(VERSION A, B AND C) NEWEST 2024 ACTUAL EXAM
COMPLETE 400 QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |
ALREADY GRADED A+
53 yo F hit by car. Unresponsive w/ deformity to the left femur and pelvic instability.
Diminished lung sounds on L side. You should? - ANSWER: Immobilize long
backboard
28 yo M, blunt trauma to R anterior chest. Pale, cool, diaphoretic and responsive to
verbal. R 38 and shallow with paradoxical movement. What should you do? -
ANSWER: 02 with positive pressure ventilations
What is the most likely cause of periorbital echymosis? - ANSWER: Basilar skull
fracture
30 yo M shot in mid thigh. Bleeding continues after partner applies direct pressure.
You should? - ANSWER: Tourniqet
28 yo PT driver motorcycle traveling 45 mph hit parked car. Not wearing a helmet.
Supine with copious amount of blood around face. Gurgling and R 4 per min.
ANOTHER most appropriate action? - ANSWER: Jaw thrust without head tilt
M fell while water skiing. Unconsciouse. Suspect? - ANSWER: Head and spine injury
Appropriate care for amputated extremity? - ANSWER: Wrap in dry gauze, seal in
plastic bag, and place in cool water
28 yo pt driving motorcycle traveling 45 mph hit parked car. Not wearing a helmet.
Supine with copious amount of blood around face. Gurgling and R 4 per min. Most
appropriate? - ANSWER: Control bleeding
18 yo M holding right shin after sports related injury. Deformity and swelling; pedal
pulse present. You should? - ANSWER: Apply board splint in position found
Pedestrian hit by car. Pale, cool, and diaphoretic. Oriented to name only and has
difficulty breathing. BP 80/40, P 120, R 28 and shallow. 90% SP02. You should? -
ANSWER: BVM
81 yo F helthcare facility fell out of bed. Nurse suspects hip fracture. Which
medication should concern you the most? - ANSWER: Coumadin
, You are treating a patient with agonal respirations and gunshot wound to the chest.
You notice an open skull fracture leaking brain matter. There is no radial pulse, you
should? - ANSWER: Asses a carotid pulse and assist ventilations
a 45 year old male fell asleep outisde while doing yard work. His face and lower legs
are bright red with blisters and painful on examination. You should suspect -
ANSWER: Both superficial and partial thickness burns
a 35 year old patient has fallen and has a deformed right lower leg. The distal
extremity is pulsless and the skin is cool and cyanotic. You should - ANSWER: Realign
the injured extremity
You arrive on scene of a car crash. The driver is alert and complaining of severe chest
and abdominal pain. His radial is weak and rapid. Skin is cool, pale, and moist. The
patient has a history of cardiac problems. You should? - ANSWER: Rapidly extricate
onto a long spinal board and transport
47 male shot in back has cool and clammy skin with arm weakness. BP 130/90, P 76,
R 24. You should suspect - ANSWER: Spinal cord injury
Injury that is most likely to require routine assessment and transport - ANSWER:
Deformed Wrist Injury
After securing pt on long board, you should immediately assess - ANSWER: PMS
23 yo soccer player was kicked in the chest. He is alert with rapid, shallow R and
complains of chest pain. Pale, cool, and wet. You should? - ANSWER: Non Rebreather
25 yo in R distress after being stabbed in the chest. Blood is bubbling from 2 cm
laceration to L chest wall. Lung sounds diminished on L side. You should? - ANSWER:
Apply occlusive dressing
Early signs of decompensated shock? - ANSWER: Low blood pressure
Pt stabbed in RUQ. What organ is injured? - ANSWER: Liver
Pt with chemical burn on eye and is wearing contact lenses. You should? - ANSWER:
Remove contact lenses and administer irrigation solutions
A baseball player was hit by a baseball in the left eye and complains for double
vision. What should you do? - ANSWER: Restrict spinal movement
First concern with conscious pt who received partial thick burns to the face is
treating? - ANSWER: airway problems
22 yo F had an accident on moped. She is lying on ground; breathing well. Still
wearing helmet. You should? - ANSWER: Leave helmet in place while she is stabilized