DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS)
2025
The displacement of tissue away from the path of a projectile, both temporarily and permanently, is k
nown as:
A. Conization
B. Cavitation
C. Crepitation
D. Contusion - correct answer-B. Cavitation
The single most important factor in determining the potential for injury due to energy exchange is:
A. Mass of the bodies involved
B. Velocity of the bodies involved
C. Density of the tissues involved
D. Surface area of the impact involved - correct answer-B. Velocity of the bodies involved
In the management of shock, isotonic crystalloid solutions, such as Ringer's, are preferred because:
A. The protein molecules in crystalloid solutions act as volume expanders
B. These fluids draw interstitial fluid into the vascular space to enhance volume
C. These solutions will stay in the vascular space longer than water solutions, such as D5W
D. Their pH enhance oxygen delivery to the tissues - correct answer-
C. These solutions will stay in the vascular space longer than water solutions, such as D5W
With respect to the distance of a fall, which of the following is a guideline for determining a critical fal
l?
,A. 3 times the height of the patient
B. 2 times the height of the patient
C. 5 times the height of the patient
D. 1 ½ times the height of the patient - correct answer-A. 3 times the height of the patient
The phase of an explosion, or blast, in which hollow organs are squeezed and may rupture is called th
e phase.
A. Tertiary phase
B. Quaternary phase
C. Secondary phase
D. Primary phase - correct answer-D. Primary phase
During the primary survey and management of a trauma patient, the E in ABCDE stands for
_?
A. Edema
B. Eyes & ears
C. Expose/Environment
D. Electrical therapy - correct answer-C. Expose/Environment
The time in which surgical intervention can make a difference in patient outcome is the ?
A. Golden period
B. Golden time
C. Golden era
D. Golden minutes - correct answer-A. Golden period (hour)
, In the absence of extenuating circumstances, the maximum amount of time it should take to identify a
nd manage immediate threats to life, prepare the patient for transport and begin transport is
?
A. 5 minutes
B. 10 minutes
C. 15 minutes
D. 30 minutes - correct answer-B. 10 minutes
In which of the following situations is the use of a short spinal immobilization device indicated?
A. 28 year old male, unrestrained driver in a frontal impact crash. Awake, asks repeatedly what happe
ned, complains of a headache, has a hematoma on his forehead. BP 122/84, HR 92, VR 20.
B. 40 year old female who was pushed down a flight of stairs and is lying prone on the landing betwe
en two flights of stairs, complaining of back pain. BP 118/78, HR 100, VR 20.
C. 17 year old female, restrained driver in a frontal impact crash. Awake, pale and diaphoretic, complai
ns of upper right quadrant abdominal pain. BP 100/70, HR 108, VR 20. D. None of the above -
correct answer-D. None of the above
Your patient is a 32 year old man, restrained driver of a vehicle that has been involved in a frontal imp
act with a concrete bridge abutment. The patient is awake, but has difficulty answering questions due
to shortness of breath. His ventilatory rate is 30 per minute. Of the following choices, when is the first
time the patient's breath sounds should be checked?
A. As soon as he is removed from the vehicle
B. Prior to being removed from the vehicle
C. As soon as he is immobilized on a long backboard
D. Enroute to the trauma center - correct answer-B. Prior to being removed from the vehicle
Which of the following represents adequate spontaneous ventilation in an adult?
A. Tidal volume 100 mL, ventilatory rate 40/minute
RATIONALES (VERIFIED ANSWERS)
2025
The displacement of tissue away from the path of a projectile, both temporarily and permanently, is k
nown as:
A. Conization
B. Cavitation
C. Crepitation
D. Contusion - correct answer-B. Cavitation
The single most important factor in determining the potential for injury due to energy exchange is:
A. Mass of the bodies involved
B. Velocity of the bodies involved
C. Density of the tissues involved
D. Surface area of the impact involved - correct answer-B. Velocity of the bodies involved
In the management of shock, isotonic crystalloid solutions, such as Ringer's, are preferred because:
A. The protein molecules in crystalloid solutions act as volume expanders
B. These fluids draw interstitial fluid into the vascular space to enhance volume
C. These solutions will stay in the vascular space longer than water solutions, such as D5W
D. Their pH enhance oxygen delivery to the tissues - correct answer-
C. These solutions will stay in the vascular space longer than water solutions, such as D5W
With respect to the distance of a fall, which of the following is a guideline for determining a critical fal
l?
,A. 3 times the height of the patient
B. 2 times the height of the patient
C. 5 times the height of the patient
D. 1 ½ times the height of the patient - correct answer-A. 3 times the height of the patient
The phase of an explosion, or blast, in which hollow organs are squeezed and may rupture is called th
e phase.
A. Tertiary phase
B. Quaternary phase
C. Secondary phase
D. Primary phase - correct answer-D. Primary phase
During the primary survey and management of a trauma patient, the E in ABCDE stands for
_?
A. Edema
B. Eyes & ears
C. Expose/Environment
D. Electrical therapy - correct answer-C. Expose/Environment
The time in which surgical intervention can make a difference in patient outcome is the ?
A. Golden period
B. Golden time
C. Golden era
D. Golden minutes - correct answer-A. Golden period (hour)
, In the absence of extenuating circumstances, the maximum amount of time it should take to identify a
nd manage immediate threats to life, prepare the patient for transport and begin transport is
?
A. 5 minutes
B. 10 minutes
C. 15 minutes
D. 30 minutes - correct answer-B. 10 minutes
In which of the following situations is the use of a short spinal immobilization device indicated?
A. 28 year old male, unrestrained driver in a frontal impact crash. Awake, asks repeatedly what happe
ned, complains of a headache, has a hematoma on his forehead. BP 122/84, HR 92, VR 20.
B. 40 year old female who was pushed down a flight of stairs and is lying prone on the landing betwe
en two flights of stairs, complaining of back pain. BP 118/78, HR 100, VR 20.
C. 17 year old female, restrained driver in a frontal impact crash. Awake, pale and diaphoretic, complai
ns of upper right quadrant abdominal pain. BP 100/70, HR 108, VR 20. D. None of the above -
correct answer-D. None of the above
Your patient is a 32 year old man, restrained driver of a vehicle that has been involved in a frontal imp
act with a concrete bridge abutment. The patient is awake, but has difficulty answering questions due
to shortness of breath. His ventilatory rate is 30 per minute. Of the following choices, when is the first
time the patient's breath sounds should be checked?
A. As soon as he is removed from the vehicle
B. Prior to being removed from the vehicle
C. As soon as he is immobilized on a long backboard
D. Enroute to the trauma center - correct answer-B. Prior to being removed from the vehicle
Which of the following represents adequate spontaneous ventilation in an adult?
A. Tidal volume 100 mL, ventilatory rate 40/minute
