WMA WFR Recert Practice Exam || with Error-free
Solutions.
As you approach the scene of a climbing accident, you observe an injured climber hanging just
above the ground. The belay rope disappears over the top of the cliff 20 meters (65 feet) above.
Your first action should be to: correct answers Survey the scene for dangers, numbers of patients
and available resources.
The technical team has relieved the belayer and lowered an injured climber to the ground. Your
primary assessment reveals a rapid pulse and easy but rapid breathing. Possible causes include:
correct answers Acute stress reaction
Volume Shock
The injured climber is A on AVPU with normal mental status and is able to describe the accident
in detail. For field purposes, this finding confirms that there is no: correct answers Traumatic
brain injury
Your secondary assessment on a climber injured by a 10 meter (32 foot) fall reveals a deformed,
tender, and very swollen left thigh. In addition to fracture, this finding also suggests a
mechanism for: correct answers Volume shock
Significant blood loss
A critical body system injury
Vital signs on a climber with a fractured pelvis from a fall measure as follows: First set of vitals:
P: 128, R: 20, BP: 110/72, Skin: pale, C: awake with normal metal status. Second set of vitals: P:
136, R: 24, BP: 110/72, Skin: cool and pale, C: awake with normal mental status. This pattern
fits the assessment of: correct answers Compensated volume shock
What actions would be appropriate in the treatment of a climber with a fractured femur following
a 10 meter (32 foot) fall? correct answers Spine protection unless the spine can be cleared
Request a paramedic for IV fluids and pain control
Packaging to prevent hypothermia
It is best to avoid: correct answers High risk evacuations for low risk problems.
Persistent ischemia is a high-risk problem because it will ultimately result in: correct answers
Infarction (tissue death)
Why might blunt injury to the chest and abdomen be a mechanism for volume shock? correct
answers Solid organs like the spleen and liver can rupture and bleed profusely
, One of your crew members lacerates her shin on a sail track on an offshore passage. The wound
exposes bone and muscle, and is about 5 cm (2 inches) long. Bleeding is minimal. You are not
expecting to make port for three more days. The best way to reduce the chance of infection
would be: correct answers Clean and irrigate the wound and dress it open with wet to dry
dressings.
Clear my choice
Which is the appropriate adult dose of injectable epinephrine for the emergency treatment of
anaphylaxis? correct answers 0.3 mg
You are near the end of a long hike with friends on a warm summer day when one of your party
lags behind the rest. You backtrack a kilometer (1/2 mile) to find him sitting by the trail and
complaining of thirst. Your exam reveals an ill appearing man with the following vital signs: P:
122, R: 22, Skin: pale and moist, C: awake and oriented by subdued. SAMPLE history reveals
that he has not produced urine for the past 8 hours, and has not been drinking because he forgot
his water bottle. The most likely explanation for his vital sign pattern is: correct answers
Compensated volume shock from inadequate volume replacement.
The most appropriate treatment for heat stroke is: correct answers Aggressive cooling
Under what circumstances would you apply traction into position for a dislocated elbow? correct
answers There is persistent ischemia and you are more than two hours from medical care.
Your team is called to recover the body of a lost skier. On arrival, you discover that the "body" is
still pliable and has a core temperature of 28°C (82°F). You cannot detect respiration but you do
feel a slow pulse. The most appropriate course of action would be to: correct answers Package
the patient in a hypothermia wrap, provide PPV, and evacuate gently but urgently to medical
care.
One of your rescue team members dislocates his thumb when it becomes caught in a belay
device. His symptoms include an elevated pulse, elevated respiratory rate and mental status
changes. This is most likely due to: correct answers Acute stress reaction.
Which cause of upper airway obstruction would be most difficult to manage without medication
and advanced techniques? correct answers Swelling from anaphylaxis.
The assessment Traumatic Brain Injury (TBI) carries the anticipated problem of: correct answers
Increased intracranial pressure
As a ski patroller, you are called to evaluate a young man behaving abnormally. He is carrying a
snowboard and wandering around the base area. He seems confused and is unable to tell you
what he is doing or how he came to be there. The problem could be: correct answers Drug use
(intoxication.)
