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EMT 22
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Questions in this quiz (51)
1A 12-year-old male jumped approximately 12′ 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?
- Alateral impact to the spine
- Benergy transmission to the spine
- Cdirect trauma to the spinal column
- Dsecondary fall after the initial impact
2A 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:
- Astabilize her entire spine.
- Bobtain baseline vital signs.
- Cinspect the helmet for cracks.
- Dleave her bicycle helmet on.
3A 30-year-old male sustained a stab wound to the neck when he was attacked outside a nightclub. During your assessment, you should be MOST alert for:
- Ainjury to the cervical spine.
- Bpotential airway compromise.
- Cdamage to internal structures.
- Dalterations in his mental status.
4A 40-year-old unrestrained female impacted the steering wheel of her vehicle with her chest when she hit a tree while traveling at 45 mph. She is conscious and alert, but is experiencing significant chest pain and shortness of breath. Which of the following injuries did this patient likely NOT experience?
- Ahead injury
- Bcardiac contusion
- Cpulmonary contusion
- Dmultiple rib fractures
5A driver involved in a rollover motor vehicle crash will MOST likely experience serious injuries or death if he or she:
- Ais wearing only a lap belt.
- Bremains within the vehicle.
- Cexperiences multiple impacts.
- Dis ejected or partially ejected.
6A small compact car was involved in a rollover crash. As you are approaching the vehicle, you note that the roof is significantly collapsed. The patient, a 29-year-old male, is complaining of severe pain in his neck and to the top of his head as well as numbness and tingling in his extremities. Witnesses who removed the patient from the vehicle state that he was wearing his seatbelt. What injury mechanism is MOST likely responsible for this patient's condition
- Alateral bending of the neck during the crash
- Bcompression of the head against the roof
- Cimpact of the head against the steering wheel
- Dwhiplash injury to the neck during the rollover
7A young male sustained a gunshot wound to the abdomen during an altercation with a rival gang member. As your partner is assessing and managing his airway, you should control the obvious bleeding and then:
- Aapply a cervical collar.
- Bobtain baseline vital signs.
- Causcultate bowel sounds.
- Dassess for an exit wound.
8According to the American College of Surgeons, an adult trauma patient meets Level I criteria if he or she:
- Awas involved in a motor vehicle crash in which another patient in the same vehicle was killed.
- Bhas a systolic blood pressure of less than 110 mm Hg or a heart rate greater than 110 beats/min.
- Chas a bleeding disorder or takes anticoagulant medications and has any blunt or penetrating injury.
- Dhas a GCS score of less than or equal to 8 with a mechanism attributed to trauma.
9According to the Association of Air Medical Services (AAMS), you should consider air medical transport of a trauma patient if:
- Atraffic conditions hamper the ability to get the patient to a trauma center by ground within the ideal time frame for the best clinical outcome.
- Bground transport will take your ambulance out of service for an extended period of time, regardless of the severity of the patient's injuries.
- Cthe patient requires advanced life support care and stabilization, and the nearest ALS-ground ambulance is more than 5 to 10 minutes away.
- Dhe 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.
10Air bags are designed to:
- Aprevent a second collision inside the car.
- Bbe used with or without a shoulder harness.
- Cdecrease the severity of deceleration injuries.
- Dprevent the driver from sustaining head trauma.
11Approximately 25% of severe injuries to the aorta occur during:
- Afrontal collisions.
- Blateral collisions.
- Crollover collisions.
- Drear-end collisions.
12By what mechanism is a person injured when he or she falls from a significant height?
- AKinetic energy is converted to potential energy; the potential energy is then converted into the work of bringing the body to a stop.
- BPotential energy is created as the person is falling; the potential energy is then converted into kinetic energy upon impact.
- CAs the person falls, the amount of kinetic energy is converted into work; work is then converted to kinetic energy upon impact.
- DPotential energy is converted to kinetic energy; the kinetic energy is then converted into the work of bringing the body to a stop.
13During your assessment of a patient who experienced a blast injury, you note that he has a depressed area to the front of his skull. This injury MOST likely occurred:
- Aduring the tertiary phase.
- Bduring the secondary phase.
- Cduring the primary phase.
- Das a direct result of the pressure wave.
14During your assessment of a patient with a head injury, you note that he opens his eyes when you pinch his trapezius muscle, is mumbling, and has his arms curled in toward his chest. You should assign him a GCS score of:
- A7.
- B8.
- C9.
- D10.
