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trauma 2

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The most common sign of significant abdominal injury is: A. pain B. tachycardia C. rigidity D. distention   show
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_____ takes place in the solid organs. A. digestion B. Excretion C. Energy production D. Absorption   show
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The presence of tachycardia following a significant abdominal injury: A. indicates a state of decompensated shock B. should be assumed to be a sign of shock C. is most commonly caused by severe pain D. is always accompanied by hypo tension   show
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In pediatric patients, the liver and spleen are _______. Select one: A. more protected by the thorax compared to adults B. smaller in proportion to the abdomen C. less likely to bleed when injured D. larger in proportion to the abdomen   show
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The first signs of peritonitis include all of the following EXCEPT: A. severe abdominal pain B. tenderness C. muscular spasm D. nausea   show
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Following blunt abdominal trauma, a 30 year old male complains of referred pain to the left shoulder. This finding is called the: A. Grey Turner sign B. Kehr sign C. Brudzinski sign D. Cullen sign   show
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show C. penetrating injuries  
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show A. lift the air bag and look for deformity to the steering wheel.  
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The first signs of peritonitis include all of the following EXCEPT: A. severe abdominal pain B. tenderness C. muscular spasm D. nausea   show
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In cases of sexual assault, which of the following is true? A. You should always examine the genitalia for any sign of injury B. Advise the patient not to wash, urinate or defecate C. In addition to recording the facts, it is important to include your personal thoughts D. You should use plastic bags when collecting items such as clothes   show
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show C. increased urgency of urination  
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You arrive at the scene of a major motor vehicle crash. The patient, a 50-year-old female, was removed from her vehicle prior to your arrival. Bystanders who removed her state that she was not wearing a seatbelt. The patient is unresponsive, tachycardic, and diaphoretic. Your assessment reveals bilaterally clear and equal breath sounds, a midline trachea, and collapsed jugular veins. You should be MOST suspicious that this patient has experienced a: Select one:   show
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show D. paralysis of the intercostal muscles.  
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The sebaceous glands produce sebum, a material that: Select one: A. facilitates shedding of the epidermis. B. pulls the hair erect when you are cold. C. discharges sweat onto the skin's surface. D. waterproofs the skin and keeps it supple.   show
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show B. constricting the blood vessels.  
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show B. scalp  
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In which of the following patients should you remove an impaled object? Select one: A. A semiconscious patient with an ice pick impaled in the chest B. An apneic patient with a shard of glass impaled in the abdomen C. A pulseless and apneic patient with a knife impaled in the back D. A conscious and alert patient with a fishhook impaled in the eye   show
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A supracondylar or intercondylar fracture is also known as a fracture of the: Select one: A. radial head. B. distal humerus. C. proximal radius. D. olecranon process.   show
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show B. apply gentle manual traction in line with the limb and reassess for a pulse.  
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During your assessment of a patient who experienced a blast injury, you note that he has a depressed area to the front of his skull. This injury MOST likely occurred: A. during the tertiary phase. B. during the secondary phase. C. during the primary phase. D. as a direct result of the pressure wave.   show
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According to the American College of Surgeons, an adult trauma patient meets Level I criteria if he or she: A. was involved in a motor vehicle crash in which another patient in the same vehicle was killed. B. has a systolic blood pressure of less than 110 mm Hg or a heart rate greater than 110 beats/min. C. has a bleeding disorder or takes anticoagulant medications and has any blunt or penetrating injury. D. has a GCS score of less than or equal to 8 with a mechanism attributed to trauma.   show
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show C. bruising of the heart muscle.  
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When the speed of a motor vehicle doubles, the amount of kinetic energy: A. doubles. B. triples. C. quadruples. D. is not affected   show
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When a driver is in a car equipped with an air bag, but is not wearing a seatbelt, he or she will MOST likely strike the __________ when the air bag deploys upon impact. A. door B. dashboard C. windshield D. steering wheel   show
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show tympanic membrane  
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Significant blood loss demands your immediate attention as soon as the _______ has been managed A. Fracture B. Extraction C. Airway D. None of the above   show
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show B. 100 mL  
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show B. repeat the primary assessment.  
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show D. all of the above  
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show A. 5.25 L  
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In nontrauma patients, an early indicator of internal bleeding is: A. dizziness upon standing. B. a rapid, thready pulse. C. a decreasing blood pressure. D. rapid, shallow breathing.   show
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show A. systolic blood pressure.  
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Which of the following splinting devices would be MOST appropriate to use for a patient who has an open fracture of the forearm with external bleeding? A. air splint B. vacuum splint C. sling and swathe D. cardboard splint   show
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If the typical adult loses more than 1L of blood, significant changes in vital signs, such as _____ will occur A. Decreased heart rate B. Increased respiratory rate C. Increased blood pressure D. All of the above   show
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show B. Lungs  
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A closed soft-tissue injury characterized by swelling and ecchymosis is called a(n): Select one: A. abrasion. B. contusion. C. hematoma. D. crush injury.   show
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You respond to a house fire with the local fire department. They bring a 48-year-old woman out of the house. She is unconscious but her airway is open. Her breathing is shallow at 30 breaths/min. Her pulse is 110 beats/min, strong and regular. Her blood pressure is 108/72 mm Hg. She has been burned over 40% of her body. The burned area appears to be dry and leathery. It looks charred and has pieces of fabric embedded in the flesh. You know that this type of burn is considered a: Select one:   show
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Neck rigidity, bloody cerebrospinal fluid, and headache are associated with what kind of bleeding in the brain? Select one: A. Epidural hematoma B. Subdural hematoma C. Intracerebral hematoma D. Subarachnoid hemorrhage   show
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A spinal cord injury at the level of C7 would MOST likely result in: Select one: A. paralysis of the diaphragm. B. paralysis of all the respiratory muscles. C. immediate cardiac arrest. D. paralysis of the intercostal muscles.   show
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Trench collapses usually involve large areas of falling dirt that weigh approximately _______ per cubic foot. Select one: A. 50 lb B. 100 lb C. 150 lb D. 200 lb   show
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Lighting at a scene, establishing a tool and equipment area, and marking for a helicopter landing all fall under: Select one: A. logistics operations. B. EMS operations. C. support operations. D. law enforcement.   show
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The primary duty of the triage division is to: Select one: A. begin basic treatment. B. establish zones for categorized patients. C. communicate with the treatment division. D. ensure that every patient receives a primary assessment.   show
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According to the START triage system, what should you do if a patient is found to have a respiratory rate of 24 breaths/min? Select one: A. Administer high-flow oxygen. B. Triage the patient as delayed. C. Assess for bilateral radial pulses. D. Assess his or her neurologic status.   show
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show D. nausea  
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Your primary concern when dealing with an unresponsive patient with an open abdominal injury is: A. covering the wound with a moist dressing B. maintaining the airway C. controlling the bleeding D. monitoring vital signs   show
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show C. increased urgency of urination  
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show C. antidotes, antibiotics, and vaccines are distributed.  
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In determining the potential for a terrorist attack, you should routinely observe all of the following on every call, EXCEPT: Select one: A. the type of call. B. the location type. C. weather conditions.   show
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show D. 21 days.  
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show A. Atropine and 2-PAM chloride  
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show B. single-issue group.  
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Which of the following statements regarding anthrax is NOT true? Select one: A. It enters the body through inhalation, cutaneous, and gastrointestinal routes. B. It is caused by a deadly bacterium that lies dormant in a spore. C. A vaccine is available to prevent anthrax infections. D. Pulmonary anthrax is associated with the lowest risk of death if left untreated.   show
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