PRACTICE EXAM (ACTUAL
QUESTIONS AND ANSWERS)
As you approach the scene of a climbing accident, you observe an injured
climber hanging just above the ground. The belay rope disappears over the top
of the cliff 20 meters (65 feet) above. Your first acDon should be to:
Survey the scene for dangers, numbers of paDents and available resources.
The technical team has relieved the belayer and lowered an injured climber to
the ground. Your primary assessment reveals a rapid pulse and easy but rapid
breathing. Possible causes include:
Acute stress reacDon
volume shock
The injured climber is a on avpu with normal mental status and is able to
describe the accident in detail. For field purposes, this finding confirms that
there is no:
TraumaDc brain injury
Your secondary assessment on a climber injured by a 10 meter (32 foot) fall
reveals a deformed, tender, and very swollen leM thigh. In addiDon to fracture,
this finding also suggests a mechanism for:
, Volume shock
significant blood loss
a criDcal body system injury
Vital signs on a climber with a fractured pelvis from a fall measure as follows:
first set of vitals: p: 128, r: 20, bp: 110/72, skin: pale, c: awake with normal
metal status. Second set of vitals: p: 136, r: 24, bp: 110/72, skin: cool and pale,
c: awake with normal mental status. This paTern fits the assessment of:
Compensated volume shock
What acDons would be appropriate in the treatment of a climber with a
fractured femur following a 10 meter (32 foot) fall?
Spine protecDon unless the spine can be cleared
request a paramedic for iv fluids and pain control
packaging to prevent hypothermia
It is best to avoid:
High risk evacuaDons for low risk problems.
Persistent ischemia is a high-risk problem because it will ulDmately result in:
InfarcDon (Dssue death)
Why might blunt injury to the chest and abdomen be a mechanism for volume
shock?
Solid organs like the spleen and liver can rupture and bleed profusely
One of your crew members lacerates her shin on a sail track on an offshore
passage. The wound exposes bone and muscle, and is about 5 cm (2 inches)