EMT REVIEW EXAM 3 WITH CORRECT ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
ANSWERS
1. Your patient is a police officer that has been shot
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
just conscious, alert, and complains of SOB, you can
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
hear a whistling below the rib cage. He and it appears
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
to be sound as he breathes should: coming from the
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
entrance wound in his far upper left quadrant. You ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
A) control the bleeding from the wound and prepare
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
to transport at once.
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
B) repeat the initial assessment and direct your
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
partner to assist ventilations. ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
C) place sterile dressing the wound and apply direct
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
pressure. ||\\||\\
D) apply an occlusive dressing to the wound and
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
continue your assessment. - correct answers ✔✔D) ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
appl y an occlusive dressing to the wound and ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
continue your assessm ||\\||\\ ||\\||\\
,Your patient, a 21 year old female is the victim of a ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
domestic violence assault, the police advise you she ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
was struck in the chest with a piece of pipe, she has a ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
complaint chest pain. She is alert with a BP of ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
110/92, Pulse of 120 and irregular, respirations are ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
22 and slightly labored. These signs and symptoms
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
are most consistent with? ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
A) Tension pneumothorax ||\\||\\ ||\\||\\ ||\\||\\
B) Cardiac tamponade ||\\||\\ ||\\||\\ ||\\||\\
C) Rib Fractures ||\\||\\ ||\\||\\ ||\\||\\
D) Cardiac contusion - correct answers ✔✔D) Cardiac
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
contusion
||\\||\\
A 25 year old male has rolled his tractor over. He is
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
conscious, but is experiencing signs of shock. Further ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
assessment reveals that his his breath sounds are ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
bilaterally equal and clear , however irregularpulse . ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
This patient is MOSTI e experiencing ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
A) a myocardial contusion
||\\||\\ ||\\||\\ ||\\||\\
,||\\||\\ B) multiple rib fractures.
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
C) a pericardial tamponade.
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
D) a tension pneumothorax. - correct answers ✔✔A)
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
a myocardial contusion
||\\||\\ ||\\||\\
You have arrived on scene of a vehicle vs tree, the
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
driver a 54 year old male is sitting in the driver seat, ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
the vehicle was on fire prior to your arrival. You find
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
the patient gasping for air with a respiratory rate of
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
44 and labored, the patient has soot on his lips and
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
nose, however does not appear to be burned, the ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
only other signs or mechanisms of injury is deformity ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
to the right ankle. The most appropriate actions to
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
take would include? ||\\||\\ ||\\||\\ ||\\||\\
A) Ventilate pt with BVM, rapid transport to closest
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
facility ||\\||\\
B) Hgih flow 02, full spinal precautions, rapid
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
transport to closest facility ||\\||\\ ||\\||\\ ||\\||\\
, C) Attempt to assist ventilations, transport to closest
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
appropriate trauma facility, early notification for ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
admission to burn center ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
D) High flow 02, full spinal precautions, rapid
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
transport to burn center - correct answers ✔✔C) ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
Attempt to assist ventilations, transport to closest ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
appropriate trauma facility, early notification for ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
admission to burn center ||\\||\\ ||\\||\\ ||\\||\\
You r patient is a 72 year old male that has been
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
struck by a car and has a open fem re. You find the
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
patient externally from the wound. You should? ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
semiconscious, he has reduced tidal volume ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
breathing is bleeding profusely ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
A) apply a nonrebreathing mask
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
B) perform a rapid trauma exam.
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
C) assist the patient's ventilations.
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
D) apply direct pressure to the bleeding. - correct
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
answers ✔✔D) apply direct pressure to the bleeding. ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
ANSWERS
1. Your patient is a police officer that has been shot
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
just conscious, alert, and complains of SOB, you can
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
hear a whistling below the rib cage. He and it appears
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
to be sound as he breathes should: coming from the
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
entrance wound in his far upper left quadrant. You ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
A) control the bleeding from the wound and prepare
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
to transport at once.
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
B) repeat the initial assessment and direct your
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
partner to assist ventilations. ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
C) place sterile dressing the wound and apply direct
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
pressure. ||\\||\\
D) apply an occlusive dressing to the wound and
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
continue your assessment. - correct answers ✔✔D) ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
appl y an occlusive dressing to the wound and ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
continue your assessm ||\\||\\ ||\\||\\
,Your patient, a 21 year old female is the victim of a ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
domestic violence assault, the police advise you she ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
was struck in the chest with a piece of pipe, she has a ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
complaint chest pain. She is alert with a BP of ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
110/92, Pulse of 120 and irregular, respirations are ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
22 and slightly labored. These signs and symptoms
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
are most consistent with? ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
A) Tension pneumothorax ||\\||\\ ||\\||\\ ||\\||\\
B) Cardiac tamponade ||\\||\\ ||\\||\\ ||\\||\\
C) Rib Fractures ||\\||\\ ||\\||\\ ||\\||\\
D) Cardiac contusion - correct answers ✔✔D) Cardiac
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
contusion
||\\||\\
A 25 year old male has rolled his tractor over. He is
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
conscious, but is experiencing signs of shock. Further ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
assessment reveals that his his breath sounds are ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
bilaterally equal and clear , however irregularpulse . ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
This patient is MOSTI e experiencing ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
A) a myocardial contusion
||\\||\\ ||\\||\\ ||\\||\\
,||\\||\\ B) multiple rib fractures.
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
C) a pericardial tamponade.
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
D) a tension pneumothorax. - correct answers ✔✔A)
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
a myocardial contusion
||\\||\\ ||\\||\\
You have arrived on scene of a vehicle vs tree, the
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
driver a 54 year old male is sitting in the driver seat, ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
the vehicle was on fire prior to your arrival. You find
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
the patient gasping for air with a respiratory rate of
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
44 and labored, the patient has soot on his lips and
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
nose, however does not appear to be burned, the ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
only other signs or mechanisms of injury is deformity ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
to the right ankle. The most appropriate actions to
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
take would include? ||\\||\\ ||\\||\\ ||\\||\\
A) Ventilate pt with BVM, rapid transport to closest
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
facility ||\\||\\
B) Hgih flow 02, full spinal precautions, rapid
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
transport to closest facility ||\\||\\ ||\\||\\ ||\\||\\
, C) Attempt to assist ventilations, transport to closest
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
appropriate trauma facility, early notification for ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
admission to burn center ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
D) High flow 02, full spinal precautions, rapid
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
transport to burn center - correct answers ✔✔C) ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
Attempt to assist ventilations, transport to closest ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
appropriate trauma facility, early notification for ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
admission to burn center ||\\||\\ ||\\||\\ ||\\||\\
You r patient is a 72 year old male that has been
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
struck by a car and has a open fem re. You find the
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
patient externally from the wound. You should? ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
semiconscious, he has reduced tidal volume ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
breathing is bleeding profusely ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
A) apply a nonrebreathing mask
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
B) perform a rapid trauma exam.
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
C) assist the patient's ventilations.
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
D) apply direct pressure to the bleeding. - correct
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
answers ✔✔D) apply direct pressure to the bleeding. ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
