AAOS EMT Eleventh Edition Section 7:
Trauma Exam Questions and Answers
Which of the following destinations is most appropriate for a 41-year-old male patient
who was involved in a rollover motor vehicle collision and is unconscious and
unresponsive, assuming that travel times to each is equal? - Answer -A Level I or Level
II trauma center
The index of suspicion is MOST accurately defined as: - Answer -your awareness and
concern for potentially serious underlying injuries.
Force acting over a distance is the definition of: - Answer -work.
Which of the following statements regarding gunshot wounds is correct? - Answer -The
speed of a bullet has the greatest impact on the injury produced.
Which types of motor vehicle collisions present the greatest potential for multiple
impacts? - Answer -Rotational and rollover
Which of the following findings would be LEAST suggestive of the presence of high-
energy trauma? - Answer -Deployment of the air bag
While en route to a major motor vehicle crash, an on-scene police officer advises you
that a 6-year-old male who was riding in the front seat is involved. He further states that
the child was only wearing a lap belt and that the air bag deployed. On the basis of this
information, you should be MOST suspicious that the child has experienced: - Answer -
neck and facial injuries.
Approximately 25% of severe injuries to the aorta occur during: - Answer -lateral
collisions.
A 15-year-old female was struck by a small car while riding her bicycle. She was
wearing a helmet and was thrown to the ground, striking her head. In addition to
managing problems associated with airway, breathing, and circulation, it is MOST
important for you to: - Answer -stabilize her entire spine.
,A 12-year-old male jumped approximately 12 feet from a tree and landed on his feet. He
complains of pain to his lower back. What injury mechanism is MOST likely responsible
for his back pain? - Answer -Energy transmission to the spine
When assessing an elderly patient who fell, it is important to remember that: - Answer -
osteoporosis can cause a fracture as a result of a fall from a standing position.
A young male sustained a gunshot wound to the abdomen during an altercation. As
your partner is assessing and managing his airway, you should control the obvious
bleeding and then: - Answer -assess for an exit wound.
When assessing a patient who experienced a blast injury, it is important to remember
that: - Answer -primary blast injuries are the most easily overlooked.
Which of the following interventions is the MOST critical to the outcome of a patient with
multisystem trauma? - Answer -Rapid transport to a trauma center
Following a blunt injury to the head, a 22-year-old female is confused and complains of
a severe headache and nausea. On the basis of these signs and symptoms, you should
be MOST concerned with the possibility of: - Answer -intracranial bleeding.
According to the Association of Air Medical Services, you should consider air medical
transport of a trauma patient if: - Answer -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.
Your patient has a Glasgow Coma Scale (GCS) score of 13, a systolic blood pressure
of 80 mm Hg, and a respiratory rate of 8 breaths/min. His Revised Trauma Score (RTS)
is: - Answer -9.
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: - Answer -has a GCS score of less than or equal to 13 with a mechanism attributed
to trauma.
When the speed of a motor vehicle doubles, the amount of kinetic energy: - Answer -
quadruples.
Which of the following injuries would MOST likely occur as a direct result of the third
collision in a motor vehicle crash? - Answer -Aortic rupture
When a motor vehicle strikes a tree while traveling at 40 mph, the unrestrained
occupant: - Answer -remains in motion until acted upon by an external force.
, By what mechanism is a person injured when he or she falls from a significant height? -
Answer -Potential energy is converted to kinetic energy; the kinetic energy is then
converted into the work of bringing the body to a stop.
Which of the following would MOST likely occur as the direct result of the second
collision in a motor vehicle crash? - Answer -Deformed steering wheel
If one or more occupants in the same vehicle are killed in a crash, the EMT should: -
Answer -suspect that all living occupants experienced the same serious trauma.
Air bags are designed to: - Answer -decrease the severity of deceleration injuries.
When caring for an occupant inside a motor vehicle equipped with an air bag that did
not deploy upon impact, you should: - Answer -remember that it could still deploy and
seriously injure you.
The cervical spine is MOST protected from whiplash-type injuries when the: - Answer -
headrest is appropriately positioned.
A driver involved in a rollover motor vehicle crash will MOST likely experience serious
injuries or death if he or she: - Answer -is ejected or partially ejected.
The phenomenon of pressure waves emanating from the bullet, causing damage
remote from its path, is known as: - Answer -coughing up blood.
Awareness of and concern for potentially serious obvious and underlying injuries is
referred to as the: - Answer -index of suspicion.
Which of the following is considered a type of motor vehicle collision? - Answer -
Rollover
Significant clues to the possibility of severe injuries in motor vehicle collisions include: -
Answer -death of a passenger.
A fall from more than _____ times the patient's height is considered to be significant. -
Answer -three
A young boy was riding his bicycle down the street when he hit a parked car. What was
the second collision? - Answer -The bike rider hitting his bike or the car
A patient complaining of chest tightness, coughing up blood, and subcutaneous
emphysema following an explosion may be suffering from a: - Answer -pulmonary blast
injury.
