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Prehospital Emergency Care Practice Test: Handing Multisystem Trauma and Trauma in Special Patient Populations
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Multisystem trauma is a serious injury that affects more than one body system. When a patient with multisystem trauma arrives at the ER, triage is important. Triage involves assigning degrees of urgency to the patient's injuries.  The most critical EMT task for a multisystem trauma patient is immediate stabilization and swift transfer to a trauma center. This includes: Focusing on spinal protection Stopping major bleeding Maintaining airway, breathing, and circulation Continuously monitoring vital signs and consciousness  Immediate priority is given to airway control and to maintenance... Show more
Prehospital Emergency Care Practice Test: Handing Multisystem Trauma and Trauma in Special Patient Populations
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25 Questions

1. You are by the side of an 11-month-old female with a decreased level of consciousness. Caregivers will not provide an accurate history of how the child came to this condition, only that she was difficult to wake up this morning, about 30 minutes ago. When assessing the child, which finding would be most immediately concerning?
2. A female patient who is 36 weeks pregnant with twins tripped in a parking lot, hitting her head, her wrist, and her abdomen. She is alert and oriented and complains of a headache and abdominal and wrist pain. She denies shortness of breath and has an SpO2 of 96% on ambient air. Assessment reveals a large abrasion and hematoma to her forehead and abdomen as well as deformity to her left wrist. Which intervention would best treat the injuries the fetuses may have suffered?
3. The EMT would recognize which patient as suffering from multisystem trauma?
4. You are transporting an elderly female who fell in a nursing home and displays outward rotation of her left leg. She has a lengthy medical history, including dementia. Currently, she is very quiet and receiving oxygen through a nasal cannula at 6 liters per minute. She also is secured to a long spine board. During your reassessment, you note her to be alert but confused, with slightly accelerated respirations and a strong radial pulse. You also note that her SpO2 has dropped from 97% on scene to 91%. You should:
5. A 31-year-old unrestrained pregnant female was involved in a motor vehicle collision in which she struck the steering wheel. She now complains of chest and abdominal pain. She is conscious, alert, and oriented with no deficits noted to the airway, breathing, or circulation. When asking her questions regarding her status, which questions should you ask first?
6. A 78-year-old male pedestrian was struck by a car at a convenience store. The patient is conscious but confused, and has sustained multisystem trauma. What would represent the best sequence of care for this patient?
7. The young pediatric patient is more prone to head injury because:
8. You are caring for a crying 30-month-old male who fell 16 feet from a second-story window, landing on a patch of soft dirt and leaves. He is alert and oriented and seems to have pain to his left shoulder and arm. Which instruction would you give to the team of EMS providers caring for this patient?
9. A leading cause of death in children younger than 14 years could be prevented by:
10. An unresponsive 10-year-old male was struck by a car while riding his bike. He has blood on his face and presents with snoring respirations. Respirations are approximately 10 breaths per minute, with cyanosis noted to his extremities. Manual spine motion restriction to the neck is being held by Emergency Medical Responders. What should you do next?
11. Which statement is true regarding care of the multisystem trauma patient?
12. Family has called you for a 78-year-old female with a history of dementia, because she appears more confused than normal. The primary assessment reveals no life-threatening conditions. Her vital signs are pulse, 88 beats/min; respirations, 22 breaths/min; blood pressure, 134/66 mmHg; and SpO2, 95% on room air. Aside from the dementia, the patient has a history of hypertension, COPD, and breast cancer, which resulted in the removal of her right breast 11 years ago. Lately, she has had an upper respiratory infection and is telling family that she has a headache. Your first question to family should be:
13. The EMT is correctly assessing the perfusion status of a 10-month-old when she:
14. A female patient who is 35 weeks pregnant tripped and fell down 12 stairs. She now complains of back pain, numbness to her legs, and nausea. She is secured to a long spine board with spinal motion restriction precautions placed and is being non-emergently transported to the hospital for evaluation. En route, the patient exclaims that she is having contractions and thinks that her water may have broken. Which intervention should you perform immediately?
15. When treating a pregnant female who was involved in a traumatic event during her third trimester, the EMT must remember:
16. The mother of a 4-year-old boy states that he fell off the top bunk bed and hit his head. After falling, he appeared to seize for approximately 30 seconds. Currently, he has nonpurposeful movement to painful stimuli, with a patent airway and slow respirations. His radial pulse is intact, and his skin is warm and dry. You note urinary incontinence. After taking manual spine motion restriction precautions, what should you do next?
17. You are called to a nursing home for an elderly male patient who is unresponsive. On arrival, you find the patient in a wheelchair with a noticeable hematoma to his forehead and a skin tear to his left wrist. Staff states that the patient had an episode of chest pain just before suddenly passing out and falling to the ground. What should you do immediately?
18. After being assaulted by her boyfriend, an 18-year-old female who is 33 weeks pregnant is found unresponsive in her bedroom. She appears to have been beaten in the head and abdomen, as evidenced by multiple hematomas and lacerations to these areas. Which assessment finding should concern the EMT most and should be addressed first?
19. Which actions by the EMS crew have met the platinum ten minutes criteria?
20. Starting at which age should the EMT consider transporting any injured patient to a trauma center?
21. When assessing and treating a traumatically injured female in her third trimester of pregnancy, the EMT must remember which important point?
22. Which statement accurately describes multisystem trauma?
23. You are presenting information on emergency care to a class of pregnant women. A participant asks you what the most frequent cause of injury is to a woman during pregnancy. What is the correct response?
24. An 85-year-old male with a history of an irregular heartbeat, diabetes, renal failure, and stroke fell while getting out of bed, striking his head on the nightstand. He is alert and oriented and denies any complaint. Vital signs are all within normal limits. There is a minor abrasion on his forehead, but he denies any associated pain or headache. What should be your next priority?
25. You observe a traumatically injured 3-year-old female patient being secured to a long spine board with no padding behind the neck, shoulders, or back during a spine motion restriction intervention. What is the main concern with this oversight?

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