Trauma and Trauma System-Table 1

Question 1

The purpose of determining the mechanism of injury and the index of suspicion for the trauma patient at the same time is to allow you to

Answer 1

Anticipate your patient’s injuries

Question 2

Which of the following accounts for the highest number of trauma deaths in the United States of America?

Answer 2

Motor Vehicle Crashes

Question 3

Which of the following acts resulted in the development of modern EMS systems?

Answer 3

Highway Safety Act of 1966

Question 4

In addition to handling all types of specialty trauma, which level of trauma center provides continuing medical and public education programs?

Answer 4

I

Question 5

Upon arriving on a scene where the mechanism of injury indicates a potentially life-threatening injury, you should employ which of the following interventions to BEST help deliver the care that is needed?

Answer 5

Initiate transport immediately, delaying more extensive care until you are en route.

Question 6

Which of the following physical findings indicates the need for immediate transport?

Answer 6

Vital Signs: Systolic pressure 80, respiratory rate 8

Question 7

Which of the following requires immediate transport to a trauma center?

Answer 7

A 47 year old involved in a motor vehicle crash that resulted in the death of his passenger

Question 8

As a paramedic your role in trauma care consists of all of the following EXCEPT:

Answer 8

Providing Surgical interventions to stop hemorrhage

Question 9

Which of the Following is not true of trauma triage criteria?

Answer 9

For patients who meet trauma triage criteria, the appropriate facility the largest trauma center in your region.

Question 10

Which of the following is NOT considered a significant mechanism of injury in pediatric patients?

Answer 10

Fall of 5 feet

Question 11

Which of the following is NOT an example of trauma?

Answer 11

Chest Pain

Question 12

Which of the following is NOT a consideration when assessing a trauma patient?

Answer 12

Medical insurance coverage

Question 13

Which level of trauma facility has minimal surgical support but can stabilize before transferring to a higher level trauma facility?

Answer 13

III

Question 14

Which of the following statements about trauma is TRUE?

Answer 14

Life-threatening injuries may exist with little external evidence; Dramatic-appearing extremity injuries may draw the paramedic’s focus from life-threatening injurie; Life-threatening injury occurs in less than 10 percent of trauma patients; ALL OF THE ABOVE ARE TRUE.

Question 15

The leading cause of death in people under age of 44 is

Answer 15

Trauma

Question 16

Which of the following patients is NOT a candidate for air medical transport?

Answer 16

Combative trauma patient

Question 17

Which of the following is more relevant to the assessment and history of the medical patient than to the trauma patient?

Answer 17

OPQRST

Question 18

Modern medicine treats trauma as a ________.

Answer 18

Disease

Question 19

A trauma center that has surgical care capability available at all times and can handle all but the most seriously injured specialty and multisystem trauma patients is a Level ________ trauma center.

Answer 19

II

Question 20

Which of the following is the best, most cost-effective way for EMS personnel to help reduce trauma-related morbidity and mortality?

Answer 20

Participate in injury prevention programs

Question 21

Which level of trauma facility stabilizes and prepares to transport trauma patients to a higher-level facility but does NOT necessarily have surgical capabilities?

Answer 21

IV

Question 22

Which of the following mechanisms would yield the greatest index of suspicion for serious injury?

Answer 22

50 mph MVA with partial ejection

Question 23

Which level of trauma facility can provide neurosurgery, microsurgery, and care for multisystem trauma?

Answer 23

I

Question 24

Which of the following patients does NOT require specialty-center capabilities beyond that offered by a trauma center?

Answer 24

A 22 year old with bilateral open femur fractures

Question 25

Which of the following best differentiates medical and trauma patient assessment?

Answer 25

palpation is frequently not as crucial when assessing the medical patient

Question 26

Which of the following mechanisms of injury does not call for immediate transport to a trauma center?

Answer 26

MVA with 20 MPH impact

Question 27

Which of the following is an acceptable way of reducing prehospital time to maximize the use of the “Golden Period” for trauma patients?

Answer 27

Call for air medical transport, if indicated

Question 28

Which of the following means “the anticipation of injury to a body region or organ”?

Answer 28

Index of suspicion

Question 29

Which of the following is generally considered to be important in the assessment of both medical and trauma patients (the others being generally reserved for a trauma patient)?

Answer 29

The reassessment

Question 30

According to the Haddon Matrix, which of the following would be a pre-event host factor impacting the risk for injury in a vehicle collision?

Answer 30

Using a cellular phone while driving.