Practice Quiz

NREMT Paramedic Trauma Exam Prep - Question List

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41. Which of the following most accurately describes the finding of jugular venous distension in pneumothorax?
  1. It is an early finding of even minor pneumothoraxes
  2. It indicates relative hypovolemia in the thorax due to hemorrhage
  3. It is indicative of high intrathoracic pressure
  4. Pneumothorax is more likely to cause jugular vein flattening
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42. Beck’s triad is a combination of increased JVD, hypotension and muffled heart tones and occurs in which of the following?
  1. Hemothorax
  2. Cardiac tamponade
  3. Aortic dissection
  4. Traumatic brain injury
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43. Upon arrival to the scene of a stabbing, you find a patient with a stab wound to the left chest, midclavicular, 4th intercostal space. The patient is in peri-arrest, hypotensive, with a rapid, thready pulse and jugular venous distension. The patient’s GCS score is 3.

You perform bilateral needle decompression, but there is no rush of air or improvement in patient’s condition. The patient no longer has a pulse and now presents in PEA.

Which of the following is suspected in assessing the patient?
  1. Cardiac rupture
  2. Diaphragmatic rupture
  3. Hemopneumothorax
  4. Pericardial tamponade
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44. Other than rapid transport to a trauma center, which of the following is most helpful for a patient suffering from pericardial tamponade?
  1. Needle thoracostomy
  2. Positive pressure ventilation therapy
  3. Aggressive IV fluid administration
  4. Remote ischemic conditioning
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45. Which type of mechanism of injury is not likely in patients with posterior rib fractures of the second and third ribs?
  1. Frontal strike
  2. Compression of the ribcage from the side
  3. Relatively high force impact
  4. All of the above.
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