AAOS EMT Eleventh Edition Section 7:
Trauma UPDATED Questions and
CORRECT Answers
Which of the following destinations is most appropriate for a 41-year-old male patient who was
involved in a rollover motor vehicle collision and is unconscious and unresponsive, assuming
that travel times to each is equal? - CORRECT ANSWER - A Level I or Level II trauma
center
The index of suspicion is MOST accurately defined as: - CORRECT ANSWER - your
awareness and concern for potentially serious underlying injuries.
Force acting over a distance is the definition of: - CORRECT ANSWER - work.
Which of the following statements regarding gunshot wounds is correct? - CORRECT
ANSWER - The speed of a bullet has the greatest impact on the injury produced.
Which types of motor vehicle collisions present the greatest potential for multiple impacts? -
CORRECT ANSWER - Rotational and rollover
Which of the following findings would be LEAST suggestive of the presence of high-energy
trauma? - CORRECT ANSWER - Deployment of the air bag
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: - CORRECT ANSWER - neck
and facial injuries.
Approximately 25% of severe injuries to the aorta occur during: - CORRECT ANSWER -
lateral collisions.
,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: - CORRECT
ANSWER - stabilize her entire spine.
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? - CORRECT ANSWER - Energy transmission to the spine
When assessing an elderly patient who fell, it is important to remember that: - CORRECT
ANSWER - osteoporosis can cause a fracture as a result of a fall from a standing position.
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: -
CORRECT ANSWER - assess for an exit wound.
When assessing a patient who experienced a blast injury, it is important to remember that: -
CORRECT ANSWER - primary blast injuries are the most easily overlooked.
Which of the following interventions is the MOST critical to the outcome of a patient with
multisystem trauma? - CORRECT ANSWER - Rapid transport to a trauma center
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: - CORRECT ANSWER - intracranial bleeding.
According to the Association of Air Medical Services, you should consider air medical transport
of a trauma patient if: - CORRECT ANSWER - 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.
,Your patient has a Glasgow Coma 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: - CORRECT
ANSWER - 9.
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: -
CORRECT ANSWER - has a GCS score of less than or equal to 13 with a mechanism
attributed to trauma.
When the speed of a motor vehicle doubles, the amount of kinetic energy: - CORRECT
ANSWER - quadruples.
Which of the following injuries would MOST likely occur as a direct result of the third collision
in a motor vehicle crash? - CORRECT ANSWER - Aortic rupture
When a motor vehicle strikes a tree while traveling at 40 mph, the unrestrained occupant: -
CORRECT ANSWER - remains in motion until acted upon by an external force.
By what mechanism is a person injured when he or she falls from a significant height? -
CORRECT ANSWER - Potential energy is converted to kinetic energy; the kinetic energy
is then converted into the work of bringing the body to a stop.
Which of the following would MOST likely occur as the direct result of the second collision in a
motor vehicle crash? - CORRECT ANSWER - Deformed steering wheel
If one or more occupants in the same vehicle are killed in a crash, the EMT should: - CORRECT
ANSWER - suspect that all living occupants experienced the same serious trauma.
Air bags are designed to: - CORRECT ANSWER - decrease the severity of deceleration
injuries.
, When caring for an occupant inside a motor vehicle equipped with an air bag that did not deploy
upon impact, you should: - CORRECT ANSWER - remember that it could still deploy and
seriously injure you.
The cervical spine is MOST protected from whiplash-type injuries when the: - CORRECT
ANSWER - headrest is appropriately positioned.
A driver involved in a rollover motor vehicle crash will MOST likely experience serious injuries
or death if he or she: - CORRECT ANSWER - is ejected or partially ejected.
The phenomenon of pressure waves emanating from the bullet, causing damage remote from its
path, is known as: - CORRECT ANSWER - coughing up blood.
Awareness of and concern for potentially serious obvious and underlying injuries is referred to as
the: - CORRECT ANSWER - index of suspicion.
Which of the following is considered a type of motor vehicle collision? - CORRECT
ANSWER - Rollover
Significant clues to the possibility of severe injuries in motor vehicle collisions include: -
CORRECT ANSWER - death of a passenger.
A fall from more than _____ times the patient's height is considered to be significant. -
CORRECT ANSWER - three
A young boy was riding his bicycle down the street when he hit a parked car. What was the
second collision? - CORRECT ANSWER - The bike rider hitting his bike or the car
A patient complaining of chest tightness, coughing up blood, and subcutaneous emphysema
following an explosion may be suffering from a: - CORRECT ANSWER - pulmonary
blast injury.
