TPACT EVALUATION TEST QUESTIONS AND
ANSWERS SURE A+
✔✔The best way to treat an open pneumothorax is to: (thoracic and abdominal trauma)
- ✔✔Apply a 3-sided occlusive dressing
✔✔A driver is involved in a side-impact motor vehicle collision and is intubated upon the
medics' arrival to the scene. The intubated patients vitals are:
-BP: 60/40 mmHg
-HR: 150 bpm
-PIP: 40 cmH20
-O2 saturation: 75%
What is the transport provider's best next step in the management of this patient?
(thoracic and abdominal trauma) - ✔✔Initiate needle decompression
✔✔A patient is being prepared for transport following an ablation procedure 10 days
ago. Assessment reveals dyspnea, distended neck veins, hypotension, tachycardia, and
muffled heart sounds. The most appropriate course of action is to: (thoracic and
abdominal trauma) - ✔✔Administer a fluid bolus
s/s of beck's triad present (muffled heart sounds, hypotension with narrowed pulse
pressure and distended neck veins), indicative of pericardial tamponade
✔✔A patient sustains a traumatic amputation of the left lower arm as a result of a MVC.
Vital signs are as follows: BP 75/40 mmHg, HR 110 bpm, RR 28 breaths/min, and SpO2
88%. Lung sounds are clear bilaterally, with S1 and S2 sounds brief and clear. There is
no bleeding from the stump. The next most appropriate step is to: (musculoskeletal and
soft tissue trauma) - ✔✔Apply a tourniquet.
, ✔✔Compartment syndrome in a lower extremity is best treated with which of the
following? (musculoskeletal and soft tissue trauma) - ✔✔Cardboard splint
b/c its non constricting and is not a source of external compression
leave at level of heart so that being in a dependent position does not induce more
edema and elevation does not decrease perfusion
✔✔The best way to improve oxygenation of a patient with a fat embolism who is
receiving mechanical ventilation during air transport is to increase: (musculoskeletal and
soft tissue trauma) - ✔✔PEEP
✔✔The most appropriate way to preserve an amputated part is to place it:
(musculoskeletal and soft tissue trauma) - ✔✔In a plastic bag and on ice
✔✔Match the transducer with its most appropriate and/or primary applications in
POCUS: (point of care ultrasound) - ✔✔Curvilinear:
- FAST exam
-IVC assessment
-Cardiac exam
-Obstetrical exam
-Appendix assessment
-Gallbladder assessment
Linear-array:
-Soft tissue assessment
-IV placement
-Ocular exam
-Pulmonary exam in pediatric or very low body mass adult patients
✔✔The transport provider arrives on scene to a serious motor vehicle accident where a
patient has sustained blunt-force injury to the abdomen. When performing the
ultrasound, which of the following actions is most correct in this situation? (point of care
ultrasound) - ✔✔The provider conducts a FAST exam, beginning in the RUQ to identify
any possible free fluid in the abdomen.
✔✔What can an EFAST exam help to determine that a FAST exam is less likely to
identify? Select all that apply: (point of care ultrasound) - ✔✔Pneumothorax,
hemothorax
✔✔While assessing a patient's LUQ, the provider notices that the image on the screen
are not clearly delineated and the structures seem to be "bleeding" into one another?
What is the first thing that provider should do? (point of care ultrasound) - ✔✔Check the
transducer orientation and/or adjust the gain settings
ANSWERS SURE A+
✔✔The best way to treat an open pneumothorax is to: (thoracic and abdominal trauma)
- ✔✔Apply a 3-sided occlusive dressing
✔✔A driver is involved in a side-impact motor vehicle collision and is intubated upon the
medics' arrival to the scene. The intubated patients vitals are:
-BP: 60/40 mmHg
-HR: 150 bpm
-PIP: 40 cmH20
-O2 saturation: 75%
What is the transport provider's best next step in the management of this patient?
(thoracic and abdominal trauma) - ✔✔Initiate needle decompression
✔✔A patient is being prepared for transport following an ablation procedure 10 days
ago. Assessment reveals dyspnea, distended neck veins, hypotension, tachycardia, and
muffled heart sounds. The most appropriate course of action is to: (thoracic and
abdominal trauma) - ✔✔Administer a fluid bolus
s/s of beck's triad present (muffled heart sounds, hypotension with narrowed pulse
pressure and distended neck veins), indicative of pericardial tamponade
✔✔A patient sustains a traumatic amputation of the left lower arm as a result of a MVC.
Vital signs are as follows: BP 75/40 mmHg, HR 110 bpm, RR 28 breaths/min, and SpO2
88%. Lung sounds are clear bilaterally, with S1 and S2 sounds brief and clear. There is
no bleeding from the stump. The next most appropriate step is to: (musculoskeletal and
soft tissue trauma) - ✔✔Apply a tourniquet.
, ✔✔Compartment syndrome in a lower extremity is best treated with which of the
following? (musculoskeletal and soft tissue trauma) - ✔✔Cardboard splint
b/c its non constricting and is not a source of external compression
leave at level of heart so that being in a dependent position does not induce more
edema and elevation does not decrease perfusion
✔✔The best way to improve oxygenation of a patient with a fat embolism who is
receiving mechanical ventilation during air transport is to increase: (musculoskeletal and
soft tissue trauma) - ✔✔PEEP
✔✔The most appropriate way to preserve an amputated part is to place it:
(musculoskeletal and soft tissue trauma) - ✔✔In a plastic bag and on ice
✔✔Match the transducer with its most appropriate and/or primary applications in
POCUS: (point of care ultrasound) - ✔✔Curvilinear:
- FAST exam
-IVC assessment
-Cardiac exam
-Obstetrical exam
-Appendix assessment
-Gallbladder assessment
Linear-array:
-Soft tissue assessment
-IV placement
-Ocular exam
-Pulmonary exam in pediatric or very low body mass adult patients
✔✔The transport provider arrives on scene to a serious motor vehicle accident where a
patient has sustained blunt-force injury to the abdomen. When performing the
ultrasound, which of the following actions is most correct in this situation? (point of care
ultrasound) - ✔✔The provider conducts a FAST exam, beginning in the RUQ to identify
any possible free fluid in the abdomen.
✔✔What can an EFAST exam help to determine that a FAST exam is less likely to
identify? Select all that apply: (point of care ultrasound) - ✔✔Pneumothorax,
hemothorax
✔✔While assessing a patient's LUQ, the provider notices that the image on the screen
are not clearly delineated and the structures seem to be "bleeding" into one another?
What is the first thing that provider should do? (point of care ultrasound) - ✔✔Check the
transducer orientation and/or adjust the gain settings
