SOLVED

1) Your patient is the 24-year-old male victim of a drive-by shooting. He is sitting on the ground on your arrival, with his legs stretched in front of him. You note his sweatpants are bloody below the right knee. He is alert, though complaining of right leg pain, and has adequate ventilation, as well as a radial pulse of 88. To decide if this patient should be transported quickly to a trauma center, you should consider if he meets which of the following? A) A Glasgow Coma Scale score of at least 15 B) CDC Guidelines for Field Triage of Injured Patients C) A Revised Trauma Score of at least 20 D) All of the above 2) All the following are complications of hypothermia in the trauma patient except: A) Inhibited clotting cascade B) Release of anticoagulant agents C) Reduction in blood loss D) Increased energy use 3) Which of the following should lead you to suspect spinal-cord injury? A) Altered mental status B) Odor of alcohol C) Distracting injuries D) All of the above 4) Your patient is a 55-year-old male with a gunshot wound to the abdomen. Which of the following does NOT have a bearing on the mechanism of injury analysis? A) The distance of the shooter from the victim at the time of injury B) The type of ammunition used C) Whether the shooter is right- or left-handed D) The type of firearm used 5) Which of the following best describes the appropriate timing of the rapid trauma assessment? A) After the focused history and assessment of the stable trauma patient B) After establishing airway, ventilation, and hemorrhage control in a critical trauma patient C) Upon making initial contact with the unresponsive trauma patient D) When considering accepting a refusal of treatment and transport from a stable trauma patient 6) Your patient is a 40-year-old male driver of a vehicle that was struck in the driver’s-side door by another vehicle at an intersection. The estimated speed of the vehicle that struck the patient’s car is 30 miles per hour. The patient was restrained, but his vehicle lacks side-impact airbags. On your arrival, he is awake and complaining of head pain. He has a 4 cm laceration to the left posterior parietal area of the head. There was moderate bleeding before your arrival, but the bleeding is now minor. Witnesses state that there was no loss of consciousness, but immediately following the collision, the patient seemed confused and did not immediately understand that witnesses wanted him to unlock his door and use his cellular phone to call for help. The patient’s skin is warm and dry, his respirations are 16, and the radial pulse is strong at 88 per minute. Which of the following most accurately describes how to best remove the patient from the vehicle? A) Place a cervical collar, maintain manual stabilization of the cervical spine, place a vest-type extrication device, and remove the patient onto a long backboard. B) Place a cervical collar, assist the patient in standing up, and then use a “standing take down” to place him on a long backboard. C) Place a cervical collar, place a long backboard on the stretcher, and position it next to the driver’s door. Instruct the patient to slide onto the board as you maintain manual stabilization of the cervical spine. D) Place a cervical collar, maintain manual stabilization of the cervical spine, and use rapid extrication onto a long backboard. 7) Which of the following probably contributes to injury-related morbidity and mortality in the young male population (those aged 13 to 35 years)? A) The tendency to put small objects in the mouth B) Disregard for safety practices C) Poor physiological compensatory mechanisms D) None of the above 8) Paramedics should do everything possible to ensure that they are on the scene of a traumatic emergency for no more than _____ minutes: A) 15 B) 20 C) 10 D) 25 9) Which of the following offers a valuable model for EMS to consider when trying to reduce injury-related morbidity and mortality? A) The Pan American Health Organization B) American Society for Testing Materials (ASTM) C) The fire service D) Drug Abuse Resistance Education (DARE) 10) The uncritical use of which of the following when caring for the trauma patient has been questioned by research? A) PASG B) Rapid isotonic fluid infusion C) Capillary refill as an indicator of tissue perfusion D) All of the above 1