Practice Quiz

NREMT Paramedic Trauma Exam Prep - Question List

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36. Upon arriving at the scene of a reported gunshot, you find a 20-year-old male who has apparently been shot in the chest on the right side.

The patient is alert and oriented, and complaining of worsening dyspnea. No exit wound is visible. Around the site of the wound, there is an area of “spongy” ribs. There are diminished breath sounds in the affected lobe.

Which of these injuries is most likely?
  1. Traumatic asphyxia
  2. Diaphragmatic herniation
  3. Hemothorax
  4. Cardiac contusion
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37. Which of these examination findings would you expect to find in a patient suffering from a hemothorax?
  1. Dullness on percussion of the chest
  2. Rhonchi on lung auscultation
  3. Grey Turner sign
  4. All of the above
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38. Which of these statements about hemothorax is accurate?
  1. Hemothorax is typically caused by blunt force trauma to the lower chest
  2. The jugular veins will almost always appear flat in hemothorax, a sign of hypotension
  3. Parenchymal hemothoraxes are typically self-limiting in nature and rarely cause life-threatening hemorrhage
  4. The pleural space is small, only able to hold 750mL to 1L, depending on the size and age of the person
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39. You are called to the scene of a stabbing where you find a mid-20s male lying on the ground. He is responsive to verbal commands. Bystanders state that he was talking prior to EMS arrival.

On exam, you locate a stab wound to the patient’s chest, mid axillary, in the sixth intercostal space. The patient is profoundly tachypneic, tachycardic, pale, and hypoxemic at 85%. Lung sounds are absent on the right side.

What is the most appropriate treatment?
  1. Insert a long, large bore angiocatheter into the second intercostal space on the right, midclavicular
  2. BVM ventilations, cover the wound with Vaseline gauze, and transport
  3. Insert a long, large bore angiocatheter into the second intercostal space on the left, midclavicular
  4. Oxygenation via NRB, rapid transport to a trauma center
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40. What is the difference between a simple pneumothorax and an open pneumothorax?
  1. A simple pneumothorax has no communication between the atmosphere and the pleural space
  2. An open pneumothorax typically presents with a “sucking” chest wound
  3. Typically, a smaller, simple pneumothorax will self resolve and does not require aggressive management
  4. All of the above
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