Paramedic Trauma Final Exam
Review with 100% Correct Answers |
Verified | Latest Update 2024
Based on your knowledge of the anatomy of the head, which of the following
statements is TRUE? - ✔✔Epidural bleeding is more likely arterial than venous
Which of the following best describes the effect of hyperventilation in the brain-
injured patient? - ✔✔It is detrimental due to vasoconstriction, resulting
in decreased cerebral perfusion.
A spinal-cord lesion may result in paralysis of both lower extremities. This
condition is known as: - ✔✔paraplegia
Which of the following most accurately characterizes simple pneumothorax? -
✔✔It is a problem of ventilation/perfusion mismatch
,The largest reserve of blood of any body organ is contained in the: - ✔✔liver
Your patient is an 18-year-old male who was slashed across the abdomen with a
machete. He has a mass of omentum and small bowel protruding from the
wound. Which of the following is your primary concern with this patient? -
✔✔Ensuring an open airway by anticipating vomiting, providing oxygen, keeping
the patient warm, and monitoring for and treating shock
Which of the following may impact the pattern of injury in abdominal trauma? -
✔✔All of the above
Your patient is a 24-year-old male who was struck just below the left scapula
with a 3-inch-diameter metal pipe. He is awake but having difficulty breathing.
His pulse is 112 at the radial artery, and his respiratory rate is 28 per minute and
shallow. His breath sounds are present bilaterally but diminished on the left. He
has a blood pressure of 108/68. The patient is coughing up some bloody sputum.
,He has no other complaints, and a rapid trauma survey reveals no additional life-
threatening injuries. Which of the following represents the best sequence of
intervention for this patient? - ✔✔Oxygen 10-12 lpm by non-rebreathing
mask, begin transport, 2 16 ga. IVs at a keep-open rate
A growing lesion in the right cranial hemisphere will most likely result in which of
the following? - ✔✔Normal left pupil; dilated, nonreactive right pupil
Which of the following medications is NOT warranted in the prehospital
management of patients with spinal-cord injuries? -
✔✔Methylprednisolone (Solu-Medrol)
Which of the following statements is NOT true of pericardial tamponade? -
✔✔The systolic blood pressure increases significantly on inspiration.
You are treating a patient whose open chest wound has been sealed by EMTs on
the scene before your arrival. During transport, the patient becomes more
, dyspneic, tachycardic, and hypotensive. There are no breath sounds on the affected
side, and the patient has JVD. Which of the following is the best action? -
✔✔Remove the dressing and see if the patient's clinical status improves, then
replace the dressing.
Which of the following is noted in the patient with a positive Babinski reflex? -
✔✔Fanning of the toes with dorsiflexion (upward) of the great toe
During the early care for a patient with a basilar skull fracture in the prehospital
setting, which of the following would be an unexpected finding? -
✔✔Periorbital ecchymoses or "raccoon eyes"
Recent research has provided evidence of which of the following regarding spinal-
injury assessment? - ✔✔There are reliable criteria for determining the
likelihood of spinal injury.
Review with 100% Correct Answers |
Verified | Latest Update 2024
Based on your knowledge of the anatomy of the head, which of the following
statements is TRUE? - ✔✔Epidural bleeding is more likely arterial than venous
Which of the following best describes the effect of hyperventilation in the brain-
injured patient? - ✔✔It is detrimental due to vasoconstriction, resulting
in decreased cerebral perfusion.
A spinal-cord lesion may result in paralysis of both lower extremities. This
condition is known as: - ✔✔paraplegia
Which of the following most accurately characterizes simple pneumothorax? -
✔✔It is a problem of ventilation/perfusion mismatch
,The largest reserve of blood of any body organ is contained in the: - ✔✔liver
Your patient is an 18-year-old male who was slashed across the abdomen with a
machete. He has a mass of omentum and small bowel protruding from the
wound. Which of the following is your primary concern with this patient? -
✔✔Ensuring an open airway by anticipating vomiting, providing oxygen, keeping
the patient warm, and monitoring for and treating shock
Which of the following may impact the pattern of injury in abdominal trauma? -
✔✔All of the above
Your patient is a 24-year-old male who was struck just below the left scapula
with a 3-inch-diameter metal pipe. He is awake but having difficulty breathing.
His pulse is 112 at the radial artery, and his respiratory rate is 28 per minute and
shallow. His breath sounds are present bilaterally but diminished on the left. He
has a blood pressure of 108/68. The patient is coughing up some bloody sputum.
,He has no other complaints, and a rapid trauma survey reveals no additional life-
threatening injuries. Which of the following represents the best sequence of
intervention for this patient? - ✔✔Oxygen 10-12 lpm by non-rebreathing
mask, begin transport, 2 16 ga. IVs at a keep-open rate
A growing lesion in the right cranial hemisphere will most likely result in which of
the following? - ✔✔Normal left pupil; dilated, nonreactive right pupil
Which of the following medications is NOT warranted in the prehospital
management of patients with spinal-cord injuries? -
✔✔Methylprednisolone (Solu-Medrol)
Which of the following statements is NOT true of pericardial tamponade? -
✔✔The systolic blood pressure increases significantly on inspiration.
You are treating a patient whose open chest wound has been sealed by EMTs on
the scene before your arrival. During transport, the patient becomes more
, dyspneic, tachycardic, and hypotensive. There are no breath sounds on the affected
side, and the patient has JVD. Which of the following is the best action? -
✔✔Remove the dressing and see if the patient's clinical status improves, then
replace the dressing.
Which of the following is noted in the patient with a positive Babinski reflex? -
✔✔Fanning of the toes with dorsiflexion (upward) of the great toe
During the early care for a patient with a basilar skull fracture in the prehospital
setting, which of the following would be an unexpected finding? -
✔✔Periorbital ecchymoses or "raccoon eyes"
Recent research has provided evidence of which of the following regarding spinal-
injury assessment? - ✔✔There are reliable criteria for determining the
likelihood of spinal injury.
