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Quizzes > Quizzes for Business > Healthcare

Cycling Trauma Triage Quiz: Test Your Skills

Assess Emergency Response for Bike Injuries

Difficulty: Moderate
Questions: 20
Learning OutcomesStudy Material
Colorful paper art depicting elements related to a cycling trauma triage quiz.

Ready to sharpen your trauma triage expertise for cycling accidents? This interactive quiz lets medical students, EMTs, and first responders challenge their assessment skills with realistic scenarios. With questions on cycling injuries and triage protocols, participants will build confidence in making critical care decisions. The quiz is fully editable in our editor for customisation and hands-on practice. Explore related EMT Trauma Assessment Knowledge Test, try the Clinical Trauma Management Knowledge Test, or browse more quizzes.

Which sign is a key indicator of a severe cycling injury requiring immediate attention?
Scalp abrasion
Open femur fracture with bone protrusion
Minor wrist sprain
Superficial road rash
An open femur fracture with bone protrusion indicates a high-energy mechanism and significant blood loss risk, requiring immediate care. Other options are less likely to be life-threatening.
In a multi-casualty bicycle accident using START triage, a patient with absent radial pulse and shallow breathing is categorized as:
Immediate (Red)
Delayed (Yellow)
Minor (Green)
Expectant (Black)
Absent radial pulse and shallow breathing signify compromised perfusion and airway/breathing status, placing the patient in the Immediate category. Delayed or minor categories are for more stable patients.
Which blood pressure reading indicates hypotension in a cycling trauma patient?
120/80 mmHg
85/60 mmHg
140/90 mmHg
100/70 mmHg
A systolic blood pressure of 85 mmHg is below the 90 mmHg threshold for hypotension, indicating potential shock. The other readings are within or near normal limits.
What respiratory rate would be concerning for potential shock in an adult cyclist following trauma?
12 breaths per minute
18 breaths per minute
32 breaths per minute
20 breaths per minute
A respiratory rate above 30 breaths per minute indicates significant physiological stress and potential shock in the trauma patient. Normal adult rates are between 12 and 20.
Which head injury finding necessitates urgent transport to a trauma center?
Linear skull fracture
Subdural hematoma with altered consciousness
Superficial scalp laceration
Minor concussion with no loss of consciousness
A subdural hematoma with altered consciousness indicates intracranial bleeding and increased intracranial pressure, requiring rapid neurosurgical evaluation. Other injuries are less critical.
A cyclist is found unresponsive with no breathing and no carotid pulse. According to triage, this patient is categorized as:
Deceased/Expectant
Immediate
Delayed
Minor
No breathing and no pulse indicate that resuscitation is unlikely in a mass-casualty setting, placing the patient in the Expectant category. Immediate is for salvageable patients.
When spinal injury is suspected in a downhill collision, which airway maneuver is recommended to maintain cervical spine alignment?
Head-tilt/chin-lift
Jaw-thrust without head extension
Neck hyperextension
Heimlich maneuver
The jaw-thrust maneuver opens the airway while minimizing cervical spine movement. Head-tilt/chin-lift and hyperextension can exacerbate spinal injuries.
A conscious cyclist has respiratory rate 24, pulse 130, and systolic BP 95. According to START triage, what is the correct category?
Immediate (Red)
Delayed (Yellow)
Minor (Green)
Expectant (Black)
Tachycardia above 120 and hypotension (SBP <100) identify high priority. The patient requires immediate attention for possible shock and respiratory compromise.
Which mechanism of injury raises suspicion for possible internal abdominal hemorrhage in a bicycle crash?
Low-speed skid with slide on concrete
Handlebar impact to abdomen
Gentle fall onto grass
Forward fall onto outstretched hand
Direct handlebar impact to the abdomen transmits force to underlying organs and vessels, increasing the risk of internal bleeding. Other mechanisms are less focused on the abdomen.
When should a cyclist with suspected cervical spine injury be immobilized?
Only if neck pain is present
Whenever altered mental status or mechanism suggests spinal injury
Never, to avoid discomfort
Only if there is paralysis
Any high-risk mechanism or altered mental status warrants spinal immobilization to prevent further injury. Waiting for pain or paralysis delays critical protection.
In primary assessment of a cycling trauma patient, which vital sign is most critical for triage prioritization?
Blood glucose
Respiratory rate
Body temperature
Pupil size
Respiratory rate is the most sensitive early indicator of compromise and is used first in triage algorithms. Other parameters are secondary or require more equipment.
Under START protocol, a breathing rate above what threshold indicates an immediate (red) category?
20 breaths per minute
30 breaths per minute
10 breaths per minute
15 breaths per minute
A respiratory rate over 30 breaths per minute is a criterion for Immediate classification in START triage. Rates below this threshold generally fall into less urgent categories.
Which scenario warrants air transport rather than ground for a cycling trauma patient?
Stable closed fracture, 5 miles from hospital
Isolated wrist injury, stable vitals
Unstable vitals with suspected intracranial hemorrhage
Minor abrasion, no pain
Unstable vital signs with signs of intracranial hemorrhage require rapid transport to definitive care. Air transport significantly reduces time to a trauma center.
A cyclist has a femoral shaft fracture with stable vital signs. Which triage tag is appropriate?
Immediate (Red)
Delayed (Yellow)
Minor (Green)
Expectant (Black)
A stable patient with a serious but non-life-threatening injury is classified as Delayed. Immediate is reserved for critical, time-sensitive cases.
When choosing transport destination for a head-injured cyclist with GCS 9, which facility is most appropriate?
Local urgent care center
Primary stroke center
Level I trauma center
Rehabilitation clinic
A GCS of 9 indicates a severe head injury requiring neurosurgical capability, which is available at Level I trauma centers. Other facilities lack comprehensive trauma resources.
A 45-year-old cyclist is brought after a high-speed collision with GCS 7, RR 32, HR 140, and systolic BP of 80 mmHg. According to triage protocols, what priority category and transport mode should be selected?
Immediate priority; air transport to a Level I trauma center
Delayed priority; ground transport to nearest hospital
Minor priority; seek outpatient care
Expectant; no transport provided
Severe head injury (GCS ≤8), hypotension, and tachypnea require Immediate triage and the fastest transport - airlift - to a Level I trauma center. Delayed or expectant categories are inappropriate.
In a multi-victim bicycle crash, you have two patients: Patient A with RR 22, HR 100, SBP 110, and Patient B with RR 18, HR 140, SBP 85. With limited resources, which patient should be prioritized for immediate care?
Patient A
Patient B
Both equally
Neither; wait for ambulance
Patient B shows signs of shock (hypotension and tachycardia) despite a normal respiratory rate, indicating a higher priority than Patient A, whose vitals are stable.
Which combination of vital signs best indicates compensated shock in a cycling trauma patient?
HR 85, SBP 120, RR 16
HR 125, SBP 95, RR 22
HR 70, SBP 140, RR 18
HR 60, SBP 110, RR 12
Compensated shock often presents with tachycardia and narrow pulse pressure (SBP <100 mmHg) while maintaining perfusion. Other combinations reflect stable or non-shock states.
A cyclist with a suspected unstable pelvic fracture presents at the scene. Which immediate intervention will most effectively reduce hemorrhage?
IV crystalloid bolus
Pelvic binder application
Spinal immobilization first
Local wound irrigation
Applying a pelvic binder stabilizes the pelvis and reduces hemorrhage by tamponading bleeding vessels. IV fluids support circulation but do not mechanically control pelvic bleeding.
A 60-year-old cyclist in a rural area has abdominal pain after a handlebar blow. Vital signs: RR 25, HR 105, SBP 95. Ground transport to a trauma center is 90 minutes; air transport takes 15 minutes. What is the most appropriate transport decision?
Immediate air transport to trauma center
Ground transport after starting IV fluids
Transport to local clinic first
Delay transport until imaging on scene
Suspected intra-abdominal injury with hypotension and tachycardia requires rapid definitive care. Air transport minimizes time to surgical intervention compared to a 90-minute ground ride.
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Learning Outcomes

