Chapter 24 Test Trauma JB Learning EMT-B EXAM 2023 WITH QUALITY ANSWERS

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? A. Secondary fall after the initial impact B. Direct trauma to the spinal column C. Lateral impact to the spine D. Energy transmission to the spine D. Energy Transmission to the Spine p.858-859 Blunt Trauma 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: A. Stabilize her spine B. Leave her bicycle helmet on C. Inspect the helmet for cracks D. Obtain baseline vital signs A. Stabilize her spine p.857, Blunt Trauma 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: A. Auscultate bowel sounds B. Apply a cervical collar C. Assess for an exit wound D. Obtain baseline vital signs C. Assess for an exit wound p.859-860 Penetrating trauma 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: A. Has a systolic blood pressure of less than 110 mm Hg or a heart rate greater than 110 beats/min B. was involved in a motor vehicle crash in which another patient in the same vehicle was killed C. has a bleeding disorder or takes anticoagulant medications and has any blunt or penetrating injury D. Has a GCS score of less than or equal to 13 with a mechanism attributed to trauma D. Has a GCS score of less than or equal to 13 with a mechanism attributed to trauma p.870 Management, Transport and Designation Approximately 25% of severe injuries to the aorta occur during: A. Frontal Collision B. Rear-End Collision C. Lateral Collisions D. Rollover Collisions C. Lateral Collisions p.856, Blunt Trauma 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 the sign and symptoms, you should be MOST concerned with the possibility of: A. a fracture of the skull B. intracranial bleeding C. airway compromise D. spinal cord injury B. intracranial bleeding p.865, Patient Assessment Force acting over a distance is the definition of: A. Potential Energy B. Work C. Latent Energy D. Kinetic energy B. Work p.848 Energy and Trauma The Index of Suspicion is the MOST accurately defined as: A. The way in which traumatic injuries occurs B. a predictable pattern that leads to serious injuries C. your awareness and concern for potentially serious underlying injuries D. the detection of less obvious life-threatening injuries C. your awareness and concern for potentially serious underlying injuries p.847 When assessing a patient who experienced a blast injury, it is important to remember that: A. Secondary blast injuries are usually the least obvious B. Primary blast injuries are the most easily overlooked C. Primary blast injuries are typically the most obvious D. Solid organs usually rupture from the pressure wave B. Primary blast injuries are the most easily overlooked p.862 Blast injuries When assessing an elderly patient who fell, it is most important to remember that: osteoporosis can cause a fracture as a result of a fall from a standing position p.859 Blunt Trauma When he speed of a motor vehicle doubles, the amount of kinetic energy Quadruples p.848-849, Energy and Trauma Which o0f 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 Level 1 or Level II trauma center p.868 Management: Transport and Destination Which findings would be LEAST suggestive of the presence of high energy trauma A. Dismounted seats B. Deployment of the Airbag C. Steering wheel deformity D. Intrusion into the vehicle B. Deployment of Airbag p.850-851 Blunt Trauma