Blunt Trauma: Impact Injuries in Emergency Medical Services

Question 1

Which of the following is NOT a common mechanism of blunt trauma?

Accepted Answer

Penetrating injuries

Answer

Motor vehicle accidents

Answer

Falls

Question 2

The Glasgow Coma Scale (GCS) is a tool used to assess neurological function, especially in blunt trauma patients. Which of the following is NOT a component of the GCS?

Accepted Answer

Breathing rate

Answer

Pupil size and reaction to light

Answer

Movement of the limbs

Answer

Speech and language

Question 3

What is the most essential initial management step for a patient with a flail chest due to blunt trauma?

Accepted Answer

Stabilize the chest wall with a chest binder or wrap

Answer

Intubate the patient and initiate mechanical ventilation

Answer

Administer intravenous fluids and provide pain medication

Answer

Perform an emergency thoracotomy and insert a chest tube

Question 4

During the secondary survey of a blunt trauma patient, which finding requires immediate medical attention?

Accepted Answer

Altered mental status

Answer

Open wound on the extremity

Answer

Deformity of the limb

Answer

Bruising on the chest

Question 5

What is the most appropriate action to take immediately after suspecting a closed head injury in a patient?

Accepted Answer

Immobilize the cervical spine

Answer

Apply direct pressure to any bleeding wounds

Answer

Administer oxygen if the patient is hypoxic

Answer

Take vital signs

Question 6

Which of the following describes the characteristic force application in blunt trauma?

Accepted Answer

Force acting over a wide area

Answer

Chemical burn

Answer

Electrical current passing through the body

Answer

Penetrating object piercing the skin

Question 7

When selecting a splint for a suspected fracture, which factor should be given the highest priority?

Accepted Answer

Type and location of the fracture

Answer

Availability of materials

Answer

Patient's comfort level

Answer

Patient's age

Question 8

What is crucial to maintain during the movement of a patient with a potential spinal cord injury?

Accepted Answer

Inline stabilization of the head and neck

Answer

Remove the patient's clothing

Answer

Immobilize the spine with a rigid collar

Answer

Administer pain medication

Question 9

In blunt abdominal trauma, which mechanism is primarily responsible for causing injuries?

Accepted Answer

Compression and deceleration

Answer

Penetration

Answer

Torsion

Answer

Shear

Question 10

Which of the following is a common life-threatening complication that may arise from blunt chest trauma?

Accepted Answer

Pneumothorax

Answer

Femoral artery rupture

Answer

Cerebral edema

Answer

Myocardial infarction

Question 11

When evaluating a patient for potential blunt trauma injuries, which factor holds the utmost importance?

Accepted Answer

Mechanism of injury

Answer

Patient's medical history

Answer

Patient's vital signs

Answer

Patient's age

Question 12

Which of the following injury mechanisms is NOT associated with blunt trauma?

Accepted Answer

Penetrating wound

Answer

Fall from a height

Answer

Motor vehicle crash

Answer

Blast injury

Question 13

During the primary assessment of a blunt trauma patient, the primary goal is to:

Accepted Answer

Identify and treat life-threatening injuries

Answer

Obtain consent for treatment

Answer

Establish a comprehensive medical history

Answer

Perform a detailed physical examination

Question 14

Which of the following is a clinical sign commonly associated with head trauma in blunt trauma patients?

Accepted Answer

Battle's sign

Answer

Flail chest

Answer

Ecchymosis

Answer

Crepitus

Question 15

What is the most common type of chest injury observed in blunt trauma?

