West Coast EMT Block 4
A driver involved in a rollover motor vehicle crash will MOST likely experience serious injuries or death if
he or she:
a. is wearing only a lap belt
b. experienced multiple impacts
c. remains within the vehicle
d. is ejected or partially ejected - ANS d. is ejected or partially ejected
According to the American College or Surgeons Committee on Trauma (ACS-COT), an adult trauma
patient should be transported to the highest level of trauma center is he or she:
a. was involved in a motor vehicle crash in which another patient in the same vehicle was killed.
b. has a bleeding disorder or takes anticoagulant medications and has any blunt or penetrating injury.
c. has a systolic blood pressure of less than 110 mm Hg or a heart rate greater than 110 beats/min.
d. has a GCS score of less than or equal to 13 with a mechanism attributed to trauma. - ANS d. has a
GCS score of less than or equal to 13 with a mechanism attributed to trauma.
Airbags are designed to:
a. prevent the driver from sustaining head trauma
b. decrease the severity of deceleration injuries
c. prevent a second collision inside the car.
d. be used with or without a shoulder harness - ANS b. decrease the severity oof deceleration injuries.
Evaluation of the interior of a crashed motor vehicle during extrication will allow the EMT to:
,a. recognize if the driver hit the brakes before impact
b. identify contact points and predict injuries
c. determine the vehicle's speed at the time of impact
d. assess the severity of the third collision of the crash - ANS b. identify contact points and predict
injuries
Factors that should be considered when assessing a patient who has fallen include all of the following,
EXCEPT:
a. the surface struck
b. the primary impact point
c. the speed of the fall
d. the height of the fall - ANS c. the speed of the fall
Force acting over a distance is the definition of:
a. work
b. kinetic energy
c. potential energy
d. latent energy - ANS a. work
If one or more occupants in the same vehicle are killed in a crash, the EMT should:
a. allow the survivors to refuse transport if they have no obvious injuries
b. rapidly assess only the survivors who experienced obvious trauma
,c. transport the survivors only if they have injuries or complain of pain
d. suspect that all living occupants experienced the same serious trauma - ANS d. suspect that all living
occupants experienced the same serious trauma
In contrast to Level III trauma center, a Level I trauma center must:
a. be involved in trauma prevention programs
b. have general surgeons in-house 24 hours a day
c. be able to stabilize patients before transferring too a higher level facility
d. have access to an emergency physician within 30 minutes - ANS b. have general surgeons in-house 24
hours a day.
Internal injuries caused by gunshot wounds are difficult to predict because:
a. exit wounds caused by the bullet are usually small
b. the area of a damage is usually smaller than the bullet.
c. the bullet may tumble or ricochet within the body.
d. the caliber of the bullet is frequently unknown - ANS c. the bullet may tumble or ricochet within the
body.
Signs of a pulmonary blast injury include:
a. coughing up blood
b. vomiting blood
c. multiple rib fractures
d. an irregular pulse - ANS a. coughing up blood
, The energy of a moving object is called:
a. kinetic energy
b. latent energy
c. potential energy
d. converted energy - ANS a. kinetic energy
The index of suspicion is MOST accurately defined as:
a. the way in which traumatic injuries occur.
b. a predictable pattern that leads to serious injuries.
c. your awareness and concern for potentially serious underlying injuries.
d. the detection of less obvious life-threatening injuries. - ANS c. your awareness and concern for
potentially serious underlying injuries
The phenomenon of pressure waves emanating from the bullet, causing damage remote from its path, is
known as:
a. congruent
b. cavitation
c. capitation
d. conversion - ANS b. cavitation
When assessing an elderly patient who fell, it is important to remember that:
a. osteoporosis can cause a fracture as a result of a fall from a standing position
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