AIR METHODS TRAUMA TEST |51 QUESTIONS AND VERIFIED
ANSWERS
1. 1.) You are transporting a patient who was involved in a MVC and sufferedblunt
chest trauma. Which of the following would indicate the presence of a tension
pneumothorax rather than a simple pneumothorax?
a. Hyperresonance on the injured side
b. Decreased or absent lung sounds on the injured side
c. Acute dyspnea and tachypnea
d. Tracheal deviation with a shift toward the uninjured side
e. All of the above: e. All of the above
2. 2.) You respond to a MVC for a 4-year-old patient who was thrown from the car.
The child is in respiratory distress. The flight crew decides that the child needs to
be intubated. The appropriate endotracheal tube size for this patientis:
a. 4.0
b. 4.5
c. 5.0
d. 5.5: c. 5.0
3. 3.) You are called to transport a 24-year-old female who was involved ina
MVC and has a diagnosis of pregnancy induced hypertension. She was
initially transported by EMS to a community hospital. While there, she began to
experience acute elevations in blood pressure which the facility treated with
hydralazine, a magnesium bolus, and a magnesium infusion at 3 grams per hour.
In transport you note the following: BP — 90/40, HR 78, RR — 6, with absent deep
tendon reflexes. Appropriate treatment would include:
a. Fluid bolus
b. Narcan
c. Calcium Gluconate
d. Potassium infusion: c. Calcium Gluconate
4. 4.) You respond to a hospital to transport a patient who fell while riding a horse.
During your assessment you note a decrease in the respiratory drive oftie patient.
, AIR METHODS TRAUMA TEST |51 QUESTIONS AND VERIFIED
ANSWERS
You suspect this may be due to a spinal cord injury at what level?
a. C4
b. T1
c. L1
d.S2: a. C4
, AIR METHODS TRAUMA TEST |51 QUESTIONS AND VERIFIED
ANSWERS
5. 5.) You arrive on scene of a MVC involving a female victim who is 36 weeks
pregnant. During your assessment you note the fetal heart rate is 190 beats per
minute. A normal fetal heart rate should be between beats per minute:
a. 100 & 140
b. 120 & 160
c. 140 & 180
d. 160 & 200: b. 120 & 160
6. 6.) You are transporting a patient who was suffered a closed head injury during
a motorcycle crash. During the transport you notice the following: HR48, BP
220/110, GCS 3, Left pupil 5 mm non reactive. The most appropriate intervention
would be controlled hyperventilation to an endpoint of:
a. Respiratory rate greater than 30/min.
b. Tidal volume greater than 800cc
c. 02 sat. greater than 96%
d. EtC02 level 30-35 mmHg: d. EtC02 level 30-35 mmHg
7. 7.) What treatment is NOT indicated in the routine management of the above
patient?
a. Administration of 100% oxygen
b. Fluid resuscitation to a MAP of 80 mmHg systolic if the patient is hypoten-sive
c. Maintaining EtC02 at 25 mmHg
d. Stabilization of the cervical spine: c. Maintaining EtC02 at 25 mmHg
8. 8.) You are called to transport a patient with an open femur fracture. Bone
fragments are protruding through the skin, despite application of a traction splint
by EMS providers. The foot on the affected side is warm and pink, withintact
sensation. The flight crewmember should:
a. Continue to pull traction until the bone fragments are no longer visible.
ANSWERS
1. 1.) You are transporting a patient who was involved in a MVC and sufferedblunt
chest trauma. Which of the following would indicate the presence of a tension
pneumothorax rather than a simple pneumothorax?
a. Hyperresonance on the injured side
b. Decreased or absent lung sounds on the injured side
c. Acute dyspnea and tachypnea
d. Tracheal deviation with a shift toward the uninjured side
e. All of the above: e. All of the above
2. 2.) You respond to a MVC for a 4-year-old patient who was thrown from the car.
The child is in respiratory distress. The flight crew decides that the child needs to
be intubated. The appropriate endotracheal tube size for this patientis:
a. 4.0
b. 4.5
c. 5.0
d. 5.5: c. 5.0
3. 3.) You are called to transport a 24-year-old female who was involved ina
MVC and has a diagnosis of pregnancy induced hypertension. She was
initially transported by EMS to a community hospital. While there, she began to
experience acute elevations in blood pressure which the facility treated with
hydralazine, a magnesium bolus, and a magnesium infusion at 3 grams per hour.
In transport you note the following: BP — 90/40, HR 78, RR — 6, with absent deep
tendon reflexes. Appropriate treatment would include:
a. Fluid bolus
b. Narcan
c. Calcium Gluconate
d. Potassium infusion: c. Calcium Gluconate
4. 4.) You respond to a hospital to transport a patient who fell while riding a horse.
During your assessment you note a decrease in the respiratory drive oftie patient.
, AIR METHODS TRAUMA TEST |51 QUESTIONS AND VERIFIED
ANSWERS
You suspect this may be due to a spinal cord injury at what level?
a. C4
b. T1
c. L1
d.S2: a. C4
, AIR METHODS TRAUMA TEST |51 QUESTIONS AND VERIFIED
ANSWERS
5. 5.) You arrive on scene of a MVC involving a female victim who is 36 weeks
pregnant. During your assessment you note the fetal heart rate is 190 beats per
minute. A normal fetal heart rate should be between beats per minute:
a. 100 & 140
b. 120 & 160
c. 140 & 180
d. 160 & 200: b. 120 & 160
6. 6.) You are transporting a patient who was suffered a closed head injury during
a motorcycle crash. During the transport you notice the following: HR48, BP
220/110, GCS 3, Left pupil 5 mm non reactive. The most appropriate intervention
would be controlled hyperventilation to an endpoint of:
a. Respiratory rate greater than 30/min.
b. Tidal volume greater than 800cc
c. 02 sat. greater than 96%
d. EtC02 level 30-35 mmHg: d. EtC02 level 30-35 mmHg
7. 7.) What treatment is NOT indicated in the routine management of the above
patient?
a. Administration of 100% oxygen
b. Fluid resuscitation to a MAP of 80 mmHg systolic if the patient is hypoten-sive
c. Maintaining EtC02 at 25 mmHg
d. Stabilization of the cervical spine: c. Maintaining EtC02 at 25 mmHg
8. 8.) You are called to transport a patient with an open femur fracture. Bone
fragments are protruding through the skin, despite application of a traction splint
by EMS providers. The foot on the affected side is warm and pink, withintact
sensation. The flight crewmember should:
a. Continue to pull traction until the bone fragments are no longer visible.
