West Coast Emt JBL Questions with Verified Answers

A driver involved in a rollover motor vehicle crash will MOST likely experience serious injuries or death if he or she: A. experiences multiple impacts B. is wearing only a lap belt C. is ejected or partially ejected D. remains within the vehicle - ANSWERSC. is ejected or partially ejected 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. was involved in a motor vehicle crash in which another patient in the same vehicle was killed B. has a bleeding disorder or takes anticoagulant medications and has any blunt or penetrating injury C. has a systolic blood pressure of less than 110 mm Hg or a heart rate greater than 110 beats/min D. has a GCS score of less than or equal to 13 with a mechanism attributed to trauma - ANSWERSD. has a GCS score of less than or equal to 13 with a mechanism attributed to trauma Airbags are designed to: A. decrease the severity of deceleration injuries B. prevent the driver from sustaining head trauma C. prevent a second collision inside the car D. be used with or without a shoulder harness - ANSWERSA. decrease the severity of deceleration injuries Evaluation of the interior of a crashed motor vehicle during extrication will allow the EMT to: A. determine the vehicles speed at the time of impact B. identify contact points and predict potential injuries C. recognize if the driver hit the brakes before impact D. assess the severity of the third collision of the crash - ANSWERSB. identify contact points and predict potential injuries Factors that should be considered when assessing a patient who has fallen include all of the following, EXCEPT: A. the speed of the fall B. the surface struck C. the height of the fall D. the primary impact point - ANSWERSA. the speed of the fall Force acting over a distance is the definition of: A. latent energy B. work C. kinetic energy D. potential energy - ANSWERSB. work If one or more occupants in the same vehicle are killed in a crash, the EMT should: A. transport the survivors only if they have injuries or complain of pain B. suspect that all living occupants experienced the same serious trauma C. allow the survivors to refuse transport if they have no obvious injuries D. rapidly assess only the survivors who have experienced obvious trauma - ANSWERSB. suspect that all living occupants experienced the same serious trauma In contrast to a Level lll trauma center, a level l trauma center must: A. have access to an emergency physician within 30 minutes B. be able to stabilize patients before transferring to a higher level facility C. have general surgeons in-house 24 hours a day D. be involved in trauma prevention programs - ANSWERSC. have general surgeons in-house 24 hours a day Internal injuries caused by gunshot wounds are difficult to predict because: A. exit wounds caused by the bullet are usually small B. the area of damage is usually smaller than the bullet C. the caliber of the bullet is frequently unknown D. the bullet may tumble or ricochet within the body - ANSWERSD. the bullet may tumble or ricochet within the body Signs of a pulmonary blast injury include: A. coughing up blood B. multiple rib fractures C. an irregular pulse D. vomiting blood - ANSWERSA. coughing up blood The energy of a moving object is called: A. converted energy B. kinetic energy C. potential energy D. latent energy - ANSWERSB. kinetic energy The index of suspicion is MOST accurately defined as: A. the detection of less obvious life threatening injuries B. your awareness and concern for potentially serious underlying injuries C. the way in which traumatic injuries occur D. a predictable pattern that leads to serious injuries - ANSWERSB. your awareness and concern for potentially serious underlying injuries The phenomenon of pressure waves emanating from the bullet, causing damage remote from its path, is known as: A. capitation B. congruent C. cavitation D. conversion - ANSWERSC. cavitation When assessing an elderly patient who fell, it is important to remember that: A. osteoporosis can cause a fracture as a result of a fall from a standing position B. bilateral hip fractures usually occur when an elderly person falls C. any fall in the elderly is considered to be high-energy trauma D. elderly patients who fall usually have a secondary head injury - ANSWERSA. osteoporosis can cause a fracture as a result of a fall from a standing position When assessing the interior of a crashed motor vehicle for damage, you are gathering information regarding the: A. kinetic energy B. potential energy C. mechanism of injury D. index of suspicion - ANSWERSC. mechanism of injury When the speed of a motor vehicle doubles, the amount of kinetic energy: A. is not affected B. triples C. quadruples D. doubles - ANSWERSC. quadruples When treating a patient who experienced a pulmonary blast injury, you should: A. use a demand valve to ventilate the patient B. suspect an accompanying cardiac tamponade C. avoid giving oxygen under positive pressure D. administer large amounts of intravenous fluid - ANSWERSC. avoid giving oxygen under positive pressure Which of the following findings would be LEAST suggestive of the presence of high-energy trauma? A. steering wheel collapse B. dismounted seats C. deployment of the airbag D. intrusion into the vehicle - ANSWERSC. deployment of the airbag Which of the following interventions is the MOST critical to the outcome of a patient with multi-system trauma? A. rapid transport to a trauma center B. elevation of the lower extremities C. intravenous fluid administration D. early administration of oxygen - ANSWERSA. rapid transport to a trauma center Which of the following would MOST likely occur as the direct result of the second collision in a motor vehicle crash? A. Intrathoracic hemorrhage B. caved-in passenger door C. deformed steering wheel D. collapsed dashboard - ANSWERSC. deformed steering wheel A fractured femur can result in the loss of _____ or more of blood into the soft tissues of the thigh. A. 2 L B. 250 mL C. 1 L D. 500 mL - ANSWERSC. 1 L An organ or tissue might better resist damage from hypoperfusion if the: A. body's temperature is considerably less than 98.6 degrees F (37.0 degrees celsius) B. heart rate is maintained at more than 100 beats/min C. body's demand for oxygen is markedly increased D. systolic arterial blood pressure is at least 60mm Hg - ANSWERSA. body's temperature is considerably less than 98.6 degrees F (37.0 degrees celsius)