7. Test 07
Q:1-How deep should the provider depress the patient's sternum during CPR in
adults?
Select the correct answer.
0.5 to 1.0 inches
1.5 to.2 inches
2 to 3 inches
More than 3 inches
Q:2-A patient is involved in a motor vehicle accident. He has suffered multiple
organ trauma and is listed in critical condition. He has suffered an open wound
in his right lower extremity and has lost a significant amount of blood. The
physician determines that the patient is in hypovolemic shock. What is the first
parameter to change in hypovolemic shock?
Select the correct answer.
Systolic blood pressure
Pulse rate
Respiratory rate
Skin vasoconstriction
Q:3-A 34-year-old with severe head trauma and elevated intracranial pressures
is intubated. Which of the following should be the target for mechanical
ventilation?
Select the correct answer.
Set PaCO2 between 45-50
Set PaCO2 between 35-40
Set PaCO2 between 30-35
Set PaCO2 < 30
Q:4-A young motorcycle driver is thrown against a concrete bridge and sustains
severe trauma about the face, with marked deformity and bleeding. Which of
the following statements regarding this scenario is TRUE?
,Select the correct answer.
Cervical spine evaluation takes precedence over facial injuries
LeFort fractures rarely cause severe hemorrhage
Nasotracheal intubation must be done urgently to prevent airway obstruction
Plain radiographs are preferred to CT in emergencies
Q:5-Which US industry has the highest accidental death rate?
Select the correct answer.
Construction
Agriculture
Manufacturing
Transportation
Q:6-Hemodynamic findings associated with hypovolemic shock include:
Select the correct answer.
Tachycardia and hypotension
Bradycardia and increased cardiac index
Tachycardia and elevated PCWP
Elevated central venous pressure and hypotension
Q:7-Which is false about subdural hematoma?
Select the correct answer.
Are often associated with skull fractures
Most common in elderly individual who fall
The hematoma should be evacuated surgically
Prognosis is much better for chronic subdurals than acute cases
Q:8-An 8-year old child is brought to the ER after being struck by a car while
crossing the street. He is not alert and required immediate intubation at the
scene by EMS. His GCS is 8 T. He appears to have a significant laceration of his
,scalp on the left side but there are no skeletal fractures. The initial chest x-ray
revealed a right sided pneumothorax and a chest tube was inserted. His
hematocrit is 23.5 and hemoglobin is 7.6. The next thing you would do is:
Select the correct answer.
CT head
CT abdomen
Repeat blood work
Observe patient
Q:9-Class I hemorrhage indicates what percentage of blood loss?
Select the correct answer.
10 percent
25 percent
35 percent
55 percent
Q:10-Which is not a clinical component of the Glasgow Coma Score?
Select the correct answer.
Eye movement
Sensation
Verbal response
Extremity movement
8. Test 09
Q:1-How should epinephrine should be injected for treatment of anaphylaxis?
Select the correct answer.
Intravenously (IV) in an antecubital vein
, Subcutaneously (SC) into left deltoid
Intramuscularly (IM) into vastus lateralis
None of the above
Q:2-How would a patient with a change in mental status would be triaged using
the simple triage and rapid treatment (START)?
Select the correct answer.
Delayed
Immediate
Minor
Critical
Q:3-Which of the following is not an appropriate site for insertion of a
subclavian line?
Select the correct answer.
One centimeter inferior to the junctions of the middle and medial third of the
clavicle
One fingerbreadth lateral to the angle of the clavicle
Inferior to the clavicle at the deltopectoral groove, lateral to the midclavicular line
At the distal end of the clavicle
Q:4-Which is NOT feature of a tension pneumothorax?
Select the correct answer.
Desaturation
Increased breath sounds
Hyperresonance
Tracheal deviation
Q:5-What is not a feature of hypovolemia?
Select the correct answer.
Tachycardia
Q:1-How deep should the provider depress the patient's sternum during CPR in
adults?
Select the correct answer.
0.5 to 1.0 inches
1.5 to.2 inches
2 to 3 inches
More than 3 inches
Q:2-A patient is involved in a motor vehicle accident. He has suffered multiple
organ trauma and is listed in critical condition. He has suffered an open wound
in his right lower extremity and has lost a significant amount of blood. The
physician determines that the patient is in hypovolemic shock. What is the first
parameter to change in hypovolemic shock?
Select the correct answer.
Systolic blood pressure
Pulse rate
Respiratory rate
Skin vasoconstriction
Q:3-A 34-year-old with severe head trauma and elevated intracranial pressures
is intubated. Which of the following should be the target for mechanical
ventilation?
Select the correct answer.
Set PaCO2 between 45-50
Set PaCO2 between 35-40
Set PaCO2 between 30-35
Set PaCO2 < 30
Q:4-A young motorcycle driver is thrown against a concrete bridge and sustains
severe trauma about the face, with marked deformity and bleeding. Which of
the following statements regarding this scenario is TRUE?
,Select the correct answer.
Cervical spine evaluation takes precedence over facial injuries
LeFort fractures rarely cause severe hemorrhage
Nasotracheal intubation must be done urgently to prevent airway obstruction
Plain radiographs are preferred to CT in emergencies
Q:5-Which US industry has the highest accidental death rate?
Select the correct answer.
Construction
Agriculture
Manufacturing
Transportation
Q:6-Hemodynamic findings associated with hypovolemic shock include:
Select the correct answer.
Tachycardia and hypotension
Bradycardia and increased cardiac index
Tachycardia and elevated PCWP
Elevated central venous pressure and hypotension
Q:7-Which is false about subdural hematoma?
Select the correct answer.
Are often associated with skull fractures
Most common in elderly individual who fall
The hematoma should be evacuated surgically
Prognosis is much better for chronic subdurals than acute cases
Q:8-An 8-year old child is brought to the ER after being struck by a car while
crossing the street. He is not alert and required immediate intubation at the
scene by EMS. His GCS is 8 T. He appears to have a significant laceration of his
,scalp on the left side but there are no skeletal fractures. The initial chest x-ray
revealed a right sided pneumothorax and a chest tube was inserted. His
hematocrit is 23.5 and hemoglobin is 7.6. The next thing you would do is:
Select the correct answer.
CT head
CT abdomen
Repeat blood work
Observe patient
Q:9-Class I hemorrhage indicates what percentage of blood loss?
Select the correct answer.
10 percent
25 percent
35 percent
55 percent
Q:10-Which is not a clinical component of the Glasgow Coma Score?
Select the correct answer.
Eye movement
Sensation
Verbal response
Extremity movement
8. Test 09
Q:1-How should epinephrine should be injected for treatment of anaphylaxis?
Select the correct answer.
Intravenously (IV) in an antecubital vein
, Subcutaneously (SC) into left deltoid
Intramuscularly (IM) into vastus lateralis
None of the above
Q:2-How would a patient with a change in mental status would be triaged using
the simple triage and rapid treatment (START)?
Select the correct answer.
Delayed
Immediate
Minor
Critical
Q:3-Which of the following is not an appropriate site for insertion of a
subclavian line?
Select the correct answer.
One centimeter inferior to the junctions of the middle and medial third of the
clavicle
One fingerbreadth lateral to the angle of the clavicle
Inferior to the clavicle at the deltopectoral groove, lateral to the midclavicular line
At the distal end of the clavicle
Q:4-Which is NOT feature of a tension pneumothorax?
Select the correct answer.
Desaturation
Increased breath sounds
Hyperresonance
Tracheal deviation
Q:5-What is not a feature of hypovolemia?
Select the correct answer.
Tachycardia
