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

Question 1

In the primary survey using the MARCH algorithm for hemorrhage control, what does 'M' stand for?

Accepted Answer

Massive hemorrhage

Answer

In the MARCH algorithm (used in tactical and civilian trauma), 'M' stands for Massive hemorrhage control, which is addressed before airway.

Question 2

A patient arrives with a penetrating chest wound on the right side with absent breath sounds. After sealing the wound, the patient deteriorates rapidly. What should you suspect?

Accepted Answer

Tension pneumothorax

Answer

Rapid deterioration after sealing a chest wound suggests tension pneumothorax, where air under pressure compresses mediastinal structures.

Question 3

Which mechanism of injury is MOST associated with a high index of suspicion for aortic injury?

Accepted Answer

High-speed deceleration (e.g., MVC at highway speed)

Answer

High-speed deceleration forces cause shear stress at the aortic isthmus, making aortic injury a critical concern in these mechanisms.

Question 4

What is the primary goal of the permissive hypotension strategy in penetrating trauma management?

Accepted Answer

Maintain MAP around 50–65 mmHg to limit re-bleeding while preserving perfusion

Answer

Permissive hypotension maintains a lower target MAP to avoid dislodging clots and worsening hemorrhage while ensuring minimal organ perfusion.

Question 5

During a trauma assessment, a GCS score is calculated. Which component assesses verbal response?

Accepted Answer

Verbal response

Answer

The Glasgow Coma Scale has three components: eye opening (E), verbal response (V), and motor response (M), with verbal scored 1–5.

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