RATED A+
✔✔Which organ is most likely to be injured by the ligamentum teres during a rapid
deceleration? - ✔✔Lungs
liver
heart
bladder
liver
✔✔your trama patient who was involved in a motor vehicle collision has an injury the
head from a "secondary collision." The injury was probably from____ - ✔✔the seat belt
a loose item in the car that struck the patient
an organ collision
body collision
a loose item in the car that struck the patient
✔✔Front dashboard and steering wheel air bags work much differently than seat belts
and are extremely effective for what type of vehicular collisions?
a. frontal
b. rear-end
c. rollover
d. rotational - ✔✔Frontal
✔✔The_____Pathway accounts accounts for roughly 25 percent of the deaths in
vehicular crashes.
up-and-over
ejection
restrained
down-and-under - ✔✔ejection
✔✔When a(n)________impact occures, the index of suspicion for serious and life-
threatening internal inernal injuries must be higher than vehicle damage alone suggests.
lateral
frontal
oblique
rear-end - ✔✔lateral
✔✔During an explosion, the pressure wave of the blast will likely casue injury to what
structures of the body?
,solid organs
bones
muscles
hollow organs - ✔✔hollow organs
✔✔In significant crush injuries, toxins released into the central circulation after pressure
is released can lead to what additional complication?
increased liver function
increased kidney output
severe alkalosis
cardiac arrhythmias - ✔✔cardiac arrythmias
✔✔In a patient with no suspected trauma, and signs and symptoms of shock, you can
perform the tilt test. This test is performed to determine whether which finding is
present?
Orthostatic hyertension
septic shock
cardiogenic shock
Orthostatic hypotension - ✔✔orthostatic hypotension
✔✔Your agency's Fentanyl is packaged 250 mcg in 5 ml vials. Your protocols call for 1
mcg/ kg. If you are treating a 30 year old, 165 pound patient for a broken bone, you
should administer_____mcg of fentanyl. - ✔✔75
✔✔This requires you to administer_____cc's of fentanyl. - ✔✔1.5
✔✔You should have_____cc's of Fentanyl left to waste. - ✔✔3.5
✔✔What is the name of the sensory structures located in the aortic arch and carotid
bodies that are resposible for monitoring blood pressure?
Chemoreceptors
Baroreceptors
Cardioinhibitory centers
Cardioacceleratory centers - ✔✔Baroreceptors
✔✔The relese of which hormone(s) from the body results in the most immediate
response to the effecs of hypoperfusion?
Catecholamines
Antidiuretic hormone
Glucocorticoids
, Angiotensin 11 - ✔✔Catecholamines
✔✔Rapid transport to a trauma facility is most indicated in which of the following
patients?
a patient with external hemorrhage that is controlled on the scene
a patient with suspected serious internal hemorrhage
a patient who is vomiting coffe-grounds material
apatient in class 1 hemorrhage - ✔✔a patient with suspected serious internal
hemorrhage
✔✔which of the following controls all but the most persistent hemorrhage?
direct pressure
occlusive dressing
pressure dressing
elevation - ✔✔direct pressure
✔✔Your patient is determined to be in a hypo-perfusion state. Your standing orders
indicate that you should initiate an IV line to adminster a fluid bolus. The most practical
fluid for prehospital administration is______
3% normal saline
D5W
D5W in half normal saline
Lactated Ringers - ✔✔Lactated ringers
✔✔The development of what metabolis process leads to overwhelming acidosis in the
hypotensive, hyper-perfusing trauma patient?
Anaerobic
Anabolic
Catabolic
Aerobic - ✔✔Anaerobic
✔✔What type of risk factors are those that are influenced by or are from whithin the
patient?
Genaric
Intrinsic
Inherent
Extrinsic - ✔✔Intrinsic
✔✔What is found on the alveolar surface that helps to decrease the surface tension of
the alveoli?