1.
A 79-year-old female with a history of pulmonary fibrosis. Due to chronic hypoxia, this patient will have an elevation in which lab
value?
Multiple choice
White blood cells
Platelets
Hemoglobin
None of these
2. When considering the various components of blood, what is the transport medium for waste products?
Multiple choice
Hematocrit
White blood cells
Plasma
Monocytes
3. A patient who recently received percutaneous coronary intervention (PCI) was placed on a GPIIb/IIIa inhibitor. Which drug
would be in this classification?
Multiple choice
Aspirin
Nitroglycerin
Coumadin
Reopro (abciximab)
4. A unique component of aspirin is that it:
Multiple choice
Binds to the platelet for the life of that platelet.
Inhibits platelet production.
Promotes TXA₂ synthesis.
Blocks ADP receptors.
5. Coumadin acts against the synthesis of coagulation factors by stopping the activation of:
Multiple choice
Factor IXa
, Antithrombin III
Vitamin K
Factor X
6. The drug Xarelto (rivaroxaban), a direct oral anticoagulant, may be reversed using which medication?
Multiple choice
Tranexamic Acid (TXA)
KCentra (PCC – prothrombin complex
concentrate)
Vitamin K
Factor XII
7. Von Willebrand disease results in a deficiency. Which clotting factor is involved?
Multiple choice
Factor VIII
Von Willebrand factor
Factor IX
Factor Xa
8. A patient involved in an MVC resulting in multisystem trauma has developed small vessel thrombi as well as increased bleeding
from various wounds. To correct this issue, the patient must receive the following to correct the disorder?
Multiple choice
Heparin
Intravenous fluid resuscitation
Tranexamic acid (TXA)
Blood products, including fresh frozen plasma
(FFP)
9. Symptoms of blood loss may not occur until ______________ of blood volume is lost in healthy individuals.
Multiple choice
5%
20%
10%
22%
,10. A 26-year-old African-American female with a diagnosis of influenza has developed hypoxemia and chest pain. She admits to
having a history of sickle cell disease. Based on her history and clinical presentation, the treatment should include:
Multiple choice
Heparin, oxygen, and antibiotics
Oxygen, pain control, intravenous hydration, and
antiviral
Blood transfusion, heparin, and antibiotics
Nitroglycerin, blood transfusion, heparin
11. Mr. Smith is a 67-year-old patient with a history of smoking and COPD. He lives in Aspen, Colorado. Recently, he has developed
increasing shortness of breath and has now required supplemental oxygen therapy. A recent visit to his primary care physician
for blood work showed polycythemia. Which immediate action can help reduce polycythemia?
Multiple choice
Relocate to an area of lower altitude
Increase supplemental O2
Increase dosing of bronchodilators
Reducing iron intake
12. You are providing interfacility transport of a multi-system trauma patient. The accident occurred approximately 1 hour before
your transport. The sending facility's hemoglobin study was 6g/dL. One O-negative packed red blood cell (PRBC) unit has been
initiated. The patient has had an estimated blood loss of 2000ml from various wounds. Your service carries O-negative PRBCs.
Based upon this information, your transport team should consider which of the following for the best outcome:
Multiple choice
Asking the sending facility for a type and cross-
matched unit of PRBCs.
Continue with the current unit of PRBCs and
initiate rapid infusion of crystalloid fluid to
maintain blood pressure
Discontinue the current PRBC unit and start a new
unit of PRBCs provided by your service.
Continue the current unit of PRBCs, administer
normal saline, and prepare to administer more O-
negative PRBCs in transport.
13. You are transporting a patient with a thoracic gunshot wound. There is massive blood loss, hypotension, and indications of
impending cardiovascular arrest. Your transport team determines blood product administration is necessary for the patient. As
, part of your treatment protocol, you should ensure which of the following is performed along with the blood administration:
Multiple choice
Warming the blood and fluids
Slowing begin the administration of the blood to
ensure no blood reaction occurs
Only administer one unit at a time to know which
unit has caused the reaction if one occurs
Provide blood administration in conjunction with
lactated ringers to ensure volume expansion.
14. Tranexamic acid (TXA) is a medication used in hemorrhagic emergencies, such as massive trauma. TXA acts of which part of the
clotting cascade?
Multiple choice
It promotes the clotting of blood.
It is a platelet agonist.
Promotes fibrin development.
It blocks the breakdown of fibrin.
15. When considering administering blood or blood products, the transport team should assess the sending facility's laboratory
results. However, treatment of the patient en route should be based solely upon:
Multiple choice
The sending facility’s orders for treatment
The patient’s presentation (vital signs, level of
consciousness, etc.)
None of these
The patient’s presentation and a clear
understanding of the clotting cascade to
determine which (if any) medications should be
administered.
