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AWLS 640 – 300+ Exam Questions on Trauma, Altitude Illness & Environmental Emergencies | Wilderness Medicine

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This document provides a comprehensive set of over 300 exam-style questions and answers tailored for the Advanced Wilderness Life Support (AWLS 640) course. It is designed for students and professionals preparing for certification or mastery in wilderness and remote emergency care. The questions span a wide range of high-yield topics critical for real-world application and academic success. Covered topics include primary and secondary survey techniques (MARCH, AVPU, SAMPLE, COLDERR), trauma triage, wound and fracture management, burns, frostbite, hypothermia, altitude illnesses (AMS, HAPE, HACE), heat-related emergencies, anaphylaxis, and envenomation (snake, spider, jellyfish). You'll also find detailed case-based questions on drowning, SCUBA complications, lightning injuries, gastrointestinal illnesses, dental trauma, eye injuries, and backcountry water purification methods. Each question includes a clearly indicated correct answer, often reinforced with clinical context or memory aids such as mnemonics. The format is ideal for focused self-study and practical scenario-based preparation. This study guide is suitable for: Medical students in emergency or wilderness medicine rotations Paramedic and EMT trainees in remote or tactical medical programs Nursing students enrolled in disaster or field care modules Outdoor professionals such as expedition leaders, guides, and SAR team members Physician assistants, NPs, and physicians maintaining AWLS certification or teaching field medicine Whether you’re preparing for certification, improving decision-making under pressure, or strengthening field protocols, this is a complete and targeted exam prep resource for wilderness medical training. Keywords: AWLS, wilderness medicine, trauma assessment, MARCH, AVPU, SAMPLE, COLDERR, hypothermia, frostbite, altitude sickness, HAPE, HACE, heat illness, drowning, lightning injury, snake bite, evacuation, field care, backcountry emergencies, SCUBA injury, water purification, gastroenteritis, environmental injuries, dental trauma, eye injury

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Institution
Awls
Course
Awls

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AWLS Study Questions 2025/2026 Exam
All Answers and Illustrations Given



name the parts of the primary survey: MARCH - 🧠ANSWER ✔✔M -

Massive hemorrhage

A - Airway + C-spine precautions

R - Respirations

C - Circulation

H - Hyper/hypothermia, hike vs helecopter


name the levels of consciousness: AVPU - 🧠ANSWER ✔✔A - Alert &

oriented (x 1, 2, 3 or 4)

V - Verbal

,P - Pain

U - Unresponsive


name the parts of the secondary survey: SAMPLE - 🧠ANSWER ✔✔S -

Signs & symptoms

A - Allergies

M - Medications

P - Past medical/ surgical history

L - Last meal

E - Events leading up to the incident

name the parts of the secondary survey: pain characterization: COLDERR -

🧠ANSWER ✔✔C - character


O - onset

L - location

D - Duration

E - Exacerbation

R - relief

,R - Radiation

name the parts of the secondary survey: potential areas of major bleeds:

CARTS - 🧠ANSWER ✔✔C - chest


A - abdomen

R - renal/ retroperitoneal

T - thigh

S - Skin/ street

Name the parts of assessments of altered mental status: AEIOU-TIPS -

🧠ANSWER ✔✔A - Allergies/ altitude


E - environment / epilepsy

I - Infection

O - overdose

U - underdose

T - Trauma/ toxins

I - insulin (diabetes)

P - psychological disorder



3
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, S - stroke

what is the purpose of the blood sweep during the primary survey -

🧠ANSWER ✔✔1. Identify sites of major bleeding


2. to detect major deformities

you are rock climbing with several friends & a rock slide occurs. 3 ppl fall

10-20 ft to the bottom & 2 other ppl were injured while standing at the

bottom of the cliff & looking up. which is appropriate?

a.) move all the injured ppl away from the base of the cliff

b.) don't move anyone due to C-spine risk

c.) put an overhead shade over the base of the cliff

d.)triage & only move pts with no C-spine risk


e.) leave all pts where they are lying and go get help - 🧠ANSWER ✔✔a.)

move all the injured pts away from the base of the cliff

A hiker falls 150 ft down a steep embankment. She is pale but awake, has

a thready pulse of 130 bpm & c/o being thirsty. What best explains her

symptoms

a.) abrasions on her lower legs

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