Chapter 25 - Test Bank PDF

Import Settings: Base Settings: Brownstone Default Information Field: Complexity Information Field: Ahead Information Field: Subject Information Field: Title Information Field: Feedback Information Field: Taxonomy Information Field: Objective Highest Answer Letter: D Multiple Keywords in S...

Import Settings: Base Settings: Brownstone Default Information Field: Complexity Information Field: Ahead Information Field: Subject Information Field: Title Information Field: Feedback Information Field: Taxonomy Information Field: Objective Highest Answer Letter: D Multiple Keywords in Same Paragraph: No NAS ISBN13: 9781284243789, add to Ahead, Title tags **Chapter: Chapter 25 - Test Bank** **Multiple Choice** 1\. Which of the following statements regarding gunshot wounds is correct? A\) High-velocity bullets will cause less severe internal injuries. B\) The size of a bullet has the greatest impact on the injury produced. C\) Low-velocity bullets will cause the greatest amount of trauma. D\) The speed of a bullet has the greatest impact on the injury produced. Ans: D Complexity: Moderate Ahead: Energy and Trauma Subject: Chapter 25, Page 902 Title: Trauma Overview Feedback: See Energy and Trauma Taxonomy: Recall Objective: 25-2 Explain the relationship of the MOI to potential energy, kinetic energy, and work. 2\. Two of the MOST common mechanisms of injury for blunt trauma are: A\) falls and motor vehicle collisions. B\) low-caliber gunshot wounds and falls. C\) gunshot wounds and vehicle ejections. D\) motor vehicle collisions and stabbings. Ans: A Complexity: Easy Ahead: Blunt Trauma Subject: Chapter 25, Page 904 Title: Trauma Overview Feedback: See Blunt Trauma Taxonomy: Recall Objective: 25-3 Provide examples of the MOI that would cause blunt and penetrating trauma to occur. 3\. Which of the following is NOT one of the three types of collisions in a typical impact in a motor vehicular crash? A\) Collision of the passenger against the in­terior of the car B\) Collision of the internal organs against the body's solid structures C\) Collision of two passenger bodies within the same vehicle D\) Collision of a car against another car, a tree, or another object Ans: C Complexity: Moderate Ahead: Blunt Trauma Subject: Chapter 25, Page 904 Title: Trauma Overview Feedback: See Blunt Trauma Taxonomy: Analysis Objective: 25-4 Describe the five types of motor vehicle crashes, the injury patterns associated with each one, and how each relates to the index of suspicion of life-threatening injuries. 4\. Which of the following injuries would MOST likely occur as a direct result of the third collision in a motor vehicle crash? A\) Flail chest B\) Aortic rupture C\) Extremity fractures D\) Forehead lacerations Ans: B Complexity: Moderate Ahead: Blunt Trauma Subject: Chapter 25, Page 905 Title: Trauma Overview Feedback: See Blunt Trauma Taxonomy: Recall Objective: 25-4 Describe the five types of motor vehicle crashes, the injury patterns associated with each one, and how each relates to the index of suspicion of life-threatening injuries. 5\. When a driver is in a car equipped with an airbag, but is not wearing a seatbelt, he or she will MOST likely strike the \_\_\_\_\_\_\_\_\_\_ when the airbag deploys upon impact. A\) door B\) dashboard C\) windshield D\) steering wheel Ans: A Complexity: Moderate Ahead: Blunt Trauma Subject: Chapter 25, Page 908 Title: Trauma Overview Feedback: See Blunt Trauma Taxonomy: Recall Objective: 25-4 Describe the five types of motor vehicle crashes, the injury patterns associated with each one, and how each relates to the index of suspicion of life-threatening injuries. 6\. 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 airbag deployed. On the basis of this information, you should be MOST suspicious that the child has experienced: A\) open abdominal trauma. B\) neck and facial injuries. C\) blunt trauma to the head. D\) lower extremity fractures. Ans: B Complexity: Moderate Ahead: Blunt Trauma Subject: Chapter 25, Page 908 Title: Trauma Overview Feedback: See Blunt Trauma Taxonomy: Application Objective: 25-4 Describe the five types of motor vehicle crashes, the injury patterns associated with each one, and how each relates to the index of suspicion of life-threatening injuries. 