Trimester 2 MidTerm - Trauma

  1. The purpose of determining the mechanism of injury and the index of suspicion for the trauma Pt at the same time is to allow you to:

    D. Anticipate your patient's injuries
  2. Which of the following accounts for the highest number of trauma deaths in the US?

    C. Motor vehicle crashes
  3. Which of the following acts resulted in the development of modern EMS systems?

    A. Highway Safety Act of 1966
  4. Which of the following physical findings indicates the need for immediate transport?

    A. Vital signs: systeolic BP 80, respiratory rate 8
  5. As a paramedic your role in trauma care consists of all of the following EXCEPT:

    A. Providing surgical interventions to stop hemorrhage
  6. Which of the following is NOT considered a significant MOI in pediatric patients?

    B. Fall of 5 feet
  7. Which of the following is NOT an example of trauma?

    C. Chest pain
  8. Which of the following is NOT a consideration when assessing a trauma patient?

    D. Medical insurance coverage
  9. Which of the following patients is NOT a candidate for air medical transport?

    D. Combative trauma patient
  10. Whic of the following is more relevant to the assessment and history of the medical patient than to the trauma patient?

  11. Vehicle supplemental restraint systems (air bags)are meant to:

    B. Absorb the energy exchange of rapid deceleration
  12. When assessing a patient with a crush injury, which of the following findings would indicate that toxins have entered the central circulation?

    C. Cardiac arrhythmia
  13. Which of the following is NOT a complication of crush syndrome?

    D. Systemic alkalosis
  14. Which of the following injuries is most likely in a rear-end collision?

    C. Head and neck injuries
  15. In falls, which section of the spinal column is the MOST prone to compression injury?

    C. Lumbar
  16. Applying Newton's second law of motion to a vehicle traveling 70 mph, crashing into which of the following would transfer the most force to the patient?

    C. Bridge abutment
  17. Your patient is an eight-year-old male with a pencil impaled 2 centimeters inferior to the xiphoid process.  You note that the pencil is pulsating.  Which of the following is the best action?

    B. Stabilize the pencil in place and transport to a trauma center
  18. The pathway of injury left in the wake of a penetrating MOI is called:

    C. Cavitation
  19. Your patient is a 50 yo male with a GSW to the right anterior chest.  He is unresponsive.  Which fo the following should you do first?

    B. Check for breathing
  20. A penetrating injury to which of the following ogans is LEAST likely to result in severe hemorrhage?

    A. Ureter
  21. Which of the following is TRUE of shotgun ammunition?

    A. A shotgun may either fire one slug or use ammuntion with multiple pellets
  22. Which of the following abdominal organs is the least affected by the pressure wave associated with penetrating trauma?

    A. Bowel
  23. he study of the characteristics of projectiles in motion and their efects on the objects they impact is called:

    A. Ballistics
  24. In a previously healthy individual, which of the following types of shock may NOT result in the typical signs of cool, pale, moist skin; tachycardia; and narrowed pulse pressure?

    C. Neurogenic
  25. Which of the following guidelines applies to the prehospital administration of IV fluids in the patient with hemorhagic shock?

    C. Administer isotonic crytalloid fluids only as necessary to maintain perfusion
  26. Your patient is a 23 yo male with GSW to the abdomen and an exit wound in the right flank.  He responds to verabal stimuli; has pale, cool, diaphoretic skin; and has a HR of 128, respirations at 24, and a BP o 82/60.  These findings indicate which of the following kind of shock?

    C. Decompensated
  27. Which of the following, located in the aortic arch, monitor BP and send feedback o the medulla oblongata to maintain homeostasis?

    C. Baroreceptors
  28. Which of the following is deined as the colume of blood ejected from the heart with each beat?

    B. Stroke volume
  29. The phase of blood clotting in which the smooth muscle of an injured blood vessel contracts is known as the _____ phase.

    B. Vascular
  30. Which of the following is NOT a benefit of PASG?

    A. An autotransfusion of up to 2,000 mL of blood from the lower extremities
  31. The blood flowing to the heart best describes:

    A. Preload
  32. You are called to a commerical creamery where an employee go his arm trapped in he ice cream-mixing machinery.  You note that the skin has been pulled of his hand and arm from the midfoream down.  The patient's muscles, tendons, and bones are exposed.  This type of injury is a(n):

    B. Degloving injury
  33. You are assessing an assault victim and note a contusion over he abdomen.  Which of the following should you remember while caring for this patient?

    A.  A contusion to the abdomen should always increase your index of suspicion for underlying injury
  34. You have responded for an injured person at an address you know to be a motorcycle clubhouse.  Your patient was attacked b another party iwth a broken beer bottle.  Your patient has a large laceration on her neck with moderate bleeding.  Which property of your dressing material is most important in caring for this patient?

    C. Occlusive
  35. The tough, fibrous sheaths that bundle skeletal muscle are called:

    A. Fascia
  36. Which of the following is best described as the accumulation of a pocket of blood in the tissues?

    D. Hematoma
  37. The acute breakdown of muscle fibers in crushing injury is called:

    D. Rhabdomyolysis
  38. You arrive on the scene of a patient with severe blunt trauma to the face.  You hear gurgling as you approach the patient.  After opening the airway with a manual maneuver, what should your next action be?

    D. Suction
  39. Your Pt is an 18 yo male who stepped on a nail in the barnyard.  The nail penetrated his tennis shoe and punctured his foot.  On your arrival, the Pt has removed the nail and the shoe.  The wound is about 2mm in diameter with minor bleeding that has been controlled.  The skin around the wound is red.  The Pt does not want to be transported but asks if you can give him "some ointment and a Band-Aid."  You should explain to the Pt that this type of injury is associated with an increased risk of:

    D. Infection
  40. In which type of soft-tissue injury is the skin cut or torn, leaving a flap of skin attached?

    B. Avulsion
  41. The layer of skin that contains adipose tissue is the _____ layer.

    A. Subcutaneous
  42. Which of the following is a principle that should be used when considering application of a tourniquet to control bleeding?

