EMT 32

25 Questions

Settings
EMT Quizzes & Trivia

Trauma is a psychological condition leading to the damage of the mind as a result of depression or stress. The quiz below takes you through a test to assess your knowledge on the subject. Prove yourself right. All the best.


Questions and Answers
  • 1. 
    1. What is the definition of multiple trauma?
    • A. 

      A) A trauma in which the patient has more than one serious injury.

    • B. 

      B) A trauma in which there are multiple casualties.

    • C. 

      C) A trauma that requires the response of multiple agencies.

    • D. 

      D) Multiple injuries that affect more than one body system.

  • 2. 
    2. What is the definition of multisystem trauma?
    • A. 

      A) Multiple injuries that affect more than one body system.

    • B. 

      B) Trauma in which the patient has more than one serious injury.

    • C. 

      C) A trauma in which there are multiple casualties.

    • D. 

      D) A trauma that requires the response of multiple agencies.

  • 3. 
    3. Multiple trauma and multisystem trauma patients are situations in which the EMT is expectedto perform which of the following?
    • A. 

      A) Anticipate and treat problems with a greater level of complexity than usual.

    • B. 

      B) Provide the best quality care possible, including definitive care on-scene.

    • C. 

      C) Respond above and beyond the call of duty.

    • D. 

      D) Practice outside the scope of practice in order to provide the greatest good.

  • 4. 
    4. What are three elements of successful trauma care that field practitioners can use which willultimately translate into greater rates of survival?
    • A. 

      A) Teamwork, timing, and transport

    • B. 

      B) Ground ambulances, air helicopters, and trauma centers

    • C. 

      C) Lights, sirens, and diesel

    • D. 

      D) Physiological determinants, anatomic criteria, and mechanism of injury

  • 5. 
    5. What are some of the most important critical decisions an EMT can make on the scene of aserious trauma?
    • A. 

      A) Determining patient priority, amount of time on-scene, and hospital transport decision

    • B. 

      B) Whether to await ALS care on-scene or begin BLS transport

    • C. 

      C) Load and go versus stay and play

    • D. 

      D) Physiological determinants, anatomic criteria, and mechanism of injury

  • 6. 
    6. You are dispatched to a motor vehicle crash on a rural mountain highway. You have a patientwho was unconscious on arrival, had a seizure, and is currently awake but combative. Yoususpect he may have a head injury. What is considered the BEST approach regarding transport ofthis patient?
    • A. 

      A) Dispatch and await the medical helicopter, which is 20 minutes away.

    • B. 

      B) Transport to a local community hospital approximately 15 minutes away via ground.

    • C. 

      C) Begin transport to the trauma center on the ground, which is 1.5 hours’ driving time.

    • D. 

      D) Dispatch the medical helicopter to meet your unit at the community hospital.

  • 7. 
    7. What trauma triage guidelines did the Centers for Disease Control and Prevention release inorder to guide the most injured patients into trauma centers?
    • A. 

      B) Physiological determinants, anatomic criteria, and mechanism of injury

    • B. 

      A) Teamwork, timing, and transport

    • C. 

      C) Determining patient priority, amount of time on-scene, and hospital transport decision

    • D. 

      D) Lights, sirens, and diesel

  • 8. 
    8. What is the Glasgow Coma Score (GCS) measurement of altered mental status, whichaccording to CDC guidelines necessitates transport to a trauma center?
    • A. 

      B) 13

    • B. 

      A) 12

    • C. 

      C) 8

    • D. 

      D) 14

  • 9. 
    9. According to CDC guidelines, a systolic blood pressure of less than _______ indicates apatient should be transported to a trauma center.
    • A. 

      A) 90

    • B. 

      C) 110

    • C. 

      D) 80

    • D. 

      B) 100

  • 10. 
    10. A respiratory rate of less than _______ in infants is a significant finding and indicates acritical patient, who should be immediately transported to a trauma center if secondary to trauma.
    • A. 

      A) 20

    • B. 

      B) 25

    • C. 

      C) 18

    • D. 

      D) 30

  • 11. 
    11. A respiratory rate of less than _______ and greater than _______ in cases of trauma arecriteria for immediate transportation to a trauma center according to the CDC physiologicguidelines.
    • A. 

      B) 10; 29

    • B. 

      C) 12; 20

    • C. 

      D) 5; 45

    • D. 

      A) 8; 32

  • 12. 
    12. What criteria based on the CDC guidelines allows a discretionary approach to trauma triage?For example, a patient not meeting ordinary trauma triage criteria may be transported to a traumacenter based on what consideration?
    • A. 

      D) EMS provider judgment

    • B. 

      C) “Golden Hour” criteria

    • C. 

      B) The CDC “No-protocol Protocol”

    • D. 

      A) Review of morbidity and mortality

  • 13. 
    13. Which of the following trauma triage criteria would justify transportation to a trauma centerbased on mechanism of injury alone?
    • A. 

      D) Auto versus pedestrian

    • B. 

      C) Intrusion into the occupant area greater than 8 inches

    • C. 

      B) Vehicle crash-generated telemetry data

    • D. 

      A) Vehicle rollover

  • 14. 
    14. Which one of the following patients would justify the need to directly transport to a traumacenter based on special patient considerations?
    • A. 

      C) A pregnant female in the third trimester who is spotting (showing small amounts of vaginal bleeding) following a low mechanism of injury MVC

    • B. 

