Paramedic Care: Principles & Practice V. 1-5, 5e (Bledsoe)
Volume 4 Trauma Emergencies
Chapter 1 Trauma and Trauma Systems
1) The purpose of determining the mechanism of injury and the index of suspicion for the
trauma patient at the same time is to allow you to:
A) decide whether to transport the patient.
B) identify comorbid factors.
C) document a complete scene size-up.
D) anticipate your patient's injuries.
Answer: D
Diff: 2 Page Ref: 9-10
Standard: Trauma (Trauma Overview)
Objective: 7
2) Which of the following accounts for the highest number of trauma deaths in the United States
of America?
A) Motor vehicle crashes
B) Falls
C) Assaults
D) Firearms injuries
Answer: A
Diff: 2 Page Ref: 3
Standard: Trauma (Trauma Overview)
Objective: 2
3) Which of the following acts resulted in the development of modern EMS systems?
A) Ryan White Act
B) Highway Safety Act of 1966
C) Good Samaritan Act
D) The Trauma Care Systems Planning and Development Act of
1990 Answer: B
Diff: 2 Page Ref: 4
Standard: Trauma (Trauma Overview)
Objective: 8
4) In addition to handling all types of specialty trauma, which level of trauma center provides
continuing medical and public education programs?
A) IV
B) III
C) I
D) II
Answer: C
Diff: 2 Page Ref: 7-8
Standard: Trauma (Trauma Overview)
Objective: 4
1
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,5) Upon arriving on a scene where the mechanism of injury indicates a potentially life-
threatening injury, you should employ which of the following interventions to best help
deliver the care that is needed?
A) Reevaluate the scene size-up.
B) Initiate transport immediately, delaying more extensive care until you are en route.
C) Ask a surgeon to respond to the scene.
D) Call immediately for air medical transport to reduce the "Golden
Period." Answer: B
Diff: 2 Page Ref: 13
Standard: Trauma (Trauma Overview)
Objective: 7
6) Which of the following physical findings indicates the need for immediate transport?
A) Vital signs: systolic blood pressure 80, respiratory rate 8
B) Glasgow Coma Scale score of 15
C) Second-degree burns involving 9 percent of total body surface area in an adult patient
D) Fractured right femur
Answer: A
Diff: 2 Page Ref: 11-12
Standard: Trauma (Trauma Overview)
Objective: 7
7) Which of the following requires immediate transport to a trauma center?
A) A 40-year-old who fell 12 feet from a garage roof with a radius fracture
B) A 36-year-old woman in a motor vehicle crash who has a blood pressure of 100/60
C) A 22-year-old soccer player with lower leg pain
D) A 47-year-old involved in a motor vehicle crash that resulted in the death of his
passenger Answer: D
Diff: 2 Page Ref: 12
Standard: Trauma (Trauma Overview)
Objective: 7
8) As a paramedic, your role in trauma care consists of all of the following, EXCEPT:
A) providing rapid transport to appropriate facilities.
B) promoting injury prevention.
C) providing care to seriously injured trauma patients.
D) providing surgical interventions to stop
hemorrhage. Answer: D
Diff: 2 Page Ref: 3
Standard: Trauma (Trauma Overview)
Objective: 3
2
Copyright © 2017 Pearson Education, Inc.
,9) Trauma triage criteria application, field skill performance, response times, patient
assessment, patient care and transport are all monitored through which of the following?
A) Quality improvement
B) Trauma registry
C) Centers for Disease Control and Prevention
D) Public healthcare model
Answer: A
Diff: 2 Page Ref: 14
Standard: Trauma (Trauma Overview)
Objective: 8
10) Which of the following is the best definition of the Golden Period?
A) The ideal time it takes to assess a multi-system trauma patient
B) The ideal timeframe from time of injury until surgery
C) The ideal time from requesting a helicopter to it landing on scene
D) The ideal timeframe from call dispatch to arrival on scene
Answer: B
Diff: 2 Page Ref: 11
Standard: Trauma (Trauma Overview)
Objective: 1
11) Which of the following is NOT an example of trauma?
