Trauma - Fisdap

You arrive on the scene of a patient who fell from a ladder. Which of the following information is NOT an important factor in care of the patient?

a)Height of the ladder

b)Distance the patient fell from

c)Surface the patient landed on

d)What part of the body hit first

a)Height of the ladder

You are at the scene of an MVA, in which there are three patients, all of which have minor visible injuries. Two are refusing treatment and the last is complaining of neck and back pain. How should you proceed?

a)Treat all three patients, they are visibly injured and need medical attention

b)Obtain signed refusals from the first two patients then proceed to the third

c)Treat the third patient, nothing else is needed for the other two

d)Have your partner obtain refusals from the two patients who refused treatment, while you treat the last patient.

d)Have your partner obtain refusals from the two patients who refused treatment, while you treat the last patient.

Your patient is a 17 year old male found face down in a swimming pool. He is currently being held face up at the surface of the water. He is unconscious but breathing and has a pulse. What is the best course of action for this patient?

a)Jump into the pool and begin CPR

b)Remove the patient from the pool, immobilize, and transport.

c)Apply cervical and spinal immobilization while the patient is still in the pool

d)Wait for a trained water rescue team

c)Apply cervical and spinal immobilization while the patient is still in the pool

A laceration, spurting bright laceration, spurting bright red blood, most likely means what type of injury? what red blood most likely means

a)Venous

b)Arterial

c)Capillary

d)Amputation

b)Arterial

Your patient has a laceration to the right leg which has intersected the femoral artery. You have applied direct pressure to the wound, but it continues to soak through the bandages. What should you do next?

a)Apply a tourniquet

b)Elevate the leg

c)Remove the old bandage and apply new ones

d)Apply pressure to point just above the injury

b)Elevate the leg

Of the two types of energy, which type of energy transfer in a motor vehicle crash (MVC) with frontal impact, non-restrained driver with bent steering wheel, and spidered windshield?

a)High velocity penetrating

b)Decelerating

c)Low velocity penetrating

d)Blunt

d)Blunt

Any penetrating missile traveling over 2,000 ft/sec would be classified as?

a)Low velocity

b)Medium velocity

c)High velocity

d)Decelerating

c)High velocity

When there is penetrating trauma there is a permanent cavity which is formed by the projectile contacting the tissues. How is a temporary cavity formed?

a)By the twisting of the projectile

b)By energy scrubbing off of the projectile

c)The wadding entering the body

d)Unspent gun powder

b)By energy scrubbing off of the projectile

The way a patient is injured is often referred to as the _______________?

a)Mechanism of injury

b)Nature of illness

c)Injury pattern

d)Energy transfer

a)Mechanism of injury

When approaching a scene of trauma incident, what is your first order of business?

a)Airway

b)C-Spine control

c)Body substance Isolation

d)Scene safety

d)Scene safety

A large collection of blood under the skin is known as?

a)Contusion

b)Abrasion

c)Hematoma

d)Bruise

c)Hematoma

Your trauma patient has her left hand caught between rollers on a conveyor belt. Extrication takes 30 minutes. Evaluation of the injury during extrication showed delayed capillary refill distal to the injury. Post extrication shows rapid capillary refill distal to the injury deformity mid-palm. There are no obvious fractures, no lacerations, and minor swelling. Knowing that crush injuries can cause many other problems, which is NOT considered a crush injury complication?

a)Compression of tissues

b)Fractures

c)No injury at all

d)Compartment syndrome

c)No injury at all

Loss of tissue in a traumatic event can be: just soft tissue, a portion of an extremity, or an entire extremity. If your patient has lost the distal one-third of a lower extremity, what would that injury be called?

a)Amplitude

b)Avulsion

c)Extremity exodus

d)Amputation

d)Amputation

In any traumatic event where there is tissue damage that caused bleeding, the bleeding needs to be controlled. What are the proper steps to bleeding control?

