Trauma Quiz 1

Much of a EMT's impression regarding a trauma patient is determined by the:

Your answer:
access factor
mechanism of injury
determination of event
index of suspicion

An injury caused by the collision of an object with the body in which the object does not enter the body is called a(n):

Your answer:
penetrating trauma
internal injury
blunt trauma
closed injury

A medical facility that commits resources to address the most common trauma emergencies with surgical capability available 24 hours a day, 7 days a week, is classified as a:

Your answer:
Level II trauma center
Level IV trauma center
Level III trauma center
Level I trauma center

Shock is best defined as:

Your answer:
an abnormal internal or external discharge of blood
the inability of the tissue to live without oxygen
loss of blood due to hemorrhage
a state of inadequate tissue perfusion

In IV fluid replacement in hypovolemia, using a crystalloid fluid, the best fluid to use would be:

Your answer:
D5W
normal saline
any isotonic solution
any hypertonic solution

Crystalloid fluid replacement is done at what ratio of IV solution to volume loss?

Your answer:
2:1
3:1
4:1
1:1

If you get a positive result from a "halo" test, your patient:

Your answer:
probably has a severe neurological deficit
probably has a ruptured spleen
probably has a basilar skull fracture
probably has a dissecting aneurysm

Entrance GSW may be smaller than the bullets actual diameter due to:

Your answer:
bullet velocity
kinetic energy release
cavitation
skin elasticity

A relative contraindication to endotracheal intubation in a trauma patient would be:

Your answer:
flail chest
absent breath sounds on either side
apnea
penetrating wound above the clavicles

Force=Mass (weight) * Acceleration (or deceleration) is often seen at collision induced injuries. This formula is also known as:

Your answer:
Therory of Relativity
Newton's Second Law of Motion
Terminal Velocity
Inertia

Newton's First Law of Motion is best described as:

Your answer:
a body in motion will remain in motion unless acted upon by an outside force
all bleeding stops eventually
if the car stops, objects inside continue to travel at the same speed
a wound or injury caused by violent outside force

The term exsanguination most likely means:

Your answer:
organ implosion
to bleed out
a life threatening arterial bleed
internal hemorrhage

All of the following are types of motor vehicle impacts EXCEPT:

Your answer:
lateral
frontal
ejection
rollover

The crumple zone is a feature:

Your answer:
is a region of motor vehicle designed to absorb impact
the area effected the most during air bag deployment
is the injured area of the spine during axial loading injuries
guardrail production designed to slow motor vehicles down at impact

All of the following are part of an explosion EXCEPT:

Your answer:
structural collapse
pressure wave
atomization
burns

Which of the following types of penetrating trauma are most likely to be extremely serious and cause the most damage:

Your answer:
.72 caliber 12 gauge 1 ounce shotgun slug fired from 25 meters
.22 caliber hollowpoint rim fire round
.45 caliber pistol bullet traveling at 880 feet per second (fps)
.223 rifle bullet traveling at 1660 fps

90% of penetrating trauma deaths result from penetration of the following:

Your answer:
splenas, cranial vault, mediastinum
head, thorax, abdomen
thorax
lower abdominal quadrants

Aggregate, when related to the clotting process, means:

Your answer:
to bleed in minute amounts
the total amount of bleeding in millileters
when platelets ashere to vessel walls and each other
to cluster or come together

As an EMT, control of an arterial bleed is best performed by:

Your answer:
cryogenically
your EMT partner
fasciotomy
direct pressure

In an average 70 kg adult male, there are how many liters of blood (average)?

Your answer:
61
31
41
51

Pulse pressure is best defined as:

Your answer:
the top number
the pressure exerted on the blood vessel walls during systole
the difference between the systolic and diastolic blood pressure
the bottom number

Orthostatic hypotension is best defined as:

Your answer:
decrease in blood pressure due a pelvic or other large bone fracture
decrease in blood pressure when moving from a supine to sitting or supine to standing position
decrease in blood pressure secondary to hypertension
decrease in blood pressure secondary to hematochezia

The arterial pulse point located on the posterior aspect of the patella, between the lateral malleolus and the distal femur is called the:

Your answer:
popliteal
pedis dorsalis
posterior tibialis
nota sureum due to lack of studium

A patient could lose up to _________ ml of blood if they have a fractured pelvis and bilateral femur fractures:

Your answer:
3000 ml
4000 ml
5000 ml
2000 ml

Certain types of receptors, located in the aortic arch and in the carotid sinuses, monitor the arterial blood pressure and send signals to the medulla. These are called:

Your answer:
vagal inhibitory receptors
baroreceptors
chemoreceptors
cadioinhibitory Receptors

The three stages of shock are:

Your answer:
compensated, decompensated, irreversible
pensive, predictable, not reversible
atomspheric, hydrostatic, reversible
compensated, noncompenstate, irreversible

The following are general types of shock you will likely see as an EMT:

Your answer:
hypovolemic, distributive, obstructive, cardiogenic, respiratory, neurogenic
hypovolemic, anaphylactic, obstructive, cardiogenic, respiratory, hepatospyrogenetic
hypovolemic, distributive, tuluremic, cardiogenic, septic, neurogenic
hypovolemic, distributive, obstructive, cardiogenic, respiratory, neutrophilic

You would perform a rapid trauma assessment on:

Your answer:
injuries that are not life-threatening
patients with pulse rates that are too slow or too fast
every trauma patient
patients with significant MOI or signs of shock or serious injury

All of the following are absolute contraindications for the use of the PASG EXCEPT:

Your answer:
pulmonary edema
cardiogenic shock
head injury
penetrating thoracic trauma

Using the Rule of Nines, estimate the BSA burned if a 2 year old pulled a pan of boiling liquid off from the stove and burned his entire head (front and back) and the anterior portion of his chest:

Your answer:
36%
42%
18%
27%