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CORE DOMAINS COVERED IN THIS EXAM
1. Trauma Overview & Triage - Mechanisms of injury, blast injuries,
multisystem trauma, triage principles, trauma center criteria
2. Head and Face Trauma - Skull fractures, epidural/subdural
hematomas, facial fractures, eye injuries, concussion/contusion
3. Spinal Trauma - Spinal immobilization, spinal cord injury syndromes,
cervical collar application, log rolling
4. Chest Trauma - Tension pneumothorax, flail chest, pulmonary
contusion, pericardial tamponade, open pneumothorax
5. Abdominal and Pelvic Trauma - Solid organ injuries, hollow organ
injuries, pelvic fractures, peritoneal signs
6. Musculoskeletal Trauma - Fractures, dislocations, splinting
techniques, compartment syndrome, crush injuries
7. Burns and Environmental Trauma - Thermal burns, chemical burns,
electrical injuries, hypothermia, frostbite
8. Hemorrhage and Shock - Hemorrhagic shock, hypovolemic shock,
hemostasis techniques, tourniquet application
9. Soft Tissue Injuries - Lacerations, avulsions, amputations, impaled
objects, crush injuries
10. Special Populations - Pediatric trauma, geriatric trauma,
pregnant trauma patient, obese patient
11. Trauma Systems & Transport - Field triage, transport decisions,
air medical transport, trauma center criteria
,1. A patient has a chemical burn to the eye and is wearing contact lenses.
What is the appropriate first action?
A. Remove contact lenses immediately and begin irrigation
B. Begin irrigation immediately and remove contact lenses after 5 minutes
C. Patch the eye and transport without irrigation
D. Apply antibiotic ointment and transport
ANSWER: A. Remove contact lenses immediately and begin irrigation
RATIONALE: In a chemical eye burn, contact lenses should be removed
immediately because they can trap chemicals against the cornea. Irrigation
should be initiated promptly and continued for at least 15-20 minutes. Contact
lenses can also absorb chemicals and continue releasing them.
2. A baseball player was hit by a baseball in the outfield. What is the
priority intervention?
A. Assess for spinal injury and restrict spinal movement
B. Apply ice to the injury site
C. Check for loss of consciousness
D. Remove the player's helmet and pads
ANSWER: A. Assess for spinal injury and restrict spinal movement
RATIONALE: Any patient with a significant mechanism of injury to the
head or spine requires cervical spine immobilization. The priority is to restrict
spinal movement until spinal injury can be ruled out. Helmet and pads should
be left in place initially.
3. What is the first concern with a conscious patient who received a face
mask?
A. Airway obstruction
B. Hypothermia
,C. Hyperventilation
D. Aspiration
ANSWER: A. Airway obstruction
RATIONALE: The priority concern with any facial injury or mask
placement is airway patency. Facial injuries can cause airway compromise due
to bleeding, swelling, or displacement of structures. The airway should be
assessed and maintained.
4. A 22-year-old female had an accident on a moped. She is lying still
wearing a helmet. What should you do?
A. Remove the helmet immediately to assess the airway
B. Leave the helmet in place while she is stabilized
C. Cut the helmet off to perform spinal immobilization
D. Move her head to remove the helmet
ANSWER: B. Leave the helmet in place while she is stabilized
RATIONALE: When a patient is wearing a helmet and has a suspected
spinal injury, the helmet should be left in place while the patient is being
stabilized. Removing the helmet can cause cervical spine movement. The
helmet can be removed later using proper technique.
5. A 32-year-old male is unconscious after being struck in the head. He
has a pulse but breathing is slow. Minor bleeding to the left temple. Your
partner is maintaining manual cervical spine stabilization. What is the
next step?
A. Measure and apply a rigid cervical collar
B. Insert an oropharyngeal airway
C. Apply direct pressure to the bleeding
D. Administer oxygen at 15 L/min
ANSWER: A. Measure and apply a rigid cervical collar
, RATIONALE: In an unconscious patient with head trauma and suspected
spinal injury, cervical spine immobilization is a priority. Since manual
stabilization is being maintained, the next step is to measure and apply a rigid
cervical collar.
6. A 28-year-old male is fleeing from police and sustained a head injury.
Which of the following is the most important consideration?
A. Ensure scene safety before approaching
B. Apply a rigid cervical collar
C. Administer oxygen
D. Assess for neurologic deficits
ANSWER: A. Ensure scene safety before approaching
RATIONALE: Scene safety is always the priority, especially when law
enforcement is involved and the patient may be combative or the scene
unsafe. EMTs must ensure the scene is secure before approaching the patient.
7. A patient presents with bruising around the eyes (raccoon eyes) and
behind the ear (Battle's sign). What type of injury is most likely?
A. Basilar skull fracture
B. Frontal skull fracture
C. Temporal bone fracture
D. Occipital skull fracture
ANSWER: A. Basilar skull fracture
RATIONALE: Raccoon eyes (periorbital ecchymosis) and Battle's sign
(ecchymosis over the mastoid process) are classic signs of a basilar skull
fracture. This type of fracture involves the base of the skull and can cause CSF
leakage.
8. A patient cut their wrist. The wound is bleeding rapidly with bright
red blood that is spurting. What is most likely severed?