a)Direct pressure, elevation, tourniquet, digital pressure

b)Direct pressure, digital pressure, elevation, tourniquet

c)Tourniquet, elevation, pressure dressing, direct pressure

d)Direct pressure, pressure dressing, tourniquet

b)Direct pressure, digital pressure, elevation, tourniquet

Your 16 year old trauma patient has what appears to be a mid-shaft femur fracture. You notice that there is a laceration directly over the suspected fracture. Bleeding is controlled. What type of fracture would this be?

a)Greenstick

b)Comminuted

c)Closed

d)Open

d)Open

En route to the hospital, you intubate the patient. During your assessment of tube placement, you hear wheezing in the upper lung fields. What is most likely causing this wheezing?

a)Inhalation injury to the upper airway

b)Inhalation induced cardiac wheezing

c)Inhalation induced asthma attack

d)Inhalation injury to the lower airway

d)Inhalation injury to the lower airway

Following the immobilization of an extremity fracture to the lower right arm, the paramedic should perform what step last?

a)Ensuring the splint is applied tightly.

b)Placing the hand in the position of function.

c)Assessing presence of distal motor, sensory, and perfusion.

d)Placing the immobilized extremity below the level of the heart

c)Assessing presence of distal motor, sensory, and perfusion.

You are treating a 24-year-old female with a gunshot wound to the right side of the back. No exit wound is visible. She is awake but confused. Her skin is pale and diaphoretic with cyanosis noted to the oral mucosa. Breath sounds are clear and equal bilaterally. Jugular vein distention is present. Blood pressure is 90/78 mmHg, heart rate is 124 beats per minute, and respiratory rate is 28 per minute and labored. Sinus tachycardia is seen on the cardiac monitor. What condition do you think is most likely present with this patient?

a)Hemothorax

b)Tension pneumothorax

c)Pericardial tamponade

d)Lacerated aorta

c)Pericardial tamponade

You are treating a 24-year-old female with a gunshot wound to the right side of the back. No exit wound is visible. She is awake but confused. Her skin is pale and diaphoretic with cyanosis noted to the oral mucosa. Breath sounds are clear and equal bilaterally. Jugular vein distention is present. Blood pressure is 90/78 mmHg, heart rate is 124 beats per minute, and respiratory rate is 28 per minute and labored. Sinus tachycardia is seen on the cardiac monitor. Which of the following treatment regimens would be the most appropriate for this patient?

a)High flow oxygen, spinal precautions, occlusive dressing over entrance wound, rapid transport.

b)High flow oxygen by nonrebreather, spinal precautions, allow patient to remain in a position of comfort.

c)High flow oxygen by nonrebreather, cover entrance wound with an occlusive dressing.

d)High flow oxygen, pleural decompression to right side of chest, rapid transport.

a)High flow oxygen, spinal precautions, occlusive dressing over entrance wound, rapid transport.

You are treating a 12-year-old male patient who was hit in the nose with a baseball. His nose is deviated to the left with moderate epistaxis. He is complaining of severe pain to his nose. He is alert and oriented with no loss of consciousness. Which of the following treatment sequences would best manage this patient?

a)Pack nares with gauze to control bleeding.

b)Have patient lie supine while holding pressure to nares.

c)Align nose in the neutral position while holding pressure to nares.

d)Have patient sit upright and lean forward while holding pressure to nares.

d)Have patient sit upright and lean forward while holding pressure to nares.

You are called for an elderly female that fell down and hurt her knee. When you find the patient, she tells you she tripped and fell, and landed on her left knee. She denies any loss of consciousness or trauma to her head. The patient is only complaining of pain to the distal portion of her femur. During your assessment, you notice deformity and swelling to the femur, proximal to the knee. The patient has good distal pulses, motor function, and sensation. What would be the most appropriate treatment for this patient?

a)Secure to a backboard and pad appropriately

b)Application of padded board splints

c)Traction splinting

d)Inflation of the PASG on both legs

a)Secure to a backboard and pad appropriately

Which of the following patients would be most appropriate for triage to a non-trauma center?

