant: | Remains in motion until acted upon by an external force |
| When caring for an occupant inside a motor vehicle equipped with an air bag that did not deploy upon impact, you should: | Remember that it could still deploy and seriously injure you |
| Which of the following would MOST likely occur as the direct result of the second collision in a motor vehicle crash? | Deformed steering wheel |
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