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1

Marks: 1

In contrast to a Level III trauma center, a Level I trauma center must: Choose one answer. A. have general surgeons that are in-house 24 hours a da . !. "e a"le to sta"ili#e $atients "e%ore trans%erring to a higher level %acilit . C. have access to an emergenc $h sician within &' minutes. (. "e involved in trauma $revention $rograms. Correct Marks %or this su"mission: 1)1.

*uestion2
Marks: 1

+hile en route to a ma,or motor vehicle crash, an on-scene $olice o%%icer advises ou that a -- ear-old male who was riding in the %ront seat is involved. .e %urther states that the child was onl wearing a la$ "elt and that the air "ag de$lo ed. /n the "asis o% this in%ormation, ou should "e M/01 sus$icious that the child has e2$erienced: Choose one answer. A. neck and %acial in,uries. !. o$en a"dominal trauma. C. lower e2tremit %ractures. (. "lunt trauma to the head. Correct Marks %or this su"mission: 1)1.

*uestion3
Marks: 1

3ollowing a "lunt in,ur to the head, a 22- ear-old %emale is con%used and com$lains o% a severe headache and nausea. /n the "asis o% these signs and s m$toms, ou should "e M/01 concerned with the $ossi"ilit o%: Choose one answer. A. airwa com$romise. !. a %racture o% the skull. C. s$inal cord in,ur . (. intracranial "leeding.

Incorrect Marks %or this su"mission: ')1.

*uestion4
Marks: 1

A driver involved in a rollover motor vehicle crash will M/01 likel e2$erience serious in,uries or death i% he or she: Choose one answer. A. is e,ected or $artiall e,ected. !. e2$eriences multi$le im$acts. C. remains within the vehicle. (. is wearing onl a la$ "elt. Correct Marks %or this su"mission: 1)1.

*uestion5
Marks: 1

A &'- ear-old male sustained a sta" wound to the neck when he was attacked outside a nightclu". (uring our assessment, ou should "e M/01 alert %or: Choose one answer. A. in,ur to the cervical s$ine. !. alterations in his mental status. C. $otential airwa com$romise. (. damage to internal structures. Correct Marks %or this su"mission: 1)1.

*uestion6
Marks: 1

+hen a motor vehicle strikes a tree while traveling at 4' m$h, the unrestrained occu$ant: Choose one answer. A. is thrust under the steering column onto the %loor"oard. !. will decelerate at the same rate as the motor vehicle. C. remains in motion until acted u$on " an e2ternal %orce. (. will most likel "e thrown over the steering column. Correct

Marks %or this su"mission: 1)1.

*uestion7
Marks: 1

+ith regard to the three collisions that occur during a motor vehicle crash, which o% the %ollowing statements regarding the %irst collision is correct4 Choose one answer. A. It $rovides the least amount o% in%ormation a"out the mechanism o% in,ur . !. It has a direct e%%ect on $atient care "ecause o% the o"vious vehicular damage. C. It occurs when the unrestrained occu$ant collides with the interior o% the vehicle. (. It is the most dramatic $art o% the collision and ma make e2trication di%%icult. Correct Marks %or this su"mission: 1)1.

*uestion8
Marks: 1

(uring our assessment o% a $atient with a head in,ur , ou note that he o$ens his e es when ou $inch his tra$e#ius muscle, is mum"ling, and has his arms curled in toward his chest. 5ou should assign him a 6C0 score o%: Choose one answer. A. 1'. !. 7. C. 8. (. 9. Incorrect Marks %or this su"mission: ')1.

*uestion9
Marks: 1

A 12- ear-old male ,um$ed a$$ro2imatel 12: %rom a tree and landed on his %eet. .e com$lains o% $ain to his lower "ack. +hat in,ur mechanism is M/01 likel res$onsi"le %or his "ack $ain4 Choose one answer. A. direct trauma to the s$inal column !. lateral im$act to the s$ine C. secondar %all a%ter the initial im$act (. energ transmission to the s$ine

Correct Marks %or this su"mission: 1)1.

*uestion10
Marks: 1

I% one or more occu$ants in the same vehicle are killed in a crash, the ;M1 should: Choose one answer. A. sus$ect that all living occu$ants e2$erienced the same serious trauma. !. allow the survivors to re%use trans$ort i% the have no o"vious in,uries. C. ra$idl assess onl the survivors who have e2$erienced o"vious trauma. (. trans$ort the survivors onl i% the have in,uries or com$lain o% $ain.

1
Marks: 1

A &7- ear-old male sustained a large laceration to his leg during an accident with a chainsaw and is e2$eriencing signs and s m$toms o% shock. 5ou should: Choose one answer. A. %ollow a$$ro$riate standard $recautions. !. a$$l direct $ressure to the wound. C. $er%orm a ra$id head-to-toe assessment. (. $lace the $atient on 1''< o2 gen. Correct Marks %or this su"mission: 1)1.