Which section of the heart receives deoxygenated blood? - Answer -Right
Trauma Exam Questions and Answers
Which of the following destinations is most appropriate for a 41-year-old male patient
who was involved in a rollover motor vehicle collision and is unconscious and
unresponsive, assuming that travel times to each is equal? - Answer -A Level I or Level
II trauma center
The index of suspicion is MOST accurately defined as: - Answer -your awareness and
concern for potentially serious underlying injuries.
Force acting over a distance is the definition of: - Answer -work.
Which of the following statements regarding gunshot wounds is correct? - Answer -The
speed of a bullet has the greatest impact on the injury produced.
Which types of motor vehicle collisions present the greatest potential for multiple
impacts? - Answer -Rotational and rollover
Which of the following findings would be LEAST suggestive of the presence of high-
energy trauma? - Answer -Deployment of the air bag
While en route to a major motor vehicle crash, an on-scene police officer advises you
that a 6-year-old male who was riding in the front seat is involved. He further states that
the child was only wearing a lap belt and that the air bag deployed. On the basis of this
information, you should be MOST suspicious that the child has experienced: - Answer -
neck and facial injuries.
Approximately 25% of severe injuries to the aorta occur during: - Answer -lateral
collisions.
A 15-year-old female was struck by a small car while riding her bicycle. She was
wearing a helmet and was thrown to the ground, striking her head. In addition to
managing problems associated with airway, breathing, and circulation, it is MOST
important for you to: - Answer -stabilize her entire spine.
,A 12-year-old male jumped approximately 12 feet from a tree and landed on his feet. He
complains of pain to his lower back. What injury mechanism is MOST likely responsible
for his back pain? - Answer -Energy transmission to the spine
When assessing an elderly patient who fell, it is important to remember that: - Answer -
osteoporosis can cause a fracture as a result of a fall from a standing position.
A young male sustained a gunshot wound to the abdomen during an altercation. As
your partner is assessing and managing his airway, you should control the obvious
bleeding and then: - Answer -assess for an exit wound.
When assessing a patient who experienced a blast injury, it is important to remember
that: - Answer -primary blast injuries are the most easily overlooked.
Which of the following interventions is the MOST critical to the outcome of a patient with
multisystem trauma? - Answer -Rapid transport to a trauma center
Following a blunt injury to the head, a 22-year-old female is confused and complains of
a severe headache and nausea. On the basis of these signs and symptoms, you should
be MOST concerned with the possibility of: - Answer -intracranial bleeding.
According to the Association of Air Medical Services, you should consider air medical
transport of a trauma patient if: - Answer -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.
Your patient has a Glasgow Coma Scale (GCS) score of 13, a systolic blood pressure
of 80 mm Hg, and a respiratory rate of 8 breaths/min. His Revised Trauma Score (RTS)
is: - Answer -9.
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: - Answer -has a GCS score of less than or equal to 13 with a mechanism attributed
to trauma.
When the speed of a motor vehicle doubles, the amount of kinetic energy: - Answer -
quadruples.
Which of the following injuries would MOST likely occur as a direct result of the third
collision in a motor vehicle crash? - Answer -Aortic rupture
When a motor vehicle strikes a tree while traveling at 40 mph, the unrestrained
occupant: - Answer -remains in motion until acted upon by an external force.
, By what mechanism is a person injured when he or she falls from a significant height? -
Answer -Potential energy is converted to kinetic energy; the kinetic energy is then
converted into the work of bringing the body to a stop.
Which of the following would MOST likely occur as the direct result of the second
collision in a motor vehicle crash? - Answer -Deformed steering wheel
If one or more occupants in the same vehicle are killed in a crash, the EMT should: -
Answer -suspect that all living occupants experienced the same serious trauma.
Air bags are designed to: - Answer -decrease the severity of deceleration injuries.
When caring for an occupant inside a motor vehicle equipped with an air bag that did
not deploy upon impact, you should: - Answer -remember that it could still deploy and
seriously injure you.
The cervical spine is MOST protected from whiplash-type injuries when the: - Answer -
headrest is appropriately positioned.
A driver involved in a rollover motor vehicle crash will MOST likely experience serious
injuries or death if he or she: - Answer -is ejected or partially ejected.
The phenomenon of pressure waves emanating from the bullet, causing damage
remote from its path, is known as: - Answer -coughing up blood.
Awareness of and concern for potentially serious obvious and underlying injuries is
referred to as the: - Answer -index of suspicion.
Which of the following is considered a type of motor vehicle collision? - Answer -
Rollover
Significant clues to the possibility of severe injuries in motor vehicle collisions include: -
Answer -death of a passenger.
A fall from more than _____ times the patient's height is considered to be significant. -
Answer -three
A young boy was riding his bicycle down the street when he hit a parked car. What was
the second collision? - Answer -The bike rider hitting his bike or the car
A patient complaining of chest tightness, coughing up blood, and subcutaneous
emphysema following an explosion may be suffering from a: - Answer -pulmonary blast
injury.
Which section of the heart receives deoxygenated blood? - Answer -Right
