Practice Quiz

NREMT Paramedic Trauma Exam Prep - Question List

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46. You are called to the scene of an elderly patient female who slipped and fell, landing on her chest. She complains of dyspnea and chest pain that increases with inspiration and palpation. She states that her symptoms are much better when she holds pressure on her left side.

What is the most likely cause of her symptoms?
  1. Hypovolemia from hip fracture
  2. Tension pneumothorax
  3. Rib fracture
  4. Traumatic asphyxiation
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47. You are called to the scene of an elderly patient female who is displaying classic symptoms of a fractured rib.

The patient’s GCS level is 15, oxygen saturation on room air is 93%. Heart rate is 112, blood pressure is 142/102.

What is the most appropriate course of treatment for this patient?
  1. Use rib binders for comfort, apply high flow O2, transport to a trauma center
  2. Apply supplemental O2 via nasal cannula, monitor for ventilatory changes, transport to a trauma center
  3. Bind the ribs for comfort, apply nebulized albuterol for dyspnea, give 324mg aspirin for chest pain, transport to a trauma center
  4. Give nitroglycerine 0.4mg sublingual for chest pain, apply high flow O2, transport to a cardiac center
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48. Flail chest occurs when a segment of the rib cage is broken and detached following trauma. This typically presents as a section of the rib cage moving out of sync and independent of from breathing motions.

What is this phenomenon called?
  1. Pulsus paradoxus
  2. Rib contusion
  3. Paradoxic chest wall movement
  4. Traumatic pneumonia
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49. What is the best management for a patient with flail chest who is deteriorating and developing severe respiratory distress?
  1. Analgesia to reduce the pain of respiration
  2. Needle thoracostomy to reduce internal pressure
  3. Encouragement to hold their breath to increase the internal pressure
  4. CPAP or positive pressure by BVM to internally splint the injury
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