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. Secondary fall after the initial impact
B. Lateral impact to the spine
C. Direct trauma to the spinal column
D. Energy transmission to the spine - (correct Answer) - D. Energy transmission to the spine
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:
Select one:
A. leave her bicycle helmet on.
B. stabilize her entire spine.
C. inspect the helmet for cracks.
D. obtain baseline vital signs. - (correct Answer) - B. stabilize her entire spine
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:
Select one:
A. obtain baseline vital signs.
B. apply a cervical collar.
C. assess for an exit wound.
D. auscultate bowel sounds. - (correct Answer) - C. assess for an exit wound
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:
Select one:
A. has a GCS score of less than or equal to 13 with a mechanism attributed to trauma.
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. was involved in a motor vehicle crash in which another patient in the same vehicle was killed. -
(correct Answer) - A. Has a GCS score of less than or equal to 13 with a mechanism attributed to trauma
According to the Association of Air Medical Services, you should consider air medical transport of a
trauma patient if:
Select one:
Select one:
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. 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.
C. ground transport will take your ambulance out of service for an extended period of time, regardless of
the severity of the patient's injuries.
D. the patient requires advanced life support care and stabilization, and the nearest ALS-ground
ambulance is more than 5 to 10 minutes away. - (correct Answer) - 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
Approximately 25% of severe injuries to the aorta occur during:
Select one:
Select one:
A. lateral collisions.
B. frontal collisions.
C. rollover collisions.
D. rear-end collisions. - (correct Answer) - A. lateral collisions
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. spinal cord injury.
B. a fracture of the skull.
C. airway compromise.
,D. intracranial bleeding. - (correct Answer) - D. intracranial bleeding
Force acting over a distance is the definition of:
Select one:
A. potential energy.
B. work.
C. latent energy.
D. kinetic energy. - (correct Answer) - B. work
The index of suspicion is MOST accurately defined as:
A. your awareness and concern for potentially serious underlying injuries.
B. the detection of less obvious life-threatening injuries.
C. the way in which traumatic injuries occur.
D. a predictable pattern that leads to serious injuries. - (correct Answer) - A. your awareness and concern
for potentially serious underlying injuries
When assessing a patient who experienced a blast injury, it is important to remember that:
Select one:
A. primary blast injuries are the most easily overlooked.
B. secondary blast injuries are usually the least obvious.
C. solid organs usually rupture from the pressure wave.
D. primary blast injuries are typically the most obvious. - (correct Answer) - D. primary blast injuries are
the most easily overlooked
When assessing an elderly patient who fell, it is important to remember that:
Select one:
A. bilateral hip fractures usually occur when an elderly person falls.
B. elderly patients who fall usually have a secondary head injury.
C. osteoporosis can cause a fracture as a result of a fall from a standing position.
D. any fall in the elderly is considered to be high-energy trauma. - (correct Answer) - C. osteoporosis can
cause a fracture as a result of a fall from a standing position
When the speed of a motor vehicle doubles, the amount of kinetic energy:
, Select one:
Select one:
A. doubles.
B. quadruples.
C. is not affected.
D. triples. - (correct Answer) - B. quadruples
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?
Select one:
A. A Level IV or Level III trauma center
B. A Level I or Level II trauma center
C. Only a Level I trauma center
D. Any designated trauma center is acceptable. - (correct Answer) - B. A Level I or Level II trauma center
Which of the following findings would be LEAST suggestive of the presence of high-energy trauma?
Select one:
A. Steering wheel deformity
B. Intrusion into the vehicle
C. Deployment of the air bag
D. Dismounted seats - (correct Answer) - C. Deployment of the air bag
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. Flail chest
B. Aortic rupture
C. Extremity fractures
D. Forehead lacerations - (correct Answer) - B. Aortic rupture
Which of the following interventions is the MOST critical to the outcome of a patient with multisystem
trauma?