  1. Identify key indicators of severe cycling injuries.
  2. Apply triage protocols to bicycle accident cases.
  3. Evaluate vital signs to prioritise patient care.
  4. Demonstrate effective decision-making for transport.
  5. Analyse scenario-based cases to distinguish trauma levels.

Cheat Sheet

  1. Master the ABCDEs of trauma assessment - Airway, Breathing, Circulation, Disability, and Exposure form your systematic super-sleuth approach to uncover hidden injuries in a flash. By ticking off each step, you'll make sure no critical trauma goes unnoticed. Embrace it as your safety checklist for every emergency scenario! NCBI Bookshelf
  2. Recognize the Revised Trauma Score (RTS) components - The RTS mixes Glasgow Coma Scale, systolic blood pressure, and respiratory rate into a lifesaving formula. A lower score flags more severe injuries, tipping you off to prioritize critical patients first. Get ready to calculate like a pro and save the day! Wikipedia
  3. Understand the Glasgow Coma Scale (GCS) - GCS evaluates eye, verbal, and motor responses to gauge a patient's consciousness, from chatting away to complete unresponsiveness. Scores below 8 scream "severe brain injury" and demand immediate action. Keep this scoring system at your fingertips for every head trauma case! OpenAnesthesia
  4. Identify signs of hypovolemic shock - Look for a rapid heart rate, plummeting blood pressure, and cold, clammy skin - classic red flags of severe blood loss. Spotting these clues early can mean the difference between recovery and collapse. Stay sharp and be the first to intervene! Wikipedia
  5. Apply the DCAP-BTLS mnemonic during assessments - Deformities, Contusions, Abrasions, Punctures/Penetrations, Burns, Tenderness, Lacerations, and Swelling help you systematically spot injuries. This handy checklist ensures no bruise or break slips past your expert eyes. Turn every exam into a thorough forensic investigation! Wikipedia
  6. Recognize common cycling injuries - Traumatic brain injuries top the list of cycling-related fatalities, so always scan for concussions and skull fractures. Understanding these risks helps you act fast and protect those two-wheeled warriors. Think of yourself as their helmet all around! PubMed
  7. Prioritize airway management - A clear airway is mission-critical, especially if your patient is unconscious. Without it, hypoxia can sneak in within minutes and steal the show. Keep that airway open and singing! NCBI Bookshelf
  8. Control external bleeding promptly - Direct pressure or a trusty tourniquet can stop hemorrhage in its tracks and prevent shock from crashing the party. Don't underestimate this power move in trauma care - it can save a life! NCBI Bookshelf
  9. Evaluate for spinal injuries - Always maintain cervical spine immobilization until you're sure no spinal damage lurks beneath. This precaution keeps tiny movements from becoming major problems. Safety first, right down to the vertebra! NCBI Bookshelf
  10. Monitor vital signs continuously - Regular checks on heart rate, blood pressure, and respiratory rate mean you catch trouble before it sweeps in. It's like having a real-time health radar that never sleeps. Stay vigilant and track those numbers! NCBI Bookshelf
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