PARAMEDIC TRAUMA CORE EXAM 2026 SETS
QUESTIONS AND ANSWERS RATED A+
✔✔distraction fracture - ✔✔opposite of compression
tears spinal cord
✔✔spinal cord concussion - ✔✔- Temporary dysfunction lasts 24 to 48 hours.
- May be due to a short-duration shock or pressure wave within the cord
✔✔orbits - ✔✔formed by seven thin bones
help reduce the weight of the head
epistaxis, double vision, and inability to look upward
✔✔oculomotor nerve - ✔✔eye movement and eyelids, constricts pupils
III nerve
✔✔barotrauma - ✔✔Injury resulting from pressure disequilibrium across body surfaces;
for example, from too much pressure in the lungs or ears
✔✔alveoli - ✔✔bony socket that hold the teeth
✔✔anterior - ✔✔_______ neck trauma can lead to cerebral hypoxia, infarct, air
embolism, and permanent neurologic impairment
this area of the neck contains the carotid arteries and vertebral arteries (these run
laterally to the cervical vertebrae), both of which supply oxygenated blood directly to the
brain and upper spinal cord
✔✔maxillofacial fracture - ✔✔occur when facial bones absorb a strong impact, could
indicate c-spine injury, first clue is ecchymosis
✔✔mandibular fracture - ✔✔occur with massive blunt force trauma to the lower third of
the face
dental malocclusion, numbness of chin, inability to open mouth
✔✔temporomandibular joint dislocation - ✔✔often a result of exaggerated yawning or
widely opening the mouth
patient commonly feels a pop and then cannot close their mouth
✔✔le fort I fracture - ✔✔horizontal fracture of the maxilla, seperates the hard palate and
inferior maxilla from the rest of the skull
✔✔le fort II fracture - ✔✔fracture with pyramidal shape, involves nasal bone and inferior
maxilla
may hide a basilar skull fracture
, ✔✔le fort III fracture - ✔✔fracture of all midfacial bones, seperates the midface from the
cranium
may hide a basilar skull fracture
✔✔orbital fracture - ✔✔involves bones of the orbital floor
patient may report double vision, loss of feeling above the eyebrow or over the cheek,
massive nasal discharge and possibly CSF, paralysis of upward gaze (found with
fractures of the inferior orbit
✔✔zygomatic fracture - ✔✔flattened appearance of face, loss of sensation over cheek,
nose, and upper lip, paralysis of upward gaze
associated injuries: orbital fractures, ocular injury, epistaxis
✔✔hyphema - ✔✔blood in the anterior chamber of the eye that obscures vision
✔✔retinal detachment - ✔✔separation of the retina from the vascular membrane
painless-produces flashing lights, specks, or floaters in the field of vision and a cloud or
shade over the patient's vision
✔✔central retinal artery occlusion - ✔✔causes ischemia and necrosis of the retina if
untreated
sudden, painless loss of vision
commonly males in their 60's
✔✔Fowler's, 40 - ✔✔if hyphema or rupture of the glove is suspected, place the patient
in the _______ position or _____ degrees to decrease intraocular pressure
if the globe is displaced or out of the socket, place the patient supine
✔✔zone 1 of the anterior neck - ✔✔injuries may extend into the chest and may not be
easily recognized
highest mortality rate
✔✔zone 2 of the anterior neck - ✔✔most common neck injury and the most obvious,
lower mortality rate than zone 1
✔✔air embolism - ✔✔impaled objects in the neck pose a great threat for an embolism
✔✔mediastinitis - ✔✔esophageal perforation can result in ________ (inflammation due
to leakage of gastric contents into the thoracic cavity) very high mortality rate
✔✔epidermis - ✔✔Outer layer of skin, first line of defense
QUESTIONS AND ANSWERS RATED A+
✔✔distraction fracture - ✔✔opposite of compression
tears spinal cord
✔✔spinal cord concussion - ✔✔- Temporary dysfunction lasts 24 to 48 hours.
- May be due to a short-duration shock or pressure wave within the cord
✔✔orbits - ✔✔formed by seven thin bones
help reduce the weight of the head
epistaxis, double vision, and inability to look upward
✔✔oculomotor nerve - ✔✔eye movement and eyelids, constricts pupils
III nerve
✔✔barotrauma - ✔✔Injury resulting from pressure disequilibrium across body surfaces;
for example, from too much pressure in the lungs or ears
✔✔alveoli - ✔✔bony socket that hold the teeth
✔✔anterior - ✔✔_______ neck trauma can lead to cerebral hypoxia, infarct, air
embolism, and permanent neurologic impairment
this area of the neck contains the carotid arteries and vertebral arteries (these run
laterally to the cervical vertebrae), both of which supply oxygenated blood directly to the
brain and upper spinal cord
✔✔maxillofacial fracture - ✔✔occur when facial bones absorb a strong impact, could
indicate c-spine injury, first clue is ecchymosis
✔✔mandibular fracture - ✔✔occur with massive blunt force trauma to the lower third of
the face
dental malocclusion, numbness of chin, inability to open mouth
✔✔temporomandibular joint dislocation - ✔✔often a result of exaggerated yawning or
widely opening the mouth
patient commonly feels a pop and then cannot close their mouth
✔✔le fort I fracture - ✔✔horizontal fracture of the maxilla, seperates the hard palate and
inferior maxilla from the rest of the skull
✔✔le fort II fracture - ✔✔fracture with pyramidal shape, involves nasal bone and inferior
maxilla
may hide a basilar skull fracture
, ✔✔le fort III fracture - ✔✔fracture of all midfacial bones, seperates the midface from the
cranium
may hide a basilar skull fracture
✔✔orbital fracture - ✔✔involves bones of the orbital floor
patient may report double vision, loss of feeling above the eyebrow or over the cheek,
massive nasal discharge and possibly CSF, paralysis of upward gaze (found with
fractures of the inferior orbit
✔✔zygomatic fracture - ✔✔flattened appearance of face, loss of sensation over cheek,
nose, and upper lip, paralysis of upward gaze
associated injuries: orbital fractures, ocular injury, epistaxis
✔✔hyphema - ✔✔blood in the anterior chamber of the eye that obscures vision
✔✔retinal detachment - ✔✔separation of the retina from the vascular membrane
painless-produces flashing lights, specks, or floaters in the field of vision and a cloud or
shade over the patient's vision
✔✔central retinal artery occlusion - ✔✔causes ischemia and necrosis of the retina if
untreated
sudden, painless loss of vision
commonly males in their 60's
✔✔Fowler's, 40 - ✔✔if hyphema or rupture of the glove is suspected, place the patient
in the _______ position or _____ degrees to decrease intraocular pressure
if the globe is displaced or out of the socket, place the patient supine
✔✔zone 1 of the anterior neck - ✔✔injuries may extend into the chest and may not be
easily recognized
highest mortality rate
✔✔zone 2 of the anterior neck - ✔✔most common neck injury and the most obvious,
lower mortality rate than zone 1
✔✔air embolism - ✔✔impaled objects in the neck pose a great threat for an embolism
✔✔mediastinitis - ✔✔esophageal perforation can result in ________ (inflammation due
to leakage of gastric contents into the thoracic cavity) very high mortality rate
✔✔epidermis - ✔✔Outer layer of skin, first line of defense
