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NREMT Paramedic Trauma Exam
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During the assessment of a patient with a suspected compartment syndrome, which of the following findings would most support this diagnosis?
Normal capillary refill time
Pain with passive stretch of the affected muscles
Presence of a palpable pulse
er: B
nation: Pain with passive stretch of the affected muscles is a classic sign of compartment syn dicates increased intracompartmental pressure.
ent with blunt chest trauma presents with hypotension and tachycardia. Which of the followi gs would most likely indicate a hemothorax?
reased respiratory rate without distress perresonance on percussion
ar breath sounds bilaterally
llness to percussion on the affected side er: D
nation: Dullness to percussion on the affected side is characteristic of a hemothorax due to fl ulation in the pleural space.
Expla drome
and in
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You are treating a 50-year-old female with a gunshot wound to the abdomen. After applying direct pressure, you notice continued bleeding. What is the most appropriate next step in managing her hemorrhage?
Administer IV fluids immediately
Apply a tourniquet at the proximal arm
Utilize a hemostatic agent within the wound
Perform a rapid assessment for other injuries Answer: C
Explanation: If bleeding continues despite direct pressure, hemostatic agents can be utilized to promote clotting. Tourniquets should be applied only to extremities and not to abdominal wounds.
situation?
ntinuous positive airway pressure (CPAP) sopharyngeal airway placement opharyngeal airway placement
dotracheal intubation er: D
nation: In cases of severe facial trauma with airway compromise, endotracheal intubation is t nd most effective method to secure the airway.
ediatric trauma patient, which of the following is the most reliable indicator of shock?
art rate piratory rate od pressure
vel of consciousness er: C
nation: Blood pressure is the most reliable indicator of shock in pediatric patients, as they m nsate with tachycardia initially.
Co
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A firefighter suffers second-degree burns covering 25% of his body after a rescue operation. What is the most appropriate fluid resuscitation formula to use for this patient in the first 24 hours post-injury?
Parkland formula: 4 mL x %TBSA x weight (kg)
Modified Brooke formula: 2 mL x %TBSA x weight (kg)
Consensus formula: 3 mL x %TBSA x weight (kg)
Galveston formula: 4 mL x %TBSA x weight (kg) + maintenance fluids Answer: A
Explanation: The Parkland formula is the most commonly used for fluid resuscitation in burn patients, particularly in the first 24 hours, ensuring adequate hydration and perfusion.
ent is noted to have paradoxical movement of the chest wall after sustaining multiple rib frac the pathophysiological basis for this finding?
Loss of structural integrity of the rib cage
reased intrathoracic pressure during expiration apleural pressure exceeding atmospheric pressure paired diaphragm function
er: A
nation: The loss of structural integrity of the rib cage due to multiple rib fractures causes xical movement during respiration.
ent presents with a laceration to the neck that is actively bleeding. What is the most critical ention?
ply a pressure dressing
pare for immediate surgical airway ition the patient upright
form direct pressure to the wound
er: B
What is
A.
Inc
Intr
Im
Answ Expla
parado
Ap
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Explanation: The risk of airway compromise necessitates preparation for a surgical airway due to potential vascular injury.
In a trauma system, what is the primary purpose of a regional trauma center?
To provide basic emergency care
To coordinate trauma care among various facilities
To serve as a research facility for trauma
To manage all types of medical emergencies Answer: B
Explanation: A regional trauma center's primary role is to coordinate trauma care, ensuring that patients receive the most appropriate care based on the severity of their injuries.
ng adult patient presents with tachycardia, hypotension, and altered mental status following a the priority intervention?
minister IV analgesics form a focused ultrasound
ain a complete blood count
ablish IV access and start fluid resuscitation er: D
nation: Establishing IV access and starting fluid resuscitation is critical to address hypovolem n a trauma patient.
the assessment of a patient with a suspected knee dislocation, which of the following findin most indicate the need for immediate reduction?
and swelling
bility to move the knee ising around the joint pliteal pulse absent
Quest A you fall. What is Ad Per Obt Est Answ Expla ic shock i During gs would Pain Ina Bru Po Answer: D Explanation: An absent popliteal pulse indicates potential vascular compromise, necessitating immediate reduction to restore circulation. During a trauma assessment, you note that a patient has significant rib fractures leading to paradoxical movement of the chest wall. What is this condition known as, and what is the best management approach? Pulmonary contusion; provide supplemental oxygen Flail chest; provide positive pressure ventilation and pain management Hemothorax; perform needle decompression Tension pneumothorax; monitor closely for respiratory failure Answer: B ement includes positive pressure ventilation and adequate pain control to enhance respirator nics. year-old female presents with severe abdominal pain and a history of liver disease. She is nsive, and her abdomen is distended. What should be your immediate intervention? form a FAST exam and apply a binder minister IV fluids and prepare for surgery minister analgesics pare for CT imaging er: A nation: A FAST exam is crucial to assess for internal bleeding, and applying a binder can hel ze the abdomen. ssessing a patient with a partial-thickness burn, you notice the presence of blisters. How w assify this type of burn? mecha A 31- hypote Per Ad Ad Pre Answ Expla p stabili While a ould you cl Deep partial-thickness Superficial Full-thickness Fourth-degree Answer: A Explanation: The presence of blisters indicates a deep partial-thickness burn. A patient with a history of blunt abdominal trauma presents with hypotension and tachycardia. Which of the following physical findings would most likely indicate a splenic injury? Ascites on ultrasound Rebound tenderness in the right upper quadrant dominal tenderness in all quadrants er: C nation: Grey Turner's sign indicates retroperitoneal hemorrhage, which can occur with spleni year-old female is involved in a motor vehicle collision and presents with a stable pelvic frac the most appropriate management step to minimize hemorrhage? minister IV fluids nitor vital signs closely ply a pelvic binder pare for surgical intervention er: C nation: Applying a pelvic binder helps stabilize the pelvis and can significantly reduce hemor elvic fractures. Ab Answ Expla c injury. A 30- ture. What is Ad Mo Ap Pre Answ Expla rhage from p A 28-year-old female sustains a facial injury during a bar fight. You suspect a fracture of the maxilla. What should be your initial management priority, considering the risk of airway compromise? Stabilize the cervical spine Perform rapid sequence intubation Assess for the presence of a foreign body Apply a jaw-thrust maneuver Answer: D Explanation: A jaw-thrust maneuver is essential to maintain airway patency in patients with potential maxillary fractures while assessing for airway compromise. When assessing a trauma patient with an open fracture, what is the primary concern regarding the wound? ne healing ection risk ve damage scle necrosis er: B nation: Open fractures expose the bone to the external environment, significantly increasing the ction, necessitating prompt surgical intervention. auma patient with a suspected pelvic fracture, which assessment finding would most strongly the presence of significant hemorrhage? art rate of 80 bpm od pressure of 100/60 mmHg Mild abdominal tenderness ymmetrical limb positioning er: B nation: A blood pressure of 100/60 mmHg in the context of a pelvic fracture may indicate cant hemorrhage, necessitating immediate intervention.Quest
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