*uestion2
Marks: 1

. $o$er%usion is another name %or: Choose one answer. A. c anosis. !. h $o2emia. C. cellular death. (. shock. Correct Marks %or this su"mission: 1)1.

*uestion3

Marks: 1

+hich o% the %ollowing "od s stems or com$onents is the L;A01 critical %or su$$l ing and maintaining ade=uate "lood %low to the "od 4 Choose one answer. A. an intact s stem o% "lood vessels !. an e%%ectivel $um$ing heart C. the %iltering o% "lood cells in the s$leen (. ade=uate "lood in the vasculature Correct Marks %or this su"mission: 1)1.

*uestion4
Marks: 1

A 22- ear-old male was kicked in the a"domen multi$le times during an attack " a gang. .e is conscious "ut restless and his $ulse is ra$id. 5our assessment reveals a large area o% "ruising to the right u$$er =uadrant o% his a"domen. 1he M/01 a$$ro$riate treatment %or this $atient includes: Choose one answer. A. $re$aring %or immediate trans$ort. !. a$$l ing o2 gen via nasal cannula. C. a detailed assessment o% his a"domen. (. $er%orming a %ocused $h sical e2am. Correct Marks %or this su"mission: 1)1.

*uestion5
Marks: 1

+hich o% the %ollowing statements regarding the clotting o% "lood is correct4 Choose one answer. A. A $erson taking as$irin will e2$erience slower "lood clotting. !. >enous and ca$illar "lood t $icall does not clot s$ontaneousl . C. (irect contact with the environment $revents "lood %rom clotting. (. !leeding "egins to clot when the end o% a damaged vessel dilates. Incorrect Marks %or this su"mission: ')1.

*uestion6

Marks: 1

A oung male was shot in the a"domen " an unknown t $e o% gun. .e is semiconscious, has shallow "reathing, and is "leeding e2ternall %rom the wound. As ou control the e2ternal "leeding, our $artner should: Choose one answer. A. o"tain "aseline vital signs. !. a$$l a nonre"reathing mask. C. $er%orm a secondar assessment. (. assist the $atient?s ventilations. Correct Marks %or this su"mission: 1)1.

*uestion7
Marks: 1

1he smaller vessels that carr "lood awa %rom the heart and connect the arteries to the ca$illaries are called the: Choose one answer. A. arterioles. !. ca$illar arteries. C. vena cavae. (. venules. Incorrect Marks %or this su"mission: ')1.

*uestion8
Marks: 1

1he a"ilit o% a $erson?s cardiovascular s stem to com$ensate %or "lood loss is M/01 related to: Choose one answer. A. the $art o% the "od in,ured. !. how ra$idl he or she "leeds. C. how %ast his or her heart "eats. (. his or her "aseline "lood $ressure. Correct Marks %or this su"mission: 1)1.

*uestion9

Marks: 1

An in%ant with a total "lood volume o% 9'' mL would start showing signs o% shock when as little as @@@@@@ o% "lood is lost. Choose one answer. A. 1'' mL !. 1A' mL C. 2'' mL (. A' mL Incorrect Marks %or this su"mission: ')1.

*uestion10
Marks: 1

Most cases o% e2ternal "leeding %rom an e2tremit can "e controlled " : Choose one answer. A. com$ressing a $ressure $oint. !. elevating the in,ured e2tremit . C. $acking the wound with gau#e. (. a$$l ing local direct $ressure. Correct Marks %or this su"mission: 1)1.

1
Marks: 1

A &&- ear-old male sustained an a"dominal evisceration to the le%t lower =uadrant o% his a"domen a%ter he was cut with a large kni%e. A%ter a$$ro$riatel managing his A!Cs and assessing him %or other li%e-threatening in,uries, how ou should care %or his wound4 Choose one answer. A. Care%ull re$lace the e2$osed "owel into the a"domen and trans$ort. !. Irrigate it with sterile water and cover it with a dr dressing. C. Cover it with moist, sterile gau#e and secure with an occlusive dressing. (. Cover the e2$osed "owel and kee$ his legs in a straight $osition. Correct Marks %or this su"mission: 1)1.

*uestion2
Marks: 1

A laceration: Choose one answer. A. is a shar$, smooth cut that is made " a surgical scal$el. !. rarel $enetrates through the su"cutaneous tissue to the muscle. C. is a ,agged cut caused " a shar$ o",ect or "lunt %orce trauma. (. is an in,ur that se$arates various la ers o% so%t tissue. Correct Marks %or this su"mission: 1)1.

*uestion3
Marks: 1

5ou have a$$lied a dressing and roller-gau#e "andage to a laceration on the arm o% a oung %emale. (uring trans$ort, she "egins to com$lain o% num"ness and tingling in her hand. 5ou should: Choose one answer. A. remove the "andage and dressing and a$$l another one. !. remove the gau#e "andage and re$lace it with an elastic one. C. care%ull mani$ulate her arm until the s m$toms su"side. (. assess distal circulation and read,ust the "andage as needed. Correct Marks %or this su"mission: 1)1.

