EMT Trauma Practice Test 3
What are the signs and symptoms of shock
Early signs of shock are increased heart rate and respirations. The patient may also have pale, cool and clammy skin and show signs of hypoxia. Later stages of shock will include a drop in blood pressure.
Your patient has an injury that consists of overstretched & torn ligaments. What type of injury does this patient have?
In a pre-hospital setting, you would treat all of the above injuries the same, but this particular injury is a sprain. Sprains occur to the ligaments; dislocations are in the joint; fractures are bone related, and strains are muscle injuries.
You are called to the scene of pedestrian that’s been struck by a car. Upon examination, you notice clear fluid leaking from the patient’s ear, that you believe to be cerebral spinal fluid. This tells you the patient may have suffered a:
While the patient may be suffering from a basilar skull fracture, you are not able to determine that in the field. The best answer is a severe head injury.
When dealing with a patient who has suffered an injury to the back of his head, what part of the brain would you suspect will be affected?
The Occipital region of the brain is located in the posterior (rear) area of the brain and is the most likely to be injured by trauma to the back of the head.
What does PMS stand for during your assessment of a patient’s lower extremity?
PMS stands for Pulse, Motor function, Sensation. It is especially important to assess for PMS after splinting an extremity.
Your patient is a 22 year old male with an object impaled in the right side of his chest, just below the shoulder. After assessing that the object is not blocking his airway, what is the best course of action for this patient?
The only time you want to remove an impaling object is when it is obstructing the airway, as doing so may cause uncontrolled bleeding and even death. Cutting the object will cause the object to move and could result in further injury.
What is the mnemonic for determining level of consciousness?
AVPU stands for Alert, responds to Verbal stimulus, responds to Painful stimulus, and Unresponsive.
Your patient is suffering from Epistaxis. How should you proceed.
Epistaxis is a nosebleed. Having them tilt their head back could cause them to aspirate blood, become sick or vomit.
A fall greater than ______ would be considered a significant mechanism of injury in a patient under the age of 8.
The best answer is 10 feet. Though depending on the height of the patient, double their height may be greater than 10 feet, the correct answer is anything over 10 feet.
What is the best treatment for a suspected fracture of the talus bone?
The Talus bone is located at the top of the foot and rests between the tibia, fibula, calcaneus, and navicular. In this instance, you want to splint the ankle in order to immobilize it, ice it to reduce swelling, and elevate.
You are transporting a trauma patient, and notice their condition starts to deteriorate. What do you do?
Any time you have a patient whose condition worsens, you should always reassess them.
Your patient is a 16-year old male, who fell approximately 15 feet. This call should be considered:
At the age of 16, medically, this patient is considered an adult and therefore, a fall less than 20 feet in height is not considered a significant mechanism of injury.
You are transporting an unconscious patient. How often should you check their vitals?
When transporting an unconscious patient you should check their vitals every 5 minutes.
Your patient is a 34-year old male with a large laceration to the abdomen, and the abdominal organs are protruding from the wound. What is this type of injury called?
An evisceration is the removal or protrusion of the internal organs.
What is the best way to handle an amputated extremity?
You want to wrap in sterile dressing to prevent infection and keep it cool with ice. You never want to place the part directly on ice, this could cause it to freeze or become frostbitten. The care given to the patient, and the amputated part, are critical in the success of reattachment.
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