21) Which level of trauma facility stabilizes and prepares to transport trauma patients to a higher-level facility but does NOT necessarily have surgical capabilities? A) I B) II C) IV D) III 22) Which of the following mechanisms would yield the greatest index of suspicion for serious injury? A) Helmeted bicyclist losing control and falling off his bike onto a gravel surface at 15 miles per hour B) Adult falling 12 feet from a ladder landing in the mud C) Fifty-mile-per-hour motor vehicle crash with partial ejection D) Roll-over motor vehicle collision with a restrained driver 23) Which level of trauma facility can provide neurosurgery, microsurgery, and care for multisystem trauma? A) III B) II C) I D) IV 24) Which of the following patients does NOT require specialty-center capabilities beyond that offered by a trauma center? A) A 67-year-old with second- and third-degree burns over 50 percent of the body B) A 25-year-old with amputation of three fingers C) A 4-year-old with a closed-head injury D) A 22-year-old with bilateral open femur fractures 25) Which of the following best differentiates medical and trauma patient assessment? A) There is no concept for “medical load and go†patients. B) Palpation is frequently not as crucial when assessing the medical patient. C) Scene safety is not an issue with the medical patient. D) Assessing breath sounds is not crucial to trauma assessment. 26) Which of the following mechanisms of injury does NOT call for immediate transport to a trauma center? A) Motor vehicle crash with a 20-mile-per-hour impact B) Pedestrian struck by a vehicle at 25 miles per hour C) Thirty-foot fall from a tree D) Motor vehicle crash requiring 1 hour for patient extrication 27) Which of the following is an acceptable way of reducing prehospital time to maximize the use of the “Golden Period†for trauma patients? A) Skip spinal immobilization in the blunt trauma patient B) Start all IVs on the scene to allow for more rapid transport C) Load the patients and begin transport before doing a primary assessment D) Call for air medical transport, if indicated 28) Which of the following means “the anticipation of injury to a body region or organ� A) Index of injury B) Index of suspicion C) Newton’s First Law of Motion D) Mechanism of injury 29) Which of the following is generally considered to be important in the assessment of both medical and trauma patients (the others being generally reserved for a trauma patient)? A) The detailed exam B) The reassessment C) The identification of mechanism of injury D) The rapid trauma assessment 30) According to the Haddon Matrix, which of the following would be a pre-event host factor impacting the risk for injury in a vehicle collision? A) Level of EMS providers responding B) The type of vehicle C) Using a cellular phone while driving