    B. A tourniquest should be used for severe bleeding that cannot be controlled by any other means
  43. Your Pt is a 45 yo type II diabetic who has a nonhealing wound on his right foot.  You note that the right leg is discolored and edematous follow and has subcutaneous emphysema and a foul odor.  Which of the following should you suspect?

    B. Gangrene
  44. The three primary factors that determine the severity of radiation are:

    D. Duration, distance, and shielding
  45. Which of the following has contributed most significantly to the decline in US burn mortality?

    B. Improved building codes and construction and sprinkler and smoke detector use
  46. Which classification of burn is characterized mainly by blisters?

    B. Partial-thickness
  47. An area of burned tissue that is not painful is most likely a _____ burn injury.

    B. Full-thickness
  48. Which tissue layer(s) is (are) affected by partial thickness burns?


    C. 1 & 2
  49. Contact with strong alkalis results in burns involving _____ necrosis of the tissue.

    C. Liquefacation
  50. Your Pt has circumferential full-thickness burns of the thorax.  He is intubated, and you have noticed an increase in resistance as you bag him.  His skin is very tight and inflexible as you try to ventilate.  Which of the following is required to improve this Pt's ventilatory status?

    A. Escharotomy
  51. Which of the following patient factors increases the criticality of the patient's burn injuries?

    A. Being in the geriatric age group
  52. You are dispatched to a structure fire at which there is a report of a burned person.  Your patient is a 32 yo male with blisters on his anterior chest and circumferential superficial burns to both lower extremities.  Using the "Rule of Nines", what percentage of burn does this patient have?

    C. 45
  53. Which of the following afents is the best choice for analgesia in a patient with 9 percent partial-thickness burns involving the right lower exremity?

    C. Fentanyl
  54. According the Jackson's Theory of Thermal Wounds, which of the following zones has suffered the greatest damage?

    C. Coagulation
  55. Which type of radiation particle can travel through 6 to 10 feet of air, penetrate a few layers of clothing, and cause external and internal injuries?

    A. Beta
  56. Which of the following accounts for the most severe thermal burns of the airway?

    B. Inhalation of superheated steam
  57. The first step for treating a patient who has been contaminated with dry lime is to:

    C. Brush away as much of the powder as possible
  58. During which phase of a burn injury does extravasation of proteins, water, and electrolytes occur, resulting in edema and potential hypovolemia?

    A. Fluid shift
  59. Patients who survive the first several days of a moderate to critical burn are most likely to die from which of the following complications?

    D. Infection
  60. You are assessing a 17 yo male patient with a burn on the lateral aspect of his thigh.  Which of the following guidelines is most helpful when estimating the percentage of total body surface area involved?

    C. The Rule of Palms
  61. Which of the following body structures is the best electricity conductor?

    A. Nerves
  62. Your Pt is a football player who had his right foot planted and was tackled from the left rear, causing his body to rotate around the axis of his right lower extremity.  This MOI is most consistent with which of the following types of fractures?

    C. Spiral
  63. you Pt is a 20 yof complaining of ankle pain after stepping off a curb.  She states that she is concerned  because she had a grade III sprain a year and a half ao that required extensive treatment & rehabilitation.  Which of the following most accurately describes the patient's previous injury?

    B. The ankle ligaments were completely torn
  64. Tendons connect _____ to _____.

    A. Muscles, bones
  65. The use of PASG is indicated in the treatment of which of the following musculoskeletal injuries?

    D. Pelvic fracture
  66. A partial displacement of a bone end fom its position in the joint is called a:

    D. Subluxation
  67. A fracture in which significant energy exchange shatters or splinters bone, creating  many fragments, is called a(n) _____ fracture.

    A. Comminuted
  68. The morbidity associated with simple pneumothorax is primarily due to which of the following?

    D. Ventilation/perfusion mismatch
  69. The trachea divides into the right and left mainstem bronchi at the:

    D. Carina
  70. You Pt is a 38 yo male who was pinned beneath the frame of a vehicle when it slipped off the makeshift jacks he was using to elevate it.  The Pt's brother thinks he may have been trapped for up to 20 minutes.  The rescue unit is preparing to use airbags to lift the vehicle off the patient.  Which of the following medications could you consider  giving this patient?

    A. Sodium bicarbonate
  71. An individual is struck in the left ventricle with a high-velocity projectile.  As compare to low-velocity penetrating trauma, you should have a higher index of suspicion for:

    D. Pericardial tamponade
  72. Your Pt is an 80 yo male who was the unrestrained driver of a vhicle without airbas that was involved in a frontal collision with a parked car.  Your assessment reveals that he is hydpneic, tachypneic, and tachycardic.  He is awake but unable to respond to questions.  There are no obvious signs of injury to the head or neck.  The Pt has paradoxiacal movement of the sternum with breathing, along with crepitus and subcutaneous air noted on palpation.  Chest excursion is limited, and the patient has cyanosis of his lips, ears, and nail beds.  Which of the following is MOST needed in this patient?

    C. Intubation and positive-pressure ventilation
  73. Traumatic asphyxia is a(n) _____ type of injury.

    A. Compression
  74. Which of the following are the two most important prehospital considerations for head injury patients?

    C. Ventilation and maintaining adequate blood pressure
  75. The cerebral perfusion pressure is represented by which of the following equations?

    A. CPP = MAP - ICP
Card Set
Trimester 2 MidTerm - Trauma
Midterm Trimester 2