*uestion4
Marks: 1

In order %or electricit to %low through the "od and cause damage: Choose one answer. A. an insulator must e2ist "etween the electrical source and the $atient. !. the $erson must make direct $h sical contact with the source o% electricit . C. a com$lete circuit must e2ist "etween the electrical source and the ground. (. the $art o% the "od that is in contact with the electrical source must "e dr . Correct Marks %or this su"mission: 1)1.

*uestion5
Marks: 1

A &'- ear-old male e2$erienced a crushing in,ur when his arm was tra$$ed "etween the "ack o% a truck and a loading dock. B$on our arrival, the man?s arm has "een %reed. 5our assessment reveals that his arm is o"viousl de%ormed and swollen and is cold and $ale. 3urther assessment reveals an a"sent radial $ulse. 5ou should "e M/01 concerned that this $atient has: Choose one answer. A. internal hemorrhage. !. com$artment s ndrome. C. a severe closed %racture. (. damage to the radial nerve. Correct Marks %or this su"mission: 1)1.

*uestion6
Marks: 1

A construction worker %ell a$$ro2imatel &': and landed in a $ile o% steel rods. 5our assessment reveals that he is $ulseless and a$neic and has a 1'C steel rod im$aled in his le%t leg. 5ou should: Choose one answer. A. control the "leeding, "egin cardio$ulmonar resuscitation DCEFG, sta"ili#e the steel rod, immo"ili#e his s$ine, and trans$ort immediatel . !. remove the steel rod, control the "leeding, a$$l an automated e2ternal de%i"rillator DA;(G, "egin CEF, and trans$ort to a trauma center. C. sta"ili#e the steel rod, control the "leeding, "egin CEF, and ra$idl trans$ort to a trauma center.

(. control the "leeding, care%ull remove the steel rod, "egin CEF, and trans$ort as soon as $ Correct Marks %or this su"mission: 1)1.

*uestion7
Marks: 1

A 21- ear-old male was working in an auto re$air sho$ and sustained radiator "urns to the anterior as$ect o% "oth arms and to his anterior chest. According to the rule o% nines, this $atient has "urns that cover @@@@@ o% his !0A. Choose one answer. A. &-< !. 4A< C. 19<

(. 28< Correct Marks %or this su"mission: 1)1.

*uestion8
Marks: 1

!urns are classi%ied according to: Choose one answer. A. de$th and e2tent. !. degree and location. C. e2tent and location. (. location and $ain. Incorrect Marks %or this su"mission: ')1.

*uestion9
Marks: 1

A &9- ear-old male was electrocuted while attem$ting to wire a house. 5our assessment reveals that he is unres$onsive, $ulseless, and a$neic. A coworker has shut o%% the $ower to the house. 5ou should: Choose one answer. A. assess %or entr and e2it wounds. !. "egin CEF and a$$l the A;(. C. "egin CEF and trans$ort at once. (. %ull immo"ili#e his s$inal column. Correct Marks %or this su"mission: 1)1.

*uestion10
Marks: 1

A 18- ear-old male was shot in the right anterior chest during an altercation with a gang mem"er. As our $artner is a$$l ing 1''< o2 gen, ou $er%orm a ra$id secondar assessment and %ind an o$en chest wound with a small amount o% "lood "u""ling %rom it. 5ou should: Choose one answer. A. control the "leeding %rom the wound and $re$are to trans$ort at once. !. a$$l an occlusive dressing to the wound and continue our assessment.

C. direct our $artner to assist the $atient?s ventilations with a "ag-mask device. (. $lace a sterile dressing over the wound and a$$l direct $ressure.

1
Marks: 1

A 22- ear-old male was walking on the "each and had sand "lown into his e es. .e com$lains o% $ain and decreased vision to his right e e. 1reatment should include: Choose one answer. A. irrigating his right e e laterall . !. covering "oth e es and trans$orting. C. %lushing his e e starting laterall . (. irrigating "oth e es simultaneousl . Correct Marks %or this su"mission: 1)1.

*uestion2
Marks: 1

!leeding %rom so%t-tissue in,uries to the %ace is M/01 e%%ectivel controlled with: Choose one answer. A. direct $ressure using dr , sterile dressings. !. $ressure dressings and chemical ice $acks. C. ice $acks and elevation o% the $atient?s head. (. digital $ressure to an ad,acent $ulse $oint. Correct Marks %or this su"mission: 1)1.

*uestion3
Marks: 1

A"normal variations in $u$il si#e and reaction would M/01 likel "e o"served in a $atient with: Choose one answer. A. con,unctivitis. !. contact lenses. C. retinitis.

(. a "rain in,ur . Correct Marks %or this su"mission: 1)1.

*uestion4
Marks: 1

1he skin and underl ing tissues o% the %ace: Choose one answer. A. swell minimall when e2$osed to "lunt trauma. !. contain a relativel small num"er o% nerve %i"ers. C. are well $rotected " the ma2illae and mandi"le. (. have a rich "lood su$$l and "leed $ro%usel . Correct Marks %or this su"mission: 1)1.

