Jake Anderson
Quiz by , created more than 1 year ago

paramedic Trauma Quiz on Trauma and Trauma Systems, created by Jake Anderson on 12/09/2023.

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Jake Anderson
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Trauma and Trauma Systems

Question 1 of 38

1

A standard set of data is collected by regional trauma centers and analyzed to describe the types of patients and injuries that emergency medical services​ (EMS) responds to. This is used to determine how well the system is performing and to identify factors that may either lessen or increase patient survival. This process is referred to​ as:

Select one of the following:

  • the trauma registry.

  • the trauma triage protocol.

  • trauma triage criteria.

  • epidemiology.

Explanation

Question 2 of 38

1

Which definition most accurately reflects the meaning of the term​ "Golden Period?"

Select one of the following:

  • The time interval between the incident and the surgery over which the paramedic has control

  • The time interval during which most trauma patients will require surgery to survive

  • The first hour following an incident

  • The goal for​ incident-to-surgery time for trauma patients

Explanation

Question 3 of 38

1

Which one of the definitions accurately reflects the meaning of​ "index of​ suspicion?"

Select one of the following:

  • To mentally recreate an incident from evidence available at the scene

  • A mental summation of anticipated injuries based on your event analysis

  • Anticipation of the impact that environmental extremes may have on assessment and care

  • Effective scene safety and patient​ access, disentanglement,​ assessment, care,​ extrication, and transport

Explanation

Question 4 of 38

1

To qualify as a trauma​ center, regardless of the​ level, a facility must fulfill what​ criterion?

Select one of the following:

  • Serve an entire region

  • Provide trauma care around the clock seven days a week

  • Commit resources to provide trauma care

  • Address only certain types of specialty trauma

Explanation

Question 5 of 38

1

The leading killer of persons between the ages of 1 and 44​ is:

Select one of the following:

  • trauma

  • pneumonia

  • cardiovascular disease.

  • cancer

Explanation

Question 6 of 38

1

The most common cause of trauma resulting in activation of the emergency medical services​ (EMS) system​ is:

Select one of the following:

  • blunt traumas.

  • stabbings

  • auto accidents.

  • falls

Explanation

Question 7 of 38

1

When considering all causes of death across all age​ brackets, what cause of death is exceeded only by cardiovascular disease and cancer in the total number of lives​ lost?

Select one of the following:

  • Stroke

  • Diabetes

  • Trauma

  • Hypertension

Explanation

Question 8 of 38

1

In most of the patients with serious​ life-threatening trauma, the​ life-threatening injury is​ typically:

Select one of the following:

  • definitively treated and stabilized in the field.

  • treatable in the emergency department​ (ED).

  • always obvious and grotesque.

  • internal

Explanation

Question 9 of 38

1

What is the collection of data to identify the​ existence, significance, and characteristics of a disease​ called?

Select one of the following:

  • A Haddon Matrix

  • Surveillance

  • Risk analysis

  • Intervention development

Explanation

Question 10 of 38

1

What is the name of the tool developed to identify risk elements associated with​ trauma?

Select one of the following:

  • Epidemiology

  • The Haddon Matrix

  • Surveillance

  • Risk analysis

Explanation

Question 11 of 38

1

When applied to​ trauma, what is the term for the creation or modification of programs to reduce both trauma incidence and​ seriousness?

Select one of the following:

  • Intervention development

  • Implementation

  • Risk assessment

  • Epidemiology

Explanation

Question 12 of 38

1

When treating a person who comes to harm through carelessness or disregard for​ safety, emergency medical services​ (EMS) providers can suggest a slight behavior change that can help prevent an event like that from repeating itself. What is this important and effective intervention method​ called?

Select one of the following:

  • A teachable moment

  • Repeat surveillance

  • Intervention development

  • Risk analysis

Explanation

Question 13 of 38

1

A hospital that is most likely to attempt nonsurgical stabilization of critical trauma patients prior to transporting them to a hospital with​ higher-level trauma capabilities has a trauma care rating​ of:

Select one of the following:

  • Level X.

  • Level I.

  • Level IV.

  • Level VI.

Explanation

Question 14 of 38

1

What trauma center designation is given to a regional trauma​ center, usually a university teaching​ center, prepared and committed to handle all types of specialty trauma 24 hours a​ day?

Select one of the following:

  • Level II

  • Level I

  • Resource support center

  • Primary trauma center

Explanation

Question 15 of 38

1

A​ community-based trauma center is a general hospital with a commitment to special staff training and resource allocation for trauma patients. This type of trauma center would receive a rating​ of:

Select one of the following:

  • Level III.

  • Level II.

  • Level IV.

  • Level I.

Explanation

Question 16 of 38

1

Which definition would accurately describe a Level III trauma​ center?

