Practice Quiz

NREMT Paramedic Trauma Exam Prep - Question List

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26. You are called to the scene of a 30-year-old male whose arm has been run over by a golf cart.

There is an obvious deformity to the upper arm and significant bleeding distal to the deformity.

Which of these would not be an appropriate intervention for this patient?
  1. Elevation of the extremity
  2. Splinting of the deformity
  3. Bandaging and pressure on the bleeding
  4. Transport to a trauma center
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27. Which of these statements about chest trauma is incorrect?
  1. The chest wall of children is typically brittle and easily broken, leading to a higher risk of rib fracture.
  2. The biggest danger with rib fractures is not the fracture itself, but the possibility of penetrating injury to the underlying organs.
  3. Hemothorax and pneumothorax are common in patients with other injuries related to thoracic trauma.
  4. Patients with preexisting respiratory illness are less likely to compensate for chest wall injuries.
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28. You are called to the scene of a single-vehicle accident in which the car struck a concrete wall. The restrained driver of a vehicle is a 20-year-old male who is deceased upon your arrival.

What is the most likely etiology of this patient’s death?
  1. Traumatic brain injury
  2. Sudden aortic dissection
  3. Splenic rupture
  4. Pericardial tamponade
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29. What signs and symptoms would you expect from someone experiencing a traumatic aortic rupture?
  1. Dyspnea, lower rib fracture, nausea
  2. Unilaterally decreased breath sounds, flail segments, dyspnea
  3. Tearing sensation, variation in blood pressure on different arms, unexplained hypotension
  4. Clavicle fracture, pain on inspiration, absence of breath sounds upper lobe.
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30. What role does the adventitia tunic play in traumatic aortic disruption?
  1. Protects the aorta and prevents complete tear
  2. Tearing unevenly, causing problems for surgical repair
  3. Promoting clotting, causing minor tears to plug readily
  4. Ballooning with increase in blood, causing pressure on the heart and lungs.
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