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Prehospital Emergency Care Practice Test: Basics of The Trauma Patient and the Trauma System
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Avg score: 33% Most missed: “A patient has been stabbed with a knife at the fifth intercostal space on the ri…”
According to EMS.gov, a trauma patient is an injured person who requires immediate diagnosis and treatment from a multidisciplinary team of health care professionals. The goal is to reduce or eliminate the risk of death or permanent disability. A trauma system is an organized effort that provides the full range of care to all injured patients in a defined geographic area. It's integrated with the local public health system and includes the following components: Prevention, Prehospital care, Hospital care, and Rehabilitation.  The first phase of a trauma system activates immediately after an... Show more
Prehospital Emergency Care Practice Test: Basics of The Trauma Patient and the Trauma System
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25 Questions

1. When teaching Emergency Medical Responders about air bags, which point would you emphasize?
2. A bullet fired from a gun at close range passes through the patient's liver. However, on autopsy, the coroner discovers that the man's pancreas, stomach, and gallbladder were also injured, even though not in direct contact with the bullet. As a knowledgeable EMT, you would recognize that which mechanism is responsible for injuries to these additional organs?
3. Which statement best characterizes the capabilities of a Level III trauma center?
4. Emergency Medical Responders have removed an intoxicated and confused patient from a car that struck another vehicle at a high rate of speed. The patient was unrestrained and his car did not have air bags. Assessment reveals deformity bilaterally to the hips and femurs and bruising to the knees. Based on this injury pattern, the EMT would recognize which type of injury mechanism?
5. A young female wears her lap belt too low, over her upper thighs, because the belt is uncomfortable when worn properly. If she is involved in a head-on 'up and over' type of collision, to which injury is she most prone, given the position of her lap belt?
6. The EMT understands the importance of evaluating the mechanism of injury when he states:
7. Which of the statements concerning trauma is most accurate?
8. A 23-year-old roofer has fallen 20 feet from the roof of a house into shrubs below. Aside from superficial abrasions and complaint of soreness, you detect no obvious injuries. Consequently, the patient states that as long as his legs are not broken, he does not see the need to go to the hospital. As a knowledgeable EMT, your best response would be:
9. You are assessing a patient who was involved in a motorcycle accident. He states that he saw an oncoming car and 'laid the bike down' to avoid an outright collision. He was wearing a helmet. Which injury pattern would make sense given the action of the motorcyclist?
10. You are responding to a call for a 4-year-old child hit by a car. When assessing this child, which injury patterns would you recognize as typical based on the child's age and mechanism of injury?
11. A patient, who was constructing a bomb in his basement, has sustained a secondary-phase blast injury. Which presentation would the EMT most likely observe from this blast phase?
12. A 49-year-old male has been stabbed in the lower right chest. Police tell you that the patient got into an argument with an unidentified man, who then stabbed him before fleeing the scene. After assessing the patient, you are suspicious that the knife punctured the lung and is causing internal bleeding. In this situation, the mechanism of injury would be:
13. A 'whiplash'-type neck injury is most often observed with which type of collision?
14. During an in-service program focusing on care of the trauma patient, the medical director asks if anyone can correctly describe the 'platinum 10 minutes.' What statement by a participant is the best response?
15. After assessing these patients, which would the EMT identify as suffering from multisystem trauma?
16. A teenage female patient was ejected from a car as it rolled down a hill after she ran off the road. She is responsive, but with signs of early shock and respiratory distress. She has bruising to her anterior abdomen and chest, a laceration to her left temple, and deformity to her left wrist. At which point should the wrist injury be splinted?
17. An 8-year-old boy fell forward off of a swing onto outstretched arms. He did not hit his head or lose consciousness and is complaining of left forearm pain. There is deformity to the left wrist, but no other injuries or life threats. His vital signs are pulse 132 beats/min, respirations 20 breaths/min, blood pressure 108/62 mmHg, and SpO2 100%. The proper care of this patient would be to:
18. An unrestrained female driving a small car is involved in a rollover-type collision. Why is her risk for serious injury or death significantly increased?
19. You are hosting a discussion on injury prevention when a participant asks you if you believe that helmets for motorcyclists truly make a difference. You would respond by saying:
20. As you pull up to a motor vehicle collision, you quickly scan the scene for clues as to the type and severity of injuries. Which observation would best indicate that a patient may have a head injury?
21. As part of your service to the community, you are certified as a car seat specialist and provide monthly classes on the safe transport of infants and children. Over the course of one day, several cars have pulled into your EMS station and asked you to look at their car seats. Which car seat position would indicate that the parent is safely transporting his or her infant (younger than 1 year old)?
22. Which of these is a high-velocity wound that carries the greatest risk for death when considering the concept of cavitation?
23. A male patient has sustained gunshot wounds to the neck and abdomen. He is unresponsive and has gurgling respirations. Your immediate action would be to:
24. A car has been hit head-on by another vehicle at a moderate rate of speed. Seat belts were in place and the air bags deployed. The patient complains of chest pain. Quick observation reveals a bruise to his sternum. The EMT should immediately:
25. Which piece of information would you provide to a group of young teenage drivers to decrease their chance of suffering a 'whiplash'-type injury if involved in a motor vehicle collision?