EMT trauma

You are caring for a 31-year-old female patient who passed out as she got up from her desk at work. She denies any past medical history and reports she has had the “stomach bug” recently. This patient most likely experienced

orthostatic hypotension

You may see a slight increase in diastolic blood pressure early in shock because

There is an increase in vascular tone

the primary different between destructive shock and hypovolemic shock is that

blood volume remains constant in distributive shock

After falling from a two-story roof, your 34-year-old male patient is saying he does not feel right. His pulse is 72, respiratory rate is 18, and BP is 86/58. The underlying problem is likely

Spinal cord damage

Which of the following would cause a patient to lose heat the most rapidly?

Falling into icy water

A 22-year-old male vomited while running a 10 kilometer race and dropped out after the halfway point. He says, “I shouldn’t have run today because I had the flu yesterday.” He has a blood pressure of 108/78, a pulse of 118, respirations of 20, and his SpO2 is 92% on room air. The type of shock you suspect is

hypovolemic.

A 19-year-old male was stabbed with a knife into the left side of his chest. He has cool and clammy skin and clear lung sounds. His vital signs are a blood pressure of 104/84, a pulse rate of 118, a respiratory rate of 26, and Sp02 is 94% on room air. The type of shock seems to be

obstructive

A 21-year-old female was the driver of a vehicle that spun out and struck a telephone pole. She is not responding, has multiple deformities throughout her body, and some bruising and rigidity developing in the lower left quadrant of her abdomen. Her blood pressure is elevated when taken in the left arm, but her pulse is weak in the right arm. The single injury that is the biggest life threat at this point seems to be

an aortic tear

A 3-year-old male was in a rear-facing child seat in the back seat of a vehicle in a lateral impact collision. Your biggest concern would be:

the possibility of neck trauma.

a fractured arm

a ruptured spleen

a fractured leg.

the possibility of neck trauma

Your patient is a 9-year-old female that fell off of a fence onto the pavement. This caused a complete avulsion to her left forearm, an avulsed flap on the right upper arm, and multiple abrasions to both arms. Her vital signs are a pulse rate of 112, a respiratory rate of 32, and a blood pressure of 116/82. You should

Answer set

use cold packs to keep the partial cool, but not frozen

assist her breathing with a bag-valve mask

place the part in a bucket of ice to keep cool

replace the flap back and then cover with a dressing.

replace the flap back and then cover with a dressing.

A 26-year-old female was struck by lightning while playing golf. When you arrive she has pale, cool, and clammy skin, a weak irregular pulse, and retrograde amnesia. As you prepare to transport her, you should

immobilize her to a long spine board.

use an AED to monitor the heart.

immediately treat entry and exit wounds.

ventilate with a bag-valve mask.

immobilize her to a long spine board.

During the summer months, you should be most concerned with patients that have been outside and active that

have dry skin.

have poor skin turgor

are hot to the touch

are confused.

have dry skin.

You are off duty getting ready to go out in a canoe at a lake when you hear that someone is struggling in the water about 40 feet from shore. You were trained in water rescue as a lifeguard. You should

reach out towards him.

throw a life preserver.

swim out to the patient.

paddle over to the victim.

throw a life preserver

A 52-year-old female lives in a home without air conditioning. It has been hot for the past 6 days. She is hot and dry to the touch and babbles when she speaks. Prior to transporting her you should:

make every effort to rapidly cool her temperature.

fan her and transport with your air conditioning on.

have her drink a mixture of water and sports drink.

cover her face with towels soaked in cold water.

fan her and transport with your air conditioning on

A 29-year-old female was shot in the chest and has no exit wound. She is unresponsive, has no other signs of trauma, and is lying supine. Examination reveals distended neck veins, clear lung sounds, and no other signs of trauma from inspection or palpation. You suspect

tension pneumothorax

a hemothorax

cardiac tamponade

a pneumothorax

cardiac tamponade

A 16-year-old was stabbed in the left lower quadrant of his abdomen. He is comfortable but upset about the incident. His vitals are blood pressure of 128/82, pulse is 94, respirations are 14, and SpO2 is 96% on room air. You should

Answer set

place him in a lateral recumbent position.

administer oxygen by non-rebreather.

provide supportive care and transport.

cover the wound with an occlusive dressing.

provide supportive care and transport

A 21-year-old male is pulled from the ocean by some bystanders and is lying supine on the shore when you arrive. He is not responsive, is coughing weakly, and appears to be drooling. You should

roll him onto his side.

suction the airway until clear.

use a jaw thrust maneuver.

begin compressions.

roll him onto his side

A 67-year-old male was shot in the forearm by a paintball. It has created a 2-inch laceration with significant bleeding. The bleeding is likely significant due to

Answer set

anticoagulant medications.

the likelihood of dehydration.

beta blockers for hypertension.

decreased clotting capabilities.

anticoagulant medications

An 18-year-old male was hit by a car. He opens his eyes when you ask him questions, but replies with things like “I was out walking my fish”. During the physical examination you note he has a lower left arm injury because he withdraws and has facial grimace when you assess it. His GCS score is

Answer set

9

8

10

11

10

A 34-year-old woman suffered blunt trauma to the chest from a carnival ride swing. She is having difficulty breathing, but says it is easier when she sits up or stands. Upon examination you hear nothing in the lower right lobes and find she is tender to palpation in the same area. The chest wall is not moving equally on both sides. She is most likely suffering from a

Answer set

fractured rib.

flail segment

hemothorax.

pneumothorax.

hemothorax

A 32-year-old male was shot at while driving his car. He is alert and oriented, but the only injuries sustained are numerous shards of glass impaled in his cheek. You should

Answer set

use tweezers to pull the thin slivers through.

pull out larger pieces the way they went in.

apply pressure to minimize the bleeding.

have him hold gauze inside his cheek.

have him hold gauze inside his cheek.