Accepted Answer

Rib fracture

Answer

Cardiac tamponade

Answer

Pneumothorax

Answer

Hemothorax

Question 16

The primary purpose of a cervical spine collar in blunt trauma management is to:

Accepted Answer

Immobilize and stabilize the cervical spine

Answer

Immobilize the lower extremities

Answer

Control bleeding

Answer

Prevent airway obstruction

Question 17

In the resuscitation of blunt trauma patients, the fluid of choice is typically:

Accepted Answer

Isotonic crystalloid solution

Answer

Packed red blood cells

Answer

Normal saline

Answer

Colloid solution

Question 18

Hypotension in a blunt trauma patient is usually indicative of:

Accepted Answer

Significant internal bleeding

Answer

Dehydration

Answer

Cardiac arrest

Answer

It is not a critical sign and does not require immediate intervention

Question 19

The primary responsibility of an emergency medical technician (EMT) in the management of blunt trauma is:

Accepted Answer

Rapid and effective assessment and stabilization

Answer

Definitive treatment

Answer

Investigation

Answer

Transportation

Question 20

Which of the following is a common mechanism of blunt trauma?

Accepted Answer

Motor vehicle accident

Answer

Chemical inhalation

Answer

Submersion

Answer

Electrical burn

Question 21

What is the initial priority in assessing a blunt trauma patient using the ABCDE approach?

Accepted Answer

Airway

Answer

Exposure

Answer

Circulation

Answer

Disability

Question 22

Which of the following is a sign of potential head injury in blunt trauma?

Accepted Answer

Altered mental status

Answer

Ecchymosis on the abdomen

Answer

Open chest wound

Answer

Deformity of the extremities

Question 23

What is the recommended initial immobilization technique for a suspected spinal injury?

Accepted Answer

Logroll and cervical collar

Answer

Splinting and traction

Answer

Compression and immobilization

Answer

Stretching and alignment

Question 24

Which of the following is a potential life-threatening complication of blunt abdominal trauma?

Accepted Answer

Hemorrhage

Answer

Dehydration

Answer

Hypothermia

Answer

Infection

Question 25

What is the primary objective of fluid resuscitation in blunt trauma?

Accepted Answer

Maintain adequate blood pressure and organ perfusion

Answer

Relieve pain

Answer

Promote wound healing

Answer

Prevent hypothermia

Question 26

What is the most common type of open fracture?

Accepted Answer

Compound fracture

Answer

Greenstick fracture

Answer

Stress fracture

Answer

Avulsion fracture

Question 27

Which of the following is an early sign of compartment syndrome in an extremity?

Accepted Answer

Pain out of proportion to injury

Answer

Crepitus

Answer

Deformity

Answer

Cyanosis

Question 28

What is the primary purpose of a trauma alert?

Accepted Answer

To activate necessary resources and personnel for patient care

Answer

To document the patient's condition

Answer

To assess patient severity remotely

Answer

To transport the patient to a higher level of care

Question 29

Identify the common sign of blunt chest trauma characterized by multiple rib fractures that result in a segment of the chest wall moving independently of the rest of the chest:

Accepted Answer

Flail chest

Answer

Myocardial contusion

Answer

Pneumothorax

Answer

Hemothorax

Question 30

In the management of blunt abdominal trauma, what should be the immediate priority for emergency medical responders?

Accepted Answer

Control hemorrhage

Answer

Immobilize the spine

Answer

Establish airway and breathing

Answer

Transport to hospital

Question 31

Which imaging modality is considered the most sensitive for detecting splenic lacerations in blunt trauma patients?

Accepted Answer

CT scan (computed tomography)

Answer

MRI (magnetic resonance imaging)

Answer

X-ray

Answer

Ultrasound

Question 32

In a closed head injury, what is the primary mechanism of injury to the brain?

Accepted Answer

Coup-contrecoup

Answer

Blast wave

Answer

Concussion

Answer

Penetration

Question 33

Which scale is commonly used to assess the severity of traumatic brain injury in emergency settings?

Accepted Answer

Glasgow Coma Scale (GCS)

Answer

Revised Trauma Score (RTS)

Answer

Injury Severity Score (ISS)

Answer

American Spinal Injury Association Scale (AIS)

Question 34

In the management of a tension pneumothorax, what is the immediate life-saving procedure performed by emergency medical responders?

