EMT- Trauma Overview Chapter 22 Exam Questions and Answers Already Passed
Following blunt trauma to the chest, an 18-year-old female presents with respiratory distress, reduced
tidal volume, and cyanosis. Her blood pressure is 80/50 mmHg and her pulse is 130 beats/min and
thread. You should: - Answers d. Provide some form of positive-pressure ventilation
A 28-year-old male was struck in the chest with a baseball bat during an altercation. He is conscious and
alert and complains of severe chest pain. Your assessment reveals a large area of ecchymosis over the
sternum and a rapid, irregular pulse. In addition to applying 100% oxygen, you should: - Answers b.
Prepare for immediate transport
During transport of a 40-year-old female with acute abdominal pain, you note that she has stopped
talking to you and has become extremely diaphoretic. You should: - Answers b. Repeat the primary
assessment
You arrive at the scene of a major motor vehicle crash. The patient, a 50-year-old female, was removed
from her vehicle prior to your arrival. Bystanders who removed her state that she was not wearing a
seatbelt. The patient is unconscious, tachycardic, and diaphoretic. Your assessment reveals bilaterally
clear and equal breath sounds, a midline trachea, and collapsed jugular veins. You should be MOST
suspicious that this patient has experienced a: - Answers d. Laceration of the aorta
A utility worker was trimming branches and was electrocuted when he accidentally cut a high-power
line. He fell approximately 20' and is lying unconscious on the ground; the power line is lying across his
chest. You should: - Answers a. Rapidly assess the patient after ensuring that the power line is not live
During your primary assessment of a 19-year-old unconscious male who experienced severe head
trauma, you note that his respirations are rapid, irregular, and shallow. He has bloody secretions
draining from his mouth and nose. You should: - Answers b. Suction his oropharynx for up to 15 seconds
A 66-year-old male presents with dark red rectal bleeding and abdominal pain. He is conscious and alert;
however, his skin is cool and clammy and his heart rate is elevated. Further assessment reveals that his
blood pressure is 112/60 mmHg. Which of the following questions would be MOST pertinent to ask him?
- Answers d. Have you experienced recent abdominal trauma?
A 67-year-old male presents with weakness, dizziness, and melena that began approximately 2 days ago.
He denies a history of trauma. His blood pressure is 90/50 mmHg and his pulse is 120 beats/min and
thready. Your should be MOST suspicious that this patient is experiencing: - Answers c. Gastrointestinal
bleeding
A 52-year-old unrestrained female struck the steering wheel with her face when her truck collided with
another vehicle. She has obvious swelling to her face and several dislodged teeth. A visual exam of her
mouth reveals minimal bleeding. She is conscious and alert with a blood pressure of 130/80 mmHg, a
pulse of 110 beats/min, and respirations of 22 breaths/min with adequate tidal volume. You should: -
Answers a. Apply supplemental oxygen, immobilize her spine, attempt to locate the dislodged teeth,
suction as needed, and transport
, A 45-year-old male was working on his roof when he fell approximately 12', landing on his feet. He is
conscious and alert and complains of an ache in his lower back. He is breathing adequately and has
stable vital signs. You should: - Answers b. Immobilize his spine and perform a focused secondary exam
Your presence is requested by law enforcement to assess a 33-year-old female who was sexually
assaulted. The patient is conscious and obviously upset. As you are talking to her, you note an
impressive amount of blood on her clothes in the groin area. Her blood pressure is 98/58 mmHg, her
pulse is 130 beats/min, and her respirations are 24 breaths/min. You should: - Answers d. Control any
external bleeding, administer oxygen, and transport at once
A 77-year-old woman slipped and fell on a throw rug and landed on her left hip. She denies striking her
head or losing consciousness. Assessment of her left leg reveals that it is shortened and externally
rotated. Distal pulses, sensory, and motor functions are intact. You should: - Answers c. Place her onto a
scoop stretcher, pad around her left hip with pillows, and secure her to the scoop with straps
While en route to a major motor vehicle crash, an on-scene police officer advises you that a 6-year-old
male who was riding in the front seat is involved. He further states that the child was only wearing a lap
belt and that the air bag deployed. On the basis of this information, you should be MOST suspicious that
the child has experienced: - Answers b. Neck and facial fractures
As you approach a young male who was involved in an industrial accident, you note that his eyes are
closed and that he is not moving. You can see several large contusions to his arms, a laceration to his
forehead with minimal bleeding, and a closed deformity to his right leg. You should: - Answers a. Open
his airway and assess his breathing status
A 6-year-old female was riding her bicycle and struck a clothesline with her throat. She is breathing, but
with obvious difficulty. Your assessment reveals a crackling sensation in the soft tissues of her neck and
facial cyanosis. In addition to the appropriate airway management, the intervention that will MOST likely
improve her chance of survival is: - Answers c. Rapidly transporting her to the hospital
The driver of a sport utility vehicle lost control and struck a utility pole head-on. The driver was killed
instantly. The passenger, a young female, is conscious and alert and has several small abrasions and
lacerations to her left forearm. Treatment for the passenger should include: - Answers a. Transport to a
trauma center.
