Pre-hospital Trauma Life Support - 30 Mins - EMT-b

18 Questions  I  By Medic2690
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  • 1. 
    The most common cause of airway obstruction in unconscious patients is:
    • A. 

      Flaccid tongue blocking the hypopharynx

    • B. 

      Crush injury to the trachea

    • C. 

      Foreign body obstruction

    • D. 

      Edema of the vocal cords


  • 2. 
    Which of the following manual airway maneuvers is NOT recommended for use on trauma patients?
    • A. 

      Trauma mandible lift

    • B. 

      Trauma jaw thrust

    • C. 

      Head tilt, chin lift

    • D. 

      Trauma chin lift


  • 3. 
    The first priority of trauma management and resuscitation is:
    • A. 

      Assuring scene safety

    • B. 

      Rapid completion of primary patient survey

    • C. 

      Ensuring a patent airway

    • D. 

      Control of external hemmorrhage


  • 4. 
    _______________ is the most desirable method of achieving maximum control of the airway for trauma patients who are apneic or require assisted ventilation.
    • A. 

      The pharyngeal lumen (PTL) airway

    • B. 

      Endotracheal intubation

    • C. 

      An oral airway

    • D. 

      Percutaneous transtracheal catheter ventilation (PTLV)


  • 5. 
    Potential complications of endotracheal intubation include:
    • A. 

      Esophageal intubation

    • B. 

      Hypoxemia from prolonged intubation attempts

    • C. 

      Conversion of cervical injury without neurological deficit to a cervical spine injury with neurologic deficits

    • D. 

      All of the above


  • 6. 
    In a normal adult, the control of respiration by chemoreceptors in the brain is determined by sensing which of the following chemicals?
    • A. 

      Carbon monoxide (CO)

    • B. 

      Carbon dioxide (CO2)

    • C. 

      Oxygen (O2)

    • D. 

      Nitrogen (N)


  • 7. 
    The most important early observation that reveals developing respiratory compromise after trauma is:
    • A. 

      Intercostal nerve decreased blood pressure

    • B. 

      Increased pulse rate

    • C. 

      Increased respiratory rate

    • D. 

      Decreased respiratory rate


  • 8. 
    The most important concern about a rib fracture is:
    • A. 

      Intercostal nerve or vessel injury

    • B. 

      Pain with inspiration

    • C. 

      Underlying organ injury

    • D. 

      Associated thoracic spine injury


  • 9. 
    A patient with a suspected flail chest develops increasing respirations and difficulty breathing. Which of the following interventions would be most likely to help the patient?
    • A. 

      Needle decompression

    • B. 

      Pericardiocentesis

    • C. 

      Administration of an analgesic

    • D. 

      Endotracheal intubation


  • 10. 
    Patients with pulmonary contusion should not be given too much intravenous fluid because fluid will:
    • A. 

      Increase blood pressure and intra-abdominal bleeding

    • B. 

      Increase intracerebral edema

    • C. 

      Increase interstitial and intra-alveolar fluid and bleeding

    • D. 

      Cause thoracic compartment syndrome


  • 11. 
    A patient with a suspected simple pneumothorax will benefit from which of the following interventions?
    • A. 

      Rapid transport

    • B. 

      Needle decompression

    • C. 

      Administration of an analgesic

    • D. 

      Positive pressure ventilation


  • 12. 
    Which of the following is a sign and symptom of shock?
    • A. 

      Warm, dry skin temperature in spinal shock

    • B. 

      Falling blood pressure during compensated shock

    • C. 

      Normal pulse during septic shock

    • D. 

      Pink skin color in hypovolemic shock


  • 13. 
    The organs most commonly injured in the abdomen by blunt trauma are the:
    • A. 

      Stomach and duodenum

    • B. 

      Small intestines and kidneys

    • C. 

      Colon and pancreas

    • D. 

      Liver and spleen


  • 14. 
    Injuries to hollow organs in the abdomen cause peritonitis secondary to hemorrhage into the peritoneal cavity.
    • A. 

      True

    • B. 

      False


  • 15. 
    A 35 year old man falls off a 10-foot ladder. Based on this information, which injuries would you attend to first?
    • A. 

      Fractured femur

    • B. 

      Angulated wrist

    • C. 

      C-spine precautions

    • D. 

      Hip fracture


  • 16. 
    What condition would you assess for when dealing with a crushing injury?
    • A. 

      Infection

    • B. 

      Degloving

    • C. 

      Compartment syndrome

    • D. 

      Absence of mobility


  • 17. 
    The proper way to dress most burn injuries in the pre-hospital setting is to use:
    • A. 

      Moist dressings

    • B. 

      Dry sterile dressings

    • C. 

      Water soluble gels

    • D. 

      Silvadene


  • 18. 
    The biggest concern with electrical burns is:
    • A. 

      The wick effect

    • B. 

      Tissue loss

    • C. 

      Entry and exit wounds

    • D. 

      Cardiac arrest


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