EMT AAOS SECTION 7: TRAUMA
TEST
A flail chest occurs when: - ANSWERS-A segment of the chest wall
is detached from the thoracic cage
The MOST reliable indicator of an underlying fracture is: -
ANSWERS-Point tenderness
Assessing a person's neurovascular status following a musculoskeletal
injury includes all of the following, EXCEPT: - ANSWERS-
Evaluating proximal pulses
Skeletal muscle is attached to the bone by tough, ropelike fibrous
structures called: - ANSWERS-Tendons
Contraction or tensing of the abdominal muscles in an effort to ease
pain is called: - ANSWERS-Guarding
When assessing a patient with a possible fracture of the leg, the EMT
should: - ANSWERS-Compare it to the uninjured leg
Which of the following musculoskeletal injuries would pose the
greatest threat to a patient's life? - ANSWERS-Pelvic fracture with
hypotension
,Which of the following joints allows no motions? - ANSWERS-Skull
Sutures
The PASG is absolutely contraindicated in patients who have: -
ANSWERS-Pulmonary edema
A subluxation occurs when: - ANSWERS-A joint is incompletely
dislocated
A fracture caused by minimal force that is associated with diseases
such as cancer and osteoporosis is called a __________ fracture. -
ANSWERS-Pathologic
Bruising to the upper right quadrant of the abdomen following blunt
trauma is MOST suggestive of injury to the: - ANSWERS-Liver
Difficulty breathing and a sunken appearance of the anterior
abdominal wall is MOST indicative of a ruptured: - ANSWERS-
Diaphragm
Which of the following statements regarding abdominal trauma is
correct? - ANSWERS-The absence of abdominal pain does not rule
out intra-abdominal bleeding
,Compression injuries to the abdomen that occur during a motor
vehicle crash are typically the result of: - ANSWERS-A poorly placed
lap belt
A 19-year-old male is unresponsive, apneic, and pulseless after being
struck in the center of the chest with a softball. Based on the
mechanism of injury, what MOST likely occurred? - ANSWERS-
Ventricular fibrillation when the impact occurred during a critical
portion of the cardiac cycle
Patients with rib fractures will commonly: - ANSWERS-Breathe
rapidly and shallowly
Following a stab wound to the left anterior chest, a 25-year-old male
presents with a decreased level of consciousness and signs of shock.
Which of the following additional assessment findings should
increase your index of suspicion for a cardiac tamponade? -
ANSWERS-Engorged jugular veins
Pneumothorax is defined as: - ANSWERS-Accumulation of air in the
pleural space
An open pneumothorax occurs when: - ANSWERS-Air enters the
pleural space from outside the body
A 54-year-old male accidentally shot himself in the leg while cleaning
his gun. Your assessment reveals a small entrance wound to the
medial aspect of his right leg. The exit wound is on the opposite side
, of the leg and is actively bleeding. The patient complains of numbness
and tingling in his right foot. You should: - ANSWERS-Control the
bleeding and cover the wound with a sterile dressing
Traction splints are used primarily to immobilize and secure fractures
of the: - ANSWERS-Femur
31-year-old male fell and landed on his left elbow. Your assessment
reveals that the elbow is grossly deformed, his forearm is cool and
pale, and the distal pulse on the side of the injury is barely palpable.
His vital signs are stable and he denies any other injuries. Your
transport time to the closest appropriate hospital is approximately 15
minutes. You should: - ANSWERS-Splint the elbow in the position
found and transport
A supracondylar or intercondylar fracture is also known as a fracture
of the: - ANSWERS-Distal humerus
When documenting a call involving a female patient who was
sexually assaulted, the EMT should: - ANSWERS-Avoid speculation
and document only factual data
Early bruising following abdominal trauma often manifests as: -
ANSWERS-Red areas of skin
The presence of tachycardia following a significant abdominal injury:
- ANSWERS-Should be assumed to be a sign of shock
TEST
A flail chest occurs when: - ANSWERS-A segment of the chest wall
is detached from the thoracic cage
The MOST reliable indicator of an underlying fracture is: -
ANSWERS-Point tenderness
Assessing a person's neurovascular status following a musculoskeletal
injury includes all of the following, EXCEPT: - ANSWERS-
Evaluating proximal pulses
Skeletal muscle is attached to the bone by tough, ropelike fibrous
structures called: - ANSWERS-Tendons
Contraction or tensing of the abdominal muscles in an effort to ease
pain is called: - ANSWERS-Guarding
When assessing a patient with a possible fracture of the leg, the EMT
should: - ANSWERS-Compare it to the uninjured leg
Which of the following musculoskeletal injuries would pose the
greatest threat to a patient's life? - ANSWERS-Pelvic fracture with
hypotension
,Which of the following joints allows no motions? - ANSWERS-Skull
Sutures
The PASG is absolutely contraindicated in patients who have: -
ANSWERS-Pulmonary edema
A subluxation occurs when: - ANSWERS-A joint is incompletely
dislocated
A fracture caused by minimal force that is associated with diseases
such as cancer and osteoporosis is called a __________ fracture. -
ANSWERS-Pathologic
Bruising to the upper right quadrant of the abdomen following blunt
trauma is MOST suggestive of injury to the: - ANSWERS-Liver
Difficulty breathing and a sunken appearance of the anterior
abdominal wall is MOST indicative of a ruptured: - ANSWERS-
Diaphragm
Which of the following statements regarding abdominal trauma is
correct? - ANSWERS-The absence of abdominal pain does not rule
out intra-abdominal bleeding
,Compression injuries to the abdomen that occur during a motor
vehicle crash are typically the result of: - ANSWERS-A poorly placed
lap belt
A 19-year-old male is unresponsive, apneic, and pulseless after being
struck in the center of the chest with a softball. Based on the
mechanism of injury, what MOST likely occurred? - ANSWERS-
Ventricular fibrillation when the impact occurred during a critical
portion of the cardiac cycle
Patients with rib fractures will commonly: - ANSWERS-Breathe
rapidly and shallowly
Following a stab wound to the left anterior chest, a 25-year-old male
presents with a decreased level of consciousness and signs of shock.
Which of the following additional assessment findings should
increase your index of suspicion for a cardiac tamponade? -
ANSWERS-Engorged jugular veins
Pneumothorax is defined as: - ANSWERS-Accumulation of air in the
pleural space
An open pneumothorax occurs when: - ANSWERS-Air enters the
pleural space from outside the body
A 54-year-old male accidentally shot himself in the leg while cleaning
his gun. Your assessment reveals a small entrance wound to the
medial aspect of his right leg. The exit wound is on the opposite side
, of the leg and is actively bleeding. The patient complains of numbness
and tingling in his right foot. You should: - ANSWERS-Control the
bleeding and cover the wound with a sterile dressing
Traction splints are used primarily to immobilize and secure fractures
of the: - ANSWERS-Femur
31-year-old male fell and landed on his left elbow. Your assessment
reveals that the elbow is grossly deformed, his forearm is cool and
pale, and the distal pulse on the side of the injury is barely palpable.
His vital signs are stable and he denies any other injuries. Your
transport time to the closest appropriate hospital is approximately 15
minutes. You should: - ANSWERS-Splint the elbow in the position
found and transport
A supracondylar or intercondylar fracture is also known as a fracture
of the: - ANSWERS-Distal humerus
When documenting a call involving a female patient who was
sexually assaulted, the EMT should: - ANSWERS-Avoid speculation
and document only factual data
Early bruising following abdominal trauma often manifests as: -
ANSWERS-Red areas of skin
The presence of tachycardia following a significant abdominal injury:
- ANSWERS-Should be assumed to be a sign of shock