*uestion5
Marks: 1

A 27- ear-old male has an anterior nose"leed a%ter he was accidentall el"owed in the nose. .is is conscious and alert with ade=uate "reathing. 1he M/01 a$$ro$riate care %or this $atient includes: Choose one answer. A. a$$l ing a gau#e $ad in "etween his lower li$ and gum. !. $lacing him su$ine and $inching his nostrils together. C. $acking the naso$har n2 with moist, sterile dressings. (. leaning him %orward and $inching his nostrils together. Correct Marks %or this su"mission: 1)1.

*uestion6
Marks: 1

A %actor worker was s$lashed in the e es with a strong acid chemical. .e com$lains o% intense $ain and "lurred vision. 5our am"ulance does not carr "ottles o% sterile saline or water. 5ou should: Choose one answer. A. neutrali#e the acid chemical in his e e with an alkaline chemical. !. %lush "oth e es with an alcohol-"ased solution and trans$ort. C. mi2 "aking soda with water and irrigate his e es with the solution.

(. irrigate "oth e es continuousl %or 2' minutes with $lain water. Correct Marks %or this su"mission: 1)1.

*uestion7
Marks: 1

A &'- ear-old %emale was ro""ed and assaulted " a gang as she was leaving a nightclu". 0he has massive %acial trauma and slow, gurgling res$irations. As our $artner manuall sta"ili#es her head, ou should: Choose one answer. A. visuali#e her mouth %or o"vious wounds. !. "egin immediate ventilator assistance. C. a$$l o2 gen via a nonre"reathing mask. (. suction her oro$har n2 %or 1A seconds. Correct Marks %or this su"mission: 1)1.

*uestion8
Marks: 1

1he lower ,aw"one is called the: Choose one answer. A. ma2illae. !. mastoid. C. mandi"le. (. # goma. Correct Marks %or this su"mission: 1)1.

*uestion9
Marks: 1

1he cricoid cartilage: Choose one answer. A. lies su$erior to the cricoth roid mem"rane in the neck. !. is easier to see and $al$ate than the th roid cartilage. C. is the onl com$lete circular cartilage o% the trachea. (. lies su$erior to the th roid cartilage in the neck.

Correct Marks %or this su"mission: 1)1.

*uestion10
Marks: 1

A 4'- ear-old male was in his woodworking sho$ when he %elt a sudden, shar$ $ain in his le%t e e. 5our assessment reveals a small s$linter o% wood em"edded in his cornea. 5ou should: Choose one answer. A. remove the o",ect with a cotton-ti$$ed a$$licator. !. cover his right e e and %lush the le%t e e with saline. C. cover "oth o% his e es and trans$ort to the hos$ital. (. scra$e the s$linter awa with moist, sterile gau#e. Correct Marks %or this su"mission: 1)1.

1
Marks: 1

+hen caring %or a $atient with a $ossi"le head in,ur , it is M/01 im$ortant to monitor the $atient?s: Choose one answer. A. "lood $ressure. !. $ulse regularit . C. level o% consciousness. (. $u$il si#e. Correct Marks %or this su"mission: 1)1.

*uestion2
Marks: 1

(uring our $rimar assessment o% a 17- ear-old unconscious male who e2$erienced severe head trauma, ou note that his res$irations are ra$id, irregular, and shallow. .e has "lood secretions draining %rom his mouth and nose. 5ou should: Choose one answer. A. assist his ventilations with a "ag-mask device. !. immo"ili#e his s$ine and trans$ort immediatel .

C. suction his oro$har n2 %or u$ to 1A seconds. (. $ack his nostrils to sto$ the drainage o% "lood. Correct Marks %or this su"mission: 1)1.

*uestion3
Marks: 1

A tight-%itting motorc cle helmet should "e le%t in $lace unless: Choose one answer. A. the helmet is e=ui$$ed with a %ull %ace shield or visor. !. the $atient com$lains o% severe neck or "ack $ain. C. it inter%eres with our assessment o% the airwa . (. the $atient must "e $laced onto a long "ack"oard. Correct Marks %or this su"mission: 1)1.

*uestion4
Marks: 1

+hat $art o% the nervous s stem controls the "od ?s voluntar activities4 Choose one answer. A. somatic !. autonomic C. sensor (. central Incorrect Marks %or this su"mission: ')1.

*uestion5
Marks: 1

1he %ive sections o% the s$inal column, in descending order, are the: Choose one answer. A. cervical, thoracic, lum"ar, sacral, and cocc geal. !. thoracic, cervical, lum"ar, cocc geal, and sacral. C. cervical, cocc geal, thoracic, sacral, and lum"ar. (. cocc geal, sacral, lum"ar, thoracic, and cervical.

Correct Marks %or this su"mission: 1)1.

