A 14 year old male suffered from helmet-to-helmet contact during a football game followed by a 30 second period of unconsciousness. Initial exam shows that he is awake but slow to respond. He is nauseated and has a headache. He becomes unresponsive during transport. Examination of the pupils reveal...
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A 14 year old male suffered from helmet-to-helmet contact during a football game followed by a
30 second period of unconsciousness. Initial exam shows that he is awake but slow to respond.
He is nauseated and has a headache. He becomes unresponsive during transport. Examination of
the pupils reveals a left pupil that is dilated and non-reactive. What type of hemorrhage should
you suspect? correct answers Epidural
Which type of skull fracture will cause leakage of cerebrospinal fluid from the ears or nose?
correct answers Basilar
Which is an early finding in compartment syndrome? correct answers Pain
A 28 year old male fell from his motorcycle during a low-speed accident. He removed his own
helmet after the accident. He has an open left femur fracture with severe external bleeding from
the wound.
What should you do? correct answers Apply direct pressure to the wound
A 10 year old male fell from his bicycle and sustained abrasions to his left leg and left arm. He is
alert and oriented. What should you do first? correct answers Complete a primary and secondary
assessment
A 26 year old male is supine on the ground. He was assaulted and has obvious head and facial
trauma,
He has snoring respirations at a rate of 8 per minute. What should you do? correct answers
Perform a modified jaw thrust
A 13 year old male was riding on an all-terrain vehicle when he drove into a wire fence. He is
sitting on the ground with a towel over his lower face. He has an open jaw fracture. What is your
primary concern? correct answers Obstruction of the airway
A 29 year old male falls 17 feet (5 m) to the ground from a tree. He complains of pain with
movement and pain on the right side of his chest when he breathes. You note accessory muscle
use, focal tenderness, bony crepitus, and absent breath sounds on his right side. What should you
suspect? correct answers Simple Pneumothorax
What type of burn should be treated as a life or limb threatening injury due to constriction of the
injured tissues? correct answers Circumferential
A 41 year old male was stabbed in the chest immediately below the sternum. He complains of
shortness of breath and has engorged jugular veins. Vital signs are BP 108/84, P 130, R 26. What
should you suspect? correct answers Cardiac Tamponade
An adult patient has an open angulated injury to the left lower leg. Distal pulses are absent. Why
should you attempt to realign the extremity? correct answers Restore blood flow
, An anxious 54 year old female complains of chest pain. She hit the steering wheel after a car
crash at highway speeds. Her sternum is red and tender. Vital signs are BP 100/68, P 112, R 28
clear, Sp02 92%. What should you suspect? correct answers Cardiac contusion
What is a sign of brain stem herniation? correct answers Decerebrate posturing
An adult patient has partial thickness burns to his or her anterior chest and abdomen, the entire
right arm, and the palm of the left hand. What percent of the total body surface area is affected?
correct answers 28%
A 13 year old male was a restrained passenger in a car crash at highway speed. He is alert and
oriented on-scene and walking around. What should you do? correct answers Consider spinal
motion restriction and assess his c-spine
Which of the following is true when log rolling a patient? correct answers The provider
maintaining spinal motion restriction is in charge
Which of the following presents the greatest risk for EMS provider fatalities? correct answers
Motor vehicle collision either in an EMS unit or on-scene
A 24 year old construction worker amputated his thumb. How should you manage the
amputation? correct answers Wrap in moistened gauze
An 82 year old male fell in the shower 3 days ago and now only responds to painful stimuli. The
nurse's aide at the assisted living facility was unable to wake the patient for breakfast. Vital signs
are BP 170/72, R 26 and irregular, P 58, BGL 150 mg/dL (8.2 mol/L), Glasgow Coma Scale
score of 5 (E1, V1, M3). What should you do? correct answers Check if the patient has advanced
directives or a MOLST form.
A 4 year old female fell down approximately 8 carpeted stairs. Her parents said she initially
complained of neck pain and a tingling sensation in all four extremities, but the symptoms have
since resolved.
What should you do? correct answers Initiate spinal motion restriction and transport
A 20 year old male was hit in the chest with a baseball bat. He complains of severe pain and
tenderness on the left side. He is unable to take a deep breath. Vital signs are BP 112/76, P 98, R
20, Sp02 98%, and ETCO2 38 mmHg. What should you do? correct answers Administer 100mcg
of Fentanyl
A 29 year old male was injured in a high speed motor vehicle collision with lateral impact and
intrusion into the side of a sedan. He has pale and diaphoretic skin, appears anxious, and is
coughing up blood-tinged sputum. He complains of chest pain, has decreased breath sounds on
the left lateral side, has crepitus on palpation of his ribs, and his jugular veins are flat. Vital signs
are BP 88/56, P 120, R 24, SpO2 92%. What should you suspect? correct answers Hemothorax
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