Paramedics Exam Trauma Management 2

Question 1

A patient has a femur fracture with an estimated blood loss of 1,500 mL. Which class of hemorrhage is this?

Accepted Answer

Class III

Answer

Class III hemorrhage involves 1,501–2,000 mL blood loss (30–40% of blood volume), causing marked tachycardia, tachypnea, and altered mental status.

Question 2

When applying a tourniquet for extremity hemorrhage, it should be placed how far proximal to the wound?

Accepted Answer

1–2 inches

Answer

Tourniquets should be placed 1–2 inches proximal to the wound to control arterial hemorrhage effectively while minimizing ischemia to healthy tissue.

Question 3

Which spinal injury pattern results from axial loading and is most commonly associated with diving accidents?

Accepted Answer

Burst fracture

Answer

Burst fractures result from axial loading forces compressing the vertebra and are classic injuries seen in diving accidents and falls from height.

Question 4

A penetrating abdominal trauma patient is hypotensive. Which IV fluid strategy is preferred during transport?

Accepted Answer

Permissive hypotension with limited crystalloid

Answer

Permissive hypotension (targeting SBP 80–90 mmHg) limits dilution of clotting factors and prevents clot disruption in penetrating trauma until surgical hemorrhage control.

Question 5

Which finding is most indicative of a tension pneumothorax in a trauma patient?

Accepted Answer

Tracheal deviation away from the affected side

Answer

Tracheal deviation away from the affected side is a hallmark late sign of tension pneumothorax as mediastinal structures shift under increasing pressure.

Paramedics Exam Practice Test

Paramedics Exam Practice Test

Paramedics Exam Trauma Management 2