Select one of the following:

  • Has surgical care capability available at all times for incoming trauma patients and can handle all but the most seriously injured specialty and multisystem trauma patients

  • Usually a university teaching center prepared and committed to handle all types of specialty​ trauma; provides​ neurosurgery, microsurgery, pediatric​ care, and care for multisystem trauma

  • A general hospital with a commitment to special staff training and resource allocation for trauma patients

  • Seriously injured trauma patients may be taken for stabilization and care before​ transport, often by​ helicopter, to a more​ distant, higher-level trauma center

Explanation

Question 17 of 38

1

You are called to the scene of a fall down a concrete stairway. On arrival you note that the patient is unconscious and bleeding heavily from the nose and mouth. You note a respiratory rate of 24 and a radial pulse of 100. After​ suctioning, you are still unable to place an endotracheal​ tube, making it difficult to prevent blood from entering the lungs. How would you rate this​ victim's priority​ status?

Select one of the following:

  • Potentially unstable

  • Unstable

  • Critical

  • Stable

Explanation

Question 18 of 38

1

Based on the​ critical, unstable, potentially​ unstable, or stable​ (CUPS) triage​ scheme, which of these criteria represent the best description of a patient who would receive a​ "critical" designation?

Select one of the following:

  • A patient in whom you are unable to secure the​ airway, breathing, or circulation​ (ABCs)

  • A poor general​ impression, unresponsive, with no gag or cough reflexes

  • Difficulty​ breathing, pale skin or other signs of poor​ perfusion, severe pain in any area of the​ body, severe chest pain

  • Severe chest pain with a systolic blood pressure​ (BP) of less than 100​ mmHg, or the inability to move any part of the body

Explanation

Question 19 of 38

1

You are called to the scene of a fall from 18 feet. On your arrival you note a​ 40-something year-old male patient lying on the ground next to a fallen extension ladder. Your patient is ashen with abdominal distention and a contusion to the occipital area. He has a palpable radial pulse of 128 and a respiratory rate of 24. He is conscious but unable to follow your commands. How would you rate this patient using the CUPS​ acronym?

Select one of the following:

  • Unstable

  • Critical

  • Potentially unstable

  • Expedited

Explanation

Question 20 of 38

1

You respond to a call at a construction site for an unknown injury. On your arrival you establish that construction activities have stopped and the area is safe to enter. Inside the site you are shown to a male worker lying on the ground. Bystanders tell you that the patient was working at ground level when a concrete block fell from the third story and struck him on his hard hat. The​ patient, who was unconscious prior to your​ arrival, is just regaining consciousness. He has no knowledge of what happened but is otherwise oriented. As you are conducting your rapid​ assessment, you note that the​ patient's respirations are about​ 24, his pulse is 112 and palpable​ radially, and his skin is​ hot, dry, and flushed. While you are taking his​ pulse, he tells you that he​ can't feel or move his arms or legs. How would you rate this patient using the CUPS​ acronym?

Select one of the following:

  • Unstable

  • stable

  • Critical

  • Potentially unstable

Explanation

Question 21 of 38

1

Which statement is true regarding the Golden​ Period?

Select one of the following:

  • The​ 1-hour incident-to-surgery time changes the survival rate for most trauma patients.

  • The Golden Period does not include time in the​ paramedic's care.

  • The​ 1-hour incident to surgery time has not been substantiated.

  • Surgery within 1 hour of an incident guarantees a good​ outcome, even if subsequent surgeries are required.

Explanation

Question 22 of 38

1

In less than 10 minutes from arrival at the​ scene, what may emergency medical services​ (EMS) not be expected to​ do?

Select one of the following:

  • Provide emergency stabilization for the patient

  • Complete transport to the destination facility

  • Package the patient for transport

  • Provide a primary assessment of the patient

Explanation

Question 23 of 38

1

Reducing time from initial injury to surgery is critical for what​ reason?

Select one of the following:

  • Because some trauma patients require urgent surgical intervention as the only means to preserve life

  • To reduce the cost of emergency medical services​ (EMS) and cost shift part of the bill to the hospital

  • Because all trauma patients require immediate care to survive

  • To guarantee patient survival

Explanation

Question 24 of 38

1

The use of air transport from the scene of a severe trauma​ incident:

Select one of the following:

  • may reduce time to definitive care.

  • is always the best choice for rapid transport.

  • should be considered for combative patients.

  • is utilized more often in adverse weather conditions.

Explanation

Question 25 of 38

1

Which of these patients should be immediately transported to a trauma​ center?

Select one of the following:

  • An automobile driver involved in a 35 mph collision with a road sign

  • A respiratory rate of 28 in a patient who was struck in the chest by a line drive during a softball game

  • A motorcyclist involved in a 35 mph collision with a car

  • An adult patient who fell 12 feet

Explanation

Question 26 of 38

1

Which patient should be immediately transported to a trauma​ center?

