WEST COAST EMT BLOCK 1 EXAM FOCUSED STANFORD NURSING QUESTIONS AND ANSWERS|VERIFIED ANSWERS|BRAND NEW DOCUMENT|A+ GRADED

layers of the blood vessels - Answer tunica intima (innermost layer), tunica media (middle and thickest layer), tunica externa (outer layer) 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. Direct trauma to the spinal column B. Secondary fall after the initial impact C. Lateral impact to the spine D. Energy transmission to the spine - Answer D. Energy transmission to the spine 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. inspect the helmet for cracks. B. obtain baseline vital signs C. stabilize her entire spine D. leave her bicycle helmet on - Answer C. stabilize her entire spine 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. Obtain baseline vital signs B. assess for an exit wound C. apply a cervical collar D. auscultate bowel sounds - Answer B. Assess for an exit wound 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 GCS score of less than or equal to 13 with a mechanism attributed to trauma. C. has a bleeding disorder or takes anticoagulant medications and has any blunt or penetrating injury. D. has a systolic blood pressure of less than 110 mm Hg or a heart rate greater than 110 beats/min. - Answer B. has a GCS score of less than or equal to 13 with a mechanism attributed to trauma. According to the Association of Air Medical Services, you should consider air medical transport of a trauma patient if: A. the patient requires advanced life support care and stabilization, and the nearest ALD-ground ambulance is more than 5 to 10 minutes away B. he or she was involved in a motor vehicle crash in which another occupant in the same vehicle was killed, even if your patients injuries are minor C. ground transport will take your ambulance out of service for an extended period of time, regardless of the severity of the patients injuries. D. traffic conditions hamper the ability to get the patient to a trauma center by ground within the ideal time frame for the best clinical outcome. - Answer D. traffic conditions hamper the ability to get the patient to a trauma center by ground within the ideal time frame for the best clinical outcome Approximately 25% of severe injuries to the aorta occur during: A. lateral collisions B. rear-end collisions C. rollover collisions D. frontal collisions - Answer A. lateral collisions 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 these signs and symptoms, you should be MOST concerned with the possibility of: A. intracranial bleeding. B. airway compromise C. spinal cord injury D. a fracture of the skull - Answer A. Intracranial bleeding Force acting over a distance is the definition of: A. work B. kinetic energy C. potential energy D. latent energy - Answer A. work The index of suspicion is MOST accurately defined as: A. your awareness and concern for potentially serious underlying illness B. the way in which traumatic injuries occur. C. the detection of less obvious life-threatening injuries D. a predictable patter that leads to serious injuries. - Answer A. your awareness and concern for potentially serious underlying injuries When assessing a patient who experienced a blast injury, it Is important to remember that: A. primary blast injuries are typically the most obvious B. secondary blast injuries are usually the least obvious C. solid organs usually rupture from the pressure wave D. primary blast injuries are the most easily overlooked - Answer D. primary best injuries are the most easily overlooked When assessing an elderly patient who fell, it is important to remember that: A. elderly patients who fall usually have a secondary head injury B. any fall in the elderly is considered to be high-energy trauma C. bilateral hip fractures usually occur when an elderly person falls. D. osteoporosis can cause a fracture as a result from a fall from a standing position. - Answer D. osteoporosis can cause a fracture as a result from a fall from a standing position When the speed of a motor-vehicle doubles, the amount of kinetic energy: A. quadruples B. triples C. is not affected D. doubles - Answer A. quadruples Which of the following destinations is most appropriate for a 41-year-old male patient who was involves in a rollover motor vehicle collision and is unconscious and unresponsive, assuming that travel time to each is equal? A. only a level 1 trauma center B. A level I or II trauma center C. A level IV or level III trauma center D. any designated trauma center is acceptable - Answer B. a level I or level II trauma center Which of the following findings would be LEAST suggestive of the presence of high-energy trauma? A. intrusion into the vehicle B. deployment of the airbag C. dismounted seats D. steering wheel deformity - Answer B. deployment of the airbag Which of the following injuries would MOST likely occur as a direct result of the third collision in a motor vehicle crash? A. Extremity fractures B. forehead lacerations C. aortic rupture D. flail chest - Answer C. aortic rupture Which of the following interventions is the MOST critical to the outcome of a patient with multi system trauma? A. elevation of the lower extremities B. Rapid transport to a trauma center C. Early administration of oxygen D. intravenous fluid administration - Answer B. rapid transport to a trauma center Which of the following regarding gunshot wounds is correct? A. Low-velocity bullets will cause the greatest amount of trauma. B. high-velocity bullets will cause less severe internal injuries C. the speed of a bullet has the greatest impact on the injury produced D. the size of a bullet has the greatest impact on the injury produced - Answer C. the speed of the bullet has the greatest impact on the injury produced Which types of motor vehicle collisions present the greatest potential for multiple impacts? A. lateral and rollover B. frontal and rotational C. rear-end and rotational D. rotational and rollover - Answer D. rotational and rollover While en route to a major 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 airbag deployed. On the basis of this information, you should be MOST suspicious that the child has experienced: A. lower extremity fractures B. open abdominal trauma C. neck and facial injuries D. blunt trauma to the head - Answer C. neck and facial injuries Your patient has a Glasgow Comma 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: A. 10 B. 8 C. 9 D. 11 - Answer C. 9 Which of the following is considered a type of motor vehicle collision? A. crush B. ejection C. rollover D. penetration - Answer D. penetration Which of the following injuries would MOST likely occur as a direct result of the third motor vehicle crash? A. flail chest B. aortic rupture C. forehead lacerations D. Extremity fractures - Answer B. aortic rupture 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 these signs and symptoms, you should be MOST concerned with the possibility of: A. spinal cord injury B. a fracture of the skull C. airway compromise D. intracranial bleeding - Answer D. intracranial bleeding While 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: A. lower extremity fractures B. neck and facial injuries C. blunt trauma to the head D. open abdominal trauma - Answer B. neck and facial injuries A young boy was riding his bicycle down the street when he hit a parked car. What was the second collision? A. The bike rider hitting his bike or the car B. The bike hitting the car C. The bike rider's internal organs striking the solid structures of the body D. The bike rider striking the pavement - Answer A. the bike ride hitting his bike or the car 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. has a bleeding disorder or takes anticoagulant medications and has any blunt or penetrating injury C. has a GCS score of less than or equal to 13 with a mechanism attributed to trauma D. was involved in a motor vehicle crash in which another patient in the same vehicle was killed - Answer C. has a GCS score of less than or equal to 13 with a mechanism attributed to trauma A patient complains of chest tightness, coughing up blood, and subcutaneous emphysema following an explosions may be suffering from a : A. pulmonary blast injury B. ruptured tympanic membrane C. myocardial blast injury D. ruptured peritoneal cavity - Answer A. pulmonary blast injury...