Practice Quiz

NREMT Paramedic Trauma Exam Prep - Question List

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31. What is the primary cause of V:Q mismatch in pulmonary contusion?
  1. Physical destruction of the bronchioles
  2. Pulmonary edema
  3. Pain on respiration causing reluctance to take deep breaths
  4. Pulmonary contusion does not lead to V:Q mismatch
See answer
32. You are called to the scene of an accident for a 38-year-old female who was the unrestrained driver. The patient has significant bruising on her chest, hemoptysis, and coarse rhonchi throughout the lower lobes.

If this patient becomes hypoxemic, what is the optimal treatment strategy?
  1. Suction to help remove any bloody sputum
  2. High flow oxygenation via NRB
  3. Coaching the patient through slow, deep breaths.
  4. Positive pressure ventilations (CPAP or BVM as appropriate)
See answer
33. Your patient was struck by a blunt object across the chest. The patient is awake and alert, but complaining of mild dyspnea and pain at the site of impact.

Upon palpation of the chest, there is an area of the ribs that is tender to palpation and is soft. Lung sounds over the affected area reveal mild rhonchi, but are clear in other areas.

What is most likely diagnosis?
  1. Pulmonary contusion
  2. Hemothorax
  3. Pericardial tamponade
  4. Tension pneumothorax
See answer
34. Your patient is a 31-year-old female who has sustained a blunt force trauma to the chest. There is a visible contusion over the sternum.

During transport, the patient develops ventricular tachycardia. She has a radial pulse, and her blood pressure is 110/60.

What intervention should be implemented?
  1. Perform synchronized cardioversion
  2. Perform a precordial thump
  3. Administer 150mg of amiodarone
  4. Perform unsynchronized cardioversion.
See answer
35. Which part of the heart is most likely to become injured in a blunt cardiac injury (cardiac contusion)?
  1. Bundle of His
  2. Right ventricle
  3. Left ventricle
  4. Bicuspid valve
See answer

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