EMT Trauma Practice Questions Part 2 Questions
with 100% Correct Answers
Which of the following is most likely to cause immediate
death?
A) aortic rupture
B) pulmonary contusion
C) aortic dissection
D) myocardial contusion Correct Answer: A) aortic
rupture
A flail chest occurs when:
A) multiple ribs are fractured on both sides of the
thoracic cage
B) a segment of the chest wall is detached from the
thoracic cage
C) more than three ribs are fractured on the same side
of the chest
,D) a segment of fractured ribs bulges during the
inhalation phase Correct Answer: B) a segment of the
chest wall is detached from the thoracic cage
You arrive at the scene of a major MVC. The patient, a
50 y/o 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 unresponsive,
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:
A) tension PTX
B) massive hemothorax
C) laceration of the aorta
D) pericardial tamponade Correct Answer: C)
laceration of the aorta
You have sealed the open chest wound of a 40 y/o
male who was stabbed in the anterior chest. Your
reassessment reveals that he is experiencing increased
,respiratory distress and tachycardia, and is developing
cyanosis. You should:
A) partially remove the dressing
B) call for a paramedic ambulance
C) begin rapid transport at once
D) begin ventilatory assistance Correct Answer: A)
partially remove the dressing
Following a stab wound to the left anterior chest, a 25
y/o male presents with decreased level of consciousness
and signs of shock. Which of the following additional
assessment findings should increase your index of
suspicion for a cardiac tamponade?
A) widening pulse pressure
B) engorged jugular veins
C) diminished breath sounds
D) a rapid, irregular pulse Correct Answer: B) engorged
jugular veins
, You respond to a residence for a 40 y/o female who
was assaulted by her husband; the scene has been
secured by law enforcement. Upon your arrival, you find
the patient lying supine on the floor in the kitchen. She is
semiconscious with severely labored breathing. Further
assessment reveals a large bruise to the left anterior
chest, JVD, and unilaterally absent breath sounds. As
your partner is supporting her ventilations, you should:
A) obtain a set of baseline vital signs
B) insert an OPA
C) immediately request ALS support
D) perform a focused secondary exam Correct Answer:
C) immediately request ALS support
An open PTX occurs when:
A) a fractured rib perforates the tissue of the lung
B) extreme pleural pressure causes the lung to rupture
C) air enters the pleural space from a perforated lung
with 100% Correct Answers
Which of the following is most likely to cause immediate
death?
A) aortic rupture
B) pulmonary contusion
C) aortic dissection
D) myocardial contusion Correct Answer: A) aortic
rupture
A flail chest occurs when:
A) multiple ribs are fractured on both sides of the
thoracic cage
B) a segment of the chest wall is detached from the
thoracic cage
C) more than three ribs are fractured on the same side
of the chest
,D) a segment of fractured ribs bulges during the
inhalation phase Correct Answer: B) a segment of the
chest wall is detached from the thoracic cage
You arrive at the scene of a major MVC. The patient, a
50 y/o 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 unresponsive,
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:
A) tension PTX
B) massive hemothorax
C) laceration of the aorta
D) pericardial tamponade Correct Answer: C)
laceration of the aorta
You have sealed the open chest wound of a 40 y/o
male who was stabbed in the anterior chest. Your
reassessment reveals that he is experiencing increased
,respiratory distress and tachycardia, and is developing
cyanosis. You should:
A) partially remove the dressing
B) call for a paramedic ambulance
C) begin rapid transport at once
D) begin ventilatory assistance Correct Answer: A)
partially remove the dressing
Following a stab wound to the left anterior chest, a 25
y/o male presents with decreased level of consciousness
and signs of shock. Which of the following additional
assessment findings should increase your index of
suspicion for a cardiac tamponade?
A) widening pulse pressure
B) engorged jugular veins
C) diminished breath sounds
D) a rapid, irregular pulse Correct Answer: B) engorged
jugular veins
, You respond to a residence for a 40 y/o female who
was assaulted by her husband; the scene has been
secured by law enforcement. Upon your arrival, you find
the patient lying supine on the floor in the kitchen. She is
semiconscious with severely labored breathing. Further
assessment reveals a large bruise to the left anterior
chest, JVD, and unilaterally absent breath sounds. As
your partner is supporting her ventilations, you should:
A) obtain a set of baseline vital signs
B) insert an OPA
C) immediately request ALS support
D) perform a focused secondary exam Correct Answer:
C) immediately request ALS support
An open PTX occurs when:
A) a fractured rib perforates the tissue of the lung
B) extreme pleural pressure causes the lung to rupture
C) air enters the pleural space from a perforated lung
