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1. 1. Your patient is a police officer that has been shot just conscious, alert,
and complains of SOB, you can hear a whistling below the rib cage. He and it appears
to be sound as he breathes should: coming from the entrance wound in his far upper
left quadrant. You
A) control the bleeding from the wound and prepare to transport at once.
B) repeat the initial assessment and direct your partner to assist ventilations.
C) place sterile dressing the wound and apply direct pressure.
D) apply an occlusive dressing to the wound and continue your assessment.-
: D) appl y an occlusive dressing to the wound and continue your assessm
2. Your patient, a 21 year old female is the victim of a domestic violence assault,
the police advise you she was struck in the chest with a piece of pipe, she has a
complaint chest pain. She is alert with a BP of 110/92, Pulse of 120 and irregular,
respirations are 22 and slightly labored. These signs and symptoms are most
consistent with?
A) Tension pneumothorax
B) Cardiac tamponade
C) Rib Fractures
D) Cardiac contusion: D) Cardiac contusion
3. A 25 year old male has rolled his tractor over. He is conscious, but is
experiencing signs of shock. Further assessment reveals that his his breath
sounds are bilaterally equal and clear , however irregularpulse . This patient is
MOSTI e experiencing
A) a myocardial contusion
B) multiple rib fractures.
C) a pericardial tamponade.
D) a tension pneumothorax.: A) a myocardial contusion
4. You have arrived on scene of a vehicle vs tree, the driver a 54 year old male is
sitting in the driver seat, the vehicle was on fire prior to your arrival. You find the
patient gasping for air with a respiratory rate of 44 and labored, the patient has
soot on his lips and nose, however does not appear to be burned, the only other
signs or mechanisms of injury is deformity to the right ankle. The most
appropriate actions to take would include?
A) Ventilate pt with BVM, rapid transport to closest facility
B) Hgih flow 02, full spinal precautions, rapid transport to closest facility
C) Attempt to assist ventilations, transport to closest appropriate trauma
facility, early notification for admission to burn center
D) High flow 02, full spinal precautions, rapid transport to burn center: C)
Attempt to assist ventilations, transport to closest appropriate trauma facility, early
notification for admission to burn center
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5. You r patient is a 72 year old male that has been struck by a car and has
a open fem re. You find the patient externally from the wound. You should?
semiconscious, he has reduced tidal volume breathing is bleeding profusely
A) apply a nonrebreathing mask
B) perform a rapid trauma exam.
C) assist the patient's ventilations.
D) apply direct pressure to the bleeding.: D) apply direct pressure to the bleeding.
6. At 11:30 ypu reapond to the reaidence of a 10 yr ild male who was beaten up
earlier today by a group breath, BP 100/40, Pulse 120, Respirations of 40, your
assessment reveals, no JVD, clear and equal lung sounds with good tidal volume but
a low oxygen saturation. This patient most likely is experiencing?
A) Lacerated Aorta B)Tension
pneumothorax
C) Pulmonary Contusion
D) Cardiac Tamponade: D) Cardiac Tamponade
7. 29 year old female fell about 25 feet vertically while rock climbing, Cool, Moist
Skin, BP of 130/86, pulse rate of 120, and respirations of 22, with the MOI complains
of chest and abdominal pain, she is very restless, slightly confused, Pale, cool moist
skin. the patient and signs and symptoms of this patient, she is most likely
experiencing?
A) Compensated Shock
B) Decompensated Shock
C) Irreversible Shock
D) Psychogenic Shock: A) Compensated Shock
8. using a home made zip line when he fell approximately 40 feet landing Your
patient is a 21 year old male who was chest first onto a retaining wall. Your
assessment reveals collapsed jugular veins. You should be MOST he is
tachycardic, and diaphoretic. bilaterally equal breath sounds, a midline trachea,
and suspicious that this patient has experienced a: A) laceration of the aorta
B) pericardial tamponade
C) massive hemorhorax
D) pneumothorax.: A) laceration of the aorta.
9. A 16 year old female is at a sleep over with friends. She has awoken early this
morning, and is having trouble keeping one eye open, her friends have activated
911, upon your assessment, the eye is red and swollen. You should suspect that she
is experiencing:
A) a detached retina.
