COPR COPR - Canadian Organization of Paramedic Regulators Examination Trauma Assessment and Management Questions and Answers 2

Question 1

Which assessment finding most strongly indicates cardiac tamponade in a trauma patient?

Accepted Answer

Beck's Triad: hypotension, muffled heart sounds, JVD

Answer

Beck's Triad (hypotension, muffled heart sounds, jugular venous distension) is the classic presentation of cardiac tamponade caused by pericardial blood accumulation.

Question 2

When applying a tourniquet for extremity hemorrhage, where should it be positioned?

Accepted Answer

2–3 inches proximal to the wound

Answer

A tourniquet should be placed 2–3 inches proximal to the wound to effectively occlude arterial flow without being positioned over a joint.

Question 3

What is the significance of a 'seat belt sign' (bruising across the abdomen) in trauma assessment?

Accepted Answer

It suggests possible intra-abdominal injury requiring surgical evaluation

Answer

A seat belt sign raises strong suspicion for hollow organ injury or mesenteric tears, which may not produce immediate symptoms but require urgent evaluation.

Question 4

In trauma triage using START (Simple Triage and Rapid Treatment), a patient with a respiratory rate of 8/min would be categorized as:

Accepted Answer

Red (Immediate)

Answer

In START triage, a respiratory rate less than 10/min is classified as Red (Immediate) because it indicates inadequate ventilation requiring immediate intervention.

Question 5

What is the recommended approach to spinal motion restriction in a responsive trauma patient with no distracting injuries who denies neck pain?

Accepted Answer

Apply selective spinal precautions based on clinical criteria

Answer

Evidence-based guidelines support selective spinal motion restriction using validated clinical criteria (e.g., NEXUS or Canadian C-Spine Rule) rather than universal immobilization.

COPR - Canadian Organization of Paramedic Regulators Examination Practice Test

COPR - Canadian Organization of Paramedic Regulators Examination Practice Test

COPR COPR - Canadian Organization of Paramedic Regulators Examination Trauma Assessment and Management Questions and Answers 2