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EMT-B Chapter 24 Test Trauma JB Learning Answers

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QuestionAnswer
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
QuestionAnswerPage
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 woundp.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 traumap.870 Management, Transport and Designation
Approximately 25% of severe injuries to the aorta occur during:C. Lateral Collisionsp.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 bleedingp.865, Patient Assessment
Force acting over a distance is the definition of:B. Workp.848 Energy and Trauma
The Index of Suspicion is the MOST accurately defined as:C. your awareness and concern for potentially serious underlying injuriesp.847
When assessing a patient who experienced a blast injury, it is important to remember that:B. Primary blast injuries are the most easily overlookedp.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 positionp.859 Blunt Trauma
When the speed of a motor vehicle doubles, the amount of kinetic energyQuadruplesp.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 equalLevel 1 or Level II trauma centerp.868 Management: Transport and Destination
Which findings would be LEAST suggestive of the presence of high energy traumaB. Deployment of Airbagp.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 Rupturep.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 centerp.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 producedp.849 Energy and Trauma
Which types of motor vehicle collisions present the greatest potential for multiple impacts?Rotational and Rolloverp. 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 injuriesp.854, Blunt Trauma
Trauma ScoringYour 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) isp.869 Management Transport and Destination
EnergyThe product of mass, gravity, and height
Trauma TypesInjury caused by objects that pierce the surface of the bodyPenetrating trauma
Trauma TypesResult of force to the body that causes injury but does not pierce soft tissue or internal organs and cavitiesBlunt Trauma
EnergyEnergy of a moving objectKinetic energy
Mechanism of InjuryHow trauma occursMechanism of Injury (MOI)
Multisystem TraumaSignificant MOI that causes injuries to more than one body systemMultisystem Trauma
EnergyEmanation of pressure waves that can damage nearby structuresCavitation
EnergyForce acting over a distanceWork
Fall InjuriesA fall from more than ______ times the patient’s height is considered significantThree
Blast InjuriesA 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 TraumaA 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 AssessmentAwareness of and concern for potentially serious obvious and underlying injuries is referred to asIndex of suspicion, p.847
Motor Vehicle CollisionsSignificant clues to the possibility of severe injuries in motor vehicle collisions includeDeath of a passenger
Motor Vehicle CollisionsWhich of the following is considered a type of motor vehicle collision? <br> a. penetration <br> b. crush <br> c. rollover <br> d. ejectionRollover, p. 850 Blunt trauma
Brain InjuriesA compression injury to the anterior portion of the brain and stretching of the posterior portion is called a __________ brain injuryCoup-contrecoup, p.851 Blunt Trauma
TopicTerm/Phrase
Injury caused by objects that pierce the surface of the bodyPenetrating trauma
How trauma occursMechanism of (MOI)
Significant MOI that causes injuries to more than one body systemMultisystem trauma
Result of force to the body that causes injury but does not pierce soft tissue or internal organs and cavitiesBlunt trauma
Product of mass, gravity, and heightPotential energy
Force acting over a distanceWork
Energy of a moving objectKinetic energy
Emanation of pressure waves that can damage nearby structuresCavitation
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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