1) A 35 year old male has suffered partial thickness burns to his
chest, arms, and face. He complains of severe pain. He speaks in
2-3 word sentences with a raspy voice. His facial hair is singed.
Vital signs are BP 150/80, P 130, R 32 and shallow. What
should you do?
A) Establish IV access and begin fluid resuscitation
B) Manually stabilize the spine
C) Administer oxygen by non-rebreather mask
D) Obtain the patient's room air SpO2 - ANSWERS-A.
2) Which of the following is true of IV fluid administration?
A) Initial fluid bolus begins with 1 liter
B) Administered to all casualties with traumatic injuries
C) Preferred method over PO fluids
D) Titrated to maintain a systolic BP of 80-90 mmH -
ANSWERS-D.
3) A 24 year old male police officer has a gunshot wound to
right upper thigh with profuse bleeding. After application of a
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tourniquet, the bleeding is controlled. His skin is clammy and he
has weak radial pulses with a respiratory rate of 28. He
complains of severe pain from the tourniquet. What should you
administer to manage the pain?
A) Ketamine 20 mg IV
B) Oral transmucosal fentanyl lozenge at 800 mcg
C) Morphine 10 mg IM
D) Fentanyl 50 mg IV - ANSWERS-A.
4) A 26 ear old female has multiple puncture wounds to the
thoracic cavity. Vital signs are BP 160/100, P 100 and regular, R
30 short and shallow, Sp02 94% on room air. What should you
do?
A) Establish IV/O access and deliver 1000 mL of Fresh Whole
Blood
B) Give her a paper bag to help regulate her breathing back to
normal
C) Apply vented chest seal to appropriate areas
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D) Apply high-flow oxygen with a non-rebreather mask -
ANSWERS-C.
5) A 34 year old police officer was shot in the ankle and a
tourniquet was applied. He is unresponsive after several doses of
IM morphine. Vital signs are BP 118/68, P 104, R 8 and
shallow. What should you administer?
A) Diphenirydramthe
B) Epinephrine
C) Naloxone
D) Flumazenil - ANSWERS-C.
6) During Indirect Threat Care (ITC) and Warm Zone
operations, when is it appropriate to downgrade or convert a
tourniquet that was initially placed as high on the limb as
possible over clothing?
A) It is not appropriate to remove, downgrade, or convert a
tourniquet once it has been applied
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