JBL TRAUMA EXAM | QUESTIONS &
ANSWERS (VERIFIED) | LATEST
UPDATE | GRADED A+
EMTs are assessing a man who was injured while trying to rescue a pet from his
PR
burning house. Which of the following assessment findings should be the MOST
immediately concerning?
A) Severe blisters to both hands
O
B) Closed deformity of the wrist
FD
C) Dry cough and a hoarse voice
D) Clothes adhered to burned skin
Correct Answer: C
O
(Any condition or injury that involves airway, breathing, or circulation warrants the EMT's
most immediate attention. A dry cough and hoarse voice are signs of inhalation injury
C
and airway swelling. Carefully monitor the pt and be prepared to ventilate him if his
breathing becomes inadequate. Transport without delay; a paramedic intercept should
be requested. If the pt's airway completely closes, more invasive airway management
will be needed [cricothyrotomy]. Tend to the other injuries listed during transport)
1
,Factors that affect a person's ability to compensate for internal or external blood loss
include all of the following, EXCEPT:
A) advanced age.
B) the rate of blood loss.
C) high cholesterol in the blood.
D) blood-thinning medications.
Correct Answer: C
(The compensatory responses of tachycardia and peripheral vasoconstriction decrease
PR
as a person ages; thus, older pts are not able to compensate as effectively as younger
pts. Older pts commonly take medications to treat high BP, such as beta blockers; these
drugs may blunt the body's release of the catecholamines necessary to increase the
O
heart rate. The ability to compensate for blood loss is also related to how rapidly blood
FD
loss occurs. Pts who take blood-thinning medications [warfarin {Coumadin}] bleed
longer than those not taking such medications. There is no known correlation between
high cholesterol and a person's ability to compensate for blood loss)
O
A 44-year-old male experienced burns to his anterior trunk and both arms. He is
C
conscious and alert, but is in extreme pain. Assessment of the burns reveals reddening
and blisters. This patient has ________________ burns that cover _____ of his total
body surface area.
A) first-degree, 27%
B) partial-thickness, 36%
C) second-degree, 45%
2
,D) full-thickness, 18%
Correct Answer: B
(Partial-thickness [second degree] burns damage the epidermis and part of the dermis,
and are characterized by blistering and severe pain. Areas of superficial [1st degree]
burns, which cause reddening of the skin, commonly surround partial-thickness burns.
The anterior trunk [chest and abdomen] accounts for 18% of the total body surface area
[TBSA] and each entire arm accounts for 9%. Full thickness burns [3rd degree] are
characterized by charred or white, leathery skin. Because the entire dermis, including
PR
the nerves, are destroyed, pts do not feel pain)
Prior to your arrival at the scene, a young female was removed from a body of water
O
after being submerged for an unknown period of time. You should manage her airway
FD
appropriately while considering the possibility of:
A) spinal injury.
B) hyperthermia.
O
C) internal bleeding.
D) airway obstruction.
C
Correct Answer: A
(When caring for a pt with a submersion injury [near drowning], you should consider the
possibility of a spinal injury. Many water-related incidents occur when a pt dives into
shallow water and strikes their head. Water can be aspirated into the lungs, but will not
cause an obstruction of the upper airway. Another common finding in pts with a
submersion injury is hypothermia. Although it is possible for the pt to have internal
3
, bleeding at the same time, especially if they experienced a traumatic injury before the
submersion, spinal injuries are more common)
Which of the following clinical findings is consistent with decompensated shock?
A) Diaphoresis and pallor
B) Falling blood pressure
C) Restlessness and anxiety
D) Tachycardia and tachypnea
PR
Correct Answer: B
(During shock, the compensatory mechanisms of the body attempt to maintain the BP.
This is accomplished by increasing the heart rate, shunting blood from the skin to more
O
vital organs, and increasing the respiratory rate to increase the O2 content of the blood.
FD
Once these compensatory mechanisms fail, the BP will fall [hypotension]. Restlessness,
anxiety, tachycardia, tachypnea, and cool, clammy skin [diaphoresis] are earlier signs of
shock)
O
Following blunt trauma to the chest, a 33-year-old male has shallow, painful breathing.
C
On assessment, you note that an area to the left side of his chest collapses during
inhalation and bulges during exhalation. These are signs of a/an:
A) flail chest.
B) pneumothorax.
C) isolated rib fracture.
