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Q27- You are assessing a male patient who was stabbed three times in the chest and abdomen. As you begin the primary assessment, you note him to have a decreased level of consciousness and gurgling respirations. Your next action would be to:
Suction the airway.
Q27- Which one of the following is a high-velocity wound that carries the greatest risk for death when considering the concept of cavitation?
Gunshot wound to the spleen.
Q27- A patient has been stabbed with a knife at the fifth intercostal space on the right side of the chest. Assessment reveals him to be short of breath and coughing. Which one of the following questions is it most important for the EMT to ask regarding the weapon?
"How long was the knife?"
Q27- A bullet fired from a gun at close range passes through the patient's liver. However, on autopsy, the coroner discovers that the man's pancreas, stomach, and gall bladder were also injured, even though not in direct contact with the bullet. As a knowledgeable EMT, you would recognize that which of the following is responsible for injury to these additional organs?
Q27- You are responding to a call for a 4 year-old child hit by a car. When assessing the child, which of the following injury patterns would you recognize as typical based on the child's age and mechanism of injury?
Injuries to the head, femurs, chest and abdoment.
Q27- Emergency Medical Responders have removed an intoxicated and confused patient from a car that struck another car at a high rate of speed. The patient was unrestrained and his car did not have airbags. Assessment reveals deformity bilaterally to the hips and femurs and bruising to the knees. Based on this injury pattern, the EMT would recognize what type of injury mechanism?
Down and under.
Q27- A patient has been critically hurt in a nighttime motor vehicle collision. She was wearing a seatbelt and hit a tree at 70 mph. The car she was driving weighted two tones and was equipped with airbags that did deploy. Which of the following had the greatest impact on her being injured?
Spped of the vehicle at impact.
Q27- A "whiplash" type neck injury is most often observed with what type of collision?
Rear end impact.
Q27- Two cars have collided head on. One car was traveling 55 mph and the other 35 mph. The total speed of impact would be:
Q27- Assessment of a patient involved in a motor vehicle accident reveals him to have crepitus to the left humerus, instability to the left lateral chest wall and flank, and pain on palpation to the left hip region. He also complains of pain to the right side of the neck. Based on this injury pattern, the EMT would recognize the patient was:
the driver of a car hit on the driver's side.
Q27- As you pull to a motor vehicle collision, you quickly scan the scene for clues as to the type and severity of injuries. Which of the following scene clues would best indicate that a patient may have a head injury?
Starring of a windshield.
Q27- A car has been hit head-on by another vehicle at a moderate rate of speed. Seatbelts were in place and the airbags deployed. The patient is complaining of chest pain. Quick observation reveals a bruise to his sternum. The EMT would immediately:
Lift the airbag and check the steering wheel.
Q27- During an in-service focusing on care of the trauma patient, the medical director asks if anyone can correctly dscribe the "platinum 10 minutes.". Which of the following indicates the best response?
"EMS should initiate transport of the critically injured trauma patient to the hospital within 10 minutes of arriving on scene."
Q27- An unrestrained driver of a car that has struck a tree at 45 mph has suffered a contusion (bruise) to his heart. The EMT would recognize that this injury occurred during which impact of the collision?
Q27- Which of the statements below best characterizes the capabilities of a Level III Trauma Center?
The hospital has some surgical capabilities to help trauma patients, but will generally stabilize and transfer them.
Q27- Which of the following best describes the goal of a trauma system?
Getting the right patient to the right facility in the right amount of time.
Q27- A 49 -year-old male has been stabbed in the lower right chest. Police on scene report that the patient got into an argument with an unidentified man, who then stabbed him before fleeing the scene. After assessing the pat, you are suspicious that the knife punctured the lung and is causing internal bleeding. In this situation, the mechanism of injury would be:
stab wound to the right chest.
Q27- An unrestrained female driving a small car is involved in a rollover-type collision. Why is her risk for serious injury and death significantly increased?
There are more impacts in a roll over.
Q27- A patient involved in a motor vehicle collision is complaining of neck pain. Which of the following pieces of information should cause the EMT to have a high index of suspicion that the patient may have suffered more significant injuries beyond the complaint of neck pain?
Death of the car's driver.
Q27- As part of your service to the community, you are certified as a car seat specialist and provide monthly classes on the safe transport of infants and children. Several cars pulled into your station and asked you to look at their car seats. Which of the following car seat positions would indicate that the parent is safely transporting his or her infant (less than one year old)?
Facing backward in the back seat in a reclined position.
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