UPDATED 2023
1. 53 yo F hit by car. Unresponsive w/ deformity to the left femur and pelvic instability.
Diminished lung sounds on L side. You should?: Immobilize long backboard
2. 28 yo M, blunt trauma to R anterior chest. Pale, cool, diaphoretic and responsive to verbal. R
38 and shallow with paradoxical movement. What should you do?: 02 with positive pressure
ventilations
3. What is the most likely cause of periorbital echymosis?: Basilar skull fracture
4. 4. 30 yo M shot in mid thigh. Bleeding continues after partner applies direct pressure. You
should?: Tourniqet
5. 28 yo PT driver motorcycle traveling 45 mph hit parked car. Not wearing a helmet. Supine
with copious amount of blood around face. Gurgling and R 4 per min. ANOTHER most
appropriate action?: Jaw thrust without head tilt
6. M fell while water skiing. Unconsciouse. Suspect?: Head and spine injury
7. Appropriate care for amputated extremity?: Wrap in dry gauze, seal in plastic bag, and place
in cool water
8. 28 yo pt driving motorcycle traveling 45 mph hit parked car. Not wearing a helmet. Supine
with copious amount of blood around face. Gurgling and R 4 per min. Most appropriate?: Control
bleeding
9. 18 yo M holding right shin after sports related injury. Deformity and swelling; pedal pulse
present. You should?: Apply board splint in position found
10. Pedestrian hit by car. Pale, cool, and diaphoretic. Oriented to name only and has difficulty
breathing. BP 80/40, P 120, R 28 and shallow. 90% SP02. You should?: BVM
11. 81 yo F helthcare facility fell out of bed. Nurse suspects hip fracture. Which medication
should concern you the most?: Coumadin
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, 12. You are treating a patient with agonal respirations and gunshot wound to the chest. You notice
an open skull fracture leaking brain matter. There is no radial pulse, you should?: Asses a carotid
pulse and assist ventilations
13. a 45 year old male fell asleep outisde while doing yard work. His face and lower legs are
bright red with blisters and painful on examination. You should suspect: Both superficial and
partial thickness burns
14. a 35 year old patient has fallen and has a deformed right lower leg. The distal extremity is
pulsless and the skin is cool and cyanotic. You should: Realign the injured extremity
15. You arrive on scene of a car crash. The driver is alert and complaining of severe chest and
abdominal pain. His radial is weak and rapid. Skin is cool, pale, and moist. The patient has a
history of cardiac problems. You should?: Rapidly extricate onto a long spinal board and
transport
16. 47 male shot in back has cool and clammy skin with arm weakness. BP
130/90, P 76, R 24. You should suspect: Spinal cord injury
17. Injury that is most likely to require routine assessment and transport: Deformed Wrist Injury
18. After securing pt on long board, you should immediately assess: PMS
19. 23 yo soccer player was kicked in the chest. He is alert with rapid, shallow R and complains
of chest pain. Pale, cool, and wet. You should?: Non Rebreather
20. 25 yo in R distress after being stabbed in the chest. Blood is bubbling from 2 cm laceration
to L chest wall. Lung sounds diminished on L side. You should?: Apply occlusive dressing
21. Early signs of decompensated shock?: Low blood pressure
22. Pt stabbed in RUQ. What organ is injured?: Liver
23. Pt with chemical burn on eye and is wearing contact lenses. You should?-
: Remove contact lenses and administer irrigation solutions
24. A baseball player was hit by a baseball in the left eye and complains for double vision. What
should you do?: Restrict spinal movement
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