A 44-year-old male sustained a laceration to his left ear during a minor car accident. Your assessment
reveals minimal bleeding. Appropriate care for this injury includes: - Answers b. Padding between the
ear and the scalp
You are dispatched to a convenience store, where the clerk sustained a laceration to the side of his neck
during a robbery attempt. During your assessment, you note bright red blood spurting from the
laceration. You should: - Answers d. Apply direct pressure above and below the wound
Following blunt trauma to the abdomen, a 21-year-old female complains of left upper quadrant
abdominal pain with referred pain to the left shoulder. Your assessment reveals that her abdomen is
Following blunt trauma to the chest, an 18-year-old female presents with respiratory distress, reduced
tidal volume, and cyanosis. Her blood pressure is 80/50 mmHg and her pulse is 130 beats/min and
thread. You should: - Answers d. Provide some form of positive-pressure ventilation
A 28-year-old male was struck in the chest with a baseball bat during an altercation. He is conscious and
alert and complains of severe chest pain. Your assessment reveals a large area of ecchymosis over the
sternum and a rapid, irregular pulse. In addition to applying 100% oxygen, you should: - Answers b.
Prepare for immediate transport
During transport of a 40-year-old female with acute abdominal pain, you note that she has stopped
talking to you and has become extremely diaphoretic. You should: - Answers b. Repeat the primary
assessment
You arrive at the scene of a major motor vehicle crash. The patient, a 50-year-old female, was removed
from her vehicle prior to your arrival. Bystanders who removed her state that she was not wearing a
seatbelt. The patient is unconscious, tachycardic, and diaphoretic. Your assessment reveals bilaterally
clear and equal breath sounds, a midline trachea, and collapsed jugular veins. You should be MOST
suspicious that this patient has experienced a: - Answers d. Laceration of the aorta
A utility worker was trimming branches and was electrocuted when he accidentally cut a high-power
line. He fell approximately 20' and is lying unconscious on the ground; the power line is lying across his
chest. You should: - Answers a. Rapidly assess the patient after ensuring that the power line is not live
During your primary assessment of a 19-year-old unconscious male who experienced severe head
trauma, you note that his respirations are rapid, irregular, and shallow. He has bloody secretions
draining from his mouth and nose. You should: - Answers b. Suction his oropharynx for up to 15 seconds
A 66-year-old male presents with dark red rectal bleeding and abdominal pain. He is conscious and alert;
however, his skin is cool and clammy and his heart rate is elevated. Further assessment reveals that his
blood pressure is 112/60 mmHg. Which of the following questions would be MOST pertinent to ask him?
- Answers d. Have you experienced recent abdominal trauma?
A 67-year-old male presents with weakness, dizziness, and melena that began approximately 2 days ago.
He denies a history of trauma. His blood pressure is 90/50 mmHg and his pulse is 120 beats/min and
thready. Your should be MOST suspicious that this patient is experiencing: - Answers c. Gastrointestinal
bleeding
A 52-year-old unrestrained female struck the steering wheel with her face when her truck collided with
another vehicle. She has obvious swelling to her face and several dislodged teeth. A visual exam of her
mouth reveals minimal bleeding. She is conscious and alert with a blood pressure of 130/80 mmHg, a
pulse of 110 beats/min, and respirations of 22 breaths/min with adequate tidal volume. You should: -
Answers a. Apply supplemental oxygen, immobilize her spine, attempt to locate the dislodged teeth,
suction as needed, and transport
, A 45-year-old male was working on his roof when he fell approximately 12', landing on his feet. He is
conscious and alert and complains of an ache in his lower back. He is breathing adequately and has
stable vital signs. You should: - Answers b. Immobilize his spine and perform a focused secondary exam
Your presence is requested by law enforcement to assess a 33-year-old female who was sexually
assaulted. The patient is conscious and obviously upset. As you are talking to her, you note an
impressive amount of blood on her clothes in the groin area. Her blood pressure is 98/58 mmHg, her
pulse is 130 beats/min, and her respirations are 24 breaths/min. You should: - Answers d. Control any
external bleeding, administer oxygen, and transport at once
A 77-year-old woman slipped and fell on a throw rug and landed on her left hip. She denies striking her
head or losing consciousness. Assessment of her left leg reveals that it is shortened and externally
rotated. Distal pulses, sensory, and motor functions are intact. You should: - Answers c. Place her onto a
scoop stretcher, pad around her left hip with pillows, and secure her to the scoop with straps
While en route to a major motor vehicle crash, an on-scene police officer advises you that a 6-year-old
male who was riding in the front seat is involved. He further states that the child was only wearing a lap
belt and that the air bag deployed. On the basis of this information, you should be MOST suspicious that
the child has experienced: - Answers b. Neck and facial fractures
As you approach a young male who was involved in an industrial accident, you note that his eyes are
closed and that he is not moving. You can see several large contusions to his arms, a laceration to his
forehead with minimal bleeding, and a closed deformity to his right leg. You should: - Answers a. Open
his airway and assess his breathing status
A 6-year-old female was riding her bicycle and struck a clothesline with her throat. She is breathing, but
with obvious difficulty. Your assessment reveals a crackling sensation in the soft tissues of her neck and
facial cyanosis. In addition to the appropriate airway management, the intervention that will MOST likely
improve her chance of survival is: - Answers c. Rapidly transporting her to the hospital
The driver of a sport utility vehicle lost control and struck a utility pole head-on. The driver was killed
instantly. The passenger, a young female, is conscious and alert and has several small abrasions and
lacerations to her left forearm. Treatment for the passenger should include: - Answers a. Transport to a
trauma center.
A 44-year-old male sustained a laceration to his left ear during a minor car accident. Your assessment
reveals minimal bleeding. Appropriate care for this injury includes: - Answers b. Padding between the
ear and the scalp
You are dispatched to a convenience store, where the clerk sustained a laceration to the side of his neck
during a robbery attempt. During your assessment, you note bright red blood spurting from the
laceration. You should: - Answers d. Apply direct pressure above and below the wound
Following blunt trauma to the abdomen, a 21-year-old female complains of left upper quadrant
abdominal pain with referred pain to the left shoulder. Your assessment reveals that her abdomen is
