EMS1055 – Emergency Medical Services Question Bank (Practice
Questions with Correct Answers)
When treating a patient with a penetrating wound, you should look for: - correct answer an exit
wound
In a rear-impact motor vehicle crash, which area of the spine is most susceptible to injury? -
correct answer Cervical
Which of the following organs will suffer the least structural damage from a gunshot wound
from a rifle? - correct answer Lung
You are about to assess a trauma patient. Which step is done first? - correct answer Assess for
hemorrhage
You arrive at the scene of a MVC involving a truck that has a diamond placard that says
"corrosive" and it's leaking fluid on the ground. You should: - correct answer keep a safe
distance and notify dispatch
What part of the body does a primary blast injury primary involve? - correct answer Air
containing organs
Stabilizing an impaled object is the rule of thumb for all penetrating injuries. What is the only
exception where you remove the object? - correct answer Impaled objects blocking the airway
A patient who is ejected from a rollover MVC has an increase chance of death of: - correct
answer 25%
Which of the following is a devastating injury seen in lateral (side) impact collisions? - correct
answer Aortic rupture
The Golden Hour begins at the moment a patient is injured. When does it end? - correct answer
When the patient gets to surgery
Which one of the following is a reason to interrupt the initial assessment? - correct answer
Cardiac arrest
Which of the following is NOT part of the DCAP-BLS-TIC acronym? - correct answer Bruising
Which of the following injuries would change a trauma patient's transport classification from
"stable" to "load and go"? - correct answer Pelvic fracture
You finished the primary survey of an 18 y/o female with an altered LOC with significant signs of
a head injury. You are 15 minutes from the trauma center. When do you perform the secondary
survey? - correct answer During transport
,Which finding requires interruption of the ITLS Primary Survey? - correct answer Complete
airway obstruction
What might be easy to overlook, but is very important when assessing a patient who fell from a
significant height? - correct answer Internal injuries
Which of the following should always be performed prior to transportation? - correct answer
Control major external bleeding
Prolonged scene times may reflect: - correct answer Ineffective team collaboration
When performing the ITLS Primary Survey, the team leader may minimize errors by: - correct
answer Delegating interventions
A 42-year-old male is involved in a motorcycle collision. Which of the following assessment
findings should be managed first?
External Arterial bleed
Open lower leg fracture
Airway obstruction
Hypotension - correct answer External Arterial bleed
A 54-year-old male is involved in a motor vehicle collision. The steering wheel is bent. During
your initial assessment, you note his skin is pale, radial pulses are present, and breath sounds
are clear. The patient is tender over his sternum and complains of chest pain. Which
intrathoracic injury should you suspect given the above findings?
Flail chest
Cardiac contusion
Traumatic aortic rupture
Tension pneumothorax - correct answer Cardiac contusion
A late "sign" of shock is: - correct answer decreased BP
Which of the following findings would not make a patient difficult to ventilate with a bag-valve
mask? - correct answer Multiple nose piercings
A 45-year-old female is found unconscious at the scene of a motor vehicle collision. Her vital
signs are BP 80/40, P 130, and R 30. Which of the following is the most likely cause for her vital
signs? - correct answer Bleeding into the chest or abdomen
, Which one of the following is typically associated with post-traumatic hemorrhage early shock?
- correct answer Narrow pulse pressure
What does the body produce when the cells and tissues do not have oxygen? - correct answer
Lactate
A 23-year-old female fell from a second-floor balcony. Upon arrival, you find her lying in the
grass. She responds to verbal commands and your assessment reveals flat neck veins, and
normal chest, abdomen and pelvis examinations. Her skin is cool, clammy and ashen;
respirations are rapid and shallow; radial pulses are too rapid to count and thready. You place
her on the heart monitor and it shows a wide-complex tachycardia of about 280 per minute.
You should suspect: - correct answer Cardiogenic shock
Which of the following is NOT an example of a distributive (High-Space) shock? - correct answer
Hemorrhagic
The most important treatment for a patient with severe trauma and signs of shock includes: -
correct answer transport the patient without delay
Which of the following is considered one of the four essential components to maintain normal
perfusion? - correct answer Fluid levels
The respiratory pattern that is fast and deep, often associated with metabolic acidosis
secondary to diabetic ketoacidosis (DKA) is called? - correct answer Kussmal's
You ask an adult patient for consent to treat them and they verbally respond that you can.
What kind of consent is this? - correct answer Expressed
Which of the following is defined by only performing skills and treatment that fall within your
certification and training? - correct answer Scope of Practice
What does the R in the CHART acronym represent? - correct answer Treatment rendered
You palpate a radial pulse and it is present. You know that the systolic blood pressure is at
LEAST? - correct answer 80 mmHg
You are assessing the pupils of a patient with a significant head injury. You notice that one
pupils is dilated while the other appears normal (ipsilateral pupil dilation). What condition do
you suspect? - correct answer Cerebral herniation
Regarding medical abbreviations, what does the letter C with a line above it mean? - correct
answer with
You initiate treatment of an injured patient. You are waiting for help to arrive, but are in a huge
hurry. You decide to leave before handing over care to an equal or higher level provider. This is
called? - correct answer Abandonment
Questions with Correct Answers)
When treating a patient with a penetrating wound, you should look for: - correct answer an exit
wound
In a rear-impact motor vehicle crash, which area of the spine is most susceptible to injury? -
correct answer Cervical
Which of the following organs will suffer the least structural damage from a gunshot wound
from a rifle? - correct answer Lung
You are about to assess a trauma patient. Which step is done first? - correct answer Assess for
hemorrhage
You arrive at the scene of a MVC involving a truck that has a diamond placard that says
"corrosive" and it's leaking fluid on the ground. You should: - correct answer keep a safe
distance and notify dispatch
What part of the body does a primary blast injury primary involve? - correct answer Air
containing organs
Stabilizing an impaled object is the rule of thumb for all penetrating injuries. What is the only
exception where you remove the object? - correct answer Impaled objects blocking the airway
A patient who is ejected from a rollover MVC has an increase chance of death of: - correct
answer 25%
Which of the following is a devastating injury seen in lateral (side) impact collisions? - correct
answer Aortic rupture
The Golden Hour begins at the moment a patient is injured. When does it end? - correct answer
When the patient gets to surgery
Which one of the following is a reason to interrupt the initial assessment? - correct answer
Cardiac arrest
Which of the following is NOT part of the DCAP-BLS-TIC acronym? - correct answer Bruising
Which of the following injuries would change a trauma patient's transport classification from
"stable" to "load and go"? - correct answer Pelvic fracture
You finished the primary survey of an 18 y/o female with an altered LOC with significant signs of
a head injury. You are 15 minutes from the trauma center. When do you perform the secondary
survey? - correct answer During transport
,Which finding requires interruption of the ITLS Primary Survey? - correct answer Complete
airway obstruction
What might be easy to overlook, but is very important when assessing a patient who fell from a
significant height? - correct answer Internal injuries
Which of the following should always be performed prior to transportation? - correct answer
Control major external bleeding
Prolonged scene times may reflect: - correct answer Ineffective team collaboration
When performing the ITLS Primary Survey, the team leader may minimize errors by: - correct
answer Delegating interventions
A 42-year-old male is involved in a motorcycle collision. Which of the following assessment
findings should be managed first?
External Arterial bleed
Open lower leg fracture
Airway obstruction
Hypotension - correct answer External Arterial bleed
A 54-year-old male is involved in a motor vehicle collision. The steering wheel is bent. During
your initial assessment, you note his skin is pale, radial pulses are present, and breath sounds
are clear. The patient is tender over his sternum and complains of chest pain. Which
intrathoracic injury should you suspect given the above findings?
Flail chest
Cardiac contusion
Traumatic aortic rupture
Tension pneumothorax - correct answer Cardiac contusion
A late "sign" of shock is: - correct answer decreased BP
Which of the following findings would not make a patient difficult to ventilate with a bag-valve
mask? - correct answer Multiple nose piercings
A 45-year-old female is found unconscious at the scene of a motor vehicle collision. Her vital
signs are BP 80/40, P 130, and R 30. Which of the following is the most likely cause for her vital
signs? - correct answer Bleeding into the chest or abdomen
, Which one of the following is typically associated with post-traumatic hemorrhage early shock?
- correct answer Narrow pulse pressure
What does the body produce when the cells and tissues do not have oxygen? - correct answer
Lactate
A 23-year-old female fell from a second-floor balcony. Upon arrival, you find her lying in the
grass. She responds to verbal commands and your assessment reveals flat neck veins, and
normal chest, abdomen and pelvis examinations. Her skin is cool, clammy and ashen;
respirations are rapid and shallow; radial pulses are too rapid to count and thready. You place
her on the heart monitor and it shows a wide-complex tachycardia of about 280 per minute.
You should suspect: - correct answer Cardiogenic shock
Which of the following is NOT an example of a distributive (High-Space) shock? - correct answer
Hemorrhagic
The most important treatment for a patient with severe trauma and signs of shock includes: -
correct answer transport the patient without delay
Which of the following is considered one of the four essential components to maintain normal
perfusion? - correct answer Fluid levels
The respiratory pattern that is fast and deep, often associated with metabolic acidosis
secondary to diabetic ketoacidosis (DKA) is called? - correct answer Kussmal's
You ask an adult patient for consent to treat them and they verbally respond that you can.
What kind of consent is this? - correct answer Expressed
Which of the following is defined by only performing skills and treatment that fall within your
certification and training? - correct answer Scope of Practice
What does the R in the CHART acronym represent? - correct answer Treatment rendered
You palpate a radial pulse and it is present. You know that the systolic blood pressure is at
LEAST? - correct answer 80 mmHg
You are assessing the pupils of a patient with a significant head injury. You notice that one
pupils is dilated while the other appears normal (ipsilateral pupil dilation). What condition do
you suspect? - correct answer Cerebral herniation
Regarding medical abbreviations, what does the letter C with a line above it mean? - correct
answer with
You initiate treatment of an injured patient. You are waiting for help to arrive, but are in a huge
hurry. You decide to leave before handing over care to an equal or higher level provider. This is
called? - correct answer Abandonment
