1. According to the American College of Surgeons Committee on Trauma (ACS-COT), an adult trauma
patient should be transported to the highest level of trauma center if he or she:
A) was involved in a motor vehicle crash in which another patient in the same vehicle was killed.
B) has a systolic bl...
1. According to the American College of Surgeons Committee on Trauma (ACS-COT), an adult trauma
patient should be transported to the highest level of trauma center if he or she:
A) was involved in a motor vehicle crash in which another patient in the same vehicle was killed.
B) has a systolic blood pressure of less than 110 mm Hg or a heart rate greater than 110 beats/min.
C) has a bleeding disorder or takes anticoagulant medications and has any blunt or penetrating injury.
D) has a GCS score of less than or equal to 13 with a mechanism attributed to trauma. - D
2. When assessing a patient who experienced a blast injury, it is important to remember that:
A) secondary blast injuries are usually the least obvious.
B) primary blast injuries are typically the most obvious.
C) solid organs usually rupture from the pressure wave.
D) primary blast injuries are the most easily overlooked. - D
3. The cervical spine is MOST protected from whiplash-type injuries when the:
A) headrest is appropriately positioned.
B) air bag correctly deploys upon impact.
C) patient tenses up at the time of impact.
D) rear end of the vehicle is initially struck. - A
4. Which of the following would MOST likely occur as the direct result of the second collision in a motor
vehicle crash?
A) Collapsed dashboard
B) Deformed steering wheel
C) Caved-in passenger door
D) Intrathoracic hemorrhage - B
,5. When a motor vehicle strikes a tree while traveling at 40 mph, the unrestrained occupant:
A) will most likely be thrown over the steering column.
B) remains in motion until acted upon by an external force.
C) will decelerate at the same rate as the motor vehicle.
D) is thrust under the steering column onto the floorboard. - B
6. By what mechanism is a person injured when he or she falls from a significant height?
A) Kinetic energy is converted to potential energy; the potential energy is then converted into the work
of bringing the body to a stop.
B) Potential energy is created as the person is falling; the potential energy is then converted into kinetic
energy upon impact.
C) As the person falls, the amount of kinetic energy is converted into work; work is then converted to
kinetic energy upon impact.
D) Potential energy is converted to kinetic energy; the kinetic energy is then converted into the work of
bringing the body to a stop - D
7. Force acting over a distance is the definition of:
A) work.
B) latent energy.
C) kinetic energy.
D) potential energy. - A
8. When the speed of a motor vehicle doubles, the amount of kinetic energy:
A) doubles.
B) triples.
C) quadruples.
D) is not affected. - C
,9. According to the Association of Air Medical Services, you should consider air medical transport of a
trauma patient if:
A) traffic conditions hamper the ability to get the patient to a trauma center by ground within the ideal
time frame for the best clinical outcome.
B) ground transport will take your ambulance out of service for an extended period of time, regardless of
the severity of the patient's injuries.
C) the patient requires advanced life support care and stabilization, and the nearest ALS-ground
ambulance is more than 5 to 10 minutes away.
D) he or she was involved in a motor vehicle crash in which another occupant in the same vehicle was
killed, even if your patient's injuries are minor - A
10. Which of the following findings would be LEAST suggestive of the presence of high-energy trauma?
A) Dismounted seats
B) Steering wheel deformity
C) Intrusion into the vehicle
D) Deployment of the air bag - D
11. Which of the following interventions is the MOST critical to the outcome of a patient with
multisystem trauma?
A) Intravenous fluid administration
B) Early administration of oxygen
C) Elevation of the lower extremities
D) Rapid transport to a trauma center - D
12 A 39-year-old male sustained a large laceration to his leg during an accident with a chainsaw and is
experiencing signs and symptoms of shock. You should first:
A) apply direct pressure to the wound.
B) place the patient on high-flow oxygen.
C) follow appropriate standard precautions.
D) perform a rapid head-to-toe assessment - C
, 13. Which of the following body systems or components is the LEAST critical for supplying and
maintaining adequate blood flow to the body?
A) An effectively pumping heart
B) An intact system of blood vessels
C) Adequate blood in the vasculature
D) The filtering of blood cells in the spleen - D
14. Which of the following organs can tolerate inadequate perfusion for 2 to 3 hours?
A) Brain
B) Heart
C) Kidneys
D) Skeletal muscle - D
15. Gastrointestinal bleeding should be suspected if a patient presents with:
A) dyspnea.
B) hematuria.
C) hemoptysis.
D) hematemesis. - D
16. The systemic veins function by:
A) returning deoxygenated blood back to the heart.
B) delivering oxygen-poor blood to the capillaries.
C) returning oxygen-rich blood back to the left atrium.
D) delivering deoxygenated blood to the capillaries. - A
17. Blood stasis, changes in the vessel wall, and certain medications affect the:
A) systolic blood pressure exclusively.
B) ability of the blood to effectively clot.
C) ability of red blood cells to carry oxygen.
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