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1. Which of the following is generally considered to be important in the assessment of both medical and trauma patients (the others being generally reserved for a trauma patient)?

The rapid trauma assessment
The reassessment
The detailed exam
The identification of mechanism of injury

2. Which level of trauma facility can provide neurosurgery, microsurgery, and care for multisystem trauma?

IV
II
I
III

3. When developing a spinal clearance policy, age _____

Should be considered, as the very old may not be able to describe their symptoms accurately
Should never be considered, as age does not matter
Should only be considered if the patient is a minor
Should only be considered when the patient is a male between the ages of 21 and 35

4. Which of the following patients fit the criteria for application of spinal precautions in the prehospital setting?

An 85-year-old male who has fallen down three steps and has a large laceration to the occipital region of the skull but no complaints of pain
A 36-year-old female who was involved in a minor motor vehicle crash with an obvious closed tibia fracture
A 21-year-old male who was diving into a pool and states he hit his head but is out of the pool and ambulatory upon your arrival with no complaint of neck or back pain
None of the above

5. In cases of face and neck trauma where the region is so distorted that oral and nasal intubation are impossible, the only prehospital means to provide a life-saving airway may be performing which of the following?

Digital intubation
Percutaneous cricothyrotomy
Surgical tracheostomy
Bag-valve hyperventilation

6. Which of the following is a function of the sympathetic nervous system?

Sexual functioning
Digestion
Increased heart rate
Constriction of the pupils

7. In a subdural hematoma the vessel most commonly involved is the:

Superior meningeal artery
Inferior sagittal sinus
Superior sagittal sinus
Middle meningeal artery

8. All of the following are used in the sedation of patients for rapid sequence intubation EXCEPT:

Romazicon
Morphine
Fentanyl
Etomidate

9. You have intubated a five-year-old girl with a suspected head injury. You note that the patient is exhibiting signs of herniation. What is the desired range for this patient's end-tidal CO2?

35 to 40
40 to 45
25 to 30
30 to 35

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