Questions And Answers Verified 100% Correct
VERSION 1
A 56 y/o male tripped and fell into a manhole in the sidewalk. He complains of
chest pain and tenderness when he takes a deep breath. Lung sounds are clear but
diminished bilaterally. BP is 140/90, HR 90 bpm, RR 12/min. What is the most
likely cause of his symptoms?
A) tension PTX
B) rib fractures
C) flail chest
D) left-sided hemothorax - ANSWER- B) rib fractures
Your patient has a small sucking puncture wound to the right side of his chest.
How would you dress the wound?
A) roller gauze
B) moist gauze
C) butterfly bandages
D) occlusive dressing - ANSWER- D) occlusive dressing
A 31 y/o female has a GSW to the right lateral chest. She is awake and alert with
obvious difficulty breathing. Where should she be transported?
A) respiratory center
B) local hospital
C) emergency department
D) trauma center - ANSWER- D) trauma center
You are at an amusement part when you witness a 19 y/o male being stabbed in
the arm. After ensuring that the scene is safe, you approach and see that he is
experiencing slow, steady bleeding. You have disposable gloves in your pocket,
but no bandages. You should:
A) send a bystander to locate a tourniquet
B) apply direct pressure to the wound using your gloved hand
C) locate a first-aid kit and control the bleeding with bandages
,D) elevate the arm and use a pressure point to control bleeding - ANSWER- B)
apply direct pressure to the wound using your gloved hand
An unrestrained 47 y/o female is in cardiac arrest after an MVC on the freeway.
She has been pulseless for 20 mins and CPR was withheld. What should you do?
A) start CPR and contact medical control to terminate efforts
B) provide chest compressions for 2 mins and then apply the AED
C) apply the AED and start CPR simultaneously
D) look for signs of occult bleeding - ANSWER- A) start CPR and contact
medical control to terminate efforts
A 25 y/o pregnant female was ejected from a motor vehicle. She is apneic
and pulseless. What should you do? A) prepare for delivery
B) provide CPR and transport
C) transport in the left lateral recumbent position
D) avoid contaminating the scene - ANSWER- B) provide CPR and
transport
A 25 y/o female has a distended abdomen and muffled lung sounds after an MVC.
BP is 130/80, HR 96 bpm, RR 24/min. What should you suspect?
A) abdominal evisceration
B) pericardial tamponade
C) ruptured bowel
D) tension PTX - ANSWER- C) ruptured bowel
What are the general principles for management of a dislocation?
A) traction and realignment
B) splinting in a position of comfort
C) pain management and realignment
D) splinting in the position found - ANSWER- D) splinting in the position found
An alert and oriented 35 y/o female is sitting on the ground after an MVC. BP is
90/62, HR 96 bpm, and RR 24/min and shallow. She denies any numbness or
tingling in her extremities. What should you do?
A) reassess her vitals
B) apply oxygen by nasal cannula
C) perform full spinal immobilization
,D) transport immediately - ANSWER- D) transport immediately
What findings would indicate a serious MOI during an MVC?
A) the front end of the car has crumpled without intrusion into the passenger
compartment
B) the patient has a 1-inch laceration to his face and his left shoulder is bruised
C) the windshield is badly cracked on the passenger side
D) the steering wheel is deformed and the steering column is damaged -
ANSWER- D) the steering wheel is deformed and the steering column is
damaged
What patient would NOT be triaged as red?
A) a patient with an obstructed airway
B) a patient with a sucking chest wound
C) a patient in decompensated shock
D) a patient with a 4-inch thigh laceration - ANSWER- D) a patient with a 4-inch
thigh laceration
What is the initial treatment of an abdominal evisceration?
A) apply a moist sterile dressing
B) apply a cold pack to the injury
C) apply a dry sterile dressing
D) carefully reinsert the organs - ANSWER- A) apply a moist sterile dressing
If transport is delayed or prolonged, and if circulation is impaired, an attempt
should be made to reposition a greatly deformed fracture or dislocated joint (if
allowed by medical control or protocol). The exception is an injury to the:
A) knee
B) elbow
C) ankle
D) hip - ANSWER- D) hip
A 22 y/o male complains of SOB with diminished lung sounds on the right side.
BP is 130/90, HR 86 bpm, RR 24/min. What should you suspect?
A) PTX
B) tension PTX
C) exacerbation of COPD
, D) asthma attack - ANSWER- A) PTX
A 23 y/o motorcyclist was struck by an automobile. He complains of hip and leg
pain. Your exam reveals a tender pelvis, deformed left upper leg, and compound
fracture in the left lower leg. What should you do?
A) Hare traction splint
B) long backboard
C) bilateral SAM splints
D) anti-shock trousers - ANSWER- D) anti-shock trousers
A 27 y/o female was involved in an assault. She has a 10 cm laceration across her
lower abdomen and you see her lower intestine push out each time she breathes
out. What should you do?
A) apply a gloved hand and gently push downward
B) wrap her lower abdomen in dry sterile dressings
C) irrigate her wound with 500 mL normal saline
D) apply a moist dressing and then an occlusive dressing - ANSWER- D) apply a
moist dressing and then an occlusive dressing
A factory worker has a 3/4 inch laceration on his forehead that bleeds through the
dressings despite direct pressure. What should you do?
A) apply unilateral carotid pressure
B) remove the dressing and apply direct digital pressure
C) continue direct pressure and apply additional dressings
D) apply pressure to the facial artery - ANSWER- C) continue direct pressure and
apply additional dressings
A 24 y/o male was stabbed in the thigh. Bright red blood spurts from the wound.
What should you suspect that the patient severed?
A) vein
B) artery
C) tendon
D) ligament - ANSWER- B) artery
A 60 y/o male with a head injury is moaning and making incomprehensible
sounds. He withdrew when you started his IV but is otherwise not moving. His
eyes are wide open. What is his GCS score?