1.

En route to the hospital, you intubate the patient.

During your assessment of tube placement, you hear
wheezing in the upper lung fields. What is most
likely causing this wheezing?
a. Inhalation injury to the upper airway
b. Inhalation induced cardiac wheezing
c. Inhalation induced asthma attack
d. Inhalation injury to the lower airway

2.

Following the immobilization of an extremity

fracture to the lower right arm, the paramedic
should perform what step last?
a. Ensuring the splint is applied tightly.
b. Placing the hand in the position of function.
c. Assessing presence of distal motor,
sensory, and perfusion.
d. Placing the immobilized extremity below the
level of the heart

3.

4.

5.

6.

You are treating a 24-year-old female with a

gunshot wound to the right side of the back. No
exit wound is visible. She is awake but
confused. Her skin is pale and diaphoretic with
cyanosis noted to the oral mucosa. Breath
sounds are clear and equal bilaterally. Jugular
vein distention is present. Blood pressure is
90/78 mmHg, heart rate is 124 beats per minute,
and respiratory rate is 28 per minute and
labored. Sinus tachycardia is seen on the
cardiac monitor. What condition do you think is
most likely present with this patient?
a. Hemothorax
b. Tension pneumothorax
c. Pericardial tamponade
d. Lacerated aorta
You are treating a 24-year-old female with a
gunshot wound to the right side of the back. No
exit wound is visible. She is awake but
confused. Her skin is pale and diaphoretic with
cyanosis noted to the oral mucosa. Breath
sounds are clear and equal bilaterally. Jugular
vein distention is present. Blood pressure is
90/78 mmHg, heart rate is 124 beats per minute,
and respiratory rate is 28 per minute and
labored. Sinus tachycardia is seen on the
cardiac monitor. Which of the following
treatment regimens would be the most
appropriate for this patient?
a. High flow oxygen, spinal precautions,
occlusive dressing over entrance wound,
rapid transport.
b. High flow oxygen by nonrebreather, spinal
precautions, allow patient to remain in a
position of comfort.
c. High flow oxygen by nonrebreather, cover
entrance wound with an occlusive dressing.
d. High flow oxygen, pleural decompression to
right side of chest, rapid transport.
You are treating a 12-year-old male patient who
was hit in the nose with a baseball. His nose is
deviated to the left with moderate epistaxis. He
is complaining of severe pain to his nose. He is
alert and oriented with no loss of consciousness.
Which of the following treatment sequence
would best manage this patient?
a. Pack nares with gauze to control bleeding.
b. Have patient lie supine while holding
pressure to nares.
c. Align nose in the neutral position while
holding pressure to nares.
d. Have patient sit upright and lean forward
while holding pressure to nares.
You are called for an elderly female that fell
down and hurt her knee. When you find the
patient, she tells you she tripped and fell, and
landed on her left knee. She denies any loss of

consciousness or trauma to her head. The

patient is only complaining of pain to the distal
portion of her femur. During your assessment,
you notice deformity and swelling to the femur,
proximal to the knee. The patient has good distal
pulses, motor function, and sensation. What
would be the most appropriate treatment for this
patient?
a. Secure to a backboard and pad
appropriately
b. Application of padded board splints
c. Traction splinting
d. Inflation of the PASG on both legs
7.

Which of the following patients would be most

appropriate for triage to a non-trauma center?
a. 67-year-old female who was electrocuted by
a 220 volt electrical outlet
b. 19-year-old male involved in a single car
MVC at a rate of 25 miles per hour
c. 25-year-old female with a 1-inch laceration
on her thigh
d. 14-year-old male who fell 11 feet out of a
tree, landing on his back

8.

You have responded to a local residence of a 37year-old male who had lacerated his leg while using
a chainsaw in the back of his house. Prior to your
arrival, the patient's wife, who is a nurse, applied
pressure to the wound and has the patient in
Trendelenburg position. Your assessment of the
patient reveals him to be responsive to painful
stimuli with a weak carotid pulse and the blood
pressure unobtainable. There is a massive amount of
blood surrounding the patient on the ground. The
wife tells you that the wound is arterial and the
injury occurred about 10 to 15 minutes ago. In
addition to oxygen therapy, what are your treatment
priorities for this patient?
a. Continue applying direct pressure to the wound
and call for ALS support.
b. Apply an arterial tourniquet and call for ALS
support.
c. Apply an arterial tourniquet and call for ALS
support.
d. Continue applying direct pressure to the wound
and transport.

9.