a)67-year-old female who was electrocuted by a 220 volt electrical outlet

b)19-year-old male involved in a single car MVC at a rate of 25 miles per hour

c)25-year-old female with a 1-inch laceration on her thigh

d)14-year-old male who fell 11 feet out of a tree, landing on his back

c)25-year-old female with a 1-inch laceration on her thigh

You have responded to a local residence of a 37-year-old male who had lacerated his leg while using a chainsaw in the back of his house. Prior to your arrival, the patient's wife, who is a nurse, applied pressure to the wound and has the patient in a Trendelenburg position. Your assessment of the patient reveals him to be responsive to painful stimuli with a weak carotid pulse and the blood pressure unobtainable. There is a massive amount of blood surrounding the patient on the ground. The wife tells you that the wound is arterial and the injury occurred about 10 to 15 minutes ago. In addition to oxygen therapy, what are your treatment priorities for this patient?

a)Continue applying direct pressure to the wound and call for ALS support.

b)Apply an arterial tourniquet and call for ALS support.

c)Apply an arterial tourniquet and call for ALS support.

d)Continue applying direct pressure to the wound and transport.

a)Continue applying direct pressure to the wound and call for ALS support.

Which of the following findings in a crush injury is typically the earliest and most prominent?

a)Pain

b)Pulselessness

c)Paresthesia

d)Paralysis

a)Pain

Your 26-year-old female patient has been pulled out of a house fire. Her chest and arms have been burned. The area is charred and the patient states she has little pain in the burned area. What is the most likely classification of this patient's burns?

a)Full thickness

b)Superficial partial thickness burns

c)Deep partial thickness burns

d)Superficial

a)Full thickness

You have responded for a 43-year-old male who was involved in an altercation. The patient was reportedly beaten about the face and head with a baseball bat. The patient is unresponsive. Evaluation of the patient's face reveals instability from the orbits to the mandible. Based on this information, how would you definitively manage this patient's airway?

a)Immediately assist ventilations with a Bag-Valve-Mask.

b)Orally intubate the patient and assist ventilations with a Bag-Valve-Mask.

c)Insert an oral airway and assist ventilations with a Bag-Valve-Mask.

d)Insert a nasal airway and assist ventilations with a Bag-Valve-Mask.

b)Orally intubate the patient and assist ventilations with a Bag-Valve-Mask.

When managing an open fracture, you should do which of the following?

a)Cover the exposed bone ends with a moist sterile dressing.

b)Provide mild manual traction to restore distal circulation.

c)Leave the wound exposed if there is no massive bleeding from the area.

d)Apply a pressure dressing to prevent blood loss.

a)Cover the exposed bone ends with a moist sterile dressing.

What is the most common spinal injury associated with improper lifting techniques?

a)Thoracic

b)Cervical

c)Lumbar

d)Sacral

c)Lumbar

You respond to the scene of a residential natural gas explosion to find a 36-year-old male patient complaining of a diminished ability to hear, moderate dyspnea, and acute abdominal pain. These symptoms are likely due to what mechanism?

a)Primary blast injury

b)Secondary blast injury

c)Tertiary blast injury

d)Toxic inhalation of natural gas

a)Primary blast injury

While assessing the carotid and radial pulse in your unresponsive patient, you determine that the carotid pulse is weak and rapid, and the peripheral pulses are absent. What other clinical assessment finding would you expect to be present?

a)An irregular rhythm of the pulse

b)A decrease in the respiratory rate

c)Cool and pale skin

d)An increase in arterial pressure

c)Cool and pale skin

Your patient is suffering from Epistaxis. How should you proceed.

a)There is no treatment for Epistaxis

b)Pack the area with gauze

c)Pinch the nostrils and have the patient lean forward

d)Pinch the nostrils and have the patient tilt their head backwards

c)Pinch the nostrils and have the patient lean forward

What are the signs and symptoms of shock

a)Increased heart rate, increased respirations, hypotension

b)Decreased heart rate, increased respirations, hypotension

c)Increased heart rate, decreased respirations, hypertension

d)Decreased heart rate, increased respirations, hypertension

a)Increased heart rate, increased respirations, hypotension

Your patient is a 22 year old male with an object impaled in the right side of his chest, just below the shoulder. After assessing that the object is not blocking his airway, what is the best course of action for this patient?