A) An abrasion to the knee
B) Chest pain
C) Cerebral contusion
D) A stab wound to the
abdomen Answer: B
Diff: 2 Page Ref: 3-4
Standard: Trauma (Trauma Overview)
Objective: 1
12) Establishment of educational programs and improved auto technology are examples of which
part of the public health model?
A) Surveillance
B) Risk identification
C) Intervention
D) Implementation
Answer: C
Diff: 2 Page Ref: 6
Standard: Trauma (Trauma Overview)
Objective: 3
3
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, 13) Which level of trauma facility has minimal surgical support but can stabilize
before transferring to a higher-level trauma facility?
A) III
B) II
C) IV
D) I
Answer: A
Diff: 2 Page Ref: 7-8
Standard: Trauma (Trauma Overview)
Objective: 4
14) Which of the following statements about trauma is FALSE?
A) Life-threatening injuries may exist with little external evidence.
B) Dramatic-appearing extremity injuries draw the paramedic's focus away from life-
threatening injuries.
C) Life-threatening injury occurs in less than 10 percent of trauma patients.
D) Most patients with life-threatening trauma will have sustained external injury to the
extremities (arms/legs).
Answer: D
Diff: 2 Page Ref: 4
Standard: Trauma (Trauma Overview)
Objective: 2
15) The leading cause of death in people under age 44 is:
A) heart attack.
B) trauma.
C) cancer.
D) cardiovascular disease.
Answer: B
Diff: 2 Page Ref: 4
Standard: Trauma (Trauma Overview)
Objective: 2
16) Which of the following patients is NOT a candidate for air medical transport?
A) Combative trauma patient
B) Seriously injured patient with cardiac tamponade
C) Patient with prolonged extrication time
D) Burn patient with over 50 percent second-degree burns
Answer: A
Diff: 2 Page Ref: 11-12
Standard: Trauma (Trauma Overview)
Objective: 7
4
Copyright © 2017 Pearson Education, Inc.
Volume 4 Trauma Emergencies
Chapter 1 Trauma and Trauma Systems
1) The purpose of determining the mechanism of injury and the index of suspicion for the
trauma patient at the same time is to allow you to:
A) decide whether to transport the patient.
B) identify comorbid factors.
C) document a complete scene size-up.
D) anticipate your patient's injuries.
Answer: D
Diff: 2 Page Ref: 9-10
Standard: Trauma (Trauma Overview)
Objective: 7
2) Which of the following accounts for the highest number of trauma deaths in the United States
of America?
A) Motor vehicle crashes
B) Falls
C) Assaults
D) Firearms injuries
Answer: A
Diff: 2 Page Ref: 3
Standard: Trauma (Trauma Overview)
Objective: 2
3) Which of the following acts resulted in the development of modern EMS systems?
A) Ryan White Act
B) Highway Safety Act of 1966
C) Good Samaritan Act
D) The Trauma Care Systems Planning and Development Act of
1990 Answer: B
Diff: 2 Page Ref: 4
Standard: Trauma (Trauma Overview)
Objective: 8
4) In addition to handling all types of specialty trauma, which level of trauma center provides
continuing medical and public education programs?
A) IV
B) III
C) I
D) II
Answer: C
Diff: 2 Page Ref: 7-8
Standard: Trauma (Trauma Overview)
Objective: 4
1
Copyright © 2017 Pearson Education, Inc.
,5) Upon arriving on a scene where the mechanism of injury indicates a potentially life-
threatening injury, you should employ which of the following interventions to best help
deliver the care that is needed?
A) Reevaluate the scene size-up.
B) Initiate transport immediately, delaying more extensive care until you are en route.
C) Ask a surgeon to respond to the scene.
D) Call immediately for air medical transport to reduce the "Golden
Period." Answer: B
Diff: 2 Page Ref: 13
Standard: Trauma (Trauma Overview)
Objective: 7
6) Which of the following physical findings indicates the need for immediate transport?