A boiling pot of water was knocked over spilling on to a 4-year-old male. He has blistering burns to his left arm, anterior trunk, and the half of his left leg that was exposed. The burn percentage is

Answer set

36%.

27%.

34%.

29.5%.

34%

Your patient was assaulted outside of a restaurant by an assailant with a bat. When asked what is bothering him the most, he mumbles something about groceries. He takes in a deep breath as directed when you assess his lung sounds. What is the GCS score?

Answer set

12

14

15

13

13

A 12-year-old female fell off of a riding lawn mower that was moving. She landed on an outstretched left arm and the forearm is now angulated. She is in extreme pain with no other apparent injuries. She has cold skin that is blue, and she can feel and move her fingers, but with difficulty. You should

Answer set

splint the arm in the position found.

attempt realignment one time.

put the hand in a position of function

place her in a sling and swathe.

attempt realignment one time.

A 2-year-old boy fell off of a swing that was 1 foot off the ground. He complains of pain to his right arm. If fractured, the most likely kind would be a/an

Answer set

pathologic.

greenstick.

comminuted

epiphyseal.

greenstick

A 44-year-old female was the driver in a motor vehicle collision. You find ecchymosis to the left flank during the examination. The patient is most likely to also present with

Answer set

a rigid abdomen.

hematuria.

melena.

hematemesis.

hematuria

A 15-year-old male injured his right ankle during a soccer game. He is unable to bear weight on it and it is disfigured. The patient complains of significant pain. The skin is pink, warm, and dry. You should

Answer set

attempt once to realign the bones into normal position.

use a one-person assist to get to the ambulance.

wrap a pillow around the back of the foot and tape in place.

pull longitudinal traction at the heel and top of foot.

wrap a pillow around the back of the foot and tape in place

Your patient is a 33-year-old male complaining of acute dyspnea after tripping on the sidewalk and falling onto the curb. Lung sounds are clear at the bases and right apex, but diminished in the left apex with unequal rise and fall of the chest. His vital signs are pulse of 112 and strong, respiratory rate of 22 and unlabored, blood pressure is 142/88, and the SpO2 is 94%. You should

Answer set

use a non-rebreather mask at 15 LPM.

assist ventilations with a bag-valve mask.

ensure he is in a position of comfort.

secure the patient onto a spine board.

ensure he is in a position of comfort.

A 20-year-old male is pulled from a vehicle fire. He has partial thickness burns to both of his legs, perineum, and abdomen. The body surface percentage burned was

Answer set

46%.

38%.

28%.

54%.

46%

Your patient is a 37-year-old male that was trapped in a house fire. He presents with burns to all of his extremities that are covered in blisters, singed nose hairs, and reddened burns to most of the rest of his body. You are most concerned with

Answer set

the high risk of infection.

hypothermia setting in.

hypovolemic shock.

respiratory compromise.

respiratory compromise.

A 22-year-old male struck by a motor vehicle is lying supine and moaning in pain. He has abdominal bruising, an angulated left lower leg, and labored breathing. Your main concern is

Answer set

the respiratory compromise.

neurovascular compromise of the leg.

the possibility of exsanguination.

the concern of cervical or spinal trauma

the possibility of exsanguination.

A 28-year-old male is lying in a pool of vomit, breathing at about 16 breaths per minute with adequate depth, with a small laceration on his forehead. He does not respond to questions, but with a sternal rub his eyes pop open and then close again and he tries to pull away. He has a GCS score of

Answer set

5

4

6

7

7

A 20-year-old female patient was rescued from the woods after being outdoors for three days and isn’t sure what is going on. Her vital signs are a blood pressure of 100/68, a respiratory rate of 10 per minute, a weak pulse of 68 beats per minute, her SpO2 is 93%, and her core temperature is reading at 88° F. The best way to return her to a normal body temperature is to

Answer set

wrap her in a wool blanket.

assist her breathing.

put heat pads in her armpits.

give her a warmed drink.

wrap her in a wool blanket.

A 37-year-old female was kicked in the chest by a horse. She complains of chest pain with breathing and fatigue. Examination reveals a section of the rib cage moving opposite of the rest. You should

Answer set

assist the patient’s breathing with ventilations.

log roll her onto a long spine board and transport rapidly.

apply bulky dressings to the patient’s chest.

auscultate lung sounds in all of the lobes.

assist the patient’s breathing with ventilations.

A 44-year-old male was struck in the head yesterday and felt dizzy for a short time. Now he has an altered mental status and is vomiting. You suspect a/an

Answer set

epidural hematoma.

herniation syndrome.

subdural hematoma.

concussion.

subdural hematoma.

Your patient is a 38-year-old male that was pitching when he was struck in the chest by a batted ball. He immediately fell to the ground and hasn’t regained consciousness since. The patient is pulseless and apneic. Bystander CPR is in progress. You should

Answer set

only do CPR since it was traumatic.

attach an AED to the patient.

check to see if there is a pulse.

perform 5 cycles of CPR.

check to see if there is a pulse.