a)Remove the object by pushing it through the same direction as it entered

b)Remove the object by pulling it back out the way it entered.

c)Cut the object close to the patient in order to control the bleeding and transport the patient

d)Stabilize the object in place, control the bleeding and transport

d)Stabilize the object in place, control the bleeding and transport

Your patient has an injury that consists of overstretched & torn ligaments. What type of injury does this patient have?

a)Strain

b)Sprain

c)Fracture

d)Dislocation

b)Sprain

What is the best treatment for a suspected fracture of the talus bone?

a)Apply a traction splint, heat, and elevate the leg

b)Apply a traction splint, ice, and elevate the arm

c)Splint the ankle, apply ice, and elevate

d)Splint the foot, apply heat, and elevate

c)Splint the ankle, apply ice, and elevate

When dealing with a patient who has suffered an injury to the back of his head, what part of the brain would you suspect will be affected?

a)Frontal

b)Occipital

c)Parietal

d)Temporal

b)Occipital

Your patient is a 34-year old male with a large laceration to the abdomen, and the abdominal organs are protruding from the wound. What is this type of injury called?

a)Evisceration

b)Avulsion

c)Protrusion

d)Contusion

a)Evisceration

What is the best way to handle an amputated extremity?

a)Pack it in ice

b)Wrap it in plastic and place on ice

c)Wrap it in sterile dressings and keep it cool with ice

d)Place it in a container filled with saline solution

c)Wrap it in sterile dressings and keep it cool with ice

You are transporting a trauma patient, and notice their condition starts to deteriorate. What do you do?

a)Stop the ambulance and begin CPR

b)Tell your partner to drive faster; you need to get this patient to the hospital now

c)Reassess your patient

d)Call medical control

c)Reassess your patient

You are transporting an unconscious patient. How often should you check their vitals?

a)5 minutes

b)2-3 minutes

c)10 minutes

d)15 minutes

a)5 minutes

What is the mnemonic for determining level of consciousness?

a)OPQRST

b)AVPU

c)SAMPLE

d)ABC

b)AVPU

Your patient is a 16-year old male, who fell approximately 15 feet. This call should be considered:

a)Not a traumatic emergency

b)A traumatic emergency, that requires airlifting the patient to the nearest level 1 trauma center

c)A significant mechanism of injury

d)Not a significant mechanism of injury

d)Not a significant mechanism of injury

A fall greater than ______ would be considered a significant mechanism of injury in a patient under the age of 8.

a)The height of the patient

b)5 feet

c)Double the patient's height

d)10 feet

d)10 feet

You are called to the scene of pedestrian that's been struck by a car. Upon examination, you notice clear fluid leaking from the patient's ear, that you believe to be cerebral spinal fluid. This tells you the patient may have suffered a:

a)Severe head injury

b)Basilar skull fracture

c)Ruptured eardrum

d)Cervical spine injury

a)Severe head injury

What does PMS stand for during your assessment of a patient's lower extremity?

a)Pedial , Motion, Sensation

b)Pain, Motion, Severity

c)Pulse, Motor function, Sensation

d)Pulse, Motor sensation, Severity

c)Pulse, Motor function, Sensation

A 34 year old male has a fractured left elbow, and his arm is cyanotic and pulseless. What should you do?

a)Stabilize the elbow with a sling and swathe

b)Immobilize the arm with a traction splint

c)Align with gentle traction until resistance is met

d)Immobilize the arm as it was found

c)Align with gentle traction until resistance is met

What is the term for the injury in which the epidermis remains intact, but cells and blood vessels in the dermis may be damaged?

a)Contusion

b)Evisceration

c)Hematoma

d)Avulsion

a)Contusion

A 41 year old male was kicked in the chest by a horse. He is short of breath and he has a contusion to his sternum. Vital signs are BP 96/78. P 124, and shallow. What should you suspect?

