NREMT Paramedic Trauma Exam Prep - Question List

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21.
You are called to the home of a 50-year-old man complaining of pain in his lower abdomen. He states the pain started suddenly the previous day.

When you examine the patient, there is bruising in the left flank area, but the patient states he has not sustained any trauma to that area.

What is this type of bruising referred to as?
  1. Cushing sign
  2. Grey Turner sign
  3. Cullen sign
  4. Colles' sign
22. You are called to the scene of a 24-year-old male who fell through a glass table.

There is a 4-inch laceration along his forearm and into the antecubital fossa. There is fast flowing dark red blood pulsing from his arm. The patient is pale and cool, and confused. Respiratory rate is 24 per minute.

What is the best treatment strategy for this patient?
  1. Immediate application of a tourniquet, rapid transport, IV fluid administration to maintain systolic blood pressure at greater than 90, keep the patient warm
  2. Strong pressure held to site with elevation, bandaging, rapid transport, oxygen administration, large bore IV with fluids to maintain systolic blood pressure to greater than 90, keep the patient warm
  3. Pick out the small pieces of glass from the wound, pack with gauze, and hold pressure while transporting to the hospital
  4. Immediate tourniquet, ventilation via BVM, rapid transport, large bore IV with fluids en route.
23.
What three components form the coagulopathy of trauma (also known as the “deadly triad)? 
  1. Hypoxia, hypovolemia, hypothermia
  2. Sludging, acidosis, hyperthermia
  3. Hemodilution, acidosis, hypothermia
  4. Hypoxia, acidosis, hyperthermia
24. You are called to the scene of a shooting. Your patient is a teenage male who was shot three times in the abdomen, but there is no blood on the ground.

The patient is unresponsive, tachycardic, pale, and has a faint pulse.

What is the most important first treatment for this patient?
  1. Rapid transport to a trauma center
  2. Volume replacement with IV fluids
  3. Backboard and C-collar
  4. Bilateral needle decompression
25. While controlling a patient’s bleeding with gauze and pressure, you notice the patient has bled through the small amount of gauze you had applied. The bleeding is slowing, but has not stopped.

How do you continue to manage this bleeding?
  1. Immediately apply a tourniquet
  2. Remove the gauze and replace it with clean gauze
  3. Add additional gauze to the wound and continue to apply pressure
  4. Tape down the existing gauze to apply additional pressure to the wound

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