Question 1

Which of the following is NOT an example of trauma?
A) An abrasion to the knee
B) Chest pain
C) Cerebral contusion
D) A stab wound to the abdomen

Accepted Answer

Chest pain is not an example of trauma in the context of physical injuries like the other options. It is a symptom that can be caused by various conditions, not necessarily a direct physical injury.

Question 2

Which of the following requires immediate transport to a trauma center?
A) A 40-year-old who fell 12 feet from a garage roof with a radius fracture
B) A 36-year-old woman in a motor vehicle crash who has a blood pressure of 100/60
C) A 22-year-old soccer player with lower leg pain
D) A 47-year-old involved in a motor vehicle crash that resulted in the death of his passenger

Accepted Answer

D

Question 3

Establishment of educational programs and improved auto technology are examples of which part of the public health model?
A) Surveillance
B) Risk identification
C) Intervention
D) Implementation

Accepted Answer

The establishment of educational programs and improved auto technology are examples of interventions, which is the third step in the public health model. This step involves implementing measures to prevent or manage disease and injury. Surveillance (step 1) involves monitoring the occurrence and distribution of disease or injury, while risk identification (step 2) involves identifying factors that contribute to their occurrence. Implementation (step 4) involves putting the interventions into practice.

Question 4

The leading cause of death in people under age 44 is:
A) heart attack.
B) trauma.
C) cancer.
D) cardiovascular disease.

Accepted Answer

Trauma is the leading cause of death in people under age 44, with motor vehicle accidents being the primary cause of trauma-related deaths. Heart attacks and cardiovascular disease become more common as people age. Cancer can also affect people of all ages, but is not the leading cause of death in those under 44.

Question 5

Which of the following acts resulted in the development of modern EMS systems?
A) Ryan White Act
B) Highway Safety Act of 1966
C) Good Samaritan Act
D) The Trauma Care Systems Planning and Development Act of 1990

Accepted Answer

The Highway Safety Act of 1966 established the Department of Transportation and led to the development of modern EMS systems in the United States.

Question 6

Which of the following physical findings indicates the need for immediate transport?
A) Vital signs: systolic blood pressure 80, respiratory rate 8
B) Glasgow Coma Scale score of 15
C) Second-degree burns involving 9 percent of total body surface area in an adult patient
D) Fractured right femur

Accepted Answer

A systolic blood pressure of 80 and a respiratory rate of 8 indicate signs of shock and respiratory failure, respectively. This requires immediate transport to the hospital for advanced medical care.

Question 7

Trauma triage criteria application, field skill performance, response times, patient assessment, patient care and transport are all monitored through which of the following?
A) Quality improvement
B) Trauma registry
C) Centers for Disease Control and Prevention
D) Public healthcare model

Accepted Answer

Quality improvement programs typically monitor and evaluate performance in all areas of patient care, including trauma triage criteria application, field skill performance, response times, patient assessment, patient care, and transport. The goal is to identify areas for improvement and implement changes to improve patient outcomes. Trauma registries may be utilized as part of a quality improvement program, but they primarily track patient outcomes rather than performance measures. The Centers for Disease Control and Prevention and the public healthcare model focus on public health and disease prevention rather than individual patient care.

Question 8

Which of the following patients is NOT a candidate for air medical transport?
A) Combative trauma patient
B) Seriously injured patient with cardiac tamponade
C) Patient with prolonged extrication time
D) Burn patient with over 50 percent second-degree burns

Accepted Answer

Air medical transport usually requires a stable patient who can be safely moved. A combative patient poses a risk to the patient, the crew, and others on the aircraft.

Question 9

Which of the following accounts for the highest number of trauma deaths in the United States of America?
A) Motor vehicle crashes
B) Falls
C) Assaults
D) Firearms injuries

Accepted Answer

According to the Centers for Disease Control and Prevention (CDC), motor vehicle crashes account for the highest number of trauma deaths in the United States, with over 35,000 deaths per year. Falls and assaults follow closely behind, while firearms injuries account for a smaller portion of trauma deaths.

Question 10

As a paramedic, your role in trauma care consists of all of the following, EXCEPT:
A) providing rapid transport to appropriate facilities.
B) promoting injury prevention.
C) providing care to seriously injured trauma patients.
D) providing surgical interventions to stop hemorrhage.

Accepted Answer

Paramedics do not provide surgical interventions to stop hemorrhage, as this is typically the job of a surgeon in a hospital setting. The other options (A, B, and C) are all roles that paramedics play in trauma care.

Question 11

A trauma center that has surgical care capability available at all times and can handle all but the most seriously injured specialty and multisystem trauma patients is a Level ________ trauma center.
A) III
B) I
C) IV
D) II

Accepted Answer

A Level II trauma center has the capability to handle all but the most seriously injured specialty and multisystem trauma patients, and has surgical care available at all times. A Level I trauma center has the highest level of trauma care available and is capable of handling the most seriously injured patients, including those with complex multisystem injuries. A Level III trauma center has limited resources and may not have surgical care available at all times, while a Level IV trauma center is typically a smaller, rural hospital with basic trauma care capabilities.

Question 12

Which of the following is the best definition of the Golden Period?
A) The ideal time it takes to assess a multi-system trauma patient
B) The ideal timeframe from time of injury until surgery
C) The ideal time from requesting a helicopter to it landing on scene
D) The ideal timeframe from call dispatch to arrival on scene

Accepted Answer

The Golden Period refers to the optimal timeframe from the time of injury until surgery, during which medical intervention can greatly improve patient outcomes. This period is usually considered to be within the first hour after injury.