a)Congestive heart failure

b)Cardiac tamponade

c)Pulmonary embolism

d)Pulmonary edema

b)Cardiac tamponade

A 21 year old male is semi-conscious and lying kiddywampus at the bottom of 2 flights of stairs. What should you do?

a)Perform a sternal rub

b)Assess for distal pulses

c)Open the airway with jaw thrust maneuver

d)Manually stabilize c-spine

d)Manually stabilize c-spine

A 21 year old female has an open femur fracture after falling off a horse. What should you do?

a)Check for a distal circulation

b)Apply manual stabilization to her femur

c)Apply a traction splint

d)Immobilize her on a long back board

b)Apply manual stabilization to her femur

What is most life threatening for an adult patient?

a)Bubbling wound to the chest

b)Bowel evisceration

c)Active bleeding from the forehead

d)Compound tibia fracture

a)Bubbling wound to the chest

What type of injury results from prolonged compression forces applied to soft tissue?

a)Avulsion

b)Crush injury

c)Concussion

d)Convolution

b)Crush injury

Which injury or condition should be managed first in a patient with multi-system trauma?

a)Fluid drainage from both ears

b)Bleeding within the oral cavity

c)A large open abdominal wound

d)Bilateral fracture to the femur

b)Bleeding within the oral cavity

A 25 year old male has a deep laceration on his right forearm. You are applying direct pressure with a trauma dressing. But the wound continues to bleed. What should you do?

a)Tension pneumothorax

b)Apply a tourniquet proximal the laceration

c)Align with gentle traction until resistance is met

d)Transporting rapidly

b)Apply a tourniquet proximal the laceration

A 46 year old female was in a car crash at highway speeds. She is unconscious, breathing deep and fast with an abrasion to the lateral aspect of her neck. What should you do?

a)Take c-spine precautions

b)Open the airway

c)Perform a rapid extrication

d)Apply an occlusive dressing

a)Take c-spine precautions

A 56 year old male complains of tearing chest pain that radiates to his back. He was the restrained driver involved in a car crash at high-way speeds. What should your secondary assessment include?

a)Bilateral upper extremity blood pressures

b)A deep palpation of the abdomen

c)Auscultation for abnormal breath sounds

d)A review of the medication list

a)Bilateral upper extremity blood pressures

A 23 year old male was stabbed in the shoulder and blood is spurting from the wound. What should you do?

a)Manually stabilize c-spine

b)Expedite transport

c)Administer oxygen

d)Apply direct pressure

d)Apply direct pressure

What is the best care for a suspected hemothorax?

a)Applying an occlusive dressing

b)Providing manual ventilations

c)Transporting rapidly

d)Stabilizing the chest segment

c)Transporting rapidly

A 22 year old male has a knife impaled in the upper right quadrant of his abdomen. He complains of pain when he inhales and shortness of breathing. What should you suspect?

a)Spontaneous pneumothorax

b)Diaphragmatic tear

c)Abdominal evisceration

d)Splenic rupture

b)Diaphragmatic tear

A 21 year old male has a large piece of glass impaled in his eye. What should you do?

a)Pull the glass from his eyes

b)Stabilize the glass with a paper cup

c)Stabilize the glass with sterile dressing

d)Leave the glass and transport promptly

b)Stabilize the glass with a paper cup

Which injury is most likely to develop compartment syndrome?

a)Knee hyperextension

b)Closed tibia fracture

c)Open radius fracture

d)Ankle dislocation

b)Closed tibia fracture

A 23 year old male was stabbed in the lower left quadrant. He has minor bleeding from the wound. What should you do?

a)Attempt to locate the weapon

b)Perform a secondary assessment

c)Apply an occlusive dressing

d)Immobilize him on a long back board

c)Apply an occlusive dressing

A 20 year old male was the unrestrained driver in a car crash. He is anxious, pale and has absent lung sounds on the left side. Vital signs are BP 80/48, P 132, R 31 and shallow. What should you suspect?