7\. Passengers who are seated in the rear of a vehicle and are wearing only lap belts have a higher incidence of injuries to the \_\_\_\_\_\_\_\_\_\_\_\_\_ spine during a rear-end crash. A\) thoracic and sacral B\) lumbar and coccygeal C\) thoracic and lumbar D\) lumbar and sacral Ans: C Complexity: Moderate Ahead: Blunt Trauma Subject: Chapter 25, Page 909 Title: Trauma Overview Feedback: See Blunt Trauma Taxonomy: Recall Objective: 25-4 Describe the five types of motor vehicle crashes, the injury patterns associated with each one, and how each relates to the index of suspicion of life-threatening injuries. 8\. Approximately 25% of severe injuries to the aorta occur during: A\) frontal collisions. B\) lateral collisions. C\) rollover collisions. D\) rear-end collisions. Ans: B Complexity: Moderate Ahead: Blunt Trauma Subject: Chapter 25, Page 910 Title: Trauma Overview Feedback: See Blunt Trauma Taxonomy: Recall Objective: 25-4 Describe the five types of motor vehicle crashes, the injury patterns associated with each one, and how each relates to the index of suspicion of life-threatening injuries. 9\. A small compact car was involved in a rollover crash. As you are approaching the vehicle, you note that the roof is significantly collapsed. The patient, a 29-year-old male, is complaining of severe pain in his neck and to the top of his head as well as numbness and tingling in his extremities. Witnesses who removed the patient from the vehicle state that he was wearing his seatbelt. What injury mechanism is MOST likely responsible for this patient's condition? A\) Compression of the head against the roof B\) Lateral bending of the neck during the crash C\) Impact of the head against the steering wheel D\) Whiplash injury to the neck during the rollover Ans: A Complexity: Difficult Ahead: Blunt Trauma Subject: Chapter 25, Page 911 Title: Trauma Overview Feedback: See Blunt Trauma Taxonomy: Application Objective: 25-4 Describe the five types of motor vehicle crashes, the injury patterns associated with each one, and how each relates to the index of suspicion of life-threatening injuries. 10\. 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\) stabilize her entire spine. B\) obtain baseline vital signs. C\) inspect the helmet for cracks. D\) leave her bicycle helmet on. Ans: A Complexity: Moderate Ahead: Blunt Trauma Subject: Chapter 25, Page 911 Title: Trauma Overview Feedback: See Blunt Trauma Taxonomy: Application Objective: 25-4 Describe the five types of motor vehicle crashes, the injury patterns associated with each one, and how each relates to the index of suspicion of life-threatening injuries. 11\. 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\) Lateral impact to the spine B\) Energy transmission to the spine C\) Direct trauma to the spinal column D\) Secondary fall after the initial impact Ans: B Complexity: Moderate Ahead: Blunt Trauma Subject: Chapter 25, Page 913 Title: Trauma Overview Feedback: See Blunt Trauma Taxonomy: Application Objective: 25-5 Discuss the three specific factors to consider during assessment of a patient who has been injured in a fall, plus additional considerations for pediatric and geriatric patients. 12\. Which of the following statements regarding low-energy penetrating injuries is correct? A\) Internal injuries caused by low-velocity bullets are usually easy to predict. B\) Exit wounds are typically easy to locate with low-energy penetrating injuries. C\) It is usually easy to differentiate between an entrance wound and an exit wound. D\) The area of injury is usually close to the path the object took through the body. Ans: D Complexity: Moderate Ahead: Penetrating Trauma Subject: Chapter 25, Page 913 Title: Trauma Overview Feedback: See Penetrating Trauma Taxonomy: Recall Objective: 25-6 Discuss the effects of high-, medium-, and low-velocity penetrating trauma on the body and how an understanding of each type helps EMTs form an index of suspicion about unseen life-threatening injuries. 13\. 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\) apply a cervical collar. B\) obtain baseline vital signs. C\) auscultate bowel sounds. D\) assess for an exit wound. Ans: D Complexity: Difficult Ahead: Penetrating Trauma Subject: Chapter 25, Page 914 Title: Trauma Overview Feedback: See Penetrating Trauma Taxonomy: Application Objective: 25-6 Discuss the effects of high-, medium-, and low-velocity penetrating trauma on the body and how an understanding of each type helps EMTs form an index of suspicion about unseen life-threatening injuries. 