RFD Protocol Test UPDATED ACTUAL
Questions and CORRECT Answers
You have a patient who has just given birth and has a SBP of 65 after a 500ml bolus. Your
next action should be to: - CORRECT ANSWER- ✔✔Repeat fluid bolus (pg. 44)
You have an adult patient in non-traumatic shock. No obvious bleeding and SBP <90 after 2
boluses of 500ml each of NS and Trendelenburg positioning. What is the total amount that
may be administered? - CORRECT ANSWER- ✔✔2 liters (pg. 53)
You have an adult pregnant patient with a SBP of 168 and complaining of a severe headache.
As you were talking to the patient, she begins to seize. What is your first line drug and dose
for this seizing patient? - CORRECT ANSWER- ✔✔Magnesium Sulfate 4-5 Grams (pg. 56)
After administering mag sulfate to a seizing pregnant patient, she is awake and talking to you.
But now she begins to answer questions very slowly, her RR is now 8/min, and her SPB has
dropped to 80. What is your next treatment? - CORRECT ANSWER- ✔✔Contact OLMCP
for calcium chloride 1 gram (pg. 56)
You respond to a call for a pregnant patient complaining of abdominal pain. Your patient is
holding her abdomen and crying out in pain. She describes the pain as sharp and severe.
Upon examination you find no crowning present, but there is slight dark red blood present.
What OB emergency is she most likely experiencing? - CORRECT ANSWER- ✔✔Abruptio
Placenta (pg. 44)
True or False: According to the needle thoracostomy (chest decompression) protocol, a
bilateral tension pneumothorax is very common. - CORRECT ANSWER- ✔✔False (pg. 74)
True or False: According to the cardiac arrest - VF/Pulseless VT protocol, for a pedi patient
with an advanced airway in place, ventilations should be at a rate of 10-12 per minute without
pausing compressions for ventilations. - CORRECT ANSWER- ✔✔False, 8-10 ventilations
per minute (pg. 41)
, Calculate a LAMS score for the following patient: Facial droop, arm drifts slowly and has no
grip strength. - CORRECT ANSWER- ✔✔4 (pg. 60)
True or False: According to the general trauma management protocol, for suspected
pericardial tamponade in an adult, you should administer a 500ML bolus. - CORRECT
ANSWER- ✔✔True (pg. 62)
According to the Universal Patient Care Guidelines for Trauma Patients, which of the
following is NOT part of the primary survey?
A. Manually control C spine
B. Assess ABCs and intervene as necessary
C. Obtain a SAMPLE history
D. Assess mental status using AVPU - CORRECT ANSWER- ✔✔C. Obtain a sample history
(pg. 15)
True or False: According to the RFD Patient Transport Guidelines, all major burns (Adult and
Pediatric) should be taken to Parkland Hospital. - CORRECT ANSWER- ✔✔False; Adult
major burns = Medical City Plano, Pedi major burns = Parkland (pg. 17)
According to the Patient Transport Reference, which of the following facilities does NOT
have Hyperbaric Chamber for treatment of CO poisoning?
A. Baylor Dallas
B. Baylor Plano
C. THR Dallas
D. Medical City Plano - CORRECT ANSWER- ✔✔B. Baylor Plano (pg. 19)
True or False: According to the Patient Transport Reference, any time a tourniquet is applied
to a patient to stop bleeding, they must be transported to a Level I or Level II trauma center. -
CORRECT ANSWER- ✔✔True (pg. 22)
True or False: According to the Drowning/Submersion Injuries Protocol, the term "near-
drowning" is no longer recognized. The most correct way to report these events are as "fatal"
or "nonfatal" drowning. - CORRECT ANSWER- ✔✔True (pg. 46)
Questions and CORRECT Answers
You have a patient who has just given birth and has a SBP of 65 after a 500ml bolus. Your
next action should be to: - CORRECT ANSWER- ✔✔Repeat fluid bolus (pg. 44)
You have an adult patient in non-traumatic shock. No obvious bleeding and SBP <90 after 2
boluses of 500ml each of NS and Trendelenburg positioning. What is the total amount that
may be administered? - CORRECT ANSWER- ✔✔2 liters (pg. 53)
You have an adult pregnant patient with a SBP of 168 and complaining of a severe headache.
As you were talking to the patient, she begins to seize. What is your first line drug and dose
for this seizing patient? - CORRECT ANSWER- ✔✔Magnesium Sulfate 4-5 Grams (pg. 56)
After administering mag sulfate to a seizing pregnant patient, she is awake and talking to you.
But now she begins to answer questions very slowly, her RR is now 8/min, and her SPB has
dropped to 80. What is your next treatment? - CORRECT ANSWER- ✔✔Contact OLMCP
for calcium chloride 1 gram (pg. 56)
You respond to a call for a pregnant patient complaining of abdominal pain. Your patient is
holding her abdomen and crying out in pain. She describes the pain as sharp and severe.
Upon examination you find no crowning present, but there is slight dark red blood present.
What OB emergency is she most likely experiencing? - CORRECT ANSWER- ✔✔Abruptio
Placenta (pg. 44)
True or False: According to the needle thoracostomy (chest decompression) protocol, a
bilateral tension pneumothorax is very common. - CORRECT ANSWER- ✔✔False (pg. 74)
True or False: According to the cardiac arrest - VF/Pulseless VT protocol, for a pedi patient
with an advanced airway in place, ventilations should be at a rate of 10-12 per minute without
pausing compressions for ventilations. - CORRECT ANSWER- ✔✔False, 8-10 ventilations
per minute (pg. 41)
, Calculate a LAMS score for the following patient: Facial droop, arm drifts slowly and has no
grip strength. - CORRECT ANSWER- ✔✔4 (pg. 60)
True or False: According to the general trauma management protocol, for suspected
pericardial tamponade in an adult, you should administer a 500ML bolus. - CORRECT
ANSWER- ✔✔True (pg. 62)
According to the Universal Patient Care Guidelines for Trauma Patients, which of the
following is NOT part of the primary survey?
A. Manually control C spine
B. Assess ABCs and intervene as necessary
C. Obtain a SAMPLE history
D. Assess mental status using AVPU - CORRECT ANSWER- ✔✔C. Obtain a sample history
(pg. 15)
True or False: According to the RFD Patient Transport Guidelines, all major burns (Adult and
Pediatric) should be taken to Parkland Hospital. - CORRECT ANSWER- ✔✔False; Adult
major burns = Medical City Plano, Pedi major burns = Parkland (pg. 17)
According to the Patient Transport Reference, which of the following facilities does NOT
have Hyperbaric Chamber for treatment of CO poisoning?
A. Baylor Dallas
B. Baylor Plano
C. THR Dallas
D. Medical City Plano - CORRECT ANSWER- ✔✔B. Baylor Plano (pg. 19)
True or False: According to the Patient Transport Reference, any time a tourniquet is applied
to a patient to stop bleeding, they must be transported to a Level I or Level II trauma center. -
CORRECT ANSWER- ✔✔True (pg. 22)
True or False: According to the Drowning/Submersion Injuries Protocol, the term "near-
drowning" is no longer recognized. The most correct way to report these events are as "fatal"
or "nonfatal" drowning. - CORRECT ANSWER- ✔✔True (pg. 46)
