A man has a knife impaled at the fourth intercostal space, left sternal border. He is pulseless and not
breathing. You should: - (correct Answer) - Remove the knife from the chest
An adult was pinned between two vehicles. He is conscious but confused and unable to follow
commands. He has bruising on both sides of his anterior chest. He has a weak carotid pulse, no
peripheral pulses, clear breath sounds in all fields, and distended neck veins. You should suspect: -
(correct Answer) - Pericardial tamponade
A patient received a severe steam burn to his hand and wrist. You should: - (correct Answer) - Remove
his watch
Proper management for an avulsion of the ear includes: - (correct Answer) - Banding in the correct
anatomical position
A patient has a stab wound to the upper left quadrant. Which organ would most likely be injured? -
(correct Answer) - Spleen
Your patient has been stabbed in the right upper quadrant. Which organ is the most likely to be injured?
- (correct Answer) - Liver
An 18 year old male is holding his right shin after a sports-related injury. There is deformity and swelling;
pedal pulses are present. You should: - (correct Answer) - Apply a board splint in the position found
A 42 year old male has a piece of metal impaled in his lower right leg. He has an obvious open fracture
and no pulse in his right foot. What should you do? - (correct Answer) - Stabilize with bulky dressings
prior to transport
A 47 year old male was shot in the back. He is cool and clammy and has arm weakness. Vital signs are bp
130/90, p 76, r 24. You should suspect: - (correct Answer) - Spinal cord injury
A 28 year old male was fleeing from the police and sustained a shallow, 1 centimeter laceration to his
forearm while climbing a rusted chain link fence. He is refusing transportation. What should your
concern be? - (correct Answer) - Infection
A 32 year old male sustained facial trauma after falling from a roof. He has snoring respirations. What
should you do? - (correct Answer) - Perform a modified jaw-thrust
A 50 year old male has an obviously deformed right lower leg after falling off a roof. As you approach you
notice a tear in the skin over the deformity. What should you do? - (correct Answer) - Realign and splint
the leg
A 53 year old female was hit by a car. She is unresponsive with deformity to the left femur and pelvic
instability. She has diminished lung sounds on the left side. You should: - (correct Answer) - Rapidly
transport to the nearest emergency room
, Which of the following trauma patient is suffering from the most severe brain injury? - (correct Answer) -
A semi-conscious 34 year old with decerebrate posturing
A snowmobile rider was thrown 15 feet from his vehicle. Finger is deformed and his sternum is tender to
palpation. He says, "i think i'll be okay", and refuses transport. What should you do? - (correct Answer) -
Ask him if you can perform a detail assessment
A patient has a 4 inch stick lodged in her eye. You should: - (correct Answer) - Stabilize the stick with
gauze, place a paper cup over the affected eye, and dress the unaffected eye.
A 32 year old male is unconscious after being struck in the head by a baseball bat. His pulse and
breathing are slow and you see minor bleeding from a laceration at his left temple. Your partner is
maintaining manual c-spine stabilization. You should: - (correct Answer) - Measure and apply a rigid c-
collar
A four year old male has suffered an arm amputation during a farming accident. How should you manage
the amputation limb? - (correct Answer) - Apply dressing and seal tightly with plastic wrap
A patient has diminished breath sounds on one side. Chest rise is unequal. You should suspect: - (correct
Answer) - A pneumothorax
A 16 year old male complains of extreme pain to his chest. You note his shirt is splashed with battery
acid. Vitals are bp 150/100, p 100, r 24. You should:
p - (correct Answer) - Remove his shirt and flush skin with water
What is the most important factor when a person is struck in the chest with a baseball? - (correct
Answer) - The speed of the ball at impact
A pedestrian was struck by an automobile. His skin is pale, cool, and diaphoretic. He is oriented to name
only and complaining of difficulty breathing. Vital signs are bp 80/40 (low), p 120, r 28 (bordering high)
and shallow, spo2 90% (bordering low) you should: - (correct Answer) - Administer oxygen with bag valve
mask
A 25 year old assault victim is splitting up light pink sputum. He has bright, red blood spurting from a 2
inch laceration to his left forearm, what should you do? - (correct Answer) - Apply direct pressure to the
wound
A 21 year old football player was hit from the side and landed head first onto the ground. He was
ambulatory on scene and is now oriented to name only. He refuses care and transport. You should: -
(correct Answer) - Ask the team coach for assistance
A trauma patient has several wounds oozing blood. After completing the scene size up, you should: -
(correct Answer) - Immediately dress and bandage all wounds
A patient was stabbed in the chest, and the knife was removed prior to your arrival. You noticed blood
and bubbles leaking from the wound. You cannot find an occlusive dressing. You should: - (correct
Answer) - Apply a dry, sterile dressing and tape down on three sides
A 24 year old male sustained burns to his eyes, nose, and mouth when the radiator cap on his car blew