53 yo F hit by car. Unresponsive w/ deformity to the left femur and pelvic instability. Diminished lung
sounds on L side. You should? - (correct Answer) - Immobilize long backboard
28 yo M, blunt trauma to R anterior chest. Pale, cool, diaphoretic and responsive to verbal. R 38 and
shallow with paradoxical movement. What should you do? - (correct Answer) - 02 with positive pressure
ventilations
What is the most likely cause of periorbital echymosis? - (correct Answer) - Basilar skull fracture
30 yo M shot in mid thigh. Bleeding continues after partner applies direct pressure. You should? -
(correct Answer) - Tourniqet
28 yo PT driver motorcycle traveling 45 mph hit parked car. Not wearing a helmet. Supine with copious
amount of blood around face. Gurgling and R 4 per min. ANOTHER most appropriate action? - (correct
Answer) - Jaw thrust without head tilt
M fell while water skiing. Unconsciouse. Suspect? - (correct Answer) - Head and spine injury
Appropriate care for amputated extremity? - (correct Answer) - Wrap in dry gauze, seal in plastic bag,
and place in cool water
28 yo pt driving motorcycle traveling 45 mph hit parked car. Not wearing a helmet. Supine with copious
amount of blood around face. Gurgling and R 4 per min. Most appropriate? - (correct Answer) - Control
bleeding
18 yo M holding right shin after sports related injury. Deformity and swelling; pedal pulse present. You
should? - (correct Answer) - Apply board splint in position found
Pedestrian hit by car. Pale, cool, and diaphoretic. Oriented to name only and has difficulty breathing. BP
80/40, P 120, R 28 and shallow. 90% SP02. You should? - (correct Answer) - BVM
81 yo F helthcare facility fell out of bed. Nurse suspects hip fracture. Which medication should concern
you the most? - (correct Answer) - Coumadin
You are treating a patient with agonal respirations and gunshot wound to the chest. You notice an open
skull fracture leaking brain matter. There is no radial pulse, you should? - (correct Answer) - Asses a
carotid pulse and assist ventilations
a 45 year old male fell asleep outisde while doing yard work. His face and lower legs are bright red with
blisters and painful on examination. You should suspect - (correct Answer) - Both superficial and partial
thickness burns
a 35 year old patient has fallen and has a deformed right lower leg. The distal extremity is pulsless and
the skin is cool and cyanotic. You should - (correct Answer) - Realign the injured extremity
, You arrive on scene of a car crash. The driver is alert and complaining of severe chest and abdominal
pain. His radial is weak and rapid. Skin is cool, pale, and moist. The patient has a history of cardiac
problems. You should? - (correct Answer) - Rapidly extricate onto a long spinal board and transport
47 male shot in back has cool and clammy skin with arm weakness. BP 130/90, P 76, R 24. You should
suspect - (correct Answer) - Spinal cord injury
Injury that is most likely to require routine assessment and transport - (correct Answer) - Deformed Wrist
Injury
After securing pt on long board, you should immediately assess - (correct Answer) - PMS
23 yo soccer player was kicked in the chest. He is alert with rapid, shallow R and complains of chest pain.
Pale, cool, and wet. You should? - (correct Answer) - Non Rebreather
25 yo in R distress after being stabbed in the chest. Blood is bubbling from 2 cm laceration to L chest
wall. Lung sounds diminished on L side. You should? - (correct Answer) - Apply occlusive dressing
Early signs of decompensated shock? - (correct Answer) - Low blood pressure
Pt stabbed in RUQ. What organ is injured? - (correct Answer) - Liver
Pt with chemical burn on eye and is wearing contact lenses. You should? - (correct Answer) - Remove
contact lenses and administer irrigation solutions
A baseball player was hit by a baseball in the left eye and complains for double vision. What should you
do? - (correct Answer) - Restrict spinal movement
First concern with conscious pt who received partial thick burns to the face is treating? - (correct
Answer) - airway problems
22 yo F had an accident on moped. She is lying on ground; breathing well. Still wearing helmet. You
should? - (correct Answer) - Leave helmet in place while she is stabilized
32 yo M is unconscious after being struck in the head by a baseball bat. Has pulse but breathing is slow.
Minor bleeding from a laceration at the left temple. Partner is maintaining manual C-spine stabilization.
You should? - (correct Answer) - Measure and apply a rigid c collar
28 yo M is fleeing from police and sustained 1 cm laceration shallow on forearm while climbing a rusted
chain link fence. Refusing transport. What should you be concerned with? - (correct Answer) - Infection
Which is an open wound? - (correct Answer) - abrasion
Woman struck in face with softball bat. Unconscious. BP 74/50, P 60, R 8. What do you do? - (correct
Answer) - Insert an oral airway and admin 02 via BVM
21 yo football player hit from the side and landed head first onto the ground. Was ambulatory on scene
and oriented to name only. Refusing transport and care. What should you do? - (correct Answer) - Ask
the team coach for assistance
Pt is bruising around the eyes and behind ears. What should you suspect? - (correct Answer) - Brasilar