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Which of the following statements concerning a concussion is true?


A) It is a bruising of the brain tissue.
B) The patient may not have any symptoms of the injury.
C) It is accompanied by recurrent episodes of unconsciousness.
D) All of the above

E) None of the above
F) C) and D)

Correct Answer

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What is another name for the zygomatic bone?


A) Malar
B) Maxillae
C) Temporal
D) Mandible

E) A) and B)
F) A) and C)

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You are called for a man who is not acting right.His wife says he was outside working in the garden but didn't come in for lunch when he was called.She went to check on him and found him sitting next to a stump,confused.You assessment shows a pulse rate of 58,blood pressure of 186/82,respirations of 16,and one of his pupils is dilated.You are unable to detect any signs of trauma and you don't see any obvious indication that he has fallen.You should suspect a(n) :


A) closed head injury.
B) open head injury.
C) insecticide poisoning.
D) nontraumatic brain injury.

E) A) and B)
F) B) and C)

Correct Answer

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While assessing a patient with a laceration to the neck,the EMT must be aware that which of the following conditions may develop?


A) Deep vein thrombosis
B) Air embolus
C) Air thrombosis
D) Deep vein embolus

E) B) and C)
F) C) and D)

Correct Answer

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Your patient has a suspected cervical spine injury from falling from a rope swing.His vital signs are pulse 62,respirations 20,and blood pressure 90/56.He has no feeling below his mid-chest area but is able to breathe on his own.You should suspect:


A) cardiogenic shock.
B) hypovolemic shock.
C) neurogenic shock.
D) psychogenic shock.

E) A) and B)
F) All of the above

Correct Answer

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A 17-year-old girl was injured when her car was struck from behind while she was stopped at a red light.She is complaining of a headache with neck and back pain.You suspect she has sustained a(n) :


A) distraction injury.
B) compression fracture.
C) extension injury.
D) whiplash injury.

E) A) and C)
F) A) and B)

Correct Answer

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What is the Glasgow Coma Scale (GCS) of your adult male patient who has fallen off a horse,has his eyes open,can follow your commands to squeeze his hands,but is confused about what happened and his whereabouts?


A) 12
B) 14
C) 15
D) 13

E) A) and B)
F) A) and C)

Correct Answer

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Which of the following is NOT a common field finding in spinal injuries?


A) Deformity
B) Impaired breathing
C) Tenderness
D) Pain

E) A) and B)
F) A) and C)

Correct Answer

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For which of the following patients would the use of a short spine immobilization device be appropriate?


A) 52-year-old female who crashed her vehicle into the front of a convenience store and who is awake, oriented, and complaining of neck pain
B) Unresponsive driver who was found in the driver's seat of a pickup truck that crashed into a tree
C) 15-year-old male who struck a curb with his motorized scooter and flipped over the handlebars
D) 77-year-old female who fell down a flight of stairs and is in an awkward position lying on her side on the landing

E) None of the above
F) B) and C)

Correct Answer

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Which of the following is controlled by the left side of the brain?


A) Sensation in the left arm
B) Sensation of the right leg
C) Movement of both lower extremities
D) Movement of the left arm

E) A) and B)
F) C) and D)

Correct Answer

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You are treating a 35-year-old male patient that has been involved in a motorcycle incident.The patient is unresponsive with a blood pressure of 60/40,a pulse of 66 beats per minute,and respirations of 18 breaths per minute.The patient's presentation is most likely caused by which of the following?


A) Cardiogenic shock
B) Septic shock
C) Increased intracranial pressure
D) Neurogenic shock

E) B) and D)
F) B) and C)

Correct Answer

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Which of the following injuries is considered an indirect brain injury?


A) Cerebral laceration
B) Depressed skull fracture with cerebral penetration by bone fragments
C) Gunshot wound to the head
D) Concussion

E) A) and D)
F) A) and C)

Correct Answer

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You respond to a patient who was hit in the face with a chair.Upon arrival,you notice a patient leaning in the corner and bleeding profusely from the mouth and nose.Your first action should be which of the following?


A) Assure scene safety.
B) Suction the airway and have the patient lean back.
C) Take cervical spine precautions.
D) Place the patient on a nonrebreather mask (NRB) at 15 lpm.

E) A) and B)
F) C) and D)

Correct Answer

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Which of the following is a potential complication of hyperventilating a patient with a brain injury?


A) Increasing the amount of carbon dioxide in the blood
B) Increasing blood flow to the brain
C) Decreasing blood flow to the brain
D) Decreasing the patient's blood pressure

E) B) and C)
F) A) and D)

Correct Answer

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Which of the following is classified as an open head injury?


A) Contusion without a skull fracture
B) Laceration with a skull fracture
C) Laceration without a skull fracture
D) Both A and B

E) None of the above
F) B) and C)

Correct Answer

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You are treating a 54-year-old female patient who was involved in a domestic dispute; you notice an abrasion to the side of her head.The patient is unresponsive with a blood pressure of 200/110,a pulse of 60 beats per minute,and slightly irregular breathing.The patient's presentation is most likely caused by which of the following?


A) Increased intracranial pressure
B) Coup-contrecoup injury
C) Closed head injury
D) Increased arterial pressure

E) A) and C)
F) B) and C)

Correct Answer

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You are treating an unresponsive homeless patient found in an alley.During your assessment you notice bruising behind both ears,which is known as which of the following?


A) Fatigue signs
B) Warrior's signs
C) Soldier's signs
D) Battle's signs

E) All of the above
F) C) and D)

Correct Answer

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Your patient is a 16-year-old male who was ejected from an all-terrain vehicle and struck his head on a large rock.He was not wearing a helmet.He is unresponsive with shallow,irregular respirations; a blood pressure of 170/110 mmHg; and a heart rate of 50 beats per minute.Which of the following interventions would be MOST appropriate?


A) Insert an oropharyngeal airway (OPA) and ventilate via bag-valve mask (BVM) at 30 breaths per minute.
B) Insert a nasopharyngeal airway and give oxygen by nonrebreather mask (NRB) at 15 lpm.
C) Insert an oropharyngeal airway and give oxygen by nonrebreather mask at 10 lpm.
D) Insert an oropharyngeal airway and ventilate via bag-valve mask at 20 breaths per minute.

E) A) and D)
F) B) and D)

Correct Answer

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Your 38-year-old male patient has been injured in an assault.He has several facial lacerations and a large knot on his head.Bystanders say that he was thrown over a large table and landed on his head and shoulder.As part of your scene size-up and primary assessment,you should:


A) wait for ALS to treat the patient.
B) immobilize his cervical spine.
C) splint any other bone or joint injuries.
D) complete an initial set of vital signs.

E) B) and D)
F) B) and C)

Correct Answer

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Which of the following signs is LEAST likely to indicate a traumatic brain injury?


A) Low blood pressure
B) Irregular breathing pattern
C) Vomiting
D) Irrational behavior

E) B) and D)
F) B) and C)

Correct Answer

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