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Exam 4: Trauma and Trauma Systems

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Question 121

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Which of the following is MOST likely to occur to the bullet when military ammunition is used?

A) It will "mushroom" or flatten.
B) It will remain intact.
C) It will fragment.
D) It will explode.

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Question 122

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Which of the following best defines the term energy?

A) The ability to deform solid objects
B) The rate of motion related to time
C) The capacity to do work
D) The amount of heat generated through friction

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Question 123

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Which of the following best describes the role of rapid sequence intubation (RSI) in the prehospital management of patients with traumatic brain injury?

You and your partner are working a day shift. It is a sunny day, and the temperature is 95°F. You are dispatched to the town soccer field for an 85-year-old woman complaining of cramping to her fingers. The patient denies any other complaint of dizziness, nausea, or vomiting. The patient tells you it feels like her arthritis but much worse. Her vital signs are all within normal limits, and her skin is warm and moist. What is the MOST likely problem this patient is experiencing?

Which of the following is a "mental summation of suspected injuries based on the event analysis"?

You have intubated a 5-year-old girl with a suspected head injury. You note that the patient is exhibiting signs of herniation. What is the desired range for this patient's end-tidal CO₂?

Field assessment/management for pnemomediastinum includes:

Which of the following is NOT one of the major types of recreational vehicles involved in crashes?

Your patient is an obese 39-year-old woman involved in a lateral-impact motor vehicle collision. Which of the following should you remember when assessing and treating this patient?

Which statement about ballistics is TRUE?

Which of the following best describes definitive care for the pregnant trauma patient with ongoing, significant hemorrhage?

You are reassessing the distal circulation on a patient's forearm you have bandaged. The distal hand and wrist are cool to the touch and turning pale. The patient complains of numbness and tingling in that hand. What is your next course of action?

Which of the following is TRUE of body armor use?

You have arrived on the scene of a paramedic who was shot as she approached a residence on a call. The scene has since been secured. Your patient is a 38-year-old woman with one gunshot wound to the left side of the chest at the fifth intercostal space in the midaxillary line. She is pale, cool, and awake but agitated. She is diaphoretic and complaining of pain in her left side and difficulty breathing. The patient's EMT partner has applied oxygen by nonrebreather mask and placed an occlusive dressing over the entry wound before your arrival. As you continue your assessment, the patient's level of consciousness decreases. She responds to verbal stimuli. Her airway is clear, her respiratory rate is 38 per minute and shallow, her neck veins are flat, and her breath sounds are absent on the left side. The patient lacks a radial pulse, and her abdomen is non-guarded and non-tender. Which of the following best explains the presentation of this patient?

In which of the following patients would you expect to see a subacute exposure to cold?

In which type of soft tissue injury is the skin cut or torn, leaving a flap of skin attached?

Damage to which of the following organs is MOST likely to induce severe infection in the abdominal cavity?

When providing fluid resuscitation to a hypothermic patient, the rate of infusion should be:

You are treating a 16-year-old male patient who fell while practicing a new move on his skateboard. Bystanders relate that the patient was not wearing a helmet. The bystanders also relate that the patient was alert and oriented following the fall; however, while waiting for you to arrive, the patient became unconscious. While performing your physical exam, you note that the patient has a hematoma to the right temporal area. Your assessment leads you to believe that your patient has an epidural hematoma. You know that an epidural hematoma is caused by what type of bleeding?

Your patient is a 30-year-old pregnant woman at 36 weeks' gestation. She was injured in a fall from a horse and is complaining of painful contractions. Her abdomen is tender to palpation over the uterus, and the uterus becomes firm with contractions, but she denies vaginal bleeding. The patient is anxious, but her skin is warm and dry. Her blood pressure is 112/70, her heart rate is 92, and her respirations are 24. Which of the following statements best describes this situation?