      A) An end-stage renal disease patient who tripped and fell and is complaining of shoulder pain on the same side as his shunt

    • C. 

      B) An unlicensed teenage driver who has a pulse rate of 120 after a MVC and a 4 minute EMS response

    • D. 

      Bleeding) following a low mechanism of injury MVC D) An elderly patient on anticoagulants who slipped out of her wheelchair and is complaining of pelvic pain

  • 15. 
    15. Based on the following presentations of patient injuries, which one would be consideredMOST severe, justifying immediate transportation to a trauma center?
    • A. 

      D) Flail chest

    • B. 

      C) Closed head injury

    • C. 

      B) An open (compound) midshaft femur fracture

    • D. 

      A) Midline cervical spine pain

  • 16. 
    16. You are dispatched to a motorcycle crash with one patient involved. What is the mostimportant intervention to perform first?
    • A. 

      B) Manually stabilize the cervical spine

    • B. 

      A) Begin chest compressions

    • C. 

      C) Suction the vomit and secretions from the airway

    • D. 

      D) Stabilize the pelvis to a long spine board

  • 17. 
    17. Which of the following choices is NOT a justifiable reason for delaying transport of a criticaltrauma patient?
    • A. 

      B) Awaiting arrival of the patient’s parents on-scene

    • B. 

      A) Suctioning the airway

    • C. 

      C) Ventilating a patient in respiratory distress

    • D. 

      D) Immobilizing the patient to a long spine board

  • 18. 
    18. What is the BEST option an EMT has when encountering poor BVM compliance whenattempting to ventilate a patient?
    • A. 

      D) Involve two people in the procedure.

    • B. 

      C) Address ventilation en route to the hospital or ALS intercept.

    • C. 

      B) Place the patient on supplemental oxygen.

    • D. 

      A) Begin chest compressions.

  • 19. 
    19. You are dispatched to a multiple vehicle collision on a busy Interstate highway. Your crewidentifies a critical patient entrapped in a small sedan with significant intrusion into the occupantarea on the front and left side. One of your crew members, dressed in fully protective gear,volunteers to enter the vehicle to begin assessment and treatment. Given that access to the patientis limited, you tell him to concentrate on assessing which of the following parts of the patient’sbody?
    • A. 

      D) Head, chest, and torso

    • B. 

      C) Torso, pelvis, and lower extremities

    • C. 

      B) Head, chest, and upper extremities

    • D. 

      A) Head, posterior torso, and lower extremities

  • 20. 
    20. What are the three elements of the Revised Trauma Score?
    • A. 

      C) GCS, systolic blood pressure, and respiratory rate

    • B. 

      B) GCS, systolic blood pressure, and pulse rate

    • C. 

      A) GCS, pulse rate, and respiratory rate

    • D. 

      D) Level of consciousness, systolic blood pressure, and pulse rate

  • 21. 
    21. You encounter an accident on a busy intercity street while on duty. Calling into dispatch, youmake note that the occupants of both vehicles are outside, and request additional units to proceednon-emergently. You approach an elderly male who is rubbing his back and left shoulder. Duringsecondary assessment of past medical history, you make note of several important details: Thepatient is on high blood pressure medications, and has had a heart attack in the past. He iscomplaining of midline thoracic pain on palpation of his spine and left shoulder pain, which mayhave been from the seat belt, but is refusing care and transport. The patient did not loseconsciousness. Based on this information, which transport decision would be most appropriatefor this patient?
    • A. 

      D) Take the patient to a local community hospital.

    • B. 

      C) Call for ALS intercept.

    • C. 

      B) Allow the patient to sign a refusal.

    • D. 

      A) Take the patient to a trauma center.

  • 22. 
    22. Which one of the following is NOT a key decision for the EMT when faced with amultisystem or multiple trauma patient?
    • A. 

      C) Should I allow police to interview the patient on-scene?

    • B. 

      D) Is the patient seriously injured?

    • C. 

      B) Do I need to minimize on-scene time?

    • D. 

      A) Should I transport to a trauma center?

  • 23. 
    23. What is the height from which an adult fall would meet trauma triage criteria set forth by theCDC?
    • A. 

      C) 20 feet

    • B. 

      A 10 feet

    • C. 

      B) 25 feet

    • D. 

      D) 15 feet

  • 24. 
    24. You are transporting a stable patient who was involved in a minor fall from a ladder at aheight of about 10 feet to a local community hospital. You assumed full spinal precautions notonly because the patient has midline back pain in the sacrum, but also because he was knockedunconscious. While transporting, the patient begins to become increasingly confused, develop anirregular respiratory rate, and experience a drop in heart rate with an increase in blood pressure.You just called in a radio report and are about 7 minutes from the hospital. A trauma center isabout 10 minutes away. Which of the following is the BEST transport decision?
    • A. 

      B) Divert to the trauma center because the patient is becoming symptomatic.

    • B. 

      A) Call medical control for advice from the trauma center.

    • C. 

      C) Continue transporting to the local hospital because you’ve already given report and they accepted the patient

    • D. 

      D) Continue transporting to the local hospital since it’s the closest facility.

  • 25. 
    25. What type of trauma triage criteria regarding transport would a finger amputation receive?
    • A. 

      B) Any hospital with surgical facilities

    • B. 

      A) Any hospital, as long as on-line medical direction approves the facility’s capabilities

    • C. 

      C) Trauma center

    • D. 

      D) The patient’s choice of destination