21) Which of the following contributes to a greater degree of injury than anticipated from vehicle damage alone in a lateral-impact motor vehicle collision? A) Increased gravitational forces due to multiple changes in direction and velocity B) Lack of a crumple zone C) Taking the up-and-over pathway D) The force of side-impact air bag deployment 22) Which of the following injuries is NOT commonly related to snowmobiling? A) Ejections B) Crush injuries C) Drowning D) Glancing blows against obstructions in the snow 23) Which of the following is the most important priority when caring for a patient with a shallow-water diving injury? A) Assessing the cervical spine for deformity B) Maintaining cervical spine stabilization while opening the airway C) Removing the patient from the water as soon as possible D) Initiating rescue breathing once out of the water 24) Which of the following impacts the severity of injury sustained in a motor vehicle collision? A) Gross vehicle weight B) Rate of acceleration or deceleration C) Vehicle speed D) All of the above 25) Which of the following is NOT a type of collision that must be considered when analyzing a motor vehicle collision? A) The vehicle strikes an object B) The occupants’ organs strike the interior of the body cavity C) The body of the occupant strikes the interior of the vehicle D) A hubcap flies off and strikes a tree 26) Which of the following best describes what happens to the kinetic energy of a vehicle traveling at 65 miles per hour when it collides into a concrete barrier wall? A) The energy dissipates as sound waves. B) The body of the vehicle and its occupants absorb the energy. C) The wall’s foundation absorbs the energy. D) The energy converts to heat through friction. 27) Which two of the following factors proportionately affect the kinetic energy of a bullet fired from a gun? A) Friction and distance B) Mass and friction C) Velocity and mass D) Friction and velocity 28) Which of the following injuries is associated with the pressure wave produced by a blast? A) Pneumothorax B) Lacerated liver C) Fractures D) Ruptured spleen 29) Axial loading is most likely to occur in which type of impact? A) Frontal with an up-and-over pathway B) Frontal with a down-and-under pathway C) Rear with the headrest too low D) Lateral on the side of the vehicle opposite the occupant 30) Which of the following “paper bag syndrome†injuries may occur due to sudden compression of the thorax or abdomen? A) Pulmonary and myocardial contusions B) Pneumothorax and diaphragmatic rupture C) Cardiac tamponade and aortic dissection D) Pneumothorax and myocardial contusion