AEMCA - Advanced Emergency Medical Care Assistant Trauma and Shock Management Questions and Answers

Question 1

A 30-year-old male has a gunshot wound to the thigh with significant hemorrhage.
He is anxious and confused, with a heart rate of 135 bpm, a respiratory rate of 34, and a blood pressure of 88/60 mmHg.
Based on these findings, which class of hemorrhagic shock is he most likely in?

Accepted Answer

Class III

Answer

Class I

Answer

Class II

Answer

Class IV

Question 2

In the context of a major trauma patient, which of the following correctly identifies the components of the 'lethal triad' of trauma?

Accepted Answer

Hypothermia, Coagulopathy, Acidosis

Answer

Hypotension, Hypoxia, Hyperglycemia

Answer

Bradycardia, Hypocapnia, Alkalosis

Answer

Hypertension, Tachycardia, Hyperthermia

Question 3

You are treating a 25-year-old who fell from a significant height and is complaining of paralysis below the waist. His blood pressure is 80/50 mmHg, heart rate is 58 bpm, and his skin below the chest is warm and dry. Which type of shock is most consistent with this presentation?

Accepted Answer

Neurogenic Shock

Answer

Hypovolemic Shock

Answer

Cardiogenic Shock

Answer

Septic Shock

Question 4

Which of the following is the most appropriate initial action for a patient with a suspected unstable pelvic fracture following a high-speed motor vehicle collision?

Accepted Answer

Applying a commercial pelvic binder or improvised sheet sling.

Answer

Performing a 'pelvic rock' maneuver to confirm instability.

Answer

Log-rolling the patient onto a long spine board immediately.

Answer

Administering a 2-liter fluid bolus of normal saline.

Question 5

A 40-year-old male has sustained a stab wound to the abdomen. He is conscious and alert, with a radial pulse present, a heart rate of 110 bpm, and a blood pressure of 94/70 mmHg. There is no evidence of a head injury. What is the most appropriate fluid resuscitation strategy for this patient?

Accepted Answer

Administer small, titrated fluid boluses to maintain a palpable radial pulse.

Answer

Administer fluid boluses aggressively to achieve a systolic blood pressure of at least 120 mmHg.

Answer

Withhold all IV fluids to prevent any potential clot disruption.

Answer

Administer a 20 mL/kg bolus of normal saline as quickly as possible.

Question 6

Beck's triad, a collection of signs associated with acute cardiac tamponade, consists of which of the following?

Accepted Answer

Hypotension, jugular venous distention, and muffled heart sounds.

Answer

Hypertension, bradycardia, and irregular respirations.

Answer

Unilateral chest rise, tracheal deviation, and subcutaneous emphysema.

Answer

Paradoxical chest movement, dyspnea, and localized pain.