D) pulmonary contusion.
4
ANSWERS (VERIFIED) | LATEST
UPDATE | GRADED A+
EMTs are assessing a man who was injured while trying to rescue a pet from his
PR
burning house. Which of the following assessment findings should be the MOST
immediately concerning?
A) Severe blisters to both hands
O
B) Closed deformity of the wrist
FD
C) Dry cough and a hoarse voice
D) Clothes adhered to burned skin
Correct Answer: C
O
(Any condition or injury that involves airway, breathing, or circulation warrants the EMT's
most immediate attention. A dry cough and hoarse voice are signs of inhalation injury
C
and airway swelling. Carefully monitor the pt and be prepared to ventilate him if his
breathing becomes inadequate. Transport without delay; a paramedic intercept should
be requested. If the pt's airway completely closes, more invasive airway management
will be needed [cricothyrotomy]. Tend to the other injuries listed during transport)
1
,Factors that affect a person's ability to compensate for internal or external blood loss
include all of the following, EXCEPT:
A) advanced age.
B) the rate of blood loss.
C) high cholesterol in the blood.
D) blood-thinning medications.
Correct Answer: C
(The compensatory responses of tachycardia and peripheral vasoconstriction decrease
PR
as a person ages; thus, older pts are not able to compensate as effectively as younger
pts. Older pts commonly take medications to treat high BP, such as beta blockers; these
drugs may blunt the body's release of the catecholamines necessary to increase the
O
heart rate. The ability to compensate for blood loss is also related to how rapidly blood
FD
loss occurs. Pts who take blood-thinning medications [warfarin {Coumadin}] bleed
longer than those not taking such medications. There is no known correlation between
high cholesterol and a person's ability to compensate for blood loss)
O
A 44-year-old male experienced burns to his anterior trunk and both arms. He is
C
conscious and alert, but is in extreme pain. Assessment of the burns reveals reddening
and blisters. This patient has ________________ burns that cover _____ of his total
body surface area.
A) first-degree, 27%
B) partial-thickness, 36%
C) second-degree, 45%
2
,D) full-thickness, 18%
Correct Answer: B
(Partial-thickness [second degree] burns damage the epidermis and part of the dermis,
and are characterized by blistering and severe pain. Areas of superficial [1st degree]
burns, which cause reddening of the skin, commonly surround partial-thickness burns.
The anterior trunk [chest and abdomen] accounts for 18% of the total body surface area
[TBSA] and each entire arm accounts for 9%. Full thickness burns [3rd degree] are
characterized by charred or white, leathery skin. Because the entire dermis, including
PR
the nerves, are destroyed, pts do not feel pain)
Prior to your arrival at the scene, a young female was removed from a body of water
O
after being submerged for an unknown period of time. You should manage her airway
FD
appropriately while considering the possibility of:
A) spinal injury.
B) hyperthermia.
O
C) internal bleeding.
D) airway obstruction.
C
Correct Answer: A
(When caring for a pt with a submersion injury [near drowning], you should consider the
possibility of a spinal injury. Many water-related incidents occur when a pt dives into
shallow water and strikes their head. Water can be aspirated into the lungs, but will not
cause an obstruction of the upper airway. Another common finding in pts with a
submersion injury is hypothermia. Although it is possible for the pt to have internal
3
, bleeding at the same time, especially if they experienced a traumatic injury before the
submersion, spinal injuries are more common)
Which of the following clinical findings is consistent with decompensated shock?
A) Diaphoresis and pallor
B) Falling blood pressure
C) Restlessness and anxiety
D) Tachycardia and tachypnea
PR
Correct Answer: B
(During shock, the compensatory mechanisms of the body attempt to maintain the BP.
This is accomplished by increasing the heart rate, shunting blood from the skin to more
O
vital organs, and increasing the respiratory rate to increase the O2 content of the blood.
FD
Once these compensatory mechanisms fail, the BP will fall [hypotension]. Restlessness,
anxiety, tachycardia, tachypnea, and cool, clammy skin [diaphoresis] are earlier signs of
shock)
O
Following blunt trauma to the chest, a 33-year-old male has shallow, painful breathing.
C
On assessment, you note that an area to the left side of his chest collapses during
inhalation and bulges during exhalation. These are signs of a/an:
A) flail chest.
B) pneumothorax.
C) isolated rib fracture.
D) pulmonary contusion.
4