16. What level must be checked before the administration of cryoprecipitate?
Multiple choice
A 79-year-old female with a history of pulmonary fibrosis. Due to chronic hypoxia, this patient will have an elevation in which lab
value?
Multiple choice
White blood cells
Platelets
Hemoglobin
None of these
2. When considering the various components of blood, what is the transport medium for waste products?
Multiple choice
Hematocrit
White blood cells
Plasma
Monocytes
3. A patient who recently received percutaneous coronary intervention (PCI) was placed on a GPIIb/IIIa inhibitor. Which drug
would be in this classification?
Multiple choice
Aspirin
Nitroglycerin
Coumadin
Reopro (abciximab)
4. A unique component of aspirin is that it:
Multiple choice
Binds to the platelet for the life of that platelet.
Inhibits platelet production.
Promotes TXA₂ synthesis.
Blocks ADP receptors.
5. Coumadin acts against the synthesis of coagulation factors by stopping the activation of:
Multiple choice
Factor IXa
, Antithrombin III
Vitamin K
Factor X
6. The drug Xarelto (rivaroxaban), a direct oral anticoagulant, may be reversed using which medication?
Multiple choice
Tranexamic Acid (TXA)
KCentra (PCC – prothrombin complex
concentrate)
Vitamin K
Factor XII
7. Von Willebrand disease results in a deficiency. Which clotting factor is involved?
Multiple choice
Factor VIII
Von Willebrand factor
Factor IX
Factor Xa
8. A patient involved in an MVC resulting in multisystem trauma has developed small vessel thrombi as well as increased bleeding
from various wounds. To correct this issue, the patient must receive the following to correct the disorder?
Multiple choice
Heparin
Intravenous fluid resuscitation
Tranexamic acid (TXA)
Blood products, including fresh frozen plasma
(FFP)
9. Symptoms of blood loss may not occur until ______________ of blood volume is lost in healthy individuals.
Multiple choice
5%
20%
10%
22%
,10. A 26-year-old African-American female with a diagnosis of influenza has developed hypoxemia and chest pain. She admits to
having a history of sickle cell disease. Based on her history and clinical presentation, the treatment should include:
Multiple choice
Heparin, oxygen, and antibiotics
Oxygen, pain control, intravenous hydration, and
antiviral
Blood transfusion, heparin, and antibiotics
Nitroglycerin, blood transfusion, heparin
11. Mr. Smith is a 67-year-old patient with a history of smoking and COPD. He lives in Aspen, Colorado. Recently, he has developed
increasing shortness of breath and has now required supplemental oxygen therapy. A recent visit to his primary care physician
for blood work showed polycythemia. Which immediate action can help reduce polycythemia?
Multiple choice
Relocate to an area of lower altitude
Increase supplemental O2
Increase dosing of bronchodilators
Reducing iron intake
12. You are providing interfacility transport of a multi-system trauma patient. The accident occurred approximately 1 hour before
your transport. The sending facility's hemoglobin study was 6g/dL. One O-negative packed red blood cell (PRBC) unit has been
initiated. The patient has had an estimated blood loss of 2000ml from various wounds. Your service carries O-negative PRBCs.
Based upon this information, your transport team should consider which of the following for the best outcome:
Multiple choice
Asking the sending facility for a type and cross-
matched unit of PRBCs.
Continue with the current unit of PRBCs and
initiate rapid infusion of crystalloid fluid to
maintain blood pressure
Discontinue the current PRBC unit and start a new
unit of PRBCs provided by your service.
Continue the current unit of PRBCs, administer
normal saline, and prepare to administer more O-
negative PRBCs in transport.
13. You are transporting a patient with a thoracic gunshot wound. There is massive blood loss, hypotension, and indications of
impending cardiovascular arrest. Your transport team determines blood product administration is necessary for the patient. As
, part of your treatment protocol, you should ensure which of the following is performed along with the blood administration:
Multiple choice
Warming the blood and fluids
Slowing begin the administration of the blood to
ensure no blood reaction occurs
Only administer one unit at a time to know which
unit has caused the reaction if one occurs
Provide blood administration in conjunction with
lactated ringers to ensure volume expansion.
14. Tranexamic acid (TXA) is a medication used in hemorrhagic emergencies, such as massive trauma. TXA acts of which part of the
clotting cascade?
Multiple choice
It promotes the clotting of blood.
It is a platelet agonist.
Promotes fibrin development.
It blocks the breakdown of fibrin.
15. When considering administering blood or blood products, the transport team should assess the sending facility's laboratory
results. However, treatment of the patient en route should be based solely upon:
Multiple choice
The sending facility’s orders for treatment
The patient’s presentation (vital signs, level of
consciousness, etc.)
None of these
The patient’s presentation and a clear
understanding of the clotting cascade to
determine which (if any) medications should be
administered.
16. What level must be checked before the administration of cryoprecipitate?
Multiple choice
