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SMORE Protocol Test 1A
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1. Characteristics of a reliable patient do not
include:
a)
cooperative
b)
sober
c)
altered mental status
d)
alert
2. Characteristics of an unreliable patient include:
a)
distracting injuries
b)
intoxication with alcohol/drugs
c)
head/brain injury
d)
all of the above
3.
A 32 year old Hispanic male working for a roofing company falls 10
feet
from a ladder to his back. He
does not speak English. He fails SMORE and needs SMR because of which
the following criteria:
a)
Major Trauma
b)
Age
c)
Intoxication
d)
Altered Mental Status/Communication
4.
A 50 year old male passenger is found in backseat of car which left the
roadway and impacted a telephone pole. He is angry and not
cooperating, smells strongly of cheap beer. He meets SMORE
criteria by:
a)
Physical exam
b)
Head Injury/LOC
c)
Distracting injury
d)
Intoxication
5.
Your medic unit responds to a local nursing home for a 86 year old
female with severe arthritis who fell the previous shift while she was
in the bathroom. She has a small cut on her head. Checklist
criteria for SMR is:
a)
Altered Mental Status/Communication
b)
Distracting injury
c)
Subject complaint
d)
Age
6.
You respond back to the same nursing home later in the day to a similar
call, except the patient who fell in the bathroom is a 46 year old male
with severe mental retardation. The best criteria for SMR
is:
a)
Altered Mental Status/Communication
b)
Distracting injury
c)
Subject complaint
d)
Age
7.
A 44 year male Olympic weight lifter is thrown from a crotch rocket
traveling at 80 mph clocked by police. You correctly administer
SMR based on what criteria:
a)
Major Trauma
b)
Head Injury
c)
Physical Exam
d)
Distracting Injury
8.
An attractive 18 year old female was driving in the snow for the first
time. As she tried to make a slow left turn she slid into the
ditch and did a slow roll over witness by Snow Plow driver. She
is driving her Mom’s Volvo and the Overhead Protective Airbags
deployed. She has no complaint except for breaking a nail getting
out of the vehicle. She should undergo SMR because of what
criteria:
a)
Physical Exam
b)
Subjective Exam
c)
She does not require SMR
d)
Major trauma
9.
The 16 year old restrained driver of a car which impacted a telephone
pole at moderate speed leaving school has no complaint, is calm, and
has no obvious injury. He is concerned about he friend who was
not restrained and impacted the windshield and is being flown out by
helicopter. Initially he declined transport, but when the State
Trooper wants to talk to him, he changes his mind. What criteria
would apply for SMR:
a)
Punishment
b)
Major Trauma
c)
Altered Mental Status/Communication
d)
None
10. Bystanders called 911 for an 8 year old male riding his bike
who hit a drain cover, throwing him over the handlebars. He will
not answer questions, just looks at you in fear and cries. You
provide SMR based on what criteria:
a)
Altered Mental Status/Communication
b)
Age
c)
Intoxication
d)
Major Trauma
11. You
receive a call to respond to a swimming accident. Upon arrival a
10 year old male, ambulatory, is being walked to the ambulance by two
friends. He has a cut on top of his head and is obviously holding
his neck very rigid. You correctly decide to provide SMR, but are
uncertain how to complete this action. You should
a)
make him lay down on sidewalk, then proceed with full SMR
b)
let his friends walk him into the unit and sit him down on
stretcher
c)
place a C-collar, do standing LSB and proceed as usual
d)
just transport him to the hospital
12. You
receive a call for a MVC roll over. One patient who was
unrestrained has significant injuries, undergoes treatment including
SMR. Patient number two was ambulatory at the scene, initially
was going to Refuse Treatment. He then decides to go to the
hospital. You should
a)
tell him to walk
b)
tell him to ride with the police
c)
call for second Ambulance
d)
conduct SMORE
13. You
receive a call to assist police with an intoxicated man, assault
victim. Patient is drunk, badly beaten about the face, a
bystander saying he was kicked repeatedly in the head as he lay on the
street. The patient complains that he cannot move his arms.
You know right away that based on SMORE that patient needs SMR.
You also find that the patient does have upper extremity
weakness. You will need to
a)
try to gain cooperation from and intoxicated trauma
patient
b)
provide sedation using haloperidol (Haldol™) per protocol
c)
apply spinal motion restriction
d)
all of the above
14)
You respond to the Acme Healthcare Center for a 75 year old white
female who was witnessed to slide between bed and wall, impacting her
shoulder. You find her still sitting, complaining of shoulder
pain. You will
a.
place figure 8 strap on shoulders
b.
apply confined space rescue principles
c.
apply spinal motion restriction
d.
perform SMORE, immobilize as determined
15)
You respond to a reported fall in the Wal Mart parking lot. You
find a 68 year old male who tripped, fell forward and suffered a
FOOSH injury (fall on out stretched hand). He has since gotten up
on his own and moved over to a bench. He denies hitting
head. You will
a.
perform SMORE
b.
strongly consider patient’s age
c.
not provide SMR if patient does not meet criteria
d.
all of the
above
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