PMED LAST FINAL EXAM
QUESTIONS AND
ANSWERS ALL CORRECT
A patient has received a low-velocity knife injury to the left flank and you suspect
damage to his kidney. In addition to administering oxygen and controlling bleeding,
which of the following would be the MOST appropriate treatment for the patient
described above? - Answer-Initiating fluid resuscitation
Which type of fracture would present the greatest potential for long-term, negative
effects for an 8 year old? - Answer-Epiphyseal
Which of the following injuries would you MOST likely expect to see progress to
decompensated hemorrhagic shock? - Answer-A ruptured spleen
While assessing a trauma patient, your interview reveals the patient takes warfarin.
Which of the following will MOST likely be negatively impacted by this medication? -
Answer-Clotting
During assessment of a trauma patient, you find a stab wound just left of the sternum.
The wound is not bubbling, lung sounds are clear and equal, neck veins are distended,
and the trachea is midline. This patient is most likely suffering from a/an: - Answer-
Pericardial tamponade
You arrive to find a 33 year old female sitting upright near a pool of blood. She is awake
and alert with a deep wound on her stomach. What is the best position for this patient if
you are concerned about the possibility of an evisceration? - Answer-Supine with knees
flexed
You are assessing a patient with a painful, swollen, and deformed left knee. A distal
pulse is present in the right foot, but the left foot is pulseless. Which of the following
describes the appropriate action? - Answer-Attempt, one time, to move the leg gently in
an attempt to regain a pulse.
Which of the following signs would you expect to see in a patient in decompensated
shock? - Answer-Weak central pulses
, With a patient in hemorrhagic shock, the goal of fluid resuscitation is to: - Answer-
Maintain preload
You are assessing a patient who has fallen from a ladder and is now complaining of a
severe, tearing pain in the chest, which is radiating to the back. Assessment reveals a
harsh systolic murmur. Which of the following assessment findings would you also
expect to be present? - Answer-Unequal upper extremity pulses
A patient is complaining of referred pain of the left shoulder caused by diaphragmatic
irritation. What is the medical term for this situation? - Answer-Kehr's sign
You have a patient with a fracture of the left femur, which has caused the bone end to
protrude from the skin. Which of the following associated issues is the LEAST likely to
develop as a result of this injury versus if the fracture was closed? - Answer-
Compartment syndrome
Capillary washout is a result of: - Answer-A relaxation of the post-capillary sphincters
Assessing the pediatric patient with significant hemorrhage is different from that of an
adult patient because: - Answer-Children can compensate longer in cases of significant
blood loss
What is the term used to describe an increase in jugular venous distention upon
inspiration for a patient suffering from a pericardial tamponade? - Answer-Kussmaul's
sign
Which of the following is typically responsible for significant liver damage in bound
abdominal trauma due to rapid deceleration? - Answer-Ligamentum teres laceration
Your unit responds to an 80 year old female who fell while on her way to the bathroom.
She is complaining of hip pain and appears confused and it seems she has been lying
on the floor for a day or longer. Which of the following treatments will LEAST likely be
rendered by the transporting ALS crew en route to the emergency department? -
Answer-Application of a traction-type splint
Which of the following damaged tissues leads to crush syndrome in a crush injured
patient? - Answer-Muscles
You are transporting a patient who was involved in a motor vehicle accident and was
complaining of neck pain and a loss of sensation from the clavicles down. The patient
was alert and oriented at the scene, but he has continued to decrease in level of
consciousness en route. The skin is warm and dry and the blood pressure is currently
70/40. Which of the following would MOST likely be expected in this situation? -
Answer-A slow pulse secondary to neurogenic shock
QUESTIONS AND
ANSWERS ALL CORRECT
A patient has received a low-velocity knife injury to the left flank and you suspect
damage to his kidney. In addition to administering oxygen and controlling bleeding,
which of the following would be the MOST appropriate treatment for the patient
described above? - Answer-Initiating fluid resuscitation
Which type of fracture would present the greatest potential for long-term, negative
effects for an 8 year old? - Answer-Epiphyseal
Which of the following injuries would you MOST likely expect to see progress to
decompensated hemorrhagic shock? - Answer-A ruptured spleen
While assessing a trauma patient, your interview reveals the patient takes warfarin.
Which of the following will MOST likely be negatively impacted by this medication? -
Answer-Clotting
During assessment of a trauma patient, you find a stab wound just left of the sternum.
The wound is not bubbling, lung sounds are clear and equal, neck veins are distended,
and the trachea is midline. This patient is most likely suffering from a/an: - Answer-
Pericardial tamponade
You arrive to find a 33 year old female sitting upright near a pool of blood. She is awake
and alert with a deep wound on her stomach. What is the best position for this patient if
you are concerned about the possibility of an evisceration? - Answer-Supine with knees
flexed
You are assessing a patient with a painful, swollen, and deformed left knee. A distal
pulse is present in the right foot, but the left foot is pulseless. Which of the following
describes the appropriate action? - Answer-Attempt, one time, to move the leg gently in
an attempt to regain a pulse.
Which of the following signs would you expect to see in a patient in decompensated
shock? - Answer-Weak central pulses
, With a patient in hemorrhagic shock, the goal of fluid resuscitation is to: - Answer-
Maintain preload
You are assessing a patient who has fallen from a ladder and is now complaining of a
severe, tearing pain in the chest, which is radiating to the back. Assessment reveals a
harsh systolic murmur. Which of the following assessment findings would you also
expect to be present? - Answer-Unequal upper extremity pulses
A patient is complaining of referred pain of the left shoulder caused by diaphragmatic
irritation. What is the medical term for this situation? - Answer-Kehr's sign
You have a patient with a fracture of the left femur, which has caused the bone end to
protrude from the skin. Which of the following associated issues is the LEAST likely to
develop as a result of this injury versus if the fracture was closed? - Answer-
Compartment syndrome
Capillary washout is a result of: - Answer-A relaxation of the post-capillary sphincters
Assessing the pediatric patient with significant hemorrhage is different from that of an
adult patient because: - Answer-Children can compensate longer in cases of significant
blood loss
What is the term used to describe an increase in jugular venous distention upon
inspiration for a patient suffering from a pericardial tamponade? - Answer-Kussmaul's
sign
Which of the following is typically responsible for significant liver damage in bound
abdominal trauma due to rapid deceleration? - Answer-Ligamentum teres laceration
Your unit responds to an 80 year old female who fell while on her way to the bathroom.
She is complaining of hip pain and appears confused and it seems she has been lying
on the floor for a day or longer. Which of the following treatments will LEAST likely be
rendered by the transporting ALS crew en route to the emergency department? -
Answer-Application of a traction-type splint
Which of the following damaged tissues leads to crush syndrome in a crush injured
patient? - Answer-Muscles
You are transporting a patient who was involved in a motor vehicle accident and was
complaining of neck pain and a loss of sensation from the clavicles down. The patient
was alert and oriented at the scene, but he has continued to decrease in level of
consciousness en route. The skin is warm and dry and the blood pressure is currently
70/40. Which of the following would MOST likely be expected in this situation? -
Answer-A slow pulse secondary to neurogenic shock