Low blood sugar.
Solutions.
As you approach the scene of a climbing accident, you observe an injured climber hanging just
above the ground. The belay rope disappears over the top of the cliff 20 meters (65 feet) above.
Your first action should be to: correct answers Survey the scene for dangers, numbers of patients
and available resources.
The technical team has relieved the belayer and lowered an injured climber to the ground. Your
primary assessment reveals a rapid pulse and easy but rapid breathing. Possible causes include:
correct answers Acute stress reaction
Volume Shock
The injured climber is A on AVPU with normal mental status and is able to describe the accident
in detail. For field purposes, this finding confirms that there is no: correct answers Traumatic
brain injury
Your secondary assessment on a climber injured by a 10 meter (32 foot) fall reveals a deformed,
tender, and very swollen left thigh. In addition to fracture, this finding also suggests a
mechanism for: correct answers Volume shock
Significant blood loss
A critical body system injury
Vital signs on a climber with a fractured pelvis from a fall measure as follows: First set of vitals:
P: 128, R: 20, BP: 110/72, Skin: pale, C: awake with normal metal status. Second set of vitals: P:
136, R: 24, BP: 110/72, Skin: cool and pale, C: awake with normal mental status. This pattern
fits the assessment of: correct answers Compensated volume shock
What actions would be appropriate in the treatment of a climber with a fractured femur following
a 10 meter (32 foot) fall? correct answers Spine protection unless the spine can be cleared
Request a paramedic for IV fluids and pain control
Packaging to prevent hypothermia
It is best to avoid: correct answers High risk evacuations for low risk problems.
Persistent ischemia is a high-risk problem because it will ultimately result in: correct answers
Infarction (tissue death)
Why might blunt injury to the chest and abdomen be a mechanism for volume shock? correct
answers Solid organs like the spleen and liver can rupture and bleed profusely
, One of your crew members lacerates her shin on a sail track on an offshore passage. The wound
exposes bone and muscle, and is about 5 cm (2 inches) long. Bleeding is minimal. You are not
expecting to make port for three more days. The best way to reduce the chance of infection
would be: correct answers Clean and irrigate the wound and dress it open with wet to dry
dressings.
Clear my choice
Which is the appropriate adult dose of injectable epinephrine for the emergency treatment of
anaphylaxis? correct answers 0.3 mg
You are near the end of a long hike with friends on a warm summer day when one of your party
lags behind the rest. You backtrack a kilometer (1/2 mile) to find him sitting by the trail and
complaining of thirst. Your exam reveals an ill appearing man with the following vital signs: P:
122, R: 22, Skin: pale and moist, C: awake and oriented by subdued. SAMPLE history reveals
that he has not produced urine for the past 8 hours, and has not been drinking because he forgot
his water bottle. The most likely explanation for his vital sign pattern is: correct answers
Compensated volume shock from inadequate volume replacement.
The most appropriate treatment for heat stroke is: correct answers Aggressive cooling
Under what circumstances would you apply traction into position for a dislocated elbow? correct
answers There is persistent ischemia and you are more than two hours from medical care.
Your team is called to recover the body of a lost skier. On arrival, you discover that the "body" is
still pliable and has a core temperature of 28°C (82°F). You cannot detect respiration but you do
feel a slow pulse. The most appropriate course of action would be to: correct answers Package
the patient in a hypothermia wrap, provide PPV, and evacuate gently but urgently to medical
care.
One of your rescue team members dislocates his thumb when it becomes caught in a belay
device. His symptoms include an elevated pulse, elevated respiratory rate and mental status
changes. This is most likely due to: correct answers Acute stress reaction.
Which cause of upper airway obstruction would be most difficult to manage without medication
and advanced techniques? correct answers Swelling from anaphylaxis.
The assessment Traumatic Brain Injury (TBI) carries the anticipated problem of: correct answers
Increased intracranial pressure
As a ski patroller, you are called to evaluate a young man behaving abnormally. He is carrying a
snowboard and wandering around the base area. He seems confused and is unable to tell you
what he is doing or how he came to be there. The problem could be: correct answers Drug use
(intoxication.)
Low blood sugar.