15Evaluation of the interior of a crashed motor vehicle during extrication will allow the EMT to:
- Adetermine the vehicle's speed at the time of impact.
- Bassess the severity of the third collision of the crash.
- Crecognize if the driver hit the brakes before impact.
- Didentify contact points and predict potential injuries.
16Factors that should be considered when assessing a patient who has fallen include all of the following, EXCEPT:
- Athe speed of the fall.
- Bthe surface struck.
- Cthe height of the fall.
- Dthe primary impact point.
17Following 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:
- Aspinal cord injury.
- Bairway compromise.
- Cintracranial bleeding.
- Da fracture of the skull.
18Force acting over a distance defines the concept of:
- Awork.
- Blatent energy.
- Ckinetic energy.
- Dpotential energy.
19If a person is standing near a building that explodes, which of the following injuries would he or she MOST likely experience as a result of the pressure wave?
- Asevere burns
- Bfractured bones
- Cstomach rupture
- Dimpaled objects
20If one or more occupants in the same vehicle are killed in a crash, the EMT should:
- Asuspect that all living occupants experienced the same serious trauma.
- Btransport the survivors only if they have injuries or complain of pain.
- Callow the survivors to refuse transport if they have no obvious injuries.
- Drapidly assess only the survivors who have experienced obvious trauma.
21In contrast to a Level III trauma center, a Level I trauma center must:
- Abe involved in trauma prevention programs.
- Bhave general surgeons that are in-house 24 hours a day.
- Chave access to an emergency physician within 30 minutes.
- Dbe able to stabilize patients before transferring to a higher level facility.
22Internal injuries caused by gunshot wounds are difficult to predict because:
- Athe caliber of the bullet is frequently unknown.
- Bthe area of damage is usually smaller than the bullet.
- Cthe bullet may tumble or ricochet within the body.
- Dexit wounds caused by the bullet are usually small.
23Passengers who are seated in the rear of a vehicle and are wearing only lap belts have a higher incidence of injuries to the:
- Athoracic and sacral spine.
- Blumbar and coccygeal spine.
- Cthoracic and lumbar spine.
- Dlumbar and sacral spine.
24Signs of a pulmonary blast injury include:
- Avomiting blood.
- Bcoughing up blood.
- Can irregular pulse.
- Dmultiple rib fractures.
25The cervical spine is MOST protected from whiplash-type injuries when the:
- Aheadrest is appropriately positioned.
- Bair bag correctly deploys upon impact.
- Cpatient tenses up at the time of impact.
- Drear end of the vehicle is initially struck.
26The driver of a sport utility vehicle lost control and struck a utility pole head-on. The driver was killed instantly. The passenger, a young female, is conscious and alert and has several small abrasions and lacerations to her left forearm. Treatment for the passenger should include:
- Atransport to a trauma center.
- Ba focused exam of her forearm.
- Ctransport to a community hospital.
- Da secondary assessment at the scene.
27The energy of a moving object is called:
- Alatent energy.
- Bkinetic energy.
- Cpotential energy.
- Dconverted energy.
28The index of suspicion is MOST accurately defined as:
- Athe way in which traumatic injuries occur.
- Ba predictable pattern that leads to serious injuries.
- Cyour concern for potentially serious underlying injuries.
- Dthe detection of less obvious life-threatening injuries.
29The phenomenon of pressure waves emanating from the bullet, causing damage remote from its path, is known as:
- Acapitation.
- Bcavitation.
- Ccongruent.
- Dconversion.
30Two of the MOST common mechanisms of injury for blunt trauma are:
- Afalls and motor vehicle collisions.
- Blow-caliber gunshot wounds and falls.
- Cgunshot wounds and vehicle ejections.
- Dmotor vehicle collisions and stabbings.
31What types of motor vehicle collisions present the greatest potential for multiple impacts?
- Alateral and rollover
- Bfrontal and rotational
- CRear-end and rotational
- Drotational and rollover
32When a driver is in a car equipped with an air bag, but is not wearing a seatbelt, he or she will MOST likely strike the __________ when the air bag deploys upon impact.
- Adoor
- Bdashboard
- Cwindshield
- Dsteering wheel
33When a motor vehicle strikes a tree while traveling at 40 mph, the unrestrained occupant:
- Awill most likely be thrown over the steering column.
- Bremains in motion until acted upon by an external force.
- Cwill decelerate at the same rate as the motor vehicle.
- Dis thrust under the steering column onto the floorboard.
34When assessing a patient who experienced a blast injury, it is important to remember that:
- Asecondary blast injuries are usually the least obvious.
