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Online Pretest for Chapter 33 - Pediatric Trauma
1:  You are called to the scene of an automobile crash in which an unrestrained young child has been thrown from the car. The child is unconscious and is believed to have a spinal injury and a fractured leg. You should prepare to immobilize the child by:
A: securing the child to a backboard with the foot of the board slightly elevated.
B: flexing the neck to open the airway and applying a child size cervical collar.
C: picking up the child using the front cradle and then moving the child to the ambulance stretcher.
D: placing padding as needed to maintain the head in a neutral position when securing the child to the backboard.
2:  A child with a head injury should be transported to the hospital:
A: on a backboard with the legs slightly elevated.
B: on a backboard with the head slightly elevated.
C: cradled in your arms and supported by your shoulder.
D: in a side-lying position to prevent aspiration of vomitus.
3:  A young boy with a severe soft-tissue injury to the leg has rather extensive bleeding, which has frightened him. The best way to control the bleeding in this situation is to apply:
A: a conventional tourniquet.
B: pressure to the femoral artery.
C: direct pressure with a dry, sterile dressing.
D: a blood pressure cuff to act as a tourniquet.
4:  Before applying a splint of aligning an injured extremity on a child, you should:
A: elevate the extremity.
B: ask the child to bend the extremity.
C: assess distal neurovascular function.
D: take a blood pressure reading on that extremity.
5:  All of the following are signs of child abuse EXCEPT:
A: a close relationship between the child and caregiver.
B: unusual marks or burns.
C: unexplained decreased level of consciousness.
D: vaginal or rectal bleeding.
6:  One reason that the pattern of injuries in a child in a trauma situation can differ from that in an adult is because:
A: a child's skeleton is less flexible.
B: a child's neck muscles are weaker.
C: there is more circulating blood in a child.
D: a child's head is smaller in relation to the body.
7:  Chest injuries on a child most commonly result from:
A: penetrating trauma.
B: burns.
C: child abuse.
D: blunt trauma.
8:  When placing a PASG on a child, the EMT-B must remember:
A: never to inflate the abdominal section.
B: that an adult PASG can be used on children.
C: that a PASG should not be used in the presence of a pelvic fracture.
D: that all three compartments are inflated at the same time.
9:  A life-threatening condition that might result in infants who are shaken or struck in the head is called:
A: child abuse.
B: shaken baby syndrome.
C: doll's eyes response.
D: cerebral hematoma.
10:  If you suspect that a child is a victim of neglect, you should:
A: obtain the parents' permission before caring for the child.
B: remove the child from the parents immediately.
C: report your suspicions to the proper authorities.
D: question the parents about your suspicions.

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