PCP Trauma Care 2

Question 1

For a patient with a suspected spinal injury and altered mental status, spinal motion restriction should be:

Accepted Answer

Applied based on mechanism of injury and clinical findings

Answer

Spinal motion restriction decisions are based on mechanism of injury, clinical signs, and patient assessment findings.

Question 2

A sucking chest wound should be treated by:

Accepted Answer

Applying an occlusive dressing vented on one side

Answer

A vented (three-sided) occlusive dressing allows air to escape on exhalation, preventing tension pneumothorax.

Question 3

Which of the following fractures is most likely to cause life-threatening hemorrhage?

Accepted Answer

Femur fracture

Answer

A femur fracture can result in 1–2 liters of blood loss into the thigh, causing life-threatening hemorrhage.

Question 4

What is the most appropriate initial management for a patient with an impaled object in the chest?

Accepted Answer

Stabilize the object in place and do not remove it

Answer

Impaled objects should be stabilized in place and never removed in the prehospital setting as they may be tamponading hemorrhage.

Question 5

Paradoxical chest wall movement (a segment moving inward on inspiration) is characteristic of:

Accepted Answer

Flail chest

Answer

Flail chest occurs when multiple rib fractures create a free-floating segment that moves paradoxically with breathing.

PCP - Primary Care Paramedic Practice Test