Select one of the following:

  • A child with a tibia and fibula fracture of the left leg

  • An unrestrained child inside a vehicle involved in a 20 mph vehicle collision

  • A stab wound through the right palm

  • A​ partial-thickness burn to the left hand and arm

Explanation

Question 27 of 38

1

At what numeric score of the Glasgow Coma Scale​ (GCS) is transport to a trauma center warrented for a patient involved in a traumatic​ incident?

Select one of the following:

  • 12 and below

  • 14 and below

  • 11 and below

  • 13 and blelow

Explanation

Question 28 of 38

1

What respiratory rate would meet criteria for transporting the trauma patient to a trauma​ facility?

Select one of the following:

  • 10

  • 9

  • 7

  • 8

Explanation

Question 29 of 38

1

The only way to recognize which trauma care practices benefit patients​ is:

Select one of the following:

  • care modalities.

  • polling.

  • public education.

  • surveillance

Explanation

Question 30 of 38

1

What is the health care surveillance process utilized in trauma systems​ called?

Select one of the following:

  • Trauma registry

  • Risk protocol

  • Quality management

  • Provider fault

Explanation

Question 31 of 38

1

Identification of factors that lessen or increase trauma patient survival is a benefit​ of:

Select one of the following:

  • the trauma registry.

  • field triage of injured patients.

  • peer participation.

  • punitive quality management.

Explanation

Question 32 of 38

1

What is the most​ cost-effective way to reduce trauma morbidity and​ mortality?

Select one of the following:

  • Injury prevention

  • Increased ambulance crew size

  • Performing all procedures during transport

  • Increased air medical use

Explanation

Question 33 of 38

1

You are called to the scene of a possible injury. Which of the following injuries would necessitate a rapid trauma assessment?

Select one of the following:

  • A 50 yr old with a broken ankle from a fall from standing

  • A 20 yr old that was stung by bees (10 times) with no known allergy

  • A 30 yr old with a deep finger laceration and controlled bleeding

  • A 40 yr old involved in an MVA with normal vital signs where an occupant of the vehicle was killed

Explanation

Question 34 of 38

1

All of the following are examples of significant mechanisms of injury for an adult EXCEPT:

Select one of the following:

  • Motor vehicle vs pedestrian/biker accidents

  • A fall from a height equal to the patients height

  • Motor vehicle accidents where any occupant of the vehicle was killed

  • Patients involved in a multisystem trauma

Explanation

Question 35 of 38

1

Returning to the station after a call, you witness a child struck by a car. When you reach the child, he is conscious and appears alert. He has no obvious injuries, and denies loss of consciousness but can not tell you his name, date or time. Although, you feel he is with holding information out of fear; which of the following should be a major concern for this patient?

Select one of the following:

  • Contacting his parents to get consent to treat

  • C-spine control with spinal immobilization

  • Assessing him further to get the truth

  • Applying high flow O2 to assist his anxiety

Explanation

Question 36 of 38

1

You arrive on the scene of a teenager reported having fallen from a tree. The patient is in obvious distress and holding his left hip. He is crying and pleading for his parents to help but does not appear short of breath or somnolent. The parents state he was holding his head earlier, as well. You cannot visualize the injury due to snow pants and a jacket that the patient is wearing. The parents of the patient state the patient fell from the top of the tree which appears 15 feet high. What is the next best step in the management of this patient?

Select one of the following:

  • Perform a Neurological Exam

  • Remove the clothing to perform a detailed injury assessment

  • Manual in line stabilization of the cervical spine

  • Check the patient's blood pressure and circulation

Explanation

Question 37 of 38

1

Which of the following mechanisms of injury would provoke the highest index of suspicion for hemorrhagic shock?

Select one of the following:

  • Blast trauma to the head, resulting in full-thickness laceration to the forehead.

  • Ten-foot fall from a ladder

  • Frontal-impact motor vehicle collision at 65 miles per hour

  • Gunshot wound to the distal area of a lower extremity

Explanation

Question 38 of 38

1

You are dispatched to a MVA where a driver lost control of his car while driving on the highway at 80mph and ran into a tree. Initial assessment reveals a patient who is conscious and responsive to verbal stimuli, BP 90/70; P 120; R 18; skin cool. No visible external hemorrhage or major fractures are identified. Which of the following statements best describes the kinematics of this situation?

Select one of the following:

  • Stable vital signs rule out the possibility of life-threatening injuries occurring within the next few hours.

  • A low probability of multisystem trauma exists, and the stable vital signs rule out the possibility of life-threatening injuries.

  • A high probability of multisystem trauma is present, but the stable vital signs decrease the possibility of life-threatening injuries.

  • A high probability of multisystem trauma and life-threatening injuries are present.

Explanation

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