Chapter 24 Quiz Flashcards
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?
Select one:
A. Secondary fall after the initial impact
B. Direct trauma to the spinal column
C. Energy transmission to the spine
D. Lateral impact to the spine
C. Energy transmission to the spine
Force acting over a distance is the definition of:
Select one:
A. work
B. potential energy
C. latent energy
D. kinetic energy
A. work
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 these signs and symptoms, you should be MOST concerned with the possibility of:
Select one:
A. spinal cord injury
B. a fracture of the skull
C. intracranial bleeding
D. airway compromise
C. intracranial bleeding
Which types of motor vehicle collisions present the greatest potential for multiple impacts?
Select one:
A. Rear-end and rotational
B. Rotational and rollover
C. Frontal and rotational
D. Lateral and rollover
B. Rotational and rollover
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 is he or she:
Select one:
A. was invlolved in a motor vehicle crash in which another patient in the same vehicle was killed.
B. has a GCS score of less than or equal to 13 with a mechanism attributed to trauma.
C. has a bleeding disorder or takes anticoagulant medications and has any blunt or penetrating injury.
D. has a systolic blood pressure of less than 110 mm Hg or a heart rate greater than 110 beats/min.
B. has a GCS score of less than or equal to 13 with a mechanism attributed to trauma.
When the speed of a motor vehicle doubles, the amount of kinetic energy:
Select one:
A. is not affected
B. doubles
C. triples
D. quadruples
D. quadruples
According to the Association of Air Medical Services, you should consider air medical transport of a trauma patient if:
Select one:
A. ground transport will take your ambulance out of service for an extended period of time, regardless of the severity of the patient’s injuries.
B. traffic conditions hamper the ability to get the patient to a trauma center by ground within the ideal time frame for the best clinical outcome.
C. he or she was involved in a motor vehicle crash in which another occupant in the same vehicle was killed, even if your patient’s injuries are minor.
D. the patient requires advance life support care an stabilization, and the nearest ALS-ground ambulance is more than 5 to 10 minutes away.
B. traffic conditions hamper the ability to get the patient to a trauma center by ground within the ideal time frame for the best clinical outcome.
Which of the following findings would be LEAST suggestive of the presence of high-energy trauma?
Select one:
A. dismounted seats
B. steering wheel deformity
C. deployment of the air bag
D. intrusion into the vehicle
D. intrusion into the vehicle
Approximately 25% of severe injuries to the aorta occur during:
Select one:
A. rollover collisions
B. lateral collisions
C. rear-end collisions
D. frontal collisions
B. lateral collisions
Which of the following interventions is the MOST critical to the outcome of a patient with multisystem trauma?
Select one:
A. intravenous fluid administration
B. rapid transport to a trauma center
C. early administration of oxyen
D. elevation of the lower extremities
B. rapid transport to a trauma center
Which of the following statements regarding gunshot wounds is correnct?
Select one:
A. High-velocity bullets will cause less severe internal injuries.
B. The speed of a bullet has the greatest impact on the injury produced.
C. Low-velocity bullets will cause the greatest amount of trauma.
D. The size of a bullet has the greatest impact on the injury produced.
B. The speed of a bullet has the greatest impact on the injury produced.
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:
Select one:
A. open abdominal trauma
B. blunt trauma to the head
C. neck and facial injuries
D. lower extremity fractures
C. neck and facial injuries
When assessing a patient who experienced a blast injury, it is important to remember that:
Select one:
A. Secondary blast injuries are usually the least obvious.
B. Primary blast injuries are the most easily overlooked.
C. Solid organs usually rupture from the pressure wave.
D. Primary blast injuries are typically the most obvious.
B. Primary blast injuries are the most easily overlooked.
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 time to each is equal?
Select one:
A. any designated trauma center is acceptable.
B. a Level I or Level II trauma center.
C. only a Level I trauma center.
D. a Level IV or Level III trauma center.
B. a Level I or Level II trauma center.
The index of suspicion is MOST accurately defined as:
Select one:
A. a predictable pattern that leads to serious injuries.
B. the way in which traumatic injuries occur.
C. your awareness and concern for potentially serious underlying injuries.
D. the detection of less obvious life-threatening injuries.
C. your awareness and concern for potentially serious underlying injuries.
