Ch18 Practice Questions Flashcards
A heavy-set snowboarder was critically injured when he crashed into a tree on a dimly lit trail. It was reported that he appeared to be out of control while traveling at a high rate of speed down the expert trail. Which of the following factors had the greatest impact on the extent of his injuries?
A) The skier’s weight
B) The size of the tree he hit
C) The dimly lit trail
D) The speed the skier was going
A heavy-set snowboarder was critically injured when he crashed into a tree on a dimly lit trail. It was reported that he appeared to be out of control while traveling at a high rate of speed down the expert trail. Which of the following factors had the greatest impact on the extent of his injuries? A) The skier’s weight B) The size of the tree he hit C) The dimly lit trail D) The speed the skier was going
Ans: D
Complexity: Easy Ahead: Kinetic Energy and Injury Pattern Subject: Chapter 18 Title: Principles of Trauma Feedback: 378 Objective: 18-2
Which of the following best defines mechanism of injury?
A) Physical injury caused by an external force
B) A set of problems associated with a specific source of trauma
C) The study of movement of body segments without consideration given to its mass or the forces making it move
D) The method that an injury occurs
Which of the following best defines mechanism of injury?
A) Physical injury caused by an external force
B) A set of problems associated with a specific source of trauma
C) The study of movement of body segments without consideration given to its mass or the forces making it move
D) The method that an injury occurs
Ans: D
Complexity: Easy Ahead: Kinetic Energy and Injury Pattern Subject: Chapter 18 Title: Principles of Trauma Feedback: 378 Objective: 18-1
Which of the following factors does not directly relate to the severity of bodily injury?
A) The amount of kinetic energy absorbed
B) The direction the kinetic energy travels
C) The size of the injured person
D) The density of the structures impacted
Which of the following factors does not directly relate to the severity of bodily injury?
A) The amount of kinetic energy absorbed
B) The direction the kinetic energy travels
C) The size of the injured person
D) The density of the structures impacted
Ans: C
Complexity: Easy Ahead: Kinetic Energy and Injury Pattern Subject: Chapter 18 Title: Principles of Trauma Feedback: 378 Objective: 18-1
A patient involved in an altercation was struck in the ribs with a baseball bat. Your assessment reveals intact skin with significant bruising to the right lateral chest. When palpating this area, you note instability and crepitus to the rib cage. An OEC technician would recognize a:
A) thoracic injury caused by penetrating trauma.
B) chest injury caused by blunt trauma.
C) pulmonary injury caused by penetrating trauma.
D) chest wall injury caused by acceleration forces.
A patient involved in an altercation was struck in the ribs with a baseball bat. Your assessment reveals intact skin with significant bruising to the right lateral chest. When palpating this area, you note instability and crepitus to the rib cage. An OEC technician would recognize a:
A) thoracic injury caused by penetrating trauma.
B) chest injury caused by blunt trauma.
C) pulmonary injury caused by penetrating trauma.
D) chest wall injury caused by acceleration forces.
Ans: B
Complexity: Easy Ahead: Mechanisms of Injury Subject: Chapter 18 Title: Principles of Trauma Feedback: 379-380 Objective: 18-2
A 49-year-old man has been stabbed in the lower right chest. After assessing him, you suspect that the knife punctured the lung and is causing internal bleeding. In this situation, the mechanism of injury would be:
A) a penetrating injury.
B) an assailant with a knife.
C) blunt trauma to the lungs.
D) internal hemorrhage.
A 49-year-old man has been stabbed in the lower right chest. After assessing him, you suspect that the knife punctured the lung and is causing internal bleeding. In this situation, the mechanism of injury would be: A) a penetrating injury. B) an assailant with a knife. C) blunt trauma to the lungs. D) internal hemorrhage.
Ans: A
Complexity: Easy Ahead: Mechanisms of Injury Subject: Chapter 18 Title: Principles of Trauma Feedback: 380 Objective: 18-2
Your friends are discussing a hunting accident they heard about on the news. A hunter was shot with a high-powered rifle, and the report indicated that he had damage to several internal organs. From your knowledge of mechanisms of injury, you can tell your friends that this type of injury is called a:
A) high-impact injury.
B) high-velocity penetrating injury.