*uestion6
Marks: 1

A short "ack"oard or vest-st le immo"ili#ation device is indicated %or $atients who: Choose one answer. A. are sitting in their car and are clinicall unsta"le. !. are in a sitting $osition and are clinicall sta"le. C. re=uire $rom$t e2trication %rom an automo"ile. (. are %ound su$ine and have sta"le vital signs. Correct Marks %or this su"mission: 1)1.

*uestion7
Marks: 1

A 4A- ear-old male was working on his roo% when he %ell a$$ro2imatel 12:,landing on his %eet. .e is conscious and alert and com$lains o% an ache in his lower "ack. .e is "reathing ade=uatel and has sta"le vital signs. 5ou should: Choose one answer. A. $er%orm a ra$id head-to-toe e2am and immo"ili#e his s$ine. !. immo"ili#e his s$ine and $er%orm a %ocused secondar e2am. C. allow him to re%use trans$ort i% his vital signs remain sta"le. (. o"tain a 6lasgow Coma 0core value and give him o2 gen. Correct Marks %or this su"mission: 1)1.

*uestion8
Marks: 1

An indicator o% an e2$anding intracranial hematoma or ra$idl $rogressing "rain swelling is: Choose one answer. A. a ra$id deterioration o% neurologic signs. !. acute unilateral $aral sis %ollowing the in,ur . C. a $rogressivel lowering "lood $ressure. (. an acute increase in the $atient?s $ulse rate.

Correct Marks %or this su"mission: 1)1.

*uestion9
Marks: 1

+hen immo"ili#ing a $atient on a long "ack"oard, ou should: Choose one answer. A. secure the torso and then center the $atient on the "oard. !. ensure that ou secure the torso "e%ore securing the head. C. %ollow the commands o% the $erson at the $atient?s torso. (. have the $atient e2hale "e%ore %astening the torso stra$s. Incorrect Marks %or this su"mission: ')1.

*uestion10
Marks: 1

1he central nervous s stem DCH0G is com$osed o% the: Choose one answer. A. "rain and s$inal cord. !. meninges and s$inal cord. C. cere"ellum and "rain. (. cere"rum and meninges. Correct Marks %or this su"mission: 1)1.

1
Marks: 1

0u"cutaneous em$h sema is an indication that: Choose one answer. A. "lood is slowl accumulating within the tissue o% the lung. !. at least hal% o% one lung has com$letel colla$sed. C. our $atient is e2$eriencing a $ericardial tam$onade. (. air is esca$ing into the chest wall %rom a damaged lung. Correct Marks %or this su"mission: 1)1.

*uestion2

Marks: 1

A s$inal cord in,ur at the level o% C8 would M/01 likel result in: Choose one answer. A. $aral sis o% the intercostal muscles. !. immediate cardiac arrest. C. $aral sis o% the dia$hragm. (. $aral sis o% all the res$irator muscles. Correct Marks %or this su"mission: 1)1.

*uestion3
Marks: 1

.emo$t sis is de%ined as: Choose one answer. A. "lood in the $leural s$ace. !. coughing u$ "lood. C. vomiting "lood. (. a"normal "lood clotting. Correct Marks %or this su"mission: 1)1.

*uestion4
Marks: 1

A 17- ear-old male is unres$onsive, a$neic, and $ulseless a%ter "eing struck in the center o% the chest with a so%t"all. !ased on the mechanism o% in,ur , what M/01 likel occurred4 Choose one answer. A. as stole secondar to massive intrathoracic hemorrhage due to traumatic ru$ture o% the aorta !. %racture o% the sternum that caused a ru$ture o% the m ocardium and led to a cardiac d srh thmia C. ventricular %i"rillation when the im$act occurred during a critical $ortion o% the cardiac c cle (. colla$se o% "oth lungs due to %ractured ri"s that $er%orated the lung tissue and caused cardiac arrest Correct Marks %or this su"mission: 1)1.

*uestion5
Marks: 1

>er oung children tend to "reathe $redominantl with their dia$hragm "ecause: Choose one answer. A. their chest wall and ri"s are ver $lia"le. !. the re=uire less tidal volume $er "reath. C. their intercostal muscles are not %ull develo$ed. (. there is no nerve innervation o% the intercostal muscles. Correct Marks %or this su"mission: 1)1.

*uestion6
Marks: 1

;levation o% the ri" cage during inhalation occurs when: Choose one answer. A. the dia$hragm descends. !. a"dominal contents descend. C. the intercostal muscles contract. (. intrathoracic $ressure decreases. Correct Marks %or this su"mission: 1)1.

*uestion7
Marks: 1

(uring our assessment o% a $atient with "lunt chest trauma, ou note $arado2ical movement o% the le%t chest wall. As our $artner is administering o2 gen to the $atient, ou should: Choose one answer. A. re=uest a $aramedic to decom$ress the chest. !. sta"ili#e the chest wall with a "ulk dressing. C. reassess the ade=uac o% the $atient?s "reathing. (. make note o% it and continue our assessment. Incorrect Marks %or this su"mission: ')1.