Trauma UPDATED Questions and
CORRECT Answers
Which of the following destinations is most appropriate for a 41-year-old male patient who was
involved in a rollover motor vehicle collision and is unconscious and unresponsive, assuming
that travel times to each is equal? - CORRECT ANSWER - A Level I or Level II trauma
center
The index of suspicion is MOST accurately defined as: - CORRECT ANSWER - your
awareness and concern for potentially serious underlying injuries.
Force acting over a distance is the definition of: - CORRECT ANSWER - work.
Which of the following statements regarding gunshot wounds is correct? - CORRECT
ANSWER - The speed of a bullet has the greatest impact on the injury produced.
Which types of motor vehicle collisions present the greatest potential for multiple impacts? -
CORRECT ANSWER - Rotational and rollover
Which of the following findings would be LEAST suggestive of the presence of high-energy
trauma? - CORRECT ANSWER - Deployment of the air bag
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: - CORRECT ANSWER - neck
and facial injuries.
Approximately 25% of severe injuries to the aorta occur during: - CORRECT ANSWER -
lateral collisions.
,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: - CORRECT
ANSWER - stabilize her entire spine.
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? - CORRECT ANSWER - Energy transmission to the spine
When assessing an elderly patient who fell, it is important to remember that: - CORRECT
ANSWER - osteoporosis can cause a fracture as a result of a fall from a standing position.
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: -
CORRECT ANSWER - assess for an exit wound.
When assessing a patient who experienced a blast injury, it is important to remember that: -
CORRECT ANSWER - primary blast injuries are the most easily overlooked.
Which of the following interventions is the MOST critical to the outcome of a patient with
multisystem trauma? - CORRECT ANSWER - Rapid transport to a trauma center
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: - CORRECT ANSWER - intracranial bleeding.
According to the Association of Air Medical Services, you should consider air medical transport
of a trauma patient if: - CORRECT ANSWER - 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.
,Your patient has a Glasgow Coma 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: - CORRECT
ANSWER - 9.
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: -
CORRECT ANSWER - has a GCS score of less than or equal to 13 with a mechanism
attributed to trauma.
When the speed of a motor vehicle doubles, the amount of kinetic energy: - CORRECT
ANSWER - quadruples.
Which of the following injuries would MOST likely occur as a direct result of the third collision
in a motor vehicle crash? - CORRECT ANSWER - Aortic rupture
When a motor vehicle strikes a tree while traveling at 40 mph, the unrestrained occupant: -
CORRECT ANSWER - remains in motion until acted upon by an external force.
By what mechanism is a person injured when he or she falls from a significant height? -
CORRECT ANSWER - Potential energy is converted to kinetic energy; the kinetic energy
is then converted into the work of bringing the body to a stop.
Which of the following would MOST likely occur as the direct result of the second collision in a
motor vehicle crash? - CORRECT ANSWER - Deformed steering wheel
If one or more occupants in the same vehicle are killed in a crash, the EMT should: - CORRECT
ANSWER - suspect that all living occupants experienced the same serious trauma.
Air bags are designed to: - CORRECT ANSWER - decrease the severity of deceleration
injuries.
, When caring for an occupant inside a motor vehicle equipped with an air bag that did not deploy
upon impact, you should: - CORRECT ANSWER - remember that it could still deploy and
seriously injure you.
The cervical spine is MOST protected from whiplash-type injuries when the: - CORRECT
ANSWER - headrest is appropriately positioned.
A driver involved in a rollover motor vehicle crash will MOST likely experience serious injuries
or death if he or she: - CORRECT ANSWER - is ejected or partially ejected.
The phenomenon of pressure waves emanating from the bullet, causing damage remote from its
path, is known as: - CORRECT ANSWER - coughing up blood.
Awareness of and concern for potentially serious obvious and underlying injuries is referred to as
the: - CORRECT ANSWER - index of suspicion.
Which of the following is considered a type of motor vehicle collision? - CORRECT
ANSWER - Rollover
Significant clues to the possibility of severe injuries in motor vehicle collisions include: -
CORRECT ANSWER - death of a passenger.
A fall from more than _____ times the patient's height is considered to be significant. -
CORRECT ANSWER - three
A young boy was riding his bicycle down the street when he hit a parked car. What was the
second collision? - CORRECT ANSWER - The bike rider hitting his bike or the car
A patient complaining of chest tightness, coughing up blood, and subcutaneous emphysema
following an explosion may be suffering from a: - CORRECT ANSWER - pulmonary
blast injury.
