EMT TRAUMA, CHEST INJURIES, ABDOMINAL AND GU INJURIES,
ORTHOPEDIC INJURIES: TEST 2 QUESTIONS AND ANSWERS
1) In pediatric patients the liver and spleen are:
A) smaller in proportion to the abdomen
B) less likely to bleed when injured
C) more protected by the thorax compared to adults
D) larger in proportion to the abdomen -- Answer ✔✔ D) larger in
proportion to the abdomen
2) Abdominal pain, vomiting, and fever are most likely due to:
A) hemorrhage
B) evisceration
C) hypovolemia
D) infection -- Answer ✔✔ D) infection
3) You are transporting a 42 y/o male who experienced blunt abdominal trauma. He is
receiving oxygen at 12 L/min via NRB, and full spinal precautions have been applied.
During your reassessment, you note his level of consciousness has decreased and his
respirations have become shallow. You should:
A) insert an airway adjunct if he will tolerate it and begin assisting ventilations
with a BVM
B) suction his oropharynx to ensure it is clear of secretions and then
increase the oxygen flow rate to 15 L/min
, C) perform a comprehensive secondary assessment to determine why his
clinical status changed
D) reassess his vitals and then notify the receiving hospital of the change in
his clinical status -- Answer ✔✔ A) insert an airway adjunct if he will
tolerate it and begin assisting ventilations with a BVM
4) Injuries to the external male genitalia:
A) frequently lead to hypovolemic shock
B) usually result in permanent damage
C) are often life-threatening
D) are rarely life-threatening -- Answer ✔✔ D) are rarely life-threatening
5) Your documentation on a sexual assault victim should:
A) include your opinion on the nature of the incident
B) describe the status of the suspect(s)
C) be subjective and summarize the crime
D) be objective and factual -- Answer ✔✔ D) be objective and factual
6) Which of the following regarding abdominal eviscerations is correct?
A) the protruding organs should be kept warm and moist
B) most eviscerations occur to the left upper quadrant
C) the organs should be replaced carefully to avoid heat loss
D) adherent material is preferred when covering an evisceration -- Answer
✔✔ A) the protruding organs should be kept warm and moist
7) Your presence is requested by law enforcement to assess a 33 y/o female who was
sexually assaulted. The patient is conscious and obviously upset. As you are talking to
her, you note an impressive amount of blood on her clothes in the groin area. Her
BP is 98/58, pulse is 130 bpm, and RR is 24 breaths/min. You should:
A) visualize the vaginal area and pack the vagina with sterile dressings
B) control any external bleeding, administer oxygen, and transport at once
, C) arrange for a rape crisis center representative to speak with the patient
D) allow her to change clothes and take a shower before you transport --
Answer ✔✔ B) control any external bleeding, administer oxygen, and
transport at once
8) Assuming that no obvious signs of intra-abdominal injury are present, which of the
following injuries would MOST likely cause an injury to the liver or spleen to be
overlooked?
A) pelvic fracture
B) shoulder fracture
C) femur fracture
D) lumbar spine fracture -- Answer ✔✔ B) shoulder fracture
9) Suspect a possible injury of the urinary bladder in all of the following findings
EXCEPT:
A) blood at the tip of the penis or a stain on the patient's underwear
B) blood at the urethral opening
C) physical signs of trauma on the lower abdomen, pelvis, or perineum
D) bruising to the left upper quadrant -- Answer ✔✔ D) bruising to the left
upper quadrant
10) During your assessment of a patient who experienced blunt abdominal trauma, you
notice bruising around the umbilicus This is a sign of:
A) rupture of a hollow organ
B) a severe liver laceration
C) intra-abdominal bleeding
D) a ruptured spleen -- Answer ✔✔ C) intra-abdominal bleeding
11) The mesentery is:
A) a complex network of blood vessels that supply blood to the liver
B) a membranous fold that attaches the intestines to the body wall
, C) a layer of thick skeletal muscles that protects the abdominal organs
D) the point of attachment between the small and large intestines -- Answer
✔✔ B) a membranous fold that attaches the intestines to the body wall
12) The first signs of peritonitis include all of the following EXCEPT:
A) muscular spasm
B) severe abdominal pain
C) nausea
D) tenderness -- Answer ✔✔ C) nausea
13) Peritonitis usually occurs when:
A) solid abdominal organs bleed secondary to penetrating trauma
B) bacteria or viruses invade the walls of the GI tract
C) the vessels that supply the abdominal organs become inflamed
D) hollow abdominal organs are damaged and spill their contents into the
peritoneal cavity -- Answer ✔✔ D) hollow abdominal organs are damaged
and spill their contents into the peritoneal cavity
14) The presence of tachycardia following a significant abdominal injury:
A) is always accompanied by hypotension
B) indicates a state of decompensated shock
C) is most commonly caused by severe pain
D) should be assumed to be a sign of shock -- Answer ✔✔ D) should be
assumed to be a sign of shock
15) Early bruising following abdominal trauma often manifests as:
A) gross distension
B) dark purple marks
C) red areas of skin
D) localized pain -- Answer ✔✔ C) red areas of skin
ORTHOPEDIC INJURIES: TEST 2 QUESTIONS AND ANSWERS
1) In pediatric patients the liver and spleen are:
A) smaller in proportion to the abdomen
B) less likely to bleed when injured
C) more protected by the thorax compared to adults
D) larger in proportion to the abdomen -- Answer ✔✔ D) larger in
proportion to the abdomen
2) Abdominal pain, vomiting, and fever are most likely due to:
A) hemorrhage
B) evisceration
C) hypovolemia
D) infection -- Answer ✔✔ D) infection
3) You are transporting a 42 y/o male who experienced blunt abdominal trauma. He is
receiving oxygen at 12 L/min via NRB, and full spinal precautions have been applied.
