Your patient is a 17 year old male found face down in a swimming pool. He is currently being
held face up at the surface of the water. He is unconscious but breathing and has a pulse. What is
the best course of action for this patient?
a)Jump into the pool and begin CPR
b)Remove the patient from the pool, immobilize, and transport.
c)Apply cervical and spinal immobilization while the patient is still in the pool
d)Wait for a trained water rescue team correct answers c)Apply cervical and spinal
immobilization while the patient is still in the pool
Your patient has a laceration to the right leg which has intersected the femoral artery. You have
applied direct pressure to the wound, but it continues to soak through the bandages. What should
you do next?
a)Apply a tourniquet
b)Elevate the leg
c)Remove the old bandage and apply new ones
d)Apply pressure to point just above the injury correct answers b)Elevate the leg
Of the two types of energy, which type of energy transfer in a motor vehicle crash (MVC) with
frontal impact, non-restrained driver with bent steering wheel, and spidered windshield?
a)High velocity penetrating
b)Decelerating
c)Low velocity penetrating
d)Blunt correct answers d)Blunt
When there is penetrating trauma there is a permanent cavity which is formed by the projectile
contacting the tissues. How is a temporary cavity formed?
a)By the twisting of the projectile
b)By energy scrubbing off of the projectile
,c)The wadding entering the body
d)Unspent gun powder correct answers b)By energy scrubbing off of the projectile
Loss of tissue in a traumatic event can be: just soft tissue, a portion of an extremity, or an entire
extremity. If your patient has lost the distal one-third of a lower extremity, what would that injury
be called?
a)Amplitude
b)Avulsion
c)Extremity exodus
d)Amputation correct answers d)Amputation
In any traumatic event where there is tissue damage that caused bleeding, the bleeding needs to
be controlled. What are the proper steps to bleeding control?
a)Direct pressure, elevation, tourniquet, digital pressure
b)Direct pressure, digital pressure, elevation, tourniquet
c)Tourniquet, elevation, pressure dressing, direct pressure
d)Direct pressure, pressure dressing, tourniquet correct answers b)Direct pressure, digital
pressure, elevation, tourniquet
Your 16 year old trauma patient has what appears to be a mid-shaft femur fracture. You notice
that there is a laceration directly over the suspected fracture. Bleeding is controlled. What type of
fracture would this be?
a)Greenstick
b)Comminuted
c)Closed
d)Open correct answers d)Open
En route to the hospital, you intubate the patient. During your assessment of tube placement, you
hear wheezing in the upper lung fields. What is most likely causing this wheezing?
, a)Inhalation injury to the upper airway
b)Inhalation induced cardiac wheezing
c)Inhalation induced asthma attack
d)Inhalation injury to the lower airway correct answers d)Inhalation injury to the lower airway
You are treating a 24-year-old female with a gunshot wound to the right side of the back. No exit
wound is visible. She is awake but confused. Her skin is pale and diaphoretic with cyanosis
noted to the oral mucosa. Breath sounds are clear and equal bilaterally. Jugular vein distention is
present. Blood pressure is 90/78 mmHg, heart rate is 124 beats per minute, and respiratory rate is
28 per minute and labored. Sinus tachycardia is seen on the cardiac monitor. What condition do
you think is most likely present with this patient?
a)Hemothorax
b)Tension pneumothorax
c)Pericardial tamponade
d)Lacerated aorta correct answers c)Pericardial tamponade
You are treating a 24-year-old female with a gunshot wound to the right side of the back. No exit
wound is visible. She is awake but confused. Her skin is pale and diaphoretic with cyanosis
noted to the oral mucosa. Breath sounds are clear and equal bilaterally. Jugular vein distention is
present. Blood pressure is 90/78 mmHg, heart rate is 124 beats per minute, and respiratory rate is
28 per minute and labored. Sinus tachycardia is seen on the cardiac monitor. Which of the
following treatment regimens would be the most appropriate for this patient?
a)High flow oxygen, spinal precautions, occlusive dressing over entrance wound, rapid transport.
b)High flow oxygen by nonrebreather, spinal precautions, allow patient to remain in a position of
comfort.
c)High flow oxygen by nonrebreather, cover entrance wound with an occlusive dressing.
d)High flow oxygen, pleural decompression to right side of chest, rapid transport. correct
answers a)High flow oxygen, spinal precautions, occlusive dressing over entrance wound, rapid
transport.
You are treating a 12-year-old male patient who was hit in the nose with a baseball. His nose is
deviated to the left with moderate epistaxis. He is complaining of severe pain to his nose. He is