- Bprimary blast injuries are typically the most obvious.
- Csolid organs usually rupture from the pressure wave.
- Dprimary blast injuries are the most easily overlooked.
35When assessing an elderly patient who fell, it is important to remember that:
- Aosteoporosis can cause a fracture that may have resulted in the fall.
- Bany fall in the elderly is considered to be high-energy trauma.
- Celderly patients who fall usually have a secondary head injury.
- Dbilateral hip fractures usually occur when an elderly person falls.
36When assessing the interior of a crashed motor vehicle for damage, you are gathering information regarding the:
- Aindex of suspicion.
- Bmechanism of injury.
- Ckinetic energy.
- Dpotential energy.
37When caring for an occupant inside a motor vehicle equipped with an air bag that did not deploy upon impact, it is MOST important to:
- Arealize that the air bag malfunctioned at the time of impact.
- Bremember that it could still deploy and seriously injure you.
- Csuspect that the patient may have experienced serious injuries.
- Drecognize that the force of impact was most likely not severe.
38When evaluating the mechanism of injury of a car versus pedestrian collision, you should first:
- Aapproximate the speed of the vehicle that struck the pedestrian.
- Bdetermine if the patient was propelled away from the vehicle.
- Cevaluate the vehicle that struck the patient for structural damage.
- Ddetermine if the patient was struck and pulled under the vehicle.
39When the speed of a motor vehicle doubles, the amount of kinetic energy:
- Adoubles.
- Btriples.
- Cquadruples.
- Dis not affected.
40When treating a patient who experienced a pulmonary blast injury, you should:
- Ause a demand valve to ventilate the patient.
- Bsuspect an accompanying cardiac tamponade.
- Cavoid giving oxygen under positive pressure.
- Dadminister large amounts of intravenous fluid.
41Which of the following findings would be LEAST suggestive of the presence of high-energy trauma?
- Adismounted seats
- Bsteering wheel deformity
- Cintrusion into the vehicle
- Ddeployment of the air bag
42Which of the following injuries would MOST likely occur as a direct result of the third collision in a motor vehicle crash?
- Aflail chest
- Baortic rupture
- Cextremity fractures
- Dforehead lacerations
43Which of the following interventions is the MOST critical to the outcome of a patient with multisystem trauma?
- Aintravenous fluid administration
- Bearly administration of oxygen
- Celevation of the lower extremities
- Drapid transport to a trauma center
44Which of the following patients has experienced the MOST significant fall?
- Aa 4′8″ patient who fell 13′
- B5′0″ patient who fell 13′
- C4′6″ patient who fell 13'
- Da 5′9″ patient who fell 14′
45Which of the following statements regarding gunshot wounds is correct?
- AHigh-velocity bullets will cause less severe internal injuries.
- BThe size of a bullet has the greatest impact on producing injury.
- CLow-velocity bullets will cause the greatest amount of trauma.
- DThe speed of a bullet has the greatest impact on producing injury.
46Which of the following statements regarding low-energy penetrating injuries is correct?
- AInternal injuries caused by low-velocity bullets are usually easy to predict.
- BExit wounds are typically easy to locate with low-energy penetrating injuries.
- CIt is usually easy to differentiate between an entrance wound and an exit wound.
- DThe area of injury is usually close to the path the object took through the body.
47Which of the following would MOST likely occur as the direct result of the second collision in a motor vehicle crash?
- Acollapsed dashboard
- Bdeformed steering wheel
- Ccaved-in passenger door
- Dntrathoracic hemorrhage
48While assessing a young male who was struck in the chest with a steel pipe, you note that his pulse is irregular. You should be MOST suspicious for:
- Aunderlying cardiac disease.
- Ba lacerated coronary artery.
- Cbruising of the heart muscle.
- Dtraumatic rupture of the aorta.
49While 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:
- Aopen abdominal trauma
- Bneck and facial injuries.
- Cblunt trauma to the head.
- Dlower extremity fractures.
50With regard to the three collisions that occur during a motor vehicle crash, which of the following statements regarding the first collision is correct?
- AIt provides the least amount of information about the mechanism of injury.
- BIt has a direct effect on patient care because of the obvious vehicular damage.
- Ct is the most dramatic part of the collision and may make extrication difficult.
- DIt occurs when the unrestrained occupant collides with the interior of the vehicle.
51Your 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:
- A8
- B9
- C10
- D11
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- EMT-B EMT Quiz on EMT 22, created by Seth Weaver on 12/06/2018.
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- Seth Weaver
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