*uestion8

Marks: 1

A %lail chest occurs when: Choose one answer. A. more than three ri"s are %ractured on the same side o% the chest. !. a segment o% the chest wall is detached %rom the thoracic cage. C. multi$le ri"s are %ractured on "oth sides o% the thoracic cage. (. a segment o% %ractured ri"s "ulges during the inhalation $hase. Incorrect Marks %or this su"mission: ')1.

*uestion9
Marks: 1

An o$en $neumothora2 occurs when: Choose one answer. A. air enters the $leural s$ace %rom a $er%orated lung. !. air enters the $leural s$ace %rom outside the "od . C. a %ractured ri" $er%orates the tissue o% the lung. (. e2treme $leural $ressure causes the lung to ru$ture. Correct Marks %or this su"mission: 1)1.

*uestion10
Marks: 1

A &8- ear-old male was $inned "etween a %lat"ed truck and a loading dock. /n e2am, ou %ind "ruising to the chest, distended neck veins, "ilaterall diminished "reath sounds, and "ilateral scleral hemorrhaging. 5ou should: Choose one answer. A. $er%orm a secondar assessment. !. re=uest a $aramedic am"ulance. C. sus$ect a severe hemo$neumothora2. (. aggressivel manage his airwa . Incorrect Marks %or this su"mission: ')1.

1
Marks: 1

Eeritonitis, an intense in%lammator reaction o% the a"dominal cavit , usuall occurs when: Choose one answer. A. solid a"dominal organs "leed secondar to $enetrating trauma. !. "acteria or viruses invade the walls o% the gastrointestinal tract. C. the vessels that su$$l the a"dominal organs "ecome in%lamed. (. hollow a"dominal organs are damaged and s$ill their contents. Correct Marks %or this su"mission: 1)1.

*uestion2
Marks: 1

All o% the %ollowing are hollow a"dominal organs, ;IC;E1 %or the: Choose one answer. A. "ladder. !. ureters. C. stomach. (. liver. Correct Marks %or this su"mission: 1)1.

*uestion3
Marks: 1

Accumulation o% "lood in the a"dominal cavit will M/01 likel cause: Choose one answer. A. di%%use "ruising. !. re%erred $ain. C. distention. (. nausea or vomiting. Correct Marks %or this su"mission: 1)1.

*uestion4
Marks: 1

A sign o% kidne damage %ollowing "lunt trauma is: Choose one answer.

A. hematoche#ia. !. hematemesis. C. hemo$t sis. (. hematuria. Correct Marks %or this su"mission: 1)1.

*uestion5
Marks: 1

Elacing a $regnant $atient in a su$ine $osition during the third trimester o% $regnanc : Choose one answer. A. results in s$ontaneous urinar incontinence i% the "ladder is %ull. !. is recommended i% the $atient has severe a"dominal discom%ort. C. ma decrease the amount o% "lood that returns to the heart. (. o%ten causes h $otension secondar to cardiac com$ression. Incorrect Marks %or this su"mission: ')1.

*uestion6
Marks: 1

Contraction or tensing o% the a"dominal muscles in an e%%ort to ease $ain is called: Choose one answer. A. %le2ing. !. re%erring. C. guarding. (. withdrawing. Correct Marks %or this su"mission: 1)1.

*uestion7
Marks: 1

A 2'- ear-old male was accidentall shot in the right u$$er a"dominal =uadrant with an arrow during an archer contest. Erior to our arrival, the $atient removed the arrow. 5our assessment reveals that he is conscious and alert with sta"le

vital signs. 1he entrance wound is "leeding minimall and a$$ears to "e su$er%icial. 5ou should: Choose one answer. A. clean the wound and a$$l a dr , sterile dressing. !. trans$ort onl i% signs o% shock "egin to develo$. C. assume that the arrow in,ured an internal organ. (. care%ull $ro"e the wound to determine its de$th. Correct Marks %or this su"mission: 1)1.

*uestion8
Marks: 1

A A4- ear-old male e2$erienced an avulsion to his $enis when his %oreskin got caught in the #i$$er o% his $ants. .e was a"le to un#i$ his $ants and remove the %oreskin $rior to our arrival. 5our assessment reveals that he is in severe $ain and that the avulsion is "leeding moderatel . 1he M/01 a$$ro$riate treatment %or this $atient includes: Choose one answer. A. covering the avulsion with moist, sterile dressings. !. re=uesting a $aramedic to administer $ain medication. C. administering 1''< o2 gen via a nonre"reathing mask. (. a$$l ing direct $ressure with a dr , sterile dressing. Correct Marks %or this su"mission: 1)1.

*uestion9
Marks: 1

+hich o% the %ollowing organs would M/01 likel "leed $ro%usel when in,ured4 Choose one answer. A. stomach !. intestine C. "ladder (. liver Correct Marks %or this su"mission: 1)1.

*uestion10

Marks: 1

5ou are dis$atched to a residence %or a oung %emale who was kicked in the a"domen " her "o %riend. +hile en route to the scene, ou should ask the dis$atcher i%: Choose one answer. A. the severit o% the in,ur is known. !. there are other $atients involved. C. the $atient is conscious. (. law en%orcement is at the scene. Correct Marks %or this su"mission: 1)1.

