Q:1-Which of the following generally causes hemorrhage associated with pelvic

fractures?
Mark one answer:

Obturator artery injury

Superior gluteal artery

Lateral sacral artery injury

Venous bleeding

Q:2-Which of the following is false about a hemothorax?

Mark one answer:

They are often diagnosed based on the supine chest x-ray

Must have at least 500 cc of blood to make a diagnosis on chest x-rayin an adult

Incomplete evacuation of hemothorax can lead to empyema

Initial treatment of hemothorax is always a chest tube

Q:3-In a 66 year old intubated, comatose patient, what is one of the most important
information that one needs to obtain?
Mark one answer:

Organ donation status

Power of attorney

Lawyer

Driver's license
Q:4-A patient is hit by a car and has severe injuries to his extremities. He is
immediately brought to the emergency room by EMS. Evaluation reveals that he
has multiple organ injuries. He has an open, gaping wound which measures 2 x 2
centimeters, just below the right knee. The leg appears dislocated and ecchymotic.
However, pulses are present in the distal extremity. He does not complain of any
paresthesias. X-ray reveals that there is a fracture of the tibia. The trauma team is
called. As their arrival is awaited, which of the following should NOT be done to
help manage this patient?
Mark one answer:

Obtain culture and close wound using a sterile technique

Don't reduce the dislocation

Give tetanus toxoid/booster shot

Give antibiotics

Q:5-During resuscitation, your intubated patient's intravenous fluid infiltrates. You

know that you may deliver the following drugs via the endotracheal tube:
Mark one answer:

Lidocaine, adenosine, naloxone, epinephrine

Lidocaine, atropine, naloxone, norepinephrine

Lidocaine, atropine, naloxone, epinephrinec

Lidocaine, atropine, Norcuron, epinephrine

Q:6-Prior to tracheobronchial suctioning, the patient should receive:

Mark one answer:

5cc normal saline lavage

Be placed on NPO status

 100% oxygen prior to suctioning

Versed 1 mg/mL

Q:7-In a patient with a pneumothorax following a stab wound, the chest tube is best
inserted at which level?
Mark one answer:

Between the 2nd and 3rd intercostal spaces

Between the 8th and 9th intercostal spaces

Between the 4th and 5th intercostal spaces, just anterior to the mid axillary line

Just below the clavicle

Q:8-A CT scan of the head is not required in trauma patients with which of the
following conditions?
Mark one answer:

Glasgow coma scale score of less than 14

Evidence of basilar skull fracture

Amnesia lasting more than 30 minutes

Neurologically intact person with very mild confusion

Q:9-Which is NOT one of the most common Emergency Medical Services pediatric
calls?
Mark one answer:

Seizures

Respiratory problems
 Trauma

Sudden infant death syndrome

Q:10-In a patient with head trauma and raised intracranial pressure, which of the
following treatments is not utilized?
Mark one answer:

Fluid restriction

Elevation of the head

Sedation

Use of diuretics