14\. A 40-year-old unrestrained female impacted the steering wheel of her vehicle with her chest when she hit a tree while traveling at 45 mph. She is conscious and alert, but is experiencing significant chest pain and shortness of breath. Which of the following injuries is the LEAST likely? A\) Head injury B\) Cardiac contusion C\) Pulmonary contusion D\) Multiple rib fractures Ans: A Complexity: Difficult Ahead: Blunt Trauma Subject: Chapter 25, Page 905 Title: Trauma Overview Feedback: See Blunt Trauma Taxonomy: Application Objective: 25-4 Describe the five types of motor vehicle crashes, the injury patterns associated with each one, and how each relates to the index of suspicion of life-threatening injuries. 15\. During your assessment of a patient who experienced a blast injury, you note that he has a depressed area to the front of his skull. This injury MOST likely occurred: A\) when the patient was hurled against a stationary object. B\) as a result of flying debris. C\) by inhaling toxic gases. D\) as a direct result of the pressure wave. Ans: A
 Complexity: Moderate Ahead: Blast Injuries Subject: Chapter 25, Page 917 Title: Trauma Overview Feedback: See Blast Injuries Taxonomy: Application Objective: 25-7 Discuss primary, secondary, tertiary, and miscellaneous blast injuries and the anticipated damage each one will cause to the body. 16\. 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\) airway compromise. C\) intracranial bleeding. D\) a fracture of the skull. Ans: C Complexity: Difficult Ahead: Patient Assessment Subject: Chapter 25, Page 920 Title: Trauma Overview Feedback: See Patient Assessment Taxonomy: Application Objective: 25-8 Describe multisystem trauma and the special considerations that are required for patients who fit this category. 17\. A 30-year-old male sustained a stab wound to the neck when he was attacked outside a nightclub. During your assessment, you should be MOST alert for: A\) injury to the cervical spine. B\) potential airway compromise. C\) damage to internal structures. D\) alterations in his mental status. Ans: B Complexity: Difficult Ahead: Penetrating Trauma Subject: Chapter 25, Page 913 Title: Trauma Overview Feedback: See Penetrating Trauma Taxonomy: Application Objective: 25-6 Discuss the effects of high-, medium-, and low-velocity penetrating trauma on the body and how an understanding of each type helps EMTs form an index of suspicion about unseen life-threatening injuries. 18\. While assessing a young male who was struck in the chest with a steel pipe, you note that his pulse is rapid and irregular. You should be MOST suspicious for: A\) underlying cardiac disease. B\) a lacerated coronary artery. C\) bruising of the heart muscle. D\) traumatic rupture of the aorta. Ans: C Complexity: Difficult Ahead: Patient Assessment Subject: Chapter 25, Page 920 Title: Trauma Overview Feedback: See Patient Assessment Taxonomy: Application Objective: 25-6 Discuss the effects of high-, medium-, and low-velocity penetrating trauma on the body and how an understanding of each type helps EMTs form an index of suspicion about unseen life-threatening injuries. 19\. 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: A\) 8. B\) 9. C\) 10. D\) 11. Ans: B
 Complexity: Difficult Ahead: Management: Transport and Destinations Subject: Chapter 25, Page 926 Title: Trauma Overview Feedback: See Management: Transport and Destinations Taxonomy: Application Objective: 25-15 Explain the American College of Surgeons Committee on Trauma and the Centers for Disease Control and Prevention field triage decision scheme as it relates to making an appropriate destination selection for a trauma patient. 20\. During your assessment of a patient with a head injury, you note that he opens his eyes when you pinch his trapezius muscle, is mumbling, and has his arms curled in toward his chest. You should assign him a GCS score of: A\) 7. B\) 8. C\) 9. D\) 10. Ans: A
 Complexity: Difficult Ahead: Management: Transport and Destinations Subject: Chapter 25, Page 926 Title: Trauma Overview Feedback: See Management: Transport and Destinations Taxonomy: Application Objective: 25-15 Explain the American College of Surgeons Committee on Trauma and the Centers for Disease Control and Prevention field triage decision scheme as it relates to making an appropriate destination selection for a trauma patient.