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Exam (elaborations)

JBL Trauma Exam Question And Answers 2024

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JBL Trauma Exam Question And Answers 2024

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JBL Trauma Exam Question And
Answers 2024
EMTs are assessing a man who was injured while trying to
rescue a pet from his burning house. Which of the
following assessment findings should be the MOST
immediately concerning?
A) Severe blisters to both hands
B) Closed deformity of the wrist
C) Dry cough and a hoarse voice
D) Clothes adhered to burned skin - correct answers✅C
(Any condition or injury that involves airway, breathing,
or circulation warrants the EMT's most immediate
attention. A dry cough and hoarse voice are signs of
inhalation injury and airway swelling. Carefully monitor
the pt and be prepared to ventilate him if his breathing
becomes inadequate. Transport without delay; a
paramedic intercept should be requested. If the pt's
airway completely closes, more invasive airway
management will be needed [cricothyrotomy]. Tend to the
other injuries listed during transport)


Factors that affect a person's ability to compensate for
internal or external blood loss include all of the following,
EXCEPT:
A) advanced age.
B) the rate of blood loss.
C) high cholesterol in the blood.
D) blood-thinning medications. - correct answers✅C

,JBL Trauma Exam Question And
Answers 2024
(The compensatory responses of tachycardia and
peripheral vasoconstriction decrease as a person ages;
thus, older pts are not able to compensate as effectively
as younger pts. Older pts commonly take medications to
treat high BP, such as beta blockers; these drugs may
blunt the body's release of the catecholamines necessary
to increase the heart rate. The ability to compensate for
blood loss is also related to how rapidly blood loss occurs.
Pts who take blood-thinning medications [warfarin
{Coumadin}] bleed longer than those not taking such
medications. There is no known correlation between high
cholesterol and a person's ability to compensate for blood
loss)


A 44-year-old male experienced burns to his anterior
trunk and both arms. He is conscious and alert, but is in
extreme pain. Assessment of the burns reveals reddening
and blisters. This patient has ________________ burns that
cover _____ of his total body surface area.
A) first-degree, 27%
B) partial-thickness, 36%
C) second-degree, 45%
D) full-thickness, 18% - correct answers✅B
(Partial-thickness [second degree] burns damage the
epidermis and part of the dermis, and are characterized
by blistering and severe pain. Areas of superficial [1st
degree] burns, which cause reddening of the skin,

,JBL Trauma Exam Question And
Answers 2024
commonly surround partial-thickness burns. The anterior
trunk [chest and abdomen] accounts for 18% of the total
body surface area [TBSA] and each entire arm accounts
for 9%. Full thickness burns [3rd degree] are
characterized by charred or white, leathery skin. Because
the entire dermis, including the nerves, are destroyed, pts
do not feel pain)


Prior to your arrival at the scene, a young female was
removed from a body of water after being submerged for
an unknown period of time. You should manage her
airway appropriately while considering the possibility of:
A) spinal injury.
B) hyperthermia.
C) internal bleeding.
D) airway obstruction. - correct answers✅A
(When caring for a pt with a submersion injury [near
drowning], you should consider the possibility of a spinal
injury. Many water-related incidents occur when a pt dives
into shallow water and strikes their head. Water can be
aspirated into the lungs, but will not cause an obstruction
of the upper airway. Another common finding in pts with a
submersion injury is hypothermia. Although it is possible
for the pt to have internal bleeding at the same time,
especially if they experienced a traumatic injury before
the submersion, spinal injuries are more common)

, JBL Trauma Exam Question And
Answers 2024
Which of the following clinical findings is consistent with
decompensated shock?
A) Diaphoresis and pallor
B) Falling blood pressure
C) Restlessness and anxiety
D) Tachycardia and tachypnea - correct answers✅B
(During shock, the compensatory mechanisms of the
body attempt to maintain the BP. This is accomplished by
increasing the heart rate, shunting blood from the skin to
more vital organs, and increasing the respiratory rate to
increase the O2 content of the blood. Once these
compensatory mechanisms fail, the BP will fall
[hypotension]. Restlessness, anxiety, tachycardia,
tachypnea, and cool, clammy skin [diaphoresis] are
earlier signs of shock)


Following blunt trauma to the chest, a 33-year-old male
has shallow, painful breathing. On assessment, you note
that an area to the left side of his chest collapses during
inhalation and bulges during exhalation. These are signs
of a/an:
A) flail chest.
B) pneumothorax.
C) isolated rib fracture.
D) pulmonary contusion. - correct answers✅A

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