Questions: Your patient fell 15 feet from a roof. He has a deformed lower leg and a decreased level of consciousness. You designate the patient as a multisystem trauma patient who should be taken to a nearby trauma center. This is a: A. primary assessment. B. transport decision. C. physical examination. D. secondary assessment.

The answer is B: transport decision.

Explanation for each option: A. Primary assessment: This involves the initial evaluation of the patient's airway, breathing, circulation, and disability (ABCDs) to identify any life-threatening conditions. While the primary assessment is crucial, it does not specifically involve the decision to transport the patient to a trauma center.

B. Transport decision: This involves determining the need to transport the patient to a specific medical facility based on the severity of their injuries and the resources available at the destination. In this case, designating the patient as a multisystem trauma patient who should be taken to a nearby trauma center is a transport decision.

C. Physical examination: This involves a detailed examination of the patient's body to identify injuries and other medical conditions. While important, it is not the step where the decision to transport the patient is made.

D. Secondary assessment: This is a more thorough assessment that follows the primary assessment and includes a detailed physical examination and patient history. However, the decision to transport the patient to a trauma center is typically made earlier, during the primary assessment or transport decision phase.

Summary: The correct answer is B: transport decision. This step involves determining the appropriate medical facility for the patient based on the severity of their injuries.