PCP Trauma Care 3

Question 1

Which class of hemorrhagic shock is characterized by 30–40% blood volume loss with confusion and decreased BP?

Accepted Answer

Class III

Answer

Class III hemorrhagic shock involves 30–40% blood volume loss (1500–2000 mL) with confusion, decreased BP, and decreased urine output.

Question 2

In a patient with a traumatic brain injury, you should avoid:

Accepted Answer

Hypotension and hypoxia

Answer

Hypotension (SBP <90) and hypoxia (SpO2 <90%) are the two most damaging secondary insults in traumatic brain injury.

Question 3

Which of the following is the MOST reliable indicator of internal abdominal hemorrhage in trauma?

Accepted Answer

Abdominal distension with hemodynamic instability

Answer

Abdominal distension combined with hemodynamic instability strongly suggests significant internal hemorrhage requiring urgent surgical intervention.

Question 4

A patient has burns covering the entire anterior torso and both arms. Using the Rule of Nines, what percentage of BSA is burned?

Accepted Answer

36%

Answer

Anterior torso = 18%, each arm = 9% (×2 = 18%), totaling 36% BSA burned.

Question 5

Which type of burn requires immediate fluid resuscitation and hospital transport?

Accepted Answer

Full-thickness burns >10% BSA

Answer

Full-thickness burns covering more than 10% BSA require immediate IV fluid resuscitation and urgent hospital care.

PCP - Primary Care Paramedic Practice Test