A) Vital signs: systolic blood pressure 80, respiratory rate 8
B) Glasgow Coma Scale score of 15
C) Second-degree burns involving 9 percent of total body surface area in an adult patient
D) Fractured right femur
Answer: A
Diff: 2 Page Ref: 11-12
Standard: Trauma (Trauma Overview)
Objective: 7
7) Which of the following requires immediate transport to a trauma center?
A) A 40-year-old who fell 12 feet from a garage roof with a radius fracture
B) A 36-year-old woman in a motor vehicle crash who has a blood pressure of 100/60
C) A 22-year-old soccer player with lower leg pain
D) A 47-year-old involved in a motor vehicle crash that resulted in the death of his
passenger Answer: D
Diff: 2 Page Ref: 12
Standard: Trauma (Trauma Overview)
Objective: 7
8) As a paramedic, your role in trauma care consists of all of the following, EXCEPT:
A) providing rapid transport to appropriate facilities.
B) promoting injury prevention.
C) providing care to seriously injured trauma patients.
D) providing surgical interventions to stop
hemorrhage. Answer: D
Diff: 2 Page Ref: 3
Standard: Trauma (Trauma Overview)
Objective: 3
2
Copyright © 2017 Pearson Education, Inc.
,9) Trauma triage criteria application, field skill performance, response times, patient
assessment, patient care and transport are all monitored through which of the following?
A) Quality improvement
B) Trauma registry
C) Centers for Disease Control and Prevention
D) Public healthcare model
Answer: A
Diff: 2 Page Ref: 14
Standard: Trauma (Trauma Overview)
Objective: 8
10) Which of the following is the best definition of the Golden Period?
A) The ideal time it takes to assess a multi-system trauma patient
B) The ideal timeframe from time of injury until surgery
C) The ideal time from requesting a helicopter to it landing on scene
D) The ideal timeframe from call dispatch to arrival on scene
Answer: B
Diff: 2 Page Ref: 11
Standard: Trauma (Trauma Overview)
Objective: 1
11) Which of the following is NOT an example of trauma?
A) An abrasion to the knee
B) Chest pain
C) Cerebral contusion
D) A stab wound to the
abdomen Answer: B
Diff: 2 Page Ref: 3-4
Standard: Trauma (Trauma Overview)
Objective: 1
12) Establishment of educational programs and improved auto technology are examples of which
part of the public health model?
A) Surveillance
B) Risk identification
C) Intervention
D) Implementation
Answer: C
Diff: 2 Page Ref: 6
Standard: Trauma (Trauma Overview)
Objective: 3
3
Copyright © 2017 Pearson Education, Inc.
, 13) Which level of trauma facility has minimal surgical support but can stabilize
before transferring to a higher-level trauma facility?
A) III
B) II
C) IV
D) I
Answer: A
Diff: 2 Page Ref: 7-8
Standard: Trauma (Trauma Overview)
Objective: 4
14) Which of the following statements about trauma is FALSE?
A) Life-threatening injuries may exist with little external evidence.
B) Dramatic-appearing extremity injuries draw the paramedic's focus away from life-
threatening injuries.
C) Life-threatening injury occurs in less than 10 percent of trauma patients.
D) Most patients with life-threatening trauma will have sustained external injury to the
extremities (arms/legs).
Answer: D
Diff: 2 Page Ref: 4
Standard: Trauma (Trauma Overview)
Objective: 2
15) The leading cause of death in people under age 44 is:
A) heart attack.
B) trauma.
C) cancer.
D) cardiovascular disease.
Answer: B
Diff: 2 Page Ref: 4
Standard: Trauma (Trauma Overview)
Objective: 2
16) Which of the following patients is NOT a candidate for air medical transport?
A) Combative trauma patient
B) Seriously injured patient with cardiac tamponade
C) Patient with prolonged extrication time
D) Burn patient with over 50 percent second-degree burns
Answer: A
Diff: 2 Page Ref: 11-12
Standard: Trauma (Trauma Overview)
Objective: 7
4
Copyright © 2017 Pearson Education, Inc.
