EMT: CHAPTER 27 - TRAUMA OVERVIEW EXAM QUESTIONS

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EMT: CHAPTER 27 - TRAUMA OVERVIEW EXAM QUESTIONS

Actual Qs and Ans - Expert-Verified Explanation -Guaranteed passing score -43 Questions and Answers

-Format: Multiple-choice / Flashcard

Question 1: 41) A teenage female patient was ejected from a car as it rolled down a hill after she ran off the road. She is responsive, but with signs of early shock and respiratory distress. She has bruising to her anterior abdomen and chest, a laceration to her left temple, and deformity to her left wrist. At which point should the wrist injury be splinted?

• Prior to full spinal motion restriction precautions being provided
• Before transferring the patient to the stretcher
• Just before leaving the scene
• En route to the hospital

Answer:

• En route to the hospital

Question 2: 4) Two cars have collided head-on. One car was traveling at a speed of 55 mph and

the other at 35 mph. The total speed of impact would be:

• 20 mph
• 35 mph
• 55 mph
• 90 mph

Answer:

• 90 mph

Question 3: 34) A male patient has sustained gunshot wounds to the neck and abdomen. He is

unresponsive and has gurgling respirations. Your immediate action would be to:

• Insert a nasal airway and place the patient on a long backboard
• Place a cervical collar and position the patient on a long board
• Start positive pressure ventilation and then place a cervical collar and maintain manual spine

motion restriction

• Suction the airway while providing manual spine motion restriction

Answer:

• Suction the airway while providing manual spine motion restriction

Question 4: 9) As you pull up to a motor vehicle collision, you quickly scan the scene for clues as to the type and severity of injuries. Which observation would best indicate that a patient may have a head injury?

• Air bag deployment
• Starburst on the windshield
• Blood on a patient's clothing
• Frontal-type collision

Answer:

• Starburst on the windshield

Question 5: 38) What is the best description of the "platinum 10 minutes" as it applies to care of the trauma patient?

• The goal for total amount of time from the actual injury to arrival of EMS at the scene
• The target maximum scene time for EMS as it applies to the seriously injured trauma patient
• The time it should take the transporting ambulance to get the trauma patient to the closest

medical facility

• The target maximum time that the multisystem trauma patient should spend in the

emergency department before being transferred to surgery

Answer:

• The target maximum scene time for EMS as it applies to the seriously injured trauma patient

Question 6: 24) A bullet fired from a gun at close range passes through the patient's liver.However, on autopsy, the coroner discovers that the man's pancreas, stomach, and gallbladder were also injured, even though not in direct contact with the bullet. As a knowledgeable EMT, you would recognize that which mechanism is responsible for injuries to these additional organs?

• Cavitation
• Drag force
• Profile impact
• Blunt injury

Answer:

• Cavitation

Question 7: 1) A 49-year-old male has been stabbed in the lower right chest. Police tell you that the patient got into an argument with an unidentified man, who then stabbed him before fleeing the scene. After assessing the patient, you are suspicious that the knife punctured the lung and is causing internal bleeding. In this situation, the mechanism of injury would be:

• Stab wound to the right chest
• Assailant with a knife
• Penetrating trauma to the lungs
• Internal hemorrhage

Answer:

• Stab wound to the right chest

Question 8: 27) A patient, who was constructing a bomb in his basement, has sustained a secondary-phase blast injury. Which presentation would the EMT most likely observe from this blast phase?

• Burns to the head, neck, and chest
• Headache and shortness of breath
• Screwdriver impaled in the thorax

• Complaint of nausea after inhaling fumes

Answer:

• Screwdriver impaled in the thorax

Question 9: 17) When teaching Emergency Medical Responders about air bags, which point would you emphasize?

• Properly placed air bags eliminate the need for seat belts
• The benefit of air bags is lessened in a multiple-vehicle collision impact
• Air bags prevent broken glass from striking the occupant
• Air bags are effective in decreasing injury in a rollover-type collision

Answer:

• The benefit of air bags is lessened in a multiple-vehicle collision impact

Question 10: 39) Which injury is most serious, warranting immediate and rapid transport to the local trauma center?

• Instability and crepitus to the left lateral chest wall
• Deformity to the right ankle with pain rated as a 10/10
• Open fracture to the left lower leg
• Large, deep laceration to the arm with bone visible

Answer:

• Instability and crepitus to the left lateral chest wall

Question 11: 32) Which statement best characterizes the capabilities of a Level III trauma center?

• The hospital can manage all trauma patients and injuries, 24 hours a day, 7 days a week
• The hospital can handle most trauma patients, but will transfer those who require specialty

care for specific injuries such as neurologic trauma

• The hospital will provide any emergency surgical services to a trauma patient and then

transfer the patient once stable