Unit 5 Trauma Part 1 Chapters 26-29 Flashcards
If one or more occupants in the same vehicle are killed in a crash, the AEMT should:
Select one:
a. allow the survivors to refuse transport if they have no obvious injuries.
b. rapidly assess only the survivors who have experienced obvious trauma.
c. suspect that all living occupants experienced the same serious trauma.
d. transport the survivors only if they have injuries or complain of pain.
c. suspect that all living occupants experienced the same serious trauma.
A young male sustained a gunshot wound to the abdomen during an altercation with a rival gang member. As your partner is assessing and managing his airway, you should control any obvious bleeding, and then: Select one: a. apply a cervical collar. b. obtain baseline vital signs. c. assess for an exit wound. d. auscultate bowel sounds.
c. assess for an exit wound
Signs of a pulmonary blast injury include: Select one: a. multiple rib fractures. b. an irregular pulse. c. vomiting blood. d. coughing up blood.
d. coughing up blood.
Patients who fall and land on their \_\_\_\_\_\_\_ may have the least severe injuries. Select one: a. feet b. head c. side d. buttocks
a. feet
Which of the following interventions is most critical to the outcome of a patient with multisystem trauma? Select one: a. Rapid transport to a trauma center b. Intravenous fluid administration c. Early administration of oxygen d. Elevation of the lower extremities
a. Rapid transport to a trauma center
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. neck and facial injuries. b. blunt trauma to the head. c. lower-extremity fractures. d. open abdominal trauma.
a. 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. solid organs usually rupture from the pressure wave.
c. primary blast injuries are typically the most obvious.
d. primary blast injuries are the most easily overlooked.
d. primary blast injuries are the most easily overlooked.
The index of suspicion is most accurately defined as:
Select one:
a. the detection of less obvious life-threatening injuries.
b. a predictable pattern that leads to serious injuries.
c. your concern for potentially serious underlying injuries.
d. the way in which traumatic injuries occur.
c. your concern for potentially serious underlying injuries.
A driver involved in a rollover motor vehicle crash will most likely experience serious injuries or death if he or she: Select one: a. is wearing only a lap belt. b. remains within the vehicle. c. experiences multiple impacts. d. is ejected or partially ejected.
d. is ejected or partially ejected.
If a patient has a Glasgow Coma Scale score that is less than or equal to \_\_\_, he or she should be transported to a trauma center that provides the highest level of trauma care. Select one: a. 12 b. 14 c. 13 d. 11
c. 13
During your assessment of a patient who experienced a blast injury, you note that he has a depressed area to the front of his skull. This injury most likely occurred:
Select one:
a. during the primary phase.
b. as a direct result of the pressure wave.
c. during the secondary phase.
d. during the tertiary phase.
d. during the tertiary phase.
When assessing an elderly patient who fell, it is important to remember that:
Select one:
a. osteoporosis can cause a fracture that may have resulted in the fall.
b. elderly patients who fall usually have a secondary head injury.
c. any fall in the elderly is considered to be high-energy trauma.
d. bilateral hip fractures usually occur when an elderly person falls.
a. osteoporosis can cause a fracture that may have resulted in the fall.
Which of the following findings requires transport to a trauma center that provides the highest level of trauma care?
Select one:
a. Penetrating injury to the distal femur
b. Fall of 12 feet in a 30-year-old patient
c. Glasgow Coma Scale score of 14
d. Respiratory rate of 22 breaths/min
a. Penetrating injury to the distal femur
When the speed of a motor vehicle doubles, the amount of kinetic energy: Select one: a. doubles. b. is not affected. c. quadruples. d. triples.
c. quadruples.
Two of the most common mechanisms of injury for blunt trauma are:
Select one:
a. gunshot wounds and vehicle ejections.
b. falls and motor vehicle collisions.
c. motor vehicle collisions and stabbings.
d. low-caliber gunshot wounds and falls.
b. falls and motor vehicle collisions.
Approximately 25% of severe injuries to the aorta occur during: Select one: a. rear-end crashes. b. frontal crashes. c. lateral crashes. d. rollover crashes.
c. lateral crashes.
Evaluation of the interior of a crashed motor vehicle during extrication will allow the AEMT to:
Select one:
a. identify contact points and predict potential injuries.
b. assess the severity of the third collision of the crash.
c. recognize if the driver hit the brakes before impact.
d. determine the vehicle’s speed at the time of impact.
a. identify contact points and predict potential injuries.
Force acting over a distance defines the concept of: Select one: a. latent energy. b. work. c. potential energy. d. kinetic energy.
b. work.
When a driver is in a car equipped with an air bag, but is not wearing a seatbelt, he or she will most likely strike the \_\_\_\_\_\_\_ when the air bag deploys upon impact. Select one: a. door b. steering wheel c. windshield d. dashboard
a. door
Which of the following injuries would most likely occur as a direct result of the third collision in a motor vehicle crash? Select one: a. Forehead lacerations b. Flail chest c. Extremity fractures d. Aortic rupture
d. Aortic rupture
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. airway compromise. b. intracranial bleeding. c. spinal cord injury. d. a fracture of the skull.
b. intracranial bleeding.
When caring for an occupant inside a motor vehicle equipped with an air bag that did not deploy upon impact, it is most important to:
Select one:
a. realize that the air bag malfunctioned at the time of impact.
b. suspect that the patient may have experienced serious injuries.
c. remember that it could still deploy and seriously injure you.
d. recognize that the force of impact was most likely not severe.
c. remember that it could still deploy and seriously injure you.
When a motor vehicle strikes a tree while traveling at 40 mph, the unrestrained occupant:
Select one:
a. will most likely be thrown over the steering column.
b. is thrust under the steering column onto the floorboard.
c. will decelerate at the same rate as the motor vehicle.
d. remains in motion until acted upon by an external force.
d. remains in motion until acted upon by an external force.
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. Lateral impact to the spine
b. Secondary fall after the initial impact
c. Energy transmission to the spine
d. Direct trauma to the spinal column
c. Energy transmission to the spine