19) What type of trauma triage criteria regarding transport would a finger amputation receive?
A) Any hospital, as long as on-line medical direction approves the facility’s capabilities
B) Any hospital with surgical facilities
C) Trauma center
D) Patient’s choice of destination
Objective: 30.4
20) Which patient is the most unstable?
A) Unresponsive patient with hypotension
B) Patient who only responds to verbal stimuli
C) Unresponsive patient with tachycardia
D) Patient responsive to painful stimuli only
Objective: 30.4
10
21) You are getting ready to transport an unresponsive 25-year-old female patient. She was hit by
a vehicle while crossing the street. She is 26 weeks pregnant. You are 10 minutes away from the
nearest facility, 15 minutes away from a Level I Trauma Center, and 15 minutes away from a
hospital that specializes in high-risk obstetrics. You should transport the patient to which
hospital?
A) The nearest facility: she is unresponsive and unstable
B) The trauma center: the fetus will need specialized neonatology surgeons
C) The trauma center: the patient will need specialized trauma surgeons
D) The high-risk obstetric hospital: the fetus will need specialized neonatology surgeons
Objective: 30.4
22) What is the BEST option an EMT has when encountering poor BVM compliance when
attempting to ventilate a patient?
A) Begin chest compressions.
B) Place the patient on supplemental oxygen.
C) Address ventilation en route to the hospital or ALS intercept.
D) Involve two people in the procedure.
Objective: 30.5
11
23) You are dispatched to a motor vehicle crash on a rural mountain highway. You have a patient
who was unconscious on arrival, had a seizure, and is currently awake but combative. You
suspect he may have a head injury. What is considered the BEST approach regarding transport of
this patient?
A) Dispatch and await the medical helicopter, which is 20 minutes away.
B) Transport to a local community hospital approximately 15 minutes away via ground.
C) Begin transport to the trauma center on the ground, which is 1.5 hours’ driving time.
D) Dispatch the medical helicopter to meet your unit at the community hospital.
Objective: 30.5
24) A respiratory rate of less than ________ in infants is a significant finding and indicates a
critical patient, who should be immediately transported to a trauma center if secondary to trauma.
A) 20
B) 25
C) 18
D) 30
Objective: 30.5
12
25) What criteria based on the CDC guidelines allows a discretionary approach to trauma triage?
For example, a patient not meeting ordinary trauma triage criteria may be transported to a trauma
center based on what consideration?
A) Review of morbidity and mortality
B) CDC “No-protocol Protocol”
C) “Golden Hour” criteria
D) EMS provider judgment
Objective: 30.5
26) Which of the following trauma triage criteria would justify transportation to a trauma center
based on mechanism of injury alone?
A) Vehicle rollover
B) Vehicle crash-generated telemetry data
C) Intrusion into the occupant area greater than 8 inches
D) Auto versus pedestrian
Objective: 30.5
13
27) You are dispatched to a motorcycle crash with one patient involved. What is the most
important intervention to perform first?
A) Begin chest compressions.
B) Manually stabilize the cervical spine.
C) Suction the vomit and secretions from the airway.
D) Stabilize the pelvis to a long spine board.
Objective: 30.5
28) Which of the following choices is NOT a justifiable reason for delaying transport of a critical
trauma patient?
A) Suctioning the airway
B) Awaiting arrival of the patient’s parents on-scene
C) Ventilating a patient in respiratory distress
D) Immobilizing the patient to a long spine board
Objective: 30.5
14
29) Which of the following is the most significant mechanism of injury for a driver in a vehicle
accident?
A) Spidering of the windshield
B) Encroachment greater than 12 inches of the driver’s compartment
C) Death of a passenger in the same vehicle
D) Rear-end collision
Objective: 30.5
30) You respond to a 32-year-old male who fell 20 feet off a ladder. He is responsive to painful
stimuli. He has snoring respirations at 20 a minute with decent chest rise and fall. He has a
broken femur, a broken wrist, and a lacerated radial artery that is bleeding profusely. Which of
these injuries is the highest priority?
A) Arterial bleed
B) Snoring respirations
C) Broken wrist
D) Femur fracture
Objective: 30.5
15
31) You encounter an accident on a busy intercity street while on duty. Calling into dispatch, you
make note that the occupants of both vehicles are outside, and you request additional units to
proceed non-emergently. You approach an elderly male who is rubbing his back and left
shoulder. During secondary assessment of past medical history, you make note of several
important details: the patient is on high blood pressure medications, and has had a heart attack in
the past. He is complaining of midline thoracic pain on palpation of his spine and left shoulder
pain, which may have been from the seat belt, but is refusing care and transport. The patient did
not lose consciousness. Based on this information, which transport decision would be most
appropriate for this patient?
A) Take the patient to a trauma center.
B) Allow the patient to sign a refusal.
C) Call for ALS intercept.
D) Take the patient to a local community hospital.
Objective: 30.5
16
32) You are transporting a stable patient who was involved in a minor fall from a ladder at a
height of about 10 feet to a local community hospital. You assumed full spinal precautions not
only because the patient has midline back pain in the sacrum, but also because he was knocked
unconscious. While transporting, the patient begins to become increasingly confused, develop an
irregular respiratory rate, and experience a drop in heart rate with an increase in blood pressure.
You just called in a radio report and are about 7 minutes from the hospital. A trauma center is
about 10 minutes away. Which of the following is the BEST transport decision?
A) Call medical control for advice from the trauma center.
B) Divert to the trauma center because the patient is becoming symptomatic.
C) Continue transporting to the local hospital because you’ve already given report and they
accepted the patient.
D) Continue transporting to the local hospital since it’s the closest facility.
Objective: 30.5
33) According to CDC guidelines, a systolic blood pressure (BP) of less than ________ indicates
a patient should be transported to a trauma center.
A) 90
B) 100
C) 110
D) 80
Objective: 30.6
17
34) What are the three elements of the Revised Trauma Score?
A) GCS, pulse rate, and respiratory rate
B) GCS, systolic blood pressure, and pulse rate
C) GCS, systolic blood pressure, and respiratory rate
D) Level of consciousness, systolic blood pressure, and pulse rate
Objective: 30.6
35) Which patient is the highest priority?
A) Patient with a Glasgow Coma Scale of 15
B) Patient with a Revised Trauma Score of 12
C) Patient with a penetrating chest injury
D) Patient with a broken femur
Objective: 30.6
18