Wilderness First Responder (WFR) Exam 2026, Wilderness
Medicine Training Program – Complete Practice Questions
with Verified Correct Detailed Answers
Introduction:
This document contains a comprehensive collection of Wilderness
First Responder (WFR) exam questions with verified detailed
answers covering emergency medicine, trauma assessment,
respiratory and circulatory emergencies, shock, hypothermia,
burns, wound care, spinal injuries, and patient assessment systems.
It includes practical field treatment protocols, CPR guidelines,
anaphylaxis management, musculoskeletal injuries, and wilderness
evacuation principles commonly tested in WFR certification exams.
The material is structured in a question-and-answer format to
support exam preparation, rapid review, and mastery of wilderness
emergency response concepts. It also covers critical assessment
mnemonics such as SOAP, SAMPLE, AVPU, STOPEATS, and PROP,
making it useful for both students and recertification candidates.
Exam Questions and Answers
How is the vital sign pattern for Cardiogenic shock similar to
Volume Shock? --- correct precise answer ---exactly the same
except with Cardiogenic shock the heart rate is irregular.
What are the treatment principals for cardiogenic shock? --- correct
precise answer ---PROP. BLS. Oxygen
,If the mechanism for cardiogenic shock is a Myocardial Infarction
(Heart Attack) - what are common medications used by first
responders to treat this? --- correct precise answer ---BLS, oxygen,
aspirin and nitroglycerin if perscribed
What is the simplest description of Cardiogenic Shock? --- correct
precise answer ---Myocardial infarction or cardiac dysrhythmia
resulting in reduced cardiac output
What is the simplest description of Cardiac Arrest --- correct
precise answer ---no cardiac output
What is the simplest description of Myocardial Infarction? ---
correct precise answer ---Heart Attack
How is the vital sign pattern for Vascular Shock similar to Volume
Shock? --- correct precise answer ---Similar - increase in pulse and
respiratory rate and reduction in urine output
Dissimilar - no shell / core compensation
What general treatment principles are necessary to treat Vascular
Shock from any mechanism/cause? --- correct precise answer ---1)
Reverse Vasodilation
2) Increase Fluid Volume
,3) PROP
4) Evacuation
* P should be emphasized - keep patient horizontal
What does ASR stand for? --- correct precise answer ---Acute Stress
Reaction
What are the 2 types of ASR? --- correct precise answer ---1)
Sympathetic
2) Parasympathetic
What Sympathetic problems can look like ASR? --- correct precise
answer ---Shock or Respiratory Distress
What Parasympathetic problems can look like ASR? --- correct
precise answer ---TBI
Why is it important to differentiate ASR from Shock, Respiratory
Distress or TBI? --- correct precise answer ---ASR = low risk. We
want to avoid High Risk solution (evac) to low risk problems (ASR)
Give 3 examples of when a Circulatory System problem is especially
high risk? --- correct precise answer ---- Cannot stop fluid loss
, - Cannot replace fluids
- Cannot maintain core body temperature
Describe respiratory distress? --- correct precise answer ---
Difficulty breathing, speaking in short sentences, A on AVPU
Describe respiratory failure --- correct precise answer ---difficulty
speaking more than 2 words at a time, A to V on AVPU
Describe respiratory arrest --- correct precise answer ---not
breathing
What is the general treatment that is useful for any type of
respiratory system problem? --- correct precise answer ---P -
Position & Protection
R - Reassurance
O - Oxygen
P - PPV
What are 2 specific problems with the Upper Airway and their
treatment? --- correct precise answer ---Choking - PROP
Respiratory failure - BLS
Medicine Training Program – Complete Practice Questions
with Verified Correct Detailed Answers
Introduction:
This document contains a comprehensive collection of Wilderness
First Responder (WFR) exam questions with verified detailed
answers covering emergency medicine, trauma assessment,
respiratory and circulatory emergencies, shock, hypothermia,
burns, wound care, spinal injuries, and patient assessment systems.
It includes practical field treatment protocols, CPR guidelines,
anaphylaxis management, musculoskeletal injuries, and wilderness
evacuation principles commonly tested in WFR certification exams.
The material is structured in a question-and-answer format to
support exam preparation, rapid review, and mastery of wilderness
emergency response concepts. It also covers critical assessment
mnemonics such as SOAP, SAMPLE, AVPU, STOPEATS, and PROP,
making it useful for both students and recertification candidates.
Exam Questions and Answers
How is the vital sign pattern for Cardiogenic shock similar to
Volume Shock? --- correct precise answer ---exactly the same
except with Cardiogenic shock the heart rate is irregular.
What are the treatment principals for cardiogenic shock? --- correct
precise answer ---PROP. BLS. Oxygen
,If the mechanism for cardiogenic shock is a Myocardial Infarction
(Heart Attack) - what are common medications used by first
responders to treat this? --- correct precise answer ---BLS, oxygen,
aspirin and nitroglycerin if perscribed
What is the simplest description of Cardiogenic Shock? --- correct
precise answer ---Myocardial infarction or cardiac dysrhythmia
resulting in reduced cardiac output
What is the simplest description of Cardiac Arrest --- correct
precise answer ---no cardiac output
What is the simplest description of Myocardial Infarction? ---
correct precise answer ---Heart Attack
How is the vital sign pattern for Vascular Shock similar to Volume
Shock? --- correct precise answer ---Similar - increase in pulse and
respiratory rate and reduction in urine output
Dissimilar - no shell / core compensation
What general treatment principles are necessary to treat Vascular
Shock from any mechanism/cause? --- correct precise answer ---1)
Reverse Vasodilation
2) Increase Fluid Volume
,3) PROP
4) Evacuation
* P should be emphasized - keep patient horizontal
What does ASR stand for? --- correct precise answer ---Acute Stress
Reaction
What are the 2 types of ASR? --- correct precise answer ---1)
Sympathetic
2) Parasympathetic
What Sympathetic problems can look like ASR? --- correct precise
answer ---Shock or Respiratory Distress
What Parasympathetic problems can look like ASR? --- correct
precise answer ---TBI
Why is it important to differentiate ASR from Shock, Respiratory
Distress or TBI? --- correct precise answer ---ASR = low risk. We
want to avoid High Risk solution (evac) to low risk problems (ASR)
Give 3 examples of when a Circulatory System problem is especially
high risk? --- correct precise answer ---- Cannot stop fluid loss
, - Cannot replace fluids
- Cannot maintain core body temperature
Describe respiratory distress? --- correct precise answer ---
Difficulty breathing, speaking in short sentences, A on AVPU
Describe respiratory failure --- correct precise answer ---difficulty
speaking more than 2 words at a time, A to V on AVPU
Describe respiratory arrest --- correct precise answer ---not
breathing
What is the general treatment that is useful for any type of
respiratory system problem? --- correct precise answer ---P -
Position & Protection
R - Reassurance
O - Oxygen
P - PPV
What are 2 specific problems with the Upper Airway and their
treatment? --- correct precise answer ---Choking - PROP
Respiratory failure - BLS