Accepted Answer

Needle decompression

Answer

Diuretics

Answer

Oxygen therapy

Answer

Chest tube insertion

Question 35

Prolonged hypotension in blunt trauma can lead to a life-threatening systemic consequence. Identify this consequence:

Accepted Answer

Organ ischemia

Answer

Increased intracranial pressure

Answer

Hyperventilation

Answer

Hypothermia

Question 36

In prehospital management of blunt trauma patients, what is the primary goal of emergency medical responders?

Accepted Answer

To stabilize vital signs and prevent further injury

Answer

To establish a definitive diagnosis

Answer

To perform surgery

Question 37

Which of the following is the most common mechanism of blunt trauma?

Accepted Answer

Vehicular accidents

Answer

Assaults

Answer

Falls

Answer

Sports injuries

Question 38

What is the primary goal in the initial assessment of a blunt trauma patient?

Accepted Answer

Identify and treat life-threatening injuries

Answer

Obtain a complete medical history

Answer

Rule out all possible injuries

Answer

Provide pain relief

Question 39

Which of the following signs and symptoms suggests a traumatic brain injury?

Accepted Answer

Altered mental status

Answer

Bruising

Answer

Nausea

Answer

Pain in the extremities

Question 40

Which of the following is a potential complication of blunt abdominal trauma?

Accepted Answer

Internal bleeding

Answer

Headache

Answer

Skin lacerations

Answer

Broken bones

Question 41

What is the recommended immobilization technique for a suspected pelvic fracture?

Accepted Answer

Pelvic binder

Answer

Kendrick traction

Answer

Cervical collar

Answer

Long backboard

Question 42

Which of the following is a characteristic of a flail chest?

Accepted Answer

Multiple rib fractures

Answer

Collapsed lung

Answer

Internal bleeding

Answer

Single rib fracture

Question 43

What is the indication for administering oxygen to a blunt trauma patient?

Accepted Answer

Oxygen saturation below 90%

Answer

Pain

Answer

Nausea

Answer

Rapid breathing

Question 44

What is the most important factor in determining the severity of a blunt trauma injury?

Accepted Answer

Mechanism of injury

Answer

Gender of the patient

Answer

Vital signs

Answer

Age of the patient

Question 45

A patient has a large, bruised area on their abdomen after being hit by a car. What is the primary concern in this situation?

Accepted Answer

Internal bleeding

Answer

Skin infection

Answer

Nerve damage

Answer

Muscle strain

Question 46

When a patient has a suspected spinal injury after a fall, how should they be immobilized?

Accepted Answer

A rigid cervical collar and spinal board

Answer

A splint and bandages

Answer

A sling and swathe

Answer

A soft cervical collar and blanket

Question 47

Which of the following is a common sign of a closed head injury?

Accepted Answer

Confusion

Answer

Fractured bone

Answer

Open wound

Answer

Internal bleeding

Question 48

A patient has a fractured femur with severe pain and swelling. What should you do immediately?

Accepted Answer

Immobilize the leg and apply cold packs

Answer

Administer pain medication

Answer

Apply pressure to the wound

Answer

Elevate the leg above the heart

Question 49

When managing a patient with multiple blunt trauma injuries, what is the most crucial factor to consider?

Accepted Answer

Airway, breathing, and circulation (ABCs)

Answer

Pain management

Answer

Prevention of infection

Answer

Immobilization

Question 50

Which of the following is NOT a common mechanism of blunt trauma?

Accepted Answer

Gunshot wound

Answer

Fall

Answer

Motor vehicle collision

Answer

Assault

Question 51

A patient with a flail chest is experiencing paradoxical breathing. What is the primary intervention in this situation?

Accepted Answer

Positive pressure ventilation

Answer

Oxygen therapy

Answer

Pain medication

Answer

Chest tube insertion

Question 52

A patient with a suspected abdominal trauma should be transported to the hospital in which position?

Accepted Answer

Supine with knees slightly bent

Answer

High Fowler's

Answer

Prone

Answer

Lateral recumbent