Paramedics Exam Trauma Assessment and Management 2

Question 1

A patient with a suspected pelvic fracture is hypotensive despite 2L of IV fluid. What is the most appropriate next intervention?

Accepted Answer

Apply a pelvic binder and prepare for rapid transport

Answer

A pelvic binder stabilizes the fracture and reduces internal hemorrhage volume, which is the priority in an unstable pelvic fracture with hemorrhagic shock.

Question 2

During a secondary assessment, you find paradoxical chest wall movement on the left side with decreased breath sounds. This presentation is most consistent with:

Accepted Answer

Flail chest with pulmonary contusion

Answer

Paradoxical movement (segment moves inward on inspiration) with decreased breath sounds indicates flail chest, typically accompanied by underlying pulmonary contusion.

Question 3

Which of the following BEST describes the purpose of the rapid trauma assessment in a high-mechanism patient?

Accepted Answer

To detect life threats not found in the primary survey and prioritize transport

Answer

The rapid trauma assessment quickly identifies additional life threats after the primary survey while avoiding scene time delays that increase mortality.

Question 4

A 28-year-old restrained driver has a GCS of 14, BP of 98/60, and seat belt sign across the abdomen. The priority concern is:

Accepted Answer

Hollow organ and mesenteric injury

Answer

A seat belt sign with hypotension strongly suggests hollow organ (bowel, bladder) or mesenteric injury from compressive forces, which can cause significant internal hemorrhage.

Question 5

When applying a tourniquet for severe extremity hemorrhage, the correct placement is:

Accepted Answer

2–3 inches proximal to the wound

Answer

A tourniquet placed 2–3 inches proximal to the wound effectively occludes arterial blood flow while avoiding joint placement where compression is ineffective.

Paramedics Exam Practice Test

Paramedics Exam Practice Test

Paramedics Exam Trauma Assessment and Management 2