a)Tension pneumothorax

b)Pulmonary contusions

c)Pericardial tamponade

d)Flail chest

a)Tension pneumothorax

A symptom is_____________while a sign is________________.

a)Objective / subjective

b)Subjective / objective

c)Reflexive / responsive

d)Responsive/reflexive

b)Subjective / objective

During shock, the blood vessels contract, making the skin ______.

a)Hot

b)Warm

c)Cool

d)Contract

c)Cool

What does the letter P stand for in DCAPBTLS?

a)Pain

b)Pleural edema

c)Pupillary responses

d)Penetrations

d)Penetrations

Which of the following is NOT a high priority condition?

a)Poor general impression

b)Unresponsiveness

c)Severe pain

d)Childbirth

d)Childbirth

Your patient has suffered a chainsaw vs. leg injury. His wife who is a nurse tells dispatch that he has lost about 400 mL of blood. You know that a person can lose approximately___________ before they are in any real danger.

a)200 mL

b)500 mL

c)750 mL

d)1000 mL

b)500 mL

With regard to the SAMPLE history, a patient's pale skin would be considered __________.

a)A sign

b)A symptom

c)Syncope

d)Dermis

a)A sign

You and your partner Hugh arrive on scene to find a car that has hit a tree at approximately 30 miles an hour. There is front end damage to the vehicle and both occupants are still strapped into the front seat. Both airbags in the front deployed and both patients appear to be alert and oriented. What should you do?

a)Put them both on high flow O2 with collars on and let them sit in the back of the ambulance on the way

b)Treat them at the scene and let them go home

c)After putting on collars, put both patients on back boards using a KED sled or similar device

d)Insert an oral airway and bag them both at 12-20 breaths per minute

c)After putting on collars, put both patients on back boards using a KED sled or similar device

What is a burn that involves the epidermis and the dermis but no underlying tissue?

a)Partial thickness burn

b)Double dermis burn

c)Full thickness burn

d)Bakers burn

a)Partial thickness burn

What is a hemorrhage?

a)Not a cause of shock

b)Severe bleeding

c)Not a threat to perfusion

d)Always the cause of shock

b)Severe bleeding

You and your partner Grimes are called to the scene of a stabbing. There are two patients reported. A woman with a stab wound to the URQ and a man with a stab wound to the LRQ. The woman with the wound in the URQ is having problems breathing, has a pulse of 103, respirations of 35, and they are shallow. The patient with the stab wound to the LRQ is complaining of severe abdominal pain and has a pulse of 48 and a respiration rate of 24. Which patient is most likely to have a low blood pressure? Why?

a)The man, because of the nature and location of the injury, he may be losing blood internally. His pulse is too slow as well

b)The woman, because if she cannot breathe well her BP will drop

c)The man, because a respiration rate of 24 is indicative of low blood pressure

d)Neither will have a low blood pressure, they will both be high

a)The man, because of the nature and location of the injury, he may be losing blood internally. His pulse is too slow as well

A 2 year old female has a second degree burns on both palms and third degree burns on her chest and abdomen. What percentage of her body is burned?

a)29

b)36

c)20

d)18

c)20

chest - 9

abdomen - 9

hands - 2

A 6 month old male has full thickness burns to his head, right arm, and back. What percentage of his body is burned?

a)36

b)27

c)65

d)45

d)45

head - 18

back - 18

arm - 9

A 17 year old female has a second degree circumferential burn on her left lower leg and foot. What percentage of body surface area is burned?

a)9

b)21

c)4

d)18

a)9

anterior lower leg - 4.5

posterior lower leg - 4.5

A 23 year old male has a partial thickness burns to his anterior thighs and full thickness burns to his perineum. What percent of his body surface area is burned?

a)11

b)8

c)13

d)19

a)11

upper legs - 10

genitals - 1

A 21 year old male tripped and fell into a small camp fire. he has burns to his hands, anterior forearms and upper chest. What percentage of his body has been burned?

a)27

b)9

c)15

d)21

c)15

hands - 2

anterior forearms - 4 (approximately 2 per arm)

upper chest - 9

A 22 year old male has isolated and patchy third degree burns. Which classification method should you use to determine the percentage of body area burned?

