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Which of the following statements regarding signs of intraabdominal injury is NOT true?
A. Fresh blood in the abdominal cavity does not cause signs of peritonitis
B. A significant amount of blood loss occurs before abdominal distention can be noticed
C. Substantial intraabdominal hemorrhage always causes tenderness and abdominal rigidity
D. Signs and symptoms of shock greater than can be explained by other injuries is a reliable
indicator of intraabdominal injury - answer-:C. Substantial intraabdominal hemorrhage always
causes tenderness and abdominal rigidity
Which of the following assessment techniques is least useful in the prehospital assessment of
the patient with suspected intraabdominal trauma?
A. Palpation
B. Auscultation
C. Inspection
D. Scene assessment - answer-:B. Auscultation
Pregnant trauma patients should be placed on the left side because:
,A. This prevents seizures due to eclampsia
B. This prevents abruption of the placenta
C. This prevents compression of the vena cava
D. This is the best way to auscultate fetal heart tones - answer-:C. This prevents compression of
the vena cava
Survival of the fetus in a trauma situation is most dependent upon which of the following
factors?
A. Gestational age of the fetus
B. Prenatal care
C. Immediate cesarean section
D. Good resuscitation of the mother - answer-:D. Good resuscitation of the mother
A patient struck in the back of the head with a baseball bat may sustain a cerebral contusion to
which area of the brain?
A. Frontal and occipital
B. Occipital
C. Parietal
D. Frontal - answer-:B. Occipital
(probably too low velocity for Coup & Contre Coup)
In the context of the caring for an adult patient with traumatic brain injury who is deteriorating
and exhibiting signs of herniation, hyperventilation means ventilating with a BVM and 100%
oxygen at a rate of:
,A. 12 to 16 per minute
B. 32 to 40 per minute
C. 8 to 12 per minute
D. 20 per minute - answer-:D. 20
In the United State, which of the following mechanisms most frequently causes spinal cord
injury in adults?
A. Shallow water diving
B. Vehicle crashes
C. Falls
D. Pedestrian struck by a vehicle - answer-:B. Vehicle crashes
Which of the following presentation indicate spinal cord injury?
A. Complete loss of sensory and motor function below the site of injury
B. Weakness and parethesia in the upper extremities, but normal function in the lower
extremities
C. Complete loss of function on one side of the body and loss of pain and temperature sensation
on the opposite side
D. All of the above - answer-:D. All of the above
Of the following, which is the earliest indication of compartment syndrome?
A. Paralysis of the affected muscles
B. Loss of pulses
, C. Loss of feeling in the web space between the thumb and index finger or between the first and
second toes
D. Tense swelling of the involved area - answer-:D. Tense swelling of the involved area
A traction splint may be used for which of the following injuries?
A. Knee dislocation
B. Pelvic fractures
C. Femur fractures
D. All of the above - answer-:C. Femur fractures
Which of the following descriptions meets the criteria for transport to a facility with a burn
unit?
A. A 49 year old female with a partial thickness burn from her elbow to her shoulder
B. A 25 year old male with an electrical burn across his chest
C. A 9 year old make with superficial burns on the backs of both legs
D. A 32 year old female with a partial thickness burn about twice the size of her hand on her
back - answer-:B. A 25 year old male with an electrical burn across his chest
The preferred method of dressing burns in the prehospital setting is:
A. Dry sterile dressing
B. Moist sterile dressing
C. Wet dressings
D. Petroleum gauze - answer-:A. Dry sterile dressing