What should you do?
Trauma Assessment
Traumatic Injuries
Treating Trauma
Mass Casualty & WMD
100

A 15 yof was struck by a small car while riding her bicycle. She was wearing a helmet and thrown to the ground, striking her head. In addition to managing problems with airway, breathing, and circulation, it is Most important for you to:

stabilize her spine

100

A young mal sustained a gunshot sound to the abdomen during an altercation. As your partner is assess and managing his airway, you should control the obvious bleeding and then:

assess for an exit wound

100

Passengers who are seated in the rear of a vehicle and wearing only lap belts have a higher incidence of injuries to the ___________ spine during a rear-end crash.

thoracic and lumbar

100

A 43 yom is experiencing a severe nosebleed. His blood pressure is 190/110 mmHg and his heart rate is 90 beats/min and bounding. Preferred treatment for the patient includes:

Pinching the patient's nostrils and having him lean forward.

100

The EMT should expect that a patient who was exposed to cyanide will have a _________ pulse oximeter reading.

normal

200

A 39 yom was struck in the head by a baseball during a game. He is confused and has slurred speech. He has a large hematoma in the center of his forehead and cannot remember the events preceding the injury. After manually stabilizing his head and assessing his airway, you should:

administer high-flow oxygen

200

A 67 yom presents with weakness, dizziness, and melena that began approximately two days ago. He denies a history of trauma. His blood pressure is 90/50 mmHg and his pulse is 120 beats/min and thready. You should be MOST suspicious that this patient is experiencing:

gastrointestinal bleeding

200

During your assessment pf a patient who was shot in the abdomen, you notice a large entrance wound with multiple small puncture wounds around it. This wound pattern is MOST consistent with a:

shotgun

200
A 56 yof has an incomplete avulsion to her right forearm. After controlling any bleeding from the wound, you should:

replace the avulsed flap to its original position and cover it with a sterile dressing

200

The incubation period for Ebola can be up to:

21 days

300

An 8 yom was bitten by a stray dog. He has a large laceration to the back of his left hand, which your partner covered with a sterile dressing and bandage. In addition to transporting the child to the hospital, you should:

report the incident to the appropriate authorities

300

The optic nerve endings and located within the:

retina

300

A construction worker's arm was severed just above the elbow when a steel girder fell on it. The stump is covered with a blood-soaked towel. The patient's skin is cool, clammy, and pale. The EMT should place the tourniquet:

just below the shoulder

300

A teenage boy who was involved in a bicycle accident has a puncture wound where the bicycle kickstand impaled his leg. The MOST appropriate method for treating this injury is to:

unbolt the kickstand from the bike frame and stabilize it with bulky dressing

300

As the first arriving senior EMT at the scene of an incident, you should perform a scene size-up and then:

establish command

400

As you approach a young male who was involved in an industrial accident, you note that his eyes are closed and that he is not moving. You can see several large contusions to his arms, a laceration to his forehead with minimal bleeding, and a closed deformity to his right leg. You should:

Open is airway and assess his breathing status

400

A patient that cannot remember the events that preceded his or her head injury is experiencing:

retrograde amnesia

400

A 30 yof experienced a crushing injury when her forearm was trapped between the back of a truck and a loading dock. Upon your arrival, the woman's arm has been freed. Your assessment reveals that her arm is obviously deformed and swollen and is cold and pale. Further assessment reveals an absent radial pulse. You should be MOST concerned that this patient has:

compartment syndrome

400

A 50 yom was splashed in the eyes with radiator fluid when he was working on his car. During your assessment, he tells you that he wears soft contact lenses. You should:

carefully remove the contact lenses and the irrigate his eyes with saline

400

A 53 yof presents with a fever of 102.5 degrees F and a severe headache. As you assess him, you note the presence of multiple blisters on his face and chest, which are all identical in shape and size. This patient's clinical presentation is MOST consistent with:

smallpox

500

A 30 yof was robbed and assaulted leaving a nightclub. She has massive facial trauma and slow, gurgling respirations. As your partner manually stabilizes her head, you should:

suction her oropharynx

500

You are transporting a stable with a possible pneumothorax. The patient is receiving high-flow oxygenand has an oxygen saturation of 95%. During your reassessment, you find that the patient is now confused, hypotensive, and profusely diaphoretic. What is MOST likely causing this patient's deterioration?

compression of the aorta and vena cava

500

Following recent trauma to the face, a 21 yom complains of a severe headache and decreased ability to move his eyes. The patient's clinical presentation is MOST consistent with:

a blow-out fracture

500

You are transporting a 42 yom who experienced blunt abdominal trauma. He is receiving oxygen at 12lpm via NRB and full spinal precautions have been applied. During your reassessment, you note his level of consciousness has decreased and his respirations have become shallow. You should:

insert an airway adjunct if he will tolerate it and begin assisting his ventilations with a bag valve mask

500

Burn patients without airway compromise and patients with multiple bone or joint injuries should be marked with a  _____________ triage tag at a mass-casualty incident.

yellow

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