Wilderness Medicine BWLS questions
with complete solutions
A biker is down and is in the middle of the trail. What do you do first? - correct answer ✔✔Make the
scene safe by warning other bikers
A biker had a fall while riding and scraped her shin. You see the wound the next week and a large scab is
present over the abrasion. What do you tell her? - correct answer ✔✔Scabs are bad. You tell her to cover
the wound and keep it moist
You slide out through a corner and go face first into a large root. After collecting yourself, you realize that
a single tooth has been knocked out and is floating in your mouth. You descend the remaining trail with
the tooth secured between your lip and gums and proceed to the closest gas station. Which liquid
provides the best environment for the tooth while you drive to the dentist? - correct answer ✔✔Skim
milk
If a biker knocks out a tooth and you decide to take the biker and the tooth to a dentist. What is the best
solution you should use to place the tooth? - correct answer ✔✔Hank's Balanced Salt Solution
After crashing on a descent, a 16 year old boy notices that he is missing a portion of his tooth. On
examination, the boy has no pain and is missing a small piece of one of his front teeth. You are unable to
feel any free movement of the remaining portion of tooth. How should this situation be handled? -
correct answer ✔✔Reassure the patient and allow the patient to continue riding
You slide out through a corner and go face first into a large root. After collecting yourself, you realize that
a single tooth as been knocked out and is floating in your mouth. You descend the remaining trail with
the tooth secured between your lip and gums and proceed to the closest gas station. Which of the
following liquids provides the best environment for the tooth while you drive to the dentist? - correct
answer ✔✔Skim milk
A 17 year old boy crashes in the middle of the race and knocks a tooth out. When you get to him, his
mouth is bleeding and he is holding the tooth in his hand. What should you do with the tooth? - correct
answer ✔✔Try to re-implant the tooth after washing it off and after squirting our the socket with water
, After crashing on a descent, a 16 year old boy notices that he is missing a portion of his tooth. On
examination, the boy has no pain and is missing a small piece of one of his front teeth. You are unable to
feel any free movement of the remaining portion of the tooth. How should this situation be handled? -
correct answer ✔✔Reassure the patient and allow the patient to continue riding
Which intervention is most effective in preventing the development of the most common
musculoskeletal injury in cycling? - correct answer ✔✔Ensure proper bike fit
What is the most common biking injury? - correct answer ✔✔Wounds and bruises
A 15 year old female shows up to her first practice wearing her mother's helmet which was purchased in
the mid 2000s. She says it was never actually used before and she was glad she didn't need to spend the
money on a new one. What makes this situation unsafe? - correct answer ✔✔Helmets expire 7 years
after production, or after 5 years of use, due to gradual degradation
A 14 year old male crashes and does not appear to immediately move. You arrive at his side and he is
unresponsive to all stimuli. As you are checking his breathing and circulation, he opens his eyes and
starts to mumble. You instruct a bystander to stabilize his neck as you complete the primary survey. As
you carefully remove his cracked helmet in order to inspect his head, he asks you what happened. Over
the course of the next few minutes, the patient completely regains consciousness, is alert and oriented
x4, and complains of no pain. The remainder of your exam reveals no additional abnormalities. What is
the most appropriate course of action? - correct answer ✔✔Activate EMS or transport to an emergency
department urgently
A climber is brought to the emergency department after sustaining a climbing injury a few hours earlier.
Upon examination, is is found that the climber has severe spinal trauma and a concussion. What was he
most likely doing when the injury occurred? - correct answer ✔✔Passing his leg in front of the rope
immediately before falling
A rock climber is working his way up a route when he loses his footing and falls; however, the rope,
anchors, and his belay partner catch him. If the time it took for him to stop falling was measured, which
time would result in the least amount of force felt by the climber? - correct answer ✔✔5 seconds
A climber is working on a particularly difficult route when he falls. Because he is using safety equipment,
he is caught by the rope and is uninjured; however, his belayer was injured below after being pulled off
his feet. Assuming no debris fell from above, what is the most likely injury sustained by the belayer? -
correct answer ✔✔Broken ankle
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