1
Marks: 1

I% a dislocated shoulder has s$ontaneousl reduced "e%ore our arrival, the onl wa to con%irm the in,ur is " noting: Choose one answer. A. the $resence o% de%ormit . !. the $atient histor . C. "ruising to the shoulder. (. distal circulation. Incorrect Marks %or this su"mission: ')1.

*uestion2
Marks: 1

A 18- ear-old %oot"all $la er collided with another $la er and has $ain to his le%t clavicular area. .e is holding his arm against his chest and re%uses to move it. 5our assessment reveals o"vious de%ormit to the midsha%t clavicle. A%ter assessing distal $ulse, sensor , and motor %unctions, ou should: Choose one answer. A. straighten his arm and a$$l a "oard s$lint. !. $lace a $illow under his arm and a$$l a sling. C. immo"ili#e the in,ur with a sling and swathe. (. $er%orm a ra$id secondar assessment.

Correct Marks %or this su"mission: 1)1.

*uestion3
Marks: 1

A A4- ear-old male accidentall shot himsel% in the leg while cleaning his gun. 5our assessment reveals a small entrance wound to the medial as$ect o% his right leg. 1he e2it wound is on the o$$osite side o% the leg and is activel "leeding. 1he $atient com$lains o% num"ness and tingling in his right %oot. 5ou should: Choose one answer. A. control the "leeding and cover the wound with a sterile dressing. !. manuall sta"ili#e the leg a"ove and "elow the site o% in,ur . C. gentl mani$ulate the in,ured leg until the num"ness dissi$ates. (. assess distal $ulses as well as sensor and motor %unctions. Correct Marks %or this su"mission: 1)1.

*uestion4
Marks: 1

!one marrow $roduces: Choose one answer. A. electrol tes. !. l m$hoc tes. C. "lood cells. (. $latelets. Correct Marks %or this su"mission: 1)1.

*uestion5
Marks: 1

Cre$itus and %alse motion are: Choose one answer. A. most common with dislocations. !. indicators o% a severe s$rain. C. $ositive indicators o% a %racture. (. onl seen with o$en %ractures.

Incorrect Marks %or this su"mission: ')1.

*uestion6
Marks: 1

5ou have a$$lied a #i$$ered air s$lint to a $atient?s le%t arm. (uring trans$ort, the $atient com$lains o% increased num"ness and tingling in his le%t hand. 5ou reassess distal circulation and note that it remains $resent. 5our M/01 a$$ro$riate action should "e to: Choose one answer. A. in%late the s$lint with more air until the $atient is com%orta"le. !. elevate the in,ured arm and reassess distal sensor %unction. C. assess the amount o% air in the s$lint and let air out as necessar . (. remove the air s$lint and reimmo"ili#e with $added "oard s$lints. Correct Marks %or this su"mission: 1)1.

*uestion7
Marks: 1

A su"lu2ation occurs when: Choose one answer. A. a ,oint is incom$letel dislocated. !. ligaments are $artiall severed. C. a "one develo$s a hairline %racture. (. a %racture and a dislocation e2ist. Incorrect Marks %or this su"mission: ')1.

*uestion8
Marks: 1

A 4A- ear-old %emale was the unrestrained $assenger o% a small car that rearended another vehicle at a moderate rate o% s$eed. 0he is conscious and alert, "ut com$lains o% $ain to "oth o% her knees. 1here is visi"le damage to the dash"oard on the $assenger?s side o% the vehicle. In addition to %ractures or dislocations o% the knees, ou should "e M/01 sus$icious %or: Choose one answer. A. a thoracic s$ine %racture. !. anterior hi$ dislocation.

C. $osterior hi$ dislocation. (. %racture o% the ti"ia or %i"ula. Incorrect Marks %or this su"mission: ')1.

*uestion9
Marks: 1

A 22- ear-old %emale was e,ected %rom her car a%ter striking a tree head-on. As ou a$$roach her, ou note o"vious closed de%ormities to "oth o% her %emurs. 0he is not moving and does not a$$ear to "e conscious. 5ou should: Choose one answer. A. assess %or a carotid $ulse and assist her ventilations. !. administer o2 gen and $er%orm a ra$id assessment. C. sta"ili#e her head and $er%orm a $rimar assessment. (. a$$l manual sta"ili#ation to "oth o% her %emurs. Correct Marks %or this su"mission: 1)1.

*uestion10
Marks: 1

A %racture caused " minimal %orce that is associated with diseases such as cancer and osteo$orosis is called a @@@@@@@@@@ %racture. Choose one answer. A. comminuted !. transverse C. $athologic (. greenstick Correct Marks %or this su"mission: 1)1.

1
Marks: 1

A 2'- ear-old male was $ulled %rom cold water " his %riends. 1he length o% his su"mersion is not known and was not witnessed. 5ou $er%orm a $rimar assessment and determine that the $atient is a$neic and has a slow, weak $ulse. 5ou should: Choose one answer.