During your reassessment, you note his level of consciousness has decreased and his
respirations have become shallow. You should:
A) insert an airway adjunct if he will tolerate it and begin assisting ventilations
with a BVM
B) suction his oropharynx to ensure it is clear of secretions and then
increase the oxygen flow rate to 15 L/min
, C) perform a comprehensive secondary assessment to determine why his
clinical status changed
D) reassess his vitals and then notify the receiving hospital of the change in
his clinical status -- Answer ✔✔ A) insert an airway adjunct if he will
tolerate it and begin assisting ventilations with a BVM
4) Injuries to the external male genitalia:
A) frequently lead to hypovolemic shock
B) usually result in permanent damage
C) are often life-threatening
D) are rarely life-threatening -- Answer ✔✔ D) are rarely life-threatening
5) Your documentation on a sexual assault victim should:
A) include your opinion on the nature of the incident
B) describe the status of the suspect(s)
C) be subjective and summarize the crime
D) be objective and factual -- Answer ✔✔ D) be objective and factual
6) Which of the following regarding abdominal eviscerations is correct?
A) the protruding organs should be kept warm and moist
B) most eviscerations occur to the left upper quadrant
C) the organs should be replaced carefully to avoid heat loss
D) adherent material is preferred when covering an evisceration -- Answer
✔✔ A) the protruding organs should be kept warm and moist
7) Your presence is requested by law enforcement to assess a 33 y/o female who was
sexually assaulted. The patient is conscious and obviously upset. As you are talking to
her, you note an impressive amount of blood on her clothes in the groin area. Her
BP is 98/58, pulse is 130 bpm, and RR is 24 breaths/min. You should:
A) visualize the vaginal area and pack the vagina with sterile dressings
B) control any external bleeding, administer oxygen, and transport at once
, C) arrange for a rape crisis center representative to speak with the patient
D) allow her to change clothes and take a shower before you transport --
Answer ✔✔ B) control any external bleeding, administer oxygen, and
transport at once
8) Assuming that no obvious signs of intra-abdominal injury are present, which of the
following injuries would MOST likely cause an injury to the liver or spleen to be
overlooked?
A) pelvic fracture
B) shoulder fracture
C) femur fracture
D) lumbar spine fracture -- Answer ✔✔ B) shoulder fracture
9) Suspect a possible injury of the urinary bladder in all of the following findings
EXCEPT:
A) blood at the tip of the penis or a stain on the patient's underwear
B) blood at the urethral opening
C) physical signs of trauma on the lower abdomen, pelvis, or perineum
D) bruising to the left upper quadrant -- Answer ✔✔ D) bruising to the left
upper quadrant
10) During your assessment of a patient who experienced blunt abdominal trauma, you
notice bruising around the umbilicus This is a sign of:
A) rupture of a hollow organ
B) a severe liver laceration
C) intra-abdominal bleeding
D) a ruptured spleen -- Answer ✔✔ C) intra-abdominal bleeding
11) The mesentery is:
A) a complex network of blood vessels that supply blood to the liver
B) a membranous fold that attaches the intestines to the body wall
, C) a layer of thick skeletal muscles that protects the abdominal organs
D) the point of attachment between the small and large intestines -- Answer
✔✔ B) a membranous fold that attaches the intestines to the body wall
12) The first signs of peritonitis include all of the following EXCEPT:
A) muscular spasm
B) severe abdominal pain
C) nausea
D) tenderness -- Answer ✔✔ C) nausea
13) Peritonitis usually occurs when:
A) solid abdominal organs bleed secondary to penetrating trauma
B) bacteria or viruses invade the walls of the GI tract
C) the vessels that supply the abdominal organs become inflamed
D) hollow abdominal organs are damaged and spill their contents into the
peritoneal cavity -- Answer ✔✔ D) hollow abdominal organs are damaged
and spill their contents into the peritoneal cavity
14) The presence of tachycardia following a significant abdominal injury:
A) is always accompanied by hypotension
B) indicates a state of decompensated shock
C) is most commonly caused by severe pain
D) should be assumed to be a sign of shock -- Answer ✔✔ D) should be
assumed to be a sign of shock
15) Early bruising following abdominal trauma often manifests as:
A) gross distension
B) dark purple marks
C) red areas of skin
D) localized pain -- Answer ✔✔ C) red areas of skin
