EMT Trauma Practice Test 2

Question 1

En route to the hospital, you intubate the patient. During your assessment of tube placement, you hear wheezing in the upper lung fields. What is most likely causing this wheezing?

Accepted Answer

Inhalation injury to the lower airway

Answer

Inhalation injury to the upper airway

Answer

Inhalation induced cardiac wheezing

Answer

Inhalation induced asthma attack

Question 2

Following the immobilization of an extremity fracture to the lower right arm, the paramedic should perform what step last?

Accepted Answer

Assessing presence of distal motor, sensory, and perfusion.

Answer

Ensuring the splint is applied tightly.

Answer

Placing the hand in the position of function.

Answer

Placing the immobilized extremity below the level of the heart

Question 3

Please answer the following question.  You are treating a 24-year-old female with a gunshot wound to the right side of the back. No exit wound is visible. She is awake but confused. Her skin is pale and diaphoretic with cyanosis noted to the oral mucosa. Breath sounds are clear and equal bilaterally. Jugular vein distention is present. Blood pressure is 90/78 mmHg, heart rate is 124 beats per minute, and respiratory rate is 28 per minute and labored. Sinus tachycardia is seen on the cardiac monitor. What condition do you think is most likely present with this patient?

Accepted Answer

Pericardial tamponade

Answer

Lacerated aorta

Answer

Hemothorax

Answer

Tension pneumothorax

Question 4

Please answer the following question. You are treating a 24-year-old female with a gunshot wound to the right side of the back. No exit wound is visible. She is awake but confused. Her skin is pale and diaphoretic with cyanosis noted to the oral mucosa. Breath sounds are clear and equal bilaterally. Jugular vein distention is present. Blood pressure is 90/78 mmHg, heart rate is 124 beats per minute, and respiratory rate is 28 per minute and labored. Sinus tachycardia is seen on the cardiac monitor. Which of the following treatment regimens would be the most appropriate for this patient?

Accepted Answer

High flow oxygen, spinal precautions, occlusive dressing over entrance wound, rapid transport.

Answer

High flow oxygen by nonrebreather, spinal precautions, allow patient to remain in a position of comfort.

Answer

High flow oxygen by nonrebreather, cover entrance wound with an occlusive dressing.

Answer

High flow oxygen, pleural decompression to right side of chest, rapid transport.

Question 5

Please answer the following question.  You are treating a 12-year-old male patient who was hit in the nose with a baseball. His nose is deviated to the left with moderate epistaxis. He is complaining of severe pain to his nose. He is alert and oriented with no loss of consciousness. Which of the following treatment sequences would best manage this patient?

Accepted Answer

Have patient lie supine while holding pressure to nares.

Answer

Pack nares with gauze to control bleeding.

Answer

Align nose in the neutral position while holding pressure to nares.

Answer

Have patient sit upright and lean forward while holding pressure to nares.

Question 6

Please answer the following question.  You are called for an elderly female that fell down and hurt her knee. When you find the patient, she tells you she tripped and fell, and landed on her left knee. She denies any loss of consciousness or trauma to her head. The patient is only complaining of pain to the distal portion of her femur. During your assessment, you notice deformity and swelling to the femur, proximal to the knee. The patient has good distal pulses, motor function, and sensation. What would be the most appropriate treatment for this patient?

Accepted Answer

Secure to a backboard and pad appropriately

Answer

Application of padded board splints

Answer

Traction splinting

Answer

Inflation of the PASG on both legs

Question 7

Which of the following patients would be most appropriate for triage to a non-trauma center?

Accepted Answer

25-year-old female with a 1-inch laceration on her thigh

Answer

67-year-old female who was electrocuted by a 220 volt electrical outlet

Answer

19-year-old male involved in a single car MVC at a rate of 25 miles per hour

Answer

14-year-old male who fell 11 feet out of a tree, landing on his back

Question 8

Please answer the following question.  You have responded to a local residence of a 37-year-old male who had lacerated his leg while using a chainsaw in the back of his house. Prior to your arrival, the patient's wife, who is a nurse, applied pressure to the wound and has the patient in a Trendelenburg position. Your assessment of the patient reveals him to be responsive to painful stimuli with a weak carotid pulse and the blood pressure unobtainable. There is a massive amount of blood surrounding the patient on the ground. The wife tells you that the wound is arterial and the injury occurred about 10 to 15 minutes ago. In addition to oxygen therapy, what are your treatment priorities for this patient?

Accepted Answer

Continue applying direct pressure to the wound and call for ALS support.

Answer

Apply an arterial tourniquet and call for ALS support.

Answer

Apply an arterial tourniquet and call for ALS support.

Answer

Continue applying direct pressure to the wound and transport.

Question 9

Which of the following findings in a crush injury is typically the earliest and most prominent?

Accepted Answer

Pain

Answer

Pulselessness

Answer

Paresthesia

Answer

Paralysis

Question 10

Please answer the following question.  Your 26-year-old female patient has been pulled out of a house fire. Her chest and arms have been burned. The area is charred and the patient states she has little pain in the burned area. What is the most likely classification of this patient's burns?

Accepted Answer

Full thickness

Answer

Superficial partial thickness burns

Answer

Deep partial thickness burns

Answer

Superficial