Paramedics Exam Trauma Management 5

Question 1

A patient with blunt abdominal trauma has Kehr's sign (left shoulder pain). Which organ injury does this suggest?

Accepted Answer

Splenic rupture

Answer

Kehr's sign is referred pain to the left shoulder caused by diaphragmatic irritation from blood pooling under the left hemidiaphragm due to splenic rupture.

Question 2

Which parameter determines whether a trauma patient meets physiological criteria for trauma center activation?

Accepted Answer

SBP < 90 mmHg or GCS < 14

Answer

Physiological trauma triage criteria include SBP <90 mmHg or GCS <14, indicating hemodynamic or neurological compromise requiring highest-level trauma care.

Question 3

What is the preferred first-line vasopressor for neurogenic shock refractory to fluid resuscitation?

Accepted Answer

Norepinephrine

Answer

Norepinephrine is preferred in neurogenic shock for its combined alpha-1 (vasoconstriction) and beta-1 (chronotropy) effects, addressing both hypotension and bradycardia.

Question 4

A patient sustains a traumatic amputation of the right hand. After tourniquet application, how should the amputated part be managed?

Accepted Answer

Wrap in a moist sterile dressing, place in a bag, then in ice water

Answer

The amputated part should be wrapped in a moist sterile dressing, placed in a sealed bag, then kept cool in ice water to slow metabolism without freezing tissue.

Question 5

Which finding on a trauma patient's pelvis exam warrants immediate cessation of further manipulation?

Accepted Answer

Instability or crepitus on compression

Answer

Instability or crepitus on pelvic compression indicates an unstable pelvic fracture; further manipulation risks disrupting a tamponading hematoma and worsening hemorrhage.

Paramedics Exam Practice Test

Paramedics Exam Practice Test

Paramedics Exam Trauma Management 5