FISDAP Paramedic Trauma Final Exam Questions With Correct Answers

The FIRST step in any neurologic assessment involves: A) obtaining an initial Glasgow Coma Scale score. B) asking the patient if he or she can feel or move. C) determining the patient's level of consciousness. D) assessing the pupils for size, equality, and reactivity. - Answer C) determining the patient's level of consciousness. When performing a cranial nerve assessment of a patient with a suspected spinal injury, you note that the patient's pupil is constricted and the upper eyelid droops. This indicates an injury to: A) C3. B) C4. C) C5. D) C6. - Answer A) C3. Inability to feel or move below the level of the nipple line indicates injury to which spinal nerve root? A) C7 B) T1 C) T4 D) L1 - Answer C. T4 A positive Babinski reflex is observed when the: A) toes curve or move downward when the sole of the foot is touched. B) patient responds to pain by flexing the arms and extending the legs. C) patient's reflexes are hyperactive in response to an external stimulus. D) toes move upward in response to stimulation of the sole of the foot. - Answer D) toes move upward in response to stimulation of the sole of the foot. Spinal cord injuries that cause neurogenic shock generally produce: A) cool, clammy skin distal to the site of the spinal cord injury. B) reflex tachycardia due to sympathetic nervous system stimulation. C) flaccid paralysis and complete loss of sensation distal to the injury. D) signs and symptoms that are identical to those of hypovolemic shock. - Answer C) flaccid paralysis and complete loss of sensation distal to the injury. An injured patient's head should be secured to the long backboard only after: A) you have placed padding under the shoulders. B) his or her torso has been secured adequately. C) both of the legs are secured to the board properly. D) a vest-style immobilization device has been applied. - Answer B) his or her torso has been secured adequately. In which of the following situations would it be MOST appropriate to apply a vest-type extrication device or a short backboard to a patient who is seated in his or her crashed motor vehicle? A) Conscious with bilateral femur fractures B) Unconscious with obvious spinal deformity C) Confused with lower back pain and tachycardia D) Conscious with neck pain and stable vital signs - Answer D) Conscious with neck pain and stable vital signs When immobilizing a sitting patient with a vest-type extrication device or short backboard, you should manually stabilize his or her head and then: A) apply an appropriately sized cervical collar. B) perform a rapid assessment to detect life threats. C) assess distal pulse and sensory and motor functions. D) carefully place the vest device behind the patient. - Answer C) assess distal pulse and sensory and motor functions. When applying a vest-type extrication device or short backboard to a seated patient, his or her head should be secured to the device: A) after you apply a cervical collar. B) only after the torso is fastened securely. C) before you secure his or her torso. D) after he or she is moved to a long backboard. - Answer B) only after the torso is fastened securely. If a trauma patient cannot be assessed properly in his or her vehicle, you should: A) apply a rigid cervical collar, perform a rapid assessment only, and then remove the patient with the two-person lift technique. B) maintain manual stabilization of the head, apply a cervical collar, and move the patient from the vehicle onto a long backboard. C) apply a vest-type extrication device and then rapidly remove him or her from the vehicle using at least three people. D) grasp the patient behind the shoulders, cradle his or her head in your arms to protect the spine, and rapidly extricate him or her from the car. - Answer B) maintain manual stabilization of the head, apply a cervical collar, and move the patient from the vehicle onto a long backboard. You would MOST likely have to place several blankets or pillows under a patient's upper back prior to immobilization if he or she has: A) kyphosis. B) osteoarthritis. C) spondylosis. D) osteoporosis. - Answer A) kyphosis. Regardless of the method of spinal immobilization used, you must: A) always secure the head before the torso. B) secure the patient in the position found. C) keep the head, neck, and trunk in alignment. D) stabilize the head using slight manual traction. - Answer C) keep the head, neck, and trunk in alignment. A motorcycle or football helmet should be removed if: A) the patient complains of severe neck pain and the helmet fits snugly. B) you are going to transport the patient to a medical treatment facility. C) the patient is breathing shallowly and access to the airway is difficult. D) you are properly trained in the technique, even if you are by yourself. - Answer C) the patient is breathing shallowly and access to the airway is difficult. You are dispatched to a senior citizen's center where an elderly woman fainted. When you arrive, you find the patient sitting in a chair. An employee of the center tells you that he caught the patient before she fell to the ground. Your primary assessment reveals that the patient is conscious and alert and is breathing adequately. You should: A) forego spinal immobilization and transport only. B) obtain vital signs and assess her blood glucose level. C) apply oxygen at 15 L/min via nonrebreathing mask. D) perform a rapid head-to-toe assessment to detect injuries. - Answer B) obtain vital signs and assess her blood glucose level.