Question 13

In addition to handling all types of specialty trauma, which level of trauma center provides continuing medical and public education programs?
A) IV
B) III
C) I
D) II

Accepted Answer

Level I trauma centers not only handle all types of specialty trauma, but they also provide continuing medical and public education programs.

Question 14

Which level of trauma facility has minimal surgical support but can stabilize before transferring to a higher-level trauma facility?
A) III
B) II
C) IV
D) I

Accepted Answer

A Level III trauma facility has minimal surgical support but can stabilize patients before transferring them to a higher-level trauma facility.

Question 15

Upon arriving on a scene where the mechanism of injury indicates a potentially life-threatening injury, you should employ which of the following interventions to best help deliver the care that is needed?
A) Reevaluate the scene size-up.
B) Initiate transport immediately, delaying more extensive care until you are en route.
C) Ask a surgeon to respond to the scene.
D) Call immediately for air medical transport to reduce the "Golden Period."

Accepted Answer

The answer of Upon arriving on a scene where the...

Question 16

The purpose of determining the mechanism of injury and the index of suspicion for the trauma patient at the same time is to allow you to:
A) decide whether to transport the patient.
B) identify comorbid factors.
C) document a complete scene size-up.
D) anticipate your patient's injuries.

Accepted Answer

Determining the mechanism of injury and the index of suspicion allows the provider to anticipate the patient's injuries and provide appropriate treatment and transport decisions. Identifying comorbid factors and documenting the scene size-up are also important, but not as directly related to anticipating the patient's injuries.

Question 17

Modern medicine treats trauma as a:
A) crisis.
B) disease.
C) life threat.
D) medical problem.

Accepted Answer

The answer of Modern medicine treats trauma as a:
A) crisis.
B)...

Question 18

Which of the following is the best, most cost-effective way for EMS personnel to help reduce trauma-related morbidity and mortality?
A) Participate in injury prevention programs.
B) Keep up to date on trauma management knowledge and skills.
C) Transport all trauma patients to a trauma center.
D) Provide complete patient care reports so that accurate data can be entered into the trauma registry.

Accepted Answer

Participating in injury prevention programs is the best and most cost-effective way for EMS personnel to help reduce trauma-related morbidity and mortality. By taking preventive measures, EMS personnel can help reduce the number of traumatic incidents and thus lower the overall burden on healthcare services.

Question 19

Which of the following trauma patients would be classified as "stable"?
A) Patient with facial burns and associated hoarseness and stridor
B) Patient who is unconscious, with no ventilations and no pulse
C) Patient with controlled bleeding from a laceration to the right forearm from a glass cut
D) Patient with closed, bilateral femur fractures but adequate ventilations

Accepted Answer

A stable patient is one who has no immediate life-threatening injuries, with vital signs within normal limits, and no significant bleeding. The patient with controlled bleeding from a laceration to the right forearm fits this description. The other options have either airway compromise, cardiac arrest or significant injuries that require immediate attention, and would be classified as unstable.

Question 20

Which of the following statements about trauma is FALSE?
A) Life-threatening injuries may exist with little external evidence.
B) Dramatic-appearing extremity injuries draw the paramedic's focus away from life-threatening injuries.
C) Life-threatening injury occurs in less than 10 percent of trauma patients.
D) Most patients with life-threatening trauma will have sustained external injury to the extremities (arms/legs).

Accepted Answer

Most life-threatening injuries involve critical areas such as the head, chest, abdomen, and pelvis rather than the extremities. While extremity injuries can be severe and visually dramatic, they are less likely to be immediately life-threatening compared to injuries in the aforementioned critical areas.

Quiz 4: Trauma and Trauma Systems

Which of the following is NOT an example of trauma?

Which of the following requires immediate transport to a trauma center?

Establishment of educational programs and improved auto technology are examples of which part of the public health model?

The leading cause of death in people under age 44 is:

Which of the following acts resulted in the development of modern EMS systems?

Which of the following physical findings indicates the need for immediate transport?

Trauma triage criteria application, field skill performance, response times, patient assessment, patient care and transport are all monitored through which of the following?

Which of the following patients is NOT a candidate for air medical transport?

Which of the following accounts for the highest number of trauma deaths in the United States of America?

As a paramedic, your role in trauma care consists of all of the following, EXCEPT:

A trauma center that has surgical care capability available at all times and can handle all but the most seriously injured specialty and multisystem trauma patients is a Level ________ trauma center.

Which of the following is the best definition of the Golden Period?

In addition to handling all types of specialty trauma, which level of trauma center provides continuing medical and public education programs?

Which level of trauma facility has minimal surgical support but can stabilize before transferring to a higher-level trauma facility?

Upon arriving on a scene where the mechanism of injury indicates a potentially life-threatening injury, you should employ which of the following interventions to best help deliver the care that is needed?

The purpose of determining the mechanism of injury and the index of suspicion for the trauma patient at the same time is to allow you to:

Modern medicine treats trauma as a:

Which of the following is the best, most cost-effective way for EMS personnel to help reduce trauma-related morbidity and mortality?

Which of the following trauma patients would be classified as "stable"?

Which of the following statements about trauma is FALSE?