A. suction his airwa %or &' seconds, $rovide rescue "reathing, kee$ him warm, and trans$ort at once. !. $rovide rescue "reathing, remove wet clothing, immo"ili#e his s$ine, kee$ him warm, and trans$ort care%ull . C. a$$l 1''< o2 gen via a nonre"reathing mask, immo"ili#e his s$ine, kee$ him warm, and trans$ort ra$idl . (. ventilate with a "ag-mask device, a$$l a cervical collar, remove his wet clothing, and trans$ort ra$idl . Correct Marks %or this su"mission: 1)1.

*uestion2
Marks: 1

5ou res$ond to a local lake where a diver com$lains o% di%%icult "reathing that occurred immediatel a%ter ra$idl ascending %rom a de$th o% a$$ro2imatel &':. /n assessment, ou note that he has c anosis around his li$s and has $ink %roth coming %rom his nose and mouth. 5ou should: Choose one answer. A. suction his mouth and nose, a$$l high-%low o2 gen, $osition him on his le%t side with his head down, and contact medical control regarding trans$ort to a recom$ression %acilit . !. $osition him su$ine with his head elevated &'J, suction his mouth and nose, h $erventilate him with a "ag-mask device, and contact medical control %or %urther guidance.

C. $lace him in a semi-sitting $osition, suction his mouth and nose, a$$l a continuous $ositive airwa $ressure DCEAEG device, and trans$ort to the closest emergenc de$artment. (. suction his mouth and nose, kee$ him su$ine and elevate his legs to $revent air "u""les %rom entering his "rain, administer high-%low o2 gen, and trans$ort to a h $er"aric cham"er. Correct Marks %or this su"mission: 1)1.

*uestion3
Marks: 1

An air em"olism associated with diving occurs when: Choose one answer. A. the diver holds his or her "reath during a ra$id ascent. !. the diver h $erventilates $rior to entering the water. C. high water $ressure %orces air into the mediastinum.

(. the alveoli com$letel colla$se due to high $ressure. Correct Marks %or this su"mission: 1)1.

*uestion4
Marks: 1

(rowning is M/01 accuratel de%ined as: Choose one answer. A. death %rom su%%ocation a%ter su"mersion in water. !. tem$orar survival a%ter su"mersion in water. C. death "e ond 24 hours a%ter su"mersion in water. (. water in the lungs %ollowing su"mersion in water. Correct Marks %or this su"mission: 1)1.

*uestion5
Marks: 1

Common signs and s m$toms o% heat e2haustion include all o% the %ollowing, ;IC;E1: Choose one answer. A. tach cardia. !. headache. C. hot, dr skin. (. nausea. Correct Marks %or this su"mission: 1)1.

*uestion6
Marks: 1

A %rost"itten %oot can "e identi%ied " the $resence o%: Choose one answer. A. mottling and "listers. !. "lanching o% the skin. C. gross de%ormit . (. so%t, smooth skin. Correct

Marks %or this su"mission: 1)1.

*uestion7
Marks: 1

+hich o% the %ollowing statements regarding drowning is correct4 Choose one answer. A. Large amounts o% water enter the lungs in a small num"er o% drowning victims. !. Arti%icial ventilations can easil "e $er%ormed in $atients with a lar ngos$asm. C. . $o2ia in the drowning victim initiall occurs due to water in the lungs. (. Lar ngos$asm %ollowing su"mersion in water makes rescue "reathing di%%icult. Correct Marks %or this su"mission: 1)1.

*uestion8
Marks: 1

A $erson?s a"ilit to shiver is lost when his or her "od tem$erature %alls "elow: Choose one answer. A. 7AJ3 D&AJCG. !. 74J3 D&4JCG. C. 72J3 D&&JCG. (. 7'J3 D&2JCG. Correct Marks %or this su"mission: 1)1.

*uestion9
Marks: 1

1he two M/01 e%%icient wa s %or the "od to eliminate e2cess heat are: Choose one answer. A. sweating and dilation o% skin "lood vessels. !. h $erventilation and tach cardia. C. $ers$iration and tach cardia. (. res$iration and "rad cardia. Correct Marks %or this su"mission: 1)1.

*uestion10
Marks: 1

+hile drinking "eer with his %riends near a creek, a &1- ear-old male was "itten on the leg " an unidenti%ied snake. 1he $atient is conscious and alert and in no a$$arent distress. 5our assessment o% his leg reveals two small $uncture marks with minimal $ain and swelling. In addition to administering o2 gen and $roviding reassurance, %urther care %or this $atient should include: Choose one answer. A. trans$orting onl with close, continuous monitoring. !. a$$l ing ice to the wound and trans$orting =uickl . C. elevating the lower e2tremities and giving antivenin. (. su$ine $ositioning, s$linting the leg, and trans$orting. Incorrect Marks %or this su"mission: ')1.

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