C) projectile injury.
D) blast injury.
Your friends are discussing a hunting accident they heard about on the news. A hunter was shot with a high-powered rifle, and the report indicated that he had damage to several internal organs. From your knowledge of mechanisms of injury, you can tell your friends that this type of injury is called a: A) high-impact injury. B) high-velocity penetrating injury. C) projectile injury. D) blast injury.
Ans: B
Complexity: Moderate Ahead: Mechanisms of Injury Subject: Chapter 18 Title: Principles of Trauma Feedback: 380 Objective: 18-2
Your patient has been stabbed in the chest with a ski pole. The mechanism of injury is:
A) blunt.
B) crush.
C) penetrating.
D) rotational.
Your patient has been stabbed in the chest with a ski pole. The mechanism of injury is: A) blunt. B) crush. C) penetrating. D) rotational.
Ans: C
Complexity: Easy Ahead: Mechanisms of Injury Subject: Chapter 18 Title: Principles of Trauma Feedback: 380 Objective: 18-2
Which of the following terms is not a “mechanism of injury”?
A) Blunt trauma to the abdomen
B) Rotational spiral mid-shaft tibia fracture
C) Kidney stone
D) Crushed foot
Which of the following terms is not a “mechanism of injury”?
A) Blunt trauma to the abdomen
B) Rotational spiral mid-shaft tibia fracture
C) Kidney stone
D) Crushed foot
Ans: C
Complexity: Easy Ahead: Mechanisms of Injury Subject: Chapter 18 Title: Principles of Trauma Feedback: 380 Objective: 18-2
High-velocity injuries and low-velocity injuries are two types of which mechanism of injury?
A) Blunt trauma
B) Penetrating injury
C) Blast injury
D) Closed trauma
High-velocity injuries and low-velocity injuries are two types of which mechanism of injury? A) Blunt trauma B) Penetrating injury C) Blast injury D) Closed trauma
Ans: B
Complexity: Moderate Ahead: Mechanisms of Injury Subject: Chapter 18 Title: Principles of Trauma Feedback: 380 Objective: 18-2
A high-velocity penetrating injury is usually the result of:
A) the collision of cars traveling at greater than 65 mph.
B) the impact of a bullet from a high-powered rifle.
C) an out-of-control skier hitting another skier.
D) stab wounds.
A high-velocity penetrating injury is usually the result of:
A) the collision of cars traveling at greater than 65 mph.
B) the impact of a bullet from a high-powered rifle.
C) an out-of-control skier hitting another skier.
D) stab wounds.
Ans: B
Complexity: Easy Ahead: Mechanisms of Injury Subject: Chapter 18 Title: Principles of Trauma Feedback: 380 Objective: 18-2
Tissue damage caused by low-velocity injuries is usually:
A) not very deep.
B) not life-threatening.
C) limited to the path of the object.
D) known to occur to avalanche victims.
Tissue damage caused by low-velocity injuries is usually: A) not very deep. B) not life-threatening. C) limited to the path of the object. D) known to occur to avalanche victims.
Ans: C
Complexity: Moderate Ahead: Mechanisms of Injury Subject: Chapter 18 Title: Principles of Trauma Feedback: 380-381 Objective: 18-2
You are called to the vehicle maintenance department on the mountain, where a fairly large explosion has occurred. The first injured person you talk to tells you that he is having excruciating ear pain. You recognize that his ear pain may be caused by:
A) a crush injury.
B) a blast injury.
C) a penetrating injury.
D) a blunt injury.
You are called to the vehicle maintenance department on the mountain, where a fairly large explosion has occurred. The first injured person you talk to tells you that he is having excruciating ear pain. You recognize that his ear pain may be caused by: A) a crush injury. B) a blast injury. C) a penetrating injury. D) a blunt injury.
Ans: B
Complexity: Easy Ahead: Mechanisms of Injury Subject: Chapter 18 Title: Principles of Trauma Feedback: 381 Objective: 18-2
Dislocating a shoulder after catching a ski pole on a tree branch is an example of an injury caused by which MOI?