B) acute retinitis.
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C) a corneal abrasion.
D) conjunctivitis: D) conjunctivitis
10. Your patient was restrained driver of a pickup truck that took a lateral
impact on the driver side door from a 18 wheeler traveling at 50 MPH. He is
struggling to breath with distended neck veins, BP of 72/36, pulse 140,
respirations of 44 and severely labored, while assessing breathing with a
stethoscope you discover unilateral breath sounds. This patient is most likely
suffering from
A) Lacerated Aorta
B) Cardiac contusion
C) Tension pneumothorax
D) Cardiac tamponade: C) Tension pneumothorax
11. Your patient is a 55 year old female who spent a week in the hospital with
pneumonia, she was released 4 days ago. Her husband called 911 because today
she is confused, is having tachycardia, and a blood pressure of 92/50 mm Hg. Her
skin is warm and moist. You should be MOST suspicious that she is experiencing:
A) pump failure.
B) decompensated shock.
C) septic shock.
D) a local infection.: C) septic shock.
12. A 25 year old male has been beaten badly by unknown assailents, you find him
in the city park. He has major facial trauma, missing teeth, and a badly broken
nose. He is semi-conscious with a blood pressure of 130/80 mm Hg, pulse of 110
beats/min, and respirations of 8 breaths/min. You should:
A) assist ventilations with a BVM, provide spinal immobilization, suction his
oropharynx for 30 seconds, and transpor.
B) apply oxygen via nonrebreathing mask, suction his airway as needed,
disregard the dislodged teeth, and transport.
C) apply supplemental oxygen, immobilize his spine, attempt to locate the
dislodged teeth, suction as needed, and transport.
D) fully immobilize his spine, attempt to locate the dislodged teeth, tilt the
backboard side, and transport.: A) assist ventilations with a BVM, provide spinal
immobilization, suction his oropharynx for 30 seconds, and transport
13. You are transferring a patient with gallstones from the ER of a small hospital,
to a al with a surgeon. You are half way to the bigger hospital when you notice
that he has stopped talking to you and has become extremely diaphoretic. You
should:
A) begin assisting her ventilations.
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B) perform a rapid trauma exam.
C) assess the quality of her pulse.
D) repeat the initial assessment.: D) repeat the initial assessment.
14. 14 year old female cheerleader has fallen from the top of a pyramid forma- tion
and struck her back directly on a balance beam. She complains of pain to her
lower back. What injury mechanism is MOST likely responsible for her back pain?
A) Secondary fall after the initial impact.
B) Direct trauma to the spinal column
C) Lateral impact to the spine
D) Energy transmission to the spine: B) Direct trauma to the spinal column
15. You have arrived on scene of sunny oaks retirement skilled nursing facility, a
friendly nurse leads you down the hall to room13c where you an 85 year old male
with a severe epistaxis. As you are treating him, it is MOST important to recall that:
A) the patient is at risk for vomiting and aspiration.
B) a detailed exam is needed to determine the cause.
C) many medications interfere with blood clotting.
D) the patient may significantly hypertensive.: A) the patient is at risk for vomiting
and aspiration.
16. You have accepted care of a patient from a first responder agency, the pa- tient
is received a chainsaw wound to his anterior and right lateral neck while helping
his packaged and ready for transport. Report from first responders is that the
patient brother in law cut wood. They have already controlled the bleeding and
bandaged the neck with a bulky dressing. You are in route to the hospital with the
patient when he begins to experience severe shortness of breath, he also
experiences an acute onset of labored breathing and cyanosis. You should suspect:
A) an acute air embolism
B) disruption of the larynx.
C) that the bandage is too tight.
D) a pneumothorax: A) an acute air embolism
17. 17. Your patient complains of a severe headache and decreased ability to move
his eyes after a bar fight. The symptoms ar emost consistent with?
A) a ruptured eyeball.
B) optic vessel compression.
c) a blowout fracture.
D) a lacerated globe.: c) a blowout fracture.
18. Your patient is the driver of an 18 wheeler that has crashed. The patient went
to check his load by opening the door to his trailer. He had a cloud of dust