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A 44 year old male was involved in a motorcycle crash. He sustained severe blunt trauma to his
chest and has a deformity to the right femur. Multiple IV attempts were unsuccessful. Vital signs
are BP 72/40, P 126, R 28. What should you do? - CORRECT ANSWER-Establish intraosseous
access
An 8 year old female is being treated in the red zone treatment area after a housing complex
fire. Vital signs are P 140, R 12 with noted stridor. Her eyebrows and hair are burnt. Suddenly,
she becomes apenic. What should you do? - CORRECT ANSWER-Insert an OPA and assist
ventilations
Which type of shock includes neurogenic and anaphylactic shock? - CORRECT ANSWER-
Distributive
An anxious 54 year old female complains of chest pain. She hit the steering wheel after a car
crash at highway speeds. Her sternum is red and tender. Vital signs are BP 100/68, P 112, R 28
and clear, SpO2 92%. What should you suspect? - CORRECT ANSWER-Cardiac contusion
, An 82 year old male fell in the shower 3 days ago and now only responds to painful stimuli. The
nurse aide at the assisted living facility was unable to wake the patient for breakfast. Vital signs
are BP 170/72, HR 58, R 26 and irregular, BGL 150 mg/dL. GCS score is 6 (E1,V1,M4). What
should you do? - CORRECT ANSWER-Check if the patient has an advanced directive or a MOLST
form
A 16 year old male complains of chest pain and difficulty taking a deep breath. He was assaulted
with a metal pipe. He has unilateral chest rise and crepitus over the injured area. What should
you do? - CORRECT ANSWER-Apply high-flow oxygen
An adult patient was involved in a motorcycle accident. Why should you remove their helmet? -
CORRECT ANSWER-To manage the airway
A 25 year old female has a gunshot wound to the abdomen. Vital signs are BP 80/40, HR 122,
R18 with clear, equal lung sounds. What is the most appropriate IV fluids to administer? -
CORRECT ANSWER-Warmed lactated ringer
A 24 year old construction worker amputated his thumb. How should you manage the
amputation? - CORRECT ANSWER-Wrap in moistened gauze
A 47 year old female was stabbed with a knife in her upper right quadrant. Her GCS score is 9
(E2,V2,M5). Vital signs are BP 78/58, HR 130, R 26. What should you do? - CORRECT ANSWER-
Immediately transport to a trauma center and establish IV access en route
A 26 year old female was the unrestrained driver of a head on collision. Her GCS score is
4(E1,V1,M2). Vital signs are BP 156/78, HR 66, R 12 and irregular and pupils are unequal. What
should you do? - CORRECT ANSWER-Assist ventilations at a rate of 20 breaths/minute
A 14 year old male suffered helmet to helmet contact during a football game followed by a 30
second period of unconsciousness. Initial exam showed that he is awake but slow to respond.
He is nauseated and has a headache. He became unresponsive during transport. Examination of