Page 1 of 86
EMT Trauma Exam – 2025 Edition | 100 Verified
Scenario-Based Questions and Correct Answers
What is the definition of a flail chest? ......ANSWER........Two or
more adjacent ribs fractured in two or more places
What is the definitive treatment for a flail chest?
......ANSWER........BVM or CPAP
Name 2 different devices you might use to stabilize a pelvic
fracture: ......ANSWER........1. Sheet splint
2. Commercial pelvic binder
List 5 things that describe a correctly applied dressing for an
evisceration (besides covering the wound/organ). This dressing
must be: ......ANSWER........1. Moist
2. Sterile
3. Non-fibrous
4. Occlusive
5. Taped on 4 sides
,Page 2 of 86
When should you replace the organs in the abdomen if they are
eviscerated? ......ANSWER........Never
In what position should you transport a patient with an
abdominal evisceration who does not need SMR?
......ANSWER........Semi-Fowlers or Supine; Flex knees/hips
How do you treat a female patient with a bleeding straddle
injury? ......ANSWER........Direct pressure applied externally, and
do not pack vagina
For a stable male patient whose hand is clamped inside a small
metal vice-like cylinder, should you attempt to remove the hand
from the cylinder and then treat the injury, or transport the
patient with his hand still in the cylinder and let the ED attempt
to remove it? Why? ......ANSWER........Attempt removal.longer
clamped/crushed -> more edema, more toxin buildup, more
injury
,Page 3 of 86
Name 3 things that must be done, and 1 thing that should not be
done, when transporting an amputated body part:
......ANSWER........1. Do wrap in dry/moist sterile dressing, rinse2.
Do place in a plastic bag3. Do keep it cool4. Do not put directly
on ice
Name 2 things that you should do ASAP to treat an open
(sucking) chest wound ......ANSWER........1. Immediately cover with
a gloved hand
2. Apply occlusive dressing taped on 3 sides
Name 4 signs of pericardial tamponade: ......ANSWER........1.
JVD
2. Tachycardia
3. Narrow pulse pressure Hypotension
4. Pulsus paradoxus
What 2 signs let you know a tourniquet is applied appropriately
......ANSWER........1. Bleeding stops
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2. No distal pulse
List 2 definitive signs that a pneumothorax has just progressed to
a tension pneumothorax ......ANSWER........1. Hypotension
2. Change in mentation
List 5 signs/symptoms of internal bleeding ......ANSWER........1.
Pain Tenderness
2. Hematemesis Hematochezia Melena
3. Increased respiratory rate Increased heart rate
Weak/thready pulse
4. Narrow pulse pressure
5. Thirst Skin pale/cool/clammy Pupils dilated/sluggish
What is the minimal time you should irrigate a chemical burn to
the eye? ......ANSWER........20 minutes
How long should you irrigate/cool a thermal burn if found within
the first 10 minutes? ......ANSWER........1-2 minutes
EMT Trauma Exam – 2025 Edition | 100 Verified
Scenario-Based Questions and Correct Answers
What is the definition of a flail chest? ......ANSWER........Two or
more adjacent ribs fractured in two or more places
What is the definitive treatment for a flail chest?
......ANSWER........BVM or CPAP
Name 2 different devices you might use to stabilize a pelvic
fracture: ......ANSWER........1. Sheet splint
2. Commercial pelvic binder
List 5 things that describe a correctly applied dressing for an
evisceration (besides covering the wound/organ). This dressing
must be: ......ANSWER........1. Moist
2. Sterile
3. Non-fibrous
4. Occlusive
5. Taped on 4 sides
,Page 2 of 86
When should you replace the organs in the abdomen if they are
eviscerated? ......ANSWER........Never
In what position should you transport a patient with an
abdominal evisceration who does not need SMR?
......ANSWER........Semi-Fowlers or Supine; Flex knees/hips
How do you treat a female patient with a bleeding straddle
injury? ......ANSWER........Direct pressure applied externally, and
do not pack vagina
For a stable male patient whose hand is clamped inside a small
metal vice-like cylinder, should you attempt to remove the hand
from the cylinder and then treat the injury, or transport the
patient with his hand still in the cylinder and let the ED attempt
to remove it? Why? ......ANSWER........Attempt removal.longer
clamped/crushed -> more edema, more toxin buildup, more
injury
,Page 3 of 86
Name 3 things that must be done, and 1 thing that should not be
done, when transporting an amputated body part:
......ANSWER........1. Do wrap in dry/moist sterile dressing, rinse2.
Do place in a plastic bag3. Do keep it cool4. Do not put directly
on ice
Name 2 things that you should do ASAP to treat an open
(sucking) chest wound ......ANSWER........1. Immediately cover with
a gloved hand
2. Apply occlusive dressing taped on 3 sides
Name 4 signs of pericardial tamponade: ......ANSWER........1.
JVD
2. Tachycardia
3. Narrow pulse pressure Hypotension
4. Pulsus paradoxus
What 2 signs let you know a tourniquet is applied appropriately
......ANSWER........1. Bleeding stops
, Page 4 of 86
2. No distal pulse
List 2 definitive signs that a pneumothorax has just progressed to
a tension pneumothorax ......ANSWER........1. Hypotension
2. Change in mentation
List 5 signs/symptoms of internal bleeding ......ANSWER........1.
Pain Tenderness
2. Hematemesis Hematochezia Melena
3. Increased respiratory rate Increased heart rate
Weak/thready pulse
4. Narrow pulse pressure
5. Thirst Skin pale/cool/clammy Pupils dilated/sluggish
What is the minimal time you should irrigate a chemical burn to
the eye? ......ANSWER........20 minutes
How long should you irrigate/cool a thermal burn if found within
the first 10 minutes? ......ANSWER........1-2 minutes