A) Rotational injury
B) Blunt injury
C) Whiplash injury
D) Compressive injury
Dislocating a shoulder after catching a ski pole on a tree branch is an example of an injury caused by which MOI? A) Rotational injury B) Blunt injury C) Whiplash injury D) Compressive injury
Ans: A
Complexity: Easy Ahead: Mechanisms of Injury Subject: Chapter 18 Title: Principles of Trauma Feedback: 381 Objective: 18-2
Your patient is a skier who tells you that she caught an edge and twisted her leg. You later find out that the skier suffered from a fractured tibia and fibula. This injury was the result of which mechanism?
A) Rotational
B) Blunt
C) Crush
D) Penetration
Your patient is a skier who tells you that she caught an edge and twisted her leg. You later find out that the skier suffered from a fractured tibia and fibula. This injury was the result of which mechanism? A) Rotational B) Blunt C) Crush D) Penetration
Ans: A
Complexity: Easy Ahead: Mechanisms of Injury Subject: Chapter 18 Title: Principles of Trauma Feedback: 381 Objective: 18-2
A rock climber falls when several boulders give way. His arm is pinned between two boulders. This MOI is best described as:
A) blunt.
B) penetrating.
C) crush.
D) rotational.
A rock climber falls when several boulders give way. His arm is pinned between two boulders. This MOI is best described as: A) blunt. B) penetrating. C) crush. D) rotational.
Ans: C
Complexity: Easy Ahead: Mechanisms of Injury Subject: Chapter 18 Title: Principles of Trauma Feedback: 381 Objective: 18-2
Your patient has been involved in a backcountry hiking accident and has multi-system trauma. It is most important to consider which of the following when making your evacuation plans.
A) Location of the patient’s home
B) Location of the patient’s nearest family member
C) Location of the patient’s primary doctor
D) Location of the nearest trauma center
Your patient has been involved in a backcountry hiking accident and has multi-system trauma. It is most important to consider which of the following when making your evacuation plans.
A) Location of the patient’s home
B) Location of the patient’s nearest family member
C) Location of the patient’s primary doctor
D) Location of the nearest trauma center
Ans: D
Complexity: Easy Ahead: Trauma Centers Subject: Chapter 18 Title: Principles of Trauma Feedback: 382 Objective: 18-3
Trauma centers have five levels, which are based on:
A) proximity to ski areas.
B) number of doctors on staff.
C) specialization, complexity, and availability of care.
D) insurance providers.
Trauma centers have five levels, which are based on:
A) proximity to ski areas.
B) number of doctors on staff.
C) specialization, complexity, and availability of care.
D) insurance providers.
Ans: C
Complexity: Moderate Ahead: Trauma Centers Subject: Chapter 18 Title: Principles of Trauma Feedback: 383 Objective: 18-4
Trauma centers are specifically designed to:
A) provide training to physicians who will work with trauma patients.
B) manage patients with multi-system trauma.
C) encourage patients with less urgent injuries to use lower-level facilities.
D) be testing areas for physicians who wish to be “board certified” as trauma surgeons.
Trauma centers are specifically designed to:
A) provide training to physicians who will work with trauma patients.
B) manage patients with multi-system trauma.
C) encourage patients with less urgent injuries to use lower-level facilities.
D) be testing areas for physicians who wish to be “board certified” as trauma surgeons.
Ans: B
Complexity: Easy Ahead: Trauma Centers Subject: Chapter 18 Title: Principles of Trauma Feedback: 383 Objective: 18-3
Assessment and management of the trauma patient should include:
A) reassessing the patient every 30 minutes.
B) transporting trauma patients as soon as the Scene Size Up is complete.
C) initiating CPR on all patients with chest trauma.
D) gathering information about the mechanism of injury.
Assessment and management of the trauma patient should include:
A) reassessing the patient every 30 minutes.
B) transporting trauma patients as soon as the Scene Size Up is complete.
C) initiating CPR on all patients with chest trauma.
D) gathering information about the mechanism of injury.
Ans: D
Complexity: Easy Ahead: Patient Assessment for Trauma Subject: Chapter 18 Title: Principles of Trauma Feedback: 383 Objective: 18-4
A 23-year-old skier falls about 20 feet from the chairlift. Aside from his complaints of soreness, you don’t see any obvious injuries. The skier states that as long as his legs aren’t broken, he’s going to continue skiing. Which of the following statements would be your best response to him?
