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31) Which of the following statements about lateral impact collisions is TRUE? A) The substantial lateral crumple zone prevents most injuries. B) Damage to the vehicle is a reliable indication of the seriousness of injuries. C) The degree of injury may be greater than the damage alone would indicate. D) Fatalities are rare because the upper extremities absorb the energy. 32) Which of the following mechanisms is most consistent with fractured vertebrae from a rapid lateral twisting motion? A) Direct trauma, such as from a blow to the head B) Low-velocity penetrating trauma from an ice pick C) High-velocity penetrating trauma from a gunshot wound D) Lateral-impact motor vehicle collision 33) Frontal impacts in which the patient takes a “down-and-under” pathway typically result in which of the following injury patterns? A) Traumatic brain injury B) Hip and femur fractures C) Rupture of the diaphragm D) Rupture of hollow organs 34) You are dispatched to a building collapse with an entrapped patient who will require a lengthy extrication. Which of the following medications should you consider for this patient while awaiting extrication? A) Sodium bicarbonate B) Diazepam C) Furosemide D) Calcium channel blockers 35) Which of the following is TRUE of the injuries sustained by the elderly due to falls? A) The injuries sustained by the elderly are less likely to result in hospitalization. B) Only more significant falls cause fractures. C) Less significant falls may cause fractures. D) The elderly sustain injuries similar to other age groups in comparable falls. 36) Which of the following is NOT one of the major types of recreational vehicles involved in crashes? A) Snowmobiles B) Jet Skis C) All-terrain vehicles D) Go-carts 37) Which of the following traumas contributes most significantly to motor vehicle collision mortality? A) Chest B) Head C) Abdominal D) Cervical spine 38) In a motor vehicle collision, when the driver’s chest strikes the steering wheel, what produces injury next? A) The air bag deploys a second time. B) The steering column shears off, causing penetrating trauma. C) Unsecured objects in the vehicle become projectiles. D) The heart continues its forward motion until it strikes the chest wall. 39) When inspecting the interior of a vehicle involved in a frontal collision, you note that the dash panel beneath the steering wheel is broken. Which of the following injuries might this indicate? A) Fracture of the acetabulum B) Femur fracture C) Knee injury D) All of the above 40) Which of the following injuries is associated with the tertiary phase of a blast? A) Crush injuries B) Barotrauma C) Burns D) Projectile injuries

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