Exam
An 18 year old male was kicked in the left side of his face. He tells you that he cannot
look up or feel his cheek, nose, or upper lip. Which type of fracture should you suspect?
- answers Zygomatic
A 26 year old has been stabbed in the left side of his chest. He presents with pale, cool
skin and JVD. Vital signs are BP: 140/120, P: 140, R 32 breath sounds equal bilateral.
What should you suspect? - answers Cardiac Tamponade
A 42 year old male has a sucking chest wound to his right anterior chest. What should
you do? - answers Apply a non porous dressing
A 35 year old patient is unresponsive after a motor vehicle collision. You observe
paradoxical movement during respiration. Vital signs are BP: 104/72, P: 120, R: 32 and
shallow and a SPO2 of 89%. What should you do? - answers Assist the patients
ventilations
A 19 year old female was hit in her left flank with a baseball bat. She has bruising to her
left upper quadrant and complains of left shoulder pain. Vital signs are BP: 84/50, P:
130, R: 22 and labored. What should you suspect? - answers Spleen Injury
A 17 year old male was struck in the chest by a baseball. He is apneic and pulseless.
What should you suspect? - answers Commotio Cordis
A 24 year old female was shot in the chest. She is cyanotic and diaphoretic. She has
normal breath sounds with equal rise and is tachycardia. What should you suspect? -
answers Cardiac Tamponade
A 42 year old female presents with jugular vein distention, unequal breath sounds, and
asymmetrical chest rise. What is the most likely cause? - answers Tension
Pneumothorax
A 25 year old male is unresponsive and apneic. His chest was trapped under a car for 5
minutes. He has petechiae to his face and a weak carotid pulse. What should you do? -
answers Ventilate him with a bag-valve mask
A 65 year old male fell down a flight of concrete steps. He has tingling in both legs and
denies neck or back pain. What should you do? - answers Hold C-spine and immobilize
A 45 year old male fell down the stairs and is unresponsive and apneic. When you
ventilate him, you notice his neck is swelling and he has minimal chest rise. What
should you suspect? - answers Tracheal Disruption
,A 30 year old male was stabbed in the stomach with a knife and has an evisceration.
What should you do? - answers Apply a moist dressing and cover with an occlusive
dressing.
A 39 year old female was in a car crash and is hemorrhaging from her neck. Vital signs
are BP: 72/40, P: 120, R: 24. What should you do? - answers Establish 2 large bore IVs
You are ventilating a 23 year old female. You notice there is JVD and decreased lung
sounds on the left. What should you suspect? - answers Tension Pneumothorax
A 50 year old male has a blunt chest injury with paradoxical chest wall movement. Vital
signs are BP: 120/62, P: 110, R: 22 and shallow. What should you suspect? - answers
Flail Chest
What is a pathognomonic sign of neurogenic shock? - answers Vasocodilation
A 42 year old female was the restrained passenger in a car crash with passenger side
impact. She complains of shortness of breath with right-sided chest pain. Vital signs are
BP 84/60, P 112, R 28 with unequal breath sounds, SpO2 74%. What should you
suspect? - answers Tension Pneumothorax
A 36 vear old male has a fractured tibia. After splinting you are unable to palpate a
distal pulse. What should you do? - answers Loosen the splint and reassess for
circulation
A 32 year old male was in a head-on car crash. He complains of chest pain and
dizziness. Vital signs are BP 100/60, P 128 and irregular, R 28 and labored. He has
ecchymosis on his chest. What should you suspect? - answers Cardiac Contusion
What is the hallmark sign of compartment syndrome? - answers Disproportionate pain
for the injury.
What phrase of blast injuries cause damage to hollow organs? - answers Primary
A 49 year old female is short of breath and has chest pain after a lateral motor vehicle
crash. Her vital signs are BP 110/60, P 130, R 26 and muffled on the right, and SpO2
86%. What should you suspect? - answers Spontaneous Pneumothorax
A 21 year old female fell off a horse and then the horse stepped on her. She is
unresponsive and has an avulsion to her forehead and unequal chest rise. What should
you do? - answers Manually stabilize her spine
A 42 year old male lost 500 mL of blood. He weighs 165 lbs. How much crystalloid
solution should be administered? - answers 1500 mL
, A 39 year old male was trapped under a car for 10 minutes. His face and upper chest
appear cyanotic. Vital signs are P 30, R 4 and irregular. What should you suspect? -
answers Traumatic Asphyxia
A 60-year-old male presents with shortness of breath and a productive cough of two
days' duration. He denies chest pain or any other associated symptoms. Auscultation of
his lungs reveals scattered bilateral rhonchi in all fields. His skin is pink, warm, and dry
and the pulse oximeter reads 94% on room air. This patient is MOST likely
experiencing? - answers Bronchitis
You are first arriving to a single car MVC on the shoulder of the interstate, where should
park your ambulance? - answers Behind the accident
A 33-year-old female complains of acute intense pain in both lower abdominal
quadrants. She is conscious and alert, tachycardic, and has a fever of 102.5ºF. You
should suspect? - answers Pelvic Inflammatory Disease
A 67 year old male is unresponsive and has agonal respirations. What should you do? -
answers Palpate for carotid pulse
A 56 year old female is lethargic and responds inappropriately to commands. She has
pink frothy sputum in the corners of her mouth. Vital signs are P 98 and irregular, R 28
and shallow. What should you do? - answers Administer high-flow oxygen by non-
rebreather mask
A 72 year old male complains of increased weakness over the past few days. His skin is
pink, warm, and dry. You note jugular vein distention and bilateral crackles on
auscultation. Vitals are a BP 192/100, P 106, R 26. What should you suspect? -
answers CHF
A 47 year old male is sitting in the Fowlers position on your stretcher. After
administration of one nitroglycerin, he complains of a headache and no longer speaks
clearly. Vital signs are BP 76/38, P 90, R 16, Sp02 99%. What should you do? -
answers Lay him supine
A diaphoretic 45 year old male complains of shortness of breath and chest pain. Vital
signs are BP 106/58, P 64, R 18, Sp02 88%. What medication should be administered?
- answers Oxygen
A 56 year old male complains of chest pain and shortness of breath. He is anxious and
has pale, cool, and clammy skin. Vital signs areBP 66/40, P 98 and irregular, R 24 with
crackles. What should you suspect? - answers Cardiogenic Shock
A 57 year old female complains of a headache, dizziness and difficulty speaking. This
began 45 minutes ago. Vital signs are BP 148/52, P 60, R 12, Sp02 96%. What should
you do? - answers Obtain a blood glucose level