TPATC Final Test 2026–2027 – Complete Practice Questions & Exam Review

TPATC Final Test 2026–2027 – Complete
Practice Questions & Exam Review
1. A trauma patient who is 36 weeks pregnant (pre-pregnancy weight: 60kg)
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undergoes RSI for airway protection after sustaining traumatic injuries in a
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pedestrian vs motor car collision. Initial settings are: Mode - AC, F - 16, VT - 420,
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FiO2 - 1, PEEP - 5. Current vital signs are: BP 120/70, HR 90, RR 16, SpO2 98%,
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ETCO2 46. Which of the following changes is most appropriate?: Increase rate to 20
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breaths per minute
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2. a patient with multiple traumatic injuries is being transported from a facility at
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an altitude of 4000 feet to a facility near sea level and is showing signs of hypoxia.
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The transport provider records the following patient data: BP 100/65, HR 110, RR
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22,SpO2 97% with NRB.Lab values indicate Hgb 7, HCT21.Which form of hypoxia is
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most likely?: hypemichypoxia
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3. when performing intubation in a pediatric patient, it is beneficial to:: preoxy-
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genate for 2 to 4 minutes prior to the attempt
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4. During reassessment of a severely burned patient at maximum altitude, the
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transport team should be most concerned about which of the following findings:
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increased abdominal distension
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5. in terms of the principles of field triage, which of the following patients is
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indicated for direct transport to a trauma center?: all patients with 2 or more proximal long-
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6. A reportedly unrestrained adolescent male is suspected of spinal injury along
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with additional musculoskeletal injuries, and requires transport to a pe-diatric
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trauma facility that is 14 miles away. Which of the findings is most likely to indicate the
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patients pain is not managed en route to the facility?: patientrates pain as 11 on numeric scale
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7. which of the following gas laws explains loss of available oxygen at altitude
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due to "thin air" and may result in deterioration of night vision acuity at altitudes
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as low as 5000 feet?: daltonslaw
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8. which weapon of mass destruction/mass casualty is most dangerous due to the
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difficulty in detecting its presence, as well as the indiscriminate nature of its
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spread?: biological weapons
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, 9. which of the following programs is designed to help organizations focus less on
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events, errors, and outcomes and focus more on risks, systems design, and
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management of behavioral change?: justculture
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10. a 46 year old male is injured after a fall. The transport team suspects injuries to the
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mskull, pelvis, and c-spine. The team decides to intubate prior to transfer to the
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nearest trauma center. What complication should the team anticipate inthe
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patient?:hypotension
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11. a patient has no function of the upper extremities but has sensation and
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movement in lower extremities after diving into a shallow pool. Bladder and
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bowel function are intact. This presentation is most consistent with which of the
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following spinalcordinjuries?:centralcordsyndrome
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12. A patient who sustained a GSW to the abdomen 2 days ago now has sepsis. Volume
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resuscitation of 20ml/kg has been given, patient currently has a MAP below 65. An
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infusion of which of the following is indicated?: norepinephrine
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13. Which anatomical feature must be considered by the transport team when
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caring for a neonatal patient requiring airway management?: thenarrowestpartof the
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patients airway is the cricoid cartilage
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14. a patient who is 37 weeks pregnant is the restrained driver in a head on col-lision.
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Assessment reveals signs and symptoms of a tension pneumothorax. A chest tube
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should be inserted in which of the following locations?: 3rd intercostal space anterior to the
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midaxillary
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15. a patient who is 37 weeks pregnant is in full spinal immobilization with the
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backboard tilted to the left. Two large bore IV's with 1000ml NS have been
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infused. Which of the following findings is most indicative for the need for
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additional resuscitation with IV crystalloids?: fetalheartrateof180
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16. a patient sustains a femur fracture and multiple rib fractures following a MVA.
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The patient is in respiratory distress with an SpO2 of 88% after intuba-tion.
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Which intervention is indicated if patient shows sign of a fat emboli?: Ini-tiation of PEEP
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17. An adult involved in an MVA has a C6 spinal cord injury. The transport provider
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documents the patients heart rate as 54bpm and BP as 86/62. Which ofthese
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interventionsshould bethepriority?:administrationofofatropine
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2/9
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