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100

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 equal? A) Only a Level I trauma center B) A Level I or Level II trauma center C) A Level IV or Level III trauma center D) Any designated trauma center is acceptable
B) A Level I or Level II trauma center

100

Which of the following findings would be LEAST suggestive of the presence of high-energy trauma? A) Dismounted seats B) Steering wheel deformity C) Intrusion into the vehicle D) Deployment of the air bag
D) Deployment of the air bag

100

When assessing an elderly patient who fell, it is important to remember that: A) osteoporosis can cause a fracture as a result of a fall from a standing position. B) any fall in the elderly is considered to be high-energy trauma. C) elderly patients who fall usually have a secondary head injury. D) bilateral hip fractures usually occur when an elderly person falls.
A) osteoporosis can cause a fracture as a result of a fall from a standing position.

100

. 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: A) spinal cord injury. B) airway compromise. C) intracranial bleeding. D) a fracture of the skull.
C) intracranial bleeding

100

Which of the following injuries would MOST likely occur as a direct result of the third collision in a motor vehicle crash? A) Flail chest B) Aortic rupture C) Extremity fractures D) Forehead lacerations
B) Aortic rupture

200

The index of suspicion is MOST accurately defined as: A) the way in which traumatic injuries occur. B) a predictable pattern that leads to serious injuries. 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.

200

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: A) open abdominal trauma. B) neck and facial injuries. C) blunt trauma to the head. D) lower extremity fractures.
B) neck and facial injuries.

200

When caring for a patient with documented hypoglycemia, you should be MOST alert for: A) a seizure. B) an acute stroke. C) respiratory distress. D) a febrile convulsion.
A) a seizure.

200

According to the Association of Air Medical Services, you should consider air medical transport of a trauma patient if: A) 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. B) ground transport will take your ambulance out of service for an extended period of time, regardless of the severity of the patient's injuries. C) the patient requires advanced life support care and stabilization, and the nearest ALS-ground ambulance is more than 5 to 10 minutes away. D) 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.
A) 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

200

When a foreign substance invades the body, the body will __________. A) protect itself B) go on alert C) attempt to inactivate the foreign substance D) All of these answers are correct.
D) All of these answers are correct.

300

Force acting over a distance is the definition of: A) work. B) latent energy. C) kinetic energy. D) potential energy.
A) work.

300

Approximately 25% of severe injuries to the aorta occur during: A) frontal collisions. B) lateral collisions. C) rollover collisions. D) rear-end collisions.
B) lateral collisions.

300

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: A) apply a cervical collar. B) obtain baseline vital signs. C) auscultate bowel sounds. D) assess for an exit wound.
D) assess for an exit wound.

300

The normal blood glucose level is between: A) 60 and 80 mg/dL. B) 80 and 120 mg/dL. C) 30 and 150 mg/dL. D) 160 and 200 mg/dL. . Your patient has a Glasgow Coma Scale (GCS) score of 13, a systolic blood pressure of 80 mm Hg, and a respiratory rate of 8 breaths/min. His Revised Trauma Score (RTS) is: A) 8. B) 9. C) 10. D) 11.
B) 9.

300

Anaphylaxis caused by stinging insects is typically an allergic reaction to ____________ rather than the bite or sting itself. A) injected poison B) irritating toxin C) deadly venom D) All of these answers are correct.
D) All of these answers are correct.

400

Which of the following statements regarding gunshot wounds is correct? A) High-velocity bullets will cause less severe internal injuries. B) The size of a bullet has the greatest impact on the injury produced. C) Low-velocity bullets will cause the greatest amount of trauma. D) The speed of a bullet has the greatest impact on the injury produced.
D) The speed of a bullet has the greatest impact on the injury produced.

400

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 entire spine. B) obtain baseline vital signs. C) inspect the helmet for cracks. D) leave her bicycle helmet on.
A) stabilize her entire spine.

400

When assessing a patient who experienced a blast injury, it is important to remember that: A) secondary blast injuries are usually the least obvious. B) primary blast injuries are typically the most obvious. C) solid organs usually rupture from the pressure wave. D) primary blast injuries are the most easily overlooked
D) primary blast injuries are the most easily overlooked

400

. 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: A) was involved in a motor vehicle crash in which another patient in the same vehicle was killed. B) has a systolic blood pressure of less than 110 mm Hg or a heart rate greater than 110 beats/min. C) has a bleeding disorder or takes anticoagulant medications and has any blunt or penetrating injury. D) has a GCS score of less than or equal to 13 with a mechanism attributed to trauma.
D) has a GCS score of less than or equal to 13 with a mechanism attributed to trauma.

400

At the site of the injury, signs and symptoms of an animal or insect bite or sting may include pain, localized heat, and a wheal, which appears as __________. A) an uncomfortable depression in the skin B) a series of small, raised pustules C) a raised, well-defined area of the skin D) a large area of red, blotchy skin
C) a raised, well-defined area of the skin

500

Which types of motor vehicle collisions present the greatest potential for multiple impacts? A) Lateral and rollover B) Frontal and rotational C) Rear-end and rotational D) Rotational and rollover
D) Rotational and rollover

500

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) Lateral impact to the spine B) Energy transmission to the spine C) Direct trauma to the spinal column D) Secondary fall after the initial impact
B) Energy transmission to the spine

500

. Which of the following interventions is the MOST critical to the outcome of a patient with multisystem trauma? A) Intravenous fluid administration B) Early administration of oxygen C) Elevation of the lower extremities D) Rapid transport to a trauma center
D) Rapid transport to a trauma center

500

When the speed of a motor vehicle doubles, the amount of kinetic energy: A) doubles. B) triples. C) quadruples. D) is not affected.
C) quadruples.

500

Care for a victim of an immunologic emergency who is severely hypotensive should include which of the following? A) Position the patient's airway and initiate positive-pressure ventilations. B) Initiate basic life support measures, including the use of an automated external defibrillator, if necessary. C) Apply high-flow oxygen therapy, place the patient in a shock position, and help maintain the patient's body temperature. D) Routine spinal immobilization due to the potential for traumatic injury
C) Apply high-flow oxygen therapy, place the patient in a shock position, and help maintain the patient's body temperature.