a)Rule of Palm

b)Lund and Browder Chart

c)Rule of Nines

c)Broselow tape

a)Rule of Palm

A 21 year old male fell asleep by the pool for 5 hours. He has bright red burns on his neck and down to his ankles. What percentage of his body is burned?

a)27

b)45

c)50

d)36

b)45

chest - 18

anterior legs - 18

anterior arms - 9

A 3 year old male has full thickness burns covering his arms, posterior trunk and right leg. What percentage of burns did he receive?

a)36

b)65

c)25

d)50

d)50

right leg - 14

each arm - 9

back - 18

A 60 year old male was burned in a house fire. He has a partial and full thickness burns to the anterior surface of his neck, chest, and abdomen. What percentage of burns did he receive?

a)3

b)19

c)44

d)14

b)19

abdomen - 9

chest - 9

neck - 1

A 42 year old male has circumferential burns on both legs and his genitals. What percentage of his body is burned?

a)45

b)29

c)18

d)37

d)37

both anterior legs - 18

both posterior legs - 18

genitals - 1

How does a full thickness burn present?

a)mottled white and red areas that are sensitive to cold

b)dark red with painful blisters

c)red, blistered and extremely painful

d)white, waxy and painless

d)white, waxy and painless

A 3 year old female has circumferential second degree burns reaching up to her knees on both legs. What percentage of her body is burned?

a)18

b)13

c)9

d)27

b)13

How does a superficial burn present?

a)dark red and sensitive to cold air

b)red with blisters

c)pink or red with little or no swelling

d)white or waxy without pain

c)pink or red with little or no swelling

A 27 year old male has burns on his entire anterior chest and to the left upper extremity, circumferentially. What percentage of burns did he receive?

a)48

b)13.5

c)27

d)9.5

b)13.5

chest - 9

upper arm - 4.5

A 49 year old male has burns on the front of both arms and his entire chest above the costal margin. What percentage of burns received?

a)27

b)9

c)18

d)13.5

c)18

anterior arms - 9

superior chest - 9

Which of the following patients would it be appropriate to perform only a focused physical examination instead of a rapid trauma assessment?

a)A 42 year old male who complains of neck "stiffness" after a moderate speed collision

b)An 82 year old male who is unconscious with a minor scrapes and scratches after a 2-foot-fall

c)An alert 13-year-old male who fell off his skateboard and is now presenting with a deformed lower leg

d)A 22 year old female who complains of severe wrist pain after tripping in her kitchen

d)A 22 year old female who complains of severe wrist pain after tripping in her kitchen

The only patient who is responsive and doesn't have a significant mechanism of injury.

You have decided to use a KED to extricate your patient. This device is MOST commonly used for which type of scenario?

a)A seated patient

b)A standing patient

c)A child patient

d)A supine patient

a)A seated patient

KED are designed primarily for vehicle collisions where a patient may be sitting. Once the patient is removed, she/he should be placed onto a backboard as soon as possible

You respond to a 24-year-old male who has fallen 10 feet off his roof. You notice severe bleeding from his right forearm and the patient complains of severe left thigh tenderness. Which of the following would be the MOST appropriate initial treatment for this patient?

a)Apply a tourniquet to stop the bleeding

b)Place the patient in the trendelenburg position

c)Take c-spine precautions

d)Administer high flow oxygen

c)Take c-spine precautions

Which vital signs would most likely lead you to suspect internal bleeding?

a)BP 102/60. Pulse 120. Pale, cool, clammy skin

b)BP 132/82. Pulse 66. Cool skin

c)BP 160/98. Pulse 112. Warm, dry skin

d)BP 94/56. Pulse 80. Warm, flushed skin

a)BP 102/60. Pulse 120. Pale, cool, clammy skin

A moderate to low blood pressure associated with an elevated pulse and pale, cool, clammy skin are all significant signs of possible hypovolemic shock that could be caused by internal bleeding

Of the following patients, which should receive a rapid trauma assessment to determine any hidden injuries?

a)Conscious and alert 24-year-old male who fell 20 feet from his balcony

b)9-year-old female who tripped and fell down 3 steps

c)Conscious and alert 2-year-old child in a car seat who was in a moderate speed crash

d)68 year old female who tripped in her bathroom and is now experiencing intense left wrist pain

c)Conscious and alert 2-year-old child in a car seat who was in a moderate speed crash

The rapid trauma assessment is performed to identify any possible hidden injuries. Of the following patients, the patient who is must susceptible to hidden injuries would be the 2-year-old child due to the inability for the patient to adequately relay information to you. All other patients are alert and should receive a focused trauma assessment

A patient has just been involved in a severe motor vehicle rollover. Which of the following could MOST easily cause death?

a)Trauma from the seat belt

b)Ejection of the patient from the vehicle

c)Crush injury

d)An unrestrained passenger striking multiple parts of the interior of the vehicle

b)Ejection of the patient from the vehicle

Rollovers have the tendency to be very serious traumatic events. Although the injuries in rollovers can be unpredictable and cause wide spread trauma, of the choices given, ejection will always be the most fatal

You respond to a 46 year old female patient who has suffered trauma to her head. Which assessment factors will tell you most about the patient's condition?

a)Mental status

b)Pupils

c)Lung sounds

d)Blood pressure

a)Mental status

For head trauma patients, level of consciousness and mental status should be of the most concern when determining the severity of a patient's condition

Upon your initial assessment of a trauma patient, you find the patient to have a rapid and weak pulse, shallow breathing, decreased lung sounds on the left side, and dullness to the left upon percussion. The condition this patient is most likely suffering from is:

a)Hemothorax

b)Pericardial Tamponade

c)Flail chest

d)Pneumothorax

a)Hemothorax

Due to the described symptoms, this patient is having a hemothorax. Hemothorax typically presents with dullness upon percussion of the affected side and flat neck veins. Pneumothorax on the other hand typically presents with hyper resonance and distended neck veins

When applying a splint, you should assess for a pulse, motor, and sensory functions:

a)After applying the splint

b)While applying the splint

c)Before and after applying the splint

d)Before applying the splint

a)Before and after applying the splint

For all splints, pulse, motor, and sensory functions should be assessed before and after splinting

In a severe frontal impact motor vehicle collision, which of the following injuries would result from the second collision in the three collision rule?

a)Aortic rupture

b)Massive contusions and lacerations to the patient's forehead from hitting the windshield

c)Compression of the brain against the patient's skull

d)Heavy damage to the patient's vehicle

b)Massive contusions and lacerations to the patient's forehead from hitting the windshield

The three collision rule consists of: The exterior vehicle striking something, objects within the vehicle moving toward the point of impact, and organs within the patient's body striking the inside of the body. Of the answer's shown, the injuries involving the contusions and lacerations would be caused by the patient's body crashing into the inside windshield of the car. This would be more consistent with the second collision rule. Vehicle damage would be first, and the aortic rupture/brain compression would be third.

Which of the following is an avulsion?

a)A cut of varying lengths

b)The scraping or wearing away of the skin

c)When excessive bleeding accumulates under the skin

d)A flap of the skin that is pulled loose

d)A flap of the skin that is pulled loose

An avulsion is defined as having a flap of skin that is pulled loose like a glove. A cut of varying lengths is a laceration, the scraping of the skin is an abrasion, and an hematoma is caused by excessive bleeding under the skin

You need to perform a log roll to a place your patient with suspected spinal injury on a backboard. When executing this procedure you should:

a)Maintain manual c-spine immobilization after applying the cervical collar

b)Immobilize the patient's torso first

c)Once the patient has been moved to the backboard, immediately replace the cervical collar

d)Move the patient to the backboard and then center the patient by stepping over him and sliding him up

a)Maintain manual c-spine immobilization after applying the cervical collar

During the log roll procedure, you should always maintain manual c-spine immobilization even after the c-collar has been applied.