2026/2027 | 300 Questions with Verified Answers & Rationales |
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1. Which of the following is the most preventable cause of trauma death for adults?
A) Tension pneumothorax
B) Hemorrhagic shock
C) Airway obstruction
D) Neurogenic shock
Answer B: Hemorrhagic shock
Rationale: Hemorrhagic shock is the most preventable cause of trauma death; early bleeding control,
fluid resuscitation, and rapid transport save lives .
2. The highest priority at any trauma scene is:
A) Airway management
B) C-spine control
C) Body substance isolation
D) Scene safety
Answer D: Scene safety
Rationale: Scene safety is always the first priority to protect the EMT and team before patient care can
begin .
3. To properly immobilize a forearm fracture, the EMT should splint:
A) Wrist and fracture site only
B) Wrist, elbow, and fracture site
,C) Fracture site only
D) Elbow and shoulder
Answer B: Wrist, elbow, and fracture site
Rationale: Splint the joints above and below the fracture site to prevent movement and further injury .
4. While performing a rapid trauma assessment you discover crepitation. Crepitation is:
A) The sound of a bone breaking
B) When a bone is seen sticking out of the skin
C) A type of long bone fracture
D) The sound when two bones rub together
Answer D: The sound when two bones rub together
Rationale: Crepitation is the grating sensation or sound of bone ends rubbing together, indicating a
fracture .
5. A patient has been stabbed in the right upper quadrant. Which organ is the most likely to be
injured?
A) Spleen
B) Liver
C) Stomach
D) Kidney
Answer B: Liver
Rationale: The liver is located in the right upper quadrant and is the most commonly injured solid organ
in penetrating trauma to that region .
6. Which of the following injuries is most likely to require routine assessment and transport?
A) Open femur fracture
B) Deformed wrist injury
C) Cervical spine injury
,D) Sucking chest wound
Answer B: Deformed wrist injury
Rationale: A deformed wrist injury, while painful, is not immediately life-threatening and is managed
with routine assessment and transport .
7. The primary treatment for an evisceration should include:
A) Apply a dry bulky dressing only
B) Applying a wet dressing first, followed by a bulky dressing
C) Do not touch the evisceration, rapid transport only
D) Attempt to replace exposed organs and then cover
Answer B: Applying a wet dressing first, followed by a bulky dressing
Rationale: A moist sterile dressing prevents drying of exposed organs; never attempt to replace organs .
8. Which of the following is the most likely cause of bilateral periorbital ecchymosis (raccoon
eyes)?
A) Orbital fracture
B) Basilar skull fracture
C) Sinus fracture
D) Temporal bone fracture
Answer B: Basilar skull fracture
Rationale: Bilateral periorbital ecchymosis (raccoon eyes) and retroauricular ecchymosis (Battle's sign)
are classic signs of basilar skull fracture .
9. An unresponsive 18-year-old female was found supine with bleeding in the mouth and from the
nose. Respirations are 20 per minute. What should you do first?
A) Apply a cervical collar
B) Insert an oropharyngeal airway
C) Suction the oropharynx
, D) Begin positive-pressure ventilation
Answer C: Suction the oropharynx
Rationale: Blood in the oropharynx must be suctioned immediately to prevent aspiration before any
other interventions .
10. A 25-year-old male is in respiratory distress after being stabbed in the chest. Blood is bubbling
from a 2 cm laceration to his left chest wall. Lung sounds are diminished on the left side. You
should:
A) Apply direct pressure
B) Apply an occlusive dressing
C) Pack the wound with gauze
D) Prepare for needle decompression
Answer B: Apply an occlusive dressing
Rationale: A sucking chest wound requires an occlusive dressing (taped on three sides) to prevent air
from entering the pleural space .
11. What is the appropriate care for an amputated extremity?
A) Place directly on ice
B) Wrap in dry gauze, seal in a plastic bag, and place in cool water
C) Soak in saline
D) Submerge in alcohol
Answer B: Wrap in dry gauze, seal in a plastic bag, and place in cool water
Rationale: Keep amputated parts moist and cool (not frozen) to preserve tissue viability .
12. Which of the following is an early indicator of shock?
A) Bradycardia
B) Hypertension
C) Tachycardia