A) “Since this happened at a ski area, you should get evaluated. You may be able to sue.”
B) “From a fall of that height, you may have some injuries. You really should be examined.”
C) “Since you did not lose responsiveness, it’s probably OK to go back to skiing. If your legs start to hurt, you should probably get checked.”
D) “You may feel OK now, but you will probably be sore later. You should go to the hospital and get some pain medication.”
A 23-year-old skier falls about 20 feet from the chairlift. Aside from his complaints of soreness, you don’t see any obvious injuries. The skier states that as long as his legs aren’t broken, he’s going to continue skiing. Which of the following statements would be your best response to him?
A) “Since this happened at a ski area, you should get evaluated. You may be able to sue.”
B) “From a fall of that height, you may have some injuries. You really should be examined.”
C) “Since you did not lose responsiveness, it’s probably OK to go back to skiing. If your legs start to hurt, you should probably get checked.”
D) “You may feel OK now, but you will probably be sore later. You should go to the hospital and get some pain medication.”
Ans: B
Complexity: Easy Ahead: Patient Assessment for Trauma Subject: Chapter 18 Title: Principles of Trauma Feedback: 385 Objective: 18-2
You arrive alone at a scene at which a 16-year-old skier has collided with a tree. He is unresponsive and has blood flowing from his ears and nose. He was not wearing a helmet. Which of the following lists reflects the most appropriate care of this patient?
A) Primary assessment, airway management, immobilization, transport as soon as possible
B) Primary assessment, oxygen administration, rapid transport to the aid room, immobilization in the aid room
C) Immobilization, transfer to a sled, completion of the assessment in the aid room
D) Primary assessment, immobilization, bandaging of the ears to control bleeding, airway management
You arrive alone at a scene at which a 16-year-old skier has collided with a tree. He is unresponsive and has blood flowing from his ears and nose. He was not wearing a helmet. Which of the following lists reflects the most appropriate care of this patient?
A) Primary assessment, airway management, immobilization, transport as soon as possible
B) Primary assessment, oxygen administration, rapid transport to the aid room, immobilization in the aid room
C) Immobilization, transfer to a sled, completion of the assessment in the aid room
D) Primary assessment, immobilization, bandaging of the ears to control bleeding, airway management
Ans: A
Complexity: Moderate Ahead: Patient Assessment for Trauma Subject: Chapter 18 Title: Principles of Trauma Feedback: 385-386 Objective: 18-4
Your patient is an adult skier who collided with a snowboarder and was found to be unresponsive. On scene is a family member of the adult unresponsive skier. The scene is safe. After establishing the ABCDs and stabilizing the patient’s head and spine, you will:
A) take off a ski boot and see if you can find a pulse.
B) try to obtain a medical history.
C) perform a head-to-toe secondary assessment.
D) reassess the patient every 5 minutes.
Your patient is an adult skier who collided with a snowboarder and was found to be unresponsive. On scene is a family member of the adult unresponsive skier. The scene is safe. After establishing the ABCDs and stabilizing the patient’s head and spine, you will:
A) take off a ski boot and see if you can find a pulse.
B) try to obtain a medical history.
C) perform a head-to-toe secondary assessment.
D) reassess the patient every 5 minutes.
Ans: B
Complexity: Moderate Ahead: Patient Assessment for Trauma Subject: Chapter 18 Title: Principles of Trauma Feedback: 385 Objective 18-4
The term golden hour refers to the:
A) time period when patient survival rates may be enhanced if critical injuries are identified and managed.
B) amount of time you have to decide if a patient needs to be sent to a trauma hospital.
C) amount of time it takes to stop the bleeding from a penetrating injury.
D) hour before sunset, when most cases of on-hill trauma occur.
The term golden hour refers to the:
A) time period when patient survival rates may be enhanced if critical injuries are identified and managed.
B) amount of time you have to decide if a patient needs to be sent to a trauma hospital.
C) amount of time it takes to stop the bleeding from a penetrating injury.
D) hour before sunset, when most cases of on-hill trauma occur.
Ans: A
Complexity: Easy Ahead: Management of Trauma Subject: Chapter 18 Title: Principles of Trauma Feedback: 386 Objective: 18-4