Which of the following is an early, and the most

prominent, finding in a crush injury?
a. Pain
b. Pulselessness
c. Paresthesia
d. Paralysis

10. Your 26-year-old female patient has been pulled

out of a house fire. Her chest and arms have
been burned. The area is charred and the
patient states she has little pain in the burned
area. What is the most likely classification of this
patient's burns?
a. Full thickness
b. Superficial partial thicknes burns
c. Deep partial thickness burns
d. Superficial
11. You have responded for a 43-year-old male who
was involved in an altercation. The patient was
reportedly beaten about the face and head with
a baseball bat. The patient is unresponsive.
Evaluation of the patient's face reveals instability
from the orbits to the mandible. Based on this
information, how would you definitively manage
this patient's airway?
a. Immediately assist ventilations with a BagValve-Mask.
b. Orally intubate the patient and assist
ventilations with a Bag-Valve-Mask.

c. Insert an oral airway and assist ventilations with

a Bag-Valve-Mask.
d. Insert a nasal airway and assist ventilations with
a Bag-Valve-Mask.
12. When managing an open fracture, you should do
which of the following?
a. Cover the exposed bone ends with a moist
sterile dressing.
b. Provide mild manual traction to restore distal
circulation.
c. Leave the wound exposed if there is no massive
bleeding from the area.
d. Apply a pressure dressing to prevent blood loss.
13. What is the most common spinal injury associated
with improper lifting techniques?
a. Thoracic
b. Cervical
c. Lumbar
d. Sacral
14. You respond to the scene of a residential natural gas
explosion to find a 36-year-old male patient
complaining of a diminished ability to hear,
moderate dyspnea, and acute abdominal pain. These
symptoms are likely due to what mechanism?
a. Primary blast injury
b. Secondary blast injury
c. Tertiary blast injury
d. Toxic inhalation of natural gas
15. While assessing the carotid and radial pulse in your
unresponsive patient, you determine that the
carotid pulse is weak and rapid, and the peripheral
pulses are absent. What other clinical assessment
finding would you expect to be present?
a. An irregular rhythm of the pulse
b. A decrease in the respiratory rate
c. Cool and pale skin
d. An increase in arterial pressure
16. Your patient is suffering from Epistaxis. How should
you proceed.
a. There is no treatment for Epistaxis
b. Pack the area with gauze
c. Pinch the nostrils and have the patient lean
forward
d. Pinch the nostrils and have the patient tilt there
head backwards
17. What are the signs and symptoms of shock?
a. Increased heart rate, increased respirations,
hypotension
b. Decreased heart rate, increased respirations,
hypotension
c. Increased heart rate, decreased respirations,
hypertension
d. Decreased heart rate, increased respirations,
hypertension
18. Your patient is a 22 year old male with an object
impaled in the right side of his chest, just below the
shoulder. After assessing that the object is not
blocking his airway, what is the best course of action
for this patient?
a. Remove the object by pushing it through the
same direction as it entered
b. Remove the object by pulling it back out the
way it entered.
c. Cut the object close to the patient in order to
control the bleeding and transport the patient
d. Stabilize the object in place, control the
bleeding and transport

19. Your patient has an injury that consists of

overstretched & torn ligaments. What type of injury
does this patient have?
a. Strain
b. Sprain
c. Fracture
d. Dislocation
20. What is the best treatment for a suspected fracture
of the talus bone?
a. Apply a traction splint, heat, and elevate the leg
b. Apply a traction splint, ice, and elevate the arm
c. Splint the ankle, apply ice, and elevate
d. Splint the foot, apply heat, and elevate
21. When dealing with a patient who has suffered an
injury to the back of his head, what part of the brain
you should suspect will be affected?
a. Frontal
b. Occipital
c. Parietal
d. Temporal
22. Your patient is a 34-year old male with a large
laceration to the abdomen, and the abdominal
organs are protruding from the wound. What is this
type of injury called?
a. Evisceration
b. Avulsion
c. Protrusion
d. Contusion
23. What is the best way to handle an amputated
extremity?
a. Pack it in ice
b. Wrap it in plastic and place on ice
c. Wrap it in sterile dressings and keep it cool with
ice
d. Place it in a container filled with saline solution
24. You are transporting a trauma patient, and notice
their condition starts to deteriorate. What do you
do?
a. Stop the ambulance and begin CPR
b. Tell your partner to drive faster; you need to get
this patient to the hospital now
c. Reassess your patient
d. Call medical control
25. You are transporting an unconscious patient. How
often should you check their vitals?
a. 5 minutes
b. 2-3 minutes
c. 10 minutes
d. 15 minutes
26. What is the mnemonic for determining level of
consciousness?
a. OPQRST
b. AVPU
c. SAMPLE
d. ABC
27. Your patient is a 16-year old male, who fell
approximately 15 feet. This call should be
considered:
a. Not a traumatic emergency
b. A traumatic emergency, that requires airlifting
the patient to the nearest level 1 trauma center
c. A significant mechanism of injury
d. Not a significant mechanism of injury
28. A fall greater than ______ would be considered a
significant mechanism of injury in a patient under
the age of 8.
a. The height of the patient

b.
c.
d.

5 feet
Double the patients height
10 feet

29. You are called to the scene of pedestrian thats

been struck by a car. Upon examination, you notice
clear fluid leaking from the patients ear, that you
believe to be cerebral spinal fluid. This tells you the
patient may have suffered a:
a. Severe head injury
b. Basilar skull fracture
c. Ruptured eardrum
d. Cervical spine injury
30. What does PMS stand for during your assessment of
a patients lower extremity?
a. Pedial , Motion, Sensation
b. Pain, Motion, Severity
c. Pulse, Motor function, Sensation
